south east london nhs orthopaedic services · why we need changes • we need to use the money we...
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South East London NHS
Orthopaedic Services
Ideas for making orthopaedic
services better
Orthopaedic
Orthopaedic means parts of your
body like your
• Bones
• Joints
• Ligaments
• Tendons
• Muscles
• Nerves.
It is about how your body moves.
Good orthopaedic
services
• We want to make orthopaedic
services better for everyone
in south east London.
• We have some ideas about
how to do this.
• We want to know what you
think.
• If we decide to make big
changes we will ask everyone
what they think. This is called
a public consultation.
Helping us decide
what to do
We talked to
• Patients and the public
• Doctors, nurses, other healthcare
staff and health commissioners
• Orthopaedic surgeons and other
people from south east London
hospitals
• Social care staff from local
authorities
• Healthwatch and other groups in
the community
Planned operations
There are 7 hospitals in south east London that do
orthopaedic operations where patients need to stay in
hospital overnight.
Some surgeons have more experience than others of
different types of orthopaedic surgery.
• Routine operations – operations like hip and knee
replacements. The hospitals do lots of these. All the
surgeons in the different hospitals do these
operations in a similar way.
• Complex operations – these are more difficult
operations, like ankle replacements. Surgeons might
do complex operations in different ways and are likely
to do these less often.
Why we need
changes
• People are living longer so a lot more
people will need orthopaedic surgery.
• Some patients are waiting a long time for
their appointment.
• If there is an emergency (like a car
crash), orthopaedic surgery might be
cancelled to carry out emergency
surgery.
Why we need
changes
• We need to use the money we have for
orthopaedic services in the best way we can.
• We want to make sure patients that have
orthopaedic surgery heal well and get better as
quickly as they can.
• We want all patients to get the same standard of
care and surgery.
Having 2 orthopaedic
centres
We want to compare how things are now with
our idea of having 2 centres for planned
orthopaedic operations.
We think having 2 centres to do all planned
orthopaedic operations will work best.
These centres would be a part of hospitals
that are already there.
We think this will make orthopaedic services
better for everyone.
What this means
Having 2 planned centres means
• More operations so people don’t have to wait so
long.
• Fewer operations being cancelled because the
centres will only do planned operations.
• Better infection control so people get well as
quickly as they can.
• Patients will be well looked after before and after
their operation by expert staff
• Operations will cost less and make better use of
the money.
What might change
It is only the operation that would happen at 1 of
the centres.
Patients will be able to go to the hospital nearest to
them for anything they need before and after
surgery.
For example:
• Appointments before surgery.
• Surgery that is completed in one day and does
not need a patient to stay in over night.
• Follow up appointments after surgery.
Emergency orthopaedic surgery will still be
done in A and E.
There are 4 hospitals who want to provide these services.
If we go forward we will need to choose 2 of them, after a
consultation.
Guy’s Hospital University Hospital Lewisham
Queen Mary’s, Sidcup Orpington Hospital
Choices for
2 orthopaedic centres
Choice 4
University Hospital Lewisham and Orpington Hospital
Choice 5
University Hospital Lewisham and Queen Mary’s, Sidcup
Choice 6
Orpington Hospital and
Queen Mary’s, Sidcup
Choice 1
Guy’s Hospital and
University Hospital Lewisham
Choice 2
Guy’s Hospital and
Orpington Hospital
Choice 3
Guy’s Hospital and
Queen Mary’s, Sidcup
How we will choose
A group will look at all the information.
They will decide which choices out of the
6 work well. They will also decide which
choices will not work well.
The group will be made up of
• GPs
• NHS commissioners – these are the
people who decide what NHS services
are needed and how much they will
cost
• People from patient groups
• People who are experts.
Committee in Common
The group will look at all the choices.
They will tell a committee of senior GPs
and managers from the 6 NHS areas in
south east London and a group of patients.
This committee is called the Committee in
Common.
The Committee in Common then decide
which choices to ask the public about in the
public consultation.
Asking the public
After the Committee in Common
make the final choices there will be a
public consultation.
This is when everyone who lives in
south east London has the chance to
say
• If they think having 2 orthopaedic
centres are a good idea.
• Which 2 hospitals should become
the orthopaedic centres.
What happens after the
public consultation
• If we decide to have 2
orthopaedic centres it might take
several years to do this.
• There will be more information
about what happens next after the public consultation.
Telling us
what you think
Nothing has been decided yet.
We want to know what you think of the ideas so
far.
We also want to know how you would like to take
part in the public consultation.
You can tell us what you think in these ways
• Online: ourhealthiersel.nhs.uk
• In writing: Our Healthier South East London,
PO BOX 64529, London SE1P 5LX or email
• On Twitter: @ourhealthiersel
Some questions for you
• Do you think the changes we want to make will make a difference to the people you care for? This might be in a good or a bad way – please tell us more.
• If the changes are bad, is there anything that we can do to make things better?
• If there changes are good, is there anything we can do to make things even better?
• Is there anything else we haven’t thought about that would make orthopaedic surgery better?
Public consultation
• How would you like to take part in the public consultation?
• Do you or anyone you care for need extra
information to take part? • What information and formats would you find most
useful and how should we make this information available?
• How would you like to feedback to us? • Are there any other questions we should be asking? • Do you understand how the changes we want to
make fit into our work called ‘Our Healthier South East London’?
• Do you want to tell us anything else?