The South Wales Programme
A public consultation about the future of some hospital services for
people living in South Wales and South Powys
Before we start …This is the start of an eight-week CONSULTATION
Health boards are consulting on FOUR options
No decisions have been made
No hospitals will be closing or losing their A&E department
No staff will lose their jobs as a result of this change
Decisions will be based on EVIDENCE gathered so far and FURTHER EVIDENCE to emerge from consultation
The evidence must point to IMPROVED OUTCOMES for patients
What do we want for South Wales and South Powys?
We want all people living in South Wales and South Powys to have access to the best possible
care whenever they need it, giving them the best possible chance of surviving their injury or
illness and leading a full, independent life
The South Wales Programme
We are working together to address problems facing our busy hospital services
Frontline clinicians – doctors, nurses, midwives, therapists and paramedics – have been at the centre of this work
We want to create a network of healthcare services for South Wales and South Powys, which provides as much care as locally as possible when safe to do so
What services are we talking about?
Consultant-led maternity and neonatal care
Inpatient children’s services
Emergency medicine (A&E) care for the sickest and most seriously-injured patients
Where are these hospital services currently provided in South Wales?
Powys
Why can’t we carry on as we are?
Patients are not getting access to the best care and services do not meet clinical standards
Senior doctors are not available at night or weekends
We do not have enough doctors to provide these services in all hospitals – this is a UK problem but it’s worse in Wales
Some services are at risk of collapsing because of the shortage of doctors
What’s the solution?
To provide the best care for all patients all the time and to meet clinical
standards, these services need to be provided in FOUR or FIVE hospitals
across South Wales
What does this mean?
All hospitals will continue to provide a wide range of care for local people
The majority of A&E care will continue to be provided locally, just as now
We will be creating a hospital system where clinicians want to come and work
What does this mean?
The four services need to be provided together on the same hospital sites
No hospitals will close but they will have different roles in the future
No A&E departments will be lost but they will provide different levels of care
Engagement
You understood why services need to change and a majority supported the ideas for change
You’d like us to provide these services in as many hospitals as we safely can
You were concerned about the impact on the Welsh Ambulance Service; on people living in deprived areas; on access and travel times and on public transport
Engagement
We explained three hospitals are considered to be fixed points because of the range of services they already provide and the size of the
population they cover:
University Hospital Wales, Cardiff
Morriston Hospital, Swansea
Specialist and Critical Care Centre,a new hospital to be built near Cwmbran
Engagement
Feedback from the public and our clinicians during engagement was used to develop six benefit
criteria – the key issues against which all the options were assessed:
Safety
Quality
Sustainability
Access
Equity
Strategic fit
Engagement
When we first spoke to you about our ideas for the future, we said there were six possible scenarios
for the location of these servicesBut, after looking at issues such as access and equity and the impact on the Welsh Ambulance Service and other hospitals in South Wales, two
were ruled out:Four sites: UHW, Morriston Hospital, SCCC and Princess of
Wales Hospital, BridgendFive sites: UHW, Morriston Hospital, SCCC, Princess of
Wales and Royal Glamorgan hospitalsThese also got the lowest scores against the benefit criteria
The options for consultation
Option 1: UHW, Morriston Hospital, SCCC and Prince Charles Hospital
Option 2: UHW, Morriston Hospital, SCCC and Royal Glamorgan Hospital
Option 3: UHW, Morriston Hospital, SCCC, Prince Charles and Princess of Wales hospitals
Option 4: UHW, Morriston Hospital, SCCC, Prince Charles and Royal Glamorgan hospitals
The options for consultation: option one
Powys
Morriston SCCC
UHW
Option onePCH
The options for consultation: option two
Powys
MorristonMorriston SCCC
UHW
Option twoRGH
Powys
The options for consultation: option three
Powys
Morriston SCCC
UHW
Option threePCH
Option threePOW
Powys
The options for consultation: option four
Powys
Morriston SCCC
UHW
Powys
Option fourPCH
Option fourRGH
The options
All the options have been assessed against the benefit criteria – safety, quality, sustainability, access, equity and strategic fit. We have also looked at their impact
on patients, the Welsh Ambulance Service, NHS workforce and finance.
