Your Care, Your Views - Summary version February 2021 - West Hertfordshire ...
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Your Care,
Your Views
Summary version
February 2021
1
Your Care, Your Views
for illustrative purposes only
Our vision
T he course is set for a
transformational redesign
of health and hospital services
Hertfordshire at the Watford General
Hospital site (and adjacent land) and
to extensively redevelop and refurbish
nearest hospital is not always the best
site to meet your needs. But it will be
the best site it can be in terms of how
in west Hertfordshire. Hemel Hempstead Hospital and its services are grouped together to give
St Albans City Hospital. the highest clinical outcomes possible.
We have plans to provide services and
buildings which will improve the patient Our aim is to breathe new life into We are grateful to our busy clinical
experience and the quality and safety our hospitals, giving them all a unique staff who have shaped the proposals
of our care. purpose in our three-site network that are set out in this document.
and also within the wider framework There is also a more detailed version
This document summarises our of local health and care services. We as well as plenty of other information
new models of care; the reasons will co-locate services that work well on our website.
behind them and the benefits we together and minimise duplication
think they will bring. Our proposals across our sites where possible.
for new ways to deliver services are We really want to hear your
being developed alongside exciting It is important to read and understand views on our proposals and
plans for our three hospitals. the story of our services because we would be really grateful if,
believe that the quality and safety of once you have understood our
We are applying for funding to build your care should be our priority. The proposals, you could complete
a new general hospital for west result of our plans may mean that your our online survey.
The intention of this document is to generate discussion and assist in the ongoing development of our
proposals, so the information reflects our current thinking and may be subject to further change.
2
Your Care, Your Views
Contents
Hospitals in and around Hertfordshire 04
Time for a change 05
Starting with strategy / Words into action 06
Doing things differently 07
Digital transformation 08
Three’s company 09
Consolidate not duplicate 10
A better working life for staff 11
Services before sites 12
Harnessing the full power of diagnostics 14
Making our sites right 15
Travel and access issues 18
How you can get involved 19
Further reading 21
3
Your Care, Your Views
Aylesbury
Stoke Mandeville
Hospital
Buckinghamshire
A&E facilities
Bedfordshire No A&E facilities
Herts Valleys Clinical
Commissioning Group area
Luton Mi
Stevenage
Luton &
Lister Hospital County boundaries
Dunstable
University
Hospital
Aylesbury M1
Stoke Mandeville
Hertfordshire
Hospital
Hemel St Albans
Hempstead St Albans
Hemel Hempstead City Hospital
Buckinghamshire Hospital
Watford
A&E facilities Watford General Enfield
M25 Hospital Barnet Chase Farm Hospital
Barnet Hospital
Enfield
No A&E facilities Barnet
Camden
Herts Valleys Clinical
Commissioning Group area Harrow Hampstead
Middlesex Northwick Park Royal Free Hospital
Hospital
County boundaries
Uxbridge Greater
Hillingdon Hospital London
Hospitals in and
around Hertfordshire
We provide care from three hospitals, located within around 10 miles of
each other:- Hemel Hempstead Hospital, St Albans City Hospital and
Watford General Hospital. We also provide outpatient physiotherapy at
the West Herts Therapy Unit at Jacketts Field in Abbots Langley.
Some people in the area covered by Herts Valleys Clinical Commissioning
Group (HVCCG) use services provided by other hospitals in Hertfordshire,
Bedfordshire, Buckinghamshire and Greater London.
4
Your Care, Your Views
Time for a change
Y our hospital services are
changing dramatically.
Advances in technology, medical
We have succeeded in making our
case to the government for investment
and we are delighted to be in the ‘New
practice and our work with partner Hospital Programme’. Our preferred
organisations in the NHS and social option is for a new emergency care
care means that we must think hospital at the Watford site and for
differently about the hospitals redevelopment at our two other sites.
of the future, their services and We will hear more about our funding
buildings. later this year. Our website has lots of
detail on the business case process we
The need to come to hospital as an are following.
outpatient is decreasing as we offer
other ways to be ‘seen’, such as video Our new and refurbished buildings will
consultations or advice from a hospital be very different. We want to create
specialist provided to you by your GP. pleasant, healing environments which
The shift of services from hospitals are easy to find your way around and
into the community and the increased where the services fit logically together.
emphasis on patients being better
supported to manage their own care
means that we need to redesign our
services to reflect these changes and be
ready for new ways of working.
