Abstract
“There is a culture change required at the grass-root level for this project to succeed and clinical engagement is paramount.”
Highlights
“There is a culture change required at the grass root level for this project to succeed and clinical engagement is paramount.”
Acute abdominal surgery is planned to be offered at high quality in four major sites
It is possible for patients to have care closer to home for common conditions and to have specialized care centrally at high volume well-resourced centres
Summary
“There is a culture change required at the grass root level for this project to succeed and clinical engagement is paramount.”. There is fragmentation and the ultimate aim of this project is to bring a system wide change and to have health and social care under one roof It aims at decentralization of health care where decisions are made locally without interference from the central government. Acute abdominal surgery is planned to be offered at high quality in four major sites These four primary sites include The Royal Oldham Hospital, The Salford Royal NHS Foundation Trust, Manchester University NHS Foundation Trust and Stepping hill Hospital. The other sites currently offering surgery will be downgraded to provide basic elective care with support from these four major sites To be successful this programme needs investment, patient focused standardized pathways and a major culture change among the clinicians to work at multiple sites with flexible job plans. Unified approach allows better infrastructure to be placed in a centralized unit with clinicians dealing with complex issues on a regular basis to provide improved outcomes for the local population
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