Health Services Plan Growing Good Health in Western Sydney The Health Services Plan: Growing Good Health in Western Sydney sets out our long-term plans and priorities for healthcare delivery in our hospitals, community health facilities and home services until 2026 Our vision Better health services for the people of Western Sydney and beyond Our values We share the NSW Health core values of collaboration, openness, respect and empowerment Better West Strategic Priorities 2017-2021 > Healthy people > Patient experience matters > Exceptional people > Integrated research, education and clinical care > Spending wisely > Information underpins everything we do Contact us Western Sydney Local Health District Health Services Planning and Development [email protected] wslhd.health.nsw.gov.au (02) 8890 5555 Contents Growth 19 opportunities About 20 Enable 4 this plan Why do Mental health Next steps 5 we need to 15 matters 21 for staff change? 22 Next steps for patients, carers 6 Our plan and community 6 Our priority 23 Next steps 7 Priority people for service 8 Our healthcare Care providers, GPs neighbourhood and healthcare 8 Our change 16 at home professionals enablers 9 The healthcare neighbourhood 10 Challenges for WSLHD change Network and 23 Snapshot 17 connect The plan 12 for 2026 Grow 18 facilities Work 13 together Healthy 14 and well Growing Good Health in Western Sydney Good Health in Western Growing Health Services Plan 3 About this plan Western Sydney Local Health District (WSLHD) provides healthcare to almost one million residents from The Hills Shire, Parramatta, Blacktown and Cumberland local government areas, and delivers high-level tertiary services such as transplant, trauma and cardiac services to the state of NSW. Like most of Sydney, our population is growing and ageing, and we are dealing with more complex and chronic illnesses and diseases. For health service providers, this means looking ahead to create systems which respond to our community’s needs now and into the future. The Health Services Plan: Growing Good Health in Western Sydney sets out our long-term plans and priorities for healthcare delivery in our hospitals, community health facilities and home services until 2026. It takes into account: > Our growing and changing staff and patient demographics > The impact of emerging health technology and digital health initiatives > The evolution of new models of care and changes to contemporary healthcare practice > The dynamic environment created by innovation > Higher community expectations > Competition for valuable healthcare staff > The empowerment of patients and carers to influence and direct their own healthcare. Growing Good Health in Western Sydney Good Health in Western Growing The long-term Health Services Plan sits alongside and aligns with our shorter-term Better West Strategic Priorities. Health Services Plan 4 Why do we need to IMPRO ATED VE GR TEM AND W HEA TE SYS ELL LT change? IN TH BE H AL ING HE P O P N G U G O R L IN I O A E T W T A I G L T O A U H N P O P M O N D Y D E O G I E L T O V S L A E O L O M F O N R Why our health P C H O A C F E R N system in Western I T Sydney needs E to change E T A R R U T G G C G E N I R T U E O S R G T U P E A S P A S C I R F F I C IN M O R E Y A TS IT S D I N E A $ F U R E V P N M IC TA BE M E BL O S E R C FO RISING HEALTH COSTS INTEGRATED DEVELOP MODELS OF CARE MORE ADAPTABLE SERVICES HEALTH SYSTEM We need to develop models of We need to develop more Our community expects to care which are better networked adaptable services, and grow access an integrated health and people centred, reflecting and attract an agile workforce system with services working the preferences of our patients to meet changing needs and together to improve health and and their carers, and the latest environments. wellbeing, and to work with us research. to plan and deliver services. TARGET SPECIFIC GROUPS AGEING INFRASTRUCTURE The needs of some specific IMPROVE HEALTH Health facilities need to promote groups and populations require AND WELLBEING delivery of new models of care a targeted approach. To improve the health and and we need to address ageing wellbeing of the population we infrastructure in some of our INFORMATION TECHNOLOGY need to work with partners to facilities. Information technology address the social determinants is changing the way we of health and improve health BENEFITS FOR COMMUNITY communicate and providing literacy. There are many benefits for more opportunities to better our community in providing share care and information POPULATION GROWTH safe, high quality services in across settings and providers. Sydney Good Health in Western Growing Our population is growing community settings, closer to rapidly and our health system home whenever possible. AGEING POPULATION is being strained by increasing As our population ages, levels of demand for Emergency RISING HEALTH COSTS chronic disease is becoming Department and hospital care. Health costs are rising in an more common and we need to environment of limited resources. accelerate the shift in focus from more traditional, acute Health Services Plan care approaches. 