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Epsom and St Helier 2020 - 2030 Your views 2 3

Providing high-quality healthcare services 2020 to 2030

This document provides an overview of the feedback we received during the period of initial engagement and involvement we held regarding the long term future of and St Helier Hospitals

Over 13 weeks: We attended 47 local meetings and events meeting with over 2,000 people.

We held 31 drop in sessions and meetings internally reaching over 2,500 staff.

11,977 people visited our website page on 2020-2030.

6,310 people viewed our video.

1,059 individual questionnaires were completed with:

• 89% agreeing with our aim to provide as much care as possible from our “The Consultation Institute (tCI) existing hospital sites at St Helier and Epsom and do this by working more is happy to confirm that your closely with the other local health and care providers pre-engagement work so far – leading to your Pre engagement • 79.8% agreeing that we have made the case that we will improve patient Report – has met tCI’s criteria for care by bringing together our services for our sickest or most at risk patients best-practice pre-consultation.” on a new specialist acute facility on one site. 4 5

Epsom and St Helier 2020-2030 - Your Views What have we been doing?

Over the past few years, we have been talking Over the coming months we will continue to to staff and the community, explaining the talk to local people and groups. The feedback challenges we face and our goals for achieving we receive will help to guide us when we facilities that are fit for providing healthcare develop any options. in the 21st century. This work included communication online and face-to-face. Any option we develop will go out to formal consultation before any decisions are made. As a result of the feedback we received, we want to continue to find out what staff and We wanted to listen to as many staff, patients, local people think about us building a single visitors, local groups and local people as specialist facility on our Epsom or St Helier possible. All along we have stressed that this site, or in a shared location with The Royal is not a formal consultation, but is something Over 13 weeks (10 July to 6 October) we have gathered views from a wide Marsden, and keeping most care local. which will help to shape future consultations. range of people and organisations including the following: Patients

The potential scenarios for the future Staff Patient forums, including GP patient groups Potential Epsom St Helier Sutton Hospital Carers scenario Hospital Hospital and the Royal Marsden – co-located Local residents Both Epsom and St Helier 1 delivering a full range of Neighbourhood groups and other local groups, including religious groups local services with a new specialist acute facility Local MPs based at Epsom. Local councils and councillors Local Healthwatch groups Both Epsom and St Helier Clinical commissioning groups 2 delivering a full range of local services with a new GPs specialist acute facility based at St Helier. Campaign groups Regulators

Both Epsom and St Helier Other providers in South West and . 3 delivering a full range of local services and a new specialist acute facility (operating from a shared Co-located = local hospital services location) with The Royal Marsden = new specialist acute at Sutton being where the facility = specialist cancer centralised acute service is based. hospital 6 7

Epsom and St Helier 2020-2030 - Your Views How we let people know We contacted 360 We delivered posters We contacted our We contacted 15 GPs and practice and leaflets to39 420 Patient First religious groups We worked with Healthwatch Sutton, a • Given out by volunteers on wards managers, and sent local libraries. members, who are including the three group of local patients, and Plain English and in departments them information patients (or former main local mosques. Campaign, to develop a booklet and to share with their patients) and relatives • Posted through the doors of homes patients. and carers, for their leaflet which described the challenges on 189 roads we are facing and possible ways to views. secure services locally into the future. • Included in all antenatal packs We also produced a video which could during September. be viewed on YouTube and on our website (which is still available to view), and a dedicated section of the website where people could sign up and send in their views.

We held 31 drop-in sessions for staff. This was in addition to the messages being sent to all staff internally through widespread distribution of posters and flyers, information on the Trust’s We contacted 11 We contacted 25 We contacted 10 All three intranet, e-newsletters (eupdate and the LGBT+ (lesbian, local high schools local carers’ forums Healthwatch Chief Executive’s weekly message), gay, bisexual, and colleges. and groups. organisations other targeted emails and screen savers transgender) (Sutton, Surrey and (rolled out across all Trust computers). groups. ) held workshop meetings and shared Four hospital-site tours took place, the information widely offering anyone the opportunity to see with their contacts. the hospitals and give us feedback.

We produced 5,000 detailed booklets and 50,000 leaflets with questionnaires. The leaflets and questionnaires were: Our video and information • Given to patients with the medication was played on they take home all TV stations • Sent with outpatient letters We contacted 28 throughout the throughout September residents’ associations hospitals. • Made available on wards and in and local groups, offering departments them meetings so we could answer their questions. 8 9

Epsom and St Helier 2020-2030 - Your Views

We worked with all of our local research, supported by dedicated web We received widespread media coverage There were a total of 26 unique articles Healthwatch partners who arranged information, which is available online at: throughout the involvement activity published (some syndicated) between local meetings. Healthwatch Surrey www.healthwatchsurrey.co.uk. (the process of getting people involved the period of 7 July to 10 October. also carried out extra volunteer-led in shaping the formal consultation). The Evening Standard featured two Coverage in our local newspapers prominent articles about Epsom reached 187,000 readers alone, and we and St Helier 2020-2030, reaching also provided interviews for regional approximately seven million readers. broadcast media. Our posts on social media site Twitter reached 133,800 people in July alone, with 30,000 of those reached within the first three days of the involvement activity.

Sutton, Epsom and Wimbledon Guardians featured the story prominently. This encouraged people to get involved and Epsom AND St Helier: allowed them to fill in a questionnaire. Get informed and have your say

Healthwatch Surrey is working Local people were invited on behalf of Epsom and St to share their opinions at a Helier University Hospitals NHS number of opportunities, Trust to share their proposed including a showcase day plans for future changes to their at Epsom Racecourse in hospitals, and offer residents September, listening events the opportunity to share their and online. views with our independent organisation.

