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

practical solution for the site, which is not the best placed in NW London to provide
major acute services.
8.4.2. Qualitative feedback
In addition to the survey responses summarised above, a range of stakeholders and
respondents provided additional, qualitative, feedback that helps describe the range of views
towards Shaping a healthier future across NW London. A selection of this feedback is
highlighted in this section; full details on the consultation responses can be found in
Appendix F.
The principle of delivering out of hospital services received support from a range of
stakeholders, both as an improvement in care and as a means to delivering Shaping a
healthier future. For example:
Central London Community Healthcare Trust
“Our Trust strongly supports the proposals relating to Out of Hospital Care that are contained
within the consultation document….If, as is proposed, resources will be redirected and
realigned, we agree that a sufficient scale in the organisation of primary and community
health provision will be achieved to secure good health outcomes for patients in the setting
of their choice in or closer to home within the available resource limits. This will reduce the
current level of demand for hospital bed days.”
Harrow Council Health and Social Care Scrutiny Sub-Committee
“The out of hospital strategy will be the foundation to ensuring changes in acute services
succeed.”
The main area for development highlighted by individuals and organisations responding to
the consultation was the need for confidence in the capacity of services to deliver out of
hospital strategies; this confidence will provide confidence in Shaping a healthier future. In
particular, implementation planning was highlighted as a key area of concern. For example:
Kensington & Chelsea LINk
“We welcome the move to improved out of hospital services and see these as the essential
building block, which must be in place and effective before any reduction of current hospital
services.”
Harrow LINk
“We support the vision outlined in the consultation but advise caution in implementation of
hospital service reconfiguration until robust out of hospital services are in place.”
Hammersmith and Fulham LINk
“Whilst the H&F LINk very much welcomes this initiative, the timeframes for implementation
seem very challenging and there is an absence of detail in the strategy. Indicators of
success and safeguards to protect patient safety during the transition are required.”
London Borough of Hounslow Health and Adult Care Scrutiny Panel
“The described vision for out of hospital care must be in place before the reconfiguration of
hospital services begins. In addition, to ensure that the vision is delivered in practice, the
NHS Commissioning Board must put in place robust contract levers so that GPs deliver the
quality standards and vision for primary care set out in the consultation document.”
8a. Development of out of hospital plans in NW London 219