EALING FIELDS RESIDENTS’ ASSOCIATION’S (EFRA)

SUBMISSION TO

LONDON ASSEMBLY TRANSPORT COMMITTEE’S

INVESTIGATION INTO BUS SERVICES IN LONDON

CONTENTS

1. Introduction

2. North West London Hospital Reorganisation

3. Bus Access to West Middlesex Hospital

4. Ealing Fields Residents’ Association

Appendices

TfL Bus Spider Maps  Buses from West Middlesex University Hospital  Buses from Brentford High Street  Buses from Ealing Broadway  Buses from Southall Broadway and High Street  Buses from Northwick Park  Buses from Ealing Hospital

NHS North West London Reorganisation Press Release

August 2013 EFRA SUBMISSION TO THE LONDON ASSEMBLY TRANSPORT COMMITTEE’S INVESTIGATION INTO BUS SERVICES IN LONDON

1 INTRODUCTION

This submission relates to the Committee’s second term of reference in respect of the announced hospital reorganisation in North West London. “How does TfL plan, review, redesign and implement changes to the bus services to meet changing demand? Are there any issues with TfL’s approach?”

As a residents’ association serving some 2,000 households in the Northfields/South Ealing area we are particularly concerned about the increased difficulties which will be experienced by our members and their neighbours in accessing relocated hospital provision if the existing bus networks are not revised.

2 NORTH WEST LONDON HOSPITAL REORGANISATION

At present Ealing Hospital provides a 24/7 accident and emergency service for our residents. It is also the location for specialist out-patient clinics and the conducting of tests requested by our GP’s.

As shown on the attached TfL spider map, Ealing Hospital is exceptionally well served by the bus network with stops in the Uxbridge Road and also includes an on-site bus station where some routes terminate. These bus routes extend into much of the patient hinterland served by the hospital. They provide a high level of accessibility for both patients and their families and friends. It is particularly beneficial for older out-patients and clinic attendees who do not have access to private cars.

Under the forthcoming NHS reorganisation, the role of Ealing Hospital will be revised with many key facilities being transferred to other sites. The Accident and Emergency department will be transferred to upgraded facilities at the West Middlesex and Northwick Park Hospitals.

A copy of the NHS press release announcing these changes is attached.

3 BUS ACCESS TO WEST MIDDLESEX HOSPITAL

At present bus access to the West Middlesex Hospital is unnecessarily difficult for the residents of central and southern Ealing due to the premature termination of the existing bus routes. The same problem exists for the residents of Hanwell and Southall.

Bus access to Northwick Park Hospital is even worse for these residents.

EFRA Submission to LATC Investigation of Bus Services 1 EFRA SUBMISSION TO THE LONDON ASSEMBLY TRANSPORT COMMITTEE’S INVESTIGATION INTO BUS SERVICES IN LONDON

In the case the West Middlesex Hospital, a one mile extension of the existing E2 and E8 routes from Commerce Road in Brentford to the hospital forecourt would massively improve the hospital’s accessibility to those new patents and their families who live in central Ealing and to the south of the Uxbridge Road.

Similarly, extending route 195 from Brentford town centre to the West Middlesex Hospital forecourt would proved a stepwise improvement in the hospital’s accessibility to the residents of Southall. We have attached copies of the relevant TfL spider maps to this submission.

In addition to extending the E2, E8 and 195 routes to West Middlesex Hospital, it would be immensely helpful if sheltered bus stands could be constructed at the hospital for the routes which would terminate there, along the lines of the existing arrangements at Ealing Hospital.

As the West Middlesex Hospital has been selected as one of the key future 24/7 Accident and Emergency Hospitals, it would also be beneficial if the route of the N9 night bus could be extended to include a short extension detour to the hospital forecourt. In addition to providing access for patients and their families, this would also assist hospital workers.

We therefore ask that the Committee includes the implications of the changing geographic pattern of hospital provision in its considerations and specifically considers the circumstances of West London where only marginal bus route extensions would provide disproportionate benefits to hospital users and residents.

EFRA Submission to LATC Investigation of Bus Services 2 EFRA SUBMISSION TO THE LONDON ASSEMBLY TRANSPORT COMMITTEE’S INVESTIGATION INTO BUS SERVICES IN LONDON

4 EALING FIELDS RESIDENTS’ ASSOCIATION

Ealing Fields Residents' Association has been in existence since 1974. We have a subscription membership of over 500 residents and cover the areas of Northfields and South Ealing shown on the map below. We also work closely with the residents of the roads which border our core membership area, as so many problems are common to all of us.

More information can be found on our website at: http://www.efra.org.uk/

EFRA Submission to LATC Investigation of Bus Services 3 Shepherd’s Bush Starch Green for Westfield Buses from West Middlesex University Hospital 237 STAMFORD Goldhawk Road White City BROOK Stamford Brook Bus Station Stamford Brook for Westfield H28 Bus Garage 267 Ravenscourt Hammersmith Bulls Bridge Turnham Green Park Tesco Church

Heston Centre Gunnersbury HAMMERSMITH Kew Bridge Steam Museum Cranford High Street CRANFORD H28 BRENTFORD OSTERLEY Osterley 235 Cranford Lane Thornbury Osterley Gillette Corner Brentford Musical Museum Redwood Estate Road Library Tesco and Watermans Arts Centre Ridgeway Road Syon Lane Brentford North County Court Brabazon Road Spring Grove Road Brentford Jersey Road Half Acre Q London Road Armytage Road u Busch ,t a Syon Lane Kingsley Road ke AD rs Corner O L a R L C n School N O A e Cranford Lane D O D B D G U