The Epsom and St Helier 2020- 2030 video explains the reasons why the hospitals would like to change their estates and gives you information on how Epsom and St Helier Hospitals think this could be achieved. 10 11

Epsom and St Helier 2020-2030 - Your Views

Meetings we attended We were invited to attend a wide range of meetings at many different venues and times, and were present at the following:

DATE TIME MEETING TITLE VENUE Public/Closed and DATE TIME MEETING TITLE VENUE Public/Closed and a ATTENDANCE a ATTENDANCE

17 Aug 2pm Cancer Patient Forum St Helier Nine people 19 Sep 3pm Merton Health and Wellbeing Board Civic Centre, Councillors 22 Aug 11am Patient Forum SWLEOC Eight people 20 Sept 5.30pm Talk and Tour St Helier Hospital Three people 31 Aug 7pm MP Strawberry Lodge More than 100 people 21 Sept 9am – 3pm Healthwatch Surrey feedback Market Spoke with members of the public event 1 Sept 10am Crispin Blunt MP Meeting Reigate Town Hall Closed meeting – Eight Councillors and representatives of resident 21 Sept 5.30pm Talk and Tour event One person associations 22 Sept 2.30pm Haematology Support Group St Helier Hospital Eight people 5 Sept 4:30pm Healthwatch, Sutton Beeches Baptist Public meeting – 50 people Free Church 22 Sept 12.30pm Baitul Futuh Mosque 181 London Road Over 1,700 people

5 Sept 7pm Epsom and Borough Town Hall Closed meeting – 17 Councillors Council 26 Sept 5.30pm Healthwatch Merton Vestry Hall 17 people 5 Sept 9pm Sutton Local Committee Sutton Baptist Church Public meeting –34 attendees 27 Sept 8am – 8pm Healthwatch Surrey feedback High Street Spoke with members of the public event 6 Sept 8am – 8pm Healthwatch Surrey Epsom Hospital Spoke with patients and visitors feedback event 27 Sept 7.30pm Belmont and South Avenue Over than 80 residents Residents’ Meeting 6 Sept 2pm Osteoporosis Group Trinity Church, Sutton Public meeting – 42 people 28 Sept 9am Chairs of the Residents’ Council Offices Closed meeting – nine people Association Meeting 6 Sept 7.15pm Merton Scrutiny Panel Merton Civic Office Public meeting – Councillors plus Morden seven members of the public 28 Sept 8am, 11am Healthwatch Surrey events Epsom Racecourse 13 people 4pm and 7pm 7 Sept 7pm MP, Public Meeting Public meeting – over 100 people 28 Sept 7.30pm Belmont and South Cheam Chiltern Church More than 40 residents Residents’ Meeting 8 Sept 8am – 8pm Healthwatch Surrey High Street Spoke with members of the feedback event public 29 Sept 12.30pm Morden Islamic Centre 116 London Road More than 500 people 8 Sept 2pm Sutton Scrutiny Committee G3 Civic Office, Sutton Councillors present 29 Sept 6.30pm Banstead Community Hall More than 120 members of Public Meeting the public 11 Sept 6pm Derby Medical Centre Patient 8 The Derby Square, Epsom 12 representatives of patient forums Forum 3 Oct 7.30pm Residents’ Association Ashtead Peace Memorial Hall More than 90 residents 12 Sept 7.30pm and West Barnes Pavilion Eight people 4 Oct 7pm Epsom and St Helier 2020 – 2030 Walk about Six people Residents’ Association Engagement 12 Sept 7.30pm Pint and Politics The Haywain, Epsom 15 members of the public 4 Oct 7pm Tom Brake Public Meeting The Centre Wallington More than 70 people 13 Sept 12 Noon Sutton Carers Forum Civic Centre, Sutton 22 people 4 Oct 7pm Ward Residents’ Merton Park Primary School More than 50 people Association 13 Sept 5.30pm Talk and Tour event St Helier 10 people 6 Oct 7.30pm Leatherhead Residents’ Abraham Dixon Hall More than 60 people 14 Sept 10.30am Maternity Voices Partnership Casey Ward, 15 people Association Epsom Hospital 10 Oct 10am – 3pm Healthwatch Surrey feedback Outside Sainsbury’s Local Spoke with members of the public 14 Sept 5.30pm Talk and Tour event Epsom 10 people event 14 Sept 7.30pm Residents’ Meeting Granfers Community Centre Seven residents 11 Oct 10am – 3pm Healthwatch Surrey feedback Outside St Nicolas Church Spoke with members of the public event Bookham 15 Sept 8am – 8pm Healthwatch Surrey feedback Cobham High Street Spoke with members of the event public 17 Oct 7.30pm Walton Open Group Christchurch Hall More than 70 people 15 Sept 12.30pm Epsom and Ewell Islamic Society Hook Road, Epsom Over 700 people 19 Oct 9.30am Fetcham Residents’ Association Fetcham Park More than 100 people 17 Sept 11.30am – 4pm Healthwatch Surrey feedback Epsom and Ewell Spoke with members of the 23 Oct 10.30am Mid-Surrey Disability Alliance Parkhouse Leatherhead Eight group members event Family Fun Day public Network (DANS) Group 18 Sept 7pm Epsom and Ewell Borough Council Hall, Ewell Village Councillors plus six members of 25 Oct 9.30am Reigate and Tattenhams Tattenhams Library More than 60 people Public Meeting the public Residents’ Association 12 13

Epsom and St Helier 2020-2030 - Your Views 25,000 people What we were asking actively took people to share their part in the views on engagement The questions we asked were developed The questions asked were as follows: with the Consultation Institute, with the Do you agree with our aim to aim of finding out what local people 1provide as much care as possible want from local healthcare services. The from our existing hospital sites at answers and feedback provided have St Helier and Epsom and do this by guided the development of the strategic working more closely with the other outline case (part of the NHS process of local health and care providers? setting out the case for change when considering large-scale investment Do you think we have made and development). All future work will 2 the case that we will improve continue to be developed with local patient care by bringing together • We attended over 47 local meetings • 441 people signed a form to support interested groups. our services for our sickest or most and events, meeting over 2,000 people, the case for investing between £300 - at-risk patients on a new specialist and held 31 drop-in sessions and £400 million, keeping services local acute facility on one site? meetings internally, reaching over and developing a new specialist acute We have set out several scenarios 2,500 staff. facility. Of these 276 people provided on how we can do this. Do you information about their age profile 3 • 11,977 people have visited the 2020 think we should consider any other with the majority are between the to 2030 page on our website. scenarios? ages 45 to 65+ with the largest group • 6,310 people have watched our video. being over 65+ (108 are 65+). How would you like to be involved in these discussions in the future? Of the 6,310 people who have • Over 270 senior medical (clinical) 4 watched the video: staff have signed a letter to support Is there anything else you would Epsom and St Helier staying together like to tell us? • 14% had followed a link from a press as one organisation and the need for 5 release or Twitter; a new specialist acute facility located • 80% watched the video on YouTube. at one of our sites. We have received 1,059 filled-in • Healthwatch Surrey has reported that questionnaires from individuals. its Facebook advertising has reached 8,948 people in the Epsom area. On the Healthwatch website, 5,144 people have seen the relevant page. Also, they have spoken to 1,908 people. Of those, 1,389 took leaflets away with them. 14 15

