Health and Wellbeing, plus Pharma

Service Delivery Strategy,
South and East Belfast NHS Trust (UK)

SG - Case Study - NHSSG - Case Study - Belfast HSC

Background

Until April 2007, the South and East Belfast (S&EB) NHS Trust was responsible for delivering Residential Care, Day Care and Care in the Home to half the population of Belfast. It then became part of the larger Belfast Health and Social Care (BHSC) Trust formed by merging - Belfast City Hospital, The Royal Hospitals, Mater Hospital, South and East Belfast, North and West Belfast and the Greenpark Healthcare Trust. This is now the biggest employer in Northern Ireland with 20,000 staff (1 in 30 of the total NI workforce), dedicated to improving the health and wellbeing of the people of Belfast and beyond.

Issue

When S&B Trust recognised it had major difficulties in operating its wide range of services from 73 separate properties, it sought our help to produce a comprehensive Estate Strategy.

Solution

However, after listening carefully to the client, we identified that the crucial need was not in fact an Estate Strategy, but a Service Delivery Strategy from which the estate requirements to support would emerge i.e. to develop a different model of care within which the individual elements could be aggregated to produce space economies and add the benefits of closer association of a linked range of community functions. We developed the innovative concept of three population related centres across S&E Belfast, each of which would provide GP Surgeries, Physio, Podiatry, Dentistry, Child Care Services, Local Authority, Social Services and Voluntary Services offices. We categorised these new concepts as ‘Health and Care Centres’ - and they paved the way towards the modernised health and social care services that we see today.

Outcome

Two of the proposed Health and Care Centres became operational in 2006, providing hugely improved services. The Trust has been able to reduce its stock of properties from 73 to 30, thereby saving an enormous amount of money that has been reinvested in further service improvement. By working together and listening to patients, we were able to tackle health inequalities and strive to deliver the best possible care. The Belfast Health and Social Care Trust now provides services for more than 340,000 people in Belfast and its regional services provide care to the whole of Northern Ireland.

 

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