The Developing Local Heath Service
Despite the Epsom and St Helier Trust Board meeting deluding themselves after £26 million cuts that they will have the money to develop colocated services at the Royal Marsden (presumably their managers keeping repeating this mantra to some of their consultants to keep them happy) in the meantime other areas of health and social care are getting on with providing new services:
1. The Terms of Reference for the SW London Hospital Review is now PCT led (see earlier post).
2. Page 34 of the Sutton Council Strategy Committee agenda refers to the new intermediate care service at Carshalton War Memorial site.
3. Page 38 of the Strategy Committee agenda refers to a Local Care Hospital (see earlier posting).
Hopefully a cheaper option of rebuilding St Helier over a 10 year period will be adopted at some stage. This is a much more realistic approach at present and would secure stong local support.
Unfortunately, elements within the Trust will still want to achieve its 1992 Strategy. In the current financial climate they will not be able to follow the previous plan. Thus reading between the lines watch out for a longer -term approach that includes:
1. A possible merger between the Epsom and St Helier Trust and St Georges in the longer run.
2. The Royal Marsden leading on a new CCH on the Sutton site. This will be backed by St Georges who want to move the St Helier A&E away from themselves. The fact they are now on the review steering group shows their active interest in this strategy.
The disadvantages to Sutton are that the CCH will be rather small and will be much more aimed at very high level cases. The Royal Marsden being a regionally specialist Foundation will hardly see itself as the locally accountable Trust. Epsom and St Helier Trust, if it survives, will be more of a land mananager of a number of sites such as Epsom and St Helier with minor injury units, mental health and intermediate care on them.
Sutton's Health Scrutiny Committee should look at these aspects rather than assume that the old BHCH is going to be followed through.
1. The Terms of Reference for the SW London Hospital Review is now PCT led (see earlier post).
2. Page 34 of the Sutton Council Strategy Committee agenda refers to the new intermediate care service at Carshalton War Memorial site.
3. Page 38 of the Strategy Committee agenda refers to a Local Care Hospital (see earlier posting).
Hopefully a cheaper option of rebuilding St Helier over a 10 year period will be adopted at some stage. This is a much more realistic approach at present and would secure stong local support.
Unfortunately, elements within the Trust will still want to achieve its 1992 Strategy. In the current financial climate they will not be able to follow the previous plan. Thus reading between the lines watch out for a longer -term approach that includes:
1. A possible merger between the Epsom and St Helier Trust and St Georges in the longer run.
2. The Royal Marsden leading on a new CCH on the Sutton site. This will be backed by St Georges who want to move the St Helier A&E away from themselves. The fact they are now on the review steering group shows their active interest in this strategy.
The disadvantages to Sutton are that the CCH will be rather small and will be much more aimed at very high level cases. The Royal Marsden being a regionally specialist Foundation will hardly see itself as the locally accountable Trust. Epsom and St Helier Trust, if it survives, will be more of a land mananager of a number of sites such as Epsom and St Helier with minor injury units, mental health and intermediate care on them.
Sutton's Health Scrutiny Committee should look at these aspects rather than assume that the old BHCH is going to be followed through.
posted by Charlie Mansell at 5:16 pm
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