Epsom and St Helier 2020-2030 - Your Views

Question 1 941 people answered yes. Do you agree with our aim to provide as 19 people answered no. much care as possible from our existing hospital sites at St Helier and Epsom and 16 people said that they either did not know What we have do this by working more closely with the or they needed more information other local health and care providers? Two people stated that they wanted no change. heard 34 people answered N/A. A large number of people have taken the time to 40 people made general comments . share their views. This includes people responding to the questions asked, sending us individual letters, and attending public and group meetings. Seven people said that they wanted just one We also heard from stakeholders, official hospital site. organisations and campaigners.

441 Pledges of support INVESTMENT Using cards and the online form, 441 people have pledged their support for us investing between £300 million and £400 million, keeping services local and developing a new specialist acute facility.

1,05 9 Individual responses Key themes • Travel and accessibility were mentioned 40 times in the responses. • Social issues such as deprivation, concentration of housing and deprived areas were mentioned 26 times in the responses. • Pressure placed on other hospitals as a result of any changes was mentioned three times in the responses. • Separating the two hospitals (Epsom and St Helier) was mentioned three times in the responses. 16 17

Epsom and St Helier 2020-2030 - Your Views

845 people answered yes, including 42 people 149 people answered yes, and 50 of those Question 2 who said yes, ‘as long as the site is at …’ Question 3 proposed different scenarios. Do you think we have made the case that We have set out several scenarios on how we we will improve patient care by bringing 73 people answered no. can do this. In all of these 85% of patients 446 people answered no. together our services for our sickest or 63 people said they did not know or they need will continue to be seen and treated as they 88 people said that they preferred one of most at-risk patients on a new specialist more information. are now with the sickest and most at-risk the scenarios we had presented. acute facility on one site? patients being cared for in a new specialist Nine people said that wanted both sites to acute facility located on one of our three sites 71 people said they didn’t know or they stay as they are. (Epsom or St Helier or at Sutton co-located needed more information. with The Royal Marsden). Do you think we 44 people said N/A. 189 said N/A. should consider any other scenarios? 24 people left general comments. Eight people responded that they wanted no change. One person wanted one hospital site. Four people said they thought we should have a single site. 104 people left general comments which did not relate to the question but will be used to guide the development of any options.

Key themes The general comments made encompassed: • Travel and accessibility were mentioned 24 times in the responses. • ‘Have you any plans to take over Rehab?’ • Social issues such as deprivation, concentration of housing and deprived areas • ‘All scenarios need to consider patient/visitor access as this area is often near grid were mentioned 18 times in the responses. lock at any time.’ • Pressure placed on other hospitals as a result of any changes was mentioned • ‘Are there any land constraints on any of the sites?’ once in the responses. • ‘As long as all sick patients are being treated that are high risk.’ • Separating the two hospitals (Epsom and St Helier Hospitals) was mentioned • ‘Consider if increasing antibiotic resistance dictates more than 15% need highest protection.’ once in the responses. 18 19

Epsom and St Helier 2020-2030 - Your Views

The different scenarios people proposed can be grouped into six main themes.

ACUTE facilities

sutton st helier

epsom

1 2 3 4 5 6 Build a new Close one Acute facilities Separating Epsom Rebuild St Helier Change services super hospital or both on both or all and St Helier or Hospital or location In Surrey near Epsom hospitals three sites merging with Build on Greenshaw Wood at Include a geriatric/convalescent Between Epsom and Close Epsom, increase Acute facilities on all three sites – another trust the rear of St Helier home and mental health hospital St Helier the number of people Sutton (cancer and others), Build on May Fields, St Helier Centralise fairly-acute services Separate Epsom and St Helier St Helier is equipped for St Helier Hospital (renal), as well (such as infection Close down both Epsom Main hospital complex at Epsom (orthopaedics/eye) Dissolve the Trust prone patients) and St Helier and build a Close Epsom Horton playing fields opposite Acute facility on all three sites bigger, modern hospital Close St Helier, Merge with another trust St Helier Put a walk-in centre near the between them to share services across a old Sutton site taking the downgrade Epsom An acute facility at both sites. Rebuild St Helier across the larger area pressure off St Helier Larger hospital at Sutton New unit with Epsom road, and turn the old site site rather than spending and Royal Surrey, Join with a private healthcare into a park Increase telephone and online loads renovating St Helier body appointments, home visits and demolish St Helier. Rebuild St Helier GP opening hours, and use A complete hospital at Co-operate with other trusts Sutton site Improve St Helier rehabilitation, intermediate Business case to include the care, and community beds to Build another storey on top New hospital in Sutton or cost of splitting acute services reduce bed shortages of St Helier have services at Epsom between St George’s and Use Headley Court when the St Peter’s. Buy back land from the New hospital on a military leave greenfield site and build a replacement for Use the Wilson Redevelop Sutton site. St Helier on that site. Sutton to deal with all orthopaedic work or perhaps some other specialist area.

