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<title>A&amp;E map 2 - Google Fusion Tables</title>
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<b>Trust:</b> George Eliot Hospital NHS Trust<br>
<b>Hospital name:</b> George Eliot Hospital<br>
<b>Postcode:</b> CV10 7DJ<br>
<b>Town:</b> Nuneaton<br>
<b>STP area:</b> Coventry and Warwickshire STP<br>
<b>Proposal:</b> 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&amp;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”.<br>
<b>Trust&#39;s reply:</b> STP said no plans for a single A&amp;E across patch had not been discussed, and no decision had been made on future of GEH A&amp;E.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Worcestershire Acute Hospitals Trust<br>
<b>Hospital name:</b> Alexandra Hospital, Redditch<br>
<b>Postcode:</b> B98 7UB <br>
<b>Town:</b> Redditch<br>
<b>STP area:</b> Worcestershire<br>
<b>Proposal:</b> The hospital ED is being downgraded to an adult only unit with childrens services being transferred to Royal Worcester. There will be a GP led urgent care centre for adults and children at the hospital however.<br>
<b>Trust&#39;s reply:</b> The proposals support a fully functioning adult only A&amp;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.<br>
<b>Icon:</b> small_red
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<b>Trust:</b> North Tees and Hartlepool NHS Foundation Trust<br>
<b>Hospital name:</b> University Hospital Of North Tees<br>
<b>Postcode:</b> TS19 8PE<br>
<b>Town:</b> Stockton on Tees<br>
<b>STP area:</b> Durham et al.<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> A STP spokeswoman confirmed the plans.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> County Durham &amp; Darlington NHS Foundation Trust<br>
<b>Hospital name:</b> Darlington Memorial<br>
<b>Postcode:</b> DL3 6HX<br>
<b>Town:</b> Darlington<br>
<b>STP area:</b> Durham et al.<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> A STP spokeswoman confirmed the plans.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Barking Havering &amp; Redbridge Univ Hosps NHS Trust<br>
<b>Hospital name:</b> King George Hospital<br>
<b>Postcode:</b> IG3 8YB <br>
<b>Town:</b> Ilford<br>
<b>STP area:</b> North East London<br>
<b>Proposal:</b> Trust plans for A&amp;E to close by 2019.<br>
<b>Trust&#39;s reply:</b> The trust confirmed closure.<br>
<b>Icon:</b> small_red
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<b>Trust:</b> Calderdale and Huddersfield NHS Foundation Trust<br>
<b>Hospital name:</b> Huddersfield Royal Infirmary<br>
<b>Postcode:</b> HD3 3EA <br>
<b>Town:</b> Huddersfield<br>
<b>STP area:</b> West Yorkshire and Harrogate<br>
<b>Proposal:</b> CCGs voted to downgrade Huddersfield in October 2016 and send all emergency acute to Calderdale Royal Hospital. Consultation is on going.<br>
<b>Trust&#39;s reply:</b> The trust confirmed position.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> University Hospitals North Midlands Trust<br>
<b>Hospital name:</b> The County Hospital<br>
<b>Postcode:</b> ST16 3SA<br>
<b>Town:</b> Stafford<br>
<b>STP area:</b> Staffordshire and Stoke-on-Trent<br>
<b>Proposal:</b> 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 Hospitals 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.<br>
<b>Trust&#39;s reply:</b> No comment<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Shrewsbury and Telford Hospital NHS Trust<br>
<b>Hospital name:</b> The Princess Royal Hospital<br>
<b>Postcode:</b> TF1 6TF<br>
<b>Town:</b> Telford<br>
<b>STP area:</b> Shropshire and Telford &amp; Wrekin<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> The trust said: “These proposals will see increase in number of areas we have to treat urgent and emergency cases. This isnt about downgrading one hospital. The hospital which does not have the emergency centre would host the majority of planned care.”<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Shrewsbury and Telford Hospital NHS Trust<br>
