Local General Hospitals

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Local General Hospitals
Dr Steve Laitner and Jacqui Bunce Hertfordshire
PCTs
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SECONDARY CARE ( Hosp.)
Health Care Pyramid
Dr S Laitner 2007
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Meeting health needs in Hertfordshire

• Health inequalities to be addressed
• Access
• Nearest hospital may not be in Hertfordshire so
  working with all providers on care pathways
• Utilisation of community hospitals and other
  health facilities to enable care closer to home

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Feedback from consultation

• Everything as clinically safe and as local as
  possible
• Diagnostics
• Outpatients
• AE
• Urgent care

• Surgery
• Maternity services
• Intermediate care services

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Decision from 19th December
The PCTs are committed to maintaining and
developing a vibrant mix of health services in
Hemel Hempstead and Welwyn Garden City as the
non-acute hospital sites
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Core services

• Pathology
• Minor surgery
• Ante-natal and post-natal care

• Outpatients
• Urgent care
• Diagnostics
• Plus key opportunity for local health campus
  development

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Local General Hospital
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Intermediate careNext steps

• Short term provision at Hemel Hempstead and
  existing facilities
• Review of existing facilities throughout the
  county
• Integration with social care
• Local provision

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Intermediate careAdditional requirement
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Master plan

• LGH development linked to changes in services at
  acute hospitals inc Barnet Chase Farm
• New care pathways being developed across primary
  and secondary care
• Services will change buildings will come later
• Dual running is planned where appropriate to
  ensure effective transition i.e. Urgent Care at
  Hemel Hempstead

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Financial modelling

• Costs to build new facilities 30m per PCT
• Service shifts 65m investment over 6 years in
  community services, primary care and transport

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PCTs Affordability

• FUNDS AVAILABLE
• One-off benefit from debt repaid in 2007/08
  approx 52m
• Growth 2 p.a. (approx 28m each year) 169m
  by 2013/14
• Savings on acute care currently provided in
  secondary care setting 14m
• RESERVES uncommitted estimated at 46m

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How we will manage the process

• Service model finalised with Practice Based
  Commissioning Groups
• Confirmation with other stakeholders of services
  to be on the campus and at other community
  facilities
• Capacity planning of sites
• Outline business case planning permission

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Future vision

• Vibrant health campus development vision not
  a poor second best but a real community resource
• Phased development hand in glove with acute
  hospital changes
• We want to involve the community in making these
  changes happen
• We have the resources to make these changes
  happen