Somerset Waye N E R O ,v

Y L

Hounslow Hounslow East Wood Lane C C

L ,p School L

O O Blenheim Centre E S S E ,td Summerhouse Avenue H37 Hounslow Bus Station ,s T E Syon Isleworth ,r E P Route finder T S E ID A E E Park A G R V S D Vicarage Farm Road E D N K R N A S Day buses o L River Thames The Crossways s U E R e E HOUNSLOW ,m & ,te O Bus route Towards Bus stops Pa Cr ,hc A Hounslow ss ow Hounslow ag n D Twickenham HA, HC, M, TD H20 Civic Centre High Street Isleworth e 110 Fire Station Cemetery Staines HA, HB, HE, TF Sutton Lane AM 117 Hounslow HU Great West Road RST GD 235 Brentford P, R, T Central NS ,hb ,hd West Sunbury Village M, S, V Wellington Road North ,aa Middlesex Hounslow 237 Hounslow Heath M, S, V Bath Road M ,ha Bell ANDEVIL University LE RD D White City P, R, T

N9 A Hospital

continues to ,tg O 267 Fulwell HB, HE, TF, TH, TM, V R

L Heathrow Terminal 5 INKF ,tf ,he Hammersmith HC, T, TD, TG, TJ, TN, TT IELD RD

MILL P M MILL PLAT Hampton Court § HB, HE, TF, TH, TM, V L A

Staines Road AT AVE Hounslow H

ST. 481 Kingston + HA, HB, HE, TF, TH, TM Wellington Road South J N

Treaty Centre OHN’S RD NOR E T

Hanworth Road H ST H20 Hounslow Civic Centre TN, TP K R EET

Hounslow Heath Grove Road C ,th Ivybridge TM, TS Hussar ,tj I W ,tk H28 Bulls Bridge AA, HB, TE, V 237 T Schools Hanworth Road School Osterley HC, T, TD SO T R The Warren UT H S I Hounslow Blenheim Centre TJ, TL, TU A C H37 W

L H G Richmond TH, TK, TX O ,tl A ,tt M

North Feltham R R

,tx R O Minimax Corner P ,ts O L N D A

E A D N RO D

TO R R Night buses WO ,tm R

O D

Central Avenue Hall Road A ,tu Hanworth Road ,tp ,tn D Bus route Towards Bus stops Simpson Road Hounslow Road N9 Aldwych P, R, T Harlington Road West Twickenham Road Heathrow Terminal 5 M, S, V Brantwood Avenue St Margarets Road Feltham FELTHAM + Mondays to Saturdays except evenings Lower Feltham Ivybridge § Summer Sundays only Three Horseshoes Twickenham Tesco Twickenham Hounslow H20 St Margarets Cemetery Rugby Road Sunbury Cross Varisty Drive 110 Ashford for Sunbury Summerwood Twickenham Ashford Whitton Road Road King Street Dog & Partridge Sunbury Village Twickenham Rugby Ground Twickenham King Street 235 TWICKENHAM H37 Staines SUNBURY Whitton STAINES Admiral Nelson Twickenham Green Richmond Staines � WHITTON Kingston RICHMOND Bus Station Powder Mill Lane Sandy Teddington Hampton Cromwell Road Whitton Fulwell Lane Police Station Wick Bus Station 117 Nelson Road 481 © Transport for London TFL 21228.11.11 (T) 267 Staines Road Information correct from November 2011 Sixth Cross Road Route 267 is extended from Fulwell to Hampton Court on Summer Sundays only Buses from Brentford High Street (County Court) continues to E2 N9 Greenford Ruislip Road East Scotch Common Pitshanger Eaton Rise EALING BROADWAY Aldwych 24 hour Library service White City Bus Station 237 for Covent Garden E8 65 for Westfield Route finder Ealing Broadway

Uxbridge Road Ealing Hanwell West Ealing Dormers Wells Lane Hospital Broadway Day buses including 24-hour services Shepherd’s Bush for Westfield Bus route Towards Bus stops

Ealing Green 24 hour Southall HANWELL SHEPHERD’S 267 service Ealing Broadway ,bh ,br Town Hall Elthorne Park Hammersmith 65 BUSH Bus Station Kingston ,bd ,be ,bf St Mary’s Road Goldhawk Road Southall Northfield Avenue Chessington World of Adventures ,bd ,be ,bf SOUTHALL Ravenscourt (Night journeys only) Boston Road Starch Green Park Southall Haslemere Avenue King Street South Ealing Road Northfield Avenue Charville Lane Estate ,bq ,sh Graham Avenue 195 Bulls Bridge Boston Manor Stamford Brook Sunbury Village ,bl ,bq Tesco 235 South Ealing ,bh ,bj ,bk ,bl Northfields 237 Hounslow Heath Hayes & Harlington Boston Manor Road Swyncombe Avenue Stamford Brook White City ,be ,bf ,bn ,bp Bus Garage XXX South Ealing Road Northfield Avenue ,bh ,bj ,bk ,bl Church Road Popes Lane Fulwell Boston Manor Road Turnham Green 267 Church XXX Hammersmith ,be ,bf ,bn ,bp Uxbridge Road South Ealing Road Uxbridge County Court Windmill Road Gunnersbury Boston Manor Road Ealing Park Gardens Hampton Court § ,bh ,bj ,bk ,bl Manor Vale XXX Hayes End Brentford Commerce Road ,bl ,se Crown E2 Ealing Road Greenford ,bn ,sh Windmill Road Chiswick High Road 237 Charville Lane Estate St Faith's Church Boston Manor Road ,bl ,se 195 E8 Brentford Commerce Road Ealing Road Chiswick High Road Windmill Road Brentford Fountain Leisure Centre Ealing Broadway ,bn ,sh Kew Bridge 237 Brentford

