We are writing to you about our concerns over the reorganisation plans for local hospital care.
On Tuesday, the joint CCG Board meeting has as its main agenda item the ‘Future Fit Strategic Outline Case (SOC)’. There is an immediate problem here. This is not a Future Fit Strategic Outline Case.
A 27th April email from Simon Wright, Chief Executive of SaTH, to Shropshire Defend Our NHS confirms this. Mr Wright makes a clear distinction between SaTH’s Sustainable Services Programme and Future Fit, stating ‘The Board recognises that communication around the two aligned but separate programmes of sustainable Services and Future Fit has been confusing for the public and we are hoping to make this much clearer going forward’. Mr Wright clarifies the remit of the SOC, explaining ‘The SaTH Board is concerned with ensuring we have two healthy and vibrant hospitals’, and adding ‘On this basis the Board has approved the Sustainable Services Strategic Outline Case and the CCG will be asked to do the same’.
It could not be clearer. Mr Wright regards Sustainable Services and Future Fit as separate programmes. He believes the SOC is part of the Sustainable Services Programme, not part of Future Fit. This is Hospital Fit not Future Fit. This is not a whole system approach.
Will Community Fit can somehow haul things back, and identify the resources for new community and primary care models that will plug the gaps left by reductions in hospital care? No. The sole aim of Community Fit in the Terms of Reference approved by the two CCGs is: ‘… to deliver a sustainable, community based, health and social care system focussed on prevention and continuity of care, delivered by integrated teams of clinicians, through bespoke local solutions utilising their unique local asset base’. The focus is on using the resources and staff that are already there, the pre-existing ‘unique local asset base’, and not transferring resources.
The SOC is not about transformation of the healthcare system across Shropshire, Telford and Wrekin. This is about SaTH seeking to resolve its own financial and organisational issues in isolation, and seeking CCG support for this. If this approach continues, the implications for GPs, community NHS services and patients are profound and damaging. Continue reading →