Hertfordshire County CouncilHertfordshire County CouncilHealth Scrutiny CommitteeHealth Scrutiny Committee

Submission of evidenceSubmission of evidence by Broxbourne Borough Councilby Broxbourne Borough Council

Cllr. Ken Ayling, Leader of the CouncilCllr. Ken Ayling, Leader of the CouncilRosie Sanderson, Head of Community Planning & Corporate ProjectsRosie Sanderson, Head of Community Planning & Corporate Projects

The Big Issue for BroxbourneThe Big Issue for Broxbourne

Movement of acute hospital services away from Movement of acute hospital services away from the Borough will result from both Hertfordshire the Borough will result from both Hertfordshire and North London reviews and North London reviews

Leading to:Leading to:

Exacerbation of existing problem with transport Exacerbation of existing problem with transport to hospitalsto hospitals

Need for increased primary care provisionNeed for increased primary care provision

On the Plus sideOn the Plus side

Broxbourne Council welcomes:Broxbourne Council welcomes:

Decision to site urgent care centre at Cheshunt Decision to site urgent care centre at Cheshunt Community HospitalCommunity Hospital

Proposal by East and North Herts NHS Trust to provide Proposal by East and North Herts NHS Trust to provide outpatients services at Cheshunt Community Hospitaloutpatients services at Cheshunt Community Hospital

Commitment from the NHS for financial support for the Commitment from the NHS for financial support for the health transport call centre and the Broxbourne Health health transport call centre and the Broxbourne Health ShuttleShuttle

Still neededStill needed

Further investment in primary care, Further investment in primary care, especially at GP surgeries.especially at GP surgeries.

Long term investment in transport servicesLong term investment in transport services

Outpatient services at CCH provided by Outpatient services at CCH provided by Princess Alexandra hospital (Harlow)Princess Alexandra hospital (Harlow)

Current positionCurrent position

Health issues, especially travel to hospitals are an Health issues, especially travel to hospitals are an important issue for Broxbourne Borough residents, important issue for Broxbourne Borough residents, shown by surveysshown by surveys

Residents are referred to a variety of hospitals, Residents are referred to a variety of hospitals, dependant on the GP practice they attend. These dependant on the GP practice they attend. These include:include:

– Chase Farm (Enfield)Chase Farm (Enfield)– QEII (Welwyn Garden City)QEII (Welwyn Garden City)– Princess Alexandra (Harlow)Princess Alexandra (Harlow)– Lister (Stevenage)Lister (Stevenage)

Partnership to improve primary care in Partnership to improve primary care in BroxbourneBroxbourne

Broxbourne Council Broxbourne Council supports an expansion of supports an expansion of primary care, and has primary care, and has worked with the NHS to worked with the NHS to achieve this:achieve this:

– Investment by the council Investment by the council to expand Cheshunt to expand Cheshunt community hospitalcommunity hospital

– Use of planning Use of planning agreements to obtain agreements to obtain improvements to GP improvements to GP surgeriessurgeries

Cheshunt Community Hospital

Hailey View Surgery, Hoddesdon

DeprivationDeprivation

Broxbourne is the second most deprived district Broxbourne is the second most deprived district in Hertfordshire (IMD, 2007)in Hertfordshire (IMD, 2007)

Residents of deprived areas are more likely to need access to acute healthcare and less likely to be registered with a GP

Other areas in Hertfordshire with significant deprivation have and will continue to have an acute or general hospital close by

Movement of acute hospital servicesMovement of acute hospital services

TransportTransport

Very poor access from Broxbourne Borough by public Very poor access from Broxbourne Borough by public transport to any local hospital at presenttransport to any local hospital at present

Health shuttle service started in recognition of this need, a Health shuttle service started in recognition of this need, a partnership between Broxbourne Council and HCC.partnership between Broxbourne Council and HCC.

Car ownership low in areas of deprivationCar ownership low in areas of deprivation

Transport issues will be exacerbated by movement of acute Transport issues will be exacerbated by movement of acute services away from the Boroughservices away from the Borough

Location of Cheshunt Community Location of Cheshunt Community hospital in relation to deprivationhospital in relation to deprivation

Cheshunt Community Hospital (CCH)Cheshunt Community Hospital (CCH)

Outpatient services run by Barnet and Chase Farm NHS Outpatient services run by Barnet and Chase Farm NHS TrustTrust

Building owned by E & N Herts PCTBuilding owned by E & N Herts PCT

Residents who attend GP surgeries in Broxbourne & Residents who attend GP surgeries in Broxbourne & Hoddesdon are not referred to this service at present as Hoddesdon are not referred to this service at present as they go to PAH (Harlow) or QEII (Welwyn Garden City), they go to PAH (Harlow) or QEII (Welwyn Garden City), although CCH is neareralthough CCH is nearer

Collaboration between acute providers (E & N Herts NHS Collaboration between acute providers (E & N Herts NHS Trust, Barnet and Chase Farm NHS Trust and E & N Herts Trust, Barnet and Chase Farm NHS Trust and E & N Herts PCT) needed to ensure access to services at CCH is PCT) needed to ensure access to services at CCH is available to ALL local residents.available to ALL local residents.

ConclusionConclusion

Proposed changes will move services further away from Proposed changes will move services further away from Broxbourne Borough residentsBroxbourne Borough residents

The proposals for Cheshunt Community Hospital are The proposals for Cheshunt Community Hospital are welcomedwelcomed

Still needed:Still needed:

Outpatient services at CCH by Princess Alexandra hospital Outpatient services at CCH by Princess Alexandra hospital (Harlow)(Harlow)

Long term investment in transport servicesLong term investment in transport services Further investment in primary care to increase the Further investment in primary care to increase the

provision of services from GP surgeriesprovision of services from GP surgeries