EKHUFT Clinical Strategy
Case for Change
Why do we need to change
• Although we achieve good outcomes for
patients, we need to continue to improve
• Improved treatments require improved
facilities
• We need to make the best use of the
resources we have
Key principles
• Some of the foundations on which we
build
Short Stay Care
• Reasons for change
• So what might it look like
Outpatients
• Why do we need to make changes
• What might it look like
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Map Showing Proposed 6
Outpatient sites
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Key
• Trust Sites
Proposed North
Site
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1
Emergency Paediatrics
• What do we want to improve
• What might it look like
Emergency Gynaecology
• What do we currently provide
• So how might it look in the future
Emergency Medicine
• What happens now
• What might it look like in the future
Major Trauma
• Why do we need to change
• How might it be delivered in the future
Surgery
• Reasons why we need to change
• How might it look in the future
Options
• Option 1- Hub WHH – 1 spoke at QEQM,
K&C remains largely unchanged
• Option 2 - Hub at K&C – 2 spokes; WHH
and QEQM
• Option 3 - Hub QEQM & WHH
Option 1 (WHH hub)
Advantages
Disadvantages
•Single consultant rota
•Aligns with Women’s and
Children’s service provision
•All specialist knowledge in
one place providing a
centre of excellence
•Co-aligns with an
emergency trauma service
•Travel times from North Kent
will be longer for a number of
patients
•Will need to provide 2 other
middle grade surgical rotas to
support the unselected
medical take at QEQM &
K&C
•Capital investment in ITU
•Doesn’t resolve vascular sub
specialisation issues
Option 2 K&C hub
Advantages
Disadvantages
•Centre of the Trust –
geographically
•Less travel time for patients
from North Kent than if the
hub is WHH
•Co-aligns with vascular and
urology surgery which
facilitates workforce and
training solutions
•Overall more patients will have
to travel
•Will need to provide 2 other
middle grade surgical rotas to
support the unselected medical
take at QEQM & K&C
•Capital investment in ITU and
theatres
•Does not co-align with an
emergency trauma service or
other surgical services
•doesn't co-align with paediatric
services
Option 3 (2 hubs)
Advantages
Disadvantages
•Local service for patients
•Travel times remain as
now
•Aligns with Women’s and
Children’s service
provision
•Co-aligns with an
emergency trauma service
•No specialist hub or centre of
excellence
•Doesn’t resolve vascular sub
specialisation issues
•Requires 2 consultant on call
rotas and the implications of
workforce availability as
described
Next Steps
• Three month engagement process
• Test our plans with the long term
commissioning plans
• Take independent advice from the Royal
College of Surgeons
Questions?