Hertfordshire PCTs

1. The dovetailing of the Hertfordshire decision with North London PCTs decision regarding Barnet & Chase Farm Hospitals Hertfordshire PCTs

2. Decisions by Hertfordshire PCTs • Lister Hospital to be main Acute Hospital in East & North Hertfordshire • 2 Local General Hospitals at Welwyn Garden City & Hemel Hempstead • Urgent Care Centres to be established with pilot of both Cheshunt & Hertford • Planned Care in West Herts at St Albans • Paediatric Surgery & Emergencies in West Herts at Watford

3. Decisions by London PCTs • Major accident & emergency to move to Barnet – Chase Farm will have a local A&E • Planned surgery will remain at Chase Farm • Midwife led birthing unit, paediatric assessment unit, older peoples assessment unit

4. Approved with the following steps • Appropriate implementation arrangements • Independent clinically led review of types and volumes of inpatient elective surgery for Chase Farm site • Transfer of Womens & childrens services away from CF will not take place until PCT are satisfied there is adequate capacity • Changes to A&E will take place when PCTs satified that there is capacity at Barnet & North Middlesex • Transport working Group to be established

5. Hertfordshire Activity

6. Joint work • Activity projections and patient flow models were shared. • Both Ambulance services worked together on impact of London changes for Hertfordshire • Travel analysis took account of both changes

7. Hertfordshire Primary Care • Hertsmere Clinical Services in place e.g. • Musculoskeletal • Neurology • Broxbourne services • ENT secondary to primary care shift of service • Skin Health Service at Cheshunt Community Hospital • Gynaecological outpatient service at Cheshunt Community Hospital

8. Hertfordshire Elective Care • Patients have choice for elective care • Primary Care for minor surgery • Chase Farm • Princess Alexandra Harlow • Lister Surgicentre • St Albans Surgicentre • London Hospitals

9. Hertfordshire outpatients • Chase Farm & Barnet Hospitals – now and in the future • Cheshunt • Potters Bar • QEII now and as a Local General Hospital • Primary Care Facilities

10. Hertfordshire Urgent Care • Within Hertfordshire • 8 Urgent Care Centres with Out of Hours • Chase Farm Urgent Care Centre at least 12 hours • Princess Alexandra

11. Emergency Access • East of England ambulance service has worked with London service regarding proposed changes • Additional resources have been factored and costed into service to meet proposed changes – additional high dependency unit required estimate - £214,000 per annum

12. Hertfordshire Transport Proposals • Strategic planning • Revive the Hertfordshire Integrated Transport Project:- Senior director lead with accountability for access to health issues - Project officer to be recruited • Link access to health into Local Area Agreement targets • Emergency transport • Additional £2m funding for ambulance service • Non-emergency transport: • ongoing support for community transport scheme • £0.75m investment prioritising local initiatives e.g. shuttle scheme

13. Patient & Public Engagement • Provide opportunities for patients, carers & public representatives to influence the development of new services • Work closely with local authority partners and voluntary sector to raise awareness and understanding of new services among residents