Agenda item

Considered - a presentation by Mark Steed, Director of Property and Asset Management at York Teaching Hospitals.

Mark Steed gave an update on the Urgent and Emergency Care development project and other site development projects at Scarborough General Hospital, as summarised below:

·         A total of £47m capital investment is going Scarborough General Hospital

·         The new building will provide a combined Emergency Department, Same Day facilities and Acute Medical Unit; combined level 1, 2 and 3 Critical Care facilities; and improved site resilience and flexibility for expansion to support future developments at Scarborough General Hospital

·         The Trust has to follow HM Treasury and NHS England processes around the submission of a three different business cases at different points in time.  The last of these, the Full Business Cass (FBC), is awaiting approval (expected March 2022)

·         In the interim, details designs and specifications have been drawn up

·         Enabling work is now underway and full construction is due to start April 2022 (subject to FBC approval)

·         The new development is expected to be fully in use by January 2024

·         A new helipad has been built for air ambulances and air sea rescue services.

There followed a discussion, the key points of which are as summarised below:

·         The development is welcomed and there will be opportunities to do more diagnostic work locally

·         There is a strong focus upon creating a modern environment that is a good place to work and to be treated

·         There will be more space gained as some of the existing services are moved around

·         Confident that the project can be delivered on time.  The construction partner is very experienced and enabling works are underway which will help claw back some time

·         There is an opportunity to pull in a broad range of diagnostic, assessment and outpatient services from Hull and York, which would then reduce the need for people to travel, which has always been a local concern in and around Scarborough.

County Councillor John Ennis summed up and thanked Mark Steed for attending the meeting and answering the questions of the committee members.

Resolved:-

1)    That Mark Steed attends a future meeting of the committee to provide an update.

Following the update on progress with the redevelopment of Scarborough General Hospital, Neil Wilson, Head of Partnerships and Alliances, York and Scarborough Teaching Hospitals NHS Foundation Trust gave a brief presentation on hyper acute stroke treatment data.  The update was taken under this item, as opposed to Other Business, as it related to Scarborough Hospital.

This data had previously been requested by the members of the Scrutiny of Health committee.

Neil Wilson gave the presentation, with key points as summarised below:

·         Between 1 April 2021 and 23 February 2022, there were 144 instances of patients being transported between Scarborough and York with a final working impression of Stroke

·         The average travel time was 1hr 3mins, with the shortest transfer time at 30mins and the longest being 2hr 33mins

·         Approximately one third of patients are discharged to rehabilitation services in other hospitals, as opposed to directly home

·         A proportion of patients are still self-presenting to the Scarborough General Hospital with symptoms of stroke. This increases the time take to undertake a scan and admit them to the hyper acute stroke unit, which means that opportunities for thrombolysis may be missed. Further local information and awareness campaign work required

·         Further work with social care is needed to improve timeliness of discharge

·         A local performance dashboard is in development that should enable some of the following metrics to be captured: stroke admissions; Thrombolysis and Mechanical Thrombectomy; arrival and thrombolysis; and 6 month follow up.

There followed a discussion with the key points arising as summarised below:

·         Rapid repatriation, after specialist treatment at a hyper acute stroke unit, home or to a nearby hospital has always been a big selling point for the changes to the hyper acute stroke pathway but a significant minority seem to need in-patient rehabilitation at Bridlington

·         The lack of community social care placements is creating some delays with repatriation

·         Further work could be done to communicate the pathway more clearly.  As it stands, for some those who are not repatriated home, are going to go to Bridlington

·         The performance framework that is under development will help the committee better understand the overall performance and impact of the hyper acute stroke pathway

·         It would be helpful to have a view across Harrogate-York-Leeds and Scarborough-York-Hull.

County Councillor John Ennis summed up, thanking by Neil Wilson and colleagues for attending and responding to questions from the committee members.

Resolved:-

1)    That by Neil Wilson provides an update on the performance of the hyper acute stroke pathway to the committee meeting on 9 September 2022.