A NEW HEALTH AND WELLBEING HUB - Integrating health and care services for Havering and neighbouring areas Have your say on our proposals by 13 ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
A NEW HEALTH AND WELLBEING HUB Integrating health and care services for Havering and neighbouring areas Have your say on our proposals by 13 February 2022
2
A NEW HEALTH AND WELLBEING HUB
Integrating health and care services for Havering and neighbouring areas
We are asking anyone who lives, works
or visits Havering or the surrounding
area to comment on our proposal to
redevelop the St George’s hospital site in
Hornchurch and build a new Integrated
Health and Wellbeing Hub.
In 2019, the Prime Minister announced
that the NHS was to receive £17 million to
take forward plans for the new health and
wellbeing centre at the former St George’s
Hospital site in Suttons Lane and health and
care partners are working together to plan
much needed integrated community-based
health services in Havering.
We are asking people to share their views
with us, from Monday 22 November 2021
to Sunday 13 February 2022.
If you would like to comment on our
plans, please make sure you respond by
13 February 2022.
3
HOW TO FIND OUT MORE
Information about this proposal is available on our website or by contacting us and asking for printed information.
Email: Engagement activity dates Community outreach event Do you need this document
communications@nelft.nhs.uk You can also come along to an event to be arranged in a different format?
Website: to ask questions. Tuesday 8 February 2022 The CCG website:
https://northeastlondonccg.nhs.uk/ Online public listening events 5pm to 8pm https://northeastlondonccg.nhs.
SGHhub (via Microsoft Teams) uk/SGHhub uses Browsealoud
Write to: Saturday 27 November 2021 which will convert information into
Please email: an easy-read format, spoken word,
North East London 10am to 12pm communications@nelft.nhs.uk
NHS Foundation Trust, high contrast or large print, or into
Thursday 2 December 2021 to get a link to the online events. 100 languages or you can call,
CEME, 6pm to 8pm
Marsh Way, We will promote these events as write to or email us using the
Rainham Tuesday 7 December 2022 widely as possible, using a range details above.
RM13 8GQ 6pm to 8pm of online and media channels.
Online drop-ins
(via Microsoft Teams)
Friday 21 January 2022
9.30am to 11.30am
Thursday 27 January 2022
9.30am to 11.30am
Tuesday 1 February 2022
6pm to 8pm
4
YOUR VIEWS
Your feedback on these proposals Data protection This document has been Our governing body, headed by
will help us provide safe, high- We will protect the information we produced by North East local GPs, is responsible for making
quality integrated services for receive and store it securely in line London Clinical Commissioning sure that any decisions we make are
our communities and for future with data-protection rules. We will Group with NHS partners and made openly and transparently.
generations across Havering and keep your information confidential in partnership with other We are discussing these proposals
neighbouring areas. and will not share any of your personal stakeholders. with patients and the public
information when reporting statistics.
You can fill in the NHS North East London Clinical along with other stakeholders.
This document includes some medical
questionnaire on our website and technical words, please contact us Commissioning Group (NEL CCG) This process is being led by local
https://northeastlondonccg. if you would like us to explain any part is responsible for planning, buying clinicians – GPs, hospital doctors and
nhs.uk/SGHhub or fill out the of this document. and monitoring health services community service clinicians.
questionnaire and return using for people living and working in
the prepaid envelope provided. North East London serving over two
You can also write to us at: million people across our eight local
North East London authority areas including Havering.
NHS Foundation Trust,
CEME, Marsh Way,
Rainham
RM13 8GQ
We must receive
your questionnaire by
midnight on 13 February 2022.
