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

Brent Health Partnerships Overview and Scrutiny Committee
“We would want to see at the earliest opportunity how commissioners intend to ensure the
necessary investments in community services are to be made and the transition risks
managed, whilst ensuring service continuity in the transition period.”
Karen Buck, MP for Westminster
“We need far greater clarity than we have had to date about the capital provision and,
possibly more crucially, the long-term revenue funding to support these services in
Westminster.”
Royal Borough of Kensington and Chelsea Health, Environmental Health and Adult
Social Care Scrutiny Committee
“We agree that North West Londoners could benefit from a move to more integrated care.
The early results from the integrated care pilot are promising. However, it has not yet been
fully evaluated.”
“It is unusual to roll-out a service before the pilot has been fully assessed...”
“We question the assumption that the roll-out of the INWL integrated care pilot across the
whole of NWL will give the level of benefits predicted.”
To deliver our plans for out of hospital services, stakeholders highlighted a number of
services that will need specific improvements. This included primary care and integration
between health and social care. For example:
Westminster City Council, Adult Services and Health Policy and Scrutiny Committee
“A number of Westminster residents and the Council agree that there is a need to improve
access for residents at GPs and other local services so patients can be seen more quickly
and at a time that is convenient to them.”
Harrow Council Health and Social Care Scrutiny Sub-Committee
“Social care is central to the success of the out of hospital strategy and therefore it must be
ensured that social care colleagues are engaged throughout the process.”
Hillingdon LINk
“The Sahf proposals heavily rely on the delivery of the ambitious OOH [Out of Hospital]
strategies of each of the 8 CCGs in the NHS NWL region. The delivery of OOH strategies in
turn is heavily dependent upon the need to integrate health and social care services across
all 8 of the London Boroughs in NWL. This is particularly important in the London context as
patients usually do not recognise borough boundaries and access both health and social
care services across boundaries.”
Specific plans for Central Middlesex Hospital were commented on through the consultation
process. Plans for developing the site into a local hospital and elective centre received
support from a number of stakeholders. A number of stakeholders also expressed opposition
to any closure of the site, which current plans avoid. For example:
London Borough of Hounslow Health and Adult Care Scrutiny Panel
“Central Middlesex is not currently providing the services that would be delivered at a major
hospital site and it therefore makes sense for it to continue to operate as a local hospital.”
North West London Hospitals NHS Trust
“We have considered the future role for CMH [Central Middlesex Hospital] and while a
number of staff and local people would like to retain all traditional DGH [District General
Health] services they recognise that the commissioning of the Brent Urgent Care Centre
8a. Development of out of hospital plans in NW London 221