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NHS Future Fit programme board makes recommendation on hospital services for public consultation

Press Release

Date: 31 July 2017

NHS Future Fit programme board makes recommendation on hospital services for public consultation

Local health and social care partners met today to consider the next steps to transform hospital services for local patients in Shropshire, Telford & Wrekin and Powys.
The Future Fit programme board reviewed the additional assurance work that has been carried out to decide whether the time is right for a public consultation.

Two reports which were considered today:

1. Additional analysis of potential changes to Women’s and Children’s services
This report takes an in-depth look at the potential impact of changes to some of the women’s and children’s services. It includes factors such as clinical effectiveness and patient safety, deprivation, accessibility and transport and rurality. This was discussed in the context of the wider impact assessment previously carried out.

2. Independent Review of the Future Fit Options Appraisal Process
This is a detailed examination of the Future Fit assurance process carried out so far. KPMG was selected to provide independent, expert analysis and recommend any further action.

Simon Freeman, Accountable Officer for Shropshire Clinical Commissioning Group (CCG) and David Evans, Chief Officer for Telford and Wrekin CCG, said: “We believe strongly that no-change is not an option if we are to provide safe and sustainable hospitals. The broad consensus today was that there is nothing in the independent reports that materially affects the decision to go to public consultation.

“The need to further review affordability and community provision is well known and work is already ongoing to address these. Both of these issues will be reviewed before the CCGs seek assurance from NHS England to launch a consultation.

“It is important to note that this is not a final decision, but a recommendation to go forward to public consultation to gather public views across Shropshire, Telford and Wrekin and Powys on the proposals.”

On November 30 2016 NHS Future Fit programme board recommended the following preferred option for hospital services:

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 children’s centre



The reports will be made public in advance of the Joint Committee meeting in August.

Future Fit leaders to discuss the next steps for the review of hospital services

Press Release

Date: 28 July 2017

Future Fit leaders to discuss the next steps for the review of hospital services

Local health and social care partners will meet on Monday, 31 July to consider the next steps to transform hospital services for local patients in Shropshire, Telford & Wrekin and Powys.

The Future Fit programme board, which represents all local health organisations including councils and the Powys Teaching Health Board, will review the additional assurance work that has been carried out and decide whether the time is right for a public consultation.

On Monday, the programme board will be discussing the two reports that were recommended by the Joint Committee in November 2016.

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."
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.”