5
CONTENTS BACKGROUND TO THE HUB
Background to the We want to hear from local Under our proposals: “We are excited to
Health and Wellbeing Hub..............................6 people and their representatives be part of this new
• We would bring together a
from Havering and the development for
range of services under one roof,
What people have told us already........7 neighbouring boroughs of residents of Havering,
in a brand-new fit-for-purpose
Redbridge and Barking and delivering a more
Integrated Health and Wellbeing
Why the Health and Wellbeing Hub Dagenham. joined up approach
Hub in the community
makes sense..........................................................................8 This includes, carers, representatives to care locally and
• Some local GP practices would collaborating with
from community and voluntary
What services are proposed move to the new Hub our partners in the
sector organisations, parents and
for the Hub?.....................................................................10 guardians, elderly people, health and • Some frailty, outpatient, NHS, local authority
social care professionals, regulators wellbeing, mental health and and voluntary sector
Case study: how the Hub will help and the public in Havering and early diagnostic services for to really develop and
patients with complex needs....................15 the neighbouring areas. cancer would be provided deliver an asset for the
and the local authority local community.”
Questionnaire.................................................................16 We are seeking your views on
would provide some adult Oliver Shanley Chief Executive
the proposed services to be
and children services. for NELFT and Senior
Glossary...................................................................................20 provided at new Health
Some space would be Responsible Officer for the
and Wellbeing Hub.
made available to local St George’s redevelopment
voluntary sector services
• Kidney dialysis services
currently provided at
Queen’s Hospital would
use the new space at
the Hub.
6
WHAT PEOPLE HAVE
2013 public consultation
TOLD US ALREADY
The planning consultation for the The planning application details the
new Hub was launched 1 April size of the building and its impact on
Residents and stakeholders were first given a voice on the proposals for the
2021. Havering Council approved local residents.
former St George’s Hospital site through a public consultation, which took
the planning application in
place in 2013. The consultation, led by the NHS, found: There is support for efforts to
November 2021.
• There was some concern about whether too much land was preserve the greenbelt and protect
being disposed of, and what this land would be used for A leaflet outlining the plans for trees but some concerns that the
the redevelopment was sent to use of volunteers to maintain the
• Overwhelming support for building a new health centre on 1,871 local residents asking for community garden may not be
the St George’s site for a range of integrated services including their views on the principle of the sustainable in practice.
primary care (95% of questionnaire respondents). design proposal, efforts to preserve
the greenbelt, creating a garden Of those that responded:
• Respondents felt it was important that local people should not
have to travel out of the borough for outpatient services and landscape and parking provision. 86%
believed the increasing and ageing population meant the need supported the new Health and
The majority of local residents strongly
for services would grow rather than reduce. Wellbeing Hub being located
support the Hub being created on
• 95% of respondents thought it was important to have diagnostic tests on the St George’s site and believe it is at the St George’s site
site (and 93% thought services for older people on site was important). greatly needed due to the increasing 81%
• The majority (55%) of respondents supported the preferred option of local population and demand on strongly support
existing local health services.
the facility having GP primary care services and a range of integrated
care services with no inpatient beds. The main reason given for not
5%
While there are concerns about the mildly support
supporting this option was that some people wanted beds on the size of the development there is
site, but there was no real agreement as to which of the consultation support for the current designs as 8%
options that included beds was most preferred. proposed in the planning application. objected.
7
WHY THE HEALTH AND WELLBEING HUB MAKES SENSE “The delivery of outpatient services co-located with other key services will integrate pathways for patients that require input from multiple teams. For example, provision of outpatient endocrinology services, alongside community podiatry, outpatient renal dialysis, GP services and community diabetes teams would deliver a wrap-around service for diabetic patients.” Dr Atul Aggarwal, Havering GP and Clinical Lead “Our aim remains to deliver an Integrated Hub that offers outpatient clinics, GP services and a joint team of health and social care professionals, as well as space for local voluntary and community groups.” Steve Rubery, Senior Responsible Officer for the St George’s redevelopment and Director of Performance and Planning (BHR) NEL CCG 8
There are three main reasons extensive landscaping will provide The annual cost of the Hub to • A flexible space that adapts
why we need an Integrated a relaxing environment for our the NHS, including the additional to the changing needs of the
Health and Wellbeing Hub that patients and visitors and support for services is between £1m and £1.5m population
brings a variety of services under people with memory loss. a year which the North East London • Reducing health inequalities.
one roof in the community. The building will be built to net zero Integrated Care System considers
good value for money, given the The Hub aims to bring together
Better patient care… carbon standards ensuring it does voluntary and public sector partners
The Hub will enable a range of minimum harm to the environment size of the space and the extent
of the improvement of services to creating opportunities to improve
services to operate from one and will be economical in use. wellbeing and will:
building, supporting the provision patients and residents.
