17 June 2008Health Scrutiny Committee

Delivering quality health care for Hertfordshire

17 June 2008Health Scrutiny Committee

Overview: key tasks• Acute services consolidation

- Watford- Lister

• Local General Hospitals- Hemel- Welwyn/Hatfield

• Network of 8 Urgent Care Centres

• Coordination with out of Hertfordshire services

17 June 2008Health Scrutiny Committee

MasterplanFlexible and detailed tool for:-• Planning

• Monitoring

• Re-planning

of:• Tasks

• Resources

• Responsibilities

17 June 2008Health Scrutiny Committee

Watford Hospital

• Acute Admissions Unit handover end of August

• PMOK block refurbishment end of December• Increased single room accommodation• New critical care department• 2 cardiac catheter laboratories• Pharmacy robot

17 June 2008Health Scrutiny Committee

Construction / Service Change / Watford Campus

Watford

17 June 2008Health Scrutiny Committee

Service changes

• Rapid assessment and diagnosis – extended hours

• Consultant led emergency care• Increased emergency operating theatre

sessions• Increased ITU• Shorter in-patient based care• Integrated clinical navigation

17 June 2008Health Scrutiny Committee

Campus Progress

• “Resolution to Grant” Outline Planning Permission – Achieved 15th May 2008

• OBC and affordability analysis • On track for 2015

17 June 2008Health Scrutiny Committee

Local General Hospitals

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

development

17 June 2008Health Scrutiny Committee

Minor Surgery

Intermediate Care

Services & beds?

Support Groups

Local authority services

Social services Outpatients

Adults &Children

Maternityservices

Ante NatalPost Natal

Urgent Care

Diagnostics

Palliative care

Mental health

services

Therapyservices

Local GeneralHospital

Local General Hospital

Tailor made to meet the needs of Hemel or Welwyn and Hatfield and surrounding area

17 June 2008Health Scrutiny Committee

Hemel HempsteadUrgent Care Centre• Procurement of service provider

Local General Hospital

• Interim site arrangements

• Site option appraisal for new LGH

Consultants appointed to support communication on changes to services

Stakeholder event 7th July

17 June 2008Health Scrutiny Committee

Hemel Hempstead

• Procurement model for new development• PBC Engagement in service modelling• Engagement with Dacorum Borough Council• Intermediate care ward 1st July 2008

17 June 2008Health Scrutiny Committee

Artists impression of Hemel Hempstead LGH

17 June 2008Health Scrutiny Committee

Welwyn / HatfieldSite

• Non financial option appraisal

• Stakeholder event 11th April

• Financial appraisal

• Engagement with local Health Working Group and LA Planners

Services

• UCC procurement process

• PBC Engagement in service modelling

17 June 2008Health Scrutiny Committee

Draft redline drawing of Local General Hospital on QEII site

17 June 2008Health Scrutiny Committee

QEII Local General Hospital

17 June 2008Health Scrutiny Committee

Timeline

2013 onwards

20122011201020092008

Master planning completion

Car park completion

Car park OBCCar park analysis and feasibility

PFI construction –completes March 2015

PFI FBCPFI procurement

PFI procurement

PFI OBCPFI planning

Tower block (inc. A&E) completion

Tower block FBC

Tower block office moves

Maternity unit completion

Maternity unit construction

Maternity OBC

17 June 2008Health Scrutiny Committee

Future vision for the Lister Hospital

17 June 2008Health Scrutiny Committee

Maternity services

Overview:• Consolidate maternity

delivery services at the Lister

• Co-located obstetric and midwifery led unit

• Ante and post-natal services at Lister, LGH and community

17 June 2008Health Scrutiny Committee

Maternity services

Progress:• Design brief developed and P21 contractor

appointed• New models of care developed• First draft OBC July 2008

17 June 2008Health Scrutiny Committee

Example of maternity design option – ground floor

Women’s services outpatients

and investigationsExpanded Neonatal Unit

Refurbished Consultant Led Unit

New Consultant Led Unit

DAU Lobby

17 June 2008Health Scrutiny Committee

New Midwife Led Unit

Maternity inpatients

CG Maternity inpatients

Example of maternity design option – first floor

17 June 2008Health Scrutiny Committee

Tower blockOverview:• Tower block

refurbishment creates additional clinical space (increasing proportion of single rooms)

• A&E upgrade and provision of UCC

• Facilitating the consolidation of A&E and emergency surgery by 2011

17 June 2008Health Scrutiny Committee

Tower block

Progress:• Enabling works commenced, offsite offices

acquired to release clinical space – from September 2008

• Initial design plans for additional clinical space have been developed

17 June 2008Health Scrutiny Committee

17 June 2008Health Scrutiny Committee

Car park

Overview:• Provide the necessary

car parking capacity to support the consolidation of services

• Improve access to health services at Lister Hospital

• Significantly improve patient parking experience

17 June 2008Health Scrutiny Committee

Car park

Progress:• Capacity modelling• Site options appraised• Feasibility study commenced• Discussions with planners due to commence

July

17 June 2008Health Scrutiny Committee

Other service reviews

• Birthing• Mental health• Cancer• Intermediate care• Out of Hours

17 June 2008Health Scrutiny Committee

Conclusion

Delivering quality health care for Hertfordshire is on track to deliver the service changes consulted upon