Consultation: Fit for the future

The Fit for the Future public consultation on options for organising a number of specialist hospital services across the Cheltenham General and Gloucestershire Royal Hospital sites ran from 22 October til 17 December.

You may also wish to sign up to our new engagement platform where you can share your views, experiences and ideas about local health and care services https://getinvolved.glos.nhs.uk.

NHS Gloucestershire Clinical Commissioning Group’s Governing Body met on Thursday 18 March to give conscientious consideration to all of the information they were presented with, including the Fit for the Future Decision Making Business Case (DMBC). At this meeting they approved a number of resolutions relating to the medium and long term future of specialist hospital services across the Cheltenham General and Gloucestershire Royal hospital sites.

The Governing Body meeting was streamed live from the NHS Gloucestershire CCG Youtube channel. A link direct to the live stream was posted to this page once the meeting began.

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Additional information for public comment (posted 2/2/21)

There is now an opportunity for the public, staff and stakeholders to comment on additional information prior to decision making in March 2021. See here.

The following documents are now available to download:

•  Citizens’ Jury – Jurors’ Report
• Citizens’ Jury – Report of the Jury (includes further information about the jury e.g. recruitment)
• Updated Trauma and Orthopaedic Pilot Evaluation
• Planned General Surgery update
• Output of Consultation report

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Introduction to Fit for the Future

• Read a short introduction to Fit for the Future
• Watch a short overview of Fit for the Future featuring Prof Mark Pietroni, Medical Director at Gloucestershire Hospitals NHS Foundation Trust

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Decision Making Business Case

The DMBC sets out proposed resolutions for the medium and long term future of a number of specialist hospital services following the Fit for the Future consultation.

Decision Making Business Case (DMBC)

• Appendix 1 – Final Output of Consultation Report
• Appendix 2a – IIA post consultation v5
• Appendix 2b – Annex IIA post consultation
• Appendix 2c – IIA Gastro and T&O
• Appendix 3a – FFTF Jurors Report
• Appendix 3b – FFTF Citizens Jury Report
• Appendix 4 – Public Transport Information
• Appendix 5 – FFTF Benefits Realisation
• Appendix 6 – Discharge Documents
• Appendix 7 – T&O Pilot Evaluation
• Appendix 8 – Planned General Surgery Information
• Appendix 9 – Stage 2 Assurance of Glos CoEx
• Appendix 10 – DPIA
• Appendix 11 – DMBC Comms Plan

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Evaluation Criteria

The below document discusses ‘What are the Fit for the Future Evaluation Criteria?’.

• Evaluation Criteria
• Solutions Criteria
• Lung Function and Sleep Services Booklet

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Output of Consultation Report

We would like to say a huge thank you to everyone who took part in the extensive programme of consultation – on-line, in person, by post and by phone. We are pleased to publish the  Output of Consultation report and appendices below.

The Output of Consultation Report sets out the background to Fit for the Future, our approach to communications and consultation and the responses to the consultation.

• Output of Consultation report
• Interim Output of Consultation report

The Interim Output of Consultation Report is supported by a series of Appendices, which can be found below.

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Output of Consultation Report – Appendices

The Output of Consultation Report is supported by a series of Appendices:

• Appendix – 1.1 – Full survey report
• Appendix – 1.2 – Easy read survey report
• Appendix – 1.3 – Responses by demographics:
  • 1.3.a – BAME
  • 1.3.b – Over 66 with disability
  • 1.3.c – BAME with disability
  • 1.3.d – Disability
  • 1.3.e – Mental health problems and learning difficulties
  • 1.3.f – Carers
  • 1.3.g – LGBT+
  • 1.3.h – 12 most deprived wards
  • 1.3.i – Healthcare professionals
  • 1.3.j – Public and community partners
  • 1.3.k – Postcodes from East
  • 1.3.l – Postcodes from West
• Appendix – 2 – Other Correspondence
• Appendix – 2.1 – Additional Responses Received
• Appendix – 3 – Glossary

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Consultation Booklets

• Full Consultation Booklet (web version)
• Full Consultation Booklet (print friendly version)
• Summary Consultation Booklet (web version)
• Summary Consultation Booklet (print friendly version)
• Easy Read Booklet 
• Summary consultation booklet (in Welsh)*/ Llyfryn Crynhoi Ymgynghoriad (yn Gymraeg)
• Bilingual Table (English/Welsh)

*Translated by Bilingual Cardiff. Thank you to Aneurin Bevan Health Board for coordinating this translation for us.

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Films

	Fit for the Future: Overview
	Fit for the Future: Acute Medicine
	Fit for the Future: Trauma and Orthopaedic Inpatient Services
	Fit for the Future: General Surgery
	Fit for the Future: Gastroenterology
	Fit for the Future: Image Guided Interventional Surgery

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Case Studies

• General Surgery (Emergency)
• General Surgery (Planned)
• Gastroenterology 
• Image guided interventional surgery

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Equality and Engagement Impact Assessment

• The Equality and Engagement Impact Assessment can be viewed here

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Pre Consultation Business Case

• Pre Consultation Business Case
• Appendix 1 – LTP Summary
• Appendix 2 – Output of Engagement Report
• Appendix 3 – Output of Engagement Report question responses
• Appendix 4 – Citizens’Jury Report
• Appendix 5 – Workshop Evaluation – Scorecards
• Appendix 6 – Workshop Evaluation, Rationale behind scores
• Appendix 7 – Healthwatch Gloucestershire Annual Report 2019-20
• Appendix 8 – TOR_Transformation Delivery Group
• Appendix 9 – GHFT staff engagement report
• Appendix 10 – F4TF Solutions Desirable Criteria
• Appendix 11 – FfTF Baseline Integrated Impact Assessment
• Appendix 12 – Evaluation criteria evidence pack
• Appendix 13 – CoEx long to med list – January 2020
• Appendix 14a – Annex IIA 3.1
• Appendix 14b – Integrated Impact Assessment – Inpatient Gastroenterology and Trauma and Orthopaedics
• Appendix 15 – High level work programme
• Appendix 16 – Glos FFtF Desktop Review – March 2020
• Appendix 17 – Senate responses 05.08.20
• Appendix 18 – Data Protection Impact Assessment (DPIA)
• Appendix 18 – DPIA079 Fit For the Future
• Appendix 19 – Gloucestershire Joint Health and Wellbeing Strategy
• Appendix 20 – Gloucestershire JSNA
• Appendix 21 – Travel impact analysis
• Appendix 22 – C&C Strategy and plan
• Appendix 23 – Fit For the Future RAID Log
• Appendix 24 – FFtF internal governance log
• Appendix 25 – Carbon Footprint
• Appendix 26 – EGS SOP for CGH ED attendances
• Appendix 27 – EGS SOP for accessing surgical opinion in CGH
• Appendix 28 – EGS SOP for ringfenced GI bed base
• Appendix 29 – SOP Acute Floor Zone – ESU
• Appendix 30 – DCC & Theatre modelling assumptions
• Appendix 31 – Impact on junior doctor rotas and training
• Appendix 32a – v1.1 Bed modelling
• Appendix 32b – v1.1 Activity modelling
• Appendix 33 – Letters 15.10.20
• Appendix 34 – FFTF Gloucestershire CRP
• Appendix 35 – FFTF Benefits Realisation
• Appendix 36 – Long to short list
• Glossary of Terms and Abbreviations