Strategic Outline Case for Wiltshire

26 July 2017 – Wiltshire Clinical Commissioning Group’s Governing Body yesterday approved a Strategic Outline Case (SOC) which identifies a preferred model and way forward for the future provision of community and primary care estate in Wiltshire.  

The SOC, which was presented and approved at Wiltshire CCG’s Governing Body meeting held in public in Devizes on Tuesday 25 July, is the cumulation of a strategic overview of health care in one area of Wiltshire – Chippenham, Melksham and Trowbridge – which began in autumn 2016. 

This initial stage of planning means the CCG is in the best position to secure capital investment for much needed updating of health buildings in Chippenham, Melksham and Trowbridge.  However, there are also priority areas for the rest of Wiltshire and the CCG will now set out a timetable for developing a more detailed clinical strategy and a Wiltshire-wide programme of capital and estates funding requirements. 

Steve Perkins, Wiltshire CCG’s Chief Finance Officer said:
“Wiltshire CCG has a strategy founded on commissioning health services which are based in our communities rather than in acute hospitals. Keeping people well, supported and able to be live as independently at home is at the heart of all of our work. We know that flexible solutions will be the key to being able to support the health and wellbeing of our local population, in a way which is financially sustainable into the future. 

“This means that we anticipate, and seek, an increase in the use of our community buildings – such as GP practices and larger primary care centres – so that we rely less on hospital facilities. Our approach aligns with the Bath and North East Somerset, Swindon and Wiltshire Sustainability and Transformation Partnership (STP) which has five priority areas, one of which is ‘Making best use of technology and our public estates’.

“To help us to understand the future estate and infrastructure requirements, in autumn 2016 we began a strategic overview of health care in one area of our county. This work has now been developed into a Strategic Outline Case (SOC) which identifies a preferred way forward for the future provision of community and primary care estate in Chippenham, Melksham and Trowbridge to support the sustainable delivery of community, secondary and primary care services.  The cost implications of not making the much-required improvements to facilities in north west Wiltshire are significant, and national funding has been made available for primary care facilities in Trowbridge.  The strategic planning helps to align clinical priorities with estates and infrastructure requirements”.

The SOC, which can be found here considers the healthcare needs of the Wiltshire population into the long term, based on what our GPs and clinicians require to support people to live well at home, and in consideration of the expected population growth in Wiltshire between now and 2026.  By working with our partners and stakeholders to review and understand the current and future local service requirements, Wiltshire CCG has considered options for the way we deliver locally based healthcare services in the future.

The recommendation approved by the CCG Governing Body yesterday is for one community hospital (hub), one community ‘spoke’ and three urgent treatment centres, alongside development of primary care estate to increase much needed capacity for GP practices. Details and definitions for each of these facilities can be found in the SOC.

Linda Prosser, Interim Chief Officer of Wiltshire CCG said:
“The preferred way forward takes account of key national, regional and local drivers for change and was arrived at following detailed meetings with clinicians, GPs and other key stakeholders.  The SOC is the first stage in the business planning process and therefore the size of accommodation and cost is only indicative at this stage. The SOC does not make an assumption about the location of the facilities, but we expect that for the north west patch of Wiltshire they will be located in the Chippenham, Melksham and Trowbridge area”.

The next stage will be for further development work to Outline and Full Business Cases and it is expected that locations will be identified through options appraisals at the Outline Business Case stage of the planning process, before proceeding to a full public engagement programme.