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

8.4. Consultation responses
The Shaping a healthier future consultation highlighted a number of key areas of focus for
residents of NW London regarding out of hospital services. The plans for delivery of out of
hospital services, and the service models for different settings of care, were refined in
response to this feedback.
In the overall responses to consultation, a number of stakeholder organisation supported the
principle that out of hospital services are vital to the delivery of Shaping a healthier future
and offer improvements for patients. However, concerns were raised that the plans for out of
hospital delivery are less well developed than the reconfiguration proposed by Shaping a
healthier future and that the sequencing of service changes will be vital, as out of hospital
services need to have sufficient capacity and capability to deliver as planned.
In response, we have further developed our plans for delivering care out of hospital. CCGs
are delivering a significant proportion of their plans for out of hospital care in the next
financial year (see Section 8.23.3 and Appendix J), and our plan for implementation of
Shaping a healthier future makes clear the services that need to be delivering before
changes to acute provision can be made (see Chapter 17). Delivery of new services in the
out of hospital setting will require redesign and procurement of services working to the new
operating model including the workforce associated with the activity.
Specific comments were made during the consultation about the importance of access to
primary care and the integration of health and social care. In response to this, primary care
is organising into networks to enhance its capacity. Many of the settings of community
services will offer extended primary care services and integrate with social care services.
Specific consultation responses were also received about some of the key elements of our
plans for out of hospital services, including standards for care outside of hospital, delivering
services locally, urgent care centres, elective hospitals, local hospitals, and Central
Middlesex Hospital. Responses to these issues are summarised below.
8.4.1. Quantitative feedback
Described below are the main quantitative findings for the consultation process; further
details about each area can be found in Appendix F.
The quality standards for care outside of hospital received widespread support
across NW London (67% support vs. 12% opposed)
Support for the delivery of services locally was more mixed:
o Delivering hospital services locally received more support (43%) than
o
opposition (25%)
However, improving the range of services delivered outside of hospital had
slightly less support (44%) than opposition (48%), with open-ended
comments suggesting some scepticism about the capacity and skill-mix of out
of hospital care
Plans for urgent care centres received more support (41%) than opposition (24%);
more detailed discussion of responses to feedback on urgent care centres can be
found in the report of the clinical implementation group (see Chapter 7b)
Developing hospital sites into elective hospitals received support from over twothirds
of respondents (68% support vs. 21% opposed). Open-ended responses
suggested it would be a good use of existing space and resources to utilise hospital
sites in this way
Developing Central Middlesex Hospital into a local hospital received more support
(30%) than opposition (19%). Most open-ended responses suggested it was a
8a. Development of out of hospital plans in NW London 218