Healthcare changes across Barnet, Enfield and Haringey Purpose: To provide an update on the changes that will be implemented across Barnet, Enfield and Haringey from autumn 2013 Audience: Barnet HWB Date: 4 October 2012
BEH Clinical Strategy links with Primary Care and Community Services The BEH Clinical Strategy is part of a whole system improvement process that is aimed at improving quality of care delivered in North Central London. Barnet Implementation Plan Barnet Hospital Enfield Implementation Chase Farm Hospital Plan North Middlesex University Hospital Haringey Implementation Plan w w w .ncl.nhs.uk 2
Clinical service changes across BEH • The Barnet, Enfield and Haringey (BEH) Clinical Strategy Programme is responsible for delivering the changes agreed in 2007, to provide safer, closer, better healthcare for the populations of Barnet, Enfield and Haringey. • Over the next 18 months there will be: • expansion and redevelopment of emergency services at Barnet Hospital and North Middlesex University Hospital (NMUH) • expansion and redevelopment of maternity and neonatal services at Barnet and NMUH development of urgent care services at Chase Farm Hospital, including assessment • centres for children and older people • expansion and redevelopment of planned surgery at Chase Farm Hospital • improvements to local primary care and community services w w w .ncl.nhs.uk 3
The changes include: • Delivering improved hospital services for the local population… • Develop urgent care • Transfer maternity, paediatrics and emergency services off site • Expand and redevelop women’s • Expand planned surgery and children’s services • Expand emergency capacity • Expand and redevelop women’s and children’s services • Additional emergency admissions beds … as well as improved primary care and community services across the three boroughs. w w w .ncl.nhs.uk 4
Where services will be in the future Once Option 1 has been implemented the following services will be available: North Middlesex Chase Farm Hospital Barnet Hospital Hospital Accident and Emergency Yes and Urgent Care Yes and Urgent Care Urgent Care Centre with GP service Centre Centre Minor illness/injury Emergency activity Yes Yes only Intensive Therapy Unit No Yes Yes Routine inpatient surgery Yes No Some Future decision Yes Yes Full maternity services regarding midwife ‐ led unit Paediatric Assessment Full paediatric services Yes Yes Unit Day surgery Yes Yes Yes Outpatients Yes Yes Yes Diagnostic services Yes Yes Yes Key: Service change Increased capacity 5
Barnet and Chase Farm In April 2012 NHS London approved the BCF Outline Business Case(OBC) for capital investment: Barnet Hospital: £17.4m Chase Farm Hospital: £11.8m Relocation of Genito ‐ Urinary Medicine for Develop existing A&E into Urgent Care • • ward use Centre (including paediatric UCC and Paediatric Assessment Unit) • Develop A&E to include sufficient resuscitation and paediatric facilities Creation of Older People’s Assessment Unit • within Highlands Wing • Develop an Urgent Care Centre • Consolidation of beds onto Highlands Wing • Expansion of ITU/HDU capacity • Refurbishment of maternity building for • Increase in single room accommodation outpatients Additional CT scanner • • Conversion of ITU/HDU to an enhanced • Changes to paediatric in ‐ and out ‐ patient recovery area areas Remodelling of women’s outpatients • • New and remodelled maternity and neonatal facilities • Additional car parking w w w .ncl.nhs.uk 6
Barnet Hospital Layout Post BEH Clinical Strategy Paeds Maternity Unit ED/PAU /AAU OPD NNU Surgical ward HDU MDTU/ 2 storey MLU / OLU Colposcopy
Chase Farm Hospital Layout Post BEH Clinical Strategy w w w .ncl.nhs.uk 8
North Middlesex University Hospital In April 2012 NHS London approved the NMUH Outline Business Case for capital investment: North Middlesex University Hospital: £80m • Reconfiguration and expansion of women’s & children’s services, including: additional paediatric, maternity and neonatal beds • • triage and related assessment facilities • a new midwife ‐ led maternity unit and expansion of consultant ‐ led birthing centre including 2 new theatres. Expansion and improvement of outpatient facilities for women’s services • • Expansion of general and acute bed capacity to cater for the increase in emergency inpatients An improvement of both clinical and functional adjacencies to allow the new service to • be delivered efficiently • Provision of sufficient administration space • Additional car parking w w w .ncl.nhs.uk 9
The next three months Detailed plans are being drawn up across the programme to support the Full Business Case (FBC) and provide clarity on tasks to deliver the changes September October November Finalise borough plans Implementing borough primary care plans and associated investments GP IT systems improvements rollout Primary care Productive General Practice Patient information and education – models rolled out Agreement of specification Operational planning for the PAU, UCC and OPAU and tariffs for UCC, PAU and OPAU Urgent care Operational planning for Urgent Care Centre at Barnet Hospital Model staffing requirements based on activity Clinical Activity assumptions agreed Clinical Cabinet workstreams Operational policies Develop clinical pathways FBC Approved by NHS London Full Business Case submitted Barnet and Chase Farm GUM clinic moved to Wellhouse Lane Building enabling works – preparing the site FBC Approved by Department of Health OBC considered by Department of Health & Treasury & Treasury North Full Business Case submitted FBC with NHS London Middlesex Building enabling works – preparing the site Agree high level principles of transfer across Trusts Workforce Model future staffing requirements Discussions with Medical Training Deaneries Communications and Engagement (internal and external stakeholders) 10 Strategy and Implementation plan for Travel
Finchley Memorial Hospital & Edgware Community Hospital - Will significant increase the community capacity and will support the shift of acute care and the implementation of the BEH Clinical Strategy Finchley Memorial Hospital Edgware Community Hospital BEH Clinical Strategy • Hospital outpatients •Hospital outpatients • Avoid hospital admissions •Diagnostics • Diagnostics •Day Surgery • X-rays and Ultrasounds Primary Care • Walk in centre • Walk in centre • Pharmacy • Pharmacy • GP Practices Integrated Care • All providers work together • All providers work together • Beds for rehabilitation • Beds for rehabilitation • Musculoskeletal services Edgware Community Hospital Finchley Memorial Hospital Opening September 2012 w w w .ncl.nhs.uk 11
Edgware Community Hospital Edgware Community Hospital w w w .ncl.nhs.uk 12
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