20 21

Epsom and St Helier 2020-2030 - Your Views

Most people said that they did not think we Question 4 Question 5 should consider any scenarios other than How would you like to be Is there anything else you involved in these discussions would like to tell us? the three we propose. in the future? Although most people did not 914 people answered this answer question 5, many of question. Of these, 52 people those who did chose to repeat confirmed that they wanted to their choice for where a single 88 people said that they preferred one of the be involved by simply answering acute specialist site should scenarios we had presented and this can be yes. Others confirmed how be located. broken down as follows: they would like to be involved. 84 respondents took the This included: opportunity to leave comments • 170 people – the majority of about the services they had • Have a new specialist facility at either Epsom those who responded to the personally experienced or question – confirmed that they improvements which could be or St Helier – three people would like to be contacted by made. The majority of these email, with some also wanting comments were positive. • Have a new specialist facility at either Epsom to attend meetings. There were also 65 responses • 143 people mentioned highlighting issues relating to or Sutton – one person meetings, and a further transport, including congested 108 people mentioned post, roads, the need for better • Have a new specialist facility at either St Helier media, website and newsletters. parking at the site and poor • 83 people said they did not bus services between sites. or Sutton – two people want to be involved, with 22 people asked further 128 people responding N/A. questions ranging from wanting • Have a new specialist facility at Epsom – 15 people A small, but important, number clarification on the scenarios of elderly people (fewer than 20) to how and if the funding will • Have a new specialist facility at St Helier – 13 people mentioned that they would not be available: be able to be involved because “Your leaflet mentions £300m of their age or illness. - £400m costs - in the current • Have a new specialist facility at Sutton – 42 people economic environment (and uncertainty post Brexit) is • Have a new specialist facility at Sutton, specifically this amount ever likely to be allocated?” Local resident. mentioning The Royal Marsden – 12 people.

Contact In answer to question three, 24 people highlighted the me importance of travel, transport, access and parking. Six people mentioned keeping maternity and paediatrics on both sites. 22 23

Epsom and St Helier 2020-2030 - Your Views

Letters from What we heard from individuals the meetings we attended

We received 71 letters from individuals Many questions were asked by people at the meetings, which campaigning not to close St Helier provided an opportunity to discuss issues and concerns. Hospital and not to shut services at St Helier Hospital. 26 people raised the issue of transport 23 people were concerned about the Issues raised at most of the Members of KOSHH (Keep Our impact on other hospitals Social meetings were as follows. St Helier Hospital) contributed issues to a large number of the public 11 people raised social issues • Transport and accessibility, meetings, sharing their view that including the travel times We received 122 letters from people both sites – Epsom and St Helier – campaigning not to shut services at between sites if services move St Helier Hospital and to build the new should keep all acute services. acute facility at St Helier Hospital. • Levels of deprivation and The campaign group was clear to 60 people raised the issue of transport social issues make the point that they did not Impact support any investment if it meant 40 people were concerned about the • The number of reviews which effect on other hospitals services moving off either site to have already taken place a single facility, even if that facility One letter proposed that the new was located at St Helier Hospital. acute facility building should be built • What ‘85% of services at Epsom. remaining local’ actually means • What ‘15% of services’ actually means for local people • What the scenarios will mean Transport for maternity and children’s @ services • Funding – how it will be funded, if it is feasible to attract the level of investment needed and the cost of funding • Whether this would lead to privatisation. 24 25

Epsom and St Helier 2020-2030 - Your Views

healthcare. Our patients deserve best for a new facility, and work better accommodation and facilities. together to build a case for change. 1 I think Epsom and St Helier 2020- “Whilst our Women’s Health Responses 2030 is a very positive move, and Departments now offer many one that I am very supportive of.” Stakeholders broadly in favour innovative services across all our sites, and will continue to of the proposed Trade unions / Staffside do so, 2020-2030 is an exciting We have many stakeholders (individual A copy of formal letters from stakeholders partnership representatives clinical model opportunity to provide our people, groups and organisations) who can be found on our website “support of the proposals that community with a sustainable Many stakeholders have written Epsom and St Helier stay together have a significant interest in the services www.epsom-sthelier.nhs.uk. acute service for the future, yet we provide. These include staff and trade with their broad support for a as one Trust… A new purpose specialist acute facility on one of still retaining its caring heart.” unions, the local NHS, local authorities, built building would go a long our sites. Some of them have way to meeting the training and residents’ associations and MPs. We were Dr Simon Stern, Head of the expressed views on which of our development needs of staff whilst keen to hear all of their views, as well as Haematology Department three hospital sites they think it providing state of the art care to our to ask residents, patients and carers for and the Trust’s Lead for should be built. ageing population and increasing their thoughts, concerns and ideas. Chemotherapy: “I think the case to patient numbers. It would mean create a single acute facility on one Trust staff that more money could be diverted of our sites is very strong, and it has A large number of the senior from crumbling building repairs to a real resonance for me. I worked medical (clinical) staff (all 36 senior frontline patient services.” Royal at another trust for 11 years, and nurses and over 240 consultants) College of Nursing, Chartered was working there when they signed a public letter, which Society of Physiotherapists, Society made the decision to create a single supports the hospitals remaining of Radiographers, British and Irish acute facility. It was a long journey, as one trust and the development Orthoptic Society, Royal College but it worked – they were a failing of a new facility for the acutely of Midwives, British Medical trust beforehand, but it helped unwell and most at-risk located Association and UNISON. on one of our sites. them to improve care for patients and overcome financial difficulty. A wider letter of support was also Just imagine what it could do for signed by 189 members of staff. Epsom and St Helier! “I know from experience that “We, the undersigned, are a group creating a single acute facility is the of senior doctors and nurses at right thing to do, and it can work. Epsom and St Helier Hospitals. Bringing clinical expertise on to one We are a very strong team, and site for the benefit of our sickest together have achieved a great patients makes a lot of sense.” deal in recent years. We believe that the Epsom and St Helier team Clinical Lead for Cardiology, is better together, and that we Dr Richard Bogle: “We need to Surrey Heartlands Health should continue to work as one develop a one-site modern hospital and Care Partnership team, one Trust.” Trust Consultants with a critical mass of staff, allowing Transformation Board (STP) and Senior Nurses. us to provide the right care to the ‘…the Board believes that there right patient in the right place. We is a case to consolidate the Acute Key consultants also produced simply can’t continue to do that in services the Trust provides but public statements, including: our existing buildings as they’re too when these are worked up in Clinical Director of Gynaecology, old – they were built to care for a detail they must fully consider the Mrs Carolyn Croucher: “I first set of illnesses that existed in the impact on the other Acute hospitals worked at this Trust in 1989 as a last century. within our STP so that we do not newly qualified doctor and have inadvertently compromise any always been struck by the amazing “Splitting staff across two sites is causing us problems at the other hospitals clinical viability.’ staff who work here, and care David McNulty, Independent Chair, so much for their patients. Much moment, so we have to do something now. It’s time to put Surrey Heartlands Health and Care has changed in that time, but our Partnership Transformation Board. buildings are in a sorry state for aside the political arguments about 21st century and modern acute which geographical area would be 26 27

