Work on a new building at the hospital continued to progress well. The current hospital remains open and outpatient clinics have continued to run throughout the COVID-19 pandemic.
Our construction partner, Kier, is leading the development of this new two-storey building, which is expected to open in the summer/autumn 2022.
Services to be provided in the new building include physiotherapy, musculoskeletal, pain, orthopaedic choice, Ear Nose and Throat (ENT), a respiratory clinic, pulmonary lung function, Older Persons Mental Health, podiatry, bladder, bowel and stoma care, paediatric health, a heart failure clinic, maternity services, gynaecology, urology and special care dentistry.
Waterside Primary Care Network and the CCG sought the views of residents in the Primary Care Network’s area (Hythe, Dibden, Blackfield, Forestside, Marchwood, Fawley, Calshot) on the provision of a same-day access service at the Hythe and Dibden War Memorial Hospital site.
Our first priority is to make sure that all local people have access to the right health care services. With that in mind, it was important that we worked with local people to decide what their health services should look like.
We asked local people how they would feel about seeing a healthcare professional - GP, Nurse or Health Care Assistant - at the Hythe Hospital site for an urgent same day appointment, if this was required. We asked if they could travel to Hythe Hospital if it meant they were seen the same day for an appointment, with practices continuing to offer routine appointments from all sites. We also asked how people felt about some of the changes to the ways that services are provided as a result of the COVID-19 pandemic.
Over 1,100 people shared their views through an online survey and the themes from these are being used to help us to consider how we develop a same-day access service.
This health hub scheme represents a strategically important investment in the provision of health services to the northern part of the South East Hampshire area. When complete this will provide a primary and community health hub. This facility will provide a viable alternative to accommodation provided within the Chase Community Hospital and Forest Surgery, both in Whitehill and Bordon. This proposed new development aligns with the CCG’s strategic aim of providing a multidisciplinary primary care service from primary and community health hubs. The local community has pockets of high deprivation and poor public transport links. Therefore the new health hub will be developed in a central, easily accessible town centre location which is equally accessible for the existing town as well as residents in the new housing developments. This is important for patients as well as critical to the regeneration of the town.
The new building will enable the co-location of primary and community services, with expansion space for future health services.
The development will relocate the Forest Surgery to the new town centre site, 0.7 miles from the existing community hospital and Forest Surgery, whilst retaining Pinehill Surgery (unaffected by the plans) in its current location close to the public library, Forest centre community pharmacy and supermarkets. The health hub will be built on a new, town centre site, and form part of a residential development, providing appropriate clinical space for the proposed tenants to meet the needs of the growing local population.
As well as providing primary care, (general medical services), the hub will deliver accommodation for community services, provided by Southern Health Foundation Trust (SHFT) in purpose-built accommodation. In addition to this community space, the facility will provide appropriate clinical space for other providers using the Chase Community Hospital.
Significant progress has been made in developing a financial appraisal which underpins the ongoing financial arrangements for the health hub. This has resulted in a positive outcome which would not have been possible without use of s106 developer contributions (£461,000) and a grant of £560,000 from East Hampshire District Council, with support and concessions from the Defence Infrastructure Organisation and Whitehill and Bordon Regeneration Company. Whitehill and Bordon Regeneration Company (WBRC) will work with the building tenants to obtain legal agreements (leases etc). Once these have been agreed, then the practice and community providers can begin engagement with their patients and service users.
Local stakeholder engagement is planned to be conducted over the summer. We are aware that there remain some concerns about the future of Chase Community Hospital in the local community. The hospital will remain open until an alternative is available.
Chase Community hospital continues to provide a range of physical and mental health services delivered through a number of community providers which include therapies, baby and children’s clinics, sexual health, substance misuse, counselling and screening services as well as child and adolescent, adult and older people’s mental health. All of the services currently provided have been planned into the health hub.
The impact of COVID and seasonal pressures has resulted in high bed occupancy at Queen Alexandra Hospital and, as a result, the hospital has been experiencing ambulance handover delays.
A range of different initiatives has been put in place to provide support, including:
- The launch of NHS 111 First in 2020/21
- Schemes to reduce the level of minor injury attendance at the Emergency Department at Queen Alexandra Hospital
- A clinical assessment service to review ED dispositions arising from 999 and 111 calls as well as opportunities to bring hospital and primary care clinicians together for advice and guidance, or to facilitate direct patient admission to reduce flow through ED.
Partners across Portsmouth and South East Hampshire (PSEH) have taken a proactive, multi-agency response through the PSEH Urgent and Emergency Care Improvement Programme, which includes taking part in two national pilot schemes to:
- Improve timeliness of ambulance handover, and
- Improve the ease of discharge.
The PSEH Urgent and Emergency Care Improvement plan focuses on:
- Admissions Avoidance - includes increasing capacity in primary care, maximising capacity in urgent treatment centres, delivering a communications campaign around 'choose well' messaging, increasing capacity and uptake of virtual wards and more.
- Increasing capacity and flow - includes an ambulance rapid release national pilot and increasing bed capacity through Southern Health NHS Foundation Trust, Solent NHS Trust and other partners.
- Timely discharges - includes national pilot on increasing efficiency in appropriate patient discharge.