Following the ‘Call to action’ engagement in Autumn 2013 it was agreed there was a compelling case to review the way hospital services are provided for future generations to benefit. Patients called for more accessible and connected care which is closer to home and responds to the needs of the local population. Clinicians called for safe care that brings together specialist expertise in the best way to offer patients the best outcomes and a great experience. Building on this, we aspired to deliver new models of care which are fit for the future.
It was therefore agreed to launch the NHS Future Fit programme. It was agreed this would bring together patients, NHS leaders and local authority partners to analyse in detail how services are currently used and compare that with the best clinical practice across the UK and beyond. By using the outcomes from this we will develop options for how services can be improved in order to deliver excellence for the future.
As one of their first actions, the Programme Board tasked three groups of doctors, nurses and patient representatives to generate a vision for future health care services for, planned care, emergency needs and long term conditions. These visions are based on evidence of best practice, the safest ways of working, patient-centred care, delivering the best outcomes possible for patients and services that will attract and retain highly skilled staff.
Work was undertaken on developing the plan behind the high level vision. A series of public workshops were held in various locations during August, September and November to give people a chance to find about more about NHS Future Fit, the case for change and to share their views on the future of their healthcare.
The August workshops focused on explaining what the clinical model is, looking at ways in which services can be delivered and where they may be located. Attendees shared their views on what matters most to them and why. The outcomes from the workshops, along with the results of a stratified telephone survey, in which over 1000 people participated, were collated into an in-depth report which was used to help form the proposed long list of scenarios.
A series of workshops took place to look at the shortlisted options including the design of the buildings and what service need to be where and draft plans The Future Fit Programme Board established an Evaluation Panel to make recommendations on both the Options to be considered and the Criteria against which such judgements would be made.
The Strategic Outline Case has been developed by Shropshire and Telford Hospitals (SaTH). The proposed solutions describe an alternative way of implementing the options previously identified within Future Fit. Previous solutions proved unaffordable. They were also viewed as being too stark in terms of the differences between the two hospital sites; with one very large and busy and one much smaller with lots of redundant space. The revised solutions therefore move away from the ‘hot’ and ‘cold’ site solution to a much more evenly balanced distribution of services which would deliver recognisable, vibrant hospital sites 24/7 within the communities served.
There will be a 12 week formal consultation that will aims to start in December 2016. A comprehensive consultation plan has been developed which aims to offer everyone an opportunity to be informed and have their say.