Hertfordshire County Council Health Scrutiny Committee

1
Hertfordshire County CouncilHealth Scrutiny
Committee

• Submission of evidence
• by Broxbourne Borough Council
• Cllr. Ken Ayling, Leader of the Council
• Rosie Sanderson, Head of Community Planning
  Corporate Projects

2
The Big Issue for Broxbourne

• Movement of acute hospital services away from the
  Borough will result from both Hertfordshire and
  North London reviews
• Leading to
• Exacerbation of existing problem with transport
  to hospitals
• Need for increased primary care provision

3
On the Plus side

• Broxbourne Council welcomes
• Decision to site urgent care centre at Cheshunt
  Community Hospital
• Proposal by East and North Herts NHS Trust to
  provide outpatients services at Cheshunt
  Community Hospital
• Commitment from the NHS for financial support for
  the health transport call centre and the
  Broxbourne Health Shuttle

4
Still needed

• Further investment in primary care, especially at
  GP surgeries.
• Long term investment in transport services
• Outpatient services at CCH provided by Princess
  Alexandra hospital (Harlow)

5
Current position

• Health issues, especially travel to hospitals are
  an important issue for Broxbourne Borough
  residents, shown by surveys
• Residents are referred to a variety of hospitals,
  dependant on the GP practice they attend. These
  include
• Chase Farm (Enfield)
• QEII (Welwyn Garden City)
• Princess Alexandra (Harlow)
• Lister (Stevenage)

6
Partnership to improve primary care in Broxbourne

• Broxbourne Council supports an expansion of
  primary care, and has worked with the NHS to
  achieve this
• Investment by the council to expand Cheshunt
  community hospital
• Use of planning agreements to obtain improvements
  to GP surgeries

Cheshunt Community Hospital
Hailey View Surgery, Hoddesdon
7
Deprivation

• Broxbourne is the second most deprived district
  in Hertfordshire (IMD, 2007)
• Residents of deprived areas are more likely to
  need access to acute healthcare and less likely
  to be registered with a GP
• Other areas in Hertfordshire with significant
  deprivation have and will continue to have an
  acute or general hospital close by

8
Movement of acute hospital services
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Transport

• Very poor access from Broxbourne Borough by
  public transport to any local hospital at present
• Health shuttle service started in recognition of
  this need, a partnership between Broxbourne
  Council and HCC.
• Car ownership low in areas of deprivation
• Transport issues will be exacerbated by movement
  of acute services away from the Borough

10
Location of Cheshunt Community hospital in
relation to deprivation
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Cheshunt Community Hospital (CCH)

• Outpatient services run by Barnet and Chase Farm
  NHS Trust
• Building owned by E N Herts PCT
• Residents who attend GP surgeries in Broxbourne
  Hoddesdon are not referred to this service at
  present as they go to PAH (Harlow) or QEII
  (Welwyn Garden City), although CCH is nearer
• Collaboration between acute providers (E N
  Herts NHS Trust, Barnet and Chase Farm NHS Trust
  and E N Herts PCT) needed to ensure access to
  services at CCH is available to ALL local
  residents.

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Conclusion

• Proposed changes will move services further away
  from Broxbourne Borough residents
• The proposals for Cheshunt Community Hospital are
  welcomed
• Still needed
• Outpatient services at CCH by Princess Alexandra
  hospital (Harlow)
• Long term investment in transport services
• Further investment in primary care to increase
  the provision of services from GP surgeries