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

During Stage 5 clinicians agreed that in options where Hammersmith was not designated as
a Major Hospital, it would be designated as a Specialist Hospital and would therefore be able
to retain its teaching.
Due to the results in Figure 9.59 it was agreed that those options with St Mary‟s as a Major
Hospital and Hammersmith as a Specialist Hospital would be evaluated slightly higher to
reflect this retention of teaching.
Clinicians did not feel that the National Training Survey results allowed for any further
differentiation between the different options. Therefore the measures used for the
assessment of this sub-criterion were as follows:
Research spend at non-major hospital and non-specialist hospital sites
Education spend at non-major hospital and non-specialist hospital sites.
Research and education spend
Figure 9.60 sets out the pre-consultation analysis of planned levels of spending for 2014/15
that would be „located‟ at hospitals that had not been designated as either major hospitals or
specialist hospitals. For example, in option 1, where West Middlesex, Hammersmith,
Chelsea & Westminster have been designated Major Hospitals (alongside Northwick Park
and Hillingdon), and all other sites are either local hospitals or elective hospitals, then £21
million of research spend would be „located‟ at the local or elective hospitals and £46 million
of education spend would be „located‟ at the local or elective hospitals. This is in comparison
with option 8, where only £6 million of research spend and £29 million of education spend
would be „located‟ at the local or elective hospitals.
Pre-consultation clinicians agreed that options 1, 2, 3 and 4 should be rated lower than
options 5, 6, 7 and 8. Clinicians agreed that it is critical for research to be co-located with
clinical delivery to optimise the transfer of treatments from the academic environment to
„real-life‟. Additionally in NW London, the majority of research is currently carried out at
Hammersmith, St Mary‟s and Chelsea & Westminster (excluding Northwick Park and
specialist hospitals which are the same in all options). All of options 1-4 designate
Hammersmith as a Major Hospital and assumes that St Mary‟s would become a local or
specialist hospital, and would therefore „lose‟ its research capability. Whereas in options 5-8,
Hammersmith is assumed to become a specialist hospital whilst St Mary‟s is a Major
Hospital, leading to the continuation of research at both Hammersmith and St Mary‟s,
therefore minimising disruption.
9c Decision making analysis stage 6 372