…using taxpayers money wisely • Be designed and developed with
of more patient-centred integrated A new, economical-to-run building Benefits
care. Patients will be able to access local residents and partners and
with no backlog maintenance costs Patients using the space at the Hub tailored to meet local needs
more services at the same time, in a is good for taxpayers.
purpose-built, convenient location. would benefit from:
• Be centred on the user and not
Better management of patients’ • Easy access for patients of all the service
...in a high quality, flexible space… conditions in the community would
The Hub space will be flexible, so abilities
result in fewer emergency unplanned • Increase access to local services
different health and care services visits and admissions – which reduces • A ‘one-stop shop’ where service and support
will be able to be provided from the pressure on A&E, is better for users can access multiple services
same space, and used by different in one visit • Promote independence,
patients and reduces costs. not dependence.
organisations. Some weeks we • Better joint working between
might need more of one different parts of the NHS and
outpatient clinic, another social care and the voluntary
week we might need an extra sector
mental health session. The
9WHAT SERVICES ARE PROPOSED FOR THE HUB?
We have a clear clinical vision We are proposing that Renal services GP services
– to make the very best quality
• Some GP services within a 2-mile Kidney dialysis services provided to We are in discussion with a couple
care available to people living
radius of the Hub will relocate to local people at Queen’s Hospital are of our local GP practices regarding
in Havering and neighbouring
the new purpose-built space proposed to be moved to a new, their intention to relocate to the
areas. At the heart of our vision
• Renal dialysis will use the space improved space at the Hub. This is Hub; these are practices which
is keeping local people well
at the Hub instead of Queen’s a great opportunity to improve how are in buildings that are too small
and providing as much care as
Hospital. kidney dialysis services are delivered for the growing local population.
possible close to people’s homes.
A range of other services will use locally. Clinically, the service does not New fit-for-purpose facilities would
the brand-new space at the Hub need to be delivered from a major make your experience of going to
with some flexibility built in to meet hospital setting as it is nurse-led, the GP more pleasant; and the GP
the changing needs of our patients with consultants having oversight. practices would be able to offer a
and residents over the next few The Hub would be more accessible wider range of services between
years. These services include: and provide an improved healing them. In the coming months, these
community setting for patients who practices will look to engage with
• Frailty spend up to 12 hours each week for their registered patients to discuss
• Outpatient services months or years receiving treatment. the potential of the relocation.
• Early diagnostic services The new Hub would also provide
for cancer the space for training for self-dialysis
• Mental health services which means patients can dialyse at
the Hub or at home, if they are able
• Other services (Local to, without nursing supervision.
Authority adult and
children services,
wellbeing services,
voluntary sector services).
10Frailty services A community-based frailty service as Frailty services - benefits: The Hub will also provide an
part of the Hub would support the • Early assessments for frail older escalation of care facility. This is a
If a patient has complex needs
vulnerable older people in the local people to prevent hospital point of referral for deteriorating
arising from being an older person,
area and further enhance commu- admission patients who need urgent
the frailty service is for them. We
nity support for the over 75s. The assessment. People can then be
want to create a community-based • An anticipated reduction of
proportion of people with dementia provided with an appropriate
frailty service at the Hub that will almost one third of frail elderly
or frailty in Havering is significantly care package and able to return
support vulnerable and elderly admission to Queen’s hospital
higher compared to the London home, referred to social services,
patients. We anticipate also that the as a result of attending the hub
average, and there is a recognition or referred to hospital for specialist
frailty service based at the Hub will frailty service
that our services are over reliant support where this is necessary.
keep vulnerable and older people
on reactive hospital care for these • Delayed discharges can be We want to create a community-
out of A&E.
