Local Bus Service consultation

Reduction of Local Bus Service Subsidies – Financial Year 2019\20

Shropshire Council has launched a six-week consultation into proposed reductions to its public transport budget, which would see a reduction in the number and frequency of bus services subsidised by the Council.

The Council’s financial strategy for 2019/20 includes a budget reduction of £405,000 in public transport and £50,000 for Shrewsbury Park & Ride. To achieve these reductions a number of initiatives will have to be implemented and this consultation asks for views about these proposed changes.

The details of these proposals are provided below;

Public Transport – Those services financially supported by the Council.

To help identify the £405k budget reduction we requested that all our bus operators providing Local Bus Services on behalf of the Council, provide details of the level of service that they could provide on each of these services with a reduction in funding.

In the majority of cases this will represent a reduced timetable on each of the services the Council supports, details of how this will impact individual services is shown in the table at the bottom of this letter.

Shrewsbury Park & Ride

To achieve the budget reduction of £50k set out in the Council’s 2019/20 financial strategy, we are proposing to undertake the following;

  1. To remove the concessionary fare discount that allows passengers on presentation of their concessionary card to travel for a 50% discount, this discount is currently provided at the Councils discretion.
  2. To increase the return fare for the service from its current level of £1.60 to £2.00.
  3. To remove the Group ticket from Park & Ride which allows for up to 5 passengers to travel for the price of £2.50.

The consultation runs from 25 March to 6 May 2019 and can be found at www.shropshiure.gov.uk

Any responses to this consultation should be emailed to passtrans@shropshire.gov.uk or in writing to:

Public Transport Consultation

Passenger Transport Services

Shropshire Council

Shirehall

Abbey Foregate

Shrewsbury

SY2 6ND

All responses to the consultation will be included in a report that will be considered by Shropshire Council’s Cabinet on Wednesday 22 May 2019.

Have your say on the future of the NHS in Shropshire

 

Heathwatch Shropshire have just launched ‘What would you do?’; a campaign to encourage the people of Shropshire to have their say about the future of the NHS in our area and we need your help.

Healthwatch Shropshire is the county’s independent health and care champion. Through ‘What would you do?’ we will seek to reach as many people, groups, and communities as possible to get feedback on how local NHS services should change.

The Government is investing £20 billion a year in the NHS as part of the NHS Long Term Plan. Local organisations have now been asked to work together to develop their own plans, which will set out how the national plan will work across local areas.

The public are being asked for their views about how services for cancer, mental health conditions, heart and lung diseases, long-term conditions, such as diabetes and arthritis, learning disabilities, autism, and dementia could be improved. They will also be asked to share their ideas on how people can live healthier lives and what improvements they think could be made to help people access services quickly.

These two surveys can be found here: http://www.healthwatchshropshire.co.uk/what-would-you-do

Police & Crime Commissioner Public Meeting Invitation

Oswestry Town Council recently passed a Notice of Motion as below:

“Following recent serious incidents affecting public safety in Oswestry, many headlined in the local press, this Council requests that the Police and Crime Commissioner attend a public meeting, to be facilitated by the Town Council, at the earliest opportunity.

The meeting to address the significant public concern over serious and ongoing incidents that threaten both public order and safety on a day to day basis and to seek answers from the Police and Crime Commissioner on how these concerns are being addressed.

In addition, the Police and Crime Commissioner to be held to account to explain the current policing resource for the town, recognising the increasing number of serious incidents within the second largest town in the county of Shropshire.”

John Campion, Police and Crime Commissioner, has agreed to come and attend a public meeting when various questions can be asked relating to the wording above.  The meeting is to be held at 6.30 pm on Monday 18th February 2019 at the Wynnstay Hotel, Oswestry and you are invited to attend.

Future of local hospital services secured for people of Shropshire, Telford & Wrekin and mid Wales

Plans have been given the go ahead today to transform local hospital services for the half a million residents of Shropshire, Telford & Wrekin and mid Wales to make sure two vibrant hospitals and the wide range of services they provide for people locally are kept in the county.

This landmark decision will result in better care for patients, secure the £312m on offer from HM Treasury and develop both hospital sites to deliver state of the art facilities in which staff will be proud to work and patients will choose to be treated.

The decision by the Joint Committee of Shropshire and Telford & Wrekin Clinical Commissioning Groups (CCGs) on 29 January follows many years of planning and a formal public consultation, which brought about an unprecedented response rate from more than 3% of local people served by the hospitals. It will now allow plans to move forward to implement the model of better care for the future that have been developed by members of the public and over 300 clinicians, GPs and social care professionals.

