Urgent Agenda Item
Health Overview and Scrutiny Committee
Date: 4 February 2004
Title of report:
Purpose of report:
Closure of All Saints Hospital, Eastbourne
Scrutiny and Best Value Co-ordinator
To agree what action the Committee wishes to take as a result of the
failure of East Sussex Hospital NHS Trust to consult the HOSC before
deciding to close All Saints Hospital and demonstrate how services
will be re-provisioned.
To receive the report and agree one of the following options:
1. immediately report the non-compliance with statutory requirements to the Secretary of
State who may require consultation to take place, or
2. ask the Chief Executive of the East Sussex Hospital NHS Trust to explain why no
consultation has taken place. Dependent upon the response either :
a. make comment to the Trust as appropriate, and/or
b. report the matter to the Secretary of State.
1.1 The closure of All Saints Hospital, Eastbourne has been planned for March 31, 2004.
Admissions to the Hospital have ceased. To date the East Sussex Hospitals NHS Trust has not
consulted the HOSC or the public on this closure. The Lead Officer has held meetings with the
former Project Director of the Whole Service Review which included arrangements for a phased
closure of the Hospital when re-provisioned services were in place. During those discussions no
formal proposal to close the Hospital without consultation, or appropriate long-term replacement
services being in place, had been mentioned.
1.2 It is a requirement for NHS bodies to consult on a substantial variation in provision of a
service. It is the view of the officers that the closure of All Saints Hospital is a substantial variation
in service and is a matter for consultation.
2.1 The re-provisioning of All Saints was the subject of correspondence between the
Eastbourne, Seaford and Wealden Community Health Council and Eastbourne Hospitals NHS
Trust (now East Sussex Hospitals NHS Trust) in September to November 2000. See Appendix
One. The correspondence shows that a timetable for planning the re-provisioning contains the
dates of October 2001 - December 2001 as those for public consultation on the plan. This
consultation has never taken place.
2.2 The decision appears to have been taken by the Trust to close All Saints Hospital without
appropriate long-term re-provisioning of services being in place and the necessary statutory
consultation process with the Health Overview and Scrutiny Committee (HOSC) being followed.
2.3 East Sussex Hospital NHS Trust held a briefing meeting for voluntary organisations and
other interested organisations at All Saints on Friday, 30 January 2004. The Lead Officer for the
HOSC attended. This meeting confirmed the closure was taking place and that there would be a
presentation on 27 February 2004, led by Eastbourne Downs PCT on the plans for future
configuration of Older Peoples Services. No plans to consult the public on the closure of All Saints
were discussed or notified at this meeting.
3. Proposed Action
3.1 Christine Martin-Adams, Acting Forums Development Officer, for Eastbourne Downs
Primary Care Trust and East Sussex Hospitals NHS Trust, former Chief Officer of Eastbourne
Downs and Weald Community Health Council, has agreed to attend the meeting to provide
members with an up-to-date view of the situation.
3.2 Members are asked to consider the action that should now be taken by the HOSC. The
options are set out in the recommendation.
3.3 Members should note that the East Sussex Hospital NHS Trust, Eastbourne Downs PCT
and the Social Services Department have been informed that the HOSC is being asked to take an
urgent item on this matter at this meeting.
Director of Law and Performance Management
Contact Officer: Roger Howarth, Scrutiny & Best Value Co-ordinator
e-mail: email@example.com (Tel: 01273 481327)
EASTBOURNE, SEAFORD AND WEALDEN
COMMUNITY HEALTH COUNCIL
6 November 2000
Mr Alan Randall
Eastbourne Hospitals NHS Trust
Eastbourne District General Hospital
Eastbourne BN21 2UD
Re: Re-provision of All Saints
Thank you for your communication of 11 th September 2000 conceming the above noted matter. Council's
Management Committee met on 30 th October and after discussion re-affirmed Council’s view that it should
v ensure that what is re-provided is an improved range of quality services, delivered from more
appropriate and modern facilities and designed to serve the best interests of service recipients.
The Management Committee notes the inclusion in the proposed Project Group of a CHC member and is
happy to nominate Sheila Knight of Council's Hospital Services Committee as its representative on the
understanding Council's usual conditions attaching to such membership apply, viz:
v CHC membership of the Project Group is not a substitute for public consultation, neither does it
signify CHC acceptance of that Group's eventual proposals for re-provision.
v The CHC member will be able to report back, on a privileged information basis, to the CHC
Management Committee and be briefed by Council's Management Committee as appropriate.
Sheila Knight can be contacted at:
76 Bridgemere Road
East Sussex BN22 8TU
Chief officer of Council
SENLAC House, 55 Seaside, Eastbourne, East Sussex BN22 7NE
Tel/Minicom (01323) 737925 e-mail: firstname.lastname@example.org Facsimile (01323) 410142
Chief Officer John Faulds MA
Eastbourne District General Hospital
Kings Drive, Eastbourne, East Sussex BN21 2UD
- NHS TRUST – Telephone: 01323 417400 Ext 4915
11 th September 2000
Mr P Brooke, Chief Executive, High Weald PCG
Miss A Knight, Chief Executive, Eastbourne Downs PCG
Ms H Hills, Assistant Director (Adults), ESSC Social Services
Mrs S Parkes-Crick, Chief Executive, EACH
Re: Re-provision of All Saints Hospital
I am writing to bring you up to date and seek your support for the next stages in planning the reprovision
of services at All Saints Hospital. I would welcome a chance to discuss this issue at the
Local Health Economy meeting on Friday.
