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

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times (particularly for patients trying to access A&E) and therefore risk worse outcomes for<br />

patients.<br />

In addition to forming responses in their own right, it is likely that the petitions and<br />

campaigns have influenced responses via other methods by raising awareness and<br />

encouraging people to respond to the consultation.<br />

Section 16 of Appendix F details the full set of petitions received.<br />

6.2.4 Stakeholder feedback<br />

74 stakeholders submitted a response to the consultation. This feedback followed their own<br />

format and very few covered every question asked about in the consultation. Our analysis of<br />

this feedback has been qualitative in nature, drawing out the themes and issues<br />

stakeholders have commented on.<br />

All of the stakeholders who expressed a view on this supported the need for change. A<br />

number of stakeholders expressed overall support for the <strong>Shaping</strong> a <strong>healthier</strong> <strong>future</strong><br />

proposals. Several others expressed strong opposition, notably Ealing and Hammersmith<br />

and Fulham Councils who both provided detailed criticisms on the way in which the<br />

consultation proposals had been determined.<br />

Most stakeholders commenting on the issue expressed support for the out of hospital<br />

proposals, although some called for more detailed plans about timing and implementation.<br />

The point was made that primary and community services need to be improved before there<br />

is any reduction in acute provision.<br />

There were calls for consistent standards across urgent care centres and more detail on the<br />

proposals. The need to build public understanding and awareness of UCCs was also<br />

mentioned.<br />

The proposal to have five major hospitals in NW London and the criteria for deciding upon<br />

these was supported by a number of stakeholders, while some criticised it.<br />

A number of stakeholders, including local authorities, LINks, CCGs and MPs, put on record<br />

their support for Option A. Options B and C received fewer comments and only a couple of<br />

stakeholders expressed explicit support for either.<br />

Two stakeholders expressed opposition to the proposed closure of services without<br />

specifically mentioning any of the options. Among those not supporting any of the options,<br />

no alternatives to the status quo were put forward.<br />

Several stakeholders expressed support for Central Middlesex Hospital being an elective<br />

and local hospital, while others opposed this because of the impact of the A&E department<br />

being closed. There was support for Hillingdon and Northwick Park being major hospitals,<br />

although two stakeholders raised concerns about capacity at the latter. The proposal for<br />

Hammersmith Hospital to be a specialist hospital was also supported.<br />

Reaction to moving the hyper-acute stroke unit to St Mary’s was mixed, with some<br />

stakeholders supporting this while others felt it should stay where it is or would be better<br />

located elsewhere. Some stakeholders commented on the need to improve facilities at St<br />

Mary’s before either the hyper-acute stroke unit or Western Eye Hospital are moved there.<br />

A number of detailed comments were made about public transport and journey times, with<br />

particular concerns raised about vulnerable groups and follow-up appointments. The need<br />

6. Consultation, feedback and how we responded 67

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