Members of the Joint Committee of Shropshire and Telford & Wrekin CCGs have unanimously approved Option 1 (the CCGs’ preferred option). This means that the Princess Royal Hospital in Telford will become a dedicated Planned Care site and the Royal Shrewsbury Hospital in Shrewsbury will become a specialist Emergency Care site.  This will allow specialist doctors to treat the most serious cases on the Emergency Care site, which is proven to be safer, provide better results for patients and reduce the amount of time people have to stay in hospital.

By having a separate Planned Care site, patients will wait less time for their appointments and beds would be protected for planned operations, meaning that is highly unlikely operations will be cancelled due to emergency admissions.  In addition, patients will be able to access 24 hour urgent care services at both hospitals. This means that almost 80% of patients will continue to go to the same hospital as they do now for emergency and urgent care.

David Evans, Chief Officer at NHS Telford & Wrekin CCG commented “Today marks the dawn of an exciting new era for our hospital services. We understand that people have concerns and the numbers that attended the meeting today highlights just how passionate people are about the NHS. However, we are equally passionate about ensuring that our patients benefit from the best NHS treatment possible and the decision we have made today is vital for the future of patient care.  Both the Royal Shrewsbury Hospital and the Princess Royal Hospital will continue to provide the services our patients use the most. These include outpatient appointments, midwife led services, tests and urgent care.

“People can be assured that this is not a downgrading of services. This is all about a huge improvement in the care that patients will receive and the majority of patients are still going to be seen in their local hospital in the urgent care centre. In order for the local NHS to deliver top quality emergency care, we need all specialities on one site.”

Dr Simon Freeman, Accountable Officer for NHS Shropshire CCG said: “We recognise that not everyone will agree with the decision made by the Joint Committee today, but people can be assured that we are acting in the best interests of our patients.  Our doctors, nurses and other health professionals strongly believe that hospital services have to change for the better and this view is shared by our regulator, NHS England.

“The changes that have been agreed by the Joint Committee today will mean that patients receive the best care in the right place at the right time, in better facilities with reduced waiting times. It will also mean we can attract the very best doctors and nurses to work at our hospitals and we can maintain the right level of highly skilled clinicians across both our hospitals. The new model of patient care also takes into account the expected changes in our population over the coming years and how the best care can be provided for everyone. I also want to reassure our communities, patients and staff that no services will change overnight. Robust plans will now need to be developed that will include a phased building programme over the next five years.

“We are all extremely grateful to the thousands of people who took part in the consultation and look forward to continuing to involve patients and the public over the coming years.”

Now that the decision has been made, it will take several years for the programme to be completed. A significant amount of work will need to be done to implement the huge improvements that patients will experience.

The following services will be provided at the Royal Shrewsbury Hospital:

  • 24-hour Emergency Department
  • Critical Care Unit
  • Ambulatory Emergency Care Unit
  • Emergency surgery and medicine
  • Complex planned surgery
  • Women and children’s consultant-led inpatient services

The following services will be provided at the Princess Royal Hospital:

  • Planned inpatient surgery
  • Day case surgery
  • Breast inpatient services
  • Medical wards

Most people will still receive care and treatment in the same hospital as they do now, as the following services will be provided at both hospitals:

  • 24-hour Urgent Care Centre (the majority of patients who attend our A&E departments will receive care and treatment here)
  • Adult and children’s outpatient services
  • Day Case Renal Unit
  • Tests (diagnostics)
  • Midwife-led unit
  • Antenatal Day Assessment Unit
  • Early Pregnancy Assessment Service (EPAS)
  • Maternity outpatients and scanning

 

More information can be found at www.nhsfuturefit.org

Views sought on future provision of Ophthalmology services

Patients and staff are being asked for their views on how Ophthalmology services, provided by The Shrewsbury and Telford Hospital NHS Trust (SaTH), should be delivered in the future.

Ophthalmology services are currently provided at the Royal Shrewsbury Hospital (RSH), the Princess Royal Hospital (PRH) in Telford, and Euston House (ICAT) in Telford; as outlined below:

Site Outpatients Surgery
RSH Adult & Paediatric

All sub-specialisms

and

Urgent Eye Clinic

 

Adult

General Anaesthetic and Local Anaesthetic sub-specialisms, complex and “simple”

 

Emergency Operating

PRH Adult & Paediatric

All sub-specialisms

 

Excluding the following:

Urgent Eye Clinic

Injections for Medical Retina related conditions

Cornea

Cataract assessment

 

Paediatric

General Anaesthetic and Local Anaesthetic

 

Adult

Oculoplasty surgery.

ICAT Adult

The following services only: Cataract assessments, non-specialised ophthalmology and the ability to deliver lasers

.