Epsom and St Helier 2020-2030 - Your Views

Local authorities including non-urgent Accident & South Cheam Residents’ Association, The Royal Marsden Hospital and the recruitment of doctors and ‘Epsom and Ewell Borough Council Emergency services.” Reigate and Belmont, South Sutton and South NHS Foundation Trust nurses is increasingly challenging.” fully supports the need for a new Banstead Council. Cheam Neighbourhood Forum. “Welcomes the opportunity to Crispin Blunt MP for Reigate. 2 specialist acute facility within the work with Epsom and St Helier Broadly neutral Trust’s area which brings together “As a residents association we hospitals on the development of “The future of St Helier is my top “Surrey County Council supports services for our most sick and most recognise the need for a new modern healthcare facilities on priority. That’s why during the recent Epsom and St Helier University at-risk patients, as we believe this Residents’ associations strategic approach to address the the Sutton site.” election, I consistently made the Hospital NHS Trust’s need to will secure the future of the Trust Twelve local residents’ associations ever increasing demands on the case for St Helier to get the £219 engage with Surrey residents on and its two main sites.’ Epsom have written in with their broad health service but would caution South West London million plus of investment which the quality and sustainability of and Ewell Borough Council. support for the proposed clinical that should the new Acute Unit be acute hospital trusts was scrapped by the Conservative their local health services… model and investment locally, located at Sutton or St Helier then Kingston Hospital NHS Foundation Government. it is likely that Bookham residents Trust, Health Services NHS “Surrey County Council recognises including a joint letter from the “We have a great local hospital might prefer to be seen and treated Trust and St George’s University the case for change to provide as Chair of the Standing Committee with hard-working staff who deliver at the Royal Surrey County Hospital Hospitals NHS Foundation Trust much care as locally possible and “Sutton Scrutiny Committee of Residents’ Associations; the good care, but they’re let down by in Guildford and assurances would have written to us with their broad supports the case for improving understands and agrees with the chairs of Ewell Village, Epsom Town, outdated, poor quality buildings.” be required to ensure that they have support for improvements in the hospital services. background thinking and analysis Ewell Downs, Nonsuch, Stamford Tom Brake MP for Carshalton the capacity to handle the additional infrastructure and environment which the Trust sets out in its Ward, College Ward, Ashtead, and Wallington. “Surrey County Council supports ‘2020 -2030 Involvement Document’ and West Ewell and Ruxley demand that an extra catchment for acute services across South the Trust and commissioners taking and in that context would be happy residents’ associations. population of circa 11,000 would West London. “Help us build a better St Helier the next step in working up in require.” Bookham Residents’ Hospital.” Stephen Hammond MP to support approaches which would “We fully support the need to more detail how best to meet Association. for Wimbledon, Raynes Park, secure the continuity of provision “The populations of Epsom and Ewell improve the infrastructure and the needs of local residents.” Morden and . at our local hospital and the work are growing and ageing. At some environment for acute services across Surrey County Council. “...discussed and supports your to rebalance both the services times we may need treatment in South West London and note the “St Helier is safe now help to build outline proposals for a new facility and provision which are delivered specialist hospitals further away but particular challenges at St Helier. a new local hospital.” Paul Scully for acutely unwell patients.” from a hospital setting and is or we can reasonably expect 95% of Given the need for major capital MP for Sutton and Cheam. Cobham and Downside Residents’ can in future be delivered in the our health needs to be met properly, investment across the South West community.” London Borough of locally and in 21st century facilities. Association. “I think that the proposal to retain London acute sites, it is important 85% of services at Epsom is excellent Sutton Scrutiny Committee. Although there are advances that within the option appraisal for “For those in need of very specialist and without that commitment any in tele-medicine and care at acute services across Epsom and acute facilities then having the skilled proposal could not work for the home, child birth and second tier St Helier, there is careful consideration workforce in one area would make areas around Epsom Hospital that rehabilitation treatment should also to the services that should be sense and allow those specialists to we wish to support. 3 be accessible to us, to visits from provided alongside the six core be dealing with a critical mass of “Financially it of course makes sense our relatives and local to our home acute services, so that we have “I think the case made in the Stakeholder patients that make it both safe and to fund just one specialist acute facility, communities… Whether we live on vibrant, sustainable acute hospitals at presentation to us was excellent and economical to provide those services. responses not however the concern for all residents the borders of Sutton, Kingston, Kingston and Croydon and a regional made it very clear to me that this However it is also important that within the catchment of the Hospital Ashtead or Banstead, Residents of centre of excellence at St George’s would be a vital step forward for the in favour Trust will be the continuing loss of Epsom and Ewell want to live no travelling time and distance to the to go alongside the acute solution long term patient care for the most Stakeholder responses not in favour those services from their local area... further than 30 minutes away specialist site is not too great that for Epsom and St Helier.” at risk patients and for the long term of keeping as much care as possible What the residents of MV will need from an ambulance reaching us residents fear not being able to reach security of Epsom Hospital.” Epsom from our existing hospital sites and reassurance of is that a needs analysis and getting us to appropriate the facility in time.” Shanklin Village and Ewell Liberal Democrats. bringing together our services for of our population and the flows to the emergency treatment.” Residents’ Association. our sickest or most at-risk patients hospital currently has been conducted Friends of Epsom and on a new specialist acute facility and taken account of in order to “In summary we support your West Park Hospitals on one site included those from understand the need for change.” proposal to press ahead with a Local MPs In favour of keeping services locally Carshalton and Wallington Labour Mole Valley District Council. business case for a single Acute Sir Paul Beresford MP for Mole Valley. specifically at Epsom but “A new- Party, Care Unit. There have been so many build hospital on the combined site Council and Merton councillors. attempts for over 25 years to make “I am convinced that it is essential of Sutton and The Royal Marsden a step function improvement in to have a new acute care facility, Hospital would have some benefit, Dr Rosena Allin-Khan MP for “We support – in principle – the our health care facilities. It is vital otherwise the hospital service which we recognise… however, it is (although we do not serve creation of a specialist acute facility that this initiative succeeds and we provided to my constituents north on the edge of the catchment area, her constituency): “I understand either at Epsom or Sutton, subject have confidence in your current of Reigate and Redhill faces which would make it less attractive that St Helier Hospital is at risk of to the retention of a full suite of management team that they can inevitable long term decline. The to those living on the western side… losing all acute services, including local services at Epsom Hospital, make this happen.” Belmont and current facilities are out of date the buildings are of poor quality.” major accident and emergency as 28 29

