31. South West London
What does the STP mean for your area?
Closure of one of either Mayday Hospital in Croydon, Epsom Hospital, St Helier Hospital, St George’s Hospital or Kingston Hospital.
Emergency and Maternity care to be cut from another
The potential for cancer services at St George’s, Epsom and St Helier and the Royal Marsden hospitals in Sutton and Chelsea to be merged to one shared site
The planned extension of the Sutton vanguard - which ended when funding ran out - has raised concerns. For this primary care approach to be extended throughout the STP area, primary care would first have to be stabilized and funding increased, as at present there is no capacity or funding for such expansion.
What are the proposed aims of the STP?
- Elimination of the projected 2020/21 deficit of £726 million;
- Reduction in the number of acute sites;
- A transformation of primary care to local multidisciplinary teams at primary care access hubs;
- Greater emphasis on prevention and early intervention;
- To reduce the number of A&E visits, outpatient appointments, and non-elective admissions;
- The overall aim of the STP is to move care from the acute sector into the community sector.
The STP also includes plans to review specialised services at hospitals including St George’s, Epsom, St Helier and the Royal Marsden, to tackle the rising cost of care and identify the “optimal configuration” of services.
The plans to close and reconfigure hospitals in South West London have cost NHS England over £4 million in fees to private consultancy firms.
Plans for transforming primary care in south west London include new multidisciplinary locality teams, which will be aligned to GP localities and take a role in managing long-term conditions, well-being and early intervention to prevent admissions. Primary care access hubs will be established with social care, physiotherapy and mental health wraparound services and integrated with urgent care services.
The STP contains a proposal to roll out the Sutton care home vanguard across the STP area, covering six boroughs and a population of around 1.4 million. The Sutton scheme funded regular named-GP visits to local care homes to provide healthcare, health and wellbeing reviews and end-of-life planning.
The plan also says that practices will have access to social prescribing. Practice federations will be embedded from 2017/18 and able to bid for enhanced service contracts and an MCP-type organisation will be formed by 2018/19.