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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: http://nhsfuturefit.org/our-news/events/cat.listevents/2016/09/26/- 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: www.nhsfuturefit.org

People can also get involved by going to: www.nhsfuturefit.org/get-involved

 

(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.)

Future Fit Non Financial Appraisal

26 September 2016

The outcome of the non-financial option appraisal which has taken place does not constitute a decision.  The next steps are that the outcome of the non-financial appraisal and financial appraisal will go to the NHS Future Fit Programme Board in October, who will then make a recommendation to the Shropshire and Telford & Wrekin CCGs.

The NHS Future Fit programme still has a long way to go before a final decision is made. This includes a full Public Consultation that will run for a minimum of 12 weeks.

Pops-ups offer the chance to get the real facts on NHS Future Fit

September 2016
 
Libraries around the Telford area are playing host to a number of pop-up stands where people can find out more about the NHS Future Fit programme.
 
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 over 8,000 times on Facebook alone.
 
Dr Jo Leahy, Chair of Telford and Wrekin CCG said: “These events are an ideal chance to learn the facts about the programme. We really 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 in Telford and Shrewsbury.”
 
The pop-up stands will all be in place from 10am-2pm. They are at: 
 
• Tuesday September 20 - Wellington Library, Wellington Civic and Leisure Centre, Larkin Way, Wellington, Telford, TF1 1LX 
• Wednesday September 21 - Oakengates Library @The Place, Limes Walk, Oakengates, TF2 6EP 
• Thursday September 22 - Southwater Library, Southwater Square, Southwater Way, Telford TF3 4JG 
• Monday September 26 - Madeley Library, 21 Russell Square, Madeley, Telford, TF7 5BB 
• Friday September 30 - Newport Library, 53-55 High Street, Newport, TF10 7AT 
 
The details of pop-up stands to be held in Shropshire and mid Wales will be announced soon.
 
Ends
 
To view the NHS Future Fit animation please go to: nhsfuturefit.org
 
People can get involved by going to:
nhsfuturefit.org/get-involved
 
 
Media Enquiries: Please contact 0333 150 1602 or email This email address is being protected from spambots. You need JavaScript enabled to view it.
 
 
 
 

NHS commissioners give their support for hospital plans to progress to the next stage

June 2016
 
Shropshire Clinical Commissioning Group’s (CCGs) Board members today (29 June), gave approval for the Shrewsbury and Telford Hospital NHS Trust (SaTH) hospital plans to proceed the next stage. 
 
The CCG agreed to issue a letter of support for the Strategic Outline Case (SOC) prepared by SaTH. The letter will contain a number of caveats. The SOC sets out the challenges faced by the Hospital Trust, and clinical feedback highlighting the need to transform emergency care services in the county.  
 
Telford and Wrekin CCG gave their support to the proposals at an extraordinary board meeting on May 10. At that time, Shropshire CCG Board members felt unable to give their backing until further reassurance was given around the impact on community services. Today, Board members reviewed the work undertaken so far since May 10, listened to clinicians from SaTH and heard about the wider review to prototype urgent care services in other parts of the county.  
 
With both CCGs’ support, the Hospital Trust will be able to take the initial findings outlined in the SOC and undertake the detailed analysis needed to determine future options. Only after this detailed analysis and further engagement with clinicians and patients is carried out, will the Hospital Trust be in a position to develop options for consideration by CCGs and the public.
 
This process will take place over the coming months, and be based on one Emergency Centre at either Royal Shrewsbury Hospital or Princess Royal Hospital, Telford supported by an Urgent Care Centre at both sites.
 
Dr Julian Povey, Chair of Shropshire CCG said: “Today we have taken the first step towards agreeing a way forward as a health system, however I would stress that there is a lot of very detailed work to be done before we can decide how hospital services will change. As a CCG we listened to clinicians, who told us that “no change is not an option” if we are to have safe and sustainable hospital services for future generations.
 
“Today we gave approval for the Hospital Trust to undertake this detailed analysis, so that they can develop recommendations for the future of hospital services. Once this work is completed, we will then review the options as a CCG and consult with the public.
 
“It is important for people to realise this is an important milestone, but there is still a long way to go before we are ready to make any final decision. Board members felt able to give their support today, however stressed the need for further engagement with patients and GPs, as well as continuing with our review into rural urgent care services.”
 
The letter of support will contain a number of caveats. These will be broadly themed under the headings of:
• Sustainability of the clinical model
• Community Fit
• Activity assumptions
• Community and/or primary care alternatives to acute care
• Affordability
• Governance
 
The programme team developing the proposals will be required to deliver regular progress updates to each CCG board, with specific reference to the caveats.
 
The work will also be subject to independent scrutiny by bodies including the West Midlands Clinical Senate.
 
Ends
 
The full letter of support will be published on the CCG's website
 
 

CCGs chief commits to do further work on hospital reconfiguration

May 2016

Following an Extraordinary Board Meeting of Telford and Wrekin and Shropshire Clinical Commissioning Groups (CCGs) tonight, David Evans, Accountable Officer, recognised that additional work is needed before both CCGsare able to give support on proposed options for future hospital services.   

The Strategic Outline Case described a potential model of delivering hospital services, which aimed to address the workforce challenges in A&Eand critical care. This would be the first stage in a two year process to undertake detailed analysis.

The Boards of Telford and Wrekin CCGand Shropshire CCGwere unable to reach a unanimous decision on whether to support the progression of the Strategic Outline Case, prepared by Shrewsbury and Telford Hospitals NHSTrust. Telford and Wrekin CCGBoard members voted in support of the Strategic Outline Case, whilst Shropshire CCGBoard members were not able to support the progression of the Strategic Outline Case. 

David Evans, Joint Accountable Officer for both CCGs, said: “We are in agreement that doing nothing is not an option if we are to have safe and sustainable hospital services for future generations.

However, we recognise that there is more work to do before we can reach an agreed way forward as a health system.”

Commenting on the next steps for the programme, David said: “We are committed to working together with Shrewsbury and Telford Hospitals Trust, our members and patients to find a solution that delivers improved care and quality services for patients. Following this evening’s meeting we recognise we still need to do more work to find a way forward that meets patients’ needs and addresses clinicianand patient concerns.”

Dr Jo Leahy, Chair of Telford and Wrekin CCG, said: “We have heard support from our colleagues and the public for our view that hospital changes cannot be made in isolation to necessary developments in community and primary care.

“We believe in the principals of safe and sustainable hospital services backed by urgent care and community care closer to where people live. We have made no final decisions tonight, and no final decisions on the future reconfiguration of hospital service could be made without further clinician and public engagement. 

Dr Julian Povey, Chair of Shropshire CCG, said: “We are committed to continuing to work with the Trust and Telford and Wrekin CCGto find a way forward for future hospital services. We recognise that change is needed to ensure future services are fit for the future. However, Board members felt unable to support the Strategic Outline Case at this stage. We want to work with our GP members and patients to understand the concerns raised, to create quality services for the future.

“This evening we recognised that the public want to know more about what community services will look like in the future, as we know that community services are an essential part of delivering sustainable hospital services. We are committed to progressing this work, whilst looking at our next steps for hospital services.”

Ends
Tuesday 10 May 2016