The proposed redesign of our services
across our three hospitals will go hand
in hand with plans to redevelop all
three sites.
5
Your Care, Your Views
Starting with strategy
Our proposals reflect:- Our clinical strategy sets out the
rationale for our plans and outlines
• our clinical strategy and our clinical them broadly, and the clinical brief
brief (both currently in draft) provides detail on a service-by-service
level including potential changes to
• our five year organisational strategy which of our hospitals the services
will be delivered from. The three
• the ‘Your Care, Your Future’ priorities in our strategy are:-
programme involving Hertfordshire
health organisations • integrating care with primary (ie care
from your GP) and community care
• Hertfordshire and West Essex (health visitors, for example)
Integrated Care System’s ‘
A Healthier Future’ strategy • personalising the care each patient
receives (reflecting patient’s wishes
• the NHS Long Term Plan. and individual health needs)
Links are provided in the • providing consistent, best
‘further reading’ section at practice care.
the end of this document.
Words into action
T o achieve these strategic aims,
we will:-
• create more ‘one stop’ clinics
where several steps of your
treatment (diagnostic test, a
• continue to move services off consultation based on the results
hospital sites and into local settings and a treatment plan) all happen
where it is clinically appropriate to on the same visit
do so
• redesign how our services work
• use technology, such as apps together and how they contribute
which transmit health data to our to each site having its own
clinical teams and a new integrated unique purpose.
electronic patient record, to improve
the safety and efficiency of our care
6
Your Care, Your Views
Doing things differently
T he promise of investment, the
advances in technology and the
positive changes we have made
• incorporate the latest designs and
best practice for infection control
• move to care models that mean
around 200,000 patients will no
longer have to travel in for an
recently are an excellent starting • embrace technology to store, outpatient appointment
point for considering how your transmit and monitor health data,
hospital services could look in the thereby reducing hospital visits • design buildings that promote
very near future. health and healing
• use robots and artificial intelligence
Below is a list of wide-ranging (AI) to streamline support services, • extend the service where hospital
improvements. We plan to:- such as linen deliveries and admin doctors support GPs with specialist
processes advice for patients (which can avoid
• develop new models of care for the need for a referral and speed
emergency services, endoscopy, • group services and staff together up treatment)
maternity and surgery (and more to enable better clinical outcomes,
in time) team working, training and • remove routine follow-up
absence cover appointments (where clinically
• provide new facilities for cancer appropriate) and give patients the
services • reduce duplication of services choice to request one depending
across sites which can affect on their recovery or if symptoms
• offer more ‘one stop’ clinics quality and efficiency or circumstances change.
• provide a vastly increased proportion • upgrade and expand diagnostic
of ensuite single rooms facilities at all three of our hospitals
7
Your Care, Your Views
Digital transformation
T he explosion of digital
technologies will significantly
increase efficiencies and improve
information (with permission) will lead
to more joined-up care and digitised
patient records will support online
High performing IT systems will boost
staff satisfaction and release more of
their time to care for patients.
the experience of our patients booking and boost the ability of
and staff. clinicians to ‘see’ patients remotely, via
their computer, phone or other device.
Easy-to-use apps and health monitoring
equipment can help patients manage Digital technology is taking care directly
their own conditions and technology into patients’ homes, proving that you
can also transmit health data from don’t need to come to hospital to get
patients in their own homes to our hospital care.
clinical teams looking after them.
Our feedback so far is that virtual
Implementing an electronic patient appointments are welcomed by many
record will bring major benefits to but we will offer alternatives for patients
how we manage your care within our who would prefer their healthcare to be
hospitals and also across other health delivered in more traditional ways, such as
and care providers. Sharing your face-to-face appointments or phone calls.
8
Your Care, Your Views
Three’s company
O ur proposals are based on
each of our three hospital
sites having a clear and valuable
purpose; to be different but to
work together and share the same
high standards.
