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Clinical Services Plan 2019-2022

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Clinical Services Plan 2019-2022 Health Northern Sydney Local Health District CLINICAL SERVICES PLAN 2019-2022 Acknowledgement of Country Northern Sydney Local Health District acknowledges the Traditional Custodians of the lands on which our health services have been built, contents the Gaimariagal, Guringai and Dharug peoples, and we honour and pay our respects to their ancestors. We acknowledge and pay our respects to all Foreword 4 Aboriginal and Torres Strait Islander peoples and to Elders past, present and emerging. We acknowledge that past, current and future Aboriginal and Torres Strait Islander peoples are 1 Executive Summary 5 the continuing custodians of this country upon which we live, work and meet and that it is from 2 Geographic, Population their blood, courage, pride and dignity that we are and Demographic Profile able to continue to live, work and meet on this 35 ancient and sacred country. 3 Trends in Activity and Service Impact 41 4 Achievements since last CSP 51 5 Service Drivers 56 6 Strategic Directions 60 Clinical Networks 69 7 Maternal, Neonatal and Women’s Health 70 8 Child Youth and Family Health 76 Northern Sydney Local Health District PO Box 4007, Royal North Shore LPO, St Leonards, NSW 2065 NSLHD Clinical Services Plan 2019-2022 | September 2019 This document can be downloaded from the Northern Sydney Local Health District website: http://www.nslhd.health.nsw.gov.au/AboutUs/publications This document is available in alternative formats on request. Acute and Critical Care Medicine 82 Hospitals and Affiliated Health Services 151 9 Emergency Medicine 83 31 Hornsby Ku-ring-gai Hospital 153 10 Intensive Care 87 32 Mona Vale Hospital 156 11 General Medicine 89 33 Northern Beaches Hospital 159 12 Gastroenterology 91 34 Royal North Shore Hospital 161 13 Hepatology 93 35 Ryde Hospital 165 14 Infectious Diseases 95 36 Affiliated Health and 15 Immunology and Allergy 96 Non-Government Organisations 169 16 Dermatology 98 37 Mental Health Drug and Alcohol 171 Chronic and Complex Medicine 99 17 Endocrinology and Diabetes 100 38 Primary and Community Health 176 18 Renal Medicine 103 19 Chronic Pain Management 106 39 Health Contact Centre 179 40 Acute Post-Acute Care/Hospital in the Home 180 41 Northern Sydney Home Nursing Service 181 20 Surgery and Anaesthesia 107 42 Aged Care Services 182 43 Chronic Disease Services 185 44 Multicultural Health Service 186 Cardiothoracic and Vascular Health 115 45 Sexual Health/HIV Service 187 46 Needle and Syringe Program 188 21 Cardiology and Vascular Health 116 47 Intellectual Disability Service 189 22 Respiratory Medicine 118 48 Domestic Violence Service 190 23 Vascular Surgery 120 49 BreastScreen 191 50 Oral Health Service 193 24 Musculoskeletal Health, Plastics/Burns, Spinal and Trauma 122 Clinical Services 194 51 Allied Health 195 25 Neurosciences 127 52 Pharmacy 197 53 Medical Imaging 200 54 Aboriginal Health 203 Cancer and Palliative Care 132 55 Carer Support 205 56 Research 206 26 Cancer Care 133 27 Haematology 137 28 Palliative Care 139 Appendices 209 A Role Delineation of Health Services 210 Rehabilitation and Aged Care 142 B Current and Future Bed Profile 212 C Acute Admitted Activity 214 29 Rehabilitation 143 D Glossary of Terms and Abbreviations 218 30 Aged Care 146 E Index of Figures and Tables 220 F Aboriginal Health Impact Statement 221 G Bibliography 224 Foreword We are pleased to present the revised Northern Sydney These strategic directions will underpin the CSP, Local Health District Clinical Services Plan 2019-2022 which identifies a number of clear challenges for the which reflects the significant changes the district has local health district and suggests specific tasks for undergone and the wealth of opportunities presented our clinical networks, individual hospitals, clinical for our patients, our staff and the community. directorates and services as well as the NSLHD Clinical Council and the district executive. The opening of the Northern Beaches Hospital in October 2018 heralded a new era of health care This plan has been developed with input from a delivery for the residents of the Northern Beaches. wide range of stakeholders, including clinicians, With the hospital’s opening came the closure of service directors, hospital managers, consumers, Manly Hospital and a revision of services delivered at carers, service partners and organisational leaders. Mona Vale Hospital, which is now a sub-acute, urgent The plan is also informed by and will support NSLHD’s care and community health facility. At the same time, commitment to the training and education of our the redevelopment of Hornsby Ku-ring-gai Hospital workforce and our research endeavours. continues and will transform the clinical care provided The CSP is