patients. Frailty is considered a reduced as the frailty service will based frailty service at the Hub that
The frailty service at the Hub has reversible condition, if captured provide capacity for follow-up is very easy to navigate for older
four key aims: and managed in the early stages. assessments and referral once people and their families and
1. Reduce attendances to hospital The longer older people stay in hos- a person is discharged from carers.
pital, the more likely they are to hospital
2. Support ageing well agenda deteriorate and lose functionality Crucially, we anticipate
and independence. • Direct access to diagnostics that the frailty service
3. Reduce re-admissions
such as X-rays, which can based at the Hub will
4. Reduce hospital So, we are proposing a wrap-around also be used by the wider meet the needs of
discharge delays. service for frail older people, with community if needed. vulnerable and older
emphasis on proactive care. At the people in a holistic
same time healthcare services in NEL way and therefore
are all coming under greater pressure reduce their interactions
as a result of an ageing population with A&E.
11
with growing demand for services.Outpatient services Outpatient services in Queen’s
Hospital are not always accessible
We will provide a range of
in a convenient location for the
outpatient services within the Hub,
patient. There are many clinics,
helping to meet the demand for
including dermatology, respiratory,
increased capacity, supporting the
gastroenterology, neurology and
development of integrated care
cardiology, that do not always need
pathways for complex conditions
the patient to travel to Queen’s
and improving patient experience
Hospital, so we are proposing to bring
by providing another point of access
services closer to the patient’s home
closer to home.
and freeing capacity in our hospital.
Space dedicated for outpatient
Outpatient services - benefits:
services will be multifunctional and
will be used flexibly by different • Care closer to home
specialties according to changes in • Improved access and
system demand. convenience
The Trust is currently developing • Improved co-ordination and
their clinical strategy, which will integration of care.
finalise how they will use the space
at the Hub and how they plan to Outpatient services to be delivered
use the space at Queen’s Hospital in the community will be determined
more flexibly. on the basis of need of the local
population, and this may change
12over time, facilitated by the flexible Early diagnostic services The Rapid diagnostics centres • Improve productivity and
use of consultation space. Delivery for cancer are the future of diagnostics. efficiency of diagnostics
of outpatient services co-located Urgent and planned diagnostics (redesigning clinical pathways
with the Frailty service and other We are proposing having infrastructure should be separated wherever where necessary)
community services could benefit for mobile CT and MRI scanners possible to increase efficiency. This
and a bespoke clinical space for a • Contribute to reducing health
integration of pathways for patients strategy is influencing the need for inequalities (meeting local need)
requiring input from multiple teams. Community Diagnostic Centre (CDC) increased diagnostic capacity in the
For example, community podiatry, so we can detect cancer sooner. community. Community Diagnostic • Support integration of care
outpatient renal dialysis, GPs and Provision of community-based Centres (CDC) should be established across primary, secondary and
community diabetes teams would diagnostics will support the away from acute hospital sites community care.
deliver a wrap-around service for integrated care activities proposed and kept as clear of COVID-19 as The added value of the
diabetic patients. as part of the Hub model and possible. provision of the infrastructure
provide rapid access to diagnostics. The Community Diagnostic Centre for mobile CT and MRI scanner
This will include ultrasound and local strategy identified a number means that the Hub could be
X-ray to support the Frailty services, of benefits that support increasing identified as a potential
as well as CT/MRI to support cancer diagnostics as part of the Hub Community Diagnostic Centre
diagnostics. model: for North East London.
