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 |