Kew Bridge Boston Manor Road Ealing Road Strand on the Green Night buses P O Kew Bridge Road T E T Steam Museum N9 A E B R Bus route Towards Bus stops continues to Library R L E Y O I RE R O N T T Heathrow Terminal 5 K NU D R G L AD D S WA RO Kew Road D T Aldwych ,be ,bf ,bn ,bp R H R Kew Green O Watermans N9 Schools D D O R A T

E2 O R E Park W O D E E EN D TR Kew Road Heathrow Terminal 5 ,bh ,bj ,bk ,bl Commerce Road T SV A S E8 A O RO Brentford Bus Garage L GR H Watermans H Y G S N HI TT A Recreation A Art Centre U L Ground LB B F Kew Road E A G O Commerce Road H A A T T Brentford Lock C RD School W § Summer Sundays only R L’S F H U E A E PA R R . B County R S Hounslow West T Y F S A E L E C N Court A ISLEWORTH K A N L E P U Y HAM Kew Road E Y M L T A P L Victoria Gate LION W T A EE for Kew Gardens Visitor Centre London Road STR Syon Lane IGH D IVER Hounslow London Road London Road H O R C Kew Road Treaty Centre Isleworth Wood Lane The Green School for Syon Park Magistrates K

R The Avenue Court D

Hounslow London Road London Road Kew Road Bus Station Turnpike Way Isleworth London Road Lion Gate Busch Corner Brent Lea Hounslow Heath Hussar HOUNSLOW Twickenham Road Kew Road Kew Road 237 Teesdale Gardens Pagoda Avenue North Feltham Minimax Corner Richmond West Middlesex University Hospital Hounslow Road Richmond The Quadrant Feltham Twickenham Road RICHMOND High Street Richmond Bus Station Lower Feltham Three Horseshoes Isleworth War Memorial Petersham The Dysarts Sunbury Sunbury Cross Ham SUNBURY Isleworth The yellow tinted area includes every Sunbury Village Library Three Fishes bus stop up to about one-and-a-half miles from Brentford High Street. 235 Kingston Twickenham Main stops are shown in the white area outside. Twickenham King Street Kingston Eden Street TWICKENHAM Twickenham Green Kingston KINGSTON Fulwell 24 hour service Brook Street Bus Garage 65 267 267 er Thames 65 Hampton Court on Summer Riv Chessington World of Adventures Sundays only (night journeys only) © Transport for London TFL 21657.02.12 (T) Information correct from 25 February 2012 Ruislip E7 E10 Northolt Islip Manor Road Wembley Kingsbury Buses from Ealing Broadway Park Blackbird Golders Ruislip Northolt NORTHOLT WEMBLEY Cross Hendon Green High Street N7 Wembley Park Drive Kingsbury Hendon 83 RUISLIP Rowdell Road Route E7 serves Ruislip High Street Wembley Arena Green Central Greenford Industrial Estate 226 Wood Lane and Wood Lane Waitrose during Wembley shopping hours only. At other times Waitrose Smith’s Farm Stadium Staples Hotspur Road service runs direct to Ruislip. Wembley Central Corner 112 Ruislip Ferrymead Gardens Neasden Brent Cross Gardens Gurnell Alperton North Circular Shopping Leisure PERIVALE Perivale Alperton Road Centre Polish Greenford Perivale Bilton Road Sainsbury’s Brent Park War Memorial Yeading Ruislip Red Lion Centre North Circular Road White Hart Road Pennine Drive Stonebridge Park Neasden Hanger Lane Shopping Centre Greenford Cricklewood Sports Centre Argyle Road Birkdale Park Royal E1 E2 Ruislip Road East Hail & Ride Coronation Road Yeading section Road Ayles Road GREENFORD E11 NEASDEN section Elthorne Heights Argyle Road Central Middlesex Cricklewood Hail & Ride & Hail Mount Brunswick Barnhill Estate Bridge Avenue Scotch Common Hospital Neasden Broadway E9 Woodfield Avenue Road Welbeck Avenue Park Royal Road PARK Willesden 427 Greenford Avenue Montpelier Road GREYSTOKE Acton Lane High Lane Gifford Gardens ROYAL Centre Dollis Hill 607 N207 Hobbayne Road Argyle Road ESTATE for Health Cleveland Road Harlesden Willesden Uxbridge Jubilee Clock Bus Garage Hail & Ride Harlesden and Care section Borders Road Eaton Rise North Ealing 297 Uxbridge Uxbridge Civic Centre Park Road Greenford Avenue Castle Bar Park Castlebar Drayton Bridge Road Road Hillingdon The Greenway HARLESDEN N7 continues to Russell Square Hillingdon Lees Road Drayton Green Ladbroke Grove M CA ADEL Hayes End Angel Lane S S EY 207 607

