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

The proposals are supported by Department of Health‟s National Clinical Advisory
Team (NCAT). NCAT scrutinised our proposals for in hospital care (emergency and
urgent care, maternity and paediatrics) prior to consultation in May 2012. They made
a number of observations and endorsed the clinical proposals.
9.7.15 Outcome of the third hurdle criterion to identify the number of major hospitals
required for NW London
Given the feedback, the absence of any alternative suggestions, clinicians recommend that
by changing to a configuration of three to five major hospitals in NW London, the right skills
will be in place to meet the clinical standards and provide the highest quality of care.
We confirmed this decision with the Clinical Board and Programme Board during the post
consultation phase. This outcome is unchanged from pre-consultation.
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● The number of major hospitals must be viable in the medium term
9.7.16 Purpose of the fourth hurdle criterion to identify the viable number of major
hospitals
The fourth hurdle criterion examines how many major hospitals are viable in the medium
term within the recommended range of three to five major hospitals.
9.7.17 Analysis to identify the viable number of major hospitals
Clinicians identified that only options that have five major hospitals are viable in the medium
term.
Clinicians agree that whilst the clinical standards could be delivered, moving to three or four
sites would cause major disruption to existing services which could affect the consistent
delivery of high quality services. Moving to fewer than five major hospital sites would require
transferring a large number of existing services simultaneously across the region increasing
the likelihood of:
A long implementation timeframe (approximately 7+ years) and period of change
A large investment in capital to develop infrastructure on some sites during a period
when access to capital investment is severely constrained.
Currently no sites currently have the capacity to deliver the volumes of activity in an option
with less than five major hospitals, as shown in Figure 9.12.
9b. Decision making analysis stage 5 297