Consultation on Royston Hospital

June 13, 2012

CONSULTATION RESPONSE TO ‘A VISION AND STRATEGY FOR INTERMEDIATE CARE SERVICES IN HERTFORDSHIRE’

 

JOINT RESPONSE FROM

ROYSTON AND DISTRICT AREA COMMITTEE

 (NORTH HERTFORDSHIRE DISTRICT COUNCIL)

 AND COUNTY COUNCILLORS FOR ROYSTON (FIONA HILL)

 AND NORTH HERTFORDSHIRE RURAL (TONY HUNTER)

 

 

ENGAGEMENT QUESTIONS

 

Question 1 –  Intermediate Care Vision and Strategy

 

a)         Opportunities/Advantages

 

The new strategy allows for a purpose built, modern community facility to accommodate the needs for intermediate care, with medical, nursing and therapy support, in Royston and the surrounding area.

 

b)         Challenges/Concerns

 

            These relate to the logistics of continuous intermediate care during the period of development of the new facility.  Other concerns relate to the consistency of outpatient services and clinics currently situated atRoystonHospital, together with the Royston and District Volunteer Centre and Royston and District Community Transport offices.  Both organisations are very important in the community, have close links withRoystonHospitaland are currently located on the Hospital site.

 

Question 2 – Royston Proposals

 

v)         Procure an independent care home provider to redevelop the hospital site to provide purpose-built facilities for intermediate care and residential/nursing home care to serve the local population.

 

We support the concept of involving an independent care home provider to redevelop the hospital site in order to accommodate intermediate care and residential/nursing home care for Royston and the surrounding area.

 

            Should any of the land be sold (careful consideration should be given as to whether a lease is a better option), Royston must receive a legacy, whether through planning gain, or other means, for future health provision, bearing in mind the expansion of the town and surrounding area.  Planning conditions/clauses should also be applied to safeguard community health services in Royston, in the future.  It is vital that as much land as possible is retained in the ownership of the NHS.

 

 

vi)        Provide space to run outpatient clinics, community services and other services currently delivered in the Royston Hospital site, either:-

 

            To the new facility on the hospital site

 

            This is an ideal rural location for residential/nursing home care and intermediate care beds, with appropriate supporting services.  The new facility is essential for Royston and the surrounding villages. 

 

            Any development should allow for future expansion if more beds and further space for additional supporting services and clinics are required.

 

            In an extension to the Royston Health Centre

 

            Given the existing timescale and funding currently available, we support the proposal for an extension to Royston Health Centre to locate outpatient clinics, community services and other services, whilst the development of theRoystonHospital site is in progress.

 

No outpatient clinics and services currently held atRoystonHospitalshould be ceased until a new location has been identified and is operational.

 

There should be a long term vision for health services in Royston and the surrounding area.  The style of any new extension should be such that there is room for future phased modular expansion, should it be required (possibly medical, nursing, therapy services and meeting/conference rooms).  It has been stated that there is currently a shortage of space at Royston Health Centre and that any additional space from an extension could be used in the long term, following development of the current Hospital site.

 

Any plans relating to Royston Health Centre also need to take into account and not put in jeopardy any possible future development of the Civic Centre/Town Hall site.

 

Consideration should also be given to the fact that parking is currently free for employees, patients and visitors atRoystonHospitalbut charges exist in the car park nearest the Royston Health Centre. 

 

            In an alternative local location

 

We have concerns that this would become a permanent solution. In our opinion, the sites which have been investigated, for example, Lumen House, are totally unsuitable (insufficient parking, transport links, vehicular accessibility, financially unviable).  Services would become fragmented and would be costly, confusing and inconsistent if they were put in more than one location.  It is imperative that the services remain together.

 

 

vii)        During the planning and development of the new facility, close Royston Hospital and commission an appropriate number of NHS-funded intermediate care beds from local care home providers in the town and make local arrangements to accommodate other services.

 

            We support temporary commissioning of an appropriate number of NHS funded intermediate care beds from local care home providers in the town.  However, no beds should be removed fromRoystonHospital until appropriate arrangements and agreements have been confirmed and local providers have agreed to accommodate patients. 

 

GENERAL

 

Future health requirements in Royston will need to include capacity for the 4,000 patients currently using the Market Hill Surgery when the lease expires in three years’ time.

 

There is currently a strong, committed and professional team of employees employed at Royston Hospital and it is vital that patients continue to be served in this way and there is consistency in the service provided.

 

We would stress again that theRoystonHospitalshould remain open for intermediate care beds and all outpatient clinics and services currently situated at the site until suitable alternative local provision is available.