<b>Hospital name:</b> Royal Shrewsbury Hospital<br>
<b>Postcode:</b> SY3 8XQ<br>
<b>Town:</b> Shrewsbury<br>
<b>STP area:</b> Shropshire and Telford &amp; Wrekin<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> The trust said: “These proposals will see increase in number of areas we have to treat urgent and emergency cases. This isnt about downgrading one hospital. The hospital which does not have the emergency centre would host the majority of planned care.”<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Tameside Hospital NHS Foundation Trust<br>
<b>Hospital name:</b> Tameside General Hospital<br>
<b>Postcode:</b> OL6 9RW<br>
<b>Town:</b> Ashton-under-Lyne<br>
<b>STP area:</b> Greater Manchester<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> No comment from the trust. The STP said it does not "recognise" HSJ's suggestion.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Pennine Acute Hospitals NHS Trust<br>
<b>Hospital name:</b> Fairfield General Hospital<br>
<b>Postcode:</b> BL9 7TD<br>
<b>Town:</b> Bury<br>
<b>STP area:</b> Greater Manchester<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> No comment from the trust. The STP said it does not "recognise" HSJ's suggestion.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Burton Hospitals NHS Foundation Trust<br>
<b>Hospital name:</b> Queen's Hospital<br>
<b>Postcode:</b> DE13 0RB<br>
<b>Town:</b> Burton-on-Trent<br>
<b>STP area:</b> Staffordshire and Stoke-on-Trent<br>
<b>Proposal:</b> 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&amp;E at Stafford hospital was the most likely to close and be replaced with a 24 hour urgent care centre. It wont be Royal Stoke which is the trauma centre.<br>
<b>Trust&#39;s reply:</b> No comment<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> United Lincolnshire Hospitals NHS Trust<br>
<b>Hospital name:</b> Grantham &amp; District Hospital<br>
<b>Postcode:</b> NG31 8DG<br>
<b>Town:</b> Grantham<br>
<b>STP area:</b> Lincolnshire<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> 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.”<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Weston Area Health NHS Trust<br>
<b>Hospital name:</b> Weston General Hospital<br>
<b>Postcode:</b> BS23 4TQ<br>
<b>Town:</b> Weston-super-Mare<br>
<b>STP area:</b> Bristol, North Somerset &amp; South Gloucestershire STP<br>
<b>Proposal:</b> The trust has been deemed unsustainable in its existing form and struggles to staff its A&amp;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. <br>
<b>Trust&#39;s reply:</b> The trust said it was not in a position to comment due to “STP-related restrictions”.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> East Cheshire NHS Trust<br>
<b>Hospital name:</b> Macclesfield District General Hospital<br>
<b>Postcode:</b> SK10 3BL<br>
<b>Town:</b> Macclesfield<br>
<b>STP area:</b> Cheshire and Merseyside<br>
<b>Proposal:</b> A leaked version of the local STP seen by HSJ set out plans to downgrade Macclesfield A&amp;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.<br>
<b>Trust&#39;s reply:</b> No comment.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Epsom and St Helier University Hospitals NHS Trust<br>
<b>Hospital name:</b> Epsom Hospital<br>
<b>Postcode:</b> KT18 7EG<br>
<b>Town:</b> Epsom<br>
<b>STP area:</b> South West London<br>
<b>Proposal:</b> South west London STP proposes cutting five sites down to three or four. St Georges 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.<br>
<b>Trust&#39;s reply:</b> 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.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Kingston Hospital NHS Foundation Trust<br>
<b>Hospital name:</b> Kingston Hospital<br>
<b>Postcode:</b> KT2 7QB<br>
<b>Town:</b> Kingston upon Thames<br>
<b>STP area:</b> South West London<br>
<b>Proposal:</b> South west London STP proposes cutting five sites down to three or four. St Georges 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.<br>
