Summary of Hospital for the Capital Region

Hospital Plan 2007 Capital Region Summary of Hospital for the Capital Region Hospital Plan 2007 Capital Region Summary of the Hospital Plan for the Capital Region Summary of the Hospital Plan for the Capital Region Summary of the Hospital Plan for the Capital Region MThe structure of local government in Denmark to cope with the challenges of the future. That is why changed in 2007. The reform carried out that year consultations with the professional health-care staff reduced the number of municipalities, but eliminated have played an essential role in the planning process. the counties and instead divided the country into five In the summer of 2006, the region appointed a total within a given district will cooperate to handle the so that any doubts concerning patients dialling the new regions. One is the Capital Region of Denmark, of 40 advisory health care committees. Each advisory hospital-related tasks that arise, thereby ensuring that Danish emergency number (112) can be resolved which formally came into being on January 1st 2007 committee was tasked with assessing the minimum patients receive appropriate treatment and care. jointly by the ambulance team and the triage nurse. when Denmark’s “structural reform” took effect. As of size, and the optimum size, of the population base that date, the Capital Region assumed responsibility each department would serve, and was asked to map Rigshospitalet holds an exceptional position in Den- The local hospitals do not carry out emergency surgery. for providing the region’s 1.6 million citizens in parti- out and clarify how its own specialty interacted with mark, because as a national hospital it hosts many However, they do have elective-surgery clinics for cer- cular, and in some respects the Danes in general, with other specialties. highly specialiazed functions receiving patients from tain courses of treatment, which offer clinical pathways a hospital system that would be distinguished by its the entire country. However, it also handles a number for a scheduled procedure and follow-up programme, professionalism, cohesion, and good quality of service. During the autumn of 2006 the region’s subcommittee of main functions for the City district. Similarly, and which focus on professional quality and patient on hospital structure reviewed the advice of the com- service. The document summarized here, the Hospital Plan mittees, assessing each specialty individually. Bornholms Hospital holds a special position because of for the Capital Region, is the first step on the road to The subcommittee’s findings were then compiled into the unique geographical conditions that characterize In order to cope with the anticipated pressure on the creating a truly unified regional health service. a study that analyses the population base for, and the the island of Bornholm, and while it handles all com- available surgical capacity, which is partly a result of interactions among, the various specialties. mon hospital-related tasks, it is organizationally linked the Danish government’s national one-month treat- The Hospital Plan gathers a wide range of health to Rigshospitalet. ment guarantee, each planning district will make a services in fewer units. The aim of this is to reinforce coordinated effort to plan and distribute the elective- the professional quality of care, and to provide a better The four planning districts surgery tasks among its district hospital and local basis for research and development. All hospitals in the The Hospital Plan geographically divides the Capital Local hospitals hospital(s). region will continue to give research a high priority, Region’s hospital service into four planning districts: Proximity to home is typically a major concern for and those hospitals that host specialized functions will North, Middle, City, and South. medical patients. Each planning district therefore has have special research obligations. One focus area in the one or two facilities designated as local hospitals. District hospitals years to come will be research in the major endemic These planning districts, which are applied in this Each of the four planning districts has one district diseases affecting the Danish population. Hospital Plan and in the corresponding Psychiatry These local hospitals cooperate with the relevant hospital, which handles emergency surgical and medi- Plan, will define the geographical layout of hospital district hospital – which also serves as a local hospital cal treatment. Besides ensuring better patient treatment and care, treatment and care in the future. Citizens living within – to give patients proximity to their own homes and the Hospital Plan will help create an attractive and each of the four planning districts must be ensured a neighbourhoods during treatment and care. The local The location of each district hospital is well suited dynamic working environment for the Capital Region’s uniformly high level of quality and services. hospitals also work closely and constructively with the to its district-wide function in terms of geography and 36,000 employees. We want our facilities to be the local municipal authorities. traffic. The physical framework and capacity of each hospitals of choice for patients and staff alike. Each planning district has a population base of district hospital has a potential for expansion that will 310,000 to 460,000. This volume allows the most com- This means that in the major specialties of internal enable it to handle treatment for the whole district at In November 2006 the Preparatory Committee for the monly occurring illnesses and diseases to be treated medicine, the four planning districts are subdivi- main-function level, and to host certain selected special Capital Region of Denmark reached a consensus on close to the region’s citizens, while maintaining focus ded into smaller catchment areas. Like the planning functions. the fundamental principles upon which the Hospital on providing a continuum of care for the individual districts, the medical catchment areas follow the areas Plan should rest. This consensus crystallized into the and avoiding unnecessary transfers. Each planning of the municipalities and city precincts, enabling the All district hospitals will establish a joint admission regional statements of intent on health policy. These district is equipped to handle emergency services citizens in each municipality and precinct to be linked, for emergency medicine (EM) for the entire planning documents constitute the political framework for the involving surgical procedures, orthopaedic surgery, at least in the first instance, to a single hospital. district. This makes the district hospitals the primary Hospital Plan, and they identify and explain various childbirth and pediatric care, anaesthesia and intensive entry point for patients with illnesses and diseases that considerations that the plan must address. Although care, and medical care in general, including neurology. The local hospitals can receive some emergency require treatment, both for citizens presenting themsel- first and foremost intended to ensure the high quality medical patients from their catchment area, but their ves personally and for citizens whose first contact is of treatment and care, the plan also aims to meet the The planning districts in the Capital Region follow the primary task is to carry out scheduled examinations, through the emergency number 112. The joint AEM demands of various stakeholders for geographical lines of the new municipalities and city precincts as tests, treatments and procedures, sometimes in outpa- functions cover the previously existing emergency- proximity, continuity of care, optimized performance, defined by the structural reform of 2007. The resulting tient settings. room and reception functions, and in accordance with research, development, education, a safe and pleasant changes were necessary in order to create unambi the recommendations from the National Board of working environment, and successful recruitment and guous lines of contact with the region’s citizens, and To continue to offer citizens treatment for emergency Health, each emergency departement is organized as retention of staff. with the municipal partners of the various hospitals. but minor injuries in reasonable proximity to their the only entrance to the hospital for emergency cases . homes, the local hospitals will maintain their emergen- The overarching goal of the Hospital Plan is to create All hospitals in the region – except Rigshospitalet (the cy rooms. These emergency rooms will be open round A district hospital handles all of the district’s emer- the foundation for a hospital service that is equip- national hospital) and Bornholms Hospital – are associ- the clock for patients presenting themselves for care. gency admissions for surgery and medical cases, and ped to deliver high-quality treatment and care, and ated with a planning district. The aim is that hospitals The district hospitals will have a triage function, for births, with one exception: The maternity depart- 2 3 Summary of the Hospital Plan for the Capital Region Summary of the Hospital Plan for the Capital Region ment for the City district is Rigshospitalet and not Bispebjerg Hospital, which serves A number of the changes in the as the district hospital in other respects. There are also special provisions for the new distribution are self-evident. local hospitals in Gentofte and Glostrup. Besides their local-hospital functions, they The district hospitals must have the 4_VO`X\c

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