A picture of health : a consultation on changes to healthcare in the London Boroughs of Bexley, Bromley, Greenwich & Lewisham / NHS.

  • Great Britain. National Health Service.
Date:
[2008]
Catalogue details

Licence: Open Government Licence

Credit: A picture of health : a consultation on changes to healthcare in the London Boroughs of Bexley, Bromley, Greenwich & Lewisham / NHS. Source: Wellcome Collection.

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    Based on our discussions with doctors, nurses and other clinical staff, it is clear that we need - to change services. Our clinical staff developed a set of recommendations for how services should change, based on the latest evidence, some of which has been referred to in the previous section. In the future we want to provide the same range of services as we do now, but to a higher standard. In order to do this, we need to change how services are provided at the following hospitals: mw Bromley Hospitals Trust (including the Princess Royal University Hospital and Orpington Hospital) m Queen Elizabeth Hospital in Greenwich = Queen Mary's Sidcup m University Hospital Lewisham. We want to keep all of the hospitals open but change the mix of services at each location. The main changes we are proposing are: 4) Specialist services will be concentrated together at the same two or three hospitals — this will affect: mw A&E (for serious or life threatening conditions) w Non surgical emergencies (general medicine) m= Emergency and complex surgery and Critical care a Children’s inpatient services = Maternity services (excluding antenatal and postnatal care) w Services for unwell newborn babies a Planned surgery, both inpatients and daycases, will be separated from emergency services (where possible) 2,/ Supporting services: a Urgent Care Centres at all four hospitals m Outpatient and testing services will remain at all four hospitals = More services will be provided in the community, including outpatient and testing services. How did we select the options?» We developed a list of achieve these higher standards of care, which brought us to 23 possible ‘options’. We then narrowed these down to three ‘options’ by applying a set of tests including clinical safety, quality anda test for affordability. The services provided at each hospital for the best three options are shown in the table on page 14. The current way services are organised is shown as a comparison, but unaffordable and we believe will provide far poorer health services than the alternatives. We believe that all the options will provide a far better service than patients currently receive and will help solve our financial problem. e are putting these options to you for formal consultation and we would like We want to help you stop getting ill in the first place. But if you are ill we want to provide far more services in the community, so that patients: m don’t always have to go to hospital just to get simple tests done or to see a consultant m can better manage a long-term condition, avoiding emergency hospitalisation or the condition getting worse = have more support when they come back from hospital, including support for their carers*. *This type of care, that we call a ‘community place’ can be provided at home by a special nursing team, or in an intermediate care facility, or ina comminuity hospital such as in Eltham (for an explanation of intermediate care see the box on page 11). In order to retain all current services in the area, to a high enough standard, we need to concentrate some services together. We will only do this where clinically necessary, and where possible will aim to provide the services you would use most frequently at all four hospitals. The options are presented on pages 14 to 15.