dvertising AnnouncementNHSOxfordshireClinical Commissioning GroupOxfordshire Transformation Programme Phase One - decisionsThe first phase of theOxfordshire TransformationAfter careful deliberation and taking into account The implementation of these closures willdinical evidence, safety issues and the views of a now be staged:wide variety of partners and stakeholders, OCCGhas now accepted five recommendations to bring 110 beds are already closed and will remain soProgramme was focused onchanges needed to someto enable the investment in alternative servicesto be made permanent.to:Critical careThe sickest (evel 3) critical care patients fromNorth Oxfordshire and its neighbouring areaswill now be treated at the Oxford Intensive CareUnit (Patients living in South Northamptonshireclinical services to ensureAn additional 36 beds will only besafety, quality and betteroutcomes for patients.permanently closed when the system hasmade significant progress in reducingnumbers of delayed transfers of care. Anyfurther planned closures will need to bereviewed by Thames Valley Clinical Senateand assured by NHS EnglandtheThe Big Health and Care Consultation, whichand South Warwickshire might be treated attook place at the beginning of 2017, askedpatients, dinicians, the wider public andmany other stakeholders for their views andfeedback on proposals for changes to:the crtical care units in hospitals in Warwick,Northampton or Milton Keynes if doser). TheCritical Care Unit at the Horton General Hospitalin Banbury ill become a Level 2 centre for lessMaternity servicesseriously ill patients- those, for example, whoneed closer observation after being in intensivecare and for post-operative care. The Horton CCUwill work closely with the mainCritical care at the HortornOCCG accepted the recommendation for a singleespecialist obstetric unit for Oxfordshire (and itsGeneral Hospital in Banburyneighbouring areas) at the John Radcliffe Hospitalin Oxford and a permanent Miwife Led Unit(MLU) at the Horton General Hospital in BanburyThe obstetric unit at the Horton General Hospitalhas been temporanily closed since October 2016and will not be re-opened.Acute hospital bed numbersacross Oxford and BanburyAcute stroke servicesAll Oxfordshire patients (and those fromneighbouring areas) who are suspected of havingsuffered a stroke will go directly to the HyperMaternity services at the HortonGeneral Hospital in Banburylte doke int nit the Bi ePlanned care services at thee at the Hortonmerts sch as surgical remova of dets and Horton General Hospitaldot busting drugs. Patients across the county willGeneral Hospital in BanburyHospital URH) in Oxford for the best availableThe NHS in Oxfordshire has committed to theWe, Oxfordshire Clinical Commissioning15 public meetings and 10,000 responses via Supported Discharge (ESD) to improve outcomesstakeholders and interested organisationsthank them for their participation and workChanges to acutedevelopment of new 21st century diagnosticGeneral Hospitall in Banbury; an advancedbe supported by the roll-out of countywide Eary and outpatient departments at the HortonGroup (OCCG), considered feedback froma survey, letters and emails from individualsWe aso listened carefully to the concerns ofand rehabilitation, either at home or in othercommunity settingspre-operative assessment unit; and improvementsto the planned operations service at the HortonGeneral. These changes will allow more patientsto be treated closer to where they live in NorthOxfordshire, South Northamptonshire and SouthWarwickshire. They will allow up to 90,000 moreoutpatients appointments, diagnostic tests andoperations to be provided at the Horton.local campaign groups and we would like toon behalf of their communities.bed numbersThe closure of some acute beds across theOxford University Hospitals NHS FoundationTrust sites (including the Horton General) is nowpermanent. Beds were temporanily closed inNovember 2015 as part of a project to tackle theissue of patients stranded in hospital when theyno longer need to be there (delayed transfers ofcare). This allowed funding to be invested in otherservices to support people in their own homes orin community settings.In addition, we considered the findings ofthe formal integrated impact assessmentand additional reports on travel and parkingthat we organised as a result of hearing theconcerns raised during the consultation. Alldocuments, indluding the full consultationreport, can be found on the OxfordshireTrawebsite

Date: 17 August 2017

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dvertising Announcement NHS Oxfordshire Clinical Commissioning Group Oxfordshire Transformation Programme Phase One - decisions The first phase of the Oxfordshire Transformation After careful deliberation and taking into account The implementation of these closures will dinical evidence, safety issues and the views of a now be staged: wide variety of partners and stakeholders, OCCG has now accepted five recommendations to bring 110 beds are already closed and will remain so Programme was focused on changes needed to some to enable the investment in alternative services to be made permanent. to: Critical care The sickest (evel 3) critical care patients from North Oxfordshire and its neighbouring areas will now be treated at the Oxford Intensive Care Unit (Patients living in South Northamptonshire clinical services to ensure An additional 36 beds will only be safety, quality and better outcomes for patients. permanently closed when the system has made significant progress in reducing numbers of delayed transfers of care. Any further planned closures will need to be reviewed by Thames Valley Clinical Senate and assured by NHS England the The Big Health and Care Consultation, whichand South Warwickshire might be treated at took place at the beginning of 2017, asked patients, dinicians, the wider public and many other stakeholders for their views and feedback on proposals for changes to: the crtical care units in hospitals in Warwick, Northampton or Milton Keynes if doser). The Critical Care Unit at the Horton General Hospital in Banbury ill become a Level 2 centre for lessMaternity services seriously ill patients- those, for example, who need closer observation after being in intensive care and for post-operative care. The Horton CCU will work closely with the main Critical care at the Hortorn OCCG accepted the recommendation for a single especialist obstetric unit for Oxfordshire (and its General Hospital in Banbury neighbouring areas) at the John Radcliffe Hospital in Oxford and a permanent Miwife Led Unit (MLU) at the Horton General Hospital in Banbury The obstetric unit at the Horton General Hospital has been temporanily closed since October 2016 and will not be re-opened. Acute hospital bed numbers across Oxford and Banbury Acute stroke services All Oxfordshire patients (and those from neighbouring areas) who are suspected of having suffered a stroke will go directly to the Hyper Maternity services at the Horton General Hospital in Banbury lte doke int n it the Bi ePlanned care services at the e at the Horton merts sch as surgical remova of dets and Horton General Hospital dot busting drugs. Patients across the county will General Hospital in Banbury Hospital URH) in Oxford for the best available The NHS in Oxfordshire has committed to the We, Oxfordshire Clinical Commissioning 15 public meetings and 10,000 responses via Supported Discharge (ESD) to improve outcomes stakeholders and interested organisations thank them for their participation and workChanges to acute development of new 21st century diagnostic General Hospitall in Banbury; an advanced be supported by the roll-out of countywide Eary and outpatient departments at the Horton Group (OCCG), considered feedback from a survey, letters and emails from individuals We aso listened carefully to the concerns of and rehabilitation, either at home or in other community settings pre-operative assessment unit; and improvements to the planned operations service at the Horton General. These changes will allow more patients to be treated closer to where they live in North Oxfordshire, South Northamptonshire and South Warwickshire. They will allow up to 90,000 more outpatients appointments, diagnostic tests and operations to be provided at the Horton. local campaign groups and we would like to on behalf of their communities. bed numbers The closure of some acute beds across the Oxford University Hospitals NHS Foundation Trust sites (including the Horton General) is now permanent. Beds were temporanily closed in November 2015 as part of a project to tackle the issue of patients stranded in hospital when they no longer need to be there (delayed transfers of care). This allowed funding to be invested in other services to support people in their own homes or in community settings. In addition, we considered the findings of the formal integrated impact assessment and additional reports on travel and parking that we organised as a result of hearing the concerns raised during the consultation. All documents, indluding the full consultation report, can be found on the Oxfordshire Tra website