Adult

The following services only: Local Anaesthetic “simple” Cataract and Injections

 

To improve patient care and waiting times; as well as help recruit and retain staff, SaTH is proposing to relocate the eye services currently provided by ICAT, back to the eye departments at RSH (Copthorne Building) and PRH.

The Trust is now seeking the views of service users, staff and other interested parties on two options:

  • Option 1 – No change
  • Option 2 – To relocate adult outpatient services from ICAT back into the respective main hospital sites; and relocate cataract surgery from ICAT to the Copthorne building at RSH

Tony Fox, Deputy Medical Director at SaTH, said: “The demand for eye services provided by SaTH remains incredibly high. By relocating services back to RSH and PRH, it would not only help us to improve waiting times for our patients, it would also help us to recruit and retain the staff to provide those services.

“Staff would spend less time travelling resulting in more clinical activity. Having more staff at reduced sites would potentially mean appointments would not have to be cancelled due to sickness; and having staff working alongside each other – rather than being spread across sites – would enable many patients to have their eye needs met in one appointment rather than multiple appointments and trips.

“We would like to encourage anyone with an interest in hospital eye services to complete the questionnaire. It is important for them to have their say as this will help us to shape how services will be provided for them in the future.”

Interested parties have until 18 February 2019 to respond to the questionnaire which can be accessed here: https://www.sath.nhs.uk/wards-services/az-services/ophthalmology/ or via https://www.surveymonkey.co.uk/r/1810EyeCare

The results of the questionnaire will be presented to SaTH’s Trust Board alongside associated recommendations at a meeting, which will be open to the public, in April.

Local health leaders publish key decision making document on future of local hospital services

Local health leaders have today published a key document ahead of the decision making meeting on the future of hospital services for people in Shropshire, Telford & Wrekin and mid Wales.
NHS Shropshire and Telford & Wrekin CCGs have published their Decision Making Business Case (DMBC) at http://www.nhsfuturefit.org/DMBC and circulated it to members of the Joint Committee of Shropshire and Telford & Wrekin CCGs. This document will support the Committee in making a decision on the future of hospital services provided at the Royal Shrewsbury Hospital and the Princess Royal Hospital when they meet on 29 January.
The DMBC provides an update to the Pre Consultation Business Case, bringing together all the work that has been carried out by the Future Fit programme over the last six years. It incorporates the options development phase and the impact assessments that have been undertaken, the findings of the independent reviews and the robust assurance process that has been followed. It also includes the feedback from the public consultation, details of the conscientious consideration phase and the plans that have been developed to help lessen the impact the proposals may have on travel and transport and on seldom heard groups.
Dr Simon Freeman, Accountable Officer for NHS Shropshire CCG said: “We are pleased to be able to publish the CCGs’ Decision Making Business Case. This is an important document that details the stages of the Future Fit journey over the last six years. We share people’s frustration as to how long this process has taken, however, we are confident that we have undertaken a thorough process and it is now time to proceed to the final decision-making process.”
David Evans, Chief Officer at NHS Telford & Wrekin CCG commented: “The publishing of the Decision Making Business Case follows successful meetings with NHS England and the Future Fit Programme Board and marks the final stage before the decision making meeting on 29 January. I would like to thank everyone who has been involved to help get us to this point – our doctors, nurses and other health care professionals, local people, patients and partners.”
The DMBC includes the following seven recommendations for members of the Joint Committee to receive and approve:
1. Consultation Process
To confirm that the Committee and its constituent CCGs have met their statutory duties and ensured that an effective and robust public consultation process has been undertaken and will be used to inform the decisions made.
2. Ongoing Engagement
To support the need for the CCGs to continue to engage with and feedback to stakeholders the outcome of the consultation and the decision-making process, including those from seldom heard groups.
3. Principles of Consultation
To reaffirm the model underpinning the future provision of hospital services for Shropshire, Telford and Wrekin and mid Wales upon which the consultation process was based.
4. Consultation Findings
To note that the Programme Board has confirmed by consensus that the consultation findings have presented no new viable alternative models or no new themes or key issues that might influence the preferred option.
5. Preferred Option
To confirm the CCGs’ previous unanimous decision on the preferred option (Option 1) of The Royal Shrewsbury Hospital becoming an Emergency Care site and The Princess Royal Hospital becoming a Planned Care site, with a 24-hour Urgent Care Centre at both hospitals.
6. DMBC
To receive and approve the contents of the DMBC, including its key appendices.
7: Implementation Oversight
To note and approve the proposal for an Implementation Oversight Group to be established under the STP governance structure to take forward oversight of the development of the Outline Business Case and Full Business Case.
The Joint Committee of Shropshire and Telford & Wrekin CCGs will be held in public at 6.30pm on Tuesday, 29 January 2019 at Harper Adams University, Edgmond, Newport TF10 8NB. The meeting will be live streamed via a webcast that can be accessed at http://www.nhsfuturefit.org and members of the public are invited to attend. Free parking is available on site.

