Health leaders commit to finding a long term solution for local hospital services

February 2017

Today (Tuesday, 7 February) health and social care leaders agreed the next steps for the NHS Future Fit programme. Partners are in agreement that work must continue to identify a long term solution for the challenges faced by local hospitals.

Partners have agreed to commission an independent review without delay. External experts will review the appraisal process carried out so far in developing the long term options for hospital services.

Health leaders are confident that by carrying out this independent review, it will give local people reassurance that any future changes are based on the best options for patients.

Additional work is underway to review any impact on women’s and children’s services, should the proposed emergency centre be approved. 

Both pieces of work are anticipated to be completed by late spring 2017 and will be reviewed by the Programme Board. 

Over 300 clinicians have been involved in the hospital review so far, telling health leaders that no change is not an option. With A&E departments in the county under pressure this winter, clinicians are stressing the need to move to one emergency centre supported by two urgent care centres and a separate centre for planned surgery. Both CCGs are in agreement that no change is not an option.

David Evans, Accountable Officer for Telford and Wrekin CCG, said: “Listening to feedback from our clinicians and knowing the pressures our A&E departments are facing this winter, both CCGs and the Hospital Trust are in agreement that we must continue with our work to build long term sustainable solutions for the hospital services. 

“We hope the independent review will help give partners assurance that the process followed so far has been rigorous. Ensuring we have clinically safe services when patients need them now and in the future is a priority. Whilst these reviews are underway we will continue to work with the Trust to involve the public and clinicians in developing the long term solutions for the health system. Our aim is that by the summer we should be able to consider launching a public consultation.”

Simon Freeman, Accountable Officer for Shropshire CCG, said: “I’m confident that we’re moving in the right direction to find a long term solution for our hospital services, as we understand the concerns raised by our hospital clinicians.

“Like many areas across the country we know that changes to emergency and planned care services are not easy decisions to make and take time. This extra work and further engagement with the public will help us to gather all the evidence needed to ensure that any future decisions are right for our population as a whole. We are confident that the options suggested are best for the future of health services in the area.”

Sustainability and Transformation plan partners reaffirm commitment to work together

Press Release
Date: 12 January 2017
 
Health and social care partners have met to review the progress being made to strengthen the Sustainability and Transformation Plan (STP) for the local population of Shropshire and Telford & Wrekin
The Sustainability and Transformation Plan aims to describe how the health and social care system can remain fit for the future, help patients to become healthier and respond effectively to the growing demands being placed upon it. The plan is a work-in-progress on which partners to the STP are all continuing to work on together.
 
Simon Wright, Chair of the Shropshire and Telford & Wrekin STP said: “Similar to other STPs across the country, we are working with partners to refresh and build upon our early submission. We have listened to the feedback we have received from our key stakeholders and will continue to collaborate to deliver transformation that meets the needs of the system as a whole and, most importantly, improves health and social care for our patients.
 
“From the very beginning we recognised the importance of this being a collaborative programme, focusing on all key aspects of care ranging from helping our communities to stay well for as long as possible, providing more care closer to where people live and ensuring safe high quality care in the acute hospital setting where and when this is needed. This is the biggest transformation plan our area has ever seen and an exciting opportunity for all health and social care partners to work differently and transform the way we deliver care for local people.”
 
“Over the last month we have continued to work with our partners to improve our plans and we continue with a programme of communication and engagement with our key stakeholders to build understanding and support. Some plans have been the subject of previous public engagement and this will continue and intensify as we they continue to develop them. Over the next few months we will be taking our plans through our partner organisations’ governance processes and will be presenting them to a wide range of stakeholders.
 
“Our next step is to resubmit our revised STP for approval by the national sponsoring bodies and, subject to sign off, we will move towards implementation. The successful implementation of our plan will rest with our partners including patients, the public, commissioners and providers of services and with our constituent neighbourhoods. This approach recognises the principles of partnership and engagement that has been central to our STP from inception."
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The Sustainability and Transformation Plan partners include:
  • Shropshire Clinical Commissioning Group
  • Telford & Wrekin Clinical Commissioning Group
  • Shropshire Community Health NHS Trust
  • The Shrewsbury and Telford Hospitals NHS Trust
  • Robert Jones & Agnes Hunt Foundation Trust
  • South Staffordshire & Shropshire Foundation NHS Trust
  • ShropDoc (GP out of hours service)
  • Shropshire Council
  • Telford & Wrekin Council
  • Powys Teaching Local Health Board
  • Voluntary Sector (soon to join)
  • Shropshire Partners in Care (SPIC)
 

More work needed to allow NHS Future Fit to move forward

December 2016

A joint committee meeting of NHS Telford & Wrekin and Shropshire Clinical Commissioning Groups today agreed not to go to public consultation while more work is carried out

It means that without a preferred option or options a public consultation will not now go ahead and the matter will refer back to the NHS Future Fit Programme Board.

