Royal Brompton Hospital has a pressing need for new and improved facilities to create a state-of- the-art environment that supports 21st century patient care Read more about Our future, your care our vision inside Building a better Royal Brompton for heart and lung patients A new and improved hospital will enable us to…

Treat more patients and save more lives We face a growing demand for the highly specialist care we provide. In the past five years, patient numbers have increased by nearly 25 per cent. New and improved hospital facilities providing additional inpatient beds, and almost double the number of operating theatres, will mean we can meet demand, treat more patients and save more lives.

Create a better environment for patients Some of our facilities are cramped and outdated making it difficult to accommodate life-saving equipment, provide bedside care and ensure a comfortable experience for inpatients. With up to 30 per cent more hospital space, there will be more single, en-suite rooms, reducing the risk of infection, and providing greater privacy for seriously ill patients and their visitors.

Remove obstacles to better patient care Patients will no longer be transported between buildings by ambulance because all our services will be together on a single Sydney Street site. Specialist equipment, such as scanners, will be next to clinical services rather than split across multiple sites in Chelsea.

Maximise innovation, research and education Royal Brompton has a world-leading reputation for innovation, research and education. Modern facilities will ensure we keep up with advances in technology, treatments and care, and guarantee we can recruit, develop and retain the best medical professionals. Royal Brompton Our specialist care is disrupted constantly & Harefield NHS because our services are split across multiple Foundation Trust is sites. Our ageing buildings do not provide the an internationally best environment for patients and are very recognised centre of expensive to run, which diverts money away clinical and research from life-saving care. excellence in heart and lung disease. We have We cannot carry on as we are. We owe it to been serving people in our patients to ensure they receive the best the Royal Borough of possible care now, and in the future. Kensington and Chelsea and across the UK for generations. We now face daily challenges in We are proposing to develop a modern delivering our mission to provide world-class hospital on the site of Royal Brompton in patient care in our outdated Chelsea facilities. Sydney Street, so that we can continue to deliver the high level of care patients expect More patients need our care than ever before. and deserve. Many are seriously ill, with lifelong conditions and cannot be cared for elsewhere. I hope you will support us in seeking to improve patient care for generations to come.

Professor Timothy Evans DSc FRCP FRCA FMed Sci Medical director, Royal Brompton & Harefield NHS Foundation Trust

Please visit www.ourfutureyourcare.org to register your support and stay informed about our progress. Did you know?

Heart and lung disease are two of the world’s biggest killers.

More than 1 in 10 women and 1 in 6 men die from coronary heart disease

200 people on average die every day of heart disease 200 – the UK’s single biggest killer

Nearly 2.3 million people are living with coronary heart disease in the UK

25 per cent of all UK deaths are from heart and circulatory diseases

Every week, five babies are born with cystic fibrosis, an inherited life-limiting disease

43 per cent of all UK deaths in 2013 were from respiratory and circulatory diseases The care we provide

Last year, our experts carried out over Our adult congenital heart disease unit was the 187,000 outpatient, diagnostic and imaging first of its kind in Europe and remains the largest. appointments and saw over 34,000 inpatients. We are home to Europe’s largest centre for the Many of our patients have lifelong conditions treatment and management of and our care extends from the womb, through cystic fibrosis. childhood, adolescence and into adulthood. We carried out the UK’s first coronary angioplasty Research and scientific breakthroughs in 1980 (a treatment to clear a blocked coronary together with a growing population mean we artery). In 2013 our specialists undertook over expect to treat more people, both children 2,400 of these procedures. and adults, in the future. Inpatient admissions have already increased by 23 per cent and The Trust’s interstitial lung disease unit is the outpatient attendances by 24 per cent over largest of its kind in Europe. the past five years. We are one of five severe acute respiratory The Trust is at the forefront of research failure centres in England providing extra programmes for heart and lung conditions corporeal membrane oxygenation (ECMO). ECMO that result in improved quality of life for supplies oxygen to the blood from outside the thousands of people. Our partnership with body when the lungs are not able to. Imperial College London means we are Europe’s top-ranked respiratory research We are England’s leading NHS trust for centre. We work collaboratively with many cardiovascular, respiratory and critical care organisations. For example, we run one of research and have been since 1997. the largest lung cancer programmes in the UK with The Royal Marsden Hospital; have close We are one of the largest and most experienced links with Chelsea and Westminster Hospital, transplant centres in the UK. particularly in cardiology and paediatric services, and with NHS trusts such as Liverpool We are one of eight revolutionary heart attack Heart and Chest Hospital and Imperial College centres in London that are helping to double Healthcare. patients’ chances of survival.

