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

9.9.36 Feedback received about sub-criterion expected time to deliver during
consultation
During consultation we received the following feedback related to the expected time to
deliver sub-criterion:
North West London Hospitals NHS Trust
“These changes will take time to deliver so the pace of change required by SaHF is an
important consideration. Given the scale of change required across eight clinical
commissioning groups, we are concerned that the implementation date of March 2016 may
be too optimistic.”
Ealing Hospital NHS Trust
“The scale of change envisaged in SaHF in the timeframe suggested is very ambitious and
the Board hoped this would be reviewed prior to any reconfiguration.”
Brent North Constituency Labour Party
“2 to 3 years for delivery of enhanced community health services is overly optimistic.”
Roadshow event, ‘universal themes’, Ipsos MORI report
“…Concerns about the timescales for change…”
Hospital site event, ‘key concerns’, Ipsos MORI report
“…Timescales…”
User Panel, NHS Central London Clinical Commissioning Group
“We think that the timescales are not long enough to enable sufficient investment to go into
community services to ensure that these services work well, are able to meet the demand,
and are able to reduce demand on A&E services.”
North West London Joint Health Overview and Scrutiny Committee
“There are concerns over the readiness and capacity of out of hospital services, the realism
of timescales for change and the likelihood of cost transfer from the NHS to others.”
Independent reports conducted by Tim Rideout Limited on behalf of the London
Borough of Ealing and Hammersmith & Fulham Council
“The deliverability criteria also include an assessment of the expected time to deliver each
option. This assessment should be challenged. It includes again (double counting)
information from the financial base case based on the premise that “it is very difficult for
Trusts facing such financial difficulties to make the changes in services as part of the
reconfiguration”. No evidence is provided in support of this statement and it doesn‟t take
account of other proposed actions, most notably including the merger between Ealing
Hospital NHS Trust and North West London Hospitals NHS Trust. The assessment also
uses again the assessment of new capacity required (a double count). Finally, it incorporates
an assessment of the movement of adult and maternity beds. Currently, in overall terms this
assessment of expected time to deliver ranks options 5 and 6 as equal highest.”
9.9.37 The implications of this feedback for the expected time to deliver sub-criterion
We have considered the feedback received during consultation as follows:
9c Decision making analysis stage 6 366