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

Integrated: Where possible, care should be integrated between primary and
secondary care, with involvement from social care, to give patients a co-ordinated
service. This integration across organisational boundaries will provide a seamless
experience of care in range of care settings.
The vision was agreed by the Clinical Board and the Programme Board pre-consultation.
9.4.3 Feedback received about the vision during consultation
During consultation we sought feedback about the vision. We wanted to understand if people
agreed with the vision for localising and centralising care and if people had any suggestions
for how it could be improved.
We asked people two questions in our consultation response form. The first question was:
Q5. Do you agree or disagree that some services which are currently delivered in
hospitals could be delivered more locally
4,595 people answered this question:
43% respondents answering this question agree that some services which are
currently delivered in hospital could be delivered more locally
25% disagree
31% express no view either way
We also asked people to consider the centralisation of services:
Q6. How far do you support or oppose the idea of bringing more healthcare services
together on fewer sites
4,628 people answered this question:
30% support the idea of bringing more healthcare services together on fewer sites
38% oppose
31% had no views either way
In addition to the feedback above, we received responses from organisations addressing the
vision:
Hammersmith & Fulham Council and its Health, Housing & Adult Social Care Scrutiny
Committee (joint response)
“The principles and objectives - to prevent ill health in the first place; to provide easy access
to high quality GPs and their teams; and to support patients with long term conditions and to
enable older people to live more independently - are appropriate.”
Richmond Borough Council
“The Council fully understands the case for change from both a service quality and financial
perspectives, and fully supports the direction of travel which will enable people to receive
health and care support in their own homes and in community settings, avoiding the need for
hospital admission unless this is absolutely necessary.”
Royal College of Paediatrics and Child Health
“We strongly support the principle of care provision using integrated care pathways within
the clinical network model, and that outcome measures must drive service improvement.”
9a. Decision making analysis stages 1 to 4 278