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

8c. Out of hospital estates
8.11. Delivering the estate we need for out of hospital
Based on the vision outlined by the CCGs and the views of the public, service models for the
delivery of out of hospital care have been developed. These are described as part of the
vision for Shaping a healthier future in Chapter 7, and are crucial to the delivery of the
CCGs‟ out of hospital strategies.
This infrastructure for delivering out of hospital services uses three of the elements of the
model described in Chapter 7: local hospitals, hubs/health centres and networks of care.
Local hospitals will offer a range of out of hospital services to their locality, including
outpatient appointments, associated diagnostics and urgent care
Hubs/health centres will provide a setting for a further range of services across all
CCGs, including outpatient appointments, diagnostics, social care and therapies
Networks of care, formed of GP practices, will offer opportunities for joint working
between GPs and enhance the capacity of primary care to deliver of out hospital
services.
To understand the requirements for each of these settings, we have engaged CCGs and
providers further and reviewed the service models and estates requirements of local
hospitals, hubs/health centres, networks, and primary care. This has enabled us to develop
service models for different settings of care based on the recommendation and provide
estimates of the financial implications of changes to delivery models and estates.
For our hubs/health centres and networks of care, this development has involved going
further than our original, pre-consultation plans suggested. Following feedback from
stakeholders, and the results of consultation, we have considered a range of options for the
delivery of out of hospital services, ranging from the minimum required to deliver Shaping a
healthier future to alternatives including a wider range of services at certain sites; we will be
exploring these options further if the recommendation is agreed.
The options considered for each setting of care are summarised in this section (see below
and Figure 8.11). Details of each the networks of care, hub/health centre and local hospital
are included in the relevant CCG sections in Chapter 16.
8c. Out of hospital estates 238