The broad outline for our three
hospitals is:-
Watford General Hospital
emergency, specialist
and complex care
*St Albans City Hospital
planned surgical care,
planned cancer care and
an urgent care service
Hemel Hempstead Hospital
urgent and planned medical
care, long term conditions
*Our minor injuries unit at St Albans
City Hospital is temporarily closed due
to the pandemic. Engagement will take
place later this year about the urgent
care services that will be offered.
The plans for our three hospitals
reflect the NHS Long Term Plan which
recommends a clear separation
between urgent and emergency care
and planned care. And within planned
care, there will also be a greater
distinction between surgery and
medicine which will improve the way
our teams and hospitals function.
9
Your Care, Your Views
Consolidate not duplicate
T eams of staff from the same
and related areas of medicine
(which we call specialties) will be
In future, we expect there to be less
duplication, with a narrower range of
services provided at all three sites. These
grouped together and will have will include urgent care and outpatient
the right facilities to provide the appointments for antenatal and
best care. postnatal care, and audiology.
Consolidating staff and services will Your hospital appointment will
help us provide many more ‘one stop’ be at the site which is the best for
clinics where several steps of treatment your needs. This might not be the
are covered in one visit (such as a nearest site to you.
diagnostic procedure, a consultation
based on the result and a discussion More detail on what services will be at
about your treatment plan). which site or sites follows later in this
document at pages 15, 16 and 17.
There are considerable benefits in
terms of patient experience and staff
satisfaction from working this way
but will require us to reorganise our
staff and services across our sites. In
many cases the aim is to reduce the
number of our sites providing the same
specialty service from three to two, or
two to one. Not every site has every
speciality at present.
10Your Care, Your Views
A better working
life for staff
H aving teams stretched across
services delivered from all three
hospital sites can reduce training
two of the three hospitals) and so
build stronger teams with better
facilities and working environments.
opportunities for junior staff and This will boost job satisfaction and
limit effective team working. aid recruitment and retention.
There will also be comfortable and
Our proposals will allow specialty staff welcoming areas for our hard-
to work from fewer sites (in most cases working staff to rest and recuperate.
11Your Care, Your Views
Services before sites
O ur clinicians have been sharing
their ideas on how hospital
services could work better for you.
The size and layout of the new ED
(emergency department) will enable
clinicians to have easy oversight of
admitted, whilst also continuing to work
with GPs and other health professionals
to avoid hospital admission for this
The following information sets out patients, aided by new technology patient group wherever possible.
our plans for your care. Improving which means that their observation
your experience and the quality data is instantly available. This will Patients who no longer need specialist
and safety of our services is at the help to ensure that care is directed to care are not best served by remaining
heart of these proposals. patients with the greatest clinical need. with us because our staff and services
There will be assessment spaces and are geared up for people who are acutely
Emergency and diagnostic equipment so that specialist unwell. Our partners who commission
teams can work in our ED to provide and provide community-based beds are
specialist care care to the patient rather than moving increasing the range and type of care
We are applying for funding which the patient to another area to get all available to patients who are well enough
will enable us to deliver emergency the care they need. to leave hospital but need support or
and specialist care from the Watford rehabilitation in a healthcare setting.
General Hospital site. There is a Having the right staff, services, The main provider of adult community
strong view from clinicians that equipment and access to diagnostics health services in west Hertfordshire
patients requiring 24/7 consultant-led within 24 hours of admission is in (Central London Community Healthcare
emergency care should be seen on a line with the NHS Plan’s ‘same day NHS Trust) will be engaging on plans
specialised care site. This provides the emergency care’ approach. to support people following a hospital
safest and most effective solution, with stay later this year and this may include
access to the full range of specialist Our new ED will cater for the increasing reviewing the inpatient beds at Hemel
expertise and equipment. ratio of frail elderly patients who are Hempstead Hospital.
12Your Care, Your Views
Women’s and clinical fit on a cancer site where there more than half a million outpatient
children’s services will also be comprehensive diagnostics attendances. And around 200,000 of
and cancer care and support services, those were for medical care.
Most women’s and children’s services such as a cancer information centre.
