27. North West London

In October 2018, the chief executives of NHS England and NHS Improvement wrote to all STP leaders instructing them to come up with new five year plans by autumn 2019. The new five-year plans will replace those which were drawn-up in 2016 based on the previous five-year funding settlement to 2020-21. The new five year STP will be developed based on a new NHS England budget.

The letter notes that “It will be extremely important that you develop your plans with the proper engagement of all parts of your local systems and that they provide robust and credible solutions for the challenges you will face in caring for your local populations over the next five years.”

NOTE: The information on this page relates to the original STP drawn up in 2016, however much of the information is still relevant and could be part of the new STP.

What concerns have been raised about your STP?

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

Proposed changes

Closure of the majority of Charing Cross hospital, leaving only 13% of the hospital remaining. Ten major services will be axed, including: 24/7 A&E, emergency surgery, intensive care and a range of complex emergency and non-emergency medical and surgical treatments. This would place further strain on Northwick Park and St Mark’s Hospitals.

The closure of these hospitals acute sections would see 500 - 600 hospital bed losses.

Closure of Ealing Hospital A&E and the possible complete closure of the hospital's acute service (i.e. emergency care).

Following the closure of several North West London A&E departments, local hospitals have reported a considerable drop in performance standards. Only 60% of people were seen within the four hour A&E target waiting time. (Standards dictate that 95% of patients should be seen within this time limit)

The Centre for Health and the Public Interest has found that poor residents were much more likely to be affected by A&E downgrades or closure.

In official documents leaked to the HSJ and reported by the Independent, as a high over-spending area North West London may be asked to implement additional cost-cutting measures, including:

  • Longer waiting times for elective care;
  • Closure of wards and theatres;
  • Staffing cuts;
  • Ending funding for some treatments and prescriptions;
  • Delaying or avoiding funding newly approved treatments.

For more information, see below.