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

Figure 9.56: Ease of delivering each option in 3-5 years 12
Pre-consultation options 3, 4, 7 and 8 were all been given a strongly negative evaluation. In
all of these options, at least two Trusts are forecast to be in deficit. It is very difficult for
Trusts facing such financial difficulties to make the changes in services as part of
reconfiguration.
Options 1 and 2 were given a slightly negative evaluation. Both these options include
Hammersmith as a major hospital, which would require a significant amount of change to
services to make this happen. It is likely that the scale of change to make Hammersmith a
major hospital would be difficult to achieve in the 3-5 year timeframe.
Options 5 and 6 were given slightly positive evaluation as neither of these options face the
same degree of financial difficulties or the scale of change to services as compared with the
options. Both of these options require fewer beds to be moved and less additional capacity.
Movement of maternity beds is also an indication of the degree of change required. Options
2, 4, 6 and 8 would need higher numbers of maternity beds to be moved compared to
options 1, 3, 5 and 7. Options 1, 3, 5, and 7 all include Chelsea & Westminster which has a
large obstetric unit. If Chelsea & Westminster was not designated as a major hospital, these
beds would need to be moved elsewhere.
Pre-consultation this evaluation was confirmed by the Clinical Board and the Programme
Board.
12 Notes for Figure 9.56:
1. Includes – Adult general and acute, adult daycare, critical care at Major hospitals and Elective Centres (not at
Local hospitals). Excludes – Pediatric, maternity, rehabilitation and other beds, and neonatal cots
2. Assumption that Elective activity would move based on travel time used to estimate Elective bed capacity
requirements
3. Major hospital Critical Care beds numbers include Specialist Critical Care beds (numbers required from ICHT,
C&W and WMUH)
9c Decision making analysis stage 6 365