(inpatient care and births) will be at The new location will be a much The opportunity to invest in the Hemel
Watford General Hospital where they better environment for patients. Hempstead site, the increase in the
will be close to theatres, assessment 70+ population and a new approach
facilities, diagnostics and the ED. This Some cancer care will be provided (nationally and internationally) to
will reduce transfer time between from all three sites, but St Albans will planned medical care present the
departments and allow clinical teams be the main cancer diagnostics, care perfect backdrop for our changes.
to be based together. We will continue and support base. This will help us
to provide antenatal, postnatal and co-ordinate care better and reduce We plan to bring clinicians from
outpatient care in all three hospitals the number of hospital visits for different medical specialties together
and planned gynaecology surgery at patients who have been referred and provide new diagnostic facilities
St Albans. with suspected cancer. and the latest technology so that
we can give first class care to a large
Expectant mothers and their birth Surgery for children and higher risk and growing group of patients. This
partners will benefit from individual or highly complex surgery will be approach will improve teamworking
rooms that are equipped to support provided at Watford, where there and efficiency as well as provide
them at all stages of their labour. is access to critical care if required. easy access to an experienced physician
Delivery suites, in line with the very Purpose-built spaces called ‘medirooms’ when a review or second opinion
latest building standards, will provide will allow patients (at the Watford site) is required.
spacious ensuite facilities. to have an individual room for both
pre and post-operative care on the Our intention is to make the hospital
Children who need inpatient care day of their surgery. a calm and healing environment, for
will be cared for in purpose-designed it to be easy to find your way around
single rooms with improved facilities St Albans City Hospital has been our and for the services to use a ‘one stop’
for their carers, and there will be new Covid-free site where we have been approach.
outpatient facilities too. able to continue some services whilst
our main site at Watford has been Our care will be consultant-led,
caring for large numbers of Covid-19 supported by other clinicians with
patients. The advantages of separating specialist expertise in medical care and
Planned surgery and cancer planned and emergency care have long term conditions. Our patients will
been brought into sharp focus in be at the centre of a network of health
We plan to expand the volume and 2020 and 2021. and social care professionals and there
range of surgery provided at St Albans will be a shared ethos around patients
City Hospital. We will increase the remaining as well as possible in their
theatre and procedure room capacity, own homes without the need for an
provide enhanced post-surgical Planned medical care emergency hospital admission.
recovery care and extend the range of
diagnostic facilities. These improvements, Our vision is for Hemel Hempstead There will be a strong ‘multidisciplinary’
combined with a stronger consultant Hospital to be a centre of excellence approach and our digitised patient
surgeon presence and more specialist for people from across west records will aid closer working with
staff located together, will enable St Hertfordshire who have long term other parts of the health service
Albans City Hospital to develop into a and/or multiple conditions and need through the sharing of health data
comprehensive planned surgery and care on an outpatient basis. (with permission), including customised
cancer centre for patients across west electronic health records for chronically
Hertfordshire. Many tens of thousands of patients ill patients.
every year will benefit from the
Emergency endoscopy (insertion of a transformation in how this site works. Conditions catered for at Hemel
long, thin tube via the mouth or anus to Hempstead Hospital will include:
investigate tissue or organs) will continue Most people’s experience of our general medicine, older peoples’
to be provided at Watford. Our planned hospital care is through planned services, cardiology, dermatology,
endoscopy service at Hemel Hempstead, appointments. In 2019/20 there were diabetes and endocrinology,
which is in a cramped environment, around 150,000 attendances at our rheumatology, respiratory and many,
will move to St Albans, along with urgent and emergency care services many more. A full list can be found in
cystoscopy. These services are a better across our three sites compared to the longer version of this document.
13Your Care, Your Views
Harnessing the full
power of diagnostics
O ur proposals recognise
that great hospital care has
diagnostics at its heart. We plan
We are aiming to create a new rapid
diagnostics centre at St Albans City
Hospital, offering MRI, CT and other
At Watford, which will be our emergency
care site, we will be updating and
expanding the diagnostic services to
to increase the speed with which diagnostics including endoscopy and best provide rapid and accurate
staff make diagnoses for patients nuclear medicine (a medical imaging diagnoses for our most unwell patients.
by investing in equipment across and treatment specialty using a
our three hospitals. gamma camera). This will provide Hemel Hempstead Hospital will have
extensive support to all patients, plain film x-rays, MRI, CT, ultrasound
A fast and accurate diagnosis can especially cancer patients, and and DEXA scanning (bone density
answer questions about symptoms, underlines the rationale of St Albans test) diagnostic facilities to support its
alleviate anxiety and determine the being our planned surgery and role as our base for planned medical
best course of treatment. cancer site. care services.
