Our Strategy Refresh FINAL - Flipbook - Page 4
Why have we refreshed our strategy now?
Our previous strategy was set in 2015, at the time we were placed in enforcement action by
Monitor (now NHS Improvement) the regulator, due to our worsening finances.
The previous strategy was specifically designed to lift the Trust out of enforcement action and
thanks to the hard work of staff in helping stabilise our finances, the Trust moved out of
enforcement action in autumn 2017.
What did we achieve through that strategy?
We said…
We did…
We would stabilise our finances through careful
consideration of cost savings and delivering efficiencies.
We would save an extra 500 lives through a number of
additional safety initiatives such as Sepsis and Acute
Kidney Injury.
We wanted to make sure the services we provide are
joined up for patients and users.
In three years we delivered £40m of savings safely.
In three years we have saved up to an extra 356 lives
thanks to our action and the work of our staff.
In July 2016 we established Wiltshire Health and Care as
a partnership with Royal United Hospitals Bath NHS FT
and Salisbury Hospital NHS FT to provide adult
community services across Wiltshire with the aim of
improving pathways and helping keep people at home.
In October 2016 we became responsible for all Adult
Community Health Services in Swindon as we recognised
the big opportunity in Swindon to join services up and
remove some of the old organisational boundaries.
These services were rated as Good across all domains by
the CQC in December 2018 and now means local people
are able to access better community services and it is also
helping with flow and supporting discharges from
hospital.
We would work closely with other providers to bring
services closer to home.
We wanted to look at options for how we can get better
value for money for the taxpayer from the PFI – a
significant financial burden for the Trust.
We would recruit more frontline staff.
Working with our local partners, we have also developed
a new model of care for Swindon – the Team Swindon
model – which is the blueprint for an Integrated care
system for Swindon. Work is now underway to
implement that model across a range of pathways for
patients, for example End of Life patients and the
development of community based MDTs [MultiDisciplinary Teams].
A key success has been securing national approval for a
Radiotherapy Unit for Swindon and we have successfully
raised over £2.9m towards the project through our
Brighter Futures charity.
Enabling works were complete in 2017 and, following
the approval of funds to Oxford University Hospitals NHS
FT, we expect the main building work to start in 2019.
We developed a business case exploring a range of
options including looking to buy out the PFI –
unfortunately this case was not supported by regulators
and despite some small savings, the PFI remains the main
reason for our structural deficit of around £12m a year.
We now have 230 more nurses, 60 more doctors* and 31
more therapists in post than we did three years ago.
*includes medical and dental staff
These are some of the key elements of the strategy that we have successfully delivered and now
we need to reflect on what is happening around us, what challenges remain and to agree new
goals for the long term.
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