SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

▪ Expectant mothers should have the choice to deliver their
baby in a hospital or in the home environment if it is
appropriate
Maternity
▪ If expectant mothers are at risk or have a complicated birth
they need to have immediate access to supporting
services such as emergency surgery, anaesthetics and
other services
▪ Expectant mothers should be able to receive the best quality
care delivered by the right person regardless of the time or
day of the week
Paediatrics
▪ Parents and those responsible for children who require
urgent care should be able to access their own GP (when
this is not feasible, through a neighbouring GP practice or an
Urgent Care Centre)
▪ When it is necessary to go to hospital, children should have
quick access to high quality paediatric care and care
decisions should be made by a senior and experienced
clinician regardless of the time of day or day of the week
7.1.5 How we considered feedback to refine the vision
During consultation we received feedback about the vision for care in NW London across
three areas; choice, A&E size and people with multiple health needs. The feedback received
did not include any alternative to the vision. However, it did include areas for further
consideration. Full details of the responses can be found in Chapter 9, Section 9.4. We
responded to the feedback as follows:
Choice: We undertook further detailed analysis about patient choice during decision
making. This work is described in Chapter 11. The analysis in Chapter 11 indicates
that for the majority of people patient choice will either be maintained or increased
under these proposals as more services are offered in the community and the
majority of acute services will remain unchanged. There will be slightly less choice of
hospital locations for A&E, maternity and paediatrics, but the quality at all of these
facilities will be greatly increased and patients will have greater access to senior staff
A&E size and manageability: We were unable to find evidence to support the idea
that A&Es become „unmanageable‟ above a certain size. The A&Es in NW London
will typically be smaller than other A&Es in London which are currently operating
safely. Further detail can be found in Section 9.4.4.
Multiple health needs: Improvements in out of hospital care will result in
coordinated individual care planning for patients with co-morbidities. Led by GPs this
planning will work across range of specialties and means patients will receive better
integrated care. Further work on the equalities can be found in Chapter 13.
For these reasons therefore, the feedback received did not, in the view of the Clinical Board
and Programme Board, justify any change to the vision.
7a. Clinical vision, standards and service models 99