Keep it in the County

Telford & Wrekin LINk Have YOUR say about the future of our local hospitals Keeping hospital services in Shropshire, Telford and Wrekin PUBLIC CONSULTATION 9 December 2010 – 14 March 2011

Keeping it in County Securing the future of hospital services in Shropshire RAISING PUBLIC AWARENESS - the need for change - the options + benefits of reconfiguring hospital services - the consequences of not taking action in the near future

The case for change Keeping it in the County Securing the future of hospital services in Shropshire,Telford and Wrekin

The context ,[object Object],[object Object],[object Object]

The purpose of the changes “ The proposals reflect what the doctors who provide the services, and the GPs who send their patients to use them, think should be done to improve safety and quality and make sure these services are provided within Shropshire, Telford and Wrekin for a very long time to come.” “ They are most definitely not aimed at saving money or cutting services.”

THE PRINCIPLES underpinning the proposed reconfiguration ,[object Object],[object Object],[object Object]

Risks and Challenges ,[object Object],[object Object],[object Object],[object Object]

Services that are particularly affected by these challenges ,[object Object],[object Object],[object Object]

Population Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],Shropshire 290,900; Ageing; Rural deprivation High life expectancy; Higher than average/ rising levels of LTC’s Telford & Wrekin 170,000; fast-growing ageing population; Increasing birth rate Densely populated; high levels of deprivation; Higher than average levels of obesity, smoking-related admissions and deaths and cardio-vascular disease Powys 62,000 of 131,900; Ageing Rural deprivation; Sparsely populated; Good health status compared to Welsh averages

Ageing buildings ….. not fit for purpose Even if money is spent on the building, its future life span is limited to between five and ten years.”

Providing the right level of care for children in hospital With reduced numbers of children’s specialist doctors nationally, our paediatric consultants are increasingly concerned about staffing our two existing children’s units with the right level of doctors.

SURGICAL CARE - 24/7 ,[object Object],[object Object],[object Object]

HOW were the proposals developed? ,[object Object],Patients and carers and a wide range of organisations that represent them

. 4 key tests ,[object Object],[object Object],[object Object],[object Object],[object Object],AND ALSO : how far they believed the proposals would improve outcomes for patients in the future, and are affordable and sustainable .

4 options ,[object Object],[object Object],Option 3: Concentrate all services on one site, either in a brand-new hospital - or in one of the existing two hospitals. Option 4: Concentrate all major urgent inpatient and emergency activity on the site of one of our existing two hospitals,with planned activity at the other

Option 1: Do nothing and maintain all services as they are ,[object Object],“ This does not provide a practical and satisfactory solution to the problem we have outlined.”

Option 2: Move some services from PRH to RSH ,[object Object],This is the PCTs preferred option

Option 3: Concentrate all services on one site, either in a brand-new hospital or in one of our two existing hospitals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In the financial climate now facing the nation, that money is not available – so it is is not affordable or feasible This would cost = £350 - £400 million + This was looked at in a feasibility study in 2009 .

Option 4: Concentrate all major inpatient and emergency activity on one site, with planned activity at the other ,[object Object],[object Object],[object Object],[object Object],Neither affordable nor feasible

The details: WHAT changes are being proposed?

[object Object],Under the proposals, some specialist services would move from the Royal Shrewsbury Hospital to the Princess Royal Hospital in Telford, and vice versa ,[object Object],[object Object],[object Object],[object Object],[object Object]

The PCTs ‘Preferred Option’ for PRH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Childrens services at PRH ,[object Object],[object Object],[object Object],[object Object],[object Object]

Gynaecology + ENT services ,[object Object],[object Object],[object Object],[object Object]

PRH RECAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The PCT’S Preferred Option – for RSH ,[object Object],[object Object],[object Object],[object Object]

RSH recap ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],24-hour A&E department

All urgent medical cases ,[object Object],[object Object]

A&E services ,[object Object],[object Object],[object Object]

Stroke Services Urology services Urology involves treatment of the kidneys, bladder, urinary tract and prostate. Work is currently taking place to determine at which of our two hospitals inpatient urology should best be concentrated in future. The PCTs also want to discuss the local pattern of stroke services, taking into account how best to introduce new techniques and develop services in line with modern standards. Views are being sought about both services as part of the consultation.

ISSUES which still need to be addressed ,[object Object],[object Object],[object Object],[object Object],[object Object],Improving The Health Of Our Community

What are the costs / funding implications?

Revenue implications ,[object Object],[object Object],[object Object]

Capital Costs ,[object Object],[object Object],[object Object],[object Object],Improving The Health Of Our Community

When might the changes happen?

Planning the changes Improving The Health Of Our Community Phase Objective Timescale 1a Discussion and Design Developing a robust proposal Option modelling August to November 2010 1b Assurance and Consultation Assurance process Public consultation November 2010 December 2010 to March 2011 2 Planning for Implementation Planning, securing finance and undertaking procurement April 2011 to April 2012 3 Implementing the Change Implementation commences Phased approach from April 2012

WHAT HAPPENS at the end of the consultation ? ,[object Object],[object Object],[object Object],Not all the changes would necessarily take place at the same time or at the same pace. Patient safety would be a top priority at every stage in the process .

Consultation questions ,[object Object],What do you think about the specific proposals for maternity services? What do you think about the specific proposals for ACUTE surgery? Are there any comments you would like to make about the location of urology? Or about the future pattern of local stroke services ? Are there any other comments you would like to make? What do you think about the overall proposals?

HAVE YOUR SAY ,[object Object],[object Object]

How you can get a copy of the full document OR SUMMARY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Feedback ONLINE : ,[object Object],[object Object],[object Object],[object Object],or EMAIL to: [email_address]

Write a letter setting out your views ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATTEND A PCT MEETING ,[object Object],[object Object],[object Object],[object Object]

Please copy your feedback to Telford & Wrekin LINk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Keep it in the County

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