14Your Care, Your Views
Making our sites right
W e have set out the rationale
for the way we want to
reorganise our services and we
have described how we will group
specialty staff together to increase
quality and efficiency and reduce
duplication. The information set out
below is to help you understand
which services will go where. The
longer version of this document
gives more detail on any change
from site to site.
To be provided at the Watford
General Hospital site ... • women’s and children’s services (high • a lower environmental impact from
risk and low risk maternity, neonatal using greener power, heat and light
• a well-designed and technology- care, children’s inpatient care and and by using materials with a lower
enabled building for your healthcare surgery and emergency and specialist carbon emission count
services gynaecology)
• the ability to accommodate services
• extended and improved emergency • a wide range of outpatient and clinical from Mount Vernon Cancer Centre
and specialist care services support services if required
• an urgent treatment centre • new specialist services (such as
inpatient neurology, inpatient
• a larger emergency department chemotherapy and some additional We understand that news
with assessment areas cardiology) so that local people will no of construction at Watford
longer need to travel outside of west might make you worry about
• an acute inpatient admissions service Hertfordshire for care disruption but please bear in
mind that we are not rebuilding
• high risk surgery • a multi-storey car park (which removes on the same footprint as
the need to walk up/down the steep our current buildings. The
• critical care hill on this site and has pay-on-exit construction is taking place
technology) on land next to the current
• a fracture clinic next to the buildings. Also, in line with the
emergency department • reworked car and public transport other frontrunners in the New
access routes and drop off points Hospital Programme, we will
• complex diagnostics be using ‘modern methods of
• a vastly improved working construction’ which means that
• multidisciplinary meeting spaces environment for staff, with better many components of our new
so that staff from different specialties areas for rest and recuperation building will be made off-site.
can work together for the benefit This reduces the amount of on-
of our patients • landscaped green spaces, coffee site building work.
shops, restaurants and leisure facilities.
15Your Care,
care, your
Your views
Views
St Albans City Hospital will… • become the location for a new • benefit from enhanced technology
endoscopy unit to support cancer
• have a new and unique purpose as care and other specialties • provide improved facilities for breast
the site for specialist planned surgical care services
care and cancer services for people in • offer gastroenterology and associated
west Hertfordshire hepatology services • provide spaces for multidisciplinary
meetings so that staff from different
• broaden its range and volume of • provide urgent care services specialties can work together for the
surgery (including surgery that was (a review will take place in Spring benefit of our patients
previously provided at Watford) 2021 to establish the exact type
and level of services) • offer refurbished recovery areas
• provide better and faster diagnosis following surgery
following a significant upgrade to its • be the location for an increasing
MRI and CT provision number of ‘one stop’ clinics • provide wheelchair access for
audiology (not previously available
• offer nuclear medicine (a medical • offer cancer-related support services at this site)
imaging and treatment specialty and an information centre
using a gamma camera) – moved • remain as our ‘clean’ hospital; ie a
to this site as it sits better with • undergo a complete replacement of site we can protect from infectious
cancer care theatre and procedure room facilities disease outbreaks and where we
can continue to provide services
• offer pre and post-surgery whilst our main site provides care
appointments to patients with infections, such as
Covid-19.