Epsom and St Helier 2020-2030 - Your Views

well as consultant led maternity to the pressure that hospital Epsom and St Helier Hospital. The services. As the Member of (St George’s) is already under.” aim of the proposals put forward • I want the new hospital built at 1,573 people responded by Parliament for Tooting, I am Councillor Agatha Akyigyina. by the Epsom and St Helier Trust 5 St Helier instead of Belmont ticking the box to both of extremely concerned about the is to reduce the existing two acute Petitions or Epsom; these questions impact this closure would have Strongly supporting services hospitals to one. The underlying A number of people commented on the • I’m against the closure of any on St George’s Hospital.” remaining at St Helier “the worst motives, concealed from the public, future of one of the hospitals without services at St Helier Hospital, service is provided in the parts of is that the South West London Five answering the questions we asked. including the closure of the London Borough of our borough that most need it … Year Plan aims to cut the acute beds consultant-led maternity unit Merton Council within a mile of St Helier there are in by 44 per cent to and the A&E “The Council is committed to 3,465 people with ‘bad’ or ‘very reduce a projected financial deficit of • I want the new hospital built at 134 people responded by ensuring that the residents of bad health … clearly the closure £828 million in the coming decade.” We received 15 petitions from local groups (signed by 2,855 people in St Helier instead of Belmont ticking the box to this Merton have access to a full range of services at St Helier would have or Epsom; question only of NHS acute services on the a disproportionate impact on Siobhain McDonagh MP, (MP total) to keep services at St Helier Hospital or build a new hospital at • I’m against the closure of any 130 people responded by St Helier Hospital site. Any attempt those with the worst health.” for Mitcham and Morden): “As St Helier. And we received seven to relocate acute services away Councillor Mark Allison. I understand it, St Helier Hospital services at St Helier Hospital, ticking the box to this question petitions from Morden primary including the closure of the only from an area of relative deprivation is at risk of losing all acute services schools (signed by 566 people) to in favour of an affluent area would Strongly supporting services including major accident and consultant-led maternity keep all services open at St Helier unit the and the A&E be plainly incompatible with the remaining at St Helier “my residents emergency as well as consultant led and to use any funds to improve duty on the CCG under section are not only more deprived but maternity services in two-thirds of services at St Helier. 145T of the NHS Act to have also have the greater health your proposals. I am wholly against regard to the need to tackle health needs eg maternity and A&E.” an engagement process that could inequalities.” Councillor Stan Anderson. leave St Helier Hospital’s acute services at threat.” Letters were also received from the following which can be found on our website What all this information is telling us (www.epsom-sthelier.nhs.uk): 4 Local people remain very passionate patient care will be improved by • The need to understand what Central Medical Practice Councillor Laxmi Attawar about their local hospitals, and a bringing together services for the services will be in the specialist Strongly supporting services Councillor Caroline Cooper Stakeholders large number took time to share sickest or most at-risk patients in a facility and what will be kept remaining at St Helier “Our practice Councillor Pauline Cowper their views and ask questions. new specialist facility on one site. local, and the evidence of has nearly 9,000 patients, 60% of who do not think Councillor Nick Draper why this change will improve whom are Tamils … residents rely that this is the Despite the focus on the questions Most people who gave their views outcomes for patients on St Helier as their local hospital, Councillor Ross Garrod Councillor Joan Henry appropriate time we asked, there were many views on the future of one of the hospitals • Concern over what will happen are more likely to require support given on which site the new acute without referring to the questions Councillor Philip Jones in the long term to the sites and healthcare, based in a more to be undertaking facility should be on. we asked, or our materials, focused deprived neighbourhood.” Councillor Sally Kenny where the specialised facility this work or have on saving services and rebuilding is not based Councillor Dennis Pearce Many different campaign groups St Helier Hospital or building the Councillor Stephen Alambritis, Councillor Geraldine Stanford raised additional took the opportunity to share their new facility at St Helier Hospital. • The need for assurance that this Leader of Merton Council, Councillor Martin Whelton. views through petitions or letters. is not for private patients rather encouraged people to sign up to concerns Issues which were raised than NHS patients campaign to build a new hospital The majority of concerns raised by We received one letter to this Most people who came to the throughout the involvement • The effect the scenarios will have at St Helier. Merton councillors also the councillors related to transport, effect, from: meetings to discuss Epsom and included the following; on other providers wrote to us strongly supporting deprivation especially health issues, St Helier 2020 to 2030, and most services remaining at St Helier. MP (MP for Epsom • The many consultations which • Where the £300 million to £400 the large local population and and Ewell): “The CEO of Epsom and of those who responded to our have gone before and why million needed will come from number of children in the area, St Helier has today launched a public questions, agreed with our aim to this one is any different and how much it will cost to “Figges Marsh ward is a deprived the investment plans to bring provide as much care as possible area with many families and lots of discussion about the two hospitals • Travel times and the effect on borrow this money new housing to the area and the arguing that emergency and high from our existing hospital sites at young children. My residents have patients, relatives and visitors • What the process is and when a impact on local businesses. end services like maternity need to be St Helier and Epsom, and to do worse health and significant lower this by working more closely with • Deprivation, healthcare needs decision will be made life spans … we all know that merged into a new building on one Carshalton and Wallington site... a debate we have many times the other local health and care and the location of acute • The timescale for getting St George’s is struggling … to Labour Party providers. Most also agreed that hospitals permission to build a new facility, lose some of its (St Helier) core before. I do not believe it is helpful “opposed to the removal of A&E to have that debate again now.” and what will happen to the sites services would significantly add and Acute care services from both and services in the short term. 30 31

