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

Travel analysis was used in the development of the options as part of the hurdle
criteria process.
Distance and travel times are not the only important factors in terms of access. Other factors
such as opening times and translation services are also important. However clinicians
agreed that these factors are either driven by Out of Hospital services or are able to be
provided equally under all the options.
The evaluation in Figure 9.50 was approved by the Clinical Board and the Programme Board
pre-consultation.
9.9.18 Feedback received about sub-criterion distance and time to access services
sub-criterion
During consultation we received the following feedback related to the distance and time to
access services pertinent to the identification of the recommendation:
Paddington Green Health Centre Practice Patient Participation Group
“The key issue is public transport. Links to many hospitals are poor and complex and the
time to improve links is too slow. Patients requiring immediate, urgent care don't have
transport issues but visitors and patients who need follow-up appointments have a great deal
of difficulty.”
Onkar Sahota, London Assembly Member for Ealing and Hillingdon
“The proposed changes would lead to increased journey times to major hospitals for more
than 174,000 people from key equality groups such as older people and pregnant women.
These adverse effects would disproportionately affect people in deprived parts of the
borough.”
Hammersmith and Fulham LINk
“Under the NWL NHS preferred „Option A,‟ a significant number of local residents will have
to travel to St Mary‟s to access an „A&E‟ department. The LINk has received a number of
concerns from our members about the accessibility of transport options and proposed
transport times to St Mary‟s especially for disabled people.”
Ealing Council
“Concerns that travel times analysis does not accurately reflect the reality of travelling across
the borough; neither does it account for the impact of planned regeneration developments in
coming years. As a consequence there are significant concerns that this will result in
delayed access to health services including emergency services.”
North West London Joint Health Overview and Scrutiny Committee
“There is insufficient analysis of the impact of the proposals on travel at a borough level,
especially for the poorest and most vulnerable communities. Plans to reduce any negative
impact on access to re-located services by some local populations are not yet identified.”
Ealing Hospital NHS Trust
“Access by public transport in the view of the Board needs to be reconsidered to ensure
patient flows are not different to those modelled. If the modelling is incorrect some hospitals
potentially could become overwhelmed and families or carers may have difficulty visiting
patients in hospital.”
London Borough of Hounslow Health and Adult Care Scrutiny Panel
“Whilst total numbers of trips to each hospital have been clearly modelled, data on absolute
and percentage increase in trips to hospital sites such as West Middlesex are not available.
9c Decision making analysis stage 6 352