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Delivering High-Quality Hospital Health Services for the People of North East London Consultation Document November 2009 – March 2010

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Delivering High-Quality Hospital Health Services for the People of North East London Consultation Document November 2009 – March 2010 Delivering high-quality hospital health services for the people of north east London Consultation document November 2009 – March 2010 Health for north east London Aneurin Bevan House, 81 Commercial Road, London E1 1RD. Transforming hospital services OUR PROPOSALS 29 in north east London 5 Contents 7. Our proposals 29 A clinically led process 6 Proposals for complex care on fewer sites 30 This consultation asks for your views 1. Summary 7 on specific proposals that we Proposals for sugery and care believe could provide better Celebrating success 8 for children 31 healthcare in north east London The reasons for change 8 Our proposal for separating planned The proposals 10 operations from emergency care 32 1 2 Finance 12 Major acute hospitals 32 2. How to make your views known 13 Proposals for improving emergency, critical and maternity delivery care 33 BACKGROUND 14 The vision for King George Hospital 38 8. Finance and value for money 40 3. We have listened to your view 14 9. Glossary 42 3 4 4. We already making improvements 16 We are focusing on preventing ill health YOUR VIEWS 45 – as prevention is better than cure… 16 …and we are investing in better Consultation questionnaire 45 services in the community 16 How to give your comments 45 Hospital care is now better than ever 19 5 6 5. More services need to change 21 OUR VISION 24 6. What would first-class NHS services look like? 24 Care and advice close to home 25 7 8 Provide complex care on fewer sites 25 Separate planned operations from emergency services 25 Emergency and critical care 26 Maternity care 28 02 A consultation on the future of hospital healthcare in Barking and Dagenham, City and Hackney, Havering, Newham, Redbridge, Tower Hamlets and Waltham Forest This consultation is managed by the primary care trusts (PCTs) in north Because these hospitals provide services to many people outside north east London: east London (particularly in Essex), strategic health authorities, primary care trusts and hospitals surrounding the area have been kept informed NHS Barking and Dagenham • of the development of the proposals and their views will be taken into • NHS City and Hackney account when deciding the future of services. NHS Havering • Barts Hospital provides specialised cardiac and cancer services (and some • NHS Newham other services) but not the services being reviewed in this document. • NHS Redbridge • NHS Tower Hamlets Next steps • NHS Waltham Forest Ipsos MORI will publish a report based on the responses to the consultation in the summer of 2010. At a meeting in public a Joint Committee of the Primary Care Trusts will consider all the responses and They act in partnership with the hospitals in the area: any other information available (for instance an impact assessment, clinical reports and reports from council Joint Overview and Scrutiny Barts and the London NHS Trust • Committees) and decide on the most appropriate way forward. • Barking, Havering and Redbridge University Hospitals NHS Trust • Homerton University Hospital NHS Foundation Trust All comments and questionnaires must be received by 8 March 2010. • Newham University Hospital NHS Trust • Whipps Cross University Hospital NHS Trust 03 North east London – a whole-system approach North east London has hundreds of primary care service delivery points Barking, including GPs, dentists, pharmacists etc Havering and Waltham Redbridge Forest University Hospitals NHS Redbridge Trust Barts and the Population: London NHS 270,702 Population: 264,464 Trust King George Whipps Cross Population University Hospital 272,906 NHS Trust includes city Queen’s Homerton Havering City University Hospital NHS Foundation Population: 251,619 and Trust Newham Barking and Hackney Dagenham Tower Population: 333,256 Population: 182,300 Hamlets Royal London Newham Barts Population: 242,618 Newham University Hospital NHS Trust Mental Health Many of the recommendations of this review North East London NHS Foundation Trust mental health services for older people is also will improve facilities for patients using mental (outer north east London). The trusts regularly likely to start soon. health services (such as urgent care services and work with primary care trusts to consult about The North East London NHS Foundation Trust the proposals for King George Hospital). their services. For example, a consultation is has recently consulted on providing inpatient However, this review did not specifically underway in The City of London and Hackney mental health services and the development of address these services. Mental health services in about proposals to relocate mental health a new detox unit, following the planned the region are provided by East London NHS inpatients services, and