5 Our plan Our Health The plan has been developed in Services Plan consultation with staff, health partners including the Western Sydney Primary will target Health Network and Sydney Children’s Hospitals Network and consumer representatives. It is designed to grow and respond as contemporary healthcare evolves. Our focus as a health district is to help people in Western Sydney live well, stay well and manage well, by: CHILDREN, PEOPLE LIVING YOUNG PEOPLE WITH A MENTAL > Striving for an integrated health system, & FAMILIES ILLNESS including the best use of health information technology > Promoting the health and wellbeing of people and communities > Optimising how health services are developed, delivered and networked ABORIGINAL PEOPLE FROM > Creating innovative and adaptable PEOPLE DIVERSE healthcare environments CULTURAL GROUPS > Harnessing new health technologies and research to advance patient care. Our priority Western Sydney Local Health District is PEOPLE WITH OLDER PEOPLE a diverse community with a complex range CHRONIC & COMPLEX of health needs, but we have prioritised CONDITIONS some key groups due to their significant health needs. Growing Good Health in Western Sydney Good Health in Western Growing Health Services Plan 6 Priority people 68,980 123,500 Children up to 4 years old in Children 5 to 14 years old WSLHD in WSLHD 120,080 1 in 4 Young people 15 to 24 years old Australians aged over 16 will in WSLHD experience mental ill health each year 68,210 13,390 People aged 70+ People in WSLHD identify in WSLHD as an Aboriginal person 50.3% 25% Speak a language other than Of Australians have two or more English at home in WSLHD chronic conditions Growing Good Health in Western Sydney Good Health in Western Growing Health Services Plan 7 Our health neighbourhood has also changed Our thanks to stronger connections with local GPs and more early discharge with more physical (and healthcare virtual) services available in the home. The change has also been driven by patients and carers clearly preferring to take up home services in preference neighbourhood to longer stays in hospital. Twenty years from now, our healthcare services The way we deliver healthcare has will be different again, and our health services plan changed, and it’s important to understand will help us work towards that future. how we network healthcare to ensure the right resources (such as workforce and We are moving towards a Patient Centred specialist equipment) are concentrated in Medical Home (PCMH) model for Western the right location in order to accommodate Sydney. the patient and community need. The Patient Centred Medical Home is a “home base” for healthcare, typically a general In the past, the local hospital and GP were at the practice or Aboriginal Health Service. Team centre of the health system. members include the patient and GP. Now, the person is at the centre of care. Depending on the practice and the patient’s needs, the team may also include practice Health services in NSW operate in a network, administration staff, practice nurses, and allied with the most commonly used services located as healthcare providers such as physiotherapists close to home as possible, and more specialised or psychologists. services (like transplants) located within the health network, but clustered at major hospitals like Sometimes a patient requires care from Westmead. other services, such as community nursing, specialists, a hospital, non-government support A network is more effective, more efficient, and organisations or social care services. creates more opportunities for staff to become experts in specialties such as trauma, cardiology These services form part of the healthcare and cardiovascular surgeries, and other less neighbourhood. common areas of practice including transplants. The patient and the medical home remain at High demand services such as high volume, low- the centre of this healthcare neighbourhood. risk surgery can also be established as centres of excellence in the network to help reduce waiting In accordance with the principle of coordinated times, and enable appropriate teaching and care, the neighbourhood supports the medical training capabilities to the future generation home and remains connected with it. of health workers. For more information visit aci.health.nsw.gov.au Our change enablers EFFECTIVE SAFETY AND RESEARCH AND EDUCATION AND To make these significant changes, we COMMUNITY QUALITY INNOVATION TRAINING rely on a number of enablers to drive the PARTNERSHIPS changes to our health services.