<b>Trust&#39;s reply:</b> 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.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Epsom and St Helier University Hospitals NHS Trust<br>
<b>Hospital name:</b> St Helier Hospital<br>
<b>Postcode:</b> SM5 1AA<br>
<b>Town:</b> Carshalton<br>
<b>STP area:</b> South West London<br>
<b>Proposal:</b> South west London STP proposes cutting five sites down to three or four. St Georges 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.<br>
<b>Trust&#39;s reply:</b> 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.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Oxford University Hospitals NHS Foundation Trust<br>
<b>Hospital name:</b> Horton General Hospital<br>
<b>Postcode:</b> OX16 9AL<br>
<b>Town:</b> Banbury<br>
<b>STP area:</b> Oxfordshire<br>
<b>Proposal:</b> 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. <br>
<b>Trust&#39;s reply:</b> No comment.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Mid Essex Hospital Services NHS Trust<br>
<b>Hospital name:</b> Broomfield Hospital<br>
<b>Postcode:</b> CM1 7ET<br>
<b>Town:</b> Chelmsford<br>
<b>STP area:</b> South and mid Essex<br>
<b>Proposal:</b> Mid Essex and Southend are likely to be downgraded under their STP. The STP sets out plans for a “red site” (a specialist A&amp;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. <br>
<b>Trust&#39;s reply:</b> An SPT spokeswoman said: &quot;There will continue to be A&amp;E services in all three sites that would be defined as &#39;Type 1&#39;.&quot;<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Southend University Hospital NHS Foundation Trust<br>
<b>Hospital name:</b> Southend University Hospital<br>
<b>Postcode:</b> SS0 0RY<br>
<b>Town:</b> Westcliff-on-Sea<br>
<b>STP area:</b> South and mid Essex<br>
<b>Proposal:</b> Mid Essex and Southend are likely to be downgraded under their STP. The STP sets out plans for a “red site” (a specialist A&amp;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. <br>
<b>Trust&#39;s reply:</b> The SPT said: &quot;There will continue to be A&amp;E services in all three sites that would be defined as &#39;Type 1&#39;.&quot;.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Sandwell and West Birmingham Hospitals Trust<br>
<b>Hospital name:</b> City Hospital<br>
<b>Postcode:</b> B18 7QH<br>
<b>Town:</b> Birmingham<br>
<b>STP area:</b> Birmingham and Solihull<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> Not applicable. The trust has confirmed this move in public on numerous occasions. <br>
<b>Icon:</b> measel_brown
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<b>Trust:</b> Bedford Hospital NHS Trust<br>
<b>Hospital name:</b> Bedford Hospital<br>
<b>Postcode:</b> MK42 9DJ<br>
<b>Town:</b> Bedford<br>
<b>STP area:</b> Bedfordshire Luton and Milton Keynes<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> 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”.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Milton Keynes University Hospital NHSFT<br>
<b>Hospital name:</b> Milton Keynes University Hospital<br>
<b>Postcode:</b> MK6 5LD<br>
<b>Town:</b> Milton Keynes<br>
<b>STP area:</b> Bedfordshire Luton and Milton Keynes<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> 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”.<br>
<b>Icon:</b> measle_brown
</div></td></tr> <tr><td><div class="googft-card-view" style="font-family:sans-serif;width:450px;padding:4px;border:1px solid #ccc;overflow:hidden">
<b>Trust:</b> Sandwell and West Birmingham Hospitals Trust<br>
<b>Hospital name:</b> Sandwell District General Hospital<br>
<b>Postcode:</b> B71 4HJ<br>
<b>Town:</b> West Bromwich<br>
<b>STP area:</b> Birmingham and Solihull<br>
<b>Proposal:</b>
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.<br>
<b>Trust&#39;s reply:</b> Not applicable. The trust has confirmed this move in public on numerous occasions.<br>
<b>Icon:</b> measel_brown
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<b>Trust:</b> Poole Hospital NHS Foundation Trust<br>
