A public consultation about the future of some hospital services for people living in South Wales and South Powys
Before we start …
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
What services are we talking about?
Where are these hospital services currently provided in South Wales? Powys
Why can’t we carry on as we are?
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?
What does this mean?
Engagement
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 services But, 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, Bridgend Five sites : UHW, Morriston Hospital, SCCC, Princess of Wales and Royal Glamorgan hospitals These also got the lowest scores against the benefit criteria
The options for consultation
The options for consultation: option one Powys Option one PCH Morriston SCCC UHW
The options for consultation: option two Powys Morriston SCCC Option two RGH UHW
The options for consultation: option three Powys Option three PCH Morriston SCCC Option three POW UHW
The options for consultation: option four Powys Option four PCH Morriston SCCC Option four RGH UHW
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 for pregnant women?
What does this mean for neonatal care?
What does this mean for children? 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 for children?
What does this mean for emergency medicine (A&E)? DID YOU KNOW Our A&E departments do different jobs? The majority of people who currently come to A&E departments do not need the skills of highly- trained emergency medicine doctors.
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 FIVE providing 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 all have an important role in the future, but they won’t be doing the same things
What does this mean?
Considering equality in the South Wales Programme
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 � QUESTIONNAIRE: Complete the questionnaire in the consultation documents or at www.wales.nhs.uk/swp WRITE TO US: South Wales Programme Feedback, PO Box 4368, Cardiff, CF14 8JN WRITE TO YOUR COMMUNITY HEALTH COUNCIL: contact details available at www.wales.nhs.uk/swp EMAIL YOUR COMMENTS TO: swpresponse@wales.nhs.uk
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
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