Trust: George Eliot Hospital NHS Trust
Hospital name: George Eliot Hospital
Postcode: CV10 7DJ
Town: Nuneaton
STP area: Coventry and Warwickshire STP
Proposal: The STP sets out plans to “right sizing urgent and emergency care capacity” and looking at how to address the “current national shortages in the U&EC workforce”. It also says it will “review sustainability of the current urgent and emergency care system, including the review of access points at GEH and UHCW”.
Trust's reply: STP said no plans for a single A&E across patch had not been discussed, and no decision had been made on future of GEH A&E.
Icon: measle_brown

Trust: Worcestershire Acute Hospitals Trust
Hospital name: Alexandra Hospital, Redditch
Postcode: B98 7UB 
Town: Redditch
STP area: Worcestershire
Proposal: The hospital ED is being downgraded to an adult only unit with children’s services being transferred to Royal Worcester. There will be a GP led urgent care centre for adults and children at the hospital however.
Trust's reply: The proposals support a fully functioning adult only A&E and a new GP urgent care service which means that 95% of patients will continue to be seen and assessed at the Alexandra Hospital in Redditch.
Icon: small_red

Trust: North Tees and Hartlepool NHS Foundation Trust
Hospital name: University Hospital Of North Tees
Postcode: TS19 8PE
Town: Stockton on Tees
STP area: Durham et al.
Proposal: STP proposes two specialist hospitals for area: James Cook, the major trauma centre, and one of Darlington Memorial or University Hospital of North Tees. The other will get downgraded.
Trust's reply: A STP spokeswoman confirmed the plans.
Icon: measle_brown

Trust: County Durham & Darlington NHS Foundation Trust
Hospital name: Darlington Memorial
Postcode: DL3 6HX
Town: Darlington
STP area: Durham et al.
Proposal: STP proposes two specialist hospitals for area: James Cook, the major trauma centre, and one of Darlington Memorial or University Hospital of North Tees. The other will get downgraded.
Trust's reply: A STP spokeswoman confirmed the plans.
Icon: measle_brown

Trust: Barking Havering & Redbridge Univ Hosps NHS Trust
Hospital name: King George Hospital
Postcode: IG3 8YB 
Town: Ilford
STP area: North East London
Proposal: Trust plans for A&E to close by 2019.
Trust's reply: The trust confirmed closure.
Icon: small_red

Trust: Calderdale and Huddersfield NHS Foundation Trust
Hospital name: Huddersfield Royal Infirmary
Postcode: HD3 3EA 
Town: Huddersfield
STP area: West Yorkshire and Harrogate
Proposal: CCGs voted to downgrade Huddersfield in October 2016 and send all emergency acute to Calderdale Royal Hospital. Consultation is on going.
Trust's reply: The trust confirmed position.
Icon: measle_brown

Trust: University Hospitals North Midlands Trust
Hospital name: The County Hospital
Postcode: ST16 3SA
Town: Stafford
STP area: Staffordshire and Stoke-on-Trent
Proposal: County Hospital is already only open part-time (8am to 10pm). The STP says one of the three local EDs (County Hospital, Royal Stoke or Burton Queens) will be downgraded. No formal decisions has been made but several sources told HSJ County Hospital’s ED was the most likely to close and be replaced with a 24 hour urgent care centre. Royal Stoke is the trauma centre so will not be downgraded.
Trust's reply: No comment
Icon: measle_brown

Trust: Shrewsbury and Telford Hospital NHS Trust
Hospital name: The Princess Royal Hospital
Postcode: TF1 6TF
Town: Telford
STP area: Shropshire and Telford & Wrekin
Proposal: One of Shrewsbury or Telford faces downgrade. The CCGs are expected to consult on plans to move emergency services to Shrewsbury, with an urgent care centre based in Telford, but could still yet opt for the other way around.
Trust's reply: The trust said: “These proposals will see increase in number of areas we have to treat urgent and emergency cases. This isn’t about ‘downgrading’ one hospital. The hospital which does not have the emergency centre would host the majority of planned care.”
Icon: measle_brown

Trust: Shrewsbury and Telford Hospital NHS Trust
Hospital name: Royal Shrewsbury Hospital
Postcode: SY3 8XQ
Town: Shrewsbury
STP area: Shropshire and Telford & Wrekin
Proposal: One of Shrewsbury or Telford faces downgrade. The CCGs are expected to consult on plans to move emergency services to Shrewsbury, with an urgent care centre based in Telford, but could still yet opt for the other way around.
Trust's reply: The trust said: “These proposals will see increase in number of areas we have to treat urgent and emergency cases. This isn’t about ‘downgrading’ one hospital. The hospital which does not have the emergency centre would host the majority of planned care.”
Icon: measle_brown