 

 

 

 

 

 

 

 

 

CONSULTATION RESPONSE TO ‘A VISION AND STRATEGY FOR INTERMEDIATE CARE SERVICES IN HERTFORDSHIRE’

 

 

 

JOINT RESPONSE FROM

 

ROYSTON AND DISTRICT AREA COMMITTEE

 

 (NORTH HERTFORDSHIRE DISTRICT COUNCIL)

 

 AND COUNTY COUNCILLORS FOR ROYSTON (FIONA HILL)

 

 AND NORTH HERTFORDSHIRE RURAL (TONY HUNTER)

 

 

 

 

 

ENGAGEMENT QUESTIONS

 

 

 

Question 1 –  Intermediate Care Vision and Strategy

 

 

 

a)         Opportunities/Advantages

 

 

 

The new strategy allows for a purpose built, modern community facility to accommodate the needs for intermediate care, with medical, nursing and therapy support, in Royston and the surrounding area.

 

 

 

b)         Challenges/Concerns

 

 

 

            These relate to the logistics of continuous intermediate care during the period of development of the new facility.  Other concerns relate to the consistency of outpatient services and clinics currently situated atRoystonHospital, together with the Royston and District Volunteer Centre and Royston and District Community Transport offices.  Both organisations are very important in the community, have close links withRoystonHospitaland are currently located on the Hospital site.

 

 

 

Question 2 – Royston Proposals

 

 

 

v)         Procure an independent care home provider to redevelop the hospital site to provide purpose-built facilities for intermediate care and residential/nursing home care to serve the local population.

 

 

 

We support the concept of involving an independent care home provider to redevelop the hospital site in order to accommodate intermediate care and residential/nursing home care for Royston and the surrounding area.

 

 

 

            Should any of the land be sold (careful consideration should be given as to whether a lease is a better option), Royston must receive a legacy, whether through planning gain, or other means, for future health provision, bearing in mind the expansion of the town and surrounding area.  Planning conditions/clauses should also be applied to safeguard community health services in Royston, in the future.  It is vital that as much land as possible is retained in the ownership of the NHS.

 

 

 

 

 

vi)        Provide space to run outpatient clinics, community services and other services currently delivered in the Royston Hospital site, either:-

 

 

 

            To the new facility on the hospital site

 

 

 

            This is an ideal rural location for residential/nursing home care and intermediate care beds, with appropriate supporting services.  The new facility is essential for Royston and the surrounding villages. 

 

 

 

            Any development should allow for future expansion if more beds and further space for additional supporting services and clinics are required.

 

 

 

            In an extension to the Royston Health Centre

 

 

 

            Given the existing timescale and funding currently available, we support the proposal for an extension to Royston Health Centre to locate outpatient clinics, community services and other services, whilst the development of theRoystonHospital site is in progress.

 

 

 

No outpatient clinics and services currently held atRoystonHospitalshould be ceased until a new location has been identified and is operational.

 

 

 

There should be a long term vision for health services in Royston and the surrounding area.  The style of any new extension should be such that there is room for future phased modular expansion, should it be required (possibly medical, nursing, therapy services and meeting/conference rooms).  It has been stated that there is currently a shortage of space at Royston Health Centre and that any additional space from an extension could be used in the long term, following development of the current Hospital site.

 

 

 

Any plans relating to Royston Health Centre also need to take into account and not put in jeopardy any possible future development of the Civic Centre/Town Hall site.

 

 

 

Consideration should also be given to the fact that parking is currently free for employees, patients and visitors atRoystonHospitalbut charges exist in the car park nearest the Royston Health Centre. 

 

 

 

            In an alternative local location

 

 

 

We have concerns that this would become a permanent solution. In our opinion, the sites which have been investigated, for example, Lumen House, are totally unsuitable (insufficient parking, transport links, vehicular accessibility, financially unviable).  Services would become fragmented and would be costly, confusing and inconsistent if they were put in more than one location.  It is imperative that the services remain together.

 

 

 

 

 

vii)        During the planning and development of the new facility, close Royston Hospital and commission an appropriate number of NHS-funded intermediate care beds from local care home providers in the town and make local arrangements to accommodate other services.

 

 

 

            We support temporary commissioning of an appropriate number of NHS funded intermediate care beds from local care home providers in the town.  However, no beds should be removed fromRoystonHospital until appropriate arrangements and agreements have been confirmed and local providers have agreed to accommodate patients. 

 

 

 

GENERAL

 

 

 

Future health requirements in Royston will need to include capacity for the 4,000 patients currently using the Market Hill Surgery when the lease expires in three years’ time.

 

 

 

There is currently a strong, committed and professional team of employees employed at Royston Hospital and it is vital that patients continue to be served in this way and there is consistency in the service provided.

 

 

 

We would stress again that theRoystonHospitalshould remain open for intermediate care beds and all outpatient clinics and services currently situated at the site until suitable alternative local provision is available.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Keeping the NHS Promise to Royston

April 18, 2012

Royston residents were pleased to hear of major investment in the health and care infrastructure of the town with a brand new care home and a £1 million extension to the Health Centre, but this was on the basis that NHS intermediate care patients would continue to be treated in hospital or care home beds in Royston during the building of the new care home. There were also questions to be asked about ensuring that the future health needs of the town were met by the new building works.

