Infrastructure Delivery Plan (Feb 2013) - Runnymede Borough Council

Future provision
7.28 The cumulative affect of continued population growth accompanied with a change in
the age profile of the Borough and the secondary healthcare catchment area over the
plan period will present challenges for healthcare provision and impact on secondary
healthcare services in the Borough (as well as other healthcare services (discussed
elsewhere in this chapter).
7.29 In order to determine and plan for future health needs within Surrey, a joint strategic
needs assessment (JSNA) was undertaken by Surrey County Council and Surrey PCT
(before it was replaced by NHS Surrey) in 2008. The JSNA is a continuous process
and is updated as additional information becomes available, as gaps are identified and
in response to feedback received. It seeks “to identify and understand current and
future health and well being needs of the local population over both the shorter term (3-
5 years) and the longer term (5-10 years).” The JSNA was required under the Local
Government and Public Involvement Act 2007 (Surrey Infrastructure capacity survey,
2009).
7.30 As with primary healthcare, planning for future health requirements is based on a
combination of clinical need and future population size and structure (Surrey
Infrastructure Capacity Study, 2009). Housing type and location will have implications
for the future population size of the Borough.
7.31 The Surrey Infrastructure Capacity Survey, 2009 found that the biggest impact on
health services is likely to be from an ageing population. The over 65 age range is
projected to increase by 42% and the over 85 age range is projected to increase by
80% between 2006 and 2026 (ONS, 2007). Older people place greater demands on
the health service in a number of ways:
• increase in long term medical conditions;
• increasing incidence of dementia (by 2025 there will be a 77 percent increase
in the number of people aged 85+ with dementia);
• situations that in younger people are considered minor can require hospital
based care in older people; for example, falling over can have serious
implications for an older person.
Costs and funding sources
7.32 The cost of the planned works at St Peter’s Hospital are not known. In terms of sources
of funding, it is envisaged that the funding would be sourced by the two Hospital Trusts
which own and run the hospital-namely Surrey and Borders Partnership NHS
Foundation Trust (SABP) and Ashford and St. Peter’s Hospitals NHS Trust (ASPH).
Funding
ID
Risk Assessment
Description
Estimated
Cost
IDPF059 Planned works at St Peter’s Hospital Unknown
Key
Provider(s)
SAPB and
ASPH
7.33 The main risk to this type of infrastructure designation is that an increase in population
within the catchment area will outpace the growth of secondary healthcare facilities
available. Given however that the needs of St Peter’s Hospital have already been
considered by the Ashford and St Peter’s Hospitals NHS Trust for the next 20 years,
this risk of this situation occurring is considered to be relatively low, unless funding for
the project is reduced due to public sector cuts.
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Runnymede IDP DRAFT – February 2013