The Royal Brompton & Harefield Hospital NHS Foundation Trust
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The Royal Brompton & Harefield Hospital NHS Foundation Trust Royal Brompton Hospital Congenital Heart Disease Network 2019 / 20 Annual Business Plan Authors: Dr Nitha Naqvi Dr Leonie Wong Lawrence Mack Simon Boote Approved by: Congenital Heart Disease Working Group Ratification Committee: Congenital Heart Disease Network Board Date Ratified: 29/04/2019 Chairman: Dr Angela Tillett Implemented by: All Document Authors Meeting Chair Meeting Members Network Management Team Issue Date: April 2019 Version: 001 Review Date: March 2020 Review interval: 12 Months Issued: April 2019 Version: 001 Page | 1 Contents Page Link 1 Contents 1 Contents ................................................................................................................................................................... 2 2 The Brompton Hospital and Congenital Heart Disease ................................................................................... 3 3 The Annual Business Plan .................................................................................................................................... 3 4 Governance & Committee Structure ................................................................................................................... 3 5 RBH-CHD Strategic Vision ................................................................................................................................... 4 6 Operational Delivery Network ............................................................................................................................... 4 7 Network Objectives ................................................................................................................................................ 6 8 The King’s Health Partnership CHD Colocation ................................................................................................ 6 8.1 Partnership Vision .......................................................................................................................................... 7 8.2 How we will deliver this vision within Congenital Heart Disease Services ............................................ 8 8.3 Developments in Transition .......................................................................................................................... 9 9 IT Roadmap ........................................................................................................................................................... 10 10 Appendix 1 – Network Board & Sub-Committees ....................................................................................... 12 11 Appendix 2 – Network Management Team .................................................................................................. 13 12 Appendix 3 – Work Plan .................................................................................................................................. 14 13 Appendix 4 – Strategic Vision ........................................................................................................................ 24 14 Appendix 5 – Transition model ....................................................................................................................... 25 15 Appendix 6 – IT Delivery Timeline ................................................................................................................. 26 Issued: April 2019 Version: 001 Page | 2 Contents Page Link 2 The Brompton Hospital and Congenital Heart Disease The Royal Brompton & Harefield NHS Foundation Trust (RBHT) is the largest specialist heart and lung centre in the United Kingdom, and amongst the largest in Europe. The trust is formed of 2 sites, the Royal Brompton Hospital (RBH) and the Harefield Hospital, following a merger in 1998. The cross-site partnership allows us to carry out some of the most complicated surgery and offer some of the most sophisticated treatment that is available anywhere in the world. Paediatric and Adult Congenital Heart Disease (CHD) services are long established at RBH, and the teams were keen to serve patients nearer to their homes from the beginning recognising the importance of education and good communication with district general hospital professionals. A loyal Network of level 3 centre doctors and allied professionals was established and has been working well since the 1970s. Teaching and dialogue have always been recognised and RBH has a long history in educational courses in CHD attracting our own Network in addition to other professionals involved in CHD. The first “network days” were held in 2014. The CHD Network was formally recognised more recently in 2016. RBH appointed a CHD Network Director and an Associate CHD Network Director in 2018, followed by a CHD Network Manager in 2019. 3 The Annual Business Plan The purpose of this document is to highlight the work being carried out by RBH, and network member hospitals, to develop the RBH-CHD Network. It will bring into focus activities that are due to be delivered in 2019 and so enable the RBH-CHD Network to move towards alignment with NHS England’s recommendations around the provision of CHD services. The plan will consist of the RBH-CHD Strategic Vision, the structure (operational and governance) that will allow us to achieve our goals, and a work plan. 4 Governance & Committee Structure In Q4, 2018, the RBH-CHD Network Board (Appendix 1) was formed and full terms of reference agreed. The board will ensure the RBH-CHD Network is able to realise its strategic vision by ensuring the Network Management Team (Appendix 2) delivers on agreed objectives of the Network Plan (Appendix 3). The Network Plan will be reviewed on a quarterly basis and shared with our Level 3 Partners. An annual report will be produced detailing accomplishments, challenges and areas for improvement during the year. Quality improvement initiatives will be born out of an end of year audit against national standards. This will help inform the 2020/21 Network Plan. The Network Board does not have any regulatory or enforcement powers to make network partners fully comply with standards, but it can and will raise any concerns and issues to the appropriate responsible officers. The Network Management Team is there to provide support and assistance to help partners as much as possible to meet the national CHD Level 3 standards. Issued: April 2019 Version: 001 Page | 3 Contents Page Link The RBH-CHD Network Board will be externally accountable to the Medical Director of Specialised Services, NHS England, London. The Board will also have intra-hospital accountability to Dr Vias Markides (Divisional Director, Chair of Adult Quality & Safety Meeting, Heart Division) and Dr Jan Till (Co-Director of Paediatric Cardiology, Chair of Paediatric Quality & Safety Meeting, Heart Division). 5 RBH-CHD Strategic Vision The RBH-CHD Strategic Vision (Appendix 4) will allow us to drive CHD proposition development. It brings together structure and illustrates not only how the network aims will be realised, but who will deliver them. Core to the vision will be three pillars that all RBH-CHD Network activities will fall into. These core pillars will allow the RBH-CHD Network Board to effectively illustrate the value of work being undertaken, and reassure all stakeholders that the work plan is targeted and comprehensive; they are as follows: - Patient Centred – activities here will be focused on improving the value proposition for CHD patients and their families. - People & Talent – activities here will focus on leadership, education and providing accessible platforms to grow. - Safe & Sustainable – activities in this domain will be around embracing technology, pathway development, performance metrics, audit, risk management and shared learning. 6 Operational Delivery Network The RBH-CHD Network is hosted by RBH. There are currently twenty-six Level 3 DGH’s in the network over a wide geographic spread across South-East England. The network centres are as follows: Level 1 Centre (Network Host): Royal Brompton Hospital Level 3 Centres and our Specialist Paediatricians with Expertise in Cardiology: RBH is a collaborative academic centre that focuses on supporting clinicians in all aspects of patient care. This is highlighted by our commitment to our Specialist Paediatricians with Expertise in Cardiology (PECs). Our PECs are core to the operational delivery network and key to its success. They are supported by our Multidisciplinary Team and encouraged to collaborate and attend training / network events as much as possible. The following table lists the hospitals in the RBH-CHD Network and PECs that support outreach clinics. Issued: April 2019 Version: 001 Page | 4 Contents Page Link No. Hospital (H), Trust (T), PEC (P) No. Hospital (H), Trust (T), PEC (P) H: Basildon University Hospital H: Broomfield Hospital T: Basildon & Thurrock University Hospital NHS FT T: Mid-Essex Hospital NHS T 1 2 P: Dr Ramaratnan Ramanan P: Dr Mahesh Babu P: Dr Rani Thankappen P: Dr Job Cyriac H: Chelsea & Westminster Hospital H: Colchester Hospital T: Chelsea & Westminster Hospital NHS FT T: East Suffolk & North Essex NHS FT 3 4 P: Dr Angela Tillett P: Dr Bikash Bhojnagarwala P: Dr Ramona Onita H: Croydon University Hospital H: East Surrey Hospital (Redhill) T: Croydon Health Services NHS T T: Surrey and Sussex Healthcare NHS FT 5 6 P: Dr Arun Kumar P: Dr Majeed Jawad P: Dr Grant Marais P: Dr Prashanthi Katta H: Hammersmith Hospital H: Hemel Hempstead Hospital T: Imperial College Healthcare NHS T T: