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'Shaping a healthier future' is a programme to improve NHS services for the two million people who live in North West London and will save hundreds of lives each year.

This vision for the future of healthcare in North West London is being taken forward by eight clinical commissioning groups (CCGs) which are made up of GPs from NW London’s eight boroughs.

They worked with hospital doctors, nurse leaders, providers of community care, volunteer groups and charities to develop the proposals. They believe that the way our health services are delivered needs to change now to ensure that we can provide the highest quality care in the future.

NHS staff are committed to delivering high quality care, but need to have the right workforce, skills and surroundings to deliver this for patients.

As people live longer and the population of London increases, the NHS faces increasing pressure. Conditions related to old age and modern lifestyles are becoming more prevalent and there are too few specialists in hospitals to provide high quality 24/7 care, working from inadequate NHS facilities, and working within an increasingly tight budget.

These challenges need to be met – or the NHS and its services in NW London will deteriorate.

We therefore developed a vision for how we want health services to be developed and improved in NW London.

The 'Shaping a healthier future' programme was launched in January 2012 with the publication of the Case for Change.  You can view a video about the Case for Change here

Between 2 July and 8 October, we ran a public consultation to listen to what you thought about the proposals.  We attended or arranged over 200 meetings, ran 2 roadshows in all 8 boroughs plus additional roadshows in the neighbouring boroughs of Camden, Richmond and Wandsworth, sent over 73,000 consultation documents out, ensured all libraries, doctors, pharmacies, hospital sites, town halls and many more were sent materials to display, took part in 3 public debates and had nearly 20,000 hits to the website. All responses to the consultation were received and analysed by Ipsos MORI and their report can be seen here

JCPCT decision

On 19 February, the Joint Committee of Primary Care Trusts (JCPCT) agreed with all the recommendations put forward by the 'Shaping a healthier future' programme following public consultation. This includes 11 recommendations made in the Decision Making Business Case, as well as two further recommendations which refer to additional proposals for Ealing and Charing Cross hospitals.  The executive summary is available here.

Implementation

The ‘Shaping a healthier future’ proposals will now take 3-5 years to implement, ensuring that improvements in out-of-hospital care are in place before major changes to hospital services are implemented.

Throughout this website you will soon be able to read more about the work we are already doing to improve healthcare for residents of north west London, including primary care transformation, integrating care and mental health transformation.

Challenges

Ealing Council Health Overview and Scrutiny Committee referred the programme to the Secretary of State and he in turn requested the advice of the Independent Reconfiguration Panel (IRP).  He agreed that changes to NHS services in North West London should proceed. In his statement, he said five of the nine hospitals in North West London (Hillingdon, Northwick Park, West Middlesex, Chelsea & Westminster and St Mary's) would provide comprehensive seven day a week acute emergency careHe also stated that A&E departments at Ealing and Charing Cross would remain open, albeit with changes to the 'size and shape' of services. The statement from the programme is here.

Ealing Council also applied for a Judicial Review but the High Court found there were no grounds for a Judicial Review either on this application or at the subsequent oral hearing. The statement from the programme is here.

The programme is clear that it has followed due process, run a thorough consultation and proposed clinically led changes which will improve healthcare for the residents of north west London.

If you have any questions, please contact us by:

Latest News

Major decision made on the future of healthcare in NW London.

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Interactive Tool

Want to understand how these proposals affect your local services and travel times? Try our fully interactive tool.

Click here

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