forward-looking and lays the foundations for to the local community. future proofing health care while meeting the growing In this context it was timely to review the former demand for health services. It will be reviewed again Clinical Services Plan (CSP) and ensure it reflected the in 2022, by which time new services will be opened at changes to service delivery and continued to meet the Hornsby Ku-ring-gai Hospital, the reconfiguration of health care needs of the community. Mona Vale Hospital to include palliative and aged care and planning for the redevelopment of Ryde Hospital This revised plan identifies six strategic directions for will have progressed. the development of clinical services over the next three years: We commend this plan to all staff and to the Northern Sydney community as we continue to improve the › Proactively manage the increasing demand for quality of care into the future. emergency care › Improve the health and care of older people › Invest in non-admitted care Deborah Willcox › Optimise the distribution of health services Chief Executive › Realise the benefits of capital investments › Develop a platform for innovation and knowledge. Stephen Nolan Chair, NSLHD Clinical Council 4 | NSLHD Clinical Plan | 2019-2022 1 Executive summary 1.1 Introduction The focus of the CSP, as previously, is on strategic directions to guide service development. It does not This Clinical Services Plan (CSP) 2019-2022 outlines the focus on operational matters or include details on major challenges and details the priorities, strategic implementation. Directions and recommendations will directions and recommendations for clinical services be prioritised and scheduled over the life of the plan across NSLHD, individual hospitals and directorates, and detailed plans and associated resources will be and clinical networks. identified to support implementation. The NSLHD Clinical Services Plan 2015-2022 was The CSP is set out in distinct sections: published in March 2015. In light of the significant › changes occurring in NSLHD, in 2018 the Chief Chapters 1-5 provide context for the planning and Executive requested a mid-term review of the current provision of clinical services over the coming three CSP. As consultation progressed it became clear years; specifically it includes chapters that: that clinical networks were keen to develop new › Detail the geographic, demographic and health recommendations to take account of achievements status profiles of NSLHD. and developments that had occurred since 2015. › Describe trends in health service utilisation Hence the mid-term review resulted in a refreshed including ED, acute and sub-acute admitted, CSP, still covering the period to 2022 but with and non-admitted health care. recognition of ongoing changes. › Explore the drivers and factors that The scope of the CSP encompasses clinical services, influence how health services are provided based around the current clinical networks, hospital and developed. and community health services and clinical support services including medical imaging, pharmacy, allied › Summarise progress and the achievements health, Aboriginal health and carers support. Health of clinical networks since the last CSP was promotion and public health were not included in launched in 2015. the scope. › Chapter 6 sets out the strategic directions for the Preparation for the transition of services from Manly development of NSLHD clinical services under and Mona Vale Hospitals to the new Northern Beaches six themes: Hospital occurred in parallel to the planning for the › Proactively manage the increasing demand for new CSP under separate governance processes; emergency care. specific directions and recommendations have not › been included for the Northern Beaches Hospital Improve the health and care of older people. although where appropriate clinical networks have › Invest in non-admitted care. highlighted selected areas where close collaboration › Optimise the distribution of health services. and inclusion in the integrated network of NSLHD hospitals will enhance service delivery. › Realise the benefits of capital investments. › Develop a platform for innovation and knowledge. 5 › Chapters 7-30 describe the services › Strategic Plan encompassed by the ten clinical networks along › Clinical Services Plan with issues, challenges and opportunities for the design, development and delivery of care › Corporate Governance Plan over the next three years. Strategic directions › Asset Strategic Plan are set out in the form of recommendations for › each clinical network. Aboriginal Health Action Plan › Chapters 31-56 describe the hospitals and Linked to the Strategic Plan are plans for safety and health services, their issues, challenges and quality, information management and technology, opportunities, and the priorities
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