D AVEN C T

D R L H

G L East Acton G R AR O E R O D D E B A

A D A D A I R A A

A D White City O R A L F R N R E Hayes Uxbridge County Court O X1

D T

O

G E O R

E O

N R N

N B E H Bus Station O N N

Sutherland Avenue L T O A SHEPHERD’S BUSH L S R L Y V A T E for Westfield Hayes Grapes Argyle Road A N S C Z4 G Z1 Ealing YY R X2 Acton ROAD Z3 N. Broadway GORDON Z2 High Street S S E C Shepherd’s 207 HAYES ROAD P Acton Vale Uxbridge GORDON R D (not 607) I Bush Shepherd’s Bush N F 427 Bromyard Road J L Hayes By-Pass (not 607) G West Ealing O for Westfield B JJ N Waterglade G THE Avenue Adelaide Grove Market R R G

I O Y S F D Centre H MALL I A T A E G D W Southall E L L AD E D O R R Trinity Road O Municipal Town B K O E N A H A T A Borough Hall V Ealing X D Acton R Drayton Green Road W E EN R D RAV of Ealing . Acton W I C O S Southall Uxbridge Road N Common Central N207 A Y D continues to R A Ealing Old Town D ADW V S Police Station O BRO SOUTHALL West Ealing A NEW Broadway O Hall Holborn D M T R The Vale Route finder E Centre Broadway U R B E Ealing Hospital T O R R AY N T O S Day buses including 24-hour services W L A Uxbridge Road OAD D BR N D NEW P H Ealing G Q S I Route Towards Bus stops T H The Common . ACTON Warwick Dene 65 Kingston F, L E11 Chessington World of Adventures F, L Hanwell (night journeys only) West Ealing South Ealing N11 Broadway Northfield Avenue Gunnersbury 83 Ealing Hospital K, M, P Lane continues to Ealing Hospital Liverpool Street Golders Green H, U, V, W Grounds Acton Town 112 Brent Cross G 83 Northfields South Ealing Road 207 Hayes By-Pass K, M, P Popes Lane/Little Ealing Road White City H, T, V, W 226 Golders Green C Brentford Waterman’s Centre Boston Road 297 Willesden C Kew Bridge 427 Acton H, T, V, W Brentford Uxbridge K, M, P Boston Manor Windmill Road River Thames 607 Uxbridge ◆ K, M Kew Gardens White City ◆ H, X BRENTFORD Brentford Richmond E1 Greenford D, J, JJ Boston Manor Road E2 Brentford F, Q, R Petersham The Dysart RICHMOND Night buses Greenford E, U, W E7 Ruislip A, Q, R Brentford Ham Tudor Drive Route Towards Bus stops N7 Northolt E, K E8 Brentford F, Q, R Half Acre Kingston KINGSTON 65 Russell Square A, G E9 Yeading E Brentford Kingston Brook Street N11 Liverpool Street F, Q, R E10 Northolt D Commerce Road E11 Ealing The Common H, U, V, W Information correct from August 2012 E2 E8 N207 Holborn H, T, V, W © Transport for London TFL24752.08.12 (F) 65 continues to Uxbridge K, M, P Greenford K, Q, R Chessington World of Adventures ◆ Limited stop (night journeys only) Buses from Southall Broadway and High Street GREEENFORD 105 Greenford Greenford Greenford Broadway Red Lion 120 Perivale 427 Northolt Welland Gardens 607 N207 South NORTHOLT Ruislip Road Greenford Uxbridge Eastmead Avenue Yeading Perivale UXBRIDGE Medway Parade White Hart Allenby Road Ruislip Road East Avon Road Gurnell Leisure Centre Perivale Uxbridge Uxbridge Ruislip Road Tesco Civic Centre Park Road Somerset Road Greenford Road Broadmead Road Windmill Lane Perivale Teignmouth Gardens E5 Lady Margaret Road Allenby Road Hanger Lane Hillingdon Road Kenilworth Gardens Dormer’s Avenue The Greenway Golf Links Estate Fleming Road Park Royal North Acton Hillingdon Hill Lady Margaret Road Denbigh Allendale North Gypsy Corner St John’s Church Windermere Road Telford Road (not 607) Road Avenue Road Wallis Road Uxbridge Road Hail & Ride Dormer’s Well Lane East Acton Savoy Circus Long Lane 195 section Telford Road (not 607) Westway Charville Lane Estate SC Hoppner Road SD CARLY A Hillingdon LE AVENUE CA Lees Road RLYLE AV. White City

