News from Sutton LINk
BSBV ~ future shape of South West London Health Services
10 May 2012
BSBV panel gives view on future shape of south west London
A scoring panel of 60 people has kicked off a long process
to help the local NHS decide which options to do more work on when considering
the future shape of health services in SW London.
Panel participants including members of the public,
patients, the voluntary sector, doctors, nurses, local authorities and
directors of public health have given their scores and ranking on which of the
current south west London hospitals should host a state of the art planned
surgery centre, and which sites should develop and improve their A&E and
Participants also scored the no-change option. In all of the
options, St George's Hospital remains the hyper acute, stroke unit and major
trauma centre, as this has previously been subject to public consultation.
The panel's combined view is not a decision, but one input
into a lengthy process to determine the best future shape of services.
The scoring panel considered options for the future shape of
services based on non-financial criteria, including clinical quality, patient
experience and travel times.
The scoring panel ranked all of the options in the following
St Helier Hospital to host a state of the art planned
surgery centre and Croydon and Kingston hospital to develop and improve their
A&E and maternity services scored 201 points.
Kingston Hospital to host a state of the art planned surgery
centre and St Helier and Croydon hospital to develop and improve their A&E
and maternity services scored 119 points.
Croydon University Hospital to host a state of the art
planned surgery centre and St Helier and Kingston hospital to develop and
improve their A&E and maternity services scored 109 points.
The no change option scored 85 points.
Dr Howard Freeman, local GP and Joint Medical
"Clinicians leading this programme are committed to four
hospitals in south west London but we know that the services at all four of our
local hospitals need to change to better meet the needs of the local
population. Our population is ageing, we have more people living with
long term conditions and a rising birth rate. Doctors, nurses and patients
representatives have worked hard in Clinical Working Groups for the past year
looking at the clinical evidence, debating and testing with patients and public
the models of care for health services. We want to get our proposals for the
local NHS right and that takes time.
"The options appraisal process – financial and non-financial
– is about identifying what options are viable and then which option is
preferred. The scores from the panel will now be combined with financial
scoring which we expect to be available later this month. Even after
combining these scores, we will need to work up those options that score
highest to make sure they would deliver the changes to local health services
that we need. Once this detailed and comprehensive modelling analysis has been
done, we will then know if the options modelled would work in practice.
It is important thatwe do this work before formally consulting the
public. This is whythe scoring panel is happening now – a long way before
"Today has been a uniquely open and transparent approach to
scoring these options; it is unusual to directly involve so many people in this
way. We asked people in January how they thought we should do this and this
panel was the result.
As doctors and nurses, we want high quality, safe health
services and patients have told us they want the same.There is a
long way to go before we put firm proposals to the public for them to have
their say. No decisions will be made without the views of local people
being considered in full.”
Dr David Finch, local GP and Joint Medical Director
for BSBV, said:
"We want to make local health services better and safer for
our patients. We believe we can improve vital and life-saving services by
creating centres of excellence for A&E, maternity and planned surgery.
We also want to move services from hospitals tocommunity services
so people are kept well, kept out of hospital and treated as close to home as
"Changing the way we deliver health services will save lives
– 520 lives could have been saved last year across London if hospital staffing
was the same at weekends as weekdays. Remember that London-wide stroke and
major trauma were criticised at first as they meant longer travelling times in
an emergency – but they have saved hundreds of lives. As a local GP, I am
convinced that our proposals will save lives too and that they will improve
services for my patients.”
Mr Michael Bailey, Senior Surgeon and Acute Medical Director
for BSBV, said:
"Throughout the day I spoke to a number of my fellow panel
members including GPs, hospital doctors, nurses as well as patients and the
public. I believe each one of us took our role on the panel extremely
seriously and considered the evidence for each of the criteria including
patient experience and clinical quality carefully in our task to weigh up the
The panel's view on the future shape of local services will
now be combined with a financial appraisal. Later this month, the BSBV Clinical
Strategy Group and Programme Board will consider both, before the Joint Boards
of South West London Primary Care Trusts decide which options should be
modelled in full to be presented to the public for formal consultation later
For more information on Better Services Better Value, and to
read the clinical reports, full report on the deliberative events and the
feedback the review has received, go to www.southwestlondon.nhs.uk