Decision details

Local CCGs, NHS England, Barts Health and other local providers have established a clinical transformation programme called Transforming Health, Changing Lives in east London, which will bring together the existing Clinical Commissioning Group Integrated Care Programmes with a new ‘sister “Improving Hospital Care” work-stream.  This work will establish the appropriate foundations for a longer term joint transformation programme to bring forward whole system, health economy-wide improvements in the clinical and financial viability of local services in East London.

The Board will be briefed on this programme and have the chance to comment on the case for change and the local implications of any proposed re-configuration of services before the programme moves to its next stage.

The Board commented:

(i)  Only some of East London is included, as for some of the sections / services in the report LBBD are not included or only part of LBBD is included. 

(ii)  References to the safeguarding needs and practices, following the Francis report, need to be more pronounced.

(iii)  Concerns were raised around the accessibility and quality of transport links for residents of LBBD when travelling to clinics or visiting patients. 

(iv)  Sue to the lack of parking around, St Bartholomew’s, The Royal London, Homerton and London Chest hospitals, more patients would require ambulance transport, as patients own transport would not be feasible.  The journey times for LBBD residents would be longer.  This would have resource implications for the Ambulance services.

(v)  The document seems to be a stand alone NHS document, which does not seem to equate with the drive for integration under the Care Act, Department of Health Policy and the Barker Commission report, which had been published last week. 

(vi)  There needs to be recognition that a ‘one size fits all’ approach is not appropriate and that what may be suitable for a neighbouring borough or even borough of similar make up does not always work in LBBD.

(vii)  The need to ensure parity of treatment and funding to achieve a holistic approach to mental and physical heath.

(viii)  In regards to the £400m savings it should be reworded to reflect improved quality and productivity savings.   

(ix)  There needs to be more data and analysis to back up the statements in the report. A number of broad brush statements were being made but they are not being expanded to deal with peoples experience, for example young people’s experience of the health service is not good.