Prearranged care and operations in Bromley
Bromley CCG’s planned care programme supports patients to have access to safe, high quality and effective care, delivered locally. Planned care can be defined as routine services with planned appointments or interventions in hospitals, community settings and GP practices. We want our planned care services to deliver high quality, personalised care, which enables patients to see the right person, in the right place, at the right time; working with local services to make sure that patients only go to hospital if they need to be there and that we have safe, high quality care available in community settings to improve patient outcomes by:
- Strengthening primary care and community services and supporting patients to participate in decisions about their own care empowering them to self-care where safe to do so.
- Supporting our hospitals and surgical teams to deliver the best outcomes for those who do need their services.
- Reducing waiting times by streamlining services and removing delays at every stage of the patients journey to ensure everyone is seen before 18 weeks.
- Supporting patient choice by actively sharing information on options for their care and the outcomes they can expect.
What is planned care?
Planned care is any treatment that doesn't happen as an emergency and usually involves a prearranged appointment. Most patients are referred for planned care from their GP.
What does our work focus on?
We redesign whole care pathways so that people get good quality care in the right setting provided by the right person at the right time.
Why do we need to improve planned care?
We know that not all Bromley residents get the same access to high quality care. Experiences and outcomes are varied. Demand for care is high and we need to make sure that people are treated in the right place at the right time by services working closely together to meet their needs.
What are the challenges in Bromley?
Bromley has more people over 65 years old than any other London borough. Although many older people live without significant health conditions, there are also many who have one or more long term condition and so are more likely to need health services.
Population health and lifestyles
The pressure on services relates to the health of our population. The main causes of death in Bromley are cancer, circulatory disease and respiratory disease. And Bromley residents have increasing rates of hypertension and diabetes. Obesity levels and the number of people who smoke also continue to rise. Both are major risks for developing serious conditions and having a stroke or heart attack. Carers have told us that they do not make their own health a priority and are often unable to attend appointments for themselves.
What are we going to do about it?
We have been working with local providers and other partners in Bromley to join up care as much as possible. Our shared vision is to:
- Set up elective care centres for routine surgery and treatment, which will improve outcomes and take the pressure off hospitals.
- Make best use of IT so that information can be shared between care providers, including test results.
- Use 'best practice' approaches to make sure patients get what they need.
- Help people to take better care of themselves through better health promotion and self-care schemes.
- Give patients more choice about when and where they are treated.
- Raise awareness of respite services for carers.
- Help patients to shape their own care plan which covers every aspect including social, mental, physical and emotional health.
- Improve the way that patients are informed about their care all the way through their treatment, from whoever is providing it.
- Improve the way that services work together.
- Focus on improving the care for people with multiple sclerosis, Parkinson’s, epilepsy, cancer, cardiovascular disease and diabetes and for those who have had a stroke.
What benefits will patients see?
- More coordinated services with treatments provided closer to home.
- Lower waiting times.
- Less chance of operations getting cancelled and less time in hospital recovering.
- Quicker test results.
- Personalised care plans which meet all their needs.
- Better support to keep them in good health; to stop smoking, exercise and eat well.
- Ability to make more informed choices about their care.
- Better education for patients with long term conditions.
- More joined up working between physical and mental health services.