Initial Option Ideas Workshops 1 17th June 2014

Generating Ideas for Options

• The FutureFit Evaluation Panel met on 17th June 2014 to generate initial ideas for options which could deliver the approved Clinical Model. • The following tables record the full set of 41 ideas which were generated by panel members without any constraints being applied. The numbering of ideas simply reflects the order in which they were recorded on the day. • The ideas have been grouped to reflect common features in the larger components of the model. [For UCCs, where they feature in the group description they are not repeated in the associated table.] • There was much greater diversity in the more local components proposed. Further work is now being undertaken, as agreed by the Panel, to synthesise the ideas generated, and to factor in the outputs of public engagement, before the panel is reconvened in early September. • The maximum number of UCCs proposed is 9 with the following location frequency: /RJAH (41); RSH and PRH (40); and Whitchurch CH (38); CH (35); Bishop’s Castle CH (26); and Newtown (16). • The ideas generated have also been analysed at component level (EC, UCC, etc.), and summary maps are attached illustrating the range of locations proposed for each component. OPTION COMPONENTS

What do we mean by an ‘option’?

• The focus of FutureFit is: To agree the best model of care for excellent and sustainable acute and community hospital services that meet the needs of the urban and rural communities in , and Wrekin, and Mid . • The Clinical Model sets out the desired overall shape and character of the system for local health care. • We now need to set out ways in which that model of acute and community hospital services could be delivered. • There are a number of key components to the model (e.g. Emergency Centre, Urgent Care Centres). • There is an infinite number of ways in which these components could be configured locally. • Each of these ways is potentially an ‘option’ –

a unique combination of the number, location and co-location of the model’s components. OPTION COMPONENTS

Emergency & Planned Long Term Urgent Care Care Conditions

EC DTC CU UCC LPC HH INTRODUCTION

5. Preferred 1. Drivers 2. Ideas 3. Long List 4. Short List Option

• Workshop 1 • Public • Public • Public Generating Ideas Engagement Engagement Consultation • Workshop 2 • Workshop 3 • Appraisal • Decision Proposing Criteria Weighting Criteria Financial • Outline • Workshop 4 Non-financial Business Case(s) Evaluating Options

Clinical Model

Following extensive A preferred option engagement the long list Following confirmation emerges from the An infinite range of ways & evaluation criteria are of the short list, options appraisal process – to implement the model confirmed by Board, and are further developed and subject to various needs to be reduced to a descriptions of the alongside more approvals – that provisional long list of options developed. engagement on the option will be subject around 12. Agreed criteria are then model and the agreed to Public Consultation Criteria for evaluating weighted and the list. and fully developed the long list also need to options scored against The detail of this stage is within one or more be drafted. the criteria. yet to be agreed by Outline Business A recommended short Board. Cases. list is proposed to Board. Idea Groupings

Group 1 - New A5 Site for EC/UCC/DTC EC UCC DTC

Group 2 - New A5 Site for EC/UCC EC UCC PRH for DTC DTC

Group 3 - New A5 Site for EC/UCC EC UCC RSH for DTC DTC

Group 4 - RSH EC/UCC and DTC EC UCC DTC

Group 5 - RSH for EC/UCC EC UCC PRH for DTC DTC

Group 6 - PRH EC/UCC and DTC EC UCC DTC

Group 7 - PRH for EC/UCC EC UCC RSH for DTC DTC Group 1 - New A5 Site for EC/UCC and DTC EC UCC DTC

UCC LPC CU HH 1 PRH, RSH, Bridgnorth, Bishops Castle, Bridgnorth, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Ludlow, Oswestry, Ludlow, Oswestry, Market Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Whitchurch, Newport, Drayton, Newport, Newtown Oswestry, Whitchurch, , Newport, , Newtown (UCC on new Shifnal, Newtown, , Newtown, site not explicitly stated , Llanfyllin, Welshpool, Llanfair, Llanfyllin, in this option) Montgomery, 2 PRH, Ludlow, PRH, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, PRH, RSH, Bridgnorth, Ludlow, Whitchurch, Newtown Oswestry, Whitchurch Oswestry, Whitchurch, Oswestry, Whitchurch, Newtown, 3 PRH, RSH, Bridgnorth, PRH, RSH, Bridgnorth, Ludlow, PRH, RSH, Bridgnorth, PRH, RSH, Bridgnorth, Ludlow, Ludlow, Oswestry, Oswestry, Whitchurch Ludlow, Oswestry, Oswestry, Whitchurch, Whitchurch, Whitchurch, 12 PRH, RSH, Bridgnorth, PRH, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, New, PRH, Bridgnorth, Ludlow, Ludlow, Oswestry, Oswestry, Newtown Oswestry, Whitchurch, Oswestry, Whitchurch, Market Newtown Newtown, Drayton, Newport, Church Stretton, Newtown, Welshpool, 16 Telford Centre Telford Centre, Telford Centre, Bishops Bishops Castle, Bridgnorth, Ludlow, Centre, Bishops Castle, Castle, Bridgnorth, Oswestry, Whitchurch, Bridgnorth, Oswestry, Market Ludlow, Oswestry, Drayton, Newtown and others Whitchurch, 27 PRH, RSH, Bishops PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Castle, Bridgnorth, Bridgnorth, Ludlow, Oswestry Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Ludlow, Oswestry, Whitchurch Oswestry, Whitchurch, Whitchurch Group 2 - New A5 Site for EC/UCC EC UCC PRH for DTC DTC

