Have your say on proposals to centralise hyper-acute stroke services in east Staffordshire

In the summer of 2019 East Staffordshire CCG supported the University Hospitals of Derby & Burton NHS Foundation Trust to gather views on proposals to centralise hyper-acute stroke services at the Royal Derby Hospital for the first 72 hours of care. The service would be provided via a seven-day Hyper Acute Stroke Unit with patients then returning to either Queen’s Hospital Burton or other local community bases for their follow-up care and rehabilitation.

The proposal is based on nationally agreed best practice and was included in the formal application to merge Burton Hospitals Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust, which was approved by regulators in March 2018 to create the University Hospitals of Derby & Burton NHS Foundation Trust (UHDB). 

Patient consultation was undertaken as part of the merger application, however commissioners and providers held a further eight-week consultation to give patients and the public the opportunity to have their say on the proposal specifically relating to stroke services. 

If you'd still like to you can read more about the proposal in the consultation document  and Case for Change .  The consultation ran from Monday 10 June 2019 until midnight on Sunday 4 August 2019 and the public were able to share their views in a number of ways, including an online survey, at one of the public meetings and even via social media.

This consultation has now closed and a report on the findings can be now be viewed and downloaded. 

 

You Said, We Did

By evaluating the results of participation through public and patient involvement, the CCG can learn lessons for the future and continuously improve performance. 

In the table below you can review this project to understand more about what patients said, and what the University Hospitals of Derby and Burton NHS Foundation Trust (UHDB) took action on as a result of that feedback. 

How concerns could be overcome

Comments

Services should be provided locally

The changes proposed are predicated on patient benefits and improving mortality. Maintaining status quo negatively affects patient care

Consider improved transport arrangements

As a healthcare provider we can only make  recommendation to the council but we’re not in a position to influence this

Consider improved communication in the NHS

The Merger and Stroke changes went through2 separate public consultations and the CCG have made the appropriate efforts to ensure all patient demographics are reached. 

Consider using Royal Stoke University Hospital

This is further than RDH and it takes longer to get there.

Proposal should have already been implemented

Can’t implement until CCG and OSC approve and commission

Consider that patients may need more than 72 hours before being transferred

Absolutely – patients will only be repatriated back to QHB only when a Senior Stroke Consultant deems them fit enough to be taken. The medical needs to the patients will never be compromised.  

 

Some of the comments from the public consultations are also shown below:

‘Older people who may use service more may find it difficult to visit or attend follow up appointments’ – Following the hyperacute element of the pathways ‘Burton Patients’ will be repatriated to QHB and any follow up care dealt with at QHB.

‘As usual, people who don’t have cars. Plans should include looking at public transport’ – As a healthcare provider we can only make  recommendation to the council but we’re not in a position to influence this.The Trust has however committed to increasing parking spaces at RDH to make it easier for friends and family to visit.

‘Increased travel distances for ambulances with Stroke patients’ – As demonstrated throughout the consultation, on average, a patient would have to travel for 8 additional minutes and in all cases this was well within the ‘Golden Hour’. As shown by the London model the slight increase in time doesn’t negatively affect prognosis  but in fact outcomes are much better as patients are seen to in a specialised centre tailored to dealing with Stroke patients.