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Presentation to Boards 24 th September 2009. Remit of the Clinical Leaders Forum.

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Presentation to Boards

24th September 2009


Remit of the clinical leaders forum
Remit of the Clinical Leaders Forum

  • “To review the evidence in respect of the options and to make recommendations for the future pattern of clinically safe general hospital services, serving the populations of Shropshire, Telford & Wrekin, and the catchments of the provider organisations.

  • To consider options and make recommendations to Shrewsbury and Telford Executive Group of an overall picture of the future shape of hospital services, within the context of a modern NHS. To give early consideration to A&E services, services for children and also to cover maternity and neonatal services, emergency surgery and urology services.


Principles
Principles

  • Making Sense Clinically

    • Health, Well Being and Equity

    • Quality, Safety And Effectiveness

    • Supporting and Developing the Workforce

  • Making Sense to the Communities We Serve

    • Involving People in Making Decisions about their future Health Services

    • Affordable, Sustainable, Fit for Purpose

    • Personalised Services and Access to Care, Closer to Home


Engaging patients public and key stakeholders
Engaging Patients, Public and Key Stakeholders

  • Membership of key groups

  • Workshops and Seminars

  • Roadshows

  • Briefings and Website

  • Criteria and Weightings

  • Scoring


Programme of work
Programme of Work

1

2

3

4

5

6

7

8

Defining the Problem

Reconfigure Services to Address Safety Issues (2-3 years)

Social, Governance and feasibility Assessments

Implement Single Site for Seriously Ill and Injured

Consultation – Single Site for Seriously Ill and Injured

Developing the

Clinical Options

Consultation

Option Appraisal Single Site

’08/09

2009

’09/10

’10–13

’10-11

2012

’13-’20

‘07/08



Strategic objectives
Strategic Objectives:

  • The prevention of disease and the promotion of healthy lifestyles and independent living

  • Services at home or as close to home as possible

  • Sustainable and accessible acute hospital services



Single site 2020 options
Single Site (2020) Options

  • Baseline This will be the configuration of hospital services agreed for implementation in 2-3 years

  • Option 2 Under Option 2 the main A and E is based at RSH with outpatient, day case surgery, MIU, midwife unit and specialist community services at PRH

  • Option 3 Under Option 3 the main A and E is based at PRH with outpatient, day case surgery, MIU, midwife unit and specialist community services in RSH

  • Option 4 There will be a new acute hospital between Shrewsbury and Telford dealing with all seriously ill and injured patients. The sub options identify a number of possibilities for the two existing hospitals.


Phase 3 technical financial and social studies
Phase 3: Technical, Financial and Social Studies

  • 2012/13 Option Appraisal

  • 2020 Technical and Financial Feasibility Study

  • Equality and Diversity Impact Assessment


Summary of findings phase 3
Summary of Findings Phase 3

2012/13 Option Appraisal

Option 1 scored more highly than the other options on non-financial implications, had the lowest capital cost and the shortest construction period.

2020 Feasibility Study

All three options for the 2020 single site have the potential to be technically and financially feasible.

Equality and Diversity Study

The assessment concluded that while there are equality impacts associated with each of the proposals, there are none which differentiated between the options and no option emerges as having a more significant overall impact than others.


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