16Your Care, Your Views
Hemel Hempstead Hospital will… • be the location for an increasing “In creating a base for planned
number of ‘one stop’ clinics medical care at Hemel Hempstead
• have a new and unique purpose Hospital, our patients can see a
as the site for specialist planned • offer health and wellbeing support range of clinicians all under one
medical care site for people in for a wide range of long term roof. Great hospital care doesn’t
west Hertfordshire conditions just happen on emergency sites or
on busy wards – it can be in a calm
• provide urgent care services • provide spaces for multidisciplinary
environment where everything the
meetings so that staff from different
patient needs has been thought
• broaden its range and volume of care medical specialties can work
for people with long term conditions together for the benefit of our through and is close at hand.”
patients Dr Sundeept Bhalara
• become our site for specialist
diabetes and rheumatology • become a model for how planned Consultant rheumatologist and
care can be delivered from a clinical director for specialties
• benefit from enhanced technology multi-specialty site, embracing medicine
the latest best practice
• expand outpatient services for
paediatrics, respiratory, cardiology • provide a calm and supportive
and dermatology environment where services are
logically grouped together and
• provide better and faster diagnosis, where there is an ethos of keeping
with MRI, CT and DEXA scanners people as well as possible in their
own homes.
• offer refurbished outpatient facilities
17Your Care, Your Views
Travel and access
W e know that access and
travel are commonly cited
concerns associated with hospital
our hospitals. And we will improve
parking on all three sites.
the many improvements we plan
to put in place.
care in west Hertfordshire. We are We understand that the relocation We will be setting up a travel and
committed to addressing this as our of some of our services may mean access reference group, and will
plans progress. As well as reducing that some people will need to travel conduct indicative travel impact analysis
the need for people to visit our further than they do now. However, for several of our key service areas.
hospitals sites through adopting some people will travel less far and The outcome of this analysis will be
new models of care, we will work hopefully all of our patients will make available for consideration alongside the
with local authority partners to find less frequent journeys as a result of engagement feedback later this year.
ways to make it easier to get to
18Your Care, Your Views
How you can
get involved
W e want to enable feedback
from our staff, patients,
carers, stakeholders and other Take part in our survey
members of our local community
to be considered as part of our This survey asks for your views on our draft clinical strategy, draft
decision-making. We are therefore clinical brief, and our proposed three site model.
planning a two phase engagement
programme. The first phase will run It would be helpful if you could read this document fully (or the fuller version here)
until 24 March 2021. before completing the survey. The closing date for the survey is midnight on 24
March 2021.
We will review and analyse feedback at
the end of each phase of engagement
to ensure that any conflicting
suggestions can be considered
together. We have arranged for the Attend online meetings and events
feedback from this first phase of
engagement to be independently We will be running an extensive community engagement programme
analysed to help us consider the so that you can learn more about our proposals, ask questions, hear
feedback as we develop more specific from a wide range of people including patients, carers, community and voluntary
plans. We will share the independent groups, in dialogue with healthcare organisations, professional partners, and our
analysis, our response and updated managers and staff. There will be opportunities to learn about the many aspects of
proposals through a second phase our redevelopment programme including design and planning.
of engagement in mid-May. This will
Among the planned events, we will hold dedicated events for specific service areas:
enable us to test our proposals in more
detail and get further feedback from • diagnostics - endoscopy, DEXA bone scanning and nuclear medicine
our community and stakeholders. • medicine
• surgery
We will address feedback from the
formal engagement through a response Please also visit our website as we will continue to update it with additional content,
document and during any follow-up such as interviews with key staff and bitesize presentations on key topics.
engagement activities, rather than
responding to individual responses
while the formal engagement is taking
place. We will, however, monitor
feedback as it comes in and will clarify
any frequently asked questions or
Join our stakeholder reference group
common misunderstandings on our
dedicated website pages. We’ve already set up a stakeholder reference group (SRG) involving
patients, carers, community and voluntary groups in thinking about
our emerging ideas. New members are always welcome. If you would like
to join this group, please visit our website.
19Your Care, Your Views
Join our travel and access group
We are setting up a travel and access reference group to make sure
that transport and other access issues are fully considered as we
develop our plans. We very much want patients, carers and community groups
to be represented on this group, working alongside transport planners from
local councils, public transport providers and East of England Ambulance Service.
You can sign up to join this group on our website here.
Get involved in the design and planning process
There will also be opportunities for community engagement as part of
the building design and planning process. Running in parallel with the engagement
work outlined in this document, our architects BDP will be inviting members of the
local community to have their say on the design and access proposals which are
being created as part of the planning application process.
The next steps
Thank you for reading this and thank you again if you have completed
the survey! We are grateful to everyone who has taken part in our
various engagement activities over the past five years.
