This page provides:
*An introduction to the public consultation
*Information about Hammersmith urgent care centre
*Information about GP 'hubs;
*A summary of what we have already heard
*Our next steps
*Where you can download our public information materials
INTRODUCTION TO THE PUBLIC CONSULTATION
Making any changes to healthcare services is always hard but when money is tight those decisions become even more difficult. Our job is to provide you all with the best possible healthcare in the borough but also to stay within our budget.
This public consultation is about the opening hours of the urgent care centre at Hammersmith Hospital and also the number of GP ‘hubs’ we have that allow anyone registered in the borough to see a GP or nurse in the evening or weekend.
This consultation document is to tell you about what our plans are. It gives you information about the current services and talks about the impact of the proposed changes. We also set out how you can let us know what you think of the plans.
We are proposing the following:
1. To change the hours of the urgent care centre at Hammersmith Hospital from 24 hours a day 7 days a week, to 8am-midnight 7 days a week (closed overnight).
2. To change the number of GP ‘hubs’ that allow anyone in Hammersmith and Fulham to access an evening or weekend GP or nurse appointment.
It is really important that we hear what you think. We are very grateful to all the members of the public and our staff who have already provided their feedback and helped us develop the plans that we are now suggesting. Over the next few weeks, we will be out and about in the borough listening to your views. We hope that many of you will be able to take the time to come along to our events or send us your thoughts.
We look forward to hearing your views.
Dr Tim Spicer Janet Cree
GP Managing Director
Chair of NHS Hammersmith & Fulham CCG NHS Hammersmith & Fulham CCG
ABOUT HAMMERSMITH URGENT CARE CENTRE
PROPOSED CHANGE: Change the hours of the urgent care centre at Hammersmith Hospital from 24 hours a day 7 days a week to opening at 8am and closing at midnight each day. A 24/7 urgent care centre would still be available in the borough at Charing Cross Hospital.
What is an urgent care centre?
Hammersmith & Fulham is the only borough in North West London to have two urgent care centres and they are two miles apart.
Hammersmith urgent care centre is in the north of the borough at Hammersmith Hospital. The hospital does not have an A&E so anyone who arrives and needs A&E treatment, is transferred to another hospital.
Key facts about Hammersmith urgent care centre:
What would this proposal mean for patients?
Charing Cross is the closest alternative urgent care centre and is 2.4 miles by road from Hammersmith urgent care centre.
Charing Cross urgent care centre is 2.4miles away
Central Middlesex urgent care centre is 2.6miles away
St Mary’s Hospital urgent care centre is 3.1miles away
ABOUT GP 'HUBS'
PROPOSED CHANGE: To reduce the number of GP ‘hubs’ in the borough. We will continue to provide evening and weekend appointments to anyone registered with a GP in the borough and we will make sure the number of appointments available meets the current demand.
What is a hub?
Many of our GP practices already offer GP and nurse appointments in the evenings and at weekends, but not all do.
We feel it is essential that everyone has access to out of hours appointments regardless of what their own GP practice provides.
In Hammersmith and Fulham, we’ve made sure anyone registered in the borough can make an evening or weekend appointment with a GP or nurse at one of our ‘hubs’.
Currently we have three practices which operate as hubs. These practices provide bookable evening and weekend appointments to patients from any GP practice in the borough. You can book by calling your own GP practice or by calling 111.
Only 72% of the out of hours appointments are used.
OPTION A – No change. Keep three hubs and 357 appointments per week
OPTION B – Have two hubs and 270 appointments per week
OPTION C – Have one hub and 270 appointments per week
Hammersmith and Fulham CCG prefer option C – moving to a single hub location - as we believe it provides the best balance between financial savings and providing the right level of care for our residents. By having a single hub, we can still provide enough appointments to meet the current demand for any patients registered in the borough to have an out of hours appointment at a hub, but we can also make the maximum financial savings.
What would this proposal mean for patients?
Current number of appointments available: 357
Current number of appointment used: 257
Proposed number of appointments: 270
WHAT WE HAVE ALREADY HEARD
To help develop our ideas, we have been talking to people across the borough. We have heard from residents, the council, patient representatives, Healthwatch, the Health and Wellbeing Board, the London Clinical Senate, NHS England, local GP practice staff and many more. We heard a range of views about GP appointments, urgent care centres and how we should consult the public. This has all fed into our work.
You can read more about what we have already heard in the pre-consultation business case.
The consultation closed on 24 May 2019
Now that the consultation is closed we will bring all the feedback together and take time to listen to everything we have heard.
The results of the consultation, along with our final proposals will go to the NHS Hammersmith and Fulham CCG Governing Body meeting on July 16 2019. This meeting is taking place in the Newbigin Room, St Paul's Centre, Queen Charlotte Street, W6 9PJ and will start at 3pm. Members of the public can attend this meeting and listen to the discussion.