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

Correct care setting to deliver high quality care
Use existing sites
Enough major hosp. to support population of 1.9million
Number of major hosp. must be viable in medium term
Ensure good geographical spread
Use sites currently delivering major hospital services
Minimise access impacts for residents
Figure 5.7: Stage 5 – The hurdle criteria
Stage 5 Purpose Outcome
5
Hurdle criteria
Use the seven hurdle criteria
developed by clinicians to
establish the right number of
major hospitals in the
options.
N.B. The hurdle criteria can
be applied in any order and
are used to identify options
that do not meet the agreed
set of criteria.
A medium list of options to
undergo detailed
evaluation
Ensure the medium list will
deliver the clinical vision
and meet clinical need.
The seven hurdle criteria are described in Figure 5.8.
Figure 5.8: The seven hurdle criteria
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3
4
5
6
7
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The correct care setting model to deliver high quality care
Consider the nine existing major hospital sites only and not new locations
There should be enough major hospitals to support the population of NW London
The number of major hospitals must be viable in the medium term
Ensure a good geographical spread of major hospitals across NW London
Use sites currently delivering high quality major hospital services
Geographic distribution of the remaining sites is proposed to minimise the impact of
changes on local residents
The development of the medium list of options was underpinned by four intentions. The
outcome of the hurdle criteria was reviewed against these intentions to ensure they would be
achieved. The four intentions are:
Out of hospital services will be expanded and improved in all areas
All specialist hospitals will stay as they are, including Hammersmith, which would
retain its specialist status if not designated as major hospital
Elective hospitals can be located with, or independent of, major hospitals
All nine acute sites with an A&E will continue to provide local hospital services with
an Urgent Care Centre, so patients will continue to go there for around 70% of the
services that they currently access there (outpatients, diagnostics and urgent care
centre).
5. Process for identifying a recommendation 57