We look forward to hearing more from those we have already
engaged with and we also hope to reach new audiences who haven’t
yet had their say on the future of health services in west Hertfordshire.
The next milestone is to review the shortlisted options in more depth
to identify the final preferred option (the one that provides the best
overall balance of benefits and costs) which we will take forward to
the next stage – full business case. We expect to make this decision
this summer and then submit our proposal for approval from NHS
England, the Department of Health and Social Care (DHSC) and by Her
Majesty’s Treasury.
We expect to hear if all the funding we have applied for has been
approved by the end of 2021 or early 2022. It is possible that the
impact of the current pandemic may lead to movement in some of
these timescales.
20Your Care, Your Views
Further reading
Press releases
Trust thrilled by hospital funding announcement Naxton report – WHHT and HVCCG response
https://www.westhertshospitals.nhs.uk/ https://www.westhertshospitals.nhs.uk/about/redevelopment/
newsandmedia/mediareleases/2019/september/ documents/Naxton%20report%20-%20%20WHHT%20
hospitalfundingannouncement.asp and%20HVCCG%20response%2028%20Jan%202021.pdf
Ambitious plans agreed to transform FAQs
hospital sites in west Herts https://www.westhertshospitals.nhs.uk/about/redevelopment/faq.
https://www.westhertshospitals.nhs.uk/ asp
newsandmedia/mediareleases/2020/October/
ambitiousplanagreedtotransformhospitalsites.asp
Reports
Another honour for first in
country virtual Covid-19 hospital West Herts Hospitals NHS Trust 2020-25 strategy
https://www.westhertshospitals.nhs.uk/newsandmedia/ https://www.westhertshospitals.nhs.uk/about/documents/Our_
mediareleases/2021/january/virtual_hospital.asp strategy_A4_brochure.pdf
Architect-led design team appointed HVCCG ‘Your Care, Your Future’ programme
for hospital redevelopment https://hertsvalleysccg.nhs.uk/application/files/6115/3616/0076/
https://www.westhertshospitals.nhs.uk/newsandmedia/ Case_for_Change_Summer_2015_FV.pdf
mediareleases/2020/november/architect-led_design_for_
hospital_redevelopment.asp Hertfordshire and West Essex Integrated Care System’s
‘A Healthier Future’ strategy
https://hertsvalleysccg.nhs.uk/application/files/6015/5362/0648/
Redevelopment HWE_Integrated_Strategy__Executive_Slide_deck.pdf
The future of hospital services in west Hertfordshire
strategic outline case NHS Long Term Plan
https://www.westhertshospitals.nhs.uk/about/SOC%20 https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/
Future%20of%20Healthcare%20Services%20in%20 nhs-long-term-plan-version-1.2.pdf
west%20Herts%20FINAL.pdf
NHS Five Year Forward View
West Hertfordshire Hospitals NHS Trust - Site https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-
Feasibility Study web.pdf
https://www.westhertshospitals.nhs.uk/about/
redevelopment/documents/WHHT%20Site%20 Health infrastructure plan
Feasibility%20Report%20-%20210820%20-%20final.pdf https://assets.publishing.service.gov.uk/government/uploads/
system/uploads/attachment_data/file/835657/health-
Engagement document on the proposed shortlist infrastructure-plan.pdf
https://www.westhertshospitals.nhs.uk/about/
redevelopment/documents/Working%20together%20 Clinical brief
September%202020%20v6.pdf https://www.westhertshospitals.nhs.uk/about/redevelopment/
documents/Clinical%20brief%20final.pdf
Design principles
https://www.westhertshospitals.nhs.uk/about/ Clinical strategy
redevelopment/documents/Design%20principles_ https://www.westhertshospitals.nhs.uk/about/redevelopment/
hospital%20%20redevelopment%20final.pdf documents/Clinical%20strategy%20final%20version.pdf
21If you’d like to get in touch about
this document, please contact the
trust’s communications team on
01923 436280 or email:
westherts.redevelopment@nhs.net
Find us online @WestHertsNHS
www.westhertshospitals.nhs.uk
Some images used in this document were taken
before the Covid-19 pandemic
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