Future changes: What we have been discussing

 In Buckinghamshire our main acute hospitals are at Stoke Mandeville and Wycombe.

At present we provide some services at one hospital only, and some services at both hospitals.

For some of our key services we believe that their duplication across both hospital sites is unsustainable for quality, safety, staffing and efficiency reasons.

There are a number of services where we believe there is a clinical case for making further changes.

  • Emergency care
  • General medicine inpatient care, including gastroenterology, diabetes, medicine for older people and respiratory services
  • Elderly care
  • Breast services
  • Specialist ‘networked services’ (vascular services)

We also provide services at Amersham hospital, and at our community hospitals at Buckingham, Chalfont’s and Gerrards Cross, Marlow and Thame, as well as extensive community and primary care services.

This consultation did not propose any changes to these services, although we will continue to invest in them and develop care closer to home for patients.

 

“There has been a wealth of clinical evidence for many years that specialist clinical services such as stroke, trauma and heart surgery should be concentrated in fewer centres.

The Presidents of the Academy of Medical Royal Colleges