UCC LPC CU HH 11 PRH, RSH, Bridgnorth, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bishops Castle, Bridgnorth, Ludlow, Oswestry, Oswestry, Market Drayton, Oswestry, Newtown, Ludlow, Oswestry, Whitchurch, Whitchurch, Newtown, Newtown, Market Drayton, Newport, Shifnal, Church Stretton, Newtown,

Group 3 - New A5 Site for EC/UCC EC UCC RSH for DTC DTC

UCC LPC CU HH 15 Telford Centre, RSH, Telford Centre, RSH, Shrewsbury PRH, RSH, Bridgnorth, RSH and multiple other community Centre, Bridgnorth, Ludlow, Ludlow, Oswestry, locations Oswestry, Whitchurch, Market Whitchurch, Drayton and others 30 PRH, RSH, Ludlow, (not stated) (not stated) PRH, Telford Centre, Newport Oswestry, Whitchurch, 36 PRH, RSH, Bishops Telford Centre, Bishops Castle, PRH, RSH, Bishops Castle, (not stated) Castle, Bridgnorth, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch and others Oswestry, Whitchurch, Whitchurch, Newtown, Newtown, Welshpool Welshpool Group 4 - RSH EC/UCC and DTC EC UCC DTC

UCC LPC CU HH 10 PRH, Bridgnorth, (This option includes DTC with PRH, RSH, Bridgnorth, Bishop’s Castle, Ludlow, Oswestry, Ludlow, Oswestry, each LPC) PRH, RSH, Bridgnorth, Oswestry, Market Whitchurch, Market Drayton, Market Drayton, Oswestry, Market Drayton, Drayton, Church Stretton Newport and multiple others Church Stretton Church Stretton 19 PRH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Whitchurch, Newtown, Oswestry, Whitchurch, Newtown, Newtown Newtown, 25 PRH, Bridgnorth, PRH, RSH, Bridgnorth, Ludlow, PRH, Bishops Castle, PRH, Bishops Castle, Bridgnorth, Ludlow, Oswestry, Oswestry, Whitchurch, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Whitchurch, Oswestry, Whitchurch, 32 PRH, Ludlow, Oswestry, (not stated) PRH, RSH, Ludlow, (not stated) Whitchurch, Oswestry, Whitchurch, 34 PRH, Bishops Castle, PRH, RSH, Bishops Castle, (not stated) (not stated) Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Oswestry, Newport 37 PRH (Oswestry as additional DTC) PRH, Bishops Castle, (not stated) Bridgnorth, Ludlow, Oswestry, Whitchurch 39 PRH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, (not stated) Bridgnorth, Oswestry, Bridgnorth, Oswestry, Bridgnorth, Oswestry, Whitchurch, Whitchurch, Whitchurch, 40 PRH, Bishops Castle, PRH, RSH, Bishops Castle, (not stated) (not stated) Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Newtown Whitchurch, Newtown, Group 5 - RSH for EC/UCC EC UCC PRH for DTC DTC

UCC LPC CU HH 7 PRH, Bridgnorth, PRH, RSH, Bridgnorth, Oswestry, PRH, RSH, Bridgnorth, PRH, RSH Oswestry, Market Market Drayton, Church Oswestry, Market Drayton, Church Stretton Drayton, Church Stretton Stretton 9 PRH, Bridgnorth, PRH, RSH, Bridgnorth, Oswestry, PRH, Bridgnorth, Other community locations Oswestry, Market Market Drayton, Church Oswestry, Market Drayton, Church Stretton Drayton, Church Stretton Stretton 13 PRH, Bridgnorth, PRH, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, PRH, RSH, Bridgnorth, Ludlow, Ludlow, Oswestry, Oswestry, Whitchurch, Oswestry, Whitchurch, Oswestry, Whitchurch, Market Whitchurch, Newtown Newtown Newtown Drayton, Newtown 14 Telford Centre, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Whitchurch and other community Bridgnorth, Oswestry, Whitchurch, Newtown and Oswestry, Whitchurch, locations Whitchurch, others Market Drayton, Newtown and others 17 PRH, Ludlow, PRH, Bridgnorth, Ludlow, PRH, RSH, Bridgnorth, PRH, RSH, Bishops Castle, Bridgnorth, Oswestry, Whitchurch, Oswestry, Market Drayton, Ludlow, Oswestry, Ludlow, Oswestry, Whitchurch, Newtown Newtown, Welshpool Whitchurch, Newtown, Market Drayton, Shifnal, Newtown, Welshpool, Welshpool, Llanfair, Llanfyllin, Montgomery, 18 PRH, Ludlow, PRH, RSH, Bridgnorth, Ludlow, PRH, RSH, Bridgnorth, PRH, RSH, Bishops Castle, Bridgnorth, Oswestry, Whitchurch, Oswestry, Whitchurch, Market Ludlow, Oswestry, Ludlow, Oswestry, Whitchurch, Welshpool Drayton, Newtown, Welshpool Whitchurch, Newtown, Market Drayton, Shifnal, Newtown, Welshpool Welshpool, Llanfyllin, Montgomery, and others Group 5 - RSH for EC/UCC EC UCC PRH for DTC DTC

