1. Northern Lincolnshire Healthy Lives Healthy Futures Programme Consultation Feedback and Review NEL Partnership Board November 2014

2. Summary of Consultation Process Consultation on 2 preferred options: Make permanent the current temporary arrangement of centralised Hyper-Acute Stroke services at the Scunthorpe General Hospital site. Centralise the ENT Inpatient Surgery service at the Diana Princess of Wales site in Grimsby. The consultation ran for 13 weeks from 30 th June to 26 th September

3. Summary of Responses Engaged with over 1000 primary contacts through a range of public events, roadshows, community groups, GP Practice Visits and staff events 298 formal responses to the consultation through a range of questionnaires, e-mails, letters and comment cards 257 questionnaire responses, 26 of which were Easy Read 179 responses from the public or patient / carers Other responses from partner organisations, Overview & Scrutiny Groups, Public Involvement Forums, Community & Voluntary Groups Based on the population size for Northern Lincolnshire an ideal response rate would be 384 patients, however based on the annual expected numbers of patients through the Hyper-Acute Stroke, and ENT Inpatient Surgery Services the ideal response rate is 260. This is explained further in the full feedback report.

4. Who did we reach? Please see the full feedback report for details on the ethnicity, sexual orientation, disability status etc.

5. What did we ask people? 1.Do you agree with our preferred option as outlined in our consultation document? 2.Would you prefer to see any other combination of options? 3.Are there any other options you think we should consider? 4.Demographic and equality information

6. Did people agree with our preferred option? Overall 69% of respondents agree with the preferred options. The breakdown of how people responded from each geographical area can be seen here……. Area Said YES to preferred option Said NO to preferred option Did not respond Total N E Lincolnshire82526140 N Lincolnshire5212165 Lincolnshire1710027 E Yorkshire7108 Not stated141217 Total 172769257

7. What combination of options would people prefer to see? Of the people who answered this question 24% of stated they would prefer both services to be delivered on both sites. 18% of people selected our preferred option as their preferred combination. All other combinations selected were 8% or below.

8. Are there other options we should consider? Build a new hospital in a more central location and centralise all care on that site Fund raising to provide equal services on both sites; for example 2 nd CT scanner for DPOW Lots of comments about supporting the NHS and protecting services Emphasis on the need for high quality staff and training Transport still an issue – concerns over travelling between sites

9. Specific Stroke Responses The HLHF team presented at Stroke Survivors Group in NEL, which 20 people attended and were complimentary about the current stroke service 24 Stroke Service Users responded to the questionnaire Of these 71% agreed with the preferred option 35 people said they heard about the consultation through the Stroke Association Regular updates were given to the Stroke Association, and members of the Stroke Association participated in our equalities focus group Many of the Easy Read responses were from stroke survivors

10. Clinical Senate Feedback Clinical Senate team reviewed both options appraisals and gave feedback reports. The Clinical Senate team agreed with both preferred options. Please see the full reports for details on their responses.

11. Overview & Scrutiny Feedback 4 Groups responded with formal letters: – NEL Overview & Scrutiny Committee – NL Overview & Scrutiny Committee – Lincolnshire Healthy Scrutiny Panel – East Lindsay District Council NL, Lincs and East Lindsay support the preferred option, NEL support ENT option, but not Hyper-Acute Stroke, which they felt should be provided on both sites, or if not possible then from the DPOW site.

12. Programme Board Recommendation The Programme Board met on 30 th October to consider the feedback and make a recommendation to CCGs for the final decision. Clinical Leads and Accountable Officers were present for both CCGs and NLaG. Having considered all the feedback the Programme Board recommend that the preferred options are upheld.

13. Council of Members Decision NEL Council of Members met on 6 th November 2014, to consider the consultation feedback and programme board’s recommendation Having considered all the feedback, the Council of Members made the decision to progress the preferred options for both Hyper-Acute Stroke and ENT Inpatient Surgery. (detailed voting results available with partnership board papers) This decision is now brought before the NEL Partnership Board for ratification

14. Supporting Information Public Consultation Feedback Report Summary Consultation Feedback Report that was received by the Programme Board Clinical Senate Report on ENT Inpatient Surgery Clinical Senate Report on Hyper-Acute Stroke Services Detailed voting of COM on 6 th November 2014