More information can be found at www.nhsfuturefit.org

Local Plan Review – Site Allocations Consultation Meeting

Shropshire Council’s Planning Policy Team has launched the ‘Preferred Sites’ Consultation which will run from Thursday 29th November 2018 to Thursday 31st January 2019. During this time there will be several public meetings open to all, throughout the county where the Local Plan process and local development proposals will be explained. There will be the opportunity to highlight issues, specific concerns and suggest alternatives to the preferred approach set out in the consultation document.   Please come along and have your say on how your community is shaped for the future.

The Oswestry place plan area meeting will be held on Tuesday 15th January 2019 at The Marches School, Morda Road, Oswestry, SY11 2AR and will commence at 7:00pm. 

The Preferred Sites Consultation Document outlines a housing policy direction to improve the delivery of local housing needs and establishes development guidelines and development boundaries for Shrewsbury, the Principal and Key Centres and each proposed Community Hub. It sets out the preferred sites to deliver the preferred scale and distribution of housing and employment growth during the period 2016 to 2036.

Shropshire Councillor, Robert Macey, Portfolio Holder for Planning and Housing Development said “The presentation at Oswestry will provide an opportunity for residents and other stakeholders to learn more about the proposals. This will specific presentation will include details for Oswestry Town as a Principal Centre and the eleven surrounding community hubs including Gobowen, Weston Rhyn, St Martins, Whittington, West Felton, Ruyton Xi Towns, Llanymynech, Pant, Knockin, Kinnerley and Trefonen. The community will have the opportunity to question Shropshire Council planning policy officers and to hear the latest details for their area. I urge residents to attend this public meeting and air their views on the proposed sites within the Oswestry Place Plan area”

Whether or not you attend any of the public meetings you can comment on the proposals by following the link below and commenting on the documents on line.

https://www.shropshire.gov.uk/get-involved/local-plan-review-preferred-sites-consultation/

If you have any questions please do not hesitate to contact Community Enablement Officer Corrie Davies at corrie.davies@shropshire.gov.uk or Planning Policy on planningpolicy@shropshire.gov.uk

Where to get health advice over Christmas and New Year

The NHS is reminding residents in Shropshire where they can access expert medical treatment to help them stay well over the Christmas and New Year holiday.

NHS Shropshire Clinical Commissioning Group (CCG) is advising local people to consider the options for healthcare and ensure they are aware of GP practices and pharmacy opening times.

If people need urgent medical help but not emergency care this winter NHS 111 is available 24 hours a day, 365 days a year, including Christmas Day, Boxing Day and New Year’s Day. Simply call 111 for free from your landline or mobile to access advice.

GP surgeries in Shropshire will be closed on Christmas Day, Boxing Day and New Year’s Day. However, GP extended access will mean during the Christmas and New Year period Shropshire registered patients will have access to a limited number of routine GP appointments on Christmas Day, Boxing Day and New Year’s Day. To book one of these appointments please speak to your GP practice during their normal opening hours.

Many pharmacies have limited opening hours between Christmas and New Year so it is important to order and collect any repeat prescription in plenty of time.

Shropshire pharmacy opening times over the Christmas and New Year 2018/19 period can be found here.

Dr Julian Povey, Chair of NHS Shropshire CCG, said: “It is important to be prepared for the Christmas and New Year holiday. If you have a prescription check your medication to make sure you have enough for the extended festive break. If you need a repeat prescription organise it now and make sure you pick it up before the busy Christmas period.

“We can all help ourselves stay well by having a flu jab (available on the NHS if you are in one of the high risk groups), keeping warm, taking cold and flu remedies if we need them, and by keeping an eye out for elderly family members and neighbours.

“If you are not sure which NHS service to turn to for support, call 111 for fast, free medical advice day or night, seven days a week.”

Please be aware that the Walk In Centre (Urgent Care Centre) at the Royal Shrewsbury Hospital will be open every day from 8am to 8pm including the bank holidays (Christmas Day, Boxing Day and New Year’s Day) for anyone who needs urgent medical attention if they cannot get an appointment with their own doctor or are not registered with a GP practice. No appointment is necessary.

The Walk In Centre can help with a whole range of symptoms including children with high temperatures, anyone with breathing problems, severe headaches, abdominal pain and painful infections through to mild injuries and burns.

Please do not forget that Accident and Emergency at your local hospital should not be used unless it is for critical or life threatening illness or injury.

For more information on what you can do to stay well this winter, please visit nhs.uk/staywell.