UCC LPC CU HH 20 PRH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Whitchurch, Newtown, Oswestry, Whitchurch, Newtown, Newtown, Newtown, 21 PRH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, RSH Bridgnorth, Oswestry, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Whitchurch, Whitchurch, Oswestry, Whitchurch, 22 PRH, Bishops Castle, PRH, Bishops Castle, Ludlow, PRH, Bishops Castle, (not stated) Bridgnorth, Ludlow, Oswestry, Whitchurch, Bridgnorth, Ludlow, Oswestry, Whitchurch, Welshpool Oswestry, Whitchurch, Welshpool 23 (only RSH) Bishops Castle, Bridgnorth, Bishops Castle, Bishops Castle, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Bridgnorth, Ludlow, Oswestry, Whitchurch, Llanfair Llanfair Oswestry, Whitchurch, Llanfair 28 PRH, Bishops Castle, PRH, Bishops Castle, Bridgnorth, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Bridgnorth, Ludlow, Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Oswestry, Whitchurch, 38 PRH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, RSH Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Oswestry, Whitchurch, Whitchurch, Newtown, Oswestry, Whitchurch, Newtown, Newtown,

N.B. 38 has DTC at Oswestry rather than PRH. Group 6 - PRH EC/UCC and DTC EC UCC DTC

UCC LPC CU HH 6 RSH, Oswestry, RSH, Bridgnorth, Oswestry, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, Oswestry, Whitchurch, Newtown Whitchurch, Oswestry, Whitchurch, Whitchurch, Shifnal, Newtown Shifnal, Newtown 26 RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth. Bridgnorth. Ludlow, Bridgnorth. Ludlow, Oswestry, Bridgnorth. Ludlow, Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Whitchurch, Oswestry, Whitchurch, 33 RSH and 2 new (not stated) Bishops Castle, (not stated) locations (1 north, 1 Bridgnorth, Oswestry, south) Whitchurch, Market Drayon, Newport, Church Stretton Group 7 - PRH for EC/UCC EC UCC RSH for DTC DTC

UCC LPC CU HH 4 RSH, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, Whitchurch, Oswestry, Whitchurch, Shifnal Oswestry, Whitchurch, Oswestry, Whitchurch, Shifnal Shifnal 5a RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Shifnal Oswestry, Whitchurch, Oswestry, Whitchurch, Shifnal, Welshpool Shifnal, Welshpool Welshpool 5b RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Ludlow, RSH, Bridgnorth. Ludlow, Oswestry, Whitchurch, Oswestry, Whitchurch, Shifnal Oswestry, Whitchurch, Oswestry, Whitchurch, Shifnal, Newtown Shifnal, Newtown Newtown 8 RSH, Bridgnorth, Ludlow, RSH, Bridgnorth, Oswestry, PRH, RSH, Bridgnorth, RSH, Bishops Castle, Ludlow, Oswestry, Market Market Drayton Oswestry, Market Drayton Oswestry, Whitchurch, Newport Drayton and others 24 RSH, RSH, RSH, Bishops Castle, RSH Bridgnorth, Ludlow, Oswestry, Whitchurch, Welshpool 29 RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, PRH, RSH, Bishops Castle, Bridgnorth, Ludlow, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Oswestry, Bridgnorth, Ludlow, Oswestry, Oswestry, Whitchurch, Whitchurch, Whitchurch, Whitchurch, 31 RSH, Ludlow, Oswestry, (not stated) PRH, RSH, Ludlow, Oswestry, (not stated) Whitchurch, Whitchurch, 35 RSH, Bishops Castle, RSH, Bishops Castle, (not stated) (not stated) Bridgnorth. Ludlow, Bridgnorth. Ludlow, Oswestry, Oswestry, Whitchurch, Whitchurch, Market Drayton, Market Drayton Newport, Montgomery EC UCC DTC LPC CU HH