1. 1 Delivering quality health care for Hertfordshire A presentation for the Hertfordshire Health Scrutiny Committee 12 June 2007

2. 2 Introduction Stuart Bloom Chair, West Hertfordshire Primary Care Trust

3. 3 Context and consultation proposals Anne Walker Chief Executive East & North and West Hertfordshire PCTs

4. 4 Investing in your Health Key principles agreed in consultation (2003) No change was not an option Support for two acute hospitals in Hertfordshire (from four) Support for local care, more investment Support for concentration of specialist services

5. 5 IIYH decisions not being revisited IIYH decisions being revisited IIYH decisions being clarified Shift of services to primary care Location of an acute hospital in east and north Hertfordshire Location of urgent care centres in Hertfordshire Watford as an acute site Long-term location of a Surgicentre in west Hertfordshire The nature of the services to be provided on the non-acute sites Hemel Hempstead as a non-acute site Provision of acute children’s services in west Hertfordshire Surgicentre at Lister

6. 6 Consultation proposals – acute hospitals For East and North Hertfordshire NHS Trust The centralisation of acute services at either the QEII Hospital in Welwyn Garden City or the Lister Hospital in Stevenage. The NHS preferred option is consolidation at the Lister Hospital. For West Hertfordshire Hospitals NHS Trust The long-term location of an NHS Surgicentre at either St Albans City Hospital or Hemel Hempstead General Hospital. The NHS preferred option is St Albans. The centralisation of paediatric emergency services and paediatric day surgery services at Watford General Hospital.

7. 7 Consultation proposals –primary care For East and North Hertfordshire & West Hertfordshire Primary Care Trusts The commissioning of two local general hospitals to provide substantial centres of care for local communities in Hemel Hempstead and either Welwyn Garden City or Stevenage. The establishment of urgent care centres to provide emergency care access for about two thirds of patients who currently attend an A&E department.

8. 8 The consultation process Lynda Dent Public Engagement Lead East & North and West Hertfordshire PCTs Sarah Brierley Deputy Director -Strategic Development East & North Hertfordshire NHS Trust

9. 9 Consultation has been designed in line with the Cabinet Office Code of Practice on consultation 1.Consult widely throughout the process, allowing a minimum of 12 weeks for written consultation at least once during the development of the policy 2.Be clear about what your proposals are, who may be affected, what questions are being asked and the timescale for responses 3.Ensure that your consultation is clear, concise and widely accessible 4.Give feedback regarding the responses received and how the consultation process influenced the policy 5.Monitor your organisation’s effectiveness at consultation, including the use of a designated consultation co-coordinator 6.Ensure your consultation follows better regulation best practice, including carrying out a Regulatory Impact Assessment if appropriate

10. 10 1. Consult widely throughout the process, allowing a minimum of 12 weeks for written consultation at least once during the development of the policy Pre-consultation engagement (November 2006 to January 2007) Consideration of feedback and development of consultation options Consultation over 16 weeks ( 12 June to 1 October 2007) Allowance made for August – but engagement activities will continue throughout Wide-ranging consultation activities planned Highly inclusive – range of locations, communities and stakeholders Variety of engagement methods to raise awareness, inform and encourage involvement

11. 11 Examples of engagement groups and activities planned Children and young people Travellers People with long term conditions Carers Elderly people Young mothers/families People from minority ethnic communities People with sensory impairment Youth MPs PPI Forum Panel Hearing Transport Summit Best of Hertfordshire event Community lunches Stands at community locations & gatherings eg leisure centres, Kaleidoscope Festival Support/Interest Groups Schools Voluntary sector Public meetings

12. 12 2. Be clear about what your proposals are, who may be affected, what questions are being asked and the timescale for responses Explicit proposals and timescales Proposals are clinically led and supported Dedicated consultation questionnaire – on line and paper form Clarity about relationship with previous IIYH decisions Information about potential impact gleaned from pre-engagement phase – influenced the consultation stakeholder plan Deadline for responses (1 October 2007)

13. 13 3. Ensure that your consultation is clear, concise and widely accessible Consultation materials include Summary Leaflet and a full consultation document with Executive Summary available in different formats Range of supporting material available including presentations and technical papers Easy read leaflet, door to door leaflet drop, website, consultation activities, podcasts, consultation helpline

14. 14 4. Give feedback regarding the responses received and how the consultation process influenced the policy Summary of responses will be available on website and in paper form Quantitative and qualitative analysis of questionnaire Feedback on themes not covered by questionnaire will also be included Identified respondents will be informed of the outcome of consultation Website will be updated to provide answers to frequently asked questions

15. 15 5. Monitor your organisation’s effectiveness at consultation, including the use of a designated consultation co-coordinator Responsive and flexible consultation Monitoring of engagement and feedback on ongoing basis to evaluate effectiveness Designated consultation co-ordinator Both the consultation process and responses will be independently analysed An independent consultation report will be produced for consideration by boards and OSC

16. 16 “ When analysing responses remember that consultation is not a public vote: you should afford most weight to the most cogent ideas and arguments.” Cabinet Office consultation guidance

17. 17 6. Ensure your consultation follows better regulation best practice, including carrying out a Regulatory Impact Assessment if appropriate Our aim is to do the very best we can Intend to make use of the consultation expertise of colleagues in local authorities particularly in respect of new consortium established for market and social research Welcome ideas and suggestions from the Committee

18. 18 Key tasksDate Consultation period start12 June 2007 Consultation period end1 October 2007 Analysis and consideration of responsesOctober/November 2007 Decision making periodNovember/December 2007 Presentation of consultation process and outcome to Health Scrutiny Committee November/December 2007 Outline timetable

19. 19 Areas for further guidance from the committee Adequacy of consultation process Identification of particular stakeholders that the committee would wish to engaged Confirmation of scrutiny process