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:

• Decision Making Business Case - Final Report
• Executive Summary
  

Consultation Documents:

• Full Consultation Document
• Summary Consultation Document
• Questionnaire
• Financial Impact Info-graphic
• Improving Operational Performance
• Easy-read Consultation Summary/Survey
• Polish Consultation Summary

Pre-Consultation Business Case:

• Appendix 1 - 10
• Appendix 11 - 20
• Appendix 21 - 30
• Appendix 31 - 40
• Appendix 41 - 53

• West Midlands Clinical Senate Final Report - June 2016
• Proposed Clinical Model of Care January 2016
  
  Appendix 1 - Worcestershire Joint Services Review presentation Feb 2013
  Appendix 2 - Independent Clinical Review Panel  (ICRP) Final Report (January 2013)
  Appendix 3 - West Midlands Clinical Senate Recommendation
  Appendix 4 -  Current model of care
  Appendix 5 - Kings Fund - Reconfiguring hospital services - Section 5 Lessons for the NHS 2011
  Appendix 6 - CQC report - WAHT
  Appendix 7 - Facing the Future - Standards for Acute General Paediatric Services
  Appendix 8 - Royal College Paediatric and Child Health Report WAHT - January 2014
  Appendix 9 - Transforming Urgent and Emergency Care Services in England
  Appendix 10 - Proposed Model of Care
  Appendix 11 - Children’s Nursing Business proposal (June 2015)
  Appendix 12 - Children Services in Worcestershire future model of care V6.1 FINAL
  Appendix 13 - Paediatric Resuscitation Stabilisation Retrieval and Transfer guidance
  Appendix 14 - Guidelines for criticallly ill children presenting to the MIU
  Appendix 15 - Patient safety concerns re stand-alone Paediatric Assessment units (PAUs) v3
  Appendix 16 - Maternity Pathway Description
  Appendix 17 - Emergency Care Redesign Group (ECRG) Final Report
  Appendix 18 - West Midlands Ambulance Service conveyances to AH 2013-14

  Appendix 19 - Draft Transport Report

• Independent Clinical Review recommended changes to Worcestershire Hospitals - Full Report January 2014
  
• Programme Governance Structure - February 2016
• Programme Board Members 

Programme Board Papers 2016

• December 2016
• October 2016
• September 2016
• July 2016
• June 2016
• May 2016
• April 2016
• March 2016
• February 2016
• January 2016 

Programme Board Papers 2015

• December 2015

• November 2015

• October 2015

• September 2015

• August 2015

• July 2015

• June17th

• June10th

• May 2015

• April 2015

• January 2015

Programme Board Papers 2014 

• February 13th 2014

• February 25th 2014

• March 2014

• April 2014

• May 2014

• June 2014 

• July 2014

• August 2014

• September 2014

• October 2014  

• November 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

• Transport Report

PPSAG Meeting Papers

October 2016 
Agenda 

September 2016 
Agenda 

August 2016 
Agenda 

July 2016 
Agenda 

May 2016
Agenda

February 2016 

Agenda

July 2015
Agenda
Minutes January 2015
Minutes June2015
Terms ofReference
FAQs

June 2015
Agenda
Pre-consultation engagement report

January 2015
Agenda
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_1_Minutes_17_06_14
FOAHSW_PPSAG_Meeting_8_Enc_2_Consultation_Update

FOAHSW_PPSAG_Meeting_8_Enc_3_Consultation and Engagement
FOAHSW_PPSAG_Meeting_8_Encl_4_Schedule_of_future-meetings

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

FoAHSW

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

MODEL FOR EMERGENCY PAEDIATRIC SERVICES WITHIN WORCESTERSHIRE SUPPORTING MODIFIED MODEL 1

Paediatric Services Overview

Paediatrics Pathway

Trauma and Orthopaedic

Urgent Obstetrics at AH

EMERGENCY DEPARTMENT SERVICES

Stroke Modelling and Paramedic Pathfinder documents

Worcs stroke conveyance 

Paramedic Pathfinder Algorhythms page 1 | page 2 | page 3