E for Wood Lane U B N

Lansbury Drive E

V

E D Hayes End A Burns Avenue White City

U A E NORTH A

N VE. O Angel Lane T

E R O ACTON Bus Station V C C

A D T H

E for Westfield 207 607 T S A HA

R C R KLET D ON

Hayes End L

A N

O R

E

G R O N O OAD X

Uxbridge County Court F R R A Acton Uxbridge Road

T 427 Acton

N A

N H E

D M E R High Street Adelaide Grove

R R Central Hayes By-pass Uxbridge Road O A

Y G N207 A

D

D (not 607) (not 607) Trinity Road A E A V

L H E F

. Uxbridge Road HAYES J Old Hanwell Ealing T Town Hall Dormer’s Wells Lane Bond Street/ . HE BROADWAY Acton Acton Vale Shepherd’s D R (not 607) Broadway Christchurch continues to END R S G OUTH Old Town Hall Bromyard Bush Market Shepherd’s Hayes D I AP ALL H L IGH ST. Marble Arch , Grapes Uxbridge Road A Avenue N HA Bush 207 W ORCHARD AV MILTO Oxford Circus Delamere Road S . N K Ealing for Westfield O O L RD. . (not 607) CA . MBR D and Holborn ID D SHEPHERD’S G R Common D E Church Road RO R A AD S West Ealing E O M R U E Ealing R I N BUSH 95 L E Ealing Broadway H L V I T A Hospital P V Shops Shepherd’s ONS U Q BEAC FIELD RO AD O E EALING S ENU AV Bush Green Hayes Town PAR K Boston Road Route finder Pump Lane HAYES Day buses including 24-hour services TOWN Southall Boston Manor Bus route Towards Bus stops 95 Shepherd’s Bush A, C, E, N Hayes & Harlington The Green Brentford 105 Greenford A, C, E, N, P Heathrow Terminals 1, 2, 3 B, D, F, L, Q Havelock Road McNair 120 Hounslow D, F, M, Q, SD Road E5 North Hyde Road Marlow Road Brentford Northolt C, E, O, P, SC Featherstone Road The Crane Havelock Estate Toplocks County Court 195 Brentford N, P, R Waltham Road Charville Lane K, M, Q King Street Hillary Road Estate 195 Glade Road 207 Hayes By-pass G, I, K White City H, J, R Bulls Bridge Western Road Norwood Road Tesco 427 Acton H, J, R Brent Road Uxbridge G, I, K Hayes Road Norwood Green 482 Heathrow Terminal 5 M, Q Wentworth Road Heston 607 Uxbridge K St Leonard’s Church White City R E5 Perivale C, E, N, P, SC Cranford Convent Way Lampton Toplocks Estate D, F, L, Q, SD High Street Shopping Precinct HESTON Great West Road H32 Hounslow M, Q Heathrow Terminals 1, 2, 3 Heathrow Airport Harlington Corner North Hyde Lane Hounslow Civic Centre Central Bus Station North Night buses Heston Bus route Towards Bus stops 105 Vicarage Farm Road Hounslow Central 120 N207 Holborn H, J, R HEATHROW AIRPORT Hounslow West HOUNSLOW Uxbridge G, I, K H32 Limited stop Heathrow Heathrow Heathrow Great Bath Road Hounslow Hounslow Terminal 5 Cargo Centre Terminal 4 Hatton Cross South West Road Henlys Roundabout Information correct from July 2012 482 Bell Corner Bus Station © Transport for London TFL24289.07.12 (F) Buses from Northwick Park and Kenton

Key Harrow Weald 114 Day buses in black Oxhey Lane 182 N18 Night buses in blue —O Connections with London Underground Uxbridge Road Kenton Lane All SaintsÕ Mews The Duck in the Pond o Connections with London Overground HATCH R Connections with National Rail N18 END Harrow Weald Harrow Weald Courtenay Avenue/ Long Bus Garage Long Elmes Long Elmes Elmes EDGWARE Hatch End H14 Headstone Lane Red discs show the bus stop you need for your chosen bus Harrow Weald Belmont Circle Canons Park Edgware Hatch End Wealdstone Inn service. The disc appears on the top of the bus stop in the St ThomasÕ Drive WEALDSTONE street (see map of town centre in centre of diagram). Wealdstone High Road Apex Corner Headstone Lane Wealdstone Baptist Church Locket Road Locket Road Locket Road Kenton Lane Montrose Road Warham Road Borrowdale Avenue Clifton Avenue Mill Hill Circus Harrow Weald High Street Kenton Lane The Wealdstone Centre Queens Avenue Route finder Harrow & Christchurch Avenue Streatfield Road Wealdstone Palmerston Road Kenmore Avenue Morley Crescent West Burnt Oak 114 Day buses Wealdstone High Road Christchurch Avenue Christchurch Avenue Queensbury Mill Hill Bus route Towards Bus stops The Wealdstone Centre Harrow Leisure Centre Kingshill Avenue Broadway Kenton 114 Mill Hill Broadway DGHK Headstone Lane Headstone Drive Library 183 Grahame Park Harrow Crown Court QuakerÕs Course Ruislip CFIL Pinner Headstone Gardens Station Road GREENHILL Kenton Lane Love Lane Harrow View Harrow View Harrow Civic Centre Hunters Grove Pinner Park Avenue 182 Brent Cross Shopping Centre a Pinner Headstone Kenton Lane Harrow Weald = Gardens Harrow View Kenton Road Kenton Road Kenton Road Kenton Road Pinner View Kodak Sports Ground Kenton Lane Charlton Road Clifton Road 183 Golders Green DGHJ PINNER Harrow View Station Road Kenton Road Kenton Road Kingsbury Pinner Pinner Road Safari Cinema CFIL Southfield Park H19 Headstone Drive Kenton Road Kenton Park Shrewsbury Avenue Watford K St LeonardÕs Avenue Way 186 Brent Cross Shopping Centre «≥÷ continues to Harrow View North Harrow Harrow Bus J Avenue Woodcock Hill Hendon Cunningham Park L Kenton Road KINGSBURY Harrow F«IL Station n Retreat Close 223

D o

H Odeon Parade i

R t

c Wembley Headstone A Woodcock Hill GH≤J

Greenhill Way Station Road e

Y s

Road Sheepcote Road C Dovedale Avenue e I O Pinner Road . Harrow via Wealdstone Hindes Road d DEGH≤KM