Trust: Tameside Hospital NHS Foundation Trust
Hospital name: Tameside General Hospital
Postcode: OL6 9RW
Town: Ashton-under-Lyne
STP area: Greater Manchester
Proposal: No decisions have been made about which Greater Manchester EDs could be downgraded. But multiple senior sources told HSJ it is likely one or two of the GM EDs could be downgraded as part its STP.
Trust's reply: No comment from the trust. The STP said it does not "recognise" HSJ's suggestion.
Icon: measle_brown

Trust: Pennine Acute Hospitals NHS Trust
Hospital name: Fairfield General Hospital
Postcode: BL9 7TD
Town: Bury
STP area: Greater Manchester
Proposal: No decisions have been made about which Greater Manchester EDs could be downgraded. But multiple senior sources told HSJ it is likely one or two of the GM EDs could be downgraded as part its STP.
Trust's reply: No comment from the trust. The STP said it does not "recognise" HSJ's suggestion.
Icon: measle_brown

Trust: Burton Hospitals NHS Foundation Trust
Hospital name: Queen's Hospital
Postcode: DE13 0RB
Town: Burton-on-Trent
STP area: Staffordshire and Stoke-on-Trent
Proposal: STP says one of the three emergency departments in the county (County Hospital, Royal Stoke or Burton Queens) will be downgraded. No formal decisions has been made, several sources close to the plan told HSJ the part-time A&E at Stafford hospital was the most likely to close and be replaced with a 24 hour urgent care centre. It won’t be Royal Stoke which is the trauma centre.
Trust's reply: No comment
Icon: measle_brown

Trust: United Lincolnshire Hospitals NHS Trust
Hospital name: Grantham & District Hospital
Postcode: NG31 8DG
Town: Grantham
STP area: Lincolnshire
Proposal: Grantham hospital ED has been “temporarily“ closed at night, between 6:30pm to 9am, since August 2016. It is not clear how long this arrangement will continue for and the chief executive told HSJ in November 2016 it could be reduced to an “urgent care centre-plus” facility.
Trust's reply: A trust spokeswoman said: "We are still in the process of finalising proposals which will be put to the public later this year. No decisions will be made until we have heard from the public through the consultation process.”
Icon: measle_brown

Trust: Weston Area Health NHS Trust
Hospital name: Weston General Hospital
Postcode: BS23 4TQ
Town: Weston-super-Mare
STP area: Bristol, North Somerset & South Gloucestershire STP
Proposal: The trust has been deemed unsustainable in its existing form and struggles to staff its A&E. The STP says it will “establishing a sustainable model for services at Weston Area Health Trust”. Full proposals are due in the coming months.
Trust's reply: The trust said it was not in a position to comment due to “STP-related restrictions”.
Icon: measle_brown

Trust: East Cheshire NHS Trust
Hospital name: Macclesfield District General Hospital
Postcode: SK10 3BL
Town: Macclesfield
STP area: Cheshire and Merseyside
Proposal: A leaked version of the local STP seen by HSJ set out plans to downgrade Macclesfield A&E. But following public outcry, system leaders subsequently rowed back on plan. It is unclear what the future holds, but there is a risk of downgrade.
Trust's reply: No comment.
Icon: measle_brown

Trust: Epsom and St Helier University Hospitals NHS Trust
Hospital name: Epsom Hospital
Postcode: KT18 7EG
Town: Epsom
STP area: South West London
Proposal: South west London STP proposes cutting five sites down to three or four. St George’s will not be downgraded as major trauma centre, nor will Croydon. Epsom, St Helier, Kingston are therefore at risk, but not all will be downgraded.
Trust's reply: A South West London STP spokesman said four sites providing acute services is “our best working hypothesis at the moment” but further work and consultation was required.
Icon: measle_brown

Trust: Kingston Hospital NHS Foundation Trust
Hospital name: Kingston Hospital
Postcode: KT2 7QB
Town: Kingston upon Thames
STP area: South West London
Proposal: South west London STP proposes cutting five sites down to three or four. St George’s will not be downgraded as major trauma centre, nor will Croydon. Epsom, St Helier, Kingston are therefore at risk, but not all will be downgraded.
Trust's reply: A South West London STP spokesman said four sites providing acute services is “our best working hypothesis at the moment” but further work and consultation was required.
Icon: measle_brown

