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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
•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.

Message from David Evans Senior Responsible Officer

5 October 2016

Message from David Evans, Senior Responsible Officer

We have received specific concerns about the NHS Future Fit decision making process within the last 24 hours.

As we have had insufficient time to respond to the points raised, we have agreed it would not be appropriate to make a recommendation to the CCGs’ Boards today, although we have received the paper and all partners held a healthy discussion about its content.

We now plan to discuss with our partners and respond to the concerns we have received constructively, and we remain confident that the processes we have followed are robust and will deliver real improvements for all patients. We will then hold a further Programme Board and expect this to happen within a month.

While we recognise this will be frustrating to many people it is important that we follow due process. Failure to do this could ultimately cause further delay. It remains our intention to begin a public consultation in December 2016.

Many thanks 

Pop-ups throughout Shropshire offer the chance to get the real facts on NHS Future Fit

September 2016

Venues throughout Shropshire are to host a number of pop-up stands where people can find out more about the NHS Future Fit programme throughout October.

The pop-ups will offer a chance to meet members of the team, ask questions, pick up information and discover how patients and members of the public can play a part in the programme, with a consultation due to start towards the end of the year.

They will also be able to see a newly prepared short animation which explains the programme. It has already been viewed nearly 10,000 times.

Dr Julian Povey, Clinical Chair of Shropshire CCG said: “We want people to be as well informed as possible about the programme. We want everyone to understand the positive advantages that NHS Future Fit can provide with the creation of a new Emergency Department and two Urgent Care Centres, each able to see up to 80 per cent of those who currently go to A&E, in Telford and Shrewsbury.”

The pop-up stands will be at:

Monday October 10, 10am-2pm   -   Ludlow Market, Ludlow SY8 1A

Wednesday October 12, 10am-2pm   -   Bridgnorth Library, Listley Street, WV16 4AW

Monday October 17, 10am-2pm   -  Bishops Castle Town Hall, High Street, SY9 5BG

Tuesday October 18, 9am-5pm   -   Charles Darwin Centre (ground floor near to car park entrance) Shrewsbury SY1 2BW

Wednesday October 19, 10am-2pm   -   Festival Drayton Centre, Market Drayton, TF9 3AX

Thursday October 20, 10am-2pm   -   The Centre, Oak Street, Oswestry, SY11 1LW

Friday October 21, 9am-1pm   -    Whitchurch Civic Centre, High Street, SY13 1AX


More events are to be held in Mid Wales. Details will be announced soon.

Health leaders to consider location for the Emergency Centre

September 2016

The NHS Future Fit Programme has reached an important milestone after a panel met last Friday to discuss potential options for the future of hospital services.

The “Non Financial Appraisal” Panel consisted of representatives of all the partner organisations involved in NHS Future Fit – all NHS organisations including Shrewsbury & Telford Hospital NHS Trust, other providers, ambulance services, local government, patient representatives and others from across Shropshire, Telford & Wrekin and Mid Wales. Fifty people in total.

The panel focused on the non-financial advantages and disadvantages for having the new Emergency Centre, treating the most serious conditions, located at either Shrewsbury or Telford. By having these services located on one site, clinicians can ensure patients get the specialist treatment they need. Of the people who currently use A&E, 80% would continue to be seen by the urgent care centres, which will continue to be based at both hospitals.

As part of this appraisal, the panel considered:

  • Access for patients
  • Quality of care
  • Deliverability
  • Staff (ability to retain and attract clinicians and staff)

A separate financial appraisal considering cost is being carried out for both sites.

This panel is only the first step in the journey to reach a long-term decision on hospital services. Over the next few weeks the NHS Future Fit Programme Board and CCGs will be reviewing the non-financial and financial recommendations to reach a set of preferred options that can be publicly consulted.

The proposals being considered include:

  • A brand new Emergency Centre at either Royal Shrewsbury Hospital or Princess Royal Hospital alongside critical care
  • The majority of planned care on the other hospital site
  • Two new urgent care centres, where 80% of patients who are currently seen in A&E would be treated
  • Outpatients and diagnostics at both hospitals.

Next steps include the Future Fit Programme Board (health leaders from local NHS organisations, clinicians and patients) will assess the non-financial and financial reviews to make a formal recommendation on the preferred option on October 5. This will then be considered by the Shropshire and Telford & Wrekin Clinical Commissioning Group later in October.

The decision will also be referred to the West Midlands Clinical Senate. This is a regional group of NHS experts who will consider it and could recommend changes.

In December 2016 Public Consultation will launch for a period of at least 12 weeks, allowing for a break that would take place over the Christmas and New Year period.

Final decision making will not occur until Summer 2017.

Which hospital site will house an emergency centre – which are the blue light, life threatening conditions only – is something that has yet to be decided, which is why the forthcoming consultation is so important. An estimated 20% of what comes through A&E are critical cases which require A&E treatment. The remaining 80% would be able to be seen in an urgent care centre setting.

David Evans, Senior Responsible Officer for NHS Future Fit said: “I would like to stress that no decisions on a preferred location have been made by the CCGs. Non-Financial Appraisal Panel reviewed the advantages and disadvantages of building an emergency centre at either Telford or Shrewsbury and scored each option accordingly. This is only one piece of the wider picture that health partners will need to assess over the coming weeks before identifying a preferred location.

“We hope to be able to discuss any preferred location by mid-October. Before any final decision is taken we will want to seek approval from the independent Clinical Senate and listen to patients’ views through a public consultation later this year.”        

“Last Friday’s panel was an important milestone in our journey to identify a preferred location for emergency and planned hospital services. There is more work for us to do before we can reach a recommendation, which will be taken to our Board meetings next month.”

In the meantime, pre-consultation engagement continued this week across the community with a tour of Telford’s libraries. More pop-up stands: will be held across Shropshire’s libraries from next week.

Anyone can take a look at a short animation that explains the NHS Future Fit “case for change”. It has been viewed close to 10,000 times already and can be seen at:

People can also get involved by going to:


(The Financial Appraisal was considered alongside the Non-Financial Appraisal on Friday 30 September. To enable all Programme Board members sufficient time to read and consider the report it has been agreed that Programme Board will now meet on Wednesday 5 October.)