Proposed changes to NHS urgent care services in Dartford, Gravesham and Swanley

Introduction

We are asking for your views about the future location of a new Urgent Treatment Centre as part of our public consultation which runs from 12 August to 4 November 2019.

By urgent care, we mean care to treat illnesses and injuries that are not life threatening but require an urgent clinical assessment or treatment on the same day.

The proposal is to create a new Urgent Treatment Centre  (UTC) at either Gravesham Community Hospital or Darent Valley Hospital by autumn 2020.

Both proposed options will bring together the existing urgent care services provided by the Minor Injuries Unit at Gravesham Community Hospital and the White Horse Walk-in Centre at Fleet Health Campus under one roof.  This will make it easier for you to know where to go if you or your family need medical help urgently.

The local arrangements for urgent care services do not currently offer the full range of services that Urgent Treatment Centres nationwide are required to provide by autumn 2020.

Here you can read more about the two proposed options for change and how you can have your say.

Our proposed options for change

Our first proposal is to create an Urgent Treatment Centre by relocating services at the White Horse Walk-in to join the Minor Injuries Unit at Gravesham Community Hospital.

The Urgent Treatment Centre would be open 12 hours a day, from 8am to 8pm, every day including bank holidays.  Some patients will have had an appointment made for them by the ambulance service, NHS 111 or another clinician.  Others will wait for their turn to be seen.

Patients would be treated by GPs, nurses, paramedics or other healthcare staff. Patients would be transferred to the A&E department at Darent Valley Hospital or to another service if necessary.

 

Our second proposal is to relocate both the Minor injuries Unit at Gravesham Community Hospital and the services at the White Horse Walk-in to create an Urgent Treatment Centre alongside the existing A&E department at Darent Valley hospital.

The Urgent Treatment Centre would be open for a minimum of 12 hours a day. These hours may be extended. On arrival, patients will be assessed by a doctor or nurse and those who need it will be referred to the A&E department. Other patients will be seen and treated by GPs, nurses, paramedics, mental health specialists or pharmacists depending on their medical needs. Some patients will have had an appointment made for them by the ambulance service, NHS 111 or other clinician. Others will wait for their turn to be seen.

 

 

Giving your views

You can let us have your views on the proposals in the  following ways:

  • Come and talk to us

Join us at one of our public consultation events.  We will also be visiting community venues across Dartford, Gravesham and Swanley.  Below is a timetable of events for August and September.

Public consultation events in August, September and October.

 

  • Online questionnaire

You can give your feedback by filling in the online questionnaire here 

 

  • Invite us to come to you

We want to discuss our plans with groups supporting residents with specific needs, for example, carers or parents with disabled children.  If you would like us to come and speak at your group, then email us: dgs.communications@nhs.net

 

  • Email

You can email us with your comments about the proposed changes via  dgs.communications@nhs.net

 

  • Phone

You can call us on 03000 424903

 

  • Post

You can send your completed questionnaire free of charge to: FREEPOST RTXG-RKSL-TYJH, NHS Dartford, Gravesham and Swanley CCG, 2nd Floor, Gravesham Civic Centre, Windmill Street, Gravesend, Kent DA12 1AU

Documents

Here you can find a range of documents that you can download which will give you background information about the proposal to create a new Urgent Treatment Centre.

The consultation document is available to download in other accessible formats including large print and easy read version, which you can download here.

If you would like a printed copy of the full consultation document then please contact the Communications and Engagement Team on 03000 424903 or email the team at dgs.communications@nhs.net

Consultation documents

Download a PDF version of the full consultation document here

Consultation document large print

Consultation postcard

Consultation poster

To have your say on the proposals you can fill in the online feedback survey here

Urgent Care Review and Pre Consultation Business Case

What will we do with your comments?

When the consultation closes on 4 November 2019, all the comments and feedback we received will be collated and analysed by an independent organisation and this analysis will inform the Decision-Making Business Case (DMBC).  A final set of proposals, which will include the consultation feedback, the DMBC and the feedback and findings from the various internal committees, will be considered by the CCG Governing Body and a final decision is expected in early 2020.  The public consultation feedback report and final report to the Governing Body will be published on the CCG website.

The story so far

NHS Dartford, Gravesham and Swanley Clinical Commissioning Group (CCG) has been engaging for some time with local people about the creation of an Urgent Treatment Centre (UTC) in Dartford, Gravesham and Swanley.

 

This infographic shows how are have engaged local people and stakeholders so far.

What do the proposed changes mean for you?

  • You will be able to receive treatment for minor injuries (such as suspected broken bones) and minor illnesses (such as infections) in one place
  • You will be able to have x-rays, blood tests and similar services on site to help diagnose illness and improve treatment offered
  • You will be able to book an appointment for the new Urgent Treatment Centre via NHS 111 or, you can turn up and wait to be seen
  • There will no longer be a Walk-in Centre at Fleet Health Campus in Northfleet but there are plans for more community and GP services to be available from that site
  • The new Urgent Treatment Centre will be led by GPs working with other health professionals as a team including Advanced Nurse Practitioners, Emergency Nurse Practitioners, Paramedics and Mental Health Practitioners, as well as Out of Hours Doctors
  • It is expected that new and existing staff will be employed in the new Urgent Treatment Centre
  • Option one – if Gravesham Community Hospital is selected for the new UTC, the existing Minor Injuries Unit will be expanded to include services for minor ailments transferred from the White Horse Walk-in Centre
  • Option two – if Gravesham Community Hospital is not selected as the site for the Urgent Treatment Centre, it could become a super GP practice and health and wellbeing hub offering more outpatient clinics and community services
  • Option one – if Darent Valley Hospital is not selected as the site for the new UTC, it will still have A&E and GP Out of Hours services.
  • The new UTC will offer the same services as other Urgent Treatment Centres in England and will comply with the NHS England 27 standards for best practice.

Events

Events

We want to receive the views of as many people as possible  on the proposals to help us decide the best option for everyone in Dartford, Gravesham and Swanley.

During the public consultation period which runs from 12 August to 4 November we have organised a number of events where you will be able find out more about the proposals and have your voice heard.

You can find the list events below:

August Urgent Care Roadshows

September Urgent Care Roadshows

October Urgent Care Roadshows

You can also sign up for our Health Network to receive up to date news and events.