Trust: Epsom and St Helier University Hospitals NHS Trust
Hospital name: St Helier Hospital
Postcode: SM5 1AA
Town: Carshalton
STP area: South West London
Proposal: South west London STP proposes cutting five sites down to three or four. St George’s will not be downgraded as major trauma centre, nor will Croydon. Epsom, St Helier, Kingston are therefore at risk, but not all will be downgraded.
Trust's reply: A South West London STP spokesman said four sites providing acute services is “our best working hypothesis at the moment” but further work and consultation was required.
Icon: measle_brown

Trust: Oxford University Hospitals NHS Foundation Trust
Hospital name: Horton General Hospital
Postcode: OX16 9AL
Town: Banbury
STP area: Oxfordshire
Proposal: The small Banbury ED has been deemed “not sustainable in its current form” by commissioners and a consultation on its future is pending. There is however significant local opposition so it is rated amber.
Trust's reply: No comment.
Icon: measle_brown

Trust: Mid Essex Hospital Services NHS Trust
Hospital name: Broomfield Hospital
Postcode: CM1 7ET
Town: Chelmsford
STP area: South and mid Essex
Proposal: Mid Essex and Southend are likely to be downgraded under their STP. The STP sets out plans for a “red site” (a specialist A&E centre), then a “yellow” and an “amber” site, which are both downgrades, as reported by HSJ. Basildon is technically under threat, but HSJ understands it will likely to get upgraded. Decisions will require public consultation, so they are both rated amber.
Trust's reply: An SPT spokeswoman said: "There will continue to be A&E services in all three sites that would be defined as 'Type 1'."
Icon: measle_brown

Trust: Southend University Hospital NHS Foundation Trust
Hospital name: Southend University Hospital
Postcode: SS0 0RY
Town: Westcliff-on-Sea
STP area: South and mid Essex
Proposal: Mid Essex and Southend are likely to be downgraded under their STP. The STP sets out plans for a “red site” (a specialist A&E centre), then a “yellow” and an “amber” site, which are both downgrades, as reported by HSJ. Basildon is technically under threat, but HSJ understands it will likely to get upgraded. Decisions will require public consultation, so they are both rated amber.
Trust's reply: The SPT said: "There will continue to be A&E services in all three sites that would be defined as 'Type 1'.".
Icon: measle_brown

Trust: Sandwell and West Birmingham Hospitals Trust
Hospital name: City Hospital
Postcode: B18 7QH
Town: Birmingham
STP area: Birmingham and Solihull
Proposal: The emergency departments at City Hospital and Sandwell and District General Hospital are both scheduled to close and replaced by the new Midland Metropolitan hospital, scheduled to open in 2018.
Trust's reply: Not applicable. The trust has confirmed this move in public on numerous occasions.
Icon: measel_brown

Trust: Bedford Hospital NHS Trust
Hospital name: Bedford Hospital
Postcode: MK42 9DJ
Town: Bedford
STP area: Bedfordshire Luton and Milton Keynes
Proposal: The Healthcare Review recommended in June 2016 that Milton Keynes became a major trauma centre with Bedford losing obstetric maternity and most emergency surgery. This would have had substantial ramifications for its ED. But it was not ratified. The STP said it would “transpose” the review into new proposals but debate is on-going, so both are rated amber.
Trust's reply: An STP spokesman said no decision had been made. It will require public consultation and any decision will be “wholly dependent on getting the right solutions in place in out-of-hospital settings”.
Icon: measle_brown

Trust: Milton Keynes University Hospital NHSFT
Hospital name: Milton Keynes University Hospital
Postcode: MK6 5LD
Town: Milton Keynes
STP area: Bedfordshire Luton and Milton Keynes
Proposal: The Healthcare Review recommended in June 2016 that Milton Keynes became a major trauma centre with Bedford losing obstetric maternity and most emergency surgery. This would have had substantial ramifications for its ED. But it was not ratified. The STP said it would “transpose” the review into new proposals but debate is on-going, so both are rated amber.
Trust's reply: An STP spokesman said no decision had been made. It will require public consultation and any decision will be “wholly dependent on getting the right solutions in place in out-of-hospital settings”.
Icon: measle_brown

Trust: Sandwell and West Birmingham Hospitals Trust
Hospital name: Sandwell District General Hospital
Postcode: B71 4HJ
Town: West Bromwich
STP area: Birmingham and Solihull
Proposal: The emergency departments at City Hospital and Sandwell and District General Hospital are both scheduled to close and replaced by the new Midland Metropolitan hospital, scheduled to open in 2018.
Trust's reply: Not applicable. The trust has confirmed this move in public on numerous occasions.
Icon: measel_brown

