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

The changes to the scoring before and after consultation have primarily decreased because
of the refreshed value for money analysis for the three consultation options. Additional
analysis undertaken on research and education in response to feedback received during
consultation supports the higher relative ranking of options that designate Chelsea and
Westminster as a major hospital over those that designate Charing Cross as a major
hospital, and strengthens the data collated to support designation of reconfiguration option
A. Note that although the score for the other options has not decreased, this may be due to
the value for money analysis not being refreshed for these options. The sensitivity analysis
confirmed that Option A (Option 5 in the table above) remains the strongest.
As a result of the decision-making analysis, the Clinical Board agreed that Option A (Option
5 in the table above) should be the recommendation. The Finance & Business Planning
Working Group agreed that Option A was better than the other options. The Programme
Board reviewed the completed evaluation and analysis and considered the
recommendations of the Clinical Board and the Finance & Business Planning Working
Group. The Board noted the two recommendations and agreed with the assessment that
Option A should be the recommended configuration.
10.2. The recommended configuration
Based on the pre-consultation options evaluation, Option A was our preferred option at the
start of the consultation. During consultation we received feedback about the process of
reaching this preferred option and about the evaluation itself. Post-consultation, we have
responded to the feedback and refreshed the options evaluation. Option A remains our
recommended option for configuration.
The evaluation and post-consultation analysis did not change the high level configuration in
the preferred option. However, it did enable us to consider additional services that could be
located as part of local hospital sites and this meant some lower-level changes to the
configuration of the Charing Cross site.
The recommended configuration proposes the following service models at each site. At:
Chelsea & Westminster – a local hospital and a major hospital
Hillingdon – a local hospital and a major hospital
Northwick Park – a local hospital and a major hospital
St Mary’s – a local hospital, a major hospital, a Hyper Acute Stroke Unit (moved
from Charing Cross Hospital) and a specialist ophthalmology hospital (moving the
Western Eye Hospital onto the site)
West Middlesex – a local hospital and a major hospital
Central Middlesex – a local hospital and an elective hospital
Charing Cross – a local hospital
Ealing – a local hospital
Hammersmith – a specialist hospital with obstetric-led maternity unit and a local
hospital
Five specialist hospitals in NW London are not affected by these proposals. These are
Harefield, Mount Vernon, Royal Brompton, Royal Marsden and RNOH.
10. The proposed future configuration of hospitals in NW London 421