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

Across NW London, these sites will deliver a range of intermediate services, including
extended primary care, management of long-term conditions, diagnostics, therapies and
outpatient services (including consultant-led clinics).
Delivering these hubs/health centres is expected to require investment of £6 million for the
minimum needed for Shaping a healthier future and £60–112 million for the range of
enhanced services to offer a fuller clinical service at each site. These are indicative
estimates: in the coming months, more detailed work will be carried out to deliver outline
business cases for the investment in these sites, including detailed work on affordability.
Initial assessments of revenue affordability for individual proposed hubs suggest 58% of
them would be affordable under current assumptions and affordability is most challenging for
new-build hubs. Further work is required in this area and investments for each individual site
will require an outline business case including detailed analysis of revenue affordability in the
next phase of this process.
This configuration of hubs is based on the configuration of services outlined in the
recommendation. A different option would result in a different range of hubs, reflecting
changes in local hospitals. However, overall investment would remain the same.
Chapter 16 details – for each CCG – the services modelled for these locations, the
associated volume, and the estimated investment needed.
8.11.3. GP premises
Pre-consultation, the CCGs articulated their vision for delivering out of hospital services and
looked in detail at the activity to be re-provided in response to activity avoided in acute.
Since then we have engaged with the CCGs to describe the distribution of services across
the boroughs and the condition of different estates.
In parallel, a survey of GP premises was conducted in seven of the CCGs. The estates
review, which eventually reached nearly half of practices in the participating CCGs, looked at
the condition of GP estates as well as the cost for any upgrades needed to meet condition
standards and ensure the sites comply with access legislation. This process is outlined in
Figure 8.18.
NHS Brent CCG conducted an independent review, which has been aligned with the findings
of the NW London-wide work.
8c. Out of hospital estates 247