E i H9 T

The Gardens V T R Woodcock Hill Hendon War Memorial

G A A &

Kenton KENTON Harrow

A l C«ILN Pinner Road D V Draycott Avenue i H10 A T Y E 223 G O a U Oxford Road Gayton S T R N H H E O O E N U Hatch End y H Windermere Avenue H10 H18 Road E N O H14 Pinner Road P T E C EN S O C K 183 Neptune Road U HENDON T D L E R Harrow ILN C . H18 R F D NORTHW South Kenton Golders ICK AVE . Hendon Green H19 Harrow via Wealdstone EGHKM Rayners Lane e

d Central

N n

M i

o

R

i

t Carlton Avenue East

University of &

c

l i

Westminster Northwick Park e Third Avenue s (Harrow Campus) a 182 186 Night buses Lascelles Avenue Harrow Station Peterborough H = Preston Road Brent Cross RUISLIP Bus Station for Road Road Carlton Avenue East Bus route Towards Bus stops Harrow-on- Harrow Harrow Central NORTH ROAD Shopping Centre 114 W

Ruislip Porlock Avenue E the-Hill Town Police Station A ≤ A Preston Road Harrow Weald = Kings Road T ÷ Whitmore Road S N18

Centre F T O

R «

R Trafalgar Square a D ≥

Shaftesbury Avenue O Staples Corner

y A The Avenue D Ruislip Porlock Avenue HARROW R Ravenscroft O a

Manor A SOUTH ROA D Avenue

D Shaftesbury Northwick Park and Eastcote Lane Northolt Road Avenue St MarkÕs Hospital Neasden South Ruislip Kings Road Grave Road Dudley Road Shopping Centre Wembley South Park NEASDEN Harrow Watford Road H9 Carlton Avenue West continues to Empire Way Harrow Bus Station Watford Road Sudbury Court Road The yellow tinted area includes every bus stop up to about one-and-a-half miles from Northwick Park and Kenton. Watford Road WEMBLEY Wembley Main stops are shown in the white area Perrin Road Arena outside. N18 Sudbury & continues to Harrow Road Wembley Stadium Trafalgar Square 223 for Charing Cross Kensal Green Royal Oak Wembley Stonebridge Park Harrow Road Paddington Green Central Police Station

© Transport for London Information correct from October 2011 TFL21014.10.11 (P) West Hendon Buses and trains from Ealing Hospital (Hanwell) Broadway Hendon Central 24 hour 83 service Hendon Golders Green Mount Vernon Hospital Kingsbury Green HENDON 282 Northwood Kingsbury Blackbird Cross Neasden UXBRIDGE Northwood Hills Wembley Park Brent Park Tesco and IKEA 427 607 N207 92 Uxbridge Wembley Arena Hallmark Trading Estate Wembley Stadium Uxbridge Uxbridge Eastcote WEMBLEY Civic Centre Park Road Greenford Road Wembley Central Hillingdon Road Whitton Avenue West Sudbury Hill Harrow Alperton PARK The Greenway Eastcote Lane Eastcote Arms Sudbury Hill Sudbury & ROYAL Hillingdon GREENFORD Harrow Road Hanger Lane Lees Road Greenford Northolt Hayes End North Ealing Angel Lane NORTHOLT 195 Yeading E3 Charville Ealing Common First Great Western Lane Estate White Hart Greenford EALING Hanger Lane Greenford Red Lion Heathrow Connect Uxbridge Broadway Greenford Avenue County E8 Acton Main Line Paddington Court Ruislip Road Hayes End Pembroke Road Crown (not 607) West Ealing Hayes Greenford Depot Grapes HAYES Hayes By-Pass New Broadway Ealing First Great B Christchurch Route finder Western Hayes End (not 607) MILTON ROAD Broadway Church Road (not E8) Bus route Towards Bus stops A AD to Slough N RO PBEL NYSO Ealing Town Hall 24 hour Hayes & 207 Southall Greenford Road CA M L TEN 83 service Golders Green G, M, P, R and Reading ROAD (not 607) Ealing Common Harlington Trinity Road West Middlesex Hanwell Southall Golf Course 92 Neasden S PROACH C Northfield Avenue Broadway N AP H 195 TIO U AD The Lido Acton Town Brentford K, M, P, Z TA R O (not 607) S S C Y R T H L North Hyde A E OL Charville Lane Estate Q, W, Y T U H IO N RIN R Road P IN E N SSP G 207 Hayes E, J, N, Q W O Gunnersbury F V West Ealing Acton FI Southall H E A A H R I L E A D King Street D Broadway Park White City G, M, P O A Town H

D L L K

R D

R A D

O A BullÕs Bridge F R

R A (not 607)

R

D A O Hall N A

O D R Northfields I O C L A 282 V Mount Vernon Hospital T C Tesco C Y F N E 'P1ndar R L A O I E T F C G D Uxbridge Road 427 Acton G, M, P P F IN R

t R E E Popes Lane Southall n O H (not 607) 427 E Southall e C G Uxbridge E, J, N, Q r A

B M R UXBRIDGE OAD Brent Road Southall UX D R Acton BR O AY IDG DW S 607 N Police E OA T Uxbridge J, Q Q R BR W Old Town Hall OAD J . E Station E B G N S W O K E Northfield White City G, P Uxbridge Road R T N O O M S R r T A St BernardÕs I Avenue G e N S O South v D E3 Chiswick A, C i E T S R Gatehouse (not 607) N Õ T M Julien Road R AU S L E N Acton