Dr Julian Povey, Chair of Shropshire Clinical Commissioning Group said: “As a CCG we continue to support the process of Future Fit and are happy to support an independent review of the process which will allow us to move forward.. As a board we are still committed to the principals of NHS Future Fit.”

Dr Jo Leahy, Chair of Telford and Wrekin CCG said: “I would like to emphasise that this is not an end to  the process and we need to find a way to move forward together. We will go out to consultation following an external review of the process and with all the required evidence.”

David Evans, NHS Future Fit Senior Responsible Officer said: “ I would like to thank everyone who has been involved in the programme and the discussion today. There is acceptance by both CCGs that No Change is not an option and this has been confirmed by the recent West Midlands Clinical Senate review.”

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Senate report calls for end to delays on hospital improvements in Shropshire and Telford & Wrekin

08 December 2016
 
A report by leading medical experts into the progress of the NHS Future Fit programme to transform hospital services has now been published.
 
It concludes that there is a “clear and compelling case for change” and urges that there are no more delays.
 
The 50-page report by the West Midlands Clinical Senate has considered evidence, including evidence gathered on visits to the Princess Royal Hospital in Telford and the Royal Shrewsbury Hospital in October.
The senate team comprised 18 of the region’s leading professionals in health and care and was chaired by Professor Adrian Williams, Professor of Neurology & National Neurosciences Lead from the University Hospitals Birmingham NHS Foundation Trust.
 
The senate was asked to assess and confirm the clinical quality, safety and sustainability of the NHS Future Fit Programme preferred models (known as options B, C1 and C2) for reconfiguring acute hospital services which serve patients in Shropshire, Telford & Wrekin and Mid Wales. They were asked to pay particular attention to clinical effectiveness, patient safety and management of risks, patient experience including access to services and patient reported outcomes.
 
The report concluded: “A clear and compelling case for change was made, based on sound evidence presented to it on current performance, improvements seen in other regions by reconfiguration of services with multi-site Trusts, the potential long-term benefits, and alignment with national NHS strategy.”
Professor Williams also stated in his forward to the report that, “we were impressed that something needs to be done and fast with no further delay for patients and staff,” and that “the status quo is unsustainable”.
The report also made a series of 18 recommendations about further work that should be done as the programme moves forward.
 
David Evans, NHS Future Fit Senior Responsible Officer said: “I would like to thank the Senate team for the diligent way they have conducted their work, their expert opinion, and the recommendations they have made allowing us to further refine our decision making. I would urge people to read it and to consider its findings.”
 
 
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NHS Future Fit Programme Board agrees recommendation on the future of hospital services for patients from Shropshire, Telford and Wrekin and Mid Wales

The programme board of NHS Future Fit met today (30 November) to formally decide on a recommendation to health commissioners on the future shape of hospital services serving the people of Shropshire, Telford & Wrekin and Mid Wales. The programme board is made up of clinicians and leaders from across health and social care and patient representatives.
 
Based on clinical and non-clinical evidence collected over the past three years, the programme board is making a recommendation to health leaders that a public consultation is undertaken to gather public views on the future of hospital services. This preferred option will be considered by Telford and Wrekin CCG and Shropshire CCG shortly, who will formally decide if a public consultation can begin. No formal decisions will be made until at least Summer 2017 once the formal consultation feedback is analysed and further detailed work is completed.
 
The preferred option is:
 
Princess Royal Hospital (Telford)
 
•Urgent Care (24/7)
•The majority of day case surgery
•Planned orthopaedic surgery
•Outpatients
•Diagnostics
•Midwifery led unit
 
Royal Shrewsbury Hospital
 
•Emergency and critical care
•Urgent care (24/7)
•Complex surgery
•Outpatients and diagnostics
•Women and childrens’ centre
 
David Evans, Joint Senior Responsible Officer for NHS Future Fit said: “I need to stress that this is not a final decision. We are recommending to the two CCGs that in the board’s opinion we are ready to begin a public consultation on the future of hospital services. 
 
“We have reached this preferred option, based on the clinical and non-clinical evidence we had before us.
 
“We have been working towards this recommendation for the past three years and I would like to thank everyone involved. We know there is still further detailed work to be done, before our CCGs can reach a final decision next year. 
 
“It is still very much the feeling of the NHS Future Fit Programme Board that our clinical model, based on a new Diagnostic and Treatment Centre, a single Emergency Centre and two new Urgent Care Centres treating the majority of people who currently present at A&E is the way to deliver safe, high quality and sustainable hospital services for the patients of Shropshire, Telford & Wrekin and Mid Wales.”
 
David added: “We are confident that the process we have followed in our decision making to-date has been robust, and we have sought external guidance to assure us.” 
 
The recommendation will now go before a Joint Committee of Shropshire and Telford & Wrekin Clinical Commissioning Groups. This will have equal representation and will take place soon.
 
If agreed by the CCGs this will be followed by a full public consultation which should begin in January. It will last for a minimum of 12 weeks.
 
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