42. Hampshire and the Isle of Wight

What does the STP mean for your area?

Health planners are trying to reduce NHS deficits and think about ways to re organise care. However getting the large deficits under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed cuts

A cut of 300 beds is planned for the acute sector.

There are plans to reduce the size of the area's physical NHS estate by 19% and estate costs by £24 million.

It is likely that some services will move from St Mary's hospital on the Isle of Wight to the mainland, increasing the number of people needing to be ferried to hospitals in Southampton and Portsmouth.

Changes in who organises our care

The STP proposes "integrated primary care hubs" which will have "multiprofessional primary care teams with extended skills", with the aim to reduce the use of the acute sector.

 

What are the proposed aims of the STP?

  • Elimination of a projected 2020/21 deficit of £577 million;
  • Increased co-ordination of primary care with more specialist care in primary care;
  • Simplification of the urgent care system;
  • Reduction in the number of beds in the acute sector;
  • Increased investment in prevention and self-care.

Like other areas they plan to transfer services out of hospital and into the community. The concern is that financial pressure will mean that cuts in hospital care will be made, helping to achieve savings, but without proper investment in community health services.

Further information

Hospitals

The STP contains plans to reduce acute bed capacity by 9% or around 300 beds.

A review is being undertaken of acute services in North and Mid Hampshire that will result in a reconfiguration. This is designed to save £60 million by 2020/21.

There are concerns that services at St Mary's hospital on the Isle of Wight will be downgraded and the land sold off.

Primary Care

The STP proposes "integrated primary care hubs" which will have "multiprofessional primary care teams with extended skills", with the aim to reduce the use of the acute sector.

Criticism

The Isle of Wight council has concerns over endorsing the STP and former former consultant in public health in Hampshire and retired GP Dr Iain Maclennan said the STP was "full of wonderful fluffy bits of jargon which on the face of it sound positive, but unfortunately a lot of these words are just a code for cuts".

The Isle of Wight council Health and Adult Social Care Scrutiny Sub Committee raised concerns at a meeting of 12 December 2016.  Members suggested that 'the STP was being forced through with little involvement from local government or consultation with Island residents.  It was acknowledged that there was a lack of detail in the plan .... It was suggested that the STP failed to address preventative measures and represented a reactive model. ....... it would be recommended to the council’s executive that the STP should not be endorsed. ..... there was a lack of detail within the plan and it did not clearly outline the implications of the proposed changes.'

Following an earlier meetings of the Health and Social Care Scrutiny Sub Committee of  11 and 17 October 2016 and a subsequent Executive Meeting of 24 October 2016 John Metcalfe, Chief Executive published a response to the Hampshire and Isle of Wight STP which included the following:

'The Committees were disappointed, the timescales to produce the plan, dictated by NHS England, did not give sufficient weight to the democratic process allowing it the opportunity to consider the final plan, or debate the issues it raises in a public forum, and did not appear to conform to the best practice guidance (for example Engaging Local People - NHS September 2016).'