Healthwatch Ealing response to the Ealing Health and Adult Services Scrutiny Panel, Ealing
Download (PDF 3.44 MB)Summary of report content
In March 2017 Healthwatch Ealing and the Ealing Health and Adult Social Services Scrutiny Panel (HASC) produced a paper detailing a number of concerns relating to local services. The paper details their concerns and the background, followed by the response from the North West London Clinical Commissioning Group (CCG).
An overview of the areas of concern and the respective responses are shown below:
Delivery and governance of the local Sustainability and Transformation Plan (STP)
To summarise, an extremely wide ranging and challenging project is being proposed in an extremely tight timescale, and in the absence of an accountable management structure. The report consider under these circumstances the risks of failure, to some degree, must be high. The response from the North West London CCG stated they had been consistently clear about the scale of the challenge faced, however felt they, had developed an ambitious but realistic plan.
Need for ‘bottom-up’, rather than ‘top-down’ design process
Ealing Healthwatch and Ealing HASC were concerned that the published versions of the STP appear based on ‘top down’ high level assumptions, rather than ‘bottom up’ detailed analyses based on patient data. North West London CCG responded by saying, ‘the top down approach follows the recommendations for a Strategic Outline Case as a detailed ‘bottom up’ costing exercise would need to be based on a specific set of assumptions.
Other areas highlighted within the report with responses included those below along with others:
• GP Role and Provision
• Reduced Acute Hospital Admissions
• Reduced duration (Length of Stay) of Acute Hospital Admissions
• Reduction in A&E Attendances
• Ealing Residents using Neighbouring Hospitals
• Cross-border patient flows