The option which has emerged from this process as the
best fit is a five-site model option three: UHW, Morriston Hospital, SCCC, Prince Charles and
Princess of Wales hospitals
What does this mean forpregnant women?
Women will continue to have the choice of a home birth or a midwife-led birth centre as they do now
Antenatal clinics and postnatal care will be available locally, as now
Consultant-led care for the one in three women who need a doctor during birth, including a Caesarean section, will be provided in FOUR or FIVE hospitals
What does this mean forneonatal care?
Neonatal intensive care will be provided in threehospitals: UHW, Morriston Hospital and SCCC (Royal Gwent Hospital in the interim), as now
High dependency neonatal care will be available in the FOUR or FIVE hospitals providing consultant-led maternity care. This will improve standards and safety
What does this mean forchildren?
Most children, when they are sick or injured, are safely treated at home or in their local community, without having to spend the night in hospital.Only the most seriously ill or injured children – thankfully small numbers – are admitted to hospital.
What does this mean forchildren?
A full range of outpatient, diagnostic and same or next day clinics will continue to be provided locally, as now
We are continuing to investigate the best way to provide local children’s assessment services
Inpatient care for the sickest and most seriously-injured children will be based in FOUR or FIVE hospitals. This will improve standards and safety
What does this mean foremergency medicine (A&E)?
The majority of people who currently come to A&E departments do not need the skills of highly-trained emergency medicine doctors.
DID YOU KNOW Our A&E departments do different jobs?
What does this mean for emergency medicine (A&E)?
We want to increase the chance of people with the most serious injuries and illnesses seeing a senior
doctor, who is experienced in emergency medicine,when they come to hospital.
To do this, we need to provide consultant-led emergency
medicine care in FOUR or FIVE hospitals.
What does this mean for emergency medicine (A&E)?
The majority of
people who are
acutely unwell or
who have a minor
injury will continue to
be cared for at their
local hospital,
as now.
Terry’s fallen off a ladder – where does he go?
Bleeding from the head and unconscious? Contact 999. Terry will go straight to UHW in Cardiff by ambulance
A broken leg? Terry will go straight to his nearest hospital of the FOUR or FIVEproviding consultant-led emergency medicine care
Worried his ankle’s broken? Terry will go to his local A&E department or minor injury unit
The options
All the options have been assessed for their impact on a range of factors, including impact on patients, the
Welsh Ambulance Service, NHS workforce and finance.
The option which has emerged from this process as the best fit is option three: UHW, Morriston Hospital,
SCCC, Prince Charles and Princess of Wales hospitals
BUT WHAT DO YOU THINK?
What about the other hospitals?
All our hospitals are important and they will allhave an important role in the future, but they won’t be doing the same things
What does this mean?
We will provide as much care as locally as possible when it is safe to do so
FOUR or FIVE hospitals will provide consultant-led maternity and neonatal care, inpatient children’s services and emergency medicine
Other hospitals will provide other clinical services
Considering equality in the South Wales Programme
We want to make sure we consider the specific needs of all people who use NHS services when making any changes
In particular we want to look at and minimise the impact on different communities, especially the “protected characteristic” groups
We want to work with you during this process
What happens next?
The consultation ends on Friday July 19, 2013
The responses will be analysed and shared with community health councils in September and health boards will meet in October to make a decision about the future of consultant-led maternity and neonatal care, inpatient children’s services and emergency medicine (A&E)
Tell us what you think
WRITE TO US: South Wales Programme Feedback, PO Box 4368, Cardiff, CF14 8JN
EMAIL YOUR COMMENTS TO:[email protected]
WRITE TO YOUR COMMUNITY HEALTH COUNCIL: contact details available at www.wales.nhs.uk/swp
QUESTIONNAIRE: Complete the questionnaire in the consultation documents or at www.wales.nhs.uk/swp
Q
Want more information?
Full details about the consultation, including dates of public meetings across South Wales and South Powys,
are available on our websites:
www.wales.nhs.uk/swp www.wales.nhs.uk/swp/hafan
0300 083 0020 (24-hour answer phone)
www.facebook.com/SouthWalesProgramme
Recommended
