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Hospital services in West Hertfordshire

Strategic Outline Case

West Hertfordshire Hospitals NHS Trust and Herts Valleys Clinical Commissioning Group have been working on plans to secure funding for major redevelopment of the estate.

This work started some time ago in autumn 2017, when the Trust submitted a Strategic Outline Case (SOC) to regulators for formal review. NHS Improvement and NHS England fed back with two key points; firstly they acknowledged the need for funding and secondly that public money for hospital redevelopment is limited with strong competition from other hospitals across the country. In response to feedback from regulators the Trust is working on a refresh of the SOC. The full version of the original SOC is available to view here.

The future of hospital services is a key element of the Your Care, Your Future vision for a healthier West Hertfordshire which looks at how best to provide health and social care services. This reflects the national picture and challenges described by the NHS Five Year Forward View. You can also read more about the NHS Long Term Plan launched in January 2019.

Follow this link for frequently asked questions about the refresh of the strategic outline case.

Options evaluation panel

The options outlined in the public meetings will be examined by evaluation panels. This panel will examine a range of options from various aspects including patient care, accessibility and how they complement other parts of the health and care system locally. The panel is made up of clinicians and managers from the NHS and partner organisations and patient and public representatives from across west Herts to represent a range of stakeholder views. Members of the public were invited to express their interest in joining the panel and further background information on this can be found here.

The slides from each panel meeting can be viewed below as follows:

February 2019 panel meeting and follow this link for background information pack.

Detailed information has been gathered to inform the outputs that were presented at the first options panel evaluation meeting. Please click on the links for further details as follows:

- Demand and capacity information and analysis

- Travel Analysis and Catchment Area information

- Site Option Review

- HM Treasury guidance on how to appraise and evaluate policies, projects and programmes.

The second panel meeting was held in March and you can view the slides here and a further panel meeting was held in May and the slide pack from this meeting is available via this link

Public Meetings

A series of public meetings took place during autumn 2018 in Hertsmere, Dacorum, St Albans and Watford. The meetings gave an update on the work being undertaken to refresh the SOC. The meetings explained that West Hertfordshire Hospitals NHS Trust and Herts Valleys Clinical Commissioning Group are taking another look at plans and funding requirements following feedback from regulators.

The presentation slides from the public meetings can be viewed here.

The next meeting took place in January - this event shared details of how the options for hospital redevelopment are shaping up and explained the process for evaluating and shortlisting options. The presentation from the meeting can be viewed here. If you attended this meeting please give us your feedback here. Your responses will help in future planning. You can also read the latest press information about estate redevelopment plans here.

The most recent meeting in March 2019 shared details of the shortlisted options that are being considered and invited people to comment on these in advance of the options being examined at the second evaluation panel meeting. You can find details of the presentation via this link and further information about the meeting.

June public update meeting

West Hertfordshire Hospitals NHS Trust and Herts Valleys Clinical Commissioning Group (CCG) will outline an emerging preferred way forward for hospital redevelopment at a public meeting on 13 June. This will be held at the Metropolitan Police Bushey Sports Club, Aldenham Road, Bushey from 7pm to 9pm (with doors opening at 6.15pm). As well as updates from the trust and CCG there will be time at the meeting for questions and feedback.

As spaces are limited anyone who wants to attend the event must book a place through Eventbrite https://hospital-plans-meeting.eventbrite.co.uk or by emailing communications.hvccg@nhs.net. Please see here for further details about the meeting.

The emerging preferred way forward will be determined by a joint meeting of the trust and CCG boards on 6 June, informed by an evaluation of the options. This will be a meeting in public and will be held at Watford Football Club from 9am to 10.30am with time allocated for public representations at the start of the meeting. Please follow this link for further information about this board meeting.

The emerging preferred way forward will form the basis of the draft strategic outline case (SOC). This will be published on 20 June ahead of meetings by both boards in July to discuss and formally agree the preferred way forward. The trust board will meet on the morning of 11 July to sign off the SOC and the CCG board will meet that afternoon to ratify this. Both board meetings will be in public. The SOC is due to be submitted to regulators at the end of July.