Bristol Health Services Plan

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Bristol Health Services Plan Core Presentation
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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)

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Why we need to change

• To improve quality of care
• To move services closer to peoples 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

Bristol Health Services Plan Core Presentation
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Engagement, Proposals and Consultation
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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

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Proposals within BHSP

• Acute/ Emergency Services in the north - options
• Community Services North Bristol
• Community Services South Gloucestershire
• Childrens Services
• Blackberry Hill Hospital
• Cossham Hospital
• Breast, Adult Ear, Nose Throat Surgery
• (South Bristol Community Hospital)

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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

Bristol Health Services Plan Core Presentation
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The Options for Acute Services in North Bristol
South Gloucestershire
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Major Acute Services Serving Bristol, South
Gloucestershire North Somerset
United Bristol Healthcare NHS Trust
Weston General Hospital
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Option 1
Maintain both Frenchay and Southmead as acute
hospitals
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Option 2
Provide a new acute hospital, together with a
community hospital on the Southmead site Provide
a community hospital on the Frenchay site
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Option 3
Provide a new acute hospital, together with a
community hospital on the Frenchay site Provide
a community hospital on the Southmead site
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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

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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

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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

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Frenchay or Southmead?

• And
• Impact on local communities
• Effect on environment/buildings
• How quickly up and running
• How flexible
• Good value for money

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North Somerset
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North Somerset BHSP

• North Somerset Cluster Board
• Commissioning Strategy
• Service Redesign / service development teams
• Partnership
• Public Involvement

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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

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Bristol Health Services Plan Core Presentation
v.1.1