However, immediately after the decision by NHS Hertfordshire we were told that the Hertfordshire Community NHS trust, which provides the nursing staff for the hospital, had intervened to say that they would no longer staff Royston and that Royston patients would actually be sent to Hitchin for an indefinite period. This is completely unacceptable and local County Councillors and I have written to the newspapers and made our postion clear to the NHS. We want the NHS to keep its promise to Royston. A further meeting is planned in the near future. The letters are below.

Letter to Local Papers:

Dear Sir,

We are writing about Royston Hospital and its services. We want to ensure the best possible outcome for Royston residents.

NHS Hertfordshire PCT currently owns and manages Royston Hospital, which has 12 beds usable for intermediate care for Stevenage and North Hertfordshire patients. Hitchin Hospital provides similar beds for the area too. The separate Hertfordshire Community NHS Trust are based at Royston Hospital providing the nursing care for the beds and District Nurse and Community Nursing services to local residents in their homes. There are about 30 outpatient clinics which operate from time to time, of which physiotherapy is the largest.

Last year, NHS Hertfordshire decided to place its intermediate care patients closer to their homes and beds are to be provided through the NHS in care homes. So, Stevenage patients will be in beds in Stevenage and Baldock patients in Baldock and so on. Hitchin Hospital is to close. Royston area patients in beds in Royston Hospital usually number about 5.

Last November, NHS Hertfordshire started a consultation on the future for Royston Hospital services. This was widely covered in our local papers and Oliver Heald put out a Press Statement asking local residents to read the proposals and take part.

They are planning to knock down the existing Hospital, because it is worn out and build a brand new care home, which will also provide our Royston NHS beds for intermediate care. The Herts County Council Social Services will lead on the building project and the land is likely to be sold to the care home developer, because care homes in Hertfordshire are in the independent sector.

There were choices to be made about whether the outpatients and Community Nursing services would be better provided at the new care home on the existing site or in the town centre. NHS Hertfordshire suggested an option of putting the outpatients and clinics at the Health Centre in a first storey extension. This would also provide a lift and give much needed additional space for Dr Brownrigg’s practice. This would cost almost £1 million.

A meeting “Conversation Cafe” was advertised and took place at the Golf Club with a good turnout and it was clear that there were mixed views in the town. We have met the Friends of Royston Hospital, NHS representatives and a number of GPs and other councillors and heard views from many local people. Some people would like the outpatients and clinics to be at the existing Hospital site for the future as part of the new care home. Some prefer the Health Centre extension option long term and some would like a brand new Health Centre on a site yet to be identified.

NHS Hertfordshire have now announced their decision that they are going to allow Herts County Council to build the care home on the Hospital site and that the Health Centre will have the extension built.

The consultation was on the basis that Royston’s intermediate care patients would always be in beds in the Royston area, either at the Hospital or in local care homes, while the new care home is built. However, shortly after NHS Hertfordshire’s decision, the Community NHS Trust suddenly said it was no longer able to staff the beds at Royston Hospital and that patients from Royston would have to go to Hitchin Hospital for an indefinite period. This is unacceptable. The Community NHS Trust must comply with the clear basis of the consultation and ensure Royston patients remain in Royston area. We are taking this up with them urgently.

We are asking NHS Hertfordshire about the medium term, as Royston is expanding and will need more health facilities. We are also asking about the proceeds of sale of the site and whether money will be available as a legacy to provide for future health facilities in Royston. It is important that plans for the new building take account of and allow for future town expansion and future health needs.

We are arranging a further meeting with NHS Hertfordshire. The outpatients and Community Nursing services will be based at Royston Hospital, until the new Health Centre extension is completed.

It is welcome that the extension to the Health Centre is going ahead and a brand new care home is being built. This is a major investment in Royston’s health and care infrastructure. However, we are concerned that Royston patients should be treated in Royston and to see the full picture for the future and are therefore pressing for answers to the points above.

Yours sincerely,

Oliver Heald MP
County Councillor Fiona Hill
County Councillor Tony Hunter

Letter to Hertfordshire NHS Community Trust :

David Law, Chief Executive,
Hertfordshire Community NHS Trust,
Unit 1A Howard Court,
14 Tewin Road,
Welwyn Garden City,
Hertfordshire AL7 1BW. 16 April 2012

Dear Mr Law,

Royston Hospital

The recent consultation regarding the future of Royston Hospital was on the basis that Royston’s intermediate care patients would always be in beds in the Royston area, either at the Hospital or in local care homes, while the new care home is built. Responses were made on that basis and so was the decision. However, shortly after NHS Hertfordshire’s decision, the Community NHS Trust suddenly said it was no longer able to staff the beds at Royston Hospital and that patients from Royston would have to go to Hitchin Hospital for an indefinite period. This is unacceptable.

It is my firm belief that the Community NHS Trust must comply with the clear basis of the consultation and ensure Royston patients remain in Royston area. I would be grateful for your urgent assurance that the NHS promise to Royston will be kept either by reopening the necessary beds at Royston Hospital or contracting for these services from care homes locally.

Yours sincerely,

Oliver Heald MP