and South Essex STP to be published today (Wednesday 23 November)
The Mid and
South Essex Success Regime will today publish a “sustainability and
transformation plan” (STP), which proposes radical changes in health and care
over the next five years.
The plan is not yet
final. People are invited to have their say over the next few months before the
plan is finalised in 2017. Any proposed major service changes are subject to
further national checks and formal public consultation in 2017 before any final
The STP and a
summary version will be available from the Success Regime website www.successregimeessex.co.uk from 3.30pm.
the plan is to:
Do more to help people stay
well for longer
Join services together –
physical and mental health, hospital, community and social care - to provide
more care closer to people and help people avoid having to go to hospital
Redesign the three main
hospitals in mid and south Essex to meet rising demands with the right number
of doctors and nurses. By working together as a group, the three hospitals in
Basildon, Chelmsford and Southend could provide some of the best quality
emergency and specialist care in the country.
Said Dr Anita
Donley OBE, independent clinical chair of the Mid and South Essex Success
“We cannot keep expanding hospital services. We must make best use of the precious
and excellent workforce we have in Essex and, with our social care and local
government colleagues, prepare better community and GP services; otherwise
we will waste tax payers’ money on an outdated system.
“The Mid and South Essex plan tackles the risks of modern
life, such as obesity, mental health problems and how we support people who are
living longer. It promotes innovation, technology and better ways of supporting
and caring for people.
“By working together as a system and with the hospitals
working together as a group, there are many opportunities to improve health,
increase people’s chances of survival and a good recovery from serious illness
and improve patients’ experience overall.”
How your health and care service could
be different in five years’ time
In your local community:
There could be much more
emphasis on self-care, prevention and earlier treatment.
You could see a different
range of professionals at your local surgery, but your GP could have longer
consultation time available when you need it.
The range of professionals
linked to your local surgery, such as mental health specialists and social care
workers, would create a service that supports you as a whole person rather than
looking at each single problem separately.
Through investment and
collaboration, some specialists and facilities that were previously only
available in a hospital could be available at your local surgery e.g. for skin
problems, stroke recovery, pain control; and various scans and tests.
you live with long-term conditions and other health risks, experts could
help you to plan and manage your care. This means understanding mental as
well as physical issues and social as well as health needs. Your local
team would know you and be ready to act quickly to prevent problems.
action, such as to prevent falls or to manage dementia, could help you to
improve your quality of life and stay independent for as long as possible.
You would have a greater say in your own
health and care plans. You and everyone involved in your care could have access
to shared confidential records and other information to monitor and plan your
For people at the end of life, services would
work as one to support you at home or in a local place such as a hospice, if
Getting help in an emergency
could be easier than it is now and less likely to lead to you being admitted to
a hospital or residential care. This could include, for example, more online
and telephone help, 111 linked to out of hours services and crisis teams that
can act quickly without the need for an ambulance journey to hospital.
In your hospitals:
The three hospitals in
Basildon, Chelmsford and Southend could work better as a group. This saves
money in management and support functions, but also opens up the opportunity to
create different specialist centres at each of the three hospitals.
For emergency care, the aim
is to develop a network of urgent and emergency care in the community, keep
walk-in A&E and assessment services at each hospital and designate one of
the three hospitals as a specialist emergency hospital.
With one hospital
concentrating on the major emergencies, the other two hospitals would have more
space and specialist doctors and nurses for planned operations and specialist
These possibilities are
currently being developed by local clinicians and discussed with service users,
leading to a public consultation in 2017.
Said Dr Ronan
Fenton, joint medical director of the Mid and South Essex Success Regime;
“We are not
talking about closing an A&E at any of the three hospitals. There would be
an A&E in all three hospitals for walk-in patients and patients arriving by
ambulance. This could have the support of an assessment centre for older and
frail people, an assessment centre for children and an assessment centre for
surgery. These services would serve the majority of emergency cases locally,
including overnight stays for observation and treatment, if necessary.
“For the most
serious and life-threatening cases, national evidence tells us that we could
save more lives with a specialist emergency hospital for the 1.2 million people
of mid and south Essex. We already see this in Essex with the Essex
Cardiothoracic Centre in Basildon. Anyone suffering an acute heart attack in
Essex goes not their local A&E but directly by ambulance to Basildon, where
they are seen immediately by top specialists working round the clock.
hospitals working as a group, we could draw together our specialist doctors,
nurses and technicians and create new centres of excellence in both planned and
emergency care. This would:
reduce the waiting times in
A&E and waiting for tests
reduce the waiting times for
planned operations and put an end to cancellations
close the gaps in clinical
staffing - currently our three hospitals have some 2,000 unfilled posts
save on the cost of hospital
services so that more money could be available for services in the community
and most importantly of all
– we could save more lives and increase the chances of a good recovery.
The full Mid
Essex Sustainability and Transformation Plan and a summary guide will be
available from the Success Regime website from 3.30pm on Wednesday 23 November