On 3-4 July 2008 in London, the NHS Confederation, in partnership with the WHO European observatory on health systems and policies and the European hospital and healthcare federation (HOPE) hosted a 2 day workshop to explore hospital configuration in a number of European countries.
Presentations from this event are now available to download.
Workshop presentations
The presentations from both days of the workshop are available to download below - simply click on the session title and the file will open automatically.
Day one - Thursday, 3 July 2008
The first day approached the issue of hospital reconfiguration from a policy and managers perspective.
9.00 Registration
9.30 Opening session: Introduction and objectives of the policy dialogue
Opening statement and introduction of the participants - Nigel Edwards, NHS Confederation
Hospital reconfiguration: theoretical framework, models and mechanisms - Professor Martin McKee, European Observatory
10.00 Session 1: The changing position of the hospital in the health system
Chair: Professor Martin McKee, European Observatory
The future of acute hospitals in England - Nigel Edwards, NHS Confederation
Short briefings on all countries present and facilitated discussion
11.00 Coffee break
11.30 Session 2: Planning secondary care capacity for future needs
Chair and facilitation: Nigel Edwards, NHS Confederation
Rationalising the hospital landscape in Belgium - Jean Hermesse, Secretary General, ANMC health insurance fund
Planning hospital capacity in the Nordic countries - Mats Brommels, Karolinska Institute, Sweden
Facilitated discussion, including short interventions from all other countries present
13.00 Lunch
14.00 Session 3: Ensuring quality of care through motivated, well-trained and optimally deployed staff
Chair and facilitation: Professor Martin McKee, European Observatory
Hospital workforce policy and payment schemes in Germany - Dr. Martin Schölkopf, German Ministry (formerly hospital federation)
Workforce challenges in the UK - Nigel Edwards, NHS Confederation
Facilitated discussion, including short interventions from all other countries present
15.30 Coffee break
16.00 Session 4: Exploring some concrete cases
Chair and facilitation: Nigel Edwards, NHS Confederation
Organising emergency and accident care - Dr. Luigi Bertinato, Director of the International Health and Social Affairs Office, Department of Health and Social Services, Veneto Region, Italy.
Shift of services from the hospital to the community : the case of gynaecology/obstetrics and paediatric care - Dr. Rachelle Kaye, Director of Strategic Planning, Maccabi Healthcare Services, Israel
Post emergency units for medical patients - Professor Jean Pierre Ducroix, Amiens, France
Day surgery in Finland - Liisa Marie Volpö, Finland
Facilitated discussion, including short interventions from all other countries present
17.30 Closing: Concluding remarks and comments
Day two: Friday, 4 July 2008
The second day approached the issue of hospital reconfiguration from the perspective of the clinical specialist along the four stages related to a hospital stay. In small groups participants looked in detail at the approach taken in each country, after which they reported back the main features in a plenary session.
9.00 Key findings of last night's session - Presenting the structure of the day
Introductions and exploring some basic facts about services
10.00 Session 2: Presenting symptoms and diagnoses
How do the different systems respond to different presenting symptoms?
Once a diagnosis is established what then happens - examples of common case types
How does the patient get there?
Who does the patient see?
What skills and support do they have?
What happens?
Report back and discussion
11.00 Coffee break
11.15 Session 3: Admission and inpatient stay
Track a number of different types of conditions
12.45 Lunch
13.30 Session 4: Discharge and follow-up
Track a number of different types of conditions
14.30 Session 5: Key lessons and learning
* Staffing models
* Difference in clinical approach
* Organisation of assessment and treatment
* Balancing training and service provision
* Staffing & approaches to the working time directive
* Clinical Support
* Quality control and audit
* Trends and developments
* Balancing specialism and generalism
* Other observations
16.00 Closure - Conclusions
