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

This analysis was agreed prior to consultation (November 2011 to July 2012) by clinicians
and approved by the Clinical Board and the Programme Board.
9.9.31 Feedback received about sub-criterion workforce during consultation
During consultation we received the following feedback related to the workforce subcriterion:
Westminster City Council, Adult Services and Health Policy and Scrutiny Committee
“There is a clear issue in relation to workforce strategy which needs further detailed
consideration, since out-of-hospital services need to be built up before surplus staff are
released from the acute sector for re-deployment.”
Richmond Clinical Commissioning Group
“See clear plans to deliver the necessary workforce and estate configurations to facilitate the
out of hospital care expectations that underpin many of the delivery assumptions behind the
options.”
Kensington & Chelsea LINk
“Moving services and human resources to an out of hospital setting will involve retraining
large numbers of staff to work in a different environment requiring a different skillset, greater
independence and responsibility. We have not seen any studies on the feasibility of this, and
seek assurances that existing staff are willing to make this transition.”
Independent reports conducted by Tim Rideout Limited on behalf of the London
Borough of Ealing and Hammersmith & Fulham Council
“The deliverability criteria include an assessment of the workforce using recent national work
force date and staff survey results as a proxy indicator. The appropriateness of this as a
proxy is open to challenge. The business case states that “Chelsea and Westminster can be
seen to have scores that are statistically better than the scores achieved by other Trusts”.
This too is open to challenge. Ealing‟s scores are generally good and are all better than
those of West Middlesex with the exception of the sickness absence rate. Indeed the
business case notes that West Middlesex‟s scores “are statistically worse”. Consequently
options that include West Middlesex as a “Major Hospital” are rated lower in terms of the
evaluation of the workforce.”
9.9.32 The implications of this feedback for the workforce sub-criterion
The feedback we received about the workforce sub-criterion did not include suggestions for
alternatives. We have considered the feedback received as follows:
Response to feedback about the use of staff survey results as a proxy in the
Rideout report: The feedback about the use of staff survey results as a proxy
indicator did not include a suggestion for alternatives. The Clinical and Programme
Board were content that this measure was the most suitable available.
Response to feedback about turnover and sickness rates referenced in the
Rideout report: Section 9.8.48 described how clinicians agreed that turnover and
sickness rates did not provide sufficient robust differentiation of the options. Chelsea
& Westminster are statistically better than the scores achieved by the other trusts on
two of the remaining three measures, and very close to the best on the third.
Response to feedback about Ealing’s scores referenced in the Rideout report:
Ealing‟s score are rated more highly than West Middlesex because they score more
highly on the three measures that are being used. The impact on options with West
Middlesex is described in Figure 9.55.
9c Decision making analysis stage 6 363