A New Health Deal for Trafford
Strategic Programme Board Makes Formal
The proposed redesign of services at Trafford General Hospital
has had its final stamp of approval ahead of the last step in the
The Trafford Strategic Programme Board (TSPB) that oversees the
'new health deal' redesign project has put forward a formal
recommendation to NHS Greater Manchester that the proposed redesign
of these local hospital services should go ahead.
Over the past few months the new health deal TSPB has examined a
wide range of testimonies, evidence and reports from a variety of
groups and individuals, including GPs, hospital doctors, special
interest groups, community groups and the general public.
The Joint Overview and Scrutiny Committee's (JOSC) response was
also reviewed and considered. The TSPB felt that it was able
to address any concerns of the JOSC, which incorporated issues
raised by both Trafford and Manchester's health scrutiny
committees, and that its final recommendation to continue with the
proposals should go ahead.
NHS Greater Manchester will also take into account the TSPB's
recommendation so it can make its final decision on the proposal at
its Board meeting on Thursday 24th January.
Dr Nigel Guest, chief clinical officer of Trafford Clinical
Commissioning Group, said: "It is good for the people of Trafford
that the TSPB has agreed to recommend the proposed changes.
"We have consistently stated that we want to secure a long and
vibrant future for Trafford General Hospital, and without these
changes the hospital will not be able to continue to provide safe
and sustainable services for residents.
"If NHS Greater Manchester agrees when it makes its final
decision, there will be a robust implementation plan to ensure any
services changes are made safely and smoothly.
"As a result of some of the information gathered during the
consultation period, we have already made a commitment to implement
a number of initiatives, including addressing transport
issues, the fast tracking of integrated care work in Partington,
and ensuring continued access to mental health services out of
Since 2008 work has been undertaken in Trafford to change the
way health services are delivered so they become much more
integrated for the benefit of patients.
The acquisition of the financially unviable Trafford Healthcare
NHS Trust (which ran Trafford's three hospitals) by Central
Manchester University Hospitals NHS Foundation Trust in April 2012
provided the opportunity to make services at Trafford General
Hospital clinically and financially sustainable for the future.
Engagement took place with staff, clinicians and the public
between December 2011 and March 2012 to establish the ideal patient
experience and gather local views about how hospital services in
the borough could be best arranged. Feedback from this
activity contributed to clinical planning work to design a number
of service 'model' options.
Following an appraisal process on the options, a service
redesign proposal was put out to formal consultation, which focused
on reducing emergency care activity and increasing planned care and
rehabilitation on the Trafford General Hospital site.
This 14-week consultation ended on Wednesday 31st October
Trafford General Hospital is one of the smallest hospitals in
the country, and also has one of the smallest accident and
emergency departments. It treats a relatively low number of
patients for unplanned emergency or acute care. Many patients
with life threatening illnesses or injuries are not taken to
Trafford General Hospital.
This means that some services at Trafford General are not
clinically sustainable and could become unsafe in the future.
The hospital also costs the local health economy £19 million more a
year than is available. These factors combined mean that the
future of the hospital is under threat if services stay the
The NHS in Trafford and local clinicians are committed to
securing a vibrant future for Trafford General Hospital, and worked
together to create the proposal, which includes:
• Changing the A&E department so it is only open between 8am
and midnight. This would be a consultant-led urgent care
service. It is expected that around 75% of the patients that
currently use this service would continue to do so. The 6 to 12
patients that currently use the service between midnight and 8am
would either be taken by ambulance to an appropriate hospital, or
be able to access care at one of the three large teaching hospitals
nearby (Salford Royal, Manchester Royal Infirmary, Wythenshawe
• Stopping emergency surgery taking place. Around 1
emergency surgical procedure currently takes place on the site per
day, which is too low a number for it to continue to be safe in the
• Stopping intensive care treatment as the number of patients
being treated is too low for it to continue to be safe in the
future. High dependency and special care would continue to be
• Closing the paediatric observation and assessment unit.
Currently around only 1 patient per day uses it and it is not safe
to run the unit without a 24/7 A&E. Paediatric nurses
would still provide care at the hospital, supported by the Children
and Young People Service.
• Enhancing care for frail elderly patients, including
• Increasing the range of outpatient appointments available.
• Increasing the range of day case surgery available.
• Creating an orthopaedic centre of excellence on the site.
For more information please contact the press office at NHS
0161 873 9527/0161 873 6048