Public meetings - 17 October 2017
Following the public meetings held on 17 October 2017, please find below the meeting summary, the questions and answers from both the afternoon and evening meetings and frequently asked questions.
Frequently asked questions
Services being provided at the former Weybridge Hospital site
What was the cause of the fire? Has the outcome of the investigation been published yet?
NHS Property Services have been conducting an investigation in recent weeks and are now consulting partners, the CCG and providers who used the site, on this report. Following receipt of their feedback and comment, NHS Property Services will be finalising the document.
Via a series of at least 20 interlinked temporary buildings, the following services are returning imminently to the site:
- The two displaced GP practices – Church Street Practice and Rowan Tree Practice (currently operating out of Walton Community Hospital)
- Treatment room services (provided by CSH Surrey who run local community services) which comprise:
- Wound Care Clinics
- Leg Ulcer Clinics
- Phlebotomy Clinics (blood tests)
- ECGs, injections and urinalysis
- Removal of clips and stitches.
- Lloyds Pharmacy
When will these services be up and running?
We are hoping services will be back before Christmas. Whilst the buildings can be fully fitted out quite quickly, we also have to wait for IT/BT connections which due to their complexity, and involving multiple suppliers, take a bit longer. We are doing everything possible to speed this process up. We will ensure we communicate exact dates as soon as we are able to.
What will the parking facilities be? Will there be disabled parking?
There will also be at least 30 parking spaces on site for patients and visitors. There will also be disabled parking spaces. All these temporary facilities will be specially fitted out to meet CQC standards for healthcare provision.
Are the treatment room services going back on site just to support the GP practices and Weybridge patients, or for wider use?
It is the CCG’s intention to support the re-provision of treatment room services for the wider population and as such we have requested proposals from our Providers. Wound Care and Phlebotomy services have been highlighted as a priority and we will work with our Providers to develop these services to give the best access possible within the facilities available.
We will definitely have treatment rooms services for patients of the GP practices five days a week, and are looking to see what further services we can offer.
Will phlebotomy (blood tests) continue in the temporary facility?
The treatment room service will continue to offer blood tests for patients from the GP practices. We are also hoping to extend phlebotomy services across seven days of the week for the wider local population.
Roles and responsibilities
Who has overall responsibility for deciding what services will be provided?
North West Surrey Clinical Commissioning Group (CCG) is ultimately responsible for planning and providing health services for its local population, while NHS Property Services own the property and land. However, the CCG works closely with all the other local health partners (community services, local hospital services, social care, mental health services, GPs and public health) when making decisions about local services. In addition, the CCG has a statutory responsibility to involve and consult local people in its decision-making.
What role do the local authorities play in this decision-making?
Clearly there is an important local planning role that Elmbridge Borough Council would be involved in. More widely, Surrey County Council (responsible for public health services and adult and children’s social care services) are working closely with local health organisations through the Surrey Heartlands partnership and will be a key partner in future decision-making.
What has happened to patients’ (GP) medical notes following the fire? Have these been destroyed?
Church Street practice – all paper notes were stored off site so therefore these remain completely intact. There were about 300 sets of notes in the practice which were from patients either registering or transferring out and the practice has written to all patients affected by that process. In reality all the records are now stored electronically, the paper notes were largely duplication of old electronic records and paper records are becoming increasingly irrelevant in terms of normal day to day health care.
Rowan Tree practice – Rowan Tree practice paper notes were destroyed in the fire, including records of people who had just registered in or were transferring out of the practice. The practice is now writing to those patients affected. However, all paper records have been summarised electronically so patient care should not be adversely affected.
Walk-in-Centre/new health facility
Will there be a Walk-in Centre in the new building?
Before we decide exactly which services will be in the new building, we want to engage the local community and our partners to make sure the new facility provides the right services to meet the needs of the local population.
We understand the history and passion for the Walk-in Centre, and we will need to take that into account when planning our consultation. However, we think it’s right to take this opportunity to think carefully about what services we need and how services might be delivered differently, and better, in the future.
We are currently working with our local partners (community services, local hospital services, social care, mental health services, GPs and public health) to start thinking about future options for urgent care services across the whole North West Surrey area, including a new facility in Weybridge, and it’s only right to consider all this together. We very much want to design this new facility with the help of the local community and as part of our engagement, we will think carefully about the type of services delivered at the Walk-in Centre, and others, to make sure local people have the right access to urgent, on the day care. Access to timely care outside of what is traditionally provided by GPs is certainly what we are thinking and wanting to bring back onto the site. We will have additional funding for extended primary care services – access to GPs and/or extended nurse practitioners and others – which we want to provide from 8am – 8pm seven days a week and this will also form part of our planning.
Above all we want to design a new facility that is fit for the future and not simply a ‘like for like’ service.
Why is the Walk-in Centre not being re-instated at this point?
Our priority has had to be returning the GP practices that serve around 25,000 people back onto the site, with as many additional facilities (e.g. treatment room services) that we can provide within the space available.
