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

Independent reports conducted by Tim Rideout Limited on behalf of the London
Borough of Ealing and Hammersmith & Fulham Council
“The core argument rests on the number of emergency surgeons available to support the
rotas at each site, and the relatively low population catchment per current rota. However this
should be tested further. The extent to which this takes account of the differential needs of
local people and the significant population increases anticipated over the coming years is not
clear. The theory is also based on sound but general supporting evidence developed by the
Royal Colleges. Again, this should have been tested further against the current reality of
service need in NW London.”
9.7.19 The implications of this feedback on our analysis to identify the viable number
of major hospitals
The feedback we received about the fourth hurdle criterion did not include suggestions for
alternatives. We considered the feedback received as follows:
Response to feedback about differential needs in the Rideout report: the
guidelines from the Royal Colleges consider population size the key determinant of
A&E distribution.
Response to feedback about population increases in the Rideout report: We
have explored the impact of possible population changes through our work on
sensitivity analysis. The robustness of planning assumptions is examined using
sensitivity analysis to ensure that the model is cognisant of all issues, including
changes in the underlying activity data.
9.7.20 Outcome of the fourth hurdle criterion to identify the viable number of major
hospitals
Given the feedback, the absence of any suggested alternative, clinicians identified that only
options that have five major hospitals are viable in the medium term. We confirmed this
decision with the Clinical Board and Programme Board during the post consultation phase.
This outcome is unchanged from pre-consultation.
5
● Ensure a good geographical spread of major hospitals across NW London
9.7.21 Purpose of the fifth hurdle criterion to indentify the geographical spread of
major hospitals
The fifth hurdle criterion examines the location of the five major hospitals across NW
London.
9.7.22 Analysis to indentify the geographical spread of major hospitals
There are 126 potential ways of configuring the nine current acute sites in NW London as
five major hospital sites. Travel analysis was used during this part of the process to
determine the location of five major hospitals. Travel time has been used in two ways to
support the analysis of the potential reconfiguration options:
9b. Decision making analysis stage 5 300