Epsom and St Helier 2020-2030 - Your Views 1 Several petitions also raised the issue of • A plan put in place to ensure that on- Transport transportation. 245 people signed a petition street parking in the surrounding roads In the individual responses 64 people mentioned which included: is not seen as an attractive alternative. travel in the first two questions answered and a “…we oppose the building of the new acute • The road network around the site must Key further 65 people raised issues relating to transport specialist facility adjoining The Royal Marsden be enhanced both at a macro and a micro when answering question five. Nine subcategories hospital because of lack of transport.” level to ensure that emergency services were noted: Carshalton and Wallington Labour Party. can reach the site and to ensure that there Distance is no detrimental effect for local residents. themes Parking The theme of transport was continued in the • Public transport improvements will be Accessibility petition letters (signed by 566 people) from needed to ease travel throughout the seven primary schools in Morden: The key themes of the main Traffic hospital’s catchment area and in issues raised are: Journey time “…people would not be able to travel to particular between Belmont and Epsom Belmont or Epsom. Instead we would either be and Belmont and St Helier.” 1 Transport Friends and family visiting unable to access health services or we would 2 Deprivation General access Belmont and South Cheam Residents’ put further pressure on St George’s Hospital.” Association and Belmont, South Sutton and Car 3 Impact on other hospitals Abbotsbury Primary School, Aragon Primary South Cheam Neighbourhood Forum. Public transport (particularly bus services). School, Cranmer School, Hatfield Primary School, St Teresa’s Primary School, Malmesbury Twitter allowed local people to comment on Most comments highlighted distance, public Primary School and Morden Primary School. Epsom and St Helier 2020 to 2030. The many transport, parking and accessibility. comments made on a wide range of issues Transport issues were also something helped us to understand people’s concerns We received other general comments from which was a focus for residents’ associations and answer their questions. During the 69 people, mainly by email, and 13 of these including: period from 10 July 2017 to 5 October 2017, comments also focused on transport issues. “Whether we live on the borders of Sutton, we saw a 50% increase in the number of Kingston, Ashtead or Banstead, Residents of people who were reached by our Twitter posts Of the 193 letters we received from individuals, Epsom and Ewell want to live no further than compared with the same period last year. St Helier Hospital was the local hospital for 90% 30 minutes away from an ambulance Among the comments received, some people people, and 86 people specifically raised concerns reaching us and getting us to appropriate indicated they were keen to understand more about transport if services were to move from emergency treatment … Living outside about plans for transport systems and where their local hospital. 26 of the letters mentioned London but inside the M25, we know any new facility might be created. concerns about bus services. transport and accessibility are key difficulties for many residents.” Epsom and Ewell Neighbourhood Residents’ Association.

And; BUS “If the Acute Care Unit is to go to the Sutton Hospital site in Belmont, then improvements we must ensure are provided as a minimum must include: • Provision of sufficient and affordable parking onsite. We have major concerns that the underground car park proposed as part of the London Cancer Hub development may not be established within acceptable timescales. If not committed, then a car park under the ACU may be a practical alternative. 32 33

Epsom and St Helier 2020-2030 - Your Views 2 3 Borough of Merton. Therefore, they have confidence in your current management Deprivation more health needs than those at the proposed Impact on other team that they can make this happen.” 44 people mentioned deprivation in their other sites at Epsom and Belmont… hospitals Belmont and South Cheam Residents’ responses to the questions. There were Association and Belmont, South Sutton “There are also more dependent children - Many people also made comments about four subcategories: 15,053 compared to 5,715 in Epsom and and South Cheam Neighbourhood other hospitals. In particular there were Forum. • Elderly or frail 6,851 in Belmont, and more people over the 63 mentions of other hospitals in the age of 60 - 12,121 compared to 6,081 in • Vulnerability letters received which raised concerns Epsom and 9,931 in Belmont… about the ability of other hospitals to • Wealth “St Helier is the biggest employer for the local cope with more patients if services • Children and families area, and in addition brings many people to were moved: Rose Hill who support the local businesses, “St George’s Hospital is really busy We now need to carry out further Of the 193 letters we received, 32 mentioned shops and cafes. If services were to be hospital.” Local resident. work to understand the issues raised, families and children, and nine mentioned downgraded or removed from Rose Hill, as well as any that are raised in the elderly and frail people. There were also there would be a dramatic impact on the “The St George’s Hospital is facing next phase of involvement, and how comments relating to car ownership. area which already has a large number tremendous pressures to deliver care … these will form part of any criteria for of households without work.” Councillor as a regular user of St George’s hospital assessing scenarios in the future. One local resident wrote: “If there is to be Geraldine Stanford, Merton Council. this would have a detrimental impact a new hospital it should be built on the on the standard of care, at a time this is We will be continuing to hold St Helier site where the surrounding The theme of deprivation was continued in already struggling.” Local resident. workshops and events to involve petition letters (signed by 566 people) from population have poorer health than people who have raised concerns and neighbouring more affluent areas. They seven primary schools in Morden: This theme was also raised by local issues, as well as other local people also have less car ownership and are “There are also many young families who have councillors including: more reliant on public transport.” and groups who are interested in a great need for a consultant led maternity unit becoming involved. and fully functioning Accident and Emergency “St George’s is huge, and immensely Two councillors wrote to highlight the health unit.” Parents and children. busy.” Councillor Nick Draper. issues within their areas and the important employment hospitals bring to an area: The issue of deprivation was raised strongly “Moving these services away from St “The Rose Hill area also has considerably by Merton councillors as well as Siobhain Helier would therefore only increase increased health pressures compared to McDonagh MP for Mitcham and Morden, pressure on St George’s and Croydon.” Belmont which includes life expectancy, who said: Councillor Joan Henry. Other themes from the questionnaires long-term illness and a higher birth rate. “I have undertaken a detailed analysis of a we received included: In the immediate vicinity of St Helier, 50% “There would be a serious knock on 1 mile radius surrounding each of the three effect for Croydon University Hospital, • keeping services local of the area is in the 40% most deprived proposed sites for the hospital catchment area’s neighbourhoods for employment compared particularly from the residents in acute services (Rose Hill, Epsom and Belmont). and Longthornton wards.” • effect on other hospitals to just 8% at Belmont and zero at Epsom The statistics are shockingly definitive in that Hospital. It is also a considerable source of Councillor Tony Newman and • the need to refurbish and improve the site requiring any investment is Rose Hill Councillor Manju Shahul. employment both for local people and in and that, most importantly, St Helier Hospital existing sites supporting businesses at Rose Hill which simply cannot afford to lose its acute services heavily rely on the hospital. Without the In addition to these themes, one issue • funding and finance. or put them at risk.” hospital, the problems will become even raised at all of the meetings was the more acute and will inevitably have a major number of reviews that have taken impact on the economy locally and on place and the need to move forward. employment.” Councillor Martin Whelton, Merton Council Cabinet Member for “In summary we support your proposal Regeneration, Environment and Housing. to press ahead with a business case for a single Acute Care Unit. There have been “The residents in Figges Marsh, the ward I so many attempts for over 25 years to represent, are reliant on the acute services make a step function improvement in at St Helier Hospital, as it is one of the most our health care facilities. It is vital that deprived wards in the East of the London this initiative succeeds and we have 34 35

