Tomorrow's NUH

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Summary of report content

Nottingham and Nottinghamshire Clinical Commissioning Group (CCG) wanted to find out local people’s views on the proposed changes to NUH and commissioned Healthwatch Nottingham and Nottinghamshire to involve people in developing these proposals, particularly from more vulnerable groups.  In December 2020 Healthwatch Nottingham and Nottinghamshire spoke to 150 people via a survey and three focus groups, focusing on people from specific cohorts including: Black, Asian, Minority Ethnic and Refugees (BAMER); People with long term conditions/poor health outcomes; People with a disability; Frail older people; Maternity service users; Young people, and Lesbian, Gay, Bisexual and Transgender people (LGBT).

People were very positive about the idea of modernising the hospitals; receiving emergency treatment at one hospital; better mental health care - especially in A&E; care closer to home, meaning less travel to busy hospital sites; separating emergency and elective care, if this meant fewer operations would be cancelled; more and better cancer screening and the use of online and telephone consultations where appropriate. At the same time, people highlighted negative points about the plans, particularly about how they would be resourced, in terms of money, staffing and space in the community; how the changes would be implemented; the potential fragmentation of care; changes to the current model of women and children’s services; and the extent to which remote consultations would be successful and the attention given to the needs of specific groups such as BAMER and people with disabilities

The recommendations concern staffing, a choice of appointments, communication and cultural issues.

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General details

Report title 
Tomorrow's NUH
Local Healthwatch 
Healthwatch Nottingham City
Healthwatch Nottinghamshire
Date of publication 
Tuesday, 13 April, 2021
Date evidence capture began 
Tuesday, 1 December, 2020
Date evidence capture finished 
Thursday, 31 December, 2020
Key themes 
Access
Building and facilities
Communication between staff and patients
Digitalisation of services
Health inequalities
Information providing
Interpreters
Public involvement
Quality of care
Service delivery organisation and staffing
Staff levels
Waiting times and lists for treatment

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
If this work has been done in partnership, who is the partner? 
Nottingham and Nottinghamshire Clinical Commissioning Group
Primary research method used 
Focus group
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Care of the elderly
Inpatient care
Maternity
Outpatients
Mental health services 
Mental health crisis service

Details of people who shared their views

Number of people who shared their views 
150
Age group 
16-17 years
18-24 years
65-85 years
85 +
Gender 
Female
Male
Non binary
Ethnicity 
Asian / Asian British
Black/ African / Caribbean / Black British
Mixed / multiple ethnic groups
Sexual orientation 
Bisexual
Heterosexual
Homosexual
Other population characteristics 
Refugees or asylum seekers
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.