Securing the future of hospital services in South Wales and South Powys
Special health board meetings to discuss a recommendation from the programme board
The five health boards—Abertawe Bro Morgannwg, Aneurin Bevan, Cardiff and Vale, Cwm Taf and Powys—and the Welsh Ambulance Services NHS Trust will hold special meetings in public on Thursday December 12 to discuss a recommendation about the South Wales Programme from the programme board.
In making its recommendation, the programme board has considered a large amount of information and evidence, which has been gathered as part of the South Wales Programme’s work over the last two years. This information has been provided to health boards and the Welsh Ambulance Services NHS Trust to inform their consideration of the recommendation. It includes:
The original consultation evidence and information This includes the engagement documentation and process, the development and scoring of benefit criteria and the main consultation document and technical documentation used to support consultation process. This information is available in the How we got here, Consultation documents and Supporting documents sections of the South Wales Programme website.
Evaluation of the consultation feedback The eight-week consultation into the four options for the future of consultant-led maternity and neonatal care, inpatient children’s services and emergency medicine (A&E) received more than 61,000 responses from the public, NHS staff, statutory and professional bodies and politicians. Opinion Research Services (ORS) was commissioned to analyse the consultation feedback.
ORS consultation outcomes executive summary ORS consultation outcomes full report
The written submissions are available in a series of volumes in the Post-consultation documents section of the South Wales Programme website.
Flow analysis and sensitivity testing The South Wales Programme carried out extensive modelling work in preparation for consultation—a key element of this was to determine where patients would access their care. The original flow analysis, which was used during the consultation, was based on the assumption that patients who needed emergency medicine (A&E) or paediatric care would go to their nearest hospital, either by ambulance or by car.
This work is available from the Supporting documents section of the website and in South Wales Programme: An Overview of the Planning Process.
During the consultation some communities told us they would not travel to their nearest hospital if they were not taken by the ambulance service so the South Wales Programme re-examined the flow data for A&E and paediatrics, for those people who would arrive by car only, based on this feedback. This revised data is available here: South Wales Programme adjusted flows and clinical sensitivity testing
SWP emergency medicine scorecard SWP maternity scorecard SWP paediatrics scorecard
The new clinical models for maternity care have been tested to reflect any changes in activity that might occur if patients do not completely follow the clinical pathway that has been developed.
Midwifery-led units The safety of standalone midwifery-led units was questioned during the pubic consultation events. The maternity clinical reference group has undertaken a piece of research to look at the evidence base for their safety and their clinical and cost-effectiveness. It confirms the safety of standalone midwife-led units. South Wales Programme midwife-led units paper
South Wales Programme: Perinatal and maternal outcomes by planned place of birth
Neonatology briefing paper Comments received during the consultation suggested some communities would be adversely affected by changes to consultant-led maternity and neonatal care than others. This paper considers whether any option would result in widening of health inequalities and the reasons for that.
South Wales Programme neonatology paper
Short-stay paediatric assessment unit The South Wales Programme consultation document highlighted that further work needed to be carried out to investigate whether short-stay paediatric assessment units could be safely provided in hospitals which do not have an inpatient children’s ward.
The paediatric clinical reference group carried out a detailed piece of work looking at the evidence across the UK for the effectiveness of these units. South Wales Programme short-stay paediatric assessment unit paper
Clinical reference group risk assessments This work was undertaken by members of the three clinical reference groups – emergency medicine (A&E); paediatrics and maternity – at two sessions held on September 20 and October 24,
Need more information about the South Wales Programme or do you want to get in touch? www.wales.nhs.uk/swp or www.wales.nhs.uk/swp/hafan