>>Vineeta: As an overarching sort-of system,
let’s say, I think we were trying to get the system working together across a larger
footprint. So as well as sort-of individual teams working together, we wanted to have,
let’s say, interventions that would span two different hospitals or, let’s say, cross
out the boundaries and with people bringing them together, all around the table, working
together for a common aim.>>Yolanda: The power of teamwork and the power
of ideas and everybody coming with something different and coming in with it at a different
angle.>>James: I’ve had the opportunity to meet
with front-line teams and I’ve heard loads of good ideas coming back from clinicians,
but we’ve never been in a position where we can implement them. So, for me, the challenge
was creating a space where I can get front-line teams together to work on something that is
going to make a difference to patients going forward.>>Deborah: I think in terms of the 3 schemes
that we’ve piloted, we’ve got furthest with the general surgery scheme, so where
we’re looking at our gallbladder patients and bringing them in to semi elective list
and we’ve found that we’ve reduced our time for patients from referral to treatment
or presentation to treatment by 50% which, obviously is fantastic in terms of a reduction
in time for a patient waiting for an operation. Hopefully, that will tick boxes for patients,
they’ll be in pain for less time, they’ll get their operations sorted quicker. So I
think, from my perspective, that’s been the greatest impact.>>Vineeta: I think general surgery has been
a real star of the show but I think in terms of potential impact, let’s say, for gynaecology,
let’s say as well, I think they’ve come a real long way from people being quite desperate
and actually forging relationships and working together to come to an actual model of care
where you’ve introduced, sort-of, nurse-led clinics, for example, in primary care. So
I think that’s a massive impact for patients as well. But I think, as well as the tangible
stuff, it’s the non-tangible, so behind the scenes, we want people working together
to come across different areas to say, ‘well actually, how can we approve the patients
across areas?’ so people don’t get- and again, what you were saying about clinical
variation as well before- so people don’t get a different care, kind-of in one area
compared to another. So for patients, I think that’s going to be a massive impact that
they don’t have to travel as much and with standardising, kind-of, the care that they
receive and the quality of care that they receive all across our STP.>>James: What has had the most impact is the
fact that its primary care and secondary care talking to each other a lot more, and we’re
getting that cross-fertilisation of ideas both from a secondary care perspective into
a primary care. I think the other thing that’s helped patients the most is the fact that
we’ve been able to put education sessions on together. So, it’s not primary care referring
on for a second opinion, but it’s our clinicians coming together to give that single point
of input into our patients and I think that’s what’s made the biggest difference. And
I think some of the feedback that we’re getting back from patients already suggests
that was the right thing to do. With some of our respiratory work, where we’ve
been out in the community, in GP practices, with patients, with our secondary care clinicians,
and what I’ve really loved about it is that this, it was only ever something we talked
about, whereas this time, we’ve been able to get the right people from a variety of
organisations together in a room to be able to do the things that we want to do.>>Yolanda: Whatever their role is, whether
they’re a physio, a physio assistant, an OT, or aspiratory nurse, or indeed we had
a patient and a patients carer on our group, so having those different aspects from everybody
was really, really powerful.