Decision details

Improving Healthcare Together

Decision Maker: Health and Wellbeing Board

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: No


Update on acute hospital reconfiguration plans


The report was presented by Andrew Demetriades, Programme Director of the Improving Health Care Together Programme 2020-2030. The key points highlighted to the Board were that the team would not progress to public consultation until support in principle for capital funding had been obtained and that funding would only be sought once plans had been assessed by regulators both regionally and nationally in line with the NHS planning requirements.  Therefore the timing of any public consultation was not yet certain. 

The Board were advised that later that week a report would be published by the London and South East clinical senate, outlining proposals and recommendations on what work would be required to move forward.  The second key element of work mentioned was the second phase of the integrated impact assessment and the report was also due to be published later that week. 

All 3 CCGs wanted to consult as early as possible with the public and stakeholders.


Councillor Ruth Dombey suggested that greater recognition of the previous analysis work would be useful to give more historic context, and to highlight the differences in this latest analysis.

It was confirmed that the regulators would take into consideration the historic work and also the new analysis.  

Daniel Elkeles, Chief Executive Epsom & St Helier University Hospitals Trust, advised that Sutton would have a clinical model different to the rest of the country. He also highlighted that he was pleased all 3 providers had confirmed that they believe all 3 models would work.

In respect of next steps, the Programme Director of the Improving Healthcare Together Programme  advised he was seeking approval to go from Regional assurance to National assurance, and as soon as feedback is received from regulators to then to seek commitment for funding.  In terms of time frames he believed that could be as soon as October 2019. The Chair reminded the Programme Director to keep in view the dates of the next Health and Wellbeing Board meetings so that the Board may be kept up to date.


  1. The update on progress on Improving Healthcare Together Programme was noted.
  2. The Board considered any further information or updates they would like to receive in due course


Report author: Jessica Crowe

Publication date: 10/07/2019

Date of decision: 24/06/2019

Decided at meeting: 24/06/2019 - Health and Wellbeing Board

Accompanying Documents: