Independent Review set up to ensure people across South Yorkshire, Bassetlaw and
Chesterfield continue to receive excellent hospital services now and into the
future has made a series of recommendations in a report published on the 9th
Hospital Services Review (HSR) Report strongly recommends that to continue to
provide high quality services across the region, hospitals must work together
even more closely and in ways that connect teams across all sites.
central theme is for local people to continue to get as much hospital care as
possible in their local District General Hospital (DGH). This includes a recommendation
to keep all seven emergency departments (EDs) in Barnsley, Bassetlaw,
Chesterfield, Doncaster, Rotherham, the Major Trauma Centre and ED at the
Northern General Hospital in Sheffield and the ED at the Sheffield Children’s
new networks of care, it is proposed that different hospitals could take the
lead for each of the five clinical services reviewed1. The
responsibilities of local hospitals could include strengthening the workforce
and making sure that all patients get care to the same high standards. The
networks would be designed with patients, the public and clinicians with the
emphasis on delivering the networked service to a specification agreed across
all hospital sites. The aim of care networks would be to ensure the hospitals
work together to provide safe, sustainable, high quality care in an even more
among the proposals are two new regional centres of excellence to support the
networks. A Health and Care Institute would link the region’s universities,
colleges and schools with the NHS and local authorities to focus on region wide
workforce solutions. As well as recruiting and nurturing the workforce of the
future, it would include a single joint approach to developing and putting shared
ways of working in place.
creation of an Innovation Hub, which would be in partnership with the Yorkshire
and Humber Academic Health Science Network, would spot and quickly roll out
innovation schemes across the region, such as new technologies.
review has identified real challenges in sustaining some services in every DGH,
in particular children’s and maternity services, and the Report recommends that
networks and wider collaboration are the best opportunity to sustain local
services at their current levels.
maternity services, the Report aligns its thinking with the findings from the
public consultation that informed the national report, Better Births2, which recommend maternity services
support personalisation, safety and choice, with access to specialist care
whenever needed. The HSR Report calls for more choice for women and recommends
further work is carried out to consider the creation of more care in
communities and midwife-led units, and further development of home birth
children’s services the Report recommends expanding services for children in
the community and in short stay units. This would lead to shorter stays for
children and would likely mean there would be less need for longer stay
inpatient wards. For those children still needing longer stays in hospital for
more complex problems, it may be possible to provide this in fewer units and
the Report recommends that further work be carried out to consider a small reduction
in the number of inpatient paediatric units.
Report also recommends that overnight and weekend services for emergency gastrointestinal bleeds are
consolidated onto three or four sites. This is intended to increase the safety
of services for patients, to make sure that in an emergency, all patients have
reliable and rapid access to the care they need.
is already happening with local communities and organisations to ensure the
right configuration of services are provided locally to support the needs of
patients, while addressing the wider challenges, and the Report identifies
where more opportunities could be explored.
the Report recommendations be accepted, additional work would be undertaken
over the next year to further scope the options and the team would continue to
hear from patients, public and staff.
Chris Welsh, Independent Director for the review of hospital services in South
Yorkshire, Bassetlaw and Chesterfield, said:
are fortunate to have some excellent services and staff from all professional
backgrounds who are dedicated and skilled, and strive to deliver good care in
the face of tremendous pressure.
the NHS is facing enormous challenges. Within the region, demand is increasing
faster than ever predicted. Part of this comes from resource shortages, but
part of it is the consequence of a system designed to provide treatment in
every hospital for every condition that now needs to adapt to much more
specialised and advanced treatment which can deliver better outcomes for
patients. The system must change to meet these new needs.
the hospitals in South Yorkshire, Bassetlaw and Chesterfield want to continue
to provide excellent services and attract and develop the best staff to run
them, then it is my strong recommendation that they work together even more
closely and in ways that connect teams across all sites.
have unfortunately seen some services withdrawn at short notice due to skill
shortages because of the impact this can have on patient safety. Whilst
the new networks of care may not be able to avoid reduction in local services
in every case it will give by far the best opportunity to stop this happening
in the future.”
working together better, outcomes for patients would continue to be improved
and staff who work in the services would have fantastic opportunities to
develop and learn. Staff are needed now more than ever and they could be
certain that the hospitals in the region would be among the most attractive
places to work and providing some of the very best care in the world.”
The Report also recommends:
at the sustainability of planned care (eg planned operations and tests) in more
how to ensure better collaborative decision making between hospitals
up a Transport Reference Group (TRG) to develop a system-wide transport strategy
with representatives from hospitals, commissioners, Yorkshire Ambulance Service
and East Midlands Ambulance Service, local transport authorities, patients and
Report will now be received by the South Yorkshire and Bassetlaw Health and
Care Working Together Collaborative Partnership Board in June and then the
collective committees3 and individual boards and governing bodies
and committees within the partnership throughout June and July. If the partners
agree that a further phase of work should take place, to scope out options
and to develop business cases for
change, this would take another year with continued patient, public and staff
involvement and, where appropriate, the relevant Health Scrutiny Committees.
any major service changes required consultation, this would likely take place
in 2019, with another one to two years before changes took effect.
Des Breen, Medical Director for Health and Care Working Together in South
Yorkshire and Bassetlaw, said:
a partnership, we asked for this review to be carried out to help us understand
how we can make sure our services are of the safest and highest quality, now
and in the future and I welcome this detailed and considered Report. The review
team has spent ten months looking closely at hospital data, patient outcomes
and experience, had in-depth conversations with the staff who run the services,
the patients who use them and also the wider public.
is a very thorough piece of work which the partners in Health and Care Working
Together will now consider in detail.”
the Report focuses on hospital-based services, it also recognises that the
services cannot exist and operate in isolation and the team also worked with
staff in primary care, community care, mental health, social services and wider
still to ensure that its recommendations build on related work that is
currently under way and recognise system-wide interdependencies.
review is just one part of the overall approach being taken by the partners in
Health and Care Working Together. At the same time, work is underway to develop
more and more ways of treating and caring for people in their homes and local
clinics, so that they don’t need to go to hospital.
For further information and to read the full
report click here: https://www.healthandcaretogethersyb.co.uk/index.php/what-we-do/working-together-future-proof-services/looking-at-hospital-services