How Will My Hospital Work?
Our plans for improving hospital care, includes creating four shared ‘single services’.
A huge amount of analysis underpins the Healthier Together proposals. The analysis helps us to answer some key questions.
The number of patients attending our Emergency Departments is increasing – in 2012/2013 there were around 90,000 more attendances than there were in 2010/2011. This is shown in the graph below. That is equivalent to an additional 255 attendances per day – as many as an additional large Emergency Department in the conurbation.
An extra 70,000+ people are expected to attend a hospital in Greater Manchester in 2017/2018 compared to 2012/2013 (a 9% increase). This is an extra ~200 people going to hospital every day.
However, we expect that 50,000+ more people will be treated in the community and not in hospital by 2017/2018 (a 6% reduction).
~10% of patients attending A&E need ‘specialist care’ (~100k of 1m patients per year).
This means each local General A&E will still treat ~90% of the patients that they do currently.
This means that ~95% of A&E patients will continue to attend the same A&E that they do now.
~ 20% of general surgical patients need 'specialist' care (~17,000 of 85,000 patients per year).
This means a local General hospital will still treat ~80% of the general surgery patients that they do currently.
This means that ~ 90% of general surgery patients will be treated where they are now.
Healthier Together proposes an investment to increase the number of A&E consultants by 20% (an additional 17 consultants) and to increase the number of general surgical consultants by 18% (an additional 19 consultants).
A specialist firm of property surveyors looked at the facilities that each Trust currently had – including numbers of operating theatres and intensive care beds - and assessed how these numbers might need to change under any of the shortlisted options.
They estimated that between £25M and £50M would need to be spent on refurbishing existing facilities or building new ones.
We estimate that it would cost an extra £24m to employ additional consultants to meet the clinical standards at every Greater Manchester hospital site. However, this would mean there would be an extra 18% - 20% more consultants compared to the current position.
In addition, transition costs such as additional staff training, travel, IT costs, additional ambulances, and implementation costs are estimated to be £12m.
We estimate that, by implementing Healthier Together, the total saving for hospital trusts across Greater Manchester would be between £29m and £33m.
Analysis suggests that the lives of 1500 patients undergoing general surgery (surgery on stomach and bowel) could be saved over 5 years if the hospitals in Greater Manchester perform as well as the best hospital in the country.
Under every option, 100% of postcodes within Greater Manchester can access a specialist hospital within 45 minutes.
Currently, 99.9% of locations within Greater Manchester can access specialist services within 75 minutes. Under the options this changes to between 99.3% and 99.8%.
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