Epsom and St Helier 2020-2030 - Your Views

All of the information and materials Merton Councillors Petitions from Schools we have developed, as well as Cllr Agatha Akyigyina Abbotsbury Primary School, Morden responses from our key stakeholders, Cllr Stephen Alambritis Aragon Primary School can be found on our website: What happens Cranmer School www.epsom-sthelier.nhs.uk. Cllr Mark Allison Cllr Stan Anderson Hatfield Primary School Morden Carshalton and Wallington Cllr Laxmi Attawar Malmesbury Primary School Labour Party Morden Primary School now? Cllr Caroline Cooper St Teresa’s Primary School Central Medical Practice Cllr Pauline Cowper Cllr Nick Draper The comments and feedback we have Any proposed changes will be part of Residents’ associations Epsom and Ewell Liberal received from a wide range of people have a formal consultation, which is many Cllr Ross Garrod Standing Committee of Residents’ Democrats been really helpful in identifying major months away. Any formal consultation is Cllr Joan Henry Associations in a joint letter with areas of concern. They have also given us independent of us and is led by Clinical Friends of Epsom and West Cllr Philip Jones Ewell Village information, in terms of age and location, Commissioning Groups. Park Hospitals Cllr Sally Kenny Epsom Town about the people getting involved. Cllr Dennis Pearce Ewell Downs The strategic outline case we have Local authorities In the next phase, we will be discussing the developed includes details on the next Cllr Geraldine Stanford Nonsuch Epsom and Ewell Borough Council issues raised with the people who raised steps. A copy of this will be sent to every Cllr Martin Whelton Stamford Ward London Borough of Merton Council them, as well as those people who have person and organisation who responded College Ward given their permission to be contacted to the involvement activity. This report London Borough of Sutton Council Petitions Ashtead and expressed a wish to be involved in the will be published on our website Mole Valley District Council Baitul Futuh Mosque, Morden future. We will also be setting up workshops www.epsom-sthelier.nhs.uk and if West Ewell and Ruxley Reigate and Banstead Borough Council Carshalton and Wallington and sessions with them in the future. you would like a hard copy sent to you Belmont and South Cheam Residents’ Labour Party please contact on 020 8296 3783 or Surrey County Council Association and Belmont, South We will continue to involve as many email [email protected]. Central Medical Centre Sutton and South Cheam Local Healthwatch organisations people as possible. General petition Neighbourhood Forum Merton To get involved or to see the responses from Keep St Helier Hospital’s Acute Bookham Residents’ Association Surrey We have not made any decisions on the the main groups involved so far, go to our Service Open Cobham and Downside Residents’ future yet. What people tell us will help website at www.epsom-sthelier.nhs.uk, Sutton Local resident and parishioners Our Association to shape any changes. Over the coming phone us on 020 8296 3783 or email Lady of Assumption Shanklin Village Residents’ months we will continue to work with [email protected] MPs Local residents and parishioners of Association people with many viewpoints to develop Dr Rosena Allin-Khan MP the detail of any proposed changes. St Peters and St Pauls Sir Paul Beresford MP Local resident and parishioner South West London Crispin Blunt MP St Theresa acute hospital trusts Tom Brake MP North East Mitcham Community Centre Croydon Health Services NHS Trust Stephen Hammond MP Pollards Hill Residents Kingston Hospital NHS Foundation Trust Chris Grayling MP Residents of Yenston Close St George’s University Hospitals NHS Foundation Trust Siobhain McDonagh MP St Barnabas Church Paul Scully MP Save St Helier Hospital Campaign Surrey Heartlands Sustainability South London Nepalese (Gurkha) and Transformation Partnership Association Board If you or someone you know cannot read this document, please contact us and we Sutton Save St Helier Hospital will do our best to provide the information in a suitable format or language. Campaign The Royal Marsden Hospital NHS Foundation Trust For more information, contact the Communications Team on 020 8296 3783 or email [email protected] Trade unions (Staffside)

Trust staff How to contact us Email: [email protected] write to: ESTH 2020-2030 Epsom and St Helier University Hospitals NHS Trust 4th Floor Ferguson House St Helier Hospital Wrythe Lane Carshalton Surrey SM5 1AA. Website: www.epsom-sthelier.nhs.uk