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A New Health Deal for Trafford

Strategic Programme Board Makes Formal Recommendation

The proposed redesign of services at Trafford General Hospital has had its final stamp of approval ahead of the last step in the decision-making process.

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 hours."



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 2012.



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 same.

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 Hospital).

• 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 future.

• 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 provided.

• 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 rehabilitation services.

• 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 Trafford:

0161 873 9527/0161 873 6048