41. Dorset

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 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.

The STP plans a major reorganisation of Dorset's acute sector.

Proposed cuts

Closure of the A&E, maternity and paediatric services at Poole Hospital and the relocation of services to a new purpose built unit at the major emergency hub at Royal Bournemouth Hospital.

Dorset County Hospital in Dorchester will have to find ways to share its paediatric and maternity departments with Yeovil District Hospital in Somerset.

The merger of specialist teams for key clinical areas such as a single cancer service and a single cardiac service that will provide care for the county rather than the existing separate teams on each site.

A cut in the number of community hospitals from 13 to just seven 'community hubs' with beds and a further five 'community hubs' without beds in a plan to create a more 'integrated community service' model so people are treated closer to home.

There are concerns that the number of GP surgeries will be cut under the plans.

Changes in who organises our care

Dorset has been designated an accountable care system by NHS England. This new model of care is designed to integrate hospital, community and primary care more fully.