At the same time, the temporary buildings we are putting in place are only one storey high, therefore we are restricted in the number of services we can bring back onto the site at this time. We also need to keep free space on the site to allow for safe construction alongside the temporary accommodation as well as a suitable number of parking spaces.
We have received suggestions from the community (which we are very grateful for) regarding alternative accommodation and we have considered these, but the length of time and costs in refurbishing (for example, lead lined rooms for X-ray facilities) and meeting CQC compliance standards are prohibitive at this time; we want to be able to focus our planning and future funding on designing and building the new facility.
Why can’t the Walk-in Centre be reprovided in the empty space on Burwood ward once the GP practices move?
We were lucky to be able to secure this space in Walton Community Hospital to allow a swift relocation of the two displaced practices. This empty ward was being made ready for another local practice in Walton to move into and they are ready to move into the new space once vacated.
What has happened to the staff in the Walk-in-Centre? Have they been re-deployed or made redundant?
All the staff working in the Walk-in Centre have been redeployed either at the other two Walk-in Centres in Woking and Ashford, or across other community services in the local area.
Why can’t you guarantee now that you will re-provide the Walk-in Centre in the new building?
As we’ve explained, this gives us the opportunity to start from scratch and design a new building and services that are fit for purpose for our local population and the way health services need to be designed for the future. We still want to be able to provide a range of on-the-day services for urgent care, for example extended primary care access (8am-8pm seven days a week), and diagnostics such as X-ray and other tests across seven days – it may or may not be called a walk-in centre, but what matters is the level of service we can provide for local people.
Will a new build definitely take place on the original site?
The latest statement says ‘at least three years’ for a new building – why does this need to take so long? Can we expect it to take even longer?
Initially a project brief is drawn up and a feasibility study completed – this study involves sourcing and appointing design consultants, identifying options, undertaking the study itself and reviewing and approving the preferred option and procurement route. An Outline Business Case would also be generated as part of this process.
A number of procurement options are available for the main design and build work with varying amounts of time and cost associated with each.
The preferred option is then progressed to a stage whereby the design and costs can be signed off before proceeding with a planning application.
A full design process is then completed before tendering the work and beginning construction.
How likely is it that part of the site will be sold off or used for non-health services?
We have no plans to sell off or use parts of the site for other non-health related services.
How wide an area would services in Weybridge cover?
Clearly the GP practices serve patients who are registered with them within their local boundaries. However, all other non-GP services including urgent care serve the wider urgent care services need to serve a larger population. Across North West Surrey we need to consider all our population and where we might want to provide urgent care services that allow best access and spread for the whole of our population.
How are other services, for example A&E at St Peter’s, coping without the Walk-in-Centre?
Since the fire we have noticed approximately 30% of the activity that would have been dealt with at the Walk-in-Centre presenting in other areas, either the other two Walk-in-Centres or the Urgent Care Centre of St Peter’s (A&E). However, a lot of that demand has been for the treatment room type of care - wound care, diagnostics and phlebotomy services (much of which will be reinstated in the temporary accommodation). We have not seen the volumes of minor injury presentations in the other sites in significant numbers above what we would expect at this time of year.
Will there be enough funding for a new build? Was the building insured?
Insurance for public buildings is very different to the kind of insurance individuals may have for their own homes. The government and all its different departments are self-insuring, and there are funds available. In addition, funding for a new building will not be affected by what may or may not have caused the fire.
Previously it was expected a Locality Hub for the frail elderly was to be in Weybridge – what is happening about that?
North West Surrey CCG’s locality hub programme is a crucial part of our strategy, to be able to supply care to some of the most complex patients in our community.
This service is currently operational at Woking Hospital and we want to guarantee access to everyone in North West Surrey that requires it. That is likely to be via a couple of ways; immediately in the short-term via our sites at Woking and Ashford, and we are in the process of buying a dedicated transport service that will allow everyone to get to those facilities free of charge. In the longer-term this will be about making sure we have equitable services across our population in terms and this will likely mean a combination of attending physical sites and a much greater offer of integrated care services in people’s own homes in the community.
How are you planning to involve the local community in options for the future?
The CCG is working with its local partners (community services, local hospital services, social care, mental health services, GPs and public health) to start thinking about future options for urgent care services across the area, including a new facility in Weybridge. Alongside this planning group, we would like to set up a patient and stakeholder group which would need to include people both from Weybridge and also other parts of North West Surrey. This group would be asked to consider a range of information and options on how we provide urgent care services which would then go out to consultation early next year. We will also run other engagement activities alongside this, such as a survey, regular information bulletins to interested parties.
Then there would be a wide public consultation across North West Surrey importantly including Weybridge and its surrounding areas as a key area to consult. Following consultation and agreed options, we would look to set up a more local patient group to consider the new facility in more detail.
Further information will be added to this website as we move through the process to ensure people are kept up to date and know how to get more involved.