<b>Hospital name:</b> Poole Hospital<br>
<b>Postcode:</b> BH15 2JB<br>
<b>Town:</b> Poole<br>
<b>STP area:</b> Bournemouth and Poole<br>
<b>Proposal:</b> The STP proposes nearby Royal Bournemouth Hospital should become a “major emergency hospital” and Poole Hospital A&amp;E be replaced by an urgent care centre<br>
<b>Trust&#39;s reply:</b> The move still requires public consultation.<br>
<b>Icon:</b> small_red
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<b>Trust:</b> York Teaching Hospitals FT<br>
<b>Hospital name:</b> Scarborough General Hospital<br>
<b>Postcode:</b> YO12 6QL<br>
<b>Town:</b> Scarborough<br>
<b>STP area:</b> Humber Coast<br>
<b>Proposal:</b> The trust says a full A&amp;E department is not sustainable in Scarborough because it struggles to recruit A&amp;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. <br>
<b>Trust&#39;s reply:</b> The trust is developing a new approach for small rural hospitals. The new model will deliver a sustainable system and deliver safer care.<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Southport and Ormskirk Hospital FT<br>
<b>Hospital name:</b> Southport and Formby District General Hospital<br>
<b>Postcode:</b> PR8 6PN<br>
<b>Town:</b> Southport<br>
<b>STP area:</b> Cheshire and Merseyside<br>
<b>Proposal:</b> The STP proposes a “new model of A&amp;E delivery” across Southport and Ormskirk Hospital Trust, St Helens &amp; 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.<br>
<b>Trust&#39;s reply:</b> No comment<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Warrington &amp; Halton Hospitals NHS Foundation Trust<br>
<b>Hospital name:</b> Warrington Hospital<br>
<b>Postcode:</b> WA5 1QG<br>
<b>Town:</b> Warrington<br>
<b>STP area:</b> Cheshire and Merseyside<br>
<b>Proposal:</b> The STP proposes a “new model of A&amp;E delivery” across Southport and Ormskirk Hospital Trust, St Helens &amp; 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.<br>
<b>Trust&#39;s reply:</b> No comment<br>
<b>Icon:</b> measle_brown
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<b>Trust:</b> Mid Yorkshire Hospitals NHS Trust<br>
<b>Hospital name:</b> Dewsbury and District Hospital<br>
<b>Postcode:</b> WF13 4HS <br>
<b>Town:</b> Dewsbury<br>
<b>STP area:</b> West Yorkshire and Harrogate<br>
<b>Proposal:</b> The ED will become a 24/7 urgent care centre in Spring 2017.<br>
<b>Trust&#39;s reply:</b> 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.<br>
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<b>Trust:</b> Lancashire Teaching Hospitals NHS Foundation Trust<br>
<b>Hospital name:</b> Chorley and South Ribble Hospital<br>
<b>Postcode:</b> PR7 1PP<br>
<b>Town:</b> Chorley<br>
<b>STP area:</b> Lancashire &amp; South Cumbria<br>
<b>Proposal:</b> The trust has struggled to staff this small A&amp;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.<br>
<b>Trust&#39;s reply:</b> 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.<br>
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<b>Trust:</b> London North West Healthcare NHS Trust<br>
<b>Hospital name:</b> Ealing Hospital<br>
<b>Postcode:</b> UB1 3HW<br>
<b>Town:</b> Southall<br>
<b>STP area:</b> North West London<br>
<b>Proposal:</b> 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. <br>
<b>Trust&#39;s reply:</b> Hospital will become a “a new-style local hospital” and will receive significant investment for changes.<br>
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<b>Trust:</b> Imperial College Healthcare NHS Trust<br>
<b>Hospital name:</b> Charing Cross Hospital<br>
<b>Postcode:</b> W6 8RF<br>
<b>Town:</b> London<br>
<b>STP area:</b> North West London<br>
<b>Proposal:</b> 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.<br>
<b>Trust&#39;s reply:</b> A trust spokeswoman said: &quot;There will be no reduction in Charing Crosss A&amp;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.”<br>
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