Specialist services location changes 2011-12

During 2010 and 2011, the Trust took part in an extensive engagement process focused on specialist care in larger hospitals. This involved discussion with the public, partners, patients and staff about how to meet the challenge of organising the services needed to ensure they are safe and high quality as well as being financially achievable.

The public engagement was carried out in two phases.  Phase 1 established agreement to the need to look at how specialist hospital services are provided and Phase 2 established support in principle to the proposals detailed in the storyboard.

Proposals were presented to the Health Overview and Scrutiny Committee (HCCOSC) in July 2011, following which a programme was established to consider all the options and work with medical staff to determine where relocation of services will deliver real clinical benefits to patients.

The timescales for change

What changes have taken place to date?

  • Paediatrics: The centralisation of emergency paediatric assessment to Gloucestershire Royal Hospital took place in Autumn 2011
  • Breast care: The centralisation of first outpatient appointments for symptomatic breast care patients to Thirlestaine Court in Cheltenham took place in late 2011
  • Major trauma: The creation of a single Trauma Unit for major trauma (multiple, severe injuries) took place at Gloucestershire Royal Hospital (GRH) from April 2, 2012

To follow in 2012/13:

  • General and Old Age Medicine (GOAM): The strengthening of the service at Cheltenham General Hospital (CGH) to ensure that more patients from the east of the county can be cared for in Cheltenham will take place in July 2012. Services will also continue to be provided at Gloucestershire Royal Hospital
  • Stroke and TIA services: Centralisation of these services at Gloucestershire Royal Hospital will also support an improved service for patients who suffer transient ischaemic attacks (mini strokes) and will take place in June 2012
  • Vascular services: Centralisation of inpatient services at Cheltenham General Hospital will take place in 2013.

A set of Frequently Asked Questions about these changes and how they will be implemented is available and will be updated as the programme progresses.