A review of the proposed new hospital build

1240/5(7422)

WRITTEN QUESTION TO THE CHAIRMAN OF HEALTH, SOCIAL SECURITY AND HOUSING SCRUTINY PANEL BY DEPUTY G.C.L. BAUDAINS OF ST. CLEMENT ANSWER TO BE TABLED ON TUESDAY 19th FEBRUARY 2013

Question

Will the Chairman advise whether the Panel is reviewing the proposed new hospital build and, if so, give details of the scope, extent and projected completion date for the review?

Answer

The Panel is not currently reviewing the proposed new hospital build, but does intend to conduct a review into the matter once the Health Department has carried out further work. In that regard, we understand that the Department intends to consider the preferred option for the "new" hospital in the early part of this year, and subsequently go out to public consultation on the proposed site imminently. It is also understood that the preferred site location will be considered by the States in the middle of this year, and then the development proposals, again to be considered by the States, by September 2014.

The Panel recognise that the Health Department's work on the "new" hospital is a matter of great public importance. We do and will continue to question and monitor any developments regarding the hospital in our ongoing business and Quarterly Hearings.

During its review into the Health White Paper: Caring for each other, Caring for ourselves, the Panel made a commitment to undertake further study into the approved proposals for a new hospital, a new model of Primary Care and a sustainable funding mechanism for health and social care.

Therefore, the Panel is currently undertaking a review into the Full Business Cases which provide detail regarding services which will be provided from 2013. Within P.82/2012, it explained four workstreams including the priority areas for phase 1 (2013 – 2015) which include:

1. Refocusing Children's Services: Early Intervention
2. Adult Mental Health: Jersey Talking Therapies
3. Healthy Lifestyles: Alcohol
4. Adults & Older Adults: End of Life Care, Dementia, COPD, Intermediate Care

We understand that proposals for the "new" hospital are part of the Department's longer term plans. Therefore, we are concentrating our current review on the process of how the Full Business Cases have been developed, and have drafted the following Term of Reference -

1. To assess to what extent key stakeholders, in particular the Voluntary and Community Sector, have been included in the development of the Full Business Cases

2. To determine whether the FBC process to date has properly fulfilled the first 6 of the 9 points outlined in the departmental document "Understanding Commissioning".

1. Understanding the health and social care needs of Islanders
2. Identifying what services are currently provided, where and by whom
3. Understanding where the gaps are – to what extent to services meet the needs of Islanders, and to what extent are services delivering what they should be?
4. Agreeing where things could be done differently or better
5. Identifying the outcomes that we need to achieve, for example, keeping people out of hospital and caring for them in their own homes
6. Developing service specifications – working jointly with a range of current and potential future providers to make sure plans are realistic and the services we will receive are the right ones

3.  To assess how the Department plans to progress the implementation of points 7 – 9 as outlined in the departmental document "Understanding Commissioning".

7. Tendering for services, and being clear on what will be provided, to whom, when, where and how – andalso how we will work closely with service providers and maintain relationships, trust, openness and transparency
8. Monitoring the delivery of services, to assure ourselves and to reassure Islanders that we are achieving value for money and the right services are being made available
9. Supporting service providers to enable them to deliver outcomes for individual service users, where relevant

4. To determine to what extent the Full Business Cases have fulfilled the original objectives, as set out in proposition: Health and Social Services: A New Way Forward (P.82/2012).
5. To establish how the new funding and resources allocated in the MTFP are used to support the delivery of each Full Business Case.

Therefore, once the Health Department has completed its work on the four workstreams, and we have conducted our review into them, we will have more scope to conduct further study into the "new" hospital.