There will be space for • Improve population health
two mobile scanners outcomes (earlier, faster,
(CT and MRI) and more accurate diagnosis)
this will mean more
patients can get a • Increase diagnostic capacity
scan sooner. (invest in new facilities,
equipment, training new staff)
13Integrated mental health We propose bringing these services The Hub space would be used Other services
and community services back to the location where they flexibly for:
Adult and children’s services
are best placed and most valued by • Memory clinic
Currently mental health and located at the Hub would be
patients and residents.
community services are in a variety • Falls service (aligning with the better placed to work alongside
of locations across Havering, so We would aim to have services that frailty Hub) community services supporting the
we want to locate some of them are for children, adults and older • Talking therapies most vulnerable and least mobile.
in the Hub to take that important adults ranging from community Wellbeing services would support
health to mental health. • Mental health wellbeing teams
step toward bringing community local people to manage their own
• Long term conditions nursing health and wellbeing and health
and mental health services together It would be a base for young people Hub (need to explore through and social care services could act
under one roof. NELFT delivered 0-19 years of age and community clinical discussions linkages with swiftly on referrals that would come
community health services from the paediatrics, so we would use the BHRUT outpatients in these areas) from being co-located with a range
former St George’s Hospital until space flexibly to provide:
its closure in 2013, when services • Adult physiotherapy Hub of services.
• Children’s therapy • Children and adolescent mental
were distributed to other buildings To provide feedback on our
nearby, out of the locality, and • Paediatric physiotherapy (PT) health services (CAMHS). proposals please see the
sometimes out of the borough. This • Occupational therapy (OT) And these services conveniently questionnaire at the end of this
resulted in patients having to travel located in the Hub, a one-stop-shop document.
longer than necessary to receive • Speech and language therapy for our older residents:
services and has created disjointed (SLT)
• Complex leg care
teams that are often scattered • Nutrition and dietetics (N&D).
across different sites. • Catheter care
• Foot clinic.
14CASE STUDY
How the Hub would help patients with complex needs
Memory clinic based at the Health and Wellbeing Hub
Jill has memory difficulties and scan. During this time, she will be
has been referred to the Hub asked some questions about her
for her care. A team of health memory difficulties as well as some
professionals are based here; more general questions about her
doctors, nurses, psychologists, background. She will also have the
occupational therapists and other chance to ask any questions she
healthcare practitioners. They have may have about memory problems
the right training and experience and her assessment.
to work with people with memory At the end of the assessment, the
difficulties. The team will provide clinician will explain the findings.
assessment, diagnosis and treatment In most cases, they will be able to
for Jill. They will also provide explain the cause of her memory
support for Jill’s family and link difficulties to Jill. If appropriate,
to other services, all located at they will also discuss her options for
the Hub. treatment and support available at
On the day of her appointment, Jill the Hub. In some cases, more tests
arrives at the Hub in the morning or investigations may be advised. If
and has a brain scan (CT or MRI). this is the case, the doctor would
Soon after she will see a memory discuss and agree a plan with Jill.
clinic consultant. Her appointment
may be completed over two parts,
depending on the time of her
15
QUESTIONNAIRE
We are asking local people to share their views on the new Health 1. Do you support the provision of these services at the
and Wellbeing Hub development in Hornchurch. Health and Wellbeing Hub?
The online survey is the quickest If you are responding in a personal
Service Strongly Mildly Neither Mildly Strongly
way to share your views capacity and you would like to be
support support support object object
www.surveymonkey.co.uk/r/WLNJRHL kept informed of our work then or object
please insert your name and address
on the questionnaire. GP services
If you are responding on behalf Your response (but not your
of an organisation or you are Frailty services
personal details) will be shared with
representative of service users/the decision-makers to enable them to Outpatient services
public e.g. an MP or Councillor, your consider your views fully.
response may be made available for Early diagnostic
public scrutiny. Whether or not you provide your
services for cancer
name and contact details, your
response will not be published but Kidney dialysis
unidentifiable quotes may be used
to illustrate comments made. Mental health services
Local authority adult
and children services
Wellbeing services
Voluntary sector
services
16To post, please cut along the dotted line and fold,
and then place in the reply paid envelope provided.
2. Do you have any other comments to explain your 3. Are there other services you think might be more
answers of why you support or object to any proposed appropriate at the Hub? Or do you have any other general
services? comments about the proposals?