1. Terms of Reference
The following terms of reference are proposed for the project:
"To draw up a plan for the re-provision of the All Saints Hospital services to ensure that there is full
involvement and consultation on the plans with all key stakehoIders - users, clinicians, health and
social services agencies, local authority and local residents – and that the plans are implemented
with the closure of All Saints Hospital being completed by early 2003. The plan should ensure that
new services are more accessible and provided in modern settings that better meet the needs of
patients and their relatives currently provided for at All Saints Hospital. The total cost of the plan
should be contained within the total cost of existing services excluding current overheads of
£650,000 pa which will need to be saved as part of the Trust's financial recovery plan. The plan
should however be alert to the possibility of additional funds becoming available through the
Government's modernisation plan which aims to encourage intermediate care and increased
accessibility for patients."
2. Project Board
It is proposed to establish a project board with the following membership –
Chairman - Dr Bryan Heap, MedicaI Director, EACH
Project Manager -
ASH General Manager -
Social Services representative -
EACH representative -
PCG/HA representative(s) -
CHC representative -
EHNHST representative - Andy Wood
EHNNST Non-Exec Director - Pam Oates
User representative -
Clinical representative -
Staff representative -
The steering group will be supported by three advisory/liaison groups –
a) Clinical advisory group - Care of Elderly Consultant Physicians, Clinical Director -
Medicine, GP representatives, Therapists, Nursing staff, Stroke Rehabilitation team
b) User group – Patient/relative representatives, voluntary organisation representatives
including Age Concern and the Stroke Association
c) Staff group - representative from each of the following:
• Each ASH ward
• Princess Alice day hospital
• ASH support services
• ASH admin & clerical
It will be the role of these groups to assist the steering group in preparing and implementing the
plans plus acting as key conduits for ensuring good two way communications.
3. Project Manager
The project manager post will be advertised shortly. Enclosed is a copy of the draft advertisement
and job description. It is proposed that the project manager is based at All Saints and is
accountable to Andy Wood. The cost of the post is being borne by Eastbourne Hospitals and
recouping of cost will be the first call on resulting savings/capital receipts.
Set out below is the proposed timetable. A year has been set aside for the implementation of the
plan. This will of course depend upon the plan which is finally agreed and there may be
opportunities for part or all of the plan to be implemented earlier.
September 2000 - Project Board established
Project Manager post advertised
October 2000 - Closing date for Project Manager post
November 2000 - Interviews to appoint Project Manager post
February 2001 - Project Manager in post
January 2001 - September 2001 - Project plan drawn up following extensive involvement
and consultation with key parties
October 2001 - Re-provision plan published
October 2001 - December 2001 - Public consultation on plan
January 2002 - Plan agreed
January 2002-December 2002 - Implementation of plan
Early 2003 - All Saints Hospital closed
5. Success Criteria
The suggested success criteria for the project are as follows:
i) The plan enjoys support from key stakeholders - the patients and their representatives, the
public, staff and key agencies
At all stages good communications about the process and the plan will have been achieved
The re-provision proceeds at a pace that removes the present feeling of uncertainty
The cost of the new service, capital and revenue, is within the budget agreed with key
v) All Saints Hospital is successfully re-provided by April 2003.
6. Local Health Economy
This project is being led by Eastbourne Hospitals on behalf of the Local Health Economy and with
the full involvement of all local health and social services partners. It is proposed that in addition to
the Project Board reporting to Eastbourne Hospitals Trust it should report periodically to the Local
Health Economy group.
Comments and support for the project will be warmly welcomed.
Copy: John Faulds, Chief Officer, CHC
Re-provision of All Saints Hospital
Re-provision of hospital services (£40,000 pro rata - 30 hours per week - 2 year post)
All Saints Hospital Eastbourne is a care of the elderly hospital with 105 beds and a day hospital.
The hospital and the staff there have a good reputation but the buildings are far from ideal. Better
services could be provided by developing new, more conveniently located, services. To plan and
implement this over the next two years will involve working closely with patients and staff, Social
Services, the hospital and community NHS Trusts, the PCG/HeaIth Authority and the local council.
This is a wonderful opportunity for someone with general management skills and evidence of a
deep commitment to improving care of the elderly services.
For further information contact Andy Wood, Contracts & Planning Manager, EHNHST, on 01323
Closing date: 6 th October 2000
Interview date: ? 24 th October 2000
Re-provision of All Saints Hospital
Job description : Project Manager
Job title : Project Manager – Re-provision of All Saints Hospital
Grade : Senior Manager Scale - £40,000 per annum pro rata
Hours : 30 hours per week
Department : Planning
Location : All Saints Hospital
Accountable to : Planning Manager, Eastbourne Hospitals NHS Trust
Reporting to : Chair and Members of the Project Board
A wide range of Senior staff – clinicians and managers – in a range of local health, social service
and voluntary organisations.
Local authority, community health council, local media and the public in explaining and gaining
their support to the proposed plans.
Staff and their representatives at All Saints in involving them in development and implementation
of the change plans.
1. To draw up a plan for the re-provision of the All Saints Hospital Services.
2. To get agreement from key agencies to all aspects of the plan.
3. To draw up an implementation plan covering service, financial, personnel and
4. To see the plan through to completion.
5. To de-commission the All Saints site.