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Waverley Borough Council Committee System - Committee Document

Meeting of the Executive held on 07/12/2004

MILFORD HOSPITAL - CONSULTATION BY GUILDFORD AND
WAVERLEY PRIMARY CARE TRUST



Summary & Purpose
This report, which has already been considered by the Community Overview and Scrutiny Committee, informs Executive Members of the consultation being undertaken by the Guildford and Waverley Primary Care Trust on the re-provision of specialist rehabilitation services currently based at Milford Hospital and on the closure of Milford Hospital.

Quality of Life Implications
Natural Resource Use
Pollution Prevention and Control
Biodiversity and Nature
Local Environment
Social Inclusion
Safe Communities
Local Economy
Natural
Resource Use
Pollution
Prevention and Control
Biodiversity
and Nature
Local
Environment
Social
Inclusion
Safe, Healthy
and Active
Communities
Local
Economy
N/A
N/A
N/A
Positive
Positive
Positive
N/A


APPENDIX F
WAVERLEY BOROUGH COUNCIL

EXECUTIVE - 7TH DECEMBER 2004

REFERENCE FROM COMMUNITY OVERVIEW AND SCRUTINY COMMITTEE
_________________________________________________________________________
Title:
MILFORD HOSPITAL - CONSULTATION BY GUILDFORD AND
WAVERLEY PRIMARY CARE TRUST
[Wards Affected: All]
_________________________________________________________________________
Summary and purpose:

This report, which has already been considered by the Community Overview and Scrutiny Committee, informs Executive Members of the consultation being undertaken by the Guildford and Waverley Primary Care Trust on the re-provision of specialist rehabilitation services currently based at Milford Hospital and on the closure of Milford Hospital.
_________________________________________________________________________
Quality of life implications – social, environmental & economic (sustainable development):

Natural Resource Use
Pollution Prevention and Control
Biodiversity and Nature
Local Environment
Social Inclusion
Safe, Healthy and Active Communities
Local Economy
N/A
N/A
N/A
Positive
Positive
Positive
N/A

E-Government implications:

There are no E-Government implications for Waverley Borough Council.

Resource and legal implications:

There are no resource implications for Waverley Borough Council.
_________________________________________________________________________

Background

1. Guildford and Waverley Primary Care Trust (GWPCT) is the lead planner for the local health and social care community and provides and pays for healthcare services to meet the needs of the local population.

2. The PCT, established in 2002, is reviewing its services to meet the modern health needs of the community, taking into account the way people live and work and advances in medical technology.


3. As a result of ongoing medical advances and improved treatment of chronic diseases and in response to people’s expectations about the way they receive services, there has been a steady shift from bed-based care towards home and community-based health and social care. The level of bed occupancy in some local hospitals is falling and delayed discharges have been reduced considerably in the last two years.

4. Hospital care for Waverley residents is provided in a variety of locations across the Guildford and Waverley area. Comprehensive hospital care is accessed at the Royal Surrey County Hospital (RSCH), local Community Hospitals are located at Haslemere and Cranleigh while the new facility at the Farnham Hospital and Centre for Health provides a range of healthcare services including specialist rehabilitation. Milford hospital currently hosts specialist rehabilitation services for elderly patients.

5. Guildford and Waverley PCT is in a difficult financial position and needs to make best possible use of its resources in the future. The PCT considers that by consolidating resources, funds can be saved and redistributed where they are most needed and services can be provided where there are new and improved facilities.

Milford Hospital

6. The Milford Hospital site is made up of several elements:
7. The PCT states that Milford Hospital does not provide Community Hospital services for local people.

8. The PCT believes that the hospital is not easy to get to, there are security issues at the site and with the future redevelopment of the surrounding land, the hospital will be unable to offer the tranquil environment for which it is valued.

9. The specialist rehabilitation services can be provided in the other local hospitals where there is spare capacity and where there is investment in the development of services.

The Proposals

10. The initial proposals were to close Milford Hospital and to re-provide the specialist rehabilitation services currently provided there at the Royal Surrey County Hospital and in the new Farnham Hospital and Centre for Health.


11. Of the 50 specialist beds, 28 would be re-provided at the RSCH Compton Ward and later in a new purpose built facility. The remaining 22 beds would be provided from the new Farnham Hospital site. The 10 orthopaedic beds would be absorbed back into the existing capacity at the RSCH.

12. The day hospital services providing assessment and rehabilitation would move to other existing day hospitals.

13. All other services (e.g. Intermediate Care Team) would be relocated within other sites.

14. During the early stages of the consultation, the Health Scrutiny Committee of Surrey County Council (which has the statutory right to call its local PCT(s) to account) asked that a wider range of options be considered.

Consultation

15. The original consultation period was from October 2004 to January 2005. This has subsequently been extended though, at the time of this meeting it had not yet been determined when the consultation period would close. The outcome of the consultation will be discussed at a public meeting of the Board of Guildford and Waverley PCT on 27th January 2005.

16. The original consultation document has been circulated to members and substitute members of the Community Overview and Scrutiny Committee (numbers are limited but a copy has also been placed in the Members’ Room). A copy is enclosed with this Agenda for members of the Executive.

Observations of the Community Overview and Scrutiny Committee and Proposed Response

17. The Community Overview and Scrutiny Committee has met on two occasions to consider the PCT’s proposals, on 9th and 29th November.

18. At the later meeting (also attended by non-Community Overview and Scrutiny Committee members and representatives of Town and Parish Councils and Age Concern Surrey) representatives of the PCT gave a short presentation about their proposals. They then responded to questions posed by members across a range of issues.

19. The Committee, whilst acknowledging (a) the PCT’s financial situation and (b) that some of the points raised by members would be addressed in the Supplementary Consultation document, remained firmly of the view that Milford Hospital remained a much valued facility, providing good services and levels of care for older people. The principal concerns of members as expressed at the two meetings, together with a number of suggested courses of action, could be summarised as follows (in no particular order of importance):-
Proposals to make the Milford site more viable would be welcomed.

Recommendation

The Community Overview and Scrutiny Committee commends the Executive to make a formal response to the PCT’s consultation exercise on the proposed closure of Milford Hospital taking into account the views of the Committee as outlined in paragraph 19 of this report.

________________________________________________________________________
Background Papers (DoH)

Consultation document “Modernising Your Local Healthcare”
________________________________________________________________________

CONTACT OFFICER:

Name: John Swanton Telephone:01483 523375
E-mail: jswanton@waverley.gov.uk



comms/executive/2004-2005/331 40771