Your name: Your address or organisation:
17
PERSONAL INFORMATION SECTION (OPTIONAL)
Please tell us a little about 1. To which gender identity 3. What is your ethnic
yourself (this section is NOT Asian / Asian British
do you most identify? group?
compulsory). Indian
The online survey is the quickest Male White
Pakistani
way to share your views Female White English / Welsh /
www.surveymonkey.co.uk/r/WLNJRHL Scottish / Northern Irish / Bangladeshi
Non-binary
British Chinese
Other Irish
If you wish to remain anonymous, Any other Asian
your views will still be taken into Prefer not to say Gypsy or Irish Traveller background
account, however we would be
grateful if you would fill in other Any other white Black / African / Caribbean /
data so that we can assess how 2. How old are you? background Black British
representative respondents are
Under 16 African Caribbean
and whether there are differences Mixed / multiple ethnic groups
to the answers given by different 16-25 Any other Black / African /
groups of people. White and Black Caribbean Caribbean background
26-40
We will keep your answers White and Black African
confidential. 41-65 Other ethnic group
White and Asian
66+ Arab
Other Mixed/multiple ethnic
Prefer not to say background Any other ethnic group
18To post, please cut along the dotted line and fold,
and then place in the reply paid envelope provided.
4. Which of the following 5. Which, if any, of the 6. Do you consider yourself Please return using prepaid
best describes how you following best describes to have a disability or envelope provided:
think of yourself? your religion? long-term health condition?
Heterosexual or straight No religion Yes
Gay or lesbian Buddhist No
Bisexual Hindu DAATTDTTDDTFAFDTFDTDFAFADFDDAFDDATDA
DAATTDTTDDTFAFDTFDTDFAFADFDDAFDDATDA
Freepost Plus RUCG–BXKR–GGYY
Freepost
North EastPlus RUCG–BXKR–GGYY
London NHS Foundation Trust
Other Jewish
North East London NHS Foundation Trust
CEME
Thank you for sharing your CEME Way
Marsh
Marsh Way
Rainham
Rainham
RM13 8GQ
views. Your feedback will help
RM13 8GQ
I would prefer not to say Muslim
to shape our exciting plans for a
Health and Wellbeing Hub. Or post or deliver to:
2021175_CS_Reply Paid envelope_Benjamin Tunstall_Building Survey v11.indd 1 17/11/2021 22:29:38
Sikh
The survey closes at midnight on North East London NHS
Christian
Sunday 13 February 2022. Foundation Trust,
(including Church of
CEME,
England, Catholic, We will be publishing a report on the Marsh Way,
Protestant, and other North East London CCG website: Rainham
Christian denominations) www.northeastlondonccg.nhs.uk RM13 8GQ
Other once we have considered all
comments we receive.
I would prefer not to say
19GLOSSARY AO CT JSNA NHSE/I Accountable Officer Computerised Tomography (scan) Joint Strategic Needs Assessment NHS England / Improvement A&E CVS LA NICE Accident and Emergency Council for Voluntary Service Local Authority National Institute for Clinical AC DHSC LMC Excellence Acute care Department of Health and Social Local Medical Committee NED BHR Care MRI Non-Executive Director Barking and Dagenham, Havering Diagnostics Magnetic resonance imaging (scan) OD and Redbridge Procedures to identify a condition or MDT Organisation Development BHRUT disease, e.g. X-ray, blood tests Multi-Disciplinary Teams PALS Barking, Havering and Redbridge GMC NHS Patient Advice and Liaison Service University Hospitals NHS Trust General Medical Council National Health Service PCN CQC GP NEL Primary Care Network. Care Quality Commission General Practitioner North East London CCG HWBB NELFT Clinical Commissioning Group Health and Wellbeing Boards North East London NHS Foundation CDC HR Trust Community Diagnostic Centre Human Resources NHS BSA CHD ICS NHS Business Services Coronary Heart Disease Integrated Care System 20
21
22
23
NELFT NHS Foundation Trust,
CEME Centre – West Wing,
Production date: November 2021
Marsh Way, Rainham, Review date: November 2023
Project code: 2021175
Essex RM13 8GQ. ©2021 NELFT NHS Foundation Trust
Tel: 0300 555 1200
www.nelft.nhs.ukYou can also read
