GIRFT Supporting integration and System working

Jen Duffy Divisional Manager Neurology The Walton Centre Neurology

• Services are organised differently in every region within the UK

– Neuroscience centres – Neurology Centres with inpatient beds – DGH neurology Centres without inpatient beds – DGHs with visiting neurologists Neurology - The Walton Centre

• The Walton Centre is the only specialist hospital trust in the UK dedicated to providing comprehensive neurology

• We serve a catchment area of 3.5 million people across , , , Greater Manchester, the Isle of Man and and beyond

• We have service partnerships with 14 NHS Hospitals across the area we serve WCFT Neurology Model

WCFT Neurology – Hub and Spoke Nurse Specialist Working in partnership with 14 Dr 1 Dr 2 Dr 3 Weekly OPD Weekly OPD DGHs Clinic Clinic AM Providing acute Monday Ward Consultation Session inpatient and outpatient services PM Weekly OPD Weekly OPD Weekly OPD Clinic clinic Clinic AM Tuesday Ward Consultation Standard weekly DGH Neurology Session timetable, includes: PM AM Wednesday • 4 Consultant delivered outpatient PM clinics Weekly OPD clinic AM Tursday Ward Consultation • 3 Nurse Specialists delivered Session PM outpatient clinics Weekly OPD Clinic AM Friday Ward Consultation Weekly OPD • 4 Consultant delivered Session Clinic PM Ward consultations sessions GIRFT – Key Acknowledgements – Highly effective and developed outpatient model across network

– Highly effective, developed and embedded clinical pathways • Headache • Post Seizure

– INNS good operational model GIRFT - Key Recommendations & highlighted opportunities • Enhanced responsive Neurology – Neurology wards at partner hospitals – Ambulatory care at partner hospitals – Rapid access for Neurology advice and patient review – Delivery of procedure based outpatients closer to home – Harnessing technology Work in progress

• Exploring opportunities to cohort Neurology inpatients with our DGH partners • Implementation of ambulatory care at Royal, Aintree and Whiston, with further role out planned • Implementation of a Rapid Access Neurology Assessment service. • Implementation of Video and Telephone consultations Next steps

• Finalise WCFT GIRFT deep dive action plan

– Focusing on top 5 priorities – Agree milestones of delivery – Agree support and monitoring mechanism Any questions?