Trust: Poole Hospital NHS Foundation Trust
Hospital name: Poole Hospital
Postcode: BH15 2JB
Town: Poole
STP area: Bournemouth and Poole
Proposal: The STP proposes nearby Royal Bournemouth Hospital should become a “major emergency hospital” and Poole Hospital A&E be replaced by an urgent care centre
Trust's reply: The move still requires public consultation.
Icon: small_red

Trust: York Teaching Hospitals FT
Hospital name: Scarborough General Hospital
Postcode: YO12 6QL
Town: Scarborough
STP area: Humber Coast
Proposal: The trust says a full A&E department is not sustainable in Scarborough because it struggles to recruit A&E consultants. It is working on a new model involving a lower number of consultants and patients initially being seen by “advanced clinical practitioners”, who have typically trained as nurses or paramedics, before being passed on to the specialty consultant if required. The model is still in development, so it is unclear what the final implications and so it has been rated amber.
Trust's reply: The trust is developing a new approach for small rural hospitals. The new model will deliver a sustainable system and deliver safer care.
Icon: measle_brown

Trust: Southport and Ormskirk Hospital FT
Hospital name: Southport and Formby District General Hospital
Postcode: PR8 6PN
Town: Southport
STP area: Cheshire and Merseyside
Proposal: The STP proposes a “new model of A&E delivery” across Southport and Ormskirk Hospital Trust, St Helens & Knowsley Teaching Hospitals Trust, and Warrington and Halton Hospitals FT, which could see one or more ED downgraded, as reported by HSJ. Southport and Warrington are most at risk and therefore been rated amber.
Trust's reply: No comment
Icon: measle_brown

Trust: Warrington & Halton Hospitals NHS Foundation Trust
Hospital name: Warrington Hospital
Postcode: WA5 1QG
Town: Warrington
STP area: Cheshire and Merseyside
Proposal: The STP proposes a “new model of A&E delivery” across Southport and Ormskirk Hospital Trust, St Helens & Knowsley Teaching Hospitals Trust, and Warrington and Halton Hospitals FT, which could see one or more ED downgraded, as reported by HSJ. Southport and Warrington are most at risk and therefore been rated amber.
Trust's reply: No comment
Icon: measle_brown

Trust: Mid Yorkshire Hospitals NHS Trust
Hospital name: Dewsbury and District Hospital
Postcode: WF13 4HS 
Town: Dewsbury
STP area: West Yorkshire and Harrogate
Proposal: The ED will become a 24/7 urgent care centre in Spring 2017.
Trust's reply: The department will continue to be 24/7 and 70 per cent of attendees will continue to be treated there, with only the seriously ill sent to nearby Pindersfields.
Icon: small_red

Trust: Lancashire Teaching Hospitals NHS Foundation Trust
Hospital name: Chorley and South Ribble Hospital
Postcode: PR7 1PP
Town: Chorley
STP area: Lancashire & South Cumbria
Proposal: The trust has struggled to staff this small A&E, and it has previously been on reduced hours. The STP refers to a “redesign of urgent and emergency services” but does not have detailed proposals.
Trust's reply: The trust says no plans have been finalised. It said there were no proposals to reduce the number of EDs, but did not comment on the prospect of the ED being downgraded. It said any significant changes would need public consultation.
Icon: measle_brown

Trust: London North West Healthcare NHS Trust
Hospital name: Ealing Hospital
Postcode: UB1 3HW
Town: Southall
STP area: North West London
Proposal: The STP proposes to continue the Shaping a Healthier Future which said four hospitals – Charing Cross, Ealing Hospital, Hammersmith, Central Middlesex – should become urgent care centres. The last two have already been downgraded. Note: Charing Cross is also in this reorganisation but rated amber, because plans are less advanced than Ealing.
Trust's reply: Hospital will become a “a new-style local hospital” and will receive significant investment for changes.
Icon: small_red

Trust: Imperial College Healthcare NHS Trust
Hospital name: Charing Cross Hospital
Postcode: W6 8RF
Town: London
STP area: North West London
Proposal: The STP proposes to continue the Shaping a Healthier Future which said four hospitals – Charing Cross, Ealing Hospital, Hammersmith, Central Middlesex – should become urgent care centres. The last two have already been downgraded. Note: Ealing is also in this reorganisation but rated red, because plans are more advanced than Charing Cross.
Trust's reply: A trust spokeswoman said: "There will be no reduction in Charing Cross’s A&E unless and until we are able to reduce demand through out-of-hospital services, and that any plans must be developed with local communities.”
Icon: measle_brown