a consultation about closure of Mascalls Park. Foundation Trust (inner north east London) and 04 We want to improve the health of the people of north east London, and we want to make Transforming sure people receive high-quality services. To support those straightforward aims, doctors and other health professionals have looked hospital services carefully at health services in north east London over the past months. Now their proposals for change have been put into this document for public discussion. in north east In the 21st century many health services that were once available only in a hospital can be provided closer to where people live. In the past, people would have to go to hospital for minor London surgery, x-rays, blood tests and care for long-term conditions such as diabetes. Increasingly these services will be provided locally, so people don’t have to travel to hospital as often. The view from the sector Each primary care trust in north east London has been investing in and developing plans to chief executives provide more care in local communities. The proposals in this document describe how we want to ensure children and adults receive high-quality hospital care, to complement the increasing amount of care now available in health centres, polyclinics, GP surgeries, pharmacies and other local centres. We believe we should provide more services close to where people live whenever possible – while providing some very specialist services in centres of real expertise. This is so that people needing specialist care receive the best possible support from the right people in the right place at the right time. This is a public consultation, which means we want to hear public views – and more opinions from staff – on our proposals. Alwen Williams Heather O’Meara Chief Executive of NHS Tower Hamlets and of the East Chief Executive of NHS Redbridge and of outer north London and the City Alliance of PCTs (City and east London PCTs (Barking and Dagenham, Havering, Hackney, Newham and Tower Hamlets) Redbridge and Waltham Forest) 05 A clinically led process The view from the clinical directors Life expectancy in north east London is low compared to other parts of London and the UK. Many patients are not happy with the quality of services they receive. We must ensure that if people are ill, they get the right services from the best clinical teams. We believe that the proposals for change that are set out in this consultation document will: • Improve urgent care and A&E services. We want to improve access to primary care-led urgent care services in polyclinics and at the ‘front doors’ of A&E departments. This will ensure that A&E doctors and nurses can use their skills and training to focus on the most severely ill or injured patients. We want patients arriving at urgent care services or A&E to be assessed by a senior doctor in less than an hour. All patients who are admitted to hospital should be seen quickly by a senior doctor who will take charge of their care. • Offer women the choice and better quality maternity services that they have told us they would like. This includes the opportunity to give birth at home or in a community midwife- led unit. Women who need a higher level of care will have better and earlier access to consultants and senior clinicians. This will lead to fewer complications at birth. • Improve services for children and young people. We want to see improved assessment and treatment of children alongside A&Es – provided 24 hours a day, seven days a week. Some children with more complex needs will benefit from better inpatient care at specialist children’s wards. We also want to see children’s health services more integrated with other services provided closer to home. • Reduce the number of planned operations that are cancelled at short notice. In 2009, over 1,000 patients in north east London will have their surgery cancelled on the day. Our The National Clinical Advisory proposal to separate planned from emergency surgery will help us cut this number by half. Team (NCAT): We have worked with many clinicians – doctors and other health professionals – to look at how we can provide the best quality care for our communities. We would like to thank our • has acknowledged and supported the colleagues for the time, energy and commitment that they have given. excellent work done in agreeing the clinical reasons for change • is very impressed with the leadership by senior clinicians in the Health for north east London programme and the involvement of staff, and Dr Mike Gill Dr John Coakley Medical Director and Consultant Geriatrician Medical Director and Consultant in Intensive Care Medicine • supports the plans to restructure services in at Newham University Hospital NHS Trust at Homerton University Hospital NHS Foundation Trust north east London. 06 1. Summary In the last few years health services and patient care in north east London have really improved. The NHS in the area has a highly skilled and dedicated workforce. Patients can take great pride in their NHS.
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