SOUTHALL O R D R Greenford B, D W E O U R R E RO A R O AD E BO D E8 A Brentford E, J, K, Z H Ealing N ST A O D Heathrow Connect Hospital L N Acton Ealing Broadway G, M, Y N ÕS Turnham E K R E R O Central to Heathrow Airport R A Y A Green National Rail line G M D . D T A Z S O R The Vale Bromyard Avenue Night buses Bus route Towards Bus stops Uxbridge Road N207 Holborn G, M, P Adelaide Grove Boston Road Uxbridge E, J, N, Q Turnham Green ShepherdÕs N Limited stop Church Bush Market Boston Manor CHISWICK ShepherdÕs Bush for Westfield Boston Manor Road Chiswick White City Bus Station N207 Continues to Brentford for Westfield Holborn 195 Chiswick 207 607 Bloomsbury Square Brentford Edensor Road BRENTFORD Alexandra Brentford Road E3 Half Acre River Thames Brentford Brentford Commerce Road High Street E8 Information correct from 14 February 2011 © Transport for London TFL19593.02.11 (P)

Chief Executive: Anne Rainsberry Chair: Jeff Zitron

PRESS RELEASE For immediate release 19 th February 2013

MAJOR DECISION MADE ON THE FUTURE OF HEALTHCARE IN NW LONDON

The Joint Committee of Primary Care Trusts (JCPCT) has today (19 th February) made a decision on the future of NHS services for approximately 2m people living in NW London.

The Committee agreed with all the recommendations put forward by the ‘Shaping a healthier future’ programme following public consultation. This will mean:

• Investing over £190m more in out-of-hospital care to improve community facilities and the care provided by GPs and others. Most of these improvements will be put in place before any major changes to local hospitals are made.

• The five major acute hospitals with a 24/7 A&E and Urgent Care Centre will be: Chelsea and Westminster; Hillingdon; Northwick Park; St Mary’s; and West Middlesex.

• Central Middlesex Hospital will be developed in line with the proposed local and elective hospital models of care, and will also include a 24/7 Urgent Care Centre.

• Hammersmith Hospital will be developed in line with the proposed local and specialist hospital models of care, and will include a 24/7 Urgent Care Centre.

• Both Ealing and Charing Cross Hospitals will be developed in line with the proposed local hospital model of care, and will each include a 24/7 Urgent Care Centre. The JCPCT also recommended that further proposals for these two hospitals are developed in future by the relevant CCGs.

The ‘Shaping a healthier future’ programme was established to address a number of challenges being faced by the NHS in NW London, including the demands of an increasing, ageing population. There are more people with long term conditions, and unacceptable variations in the quality of care, evidenced by higher mortality rates for patients treated in hospital at night or during the weekend.

Following extensive public consultation, the JCPCT was asked to approve the 11 recommendations made in the ‘Shaping a Healthier Future’ Decision Making Business Case, as well as two further recommendations which refer to additional proposals for Ealing and Charing Cross hospitals (see notes to editors, below).

Taking into account all of the evidence, the JCPCT has accepted all of the recommendations. These proposals will now take 3-5 years to implement, ensuring that improvements in out of hospital care are in place before major changes to hospital services are then implemented.

Jeff Zitron, Chair of the JCPCT, said:

“This is an important decision for the NHS in NW London. I am delighted that, after thorough and careful examination, we are able to fully recommend what clinicians feel will deliver the best possible care for local people for years to come. We have not taken this decision lightly, and have been very careful to consider the many thousands of responses we received during our extensive consultation last summer. I am confident that this is the best decision for the people of North West London and for the NHS.”

Chief Executive: Anne Rainsberry Chair: Jeff Zitron

Dr Mark Spencer, Medical Director for Shaping a healthier future and Ealing GP, said:

“This decision will save lives and improve care dramatically for the two million people living across North West London. I am pleased that the JCPCT agreed that this was the best decision for a clinically safe, high quality and financially secure future for all the hospitals and NHS trusts in North West London. There are urgent and pressing needs to make these changes. If we do nothing people will continue to die unnecessarily and services will fail.”

END

NOTES TO EDITORS

1. Recommendations before the JCPCT (the Decision Making Business case)

The recommendations are included in the recommendation paper which accompanies the Decision Making Business Case (DMBC). This paper outlines the decisions that need to be taken by the JCPCT about the future shape of services in NW London. The programme has followed a robust process to develop a shared vision of care, evaluate different options, consult the public and stakeholders, develop and analyse recommendations, create a benefits framework and plan implementation.

The DMBC has been reviewed by the Programme Board, Clinical Board, Finance and Business Planning Group and other committees and groups established by the JCPCT to provide it with advice and recommendations. The JCPCT’s decisions will be enacted through Clinical Commissioning Groups (CCGs) and the NHS Commissioning Board contracts and agreements over the medium term.

A full copy of the DMBC can be found at www.northwestlondon.nhs.uk/shapingahealthierfuture .

The recommendations included in the DMBC are as follows:

1. To agree and adopt the North West London acute and out of hospital standards, the North West London service models and clinical specialty interdependencies for major, local, elective and specialist hospitals as described in Chapter 7 of the Decision Making Business Case (DMBC).

