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AppendixCi
StrokeReviewPreConsultationBusinessCase
Lettersofsupport
OFFICE OF THE CHIEF EXECUTIVE Direct Line: 01634 825271 Email: [email protected] Our ref: LD/PCBCJan18 Patricia Davies Chair of the Joint Committee of Clinical Commissioning Groups (JCCCG) Sent via email to: [email protected] Dear Patricia, Kent and Medway proposed reconfiguration of hospital stroke services I am writing to confirm that Medway NHS Foundation Trust has considered the proposals for the reconfiguration of acute hospital stroke services in Kent and Medway. As a result, we are willing to confirm our support of the planned public consultation relating to the proposed changes. It is worth noting, however, that we have had some difficulty in agreeing the variation in the options going into the Pre-Consultation Business Case and in particular, the inclusion of Option Five. We have also raised some concerns regarding the handling of certain aspects of the process leading up to the consultation. These concerns have been formally shared with Michael Ridgwell, Programme Director for the Kent and Medway STP and we trust that these concerns will be carefully considered as the work around acute stroke services progresses. The Trust will continue to be involved in developing proposals and will take forward the resulting implementation, as appropriate. Yours sincerely,
Lesley Dwyer Diana Hamilton-Fairley Chief Executive Medical Director
Medway Maritime Hospital Windmill Road
Gillingham Kent
ME7 5NY
01634 830000
Trust Headquarters: Maidstone Hospital | Hermitage Lane | Maidstone | Kent ME16 9QQ Telephone: 01622 729000 | Fax: 01622 226416
Patricia Davies Chair of the Joint Committee of Clinical Commissioning Groups (JCCCG) (sent via email to [email protected])
Trust Management Maidstone and Tunbridge Wells NHS Trust
Maidstone Hospital Hermitage Lane
Maidstone Kent ME16 9QQ
19th December 2017
Dear Patricia Kent and Medway proposed reconfiguration of hospital stroke services As the Chair of the Board of Maidstone and Tunbridge Wells NHS Trust, I am writing to confirm that the Trust Board has considered the proposals for the reconfiguration of acute hospital stroke services in Kent and Medway and supports the planned public consultation in respect of the proposed options for change. The Trust Board reviewed the draft Pre-Consultation Business Case (PCBC) at its meeting on 29th November 2017. The Trust will continue to be involved in developing proposals and will take forward the resulting implementation plans, as appropriate. Yours sincerely
David Highton Chair of the Trust Board
Patricia Davies Chair of the Joint Committee of Clinical Commissioning Groups (JCCCG) (sent via email to [email protected]) 16 January 2018
King’s College Hospital Denmark Hill
London SE5 9RS
Tel: 020 3299 9000 Fax: 020 3299 3445
www.kch.nhs.uk
Direct line: 020 3299 2124 Direct fax: 020 3299 3436
Dear Patricia
Re: K&M proposed reconfiguration of hospital stroke services As the Chief Executive of King’s College Hospital Trust, I am writing to confirm that the Trust Executive support the planned public consultation for the reconfiguration of acute hospital stroke services in Kent and Medway. The Trust will continue to be involved in developing proposals, including validating the analysis and impact assessment, and is committed to working through the implications of consultation outcomes and the development of acceptable implementation plans, as appropriate. Yours sincerely
Nick Moberly Chief Executive King's College Hospital NHS Foundation Trust
3rd Floor Skipton House 80 London Road London SE1 6LH Email: [email protected]
NHS England - South (South East)
York House 18-22 Massetts Road
Horley Surrey
RH6 7DE Email: [email protected]
Glenn Douglas Chief Executive Kent and Medway STP
9 January 2018
Dear Glenn
RE: Kent and Medway Stroke Reconfiguration
Thank you for your Pre Consultation Business Case and supporting appendices. It is clear in this case that public consultation is required, and to go to public consultation, the capital and revenue affordability of all options for consultation must be tested so that schemes do not go to consultation which are not likely ultimately to be affordable.
We are happy that the STP has reasonably costed the capital and revenue impact of each option going to consultation and that both NHSE and NHSI have scrutinised these. We therefore consider it is appropriate for it to go to consultation and are supporting the capital application in future rounds.
As we have expressed and you have confirmed, there are a number of assumptions that will be required to be updated with further detail post consultation but before the SOC (or Post Consultation Business Case) is submitted against the preferred option.
Spencer Prosser Hannah Hamilton Regional Director of Finance NHSI Regional Director of Finance NHSE Vince Chalmers, Adie Perry, Head of Finance, NHS England South (South East) Ivor Duffy, Director of Assurance and Delivery - NHS England - South (South East)
12/12/2017
Dear sir/madam
The Stroke Association is a supportive partner in the process to redesign stroke
services in Kent and Medway and has been involved since it started in 2015. We have
offered support by; participating in the Stroke Programme Board and the stroke
workshops as well as any other workshops that were relevant to the review process.
We have also provided support to enable stroke survivors, carers and those interested
in the process to be involved. Myself and colleagues have supported stroke survivors
with questioning and communicating their thoughts on the process and have promoted
the questionnaires that have been available.
We believe the consultation will help to ensure the public understand the process and
have a chance to make any recommendations based on the evaluation criteria and
guidance. If the consultation and the process to redesign stroke services in Kent is
suitably robust it should l lead to improved outcomes for stroke survivors, improvements
to staff and create a high quality stroke service across Kent and Medway.
Yours faithfully,
Tara Galloway
Head of Stroke Support – South
07515596969 01622 351 966
Stroke Association
29 Hollingworth Court
Turkey Mill
Ashford Road
Maidstone
Kent
ME14 5PP