“We operate on some of the most seriously ill babies and children with heart disease. This is a very stressful time for parents and families. We do everything we can to support them too, but often what people need is space and some privacy and it can be very difficult to provide this in the facilities that we have.”

Mr Olivier Ghez Consultant paediatric cardiac surgeon The challenges we face every day

Our staff do an amazing job for patients every single day. But, our existing facilities present us with real challenges.

A new and improved hospital will enable us to provide better patient care and treat more people, more quickly, so they spend less time in hospital and more time at home with their loved ones.

Current challenges:

• There is very little privacy for patients and • There is not enough space at patient their families as wards are cramped. bedsides to easily accommodate modern monitoring equipment, or even basic • Although there are some single, en- equipment like wheelchairs and hoists. suite rooms, many patients have to share bathrooms, and some have to walk down • Services are split across our multiple long corridors to reach them. Chelsea sites, causing discomfort and inconvenience for seriously ill patients, • Many of our buildings are no longer increasing anxiety and wasting their time. suitable for modern hospital services and healthcare and they cannot support • Imaging facilities (X-ray, CT, MRI) are technological advances in patient dispersed across the hospital. One of our care. Additionally, they are becoming scanners is in a mobile unit and patients are prohibitively expensive to run transported on a trolley, sometimes in and maintain. bad weather.

• We have an excellent record in infection prevention, but lack of space makes this a much greater challenge than it would be in a modern, purpose-built environment. “As a patient at Royal Brompton Hospital, you appreciate the great medical care. However, the hospital’s buildings are now tired and not suitable for a hospital in the 21st century. Even the relatively new Sydney Wing has only a very few individual rooms and no air conditioning. It is essential that patients enjoy the privacy afforded by a private room and be able to have friends and family visit without fear of disturbing others.”

Edward Waite Patient governor

Now

Our vision

Modern, single room with en-suite Our vision for a better future To create a hospital environment like no other.

To promote world-class To facilitate cutting-edge patient care by: research and education by:

• Building facilities that are flexible and • Establishing research and teaching adaptable over time, meeting the facilities next to, or within, clinical areas. changing needs of patients and advances in their treatments. • Reducing maintenance costs significantly so that we can invest more funds into • Designing a hospital around the needs trials, training and supporting clinical of patients; locating departments and facilities and equipment. services together so that patient journeys are easier. • Enabling us to adopt new technologies and state-of-the-art facilities such as • Ensuring privacy and dignity for all hybrid theatres. patients by having larger wards and more single rooms with en-suite bathrooms. • Creating more space for training and skills. • Delivering a more comfortable, healing environment for long-term patients and their families; for many, this is their second home.

To transform services based on patient need by: To support our staff by: • Expanding vital services to ensure more patients with lifelong conditions enjoy a • Increasing the specialist services better quality of life. we provide and facilitating new ways of working. • Increasing the support provided to the growing number of patients treated at • Consolidating onto one site so that the hospital, many of whom require more staff do not waste time moving complex and individual care but are now between buildings to reach different surviving longer. units or services.

• Integrating our technology to support seamless delivery of care. “Advances in modern medicine and surgery, particularly in critical care, mean that the amount of space we need around the bedside for life support equipment has increased dramatically. Working in our current facilities makes this a real challenge.”

Dr Cliff Morgan Clinical director, critical care and anaesthesia

Now

Our vision

State-of-the-art critical care environment

“This proposal is close to our hearts. Our son was treated at Royal Brompton Hospital at birth and had heart surgery. The treatment and care provided to our son and us as a family during this stressful time was without fault and great examples of the NHS at its absolute best. It is imperative that Royal Brompton create the facilities they have planned for so that more patients can be treated.” Jonathan Kelly Parent of patient

“As a parent of a child with a life-threatening respiratory illness, I support Royal Brompton’s proposals. A better environment overall will benefit so many families like mine who need round-the-clock care and support. These plans will create a state-of-the-art hospital and that will mean better care for my child.” Caroline Cartellieri Parent of patient

“As a long-term patient of Royal Support us to deliver a Brompton who has benefited over new and improved many years from their uniquely hospital for patients for specialist care, I totally support generations to come. their proposals to invest in new and existing facilities to bring all services and clinical expertise under one roof Contact us to: on the Sydney Street site to provide Register your support even better care.” Receive more information Alwyn Thompson-Dyke Volunteer to help Patient

Telephone: 0800 881 5442 (Freephone)

Email: [email protected]

Website: www.ourfutureyourcare.org

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Our future, your care

November 2014 Building a better Royal Brompton for heart and lung patients