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Future of Acute Hospital Services in Worcestershire (FoAHSW)

The review into local hospital services across Worcestershire commenced in January 2012 and completed on 12th July 2017. The review was initiated following concerns raised by clinicians regarding the safety of services due to staff shortages in a number of specialities.

The Future of Acute Hospital Services in Worcestershire (FoAHSW) Programme was launched in September 2013 by the three Worcestershire Clinical Commissioning Groups and following work with Worcestershire Acute Hospitals NHS Trust, Worcestershire County Council and public stakeholder groups a proposed clinical model was developed.

The model will see the:

  • Centralisation of emergency surgery to Worcestershire Royal Hospital with skilled staff which will improve outcomes and patient experience
  • Creation of centres of excellence for planned surgery at the Alexandra Hospital
  • Retention of emergency and urgent care services at the Alexandra Hospital
  • Centralisation of inpatient care for children at Worcestershire Royal Hospital with the majority of children’s care remaining local
  • Centralisation of births at Worcestershire Royal Hospital with ante-natal and post-natal care remaining local
  • Day-case and short-stay surgery increased at Kidderminster Hospital and Treatment Centre.

Following an extensive public consultation (6th January - 30th March 2017), the three Governing Bodies of NHS Redditch and Bromsgrove, NHS South Worcestershire and NHS Wyre Forest CCGs met on 12th July 2017 and supported the clinical model.

Many of the changes proposed in the model have already been made under temporary emergency measures. This has given an opportunity to test the model and has seen a number of improvements to clinical outcomes for patients.

The timeline below illustrates the process:


Useful FoAHSW Documents:

Decision Making Business Case:


Consultation Documents:


Pre-Consultation Business Case:

Programme Board Papers 2016

Programme Board Papers 2015

Programme Board Papers 2014 


Stakeholder Briefs

  • February 2016                                                                                                                                                                            
  • December 2015                                                                                                                                                   
  • November 2015                                                                                                                                                                 
  • September 2015                                                                                                                                                                        
  • March 2015                                                                                                                                                                                   
  • November 2014                                                                                                                                                                          
  • September 2014                                                                                                                                                                             
  • July 2014                                                                                                                                                                                          
  • June 2014                                                                                                                                                                                      
  • May 2014                                                                                                                                                                                      
  • April 2014                                                                                                                                                                                        
  • March 2014 

Transport Report

PPSAG Meeting Papers

October 2016 

September 2016 

August 2016 

July 2016 

May 2016

February 2016 


July 2015
Minutes January 2015
Minutes June2015
Terms ofReference

June 2015
Pre-consultation engagement report

January 2015
Minutes October 2014
Pre-consultation engagement report


Heat Maps 

Total admissions Alexandra Hospital 

Total child admissions Alexandra Hospital 

Total maternity admissions Alexandra Hospital

Total medicine admissions Alexandra Hospital 

Total surgery admissions Alexandra Hospital 

Total admissions Kidderminster 

Total child admissions Kidderminster 

Total maternity admissions Kidderminster 

Total medicine admissions Kidderminster 

Total surgery admissions Kidderminster  

Total admissions Worcester  

Total child admissions Worcester 

Total maternity admissions Worcester 

Total medicine admissions Worcester

Total surgery admissions Worcester 

Total maternity admissions

Total medicine admissions  

Total surgery admissions

Total child admissions 

Public and Patient Stakeholder Advisory Group Papers

Encl 1 - FoAHSW Declaration of Interests Form 
Encl 2 - FoAHSW Patient and Public Sub Committee_TOR
Encl 3 - FoAHSW Patient and Public Sub Committee Gateway 1 Brief 
Encl 4 - FoAHSW Stakeholder Mapping Programme Notes 
FoAHSW-PPS Meeting 1 Agenda 2013


Encl 1 - Output FoAHSW Patient Public Stakeholder 
Encl 2 - FoAHSW Stakeholder List (Draft) 
Encl 3 - FoAHSW Visions and values Programme Notes 
FoAHSW-PPS Meeting 2 Agenda 


Encl 1 - Output FoAHSW Patient Public Stakeholder
Encl 2 - Visions and Values 

Encl 3 - Approach to Consultation 
FoAHSW - PPS Meeting 3 Agenda 


Encl 1 - FoAHSW Patient Public Stakeholder 
Encl 2 - FoAHSW Heat Maps Notes 

FoAHSW - PPS Meeting 4 Agenda 

FoAHSW - Patient Public Stakeholder 
FoAHSW - PPS Meeting 6 Agenda 


FoAHSW - Agenda

ENC 1 - Terms of Reference  
ENC 2 - Minutes 
ENC 3 - Programme Note
ENC 4 - Assurance Summary 
ENC 6 - Weekly Consultation Plan

FOAHSW_PPSAG_Meeting 8_Agenda_2014

FOAHSW_PPSAG_Meeting_8_Enc_3_Consultation and Engagement

FoAHSW PPSAG Meeting 10 Agenda
Encl 1 - FOAHSW PPSAG Meeting
Encl 2 - FOAHSW PPSAG Pre-consultation Business Case

Encl 3 - FOAHSW PPSAG Pre-consultation Engagement

FOAHSW PPSAG Meeting 11 Agenda


Encl 1 FOAHSW PPSAG Meeting 10 
Encl 2 FOAHSW PPSAG Meeting 11 Pre-consultation Engagement


Alex Scenarios Draft Final Slide Deck

Alex Scenarios Draft Results Handout

Notes EC Redesign Group 020715

Notes EC Redesign Group 070715

EC - Presentation given Graham James 07 07 15 

EC presentation Gary Ward 07 07 2015 

Emergency Care September 2014

FIO Emergency Medicine (AE) including Trauma

ToR Emergency Care Redesign Group 

WMCS Report June 2015

Emergency Gynaecology Services 

Gynaecology Services Overview


Paediatric Services Overview

Paediatrics Pathway

Trauma and Orthopaedic

Urgent Obstetrics at AH


Stroke Modelling and Paramedic Pathfinder documents

Worcs stroke conveyance 

Paramedic Pathfinder Algorhythms page 1 | page 2 | page 3