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

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Figure 9.48: Quality of care - Acute estate in NW London 5<br />

Chelsea & Westminster, West Middlesex and Central Middlesex are considered the sites<br />

with the highest quality of estate. These sites consist of very recently built buildings with<br />

space that is suitable for the current and <strong>future</strong> requirements. Ealing, St Mary‟s and<br />

Northwick Park are considered to be sites with poor quality estate. St Mary‟s and Northwick<br />

Park have high levels of floor space that is considered not functionally suitable NHS space.<br />

In addition 56% of St Mary‟s estate was built pre-1964 and therefore suffers from issues<br />

typical of older buildings.<br />

In Chapter 9d, consideration is given of the capital implications for each of these options to<br />

ensure that the quality of estate reaches the necessary levels to achieve the clinical<br />

standards. As evidence has shown, there will always be limitations when using estate that is<br />

older.<br />

Combining these two elements of patient experience, clinicians agreed pre-consultation that<br />

some options were likely to offer patients a better experience than others. This is<br />

summarised in Figure 9.49.<br />

5 ERIC Site-level data, HEFS, 2010/11 (http://www.hefs.ic.nhs.uk/DataFiles.asp). Notes from Figure<br />

9.48:<br />

1. ERIC Site-level data, HEFS, 2010/11 (http://www.hefs.ic.nhs.uk/DataFiles.asp)<br />

2. Qualitative assessment<br />

9c Decision making analysis stage 6 347

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