Organising hospital services


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Continue to improve, adapt and organise community and hospital services to achieve high quality standards for patients, based on latest clinical evidence and expertise.

Delivery date:

  • ongoing

To do this we will:

  • deliver more care and services in local communities, for example through new and existing community hubs
  • continue to bring specialist hospital teams together into larger units to provide rapid access to expert advice and treatment – like surgery and life-threatening injuries
  • make sure hospitals offer the range of care, services and treatment people need which can’t be provided by GPs or in local hubs
  • secure additional funding for GP, community and hospital buildings and facilities

It is better for people because:

  • they will receive the right expert advice, in the right place, at the right time
  • people can rely on high quality hospital services every time, to get them well and home more quickly
  • hospitals will concentrate more specialist teams, like surgery, to give people rapid access to expert care and a better experience
  • people can be confident rigorous checks will take place before and after any new NHS service starts, or an existing service is moved or changed.

It is better for the health and care system because:

  • expertise and resources are used more effectively, and hospitals will run more efficiently
  • buildings and facilities will be improved, to provide staff with a modern workplace able to get the most out of today’s technology and medicines
  • facilities and services will be designed around best practice, clinical evidence and results, not constrained by history or buildings.

Key facts:

  • recent changes to maternity services in NW London means there are more senior doctors and midwives on the ward 24/7 now to support new mothers
  • Professor Tim Brigg’s 2015 national review of orthopaedic services in England found surgeons who carry out low numbers of specific surgery resulted in poorer results for patients, increased rates of reinfection and patients spending more time in hospital
  • concentrating specialist stroke and major injury (trauma) care into fewer but larger hospitals units across London since 2010 has saved hundreds of lives.

Expected outcomes:

  • around £500m additional funding secured from national sources this year to invest in GP, community and hospital buildings and facilities in NW London
  • 27 community hubs fully operational by 2025/26
  • continued improvements to patient care, performance and affordability, in line with agreed NHS plan (link to SaHF) from 2013.