bristol health serviecs plan v.1 bristol health services plan – core presentation – v.1.1

Bristol Health Serviecs Plan V.1

Bristol Health Services Plan – Core Presentation – v.1.1


The fundamental issues

• Keeping people out of hospital wherever possible (by providing as much care as is possible close to home)

• Giving people who do need to be in hospital the best possible care (by concentrating acute services on a reduced number of major sites)



Why we need to change

• To improve quality of care• To move services closer to people’s homes

and reduce travelling time for patients and carers

• To bring together specialist hospital services, both expertise and equipment

• To improve the quality of our old hospital buildings


Engagement, Proposals and Consultation


Themes from the engagement process

• The importance of access (including the need to provide services in local settings wherever possible)

• The need to make good use of public money

• The importance of clinical quality

• A concern about capacity

• A strong desire to see improved community facilities in place before a new hospital


Proposals within BHSP

• Acute/ Emergency Services in the north - options

• Community Services – North Bristol

• Community Services – South Gloucestershire

• Children’s Services

• Blackberry Hill Hospital

• Cossham Hospital

• Breast, Adult Ear, Nose & Throat Surgery

• (South Bristol Community Hospital)


What happens next?

• Formal Consultation ended 10th December 2004

• Consultation Report to Joint Health Scrutiny Committee – 21 January 2005

• Joint Health Scrutiny Committee report to NHS – 22 February 2005

• Decisions by NHS Bodies – March 2005



The Options for Acute Services in North Bristol & South

Gloucestershire


Major Acute Services Serving Bristol, South Gloucestershire &

North Somerset

United Bristol Healthcare NHS Trust

Frenchay Hospital

Southmead Hospital

Weston General Hospital


Option 1

Maintain both Frenchay and Southmead as acute hospitals


Option 2

Provide a new acute hospital, together with a community hospital on the Southmead site

Provide a community hospital on the Frenchay site


Option 3

Provide a new acute hospital, together with a community hospital on the Frenchay site

Provide a community hospital on the Southmead site


Why keep the two acute hospital model?

• Because we were asked to consider doing so throughout the engagement process

• Because it represents the ‘do minimum’ option

• But the view of the health community is that to do so would compromise healthcare for Bristol


Why change to one acute hospital?

• Because there is a wealth of evidence that if people really do need to be in hospital, the greater the integration of clinical specialities and the greater the concentration of expertise and equipment, the better is the outcome


Frenchay or Southmead?

Check each option against questions:

• Quality of care

• Development of community services

• Recruitment of specialist staff

• Recruitment of general staff

• Travel times for patients and staff


Frenchay or Southmead?

And…

• Impact on local communities

• Effect on environment/buildings

• How quickly up and running

• How flexible

• Good value for money


North Somerset


North Somerset & BHSP

• North Somerset Cluster Board

• Commissioning Strategy

• Service Redesign / service development teams

• Partnership

• Public Involvement


Supporting the BHSP

• Expansion of services at Weston General Hospital – different ways of working

• Redevelopment of Clevedon Community Hospital

• Portishead• Primary Care based services• Community Services

bristol health serviecs plan v.1 bristol health services plan – core presentation – v.1.1

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