2. To agree and adopt the model of acute care based on 5 major hospitals delivering the London hospital standards and the range of services described in Chapters 7 and 9 of the DMBC should be implemented in North West London.

3. To agree that the five major hospitals should be as set out in Chapter 10 of the DMBC: Northwick Park Hospital, Hillingdon Hospital, West Middlesex Hospital, Chelsea and Westminster Hospital and St Mary’s Hospital.

4. To agree that Central Middlesex Hospital should be developed in line with the local and elective hospital models of care including an Urgent Care Centre operating 24 hours a day, 7 days a week as detailed in Chapters 7,9 and 10 of the DMBC.

5. To agree that Hammersmith Hospital should be developed in line with the local and specialist hospital models of care including an Urgent Care Centre operating 24 hours a day, 7 days a week as detailed in Chapters 7,9 and 10 of the DMBC.

Chief Executive: Anne Rainsberry Chair: Jeff Zitron

6. To agree that Ealing Hospital be developed in line with the local hospital model of care including an Urgent Care Centre operating 24 hours a day, 7 days a week as detailed in Chapters 7,9 and 10 of the DMBC.

7. To agree that Charing Cross Hospital be developed in line with the local hospital model of care including an Urgent Care Centre operating 24 hours a day, 7 days a week as detailed in Chapters 7,9 and 10 of the DMBC.

8. To agree that the Hyper Acute Stroke Unit (HASU) currently provided at Charing Cross Hospital be moved to St Mary’s Hospital as part of the implementation of resolutions 1, 2 and 3 above and as described in Chapter 6 of the DMBC.

9. To agree that the Western Eye Hospital be moved from its current site at 153 – 173 Marylebone Road to St Mary’s Hospital as set out in Chapter 10 of the DMBC.

10. To recommend that implementation of resolutions 1 to 7 should be coordinated with the implementation of the CCG out of hospital strategies as set out in Chapters 8 and 17 of the DMBC.

11. To recommend to the NHS Commissioning Board and North West London CCGs that they adopt the implementation plan and governance model in Chapter 17 of the DMBC.

12. The JCPCT commends the further proposals that Ealing CCG has developed for the Ealing Hospital in response to feedback from consultation. The JCPCT recommends that Ealing CCG and all other relevant commissioners should work with local stakeholders, including Ealing Council and Healthwatch, to develop an Outline Business Case (OBC) for an enhanced range of services on the Ealing Hospital site consistent with decisions made by this JCPCT. This OBC is to be approved by the SaHF Implementation Board before final submission.

13. The JCPCT commends the further proposals that Hammersmith and Fulham CCG has developed for the Charing Cross Hospital in response to feedback from consultation. The JCPCT recommends that Hammersmith and Fulham CCG and all other relevant commissioners should work with local stakeholders, including Hammersmith and Fulham Council and Healthwatch, to develop an Outline Business Case (OBC) for an enhanced range of services on the Charing Cross Hospital site consistent with decisions made by this JCPCT. This OBC is to be approved by the SaHF Implementation Board before final submission.

2. The ‘Shaping a healthier future’ programme

The ‘Shaping a healthier future’ programme was launched in January 2012 with the publication of the Case for Change. It was taken forward by eight clinical commissioning groups (CCGs), made up of GPs representing NW London’s eight primary care trusts (PCTs).

They have worked with hospital doctors, nurse leaders, providers of community care such as mental health services, social services, patient and volunteer groups and charities to develop the proposals for change. These proposals and their vision for the future of healthcare in NWL are set out in the Consultation document and all of the evidence and work that has gone into developing these proposals is set out in the pre-consultation business case.

The programme has four medical directors:

Chief Executive: Anne Rainsberry Chair: Jeff Zitron

• Dr Mark Spencer, medical director of NHS NW London and a GP in Ealing • Dr Susan La Brooy, former medical director of Hillingdon Hospital and a consultant physician in acute medicine and care of the elderly • Dr Mike Anderson, medical director of Chelsea and Westminster Hospital and a consultant gastroenterologist • Dr Tim Spicer, chair of Hammersmith and Fulham Clinical Commissioning Group and a GP in Hammersmith

3. NHS North West London

The North West London (NWL) Cluster was formally established on 1 April 2011 and is the largest commissioning cluster in London, with an annual health budget of £3.4bn and serving a population of around 1.9 million.

It operates across eight boroughs: Brent, Ealing, Hammersmith & Fulham, Harrow, Hillingdon, Hounslow, Kensington & Chelsea, and Westminster. There are eight Clinical Commissioning Groups (CCGs) with local GP leadership operating in shadow form across all eight boroughs.

For the purposes of the Shaping a healthier future consultation, three neighbouring boroughs – Camden, Richmond and Wandsworth – were included in many of the activities and associated communications since health services there are also likely to be affected by the proposals.

4. The Joint Committee of Primary Care Trusts (JCPCT)

The programme is overseen by the JCPCT, made up of voting representatives from the eight PCTs in North West London (NHS Brent, NHS Ealing, NHS Hammersmith and Fulham, NHS Harrow, NHS Hillingdon, NHS Hounslow, NHS Kensington and Chelsea and NHS Westminster). It also includes voting representatives from the three neighbouring PCTs affected by the proposals (NHS Camden, NHS Richmond, and NHS Wandsworth). The Chair is Jeff Zitron who is also chair of the NHS North West London Cluster Board.