28 September 2020

Six options for delivering future hospital services across north and mid Hampshire are being considered by local NHS organisations as part of the Hampshire Together: Modernising our Hospitals and Health Services programme. 

Health and care partners are working together to develop a health, wellbeing and care service so that everyone in north and mid Hampshire can access high-quality, timely and sustainable health care as close to home as possible. 

They are looking at the best way to organise services to meet the population’s changing health needs and to adapt the way some services are delivered so they can continue to meet best practice guidelines. They have been exploring the possibility of centralising some of the most specialist hospital services for the sickest people on one site, rather than spread across two main sites as they currently are. 

Consolidating the most specialist services in one place would mean a better use of senior clinicians, who are currently spread too thinly across hospital sites. It would also mean clinical teams treat more patients with particular conditions and illnesses, helping to better maintain their specialist expertise. 

The programme also includes the potential for the construction of a brand new hospital as part of the Government’s Health Infrastructure Plan. 

Doctors, nurses and other clinicians from north and mid Hampshire recently held a series of conversations and virtual workshops to look at how health and care services could be designed for the future. More than 100 people, including current patients with experience of using hospital services, clinicians from across the health and care system, and representatives of various groups from the community took part. They initially developed eight options for the way services could be provided in the future. 

The eight options were then considered by doctors, nurses, and other clinicians and evaluated against pre-agreed criteria to decide whether they should be discounted or taken forward and investigated further. Two options were discounted during this process. One because it involved continuing to run services as they are currently set up (named Option A), and another because it involved moving all services to a new hospital, with no facilities elsewhere (Option H). 

Further work will now be undertaken to review and evaluate each option in detail. Options will be assessed with regards to clinical quality, patient experience and outcomes as well as the impact on staffing levels, the amount each option would cost and affordability, accessibility and deliverability, to inform the development of a shortlist. 

The six options currently being explored are:

Option B – Investment would be made to sustain hospital services at the Basingstoke and Winchester sites for the long-term. Services including emergency care, consultant-led maternity care and intensive care would be centralised at one of the hospitals. Centralisation will help to ensure delivery of the clinical quality standards required for these services, so they can continue to be provided in north and mid Hampshire.

Option C – Emergency care, consultant-led maternity care and intensive care would be centralised in a new hospital, as would a new outpatient centre which would enable patients to undergo scans, have tests carried out and have an appointment with their consultant in the same visit. A centre for surgery planned in advance would be provided from a main satellite hospital, which would also benefit from additional investment. Outpatient consultations and a range of other hospital services would be provided at additional satellite locations across north and mid Hampshire.

Option D - Emergency care, consultant-led maternity care and intensive care would be centralised in a new hospital, as would a centre for surgery planned in advance and a new outpatient centre which would enable patients to undergo scans, have tests carried out and have an appointment with their consultant in the same visit. Outpatient consultations and a range of other hospital services would be provided at satellite locations across north and mid Hampshire, with some additional investment.

Option E – Emergency care, consultant-led maternity care and intensive care would be centralised in a new hospital, as would a centre for surgery planned in advance and a new outpatient centre which would enable patients to undergo scans, have tests carried out and have an appointment with their consultant in the same visit. An outpatient centre, offering the same services described above, would also be provided from a main satellite hospital, which would also benefit from additional investment. In addition, outpatient consultations and a range of other hospital services would be provided at additional satellite locations across north and mid Hampshire.

Option F – Emergency care, consultant-led maternity care and intensive care would be centralised in a new hospital, as would a new outpatient centre, which would enable patients to undergo scans, have tests carried out and have an appointment with their consultant in the same visit. A centre for surgery planned in advance and an outpatient centre offering the same services described above would be provided from a main satellite hospital, which would also benefit from additional investment. In addition, outpatient consultations and a range of other hospital services would be provided at additional satellite locations across north and mid Hampshire.

Option G – Emergency care, consultant-led maternity care and intensive care would be centralised in a new hospital, as would a centre for surgery planned in advance. An outpatient centre which would enable patients to undergo scans, have tests carried out and have an appointment with their consultant in the same visit would be provided from a main satellite hospital, which would also benefit from additional investment. In addition, outpatient consultations and a range of other hospital services would be provided at additional satellite locations across north and mid Hampshire.

*For clarity, options with a main satellite hospital would also contain an urgent treatment centre, step down inpatient care for patients requiring services such as physiotherapy, midwife-led maternity care, and diagnostic tests such as MRI scans and blood tests.

Five of the six options currently being explored involve the construction of a new hospital. Four of the six options involve the development of a main satellite hospital and all options have some health care services provided elsewhere, working together as a network to serve the people of north and mid Hampshire. Work is ongoing to identify proposed locations for these services.

Dr Matt Nisbet, a local GP and a clinical lead at the Hampshire and Isle of Wight Partnership of CCGs, is working on the Hampshire Together: Modernising our Hospitals and Health Services programme. He said: “We would like to thank everybody who has taken part in our listening exercise during the summer as well as those who have taken part in our recent options development sessions. 

“The six options for the way we organise clinical services in north and mid Hampshire in the future will now be investigated further. Our evaluation criteria for shortlisting will be further developed, building on what respondents said was important to them during our listening exercise. The criteria will be refined with further input from clinicians, staff, patients, and other stakeholders. 

“This work will allow doctors, nurses and other clinicians, with the help of a specially formed options development group including staff and patient representatives, to use the evaluation criteria to draw up a shortlist recommended for public consultation. The CCG governing body will review a detailed business case and make a decision on the options for consultation. We expect to launch this consultation early in the new year.”

Visit www.hampshiretogether.nhs.uk for more information about this health service improvement programme – and you can also follow Hampshire Together on Twitter (www.twitter.com/HampshireMOHHS) and Facebook (www.facebook.com/hampshiretogether).