Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 045 (a)
All consultant led care and, all in-patient services and, temporarily all births would
transfer to City Hospital. A Stand Alone Midwifery Led Birth Centre would be developed
within Sandwell and, once operational, some midwifery led low risk births would relocate
to the new centre in Sandwell. Low risk midwifery led antenatal care and routine
screening will be available in Sandwell and at City Hospital. Consultant led antenatal care
would be relocated to City Hospital. All Neonatal care would be provided at City Hospital,
The Joint Health Scrutiny Committee also supported Option 3 but with the caveat that the stand alone
Birth Centre is built and operational in Sandwell before maternity services are withdrawn from Sandwell
Hospital.
The Project Steering Group has considered this carefully and whilst not able to recommend the caveat
on clinical safety and quality grounds, it does recognise the significance of the concerns raised and
agrees it is important to minimise the time between reconfiguring consultant led/high risk births to City
Hospital and opening the stand alone Birth Centre in Sandwell, without delaying the reconfiguration of
consultant led/high risk births. The Project Steering Group is therefore recommending further detailed
work to analyse and find an approach to achieve this.
The tables below summarise the financial analysis for Option 3 as the recommended option. They do
not include any additional costs the Trust might incur as part of an approach to minimise the time
between reconfiguring consultant led/high risk births to City Hospital and opening the stand alone Birth
Centre in Sandwell without delaying the reconfiguration of consultant led/high risk births. If such an
approach requires refurbishment work on one of the Trust’s sites it is estimated there will be an
additional capital cost of £1.5 million and associated additional revenue costs relating to capital charges
and facilities costs.
Changes to Income and Expenditure associated with Option 3 (recommended option)
Category £000’s Comments
Income 1851
Pay (353)
Non Pay (1) Includes net saving in capital charges for
decanting of Sandwell Maternity block
Net Change 1274
Summary of Capital Consequences of Option 3 (recommended option)
Category £000’s Comments
Capital 1851
Depreciation (130)
Rate of Return 15%
Maintenance
(150) Facilities charge from Sandwell PCT for
Costs/Facilities
use of premises
Charge
3