Draft 1.3

1. Draft 1.3

2. Trust highlights Barnet and Chase Farm Hospital NHS Trust (BCF) provides high quality emergency and planned services from two sites in Barnet and north Enfield to over 750,000 residents in Barnet, Enfield, Haringey, East Harrow, South Hertfordshire, South Essex and Waltham Forest. • We see and treat over 500,000 patients a year • The Trust is one of only 23 trusts in the country to use the Da Vinci robot -one of the most advanced surgical systems in the world that has modernised the way the hospital carries out minimally invasive surgery particularly in the area of prostate cancer • Our Acute Stroke Unit, is the first unit in Londonto be accredited with the ‘C’ and ‘D’ standards –the highest level of standards set by the London Cardiac and Stroke Networks. This follows the unit’s successful accreditation for the ‘A’ and ‘B’ level standards gain in 2011 • We are well respected for our Cardiology,, urology, general surgery, and haematology services • The Trust has one of the busiest Maternity units in London, we deliver almost 7,000 babies a year • Over the last four years we have consistently met our performance targets for quality of services and financial management • A standardised mortality rate of 89 (against expectation of 100). Mortality rates at the Trust have now been successfully kept down for two years in a row.

3. BEH Clinical Strategy Overview • improvements to local primary care and community services • expansion and redevelopment of emergency services at Barnet and North Middlesex Hospitals • expansion and redevelopment of maternity and neonatal services at Barnet and North Middlesex Hospitals, including the development of midwife led birthing units at both • development of urgent care services at Chase Farm Hospital, including assessment centres for children and older people • Expansion of planned surgery at Chase Farm Hospital

4. BEH creates two sites with complementary services Chase Farm • Planned Care • Outpatients • Elective surgery/Cancer services • Day surgery • Rehabilitation • UCC(Urgent Care Centre) • Paediatric Assessment Unit • Elderly Assessment Unit • Enhanced Recovery Barnet • Emergency Care • Maternity & Paediatrics • Emergency surgery • Day surgery • Maternity (inc. Midwife Led Unit) • Paediatrics • Outpatients • Intensive and High Dependency Care Services

5. Estate changes to Barnet • Barnet Hospital • Relocation of Genito Urinary Medicine to allow conversion of template for ward use • Works to A&E to include sufficient resus. and paediatric facilities; • Expansion of Intensive and High Dependency Services • Increase in single room accommodation • Additional CT scanner • Expansion to paediatric in- and out-patient areas • Remodelling of Women’s outpatients • Expanded and remodelled maternity and neonatal facilities

6. Estate changes for Chase Farm • Chase Farm Hospital • Existing A&E conversion to Urgent Care Centre • Consolidate CFH beds onto Highlands wards • Refurbishment of maternity building for Outpatients • Create Older Peoples Assessment within Highlands Wing • Convert ITU to overnight recovery area

7. Key milestones • April 2012Outline Business Case approval by NHS London • Sept 2012 Enabling works to increase capacity at Barnet Hospital begin • August 2012 Full Business Case Approval by NHS London • October 2013 Completed works to expand capacity of Barnet Hospital for additional activity • November 2013 Transfer activity from Chase Farm Hospital to Barnet Hospital and North Middlesex University Hospital • November 2013 Older People’s Assessment Unit and Urgent Care Centre services at Chase Farm Hospital begin • September 2014 All CFH works complete • October 2014 New OPD configuration begins operation

8. Workforce • Workforce changes: Strategy implementation will require some staff to relocate from the Chase Farm Hospital site to Barnet Hospital and North Middlesex Hospital sites. The Trust aims to retain affected staff by redeploying into suitable vacancies where possible. Workforce plans are being developed to determine exact numbers and staff affected. • Financial implications: The strategy has around £30m of workforce reductions post BEH in 2013/14. We currently have over 500 vacancies and 12% turnover. • Change management: The Trust will adopt robust change management principles in accordance with the Trust’s Policy, legislation and best practice including: • Timely and meaningful communication and consultation • Regular meetings with union representatives • Mechanisms to support staff through the change

9. Feedback • Via your manager • The BEH project team • Feedbackbcf@nhs.net