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

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

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anked third according to the mean score calculation. This item focuses specifically on<br />

minimising the average or total time it takes people to get to hospital by ambulance, car (at<br />

off peak and peak times) and public transport and there are some groups where this seems<br />

to be particularly important.<br />

During consultation we also received the following feedback about the evaluation criteria<br />

used in Stage 6:<br />

Ipsos MORI consultation analysis report (Appendix F)<br />

“Almost two in five respondents who answered this question made a comment relating<br />

specifically to the assessment criteria outlined in section 16 (p.52) of the consultation<br />

document. These covered a broad spectrum of comments, but (reflecting the criteria<br />

themselves) emphasised again concerns about travelling to access care, quality of care,<br />

capacity and ability to meet local needs, workforce issues, patient experience and costs.<br />

One in fourteen commented that the needs of the public and patients should be listened to.<br />

“There is no criterion of general public acceptability, no requirement for majority support from<br />

clinicians and local healthcare providers, No mention of support from Health and Wellbeing<br />

Boards, no mention of impact on Public Health.”<br />

More generally, one in five respondents said something about the consultation. A wide range<br />

of points were made about the evaluation criteria and the arguments in the consultation<br />

document, and these tended to be more negative than positive.”<br />

Westminster City Council, Adult Services and Health Policy and Scrutiny Committee<br />

“We consider that the criteria used to develop the proposals are fundamentally sound based<br />

on clinical evidence which we have been presented with by NHS North West London. On<br />

this basis we are able to support the direction of travel underlying the consultation paper.”<br />

Royal Borough of Kensington and Chelsea Health, Environmental Health and Adult<br />

Social Care Scrutiny Committee<br />

“We consider that the criteria used to develop the proposals are fundamentally sound. We<br />

are able to support the direction of travel underlying the consultation paper.”<br />

Independent report conducted by Tim Rideout Limited on behalf of the London<br />

Borough of Ealing Council<br />

“In order to evaluate the options, a number of criteria were developed, with reported input<br />

from clinicians and patients. While the final criteria are broadly sensible, interestingly a<br />

number of criteria suggested by clinicians and patients were not accommodated, including<br />

integration of services, health equality across NW London, and support for preventative care<br />

and help for patients to manage their own conditions. Notwithstanding the reasons given for<br />

their exclusion, this is potentially contentious and open to challenge. The inclusion of such<br />

criteria would go some way to addressing the inadequate population focus of the current<br />

proposals.”<br />

9.9.4 The implications of this feedback on the evaluation criteria<br />

The feedback we received about the evaluation criteria includes an alternative approach. We<br />

considered the feedback received as follows:<br />

Response to feedback about including additional metrics in the MORI report:<br />

The following criteria have not been included:<br />

9c Decision making analysis stage 6 339

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