什羅普郡的醫院尋求縮減轉型計劃

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什羅普郡的醫院尋求縮減轉型計劃

一份報告說,什羅普郡醫院的重組可能會繼續進行,但由於資金問題,沒有一些擬議的變化。

該計劃的批評者提出的抱怨包括擔心失去特爾福德的皇家公主醫院的急診室是一種降級,會使該鎮的人要去更遠的地方接受緊急護理而危及安全。

經營特爾福德醫院和皇家什魯斯伯里醫院的Shrewsbury and Telford Hospital NHS Trust (SaTH)表示,它正在努力 "解決長期存在的重複和分散的服務問題,因為老化的基礎設施不適合提供21世紀的醫療保健"。

SaTH的服務改革戰略綱要為轉型過程列出了四種可能的方案,這些方案是在2013年首次提出的。

報告稱,第一種方案,即繼續採用目前的模式,將無法實現信託基金的目標,即提高效率,減少站點之間的勞動力重複,適應不斷變化的人口需求並增加容量。

第二種方案使什魯斯伯里成為急診醫學和婦女兒童服務的基地,同時在特爾福德留下一個 "緊急護理 "中心,以取代其目前的急診部門。

根據該計劃,Telford將成為計劃護理的基地,報告稱這兩個地方的變化大多可以在現有的建築內進行,並滿足政府設定的3.12億英鎊的預算。

報告稱,第三種方案將花費4.81億英鎊的預算,還將涉及創建新的床位、教育和培訓區、改進化療治療和升級手術室。

第四種方案據說耗資5.34億英鎊,增加了對門診服務的改進,並在特爾福德建立了一個健康和福利中心。

然而,該報告補充說,將繼續探討第三和第四方案,但它的結論是第二方案應是首選的前進方向,因為它符合現有的財政狀況。

SaTH說,它將在未來12個月內起草一份商業計劃書,並聽取該地區員工和居民的反饋。


The reorganisation of Shropshire's hospitals is likely to go ahead but without some of the proposed changes due to funding issues, a report says.

Complaints by critics of the scheme include fears that losing A&E at Telford's Princess Royal Hospital is a downgrade that jeopardises safety by leaving those in the town with further to travel for emergency care.

Shrewsbury and Telford Hospital NHS Trust (SaTH), which runs the Telford site and Royal Shrewsbury Hospital, says it is trying to "resolve longstanding issues of duplicated and fragmented services in an ageing infrastructure that is not fit for delivery of 21st century healthcare".

SaTH's Strategic Outline Case for the overhaul of services sets out four possible options for the transformation process, first put forward in 2013.

The report says the first option, continuing with the current model, will fail to meet the trust's aims, which are to improve efficiency, reduce workforce duplication between sites, adapt to changing population needs and increase capacity.

The second option makes Shrewsbury the base for emergency medicine plus women and children's services, while leaving an "urgent care" centre in Telford in place of its current A&E department.

Under that plan, Telford would become a base for planned care, with the report saying the changes at both sites can mostly be accommodated within the existing buildings and meet the budget of £312m set by the government.

The third option, which the report said would cost a budget-busting £481m, would also involve the creation of new beds, education and training areas, improvements to chemotherapy treatment and upgraded operating theatres.

The fourth option is said to cost £534m and adds improvements to outpatient provision and the creation of a health and wellbeing centre in Telford.

The report added, however, that options three and four would continue to be explored, but it concluded the second option should be the preferred way forward because it would fit the available finances.

SaTH said it would spend the next 12 months drawing up an Outline Business Case, taking feedback from staff and residents of the area.

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