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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY THE DEPUTY OF ST. JOHN
ANSWER TO BE TABLED ON TUESDAY 28TH MARCH 2017
Question
Further to the Assembly's approval of Future Hospital: preferred site' (P.110/2016), will the Minister set out the range of services that the Department of Health and Social Services will provide from the new Hospital and explain how the Department will ensure that sustainable and accessible transport links are maintained (or improved) for specialisms required off-Island?
Answer
The new hospital will broadly provide all that the existing hospital provides. The new build will not prevent us from doing anything that we currently do or automatically allow us to do more. We will continually seek to undertake treatment on island where clinically safe and cost effective to do so.
Services in the New Hospital will include all of the following:
24/7 services
Emergency Department
Emergency in-patient facilities and 24/7 medical staff for Medical, Surgical and Paediatric care Maternity Unit, Obstetric Theatre and Special Care Baby Unit
Emergency Theatre
Intensive Care Unit and High Dependency Unit
Imaging
Pathology
Pharmacy
Physiotherapy
Medical Records – with out of hours retrieval
Estates and Facilities
Planned/elective/out-patient services Renal dialysis
Oncology unit with chemotherapy provision Medical Day Unit
Day of Surgery Unit
Elective in-patient beds
Orthopaedics
Breast Surgery
Colorectal Surgery
General Surgery
Urology
Vascular Surgery
Ears Nose & Throat
Ophthalmology
Cardiology
Gynaecology
Oral surgery
General Medicine
Neurology
Pain Management
Diabetes
Rheumatology
Nephrology
Paediatrics
Haematology
Gastroenterology
Cardiology
Respiratory
Infections and Blood borne diseases Genital Urinary Medicine
Off-island provision
Emergency and urgent transfers for conditions such as multiple trauma, head injuries, burns, cardiac interventional care etc. will be flown urgently to a specialist centre by our contracted air ambulance and this will continue to be the case in the future.
Across the whole spectrum of elective services there will be cases that are rare or complex and that are best managed in specialist centres. These cases will be referred off-island and include services such as:
Radiotherapy Neurosurgery
Complex Spinal Surgery Transplant Surgery Complex Paediatric cases Cardiothoracic Surgery Second opinions or advice
It is highly unlikely that we will undertake these services on-island due to the low number of patients requiring these treatments and the need for specialist skills and equipment.
Off-island transport and access
We have partnerships, via contracts, with key UK Specialist Centres. In recent years, these contracts have also required the UK centre to provide transport links from airports to their hospitals. The vast majority of our patients fly to airports where there are multiple daily flights and reasonable road/rail transport to the hospital (Southampton/Gatwick).
If flights are added or removed by the airline companies we will reassess the logistics hospital by hospital and adjust our patient flows accordingly.
The emergency transfers are undertaken via a contract with a specific provider. The current contract is due for renewal and will be finalised later in the summer. The sustainability of the service is a key element of the service specification.
Occasionally, due to adverse weather conditions, a helicopter is required to transport a patient off-island. This method of transport will be used if the patient's clinical condition cannot be safely or appropriately managed on-island whilst waiting for the weather to improve so a standard emergency flight can be undertaken.