Enough parking at a Hemel Health Campus?

  • Many doubt there would be enough parking spaces for the proposed Hemel Health Campus in Market Square, but could the sceptics be wrong?
  • There are 400+ parking spaces at the current Hemel Hospital, and they're fairly well-used - not too many spare spaces
  • So could a replacement Health Campus on Market Square have enough spaces for everyone?
  • Maybe they could fit - but how could it be done?
  • I understand from a Council source you COULD put another deck on the Water Gardens car park
  • And the cramped Hillfield Road NCP car park across from the Market Square often has spaces
  • BUT it would cost serious money to provide extra spaces. NCP would play hardball over reduced prices - and adding a whole extra deck to Water Gardens would be pricey and disruptive
  • And money is in very short supply - just ask Rachel Reeves

Hemel Health Campus - key documents

  • With the future of hospital services in Dacorum under discussion and a survey of public opinion being conducted now, here are two key documents about the proposed Hemel Health Campus in Market Square - a project initiation document and a feasibility study

Hemel Health Campus PID v1.5a Committee Submitted

Hemel Health Campus Feasibility v0.14


Watford General - England's worst acute hospital for privacy and dignity

  • Watford General is rated England's worst acute hospital for privacy, dignity and wellbeing, according to a closely-watched NHS national survey carried out in 2024
  • Watford also came bottom on this measure in the previous year's PLACE survey - and the situation has got worse
  • Watford gets just 65%  for privacy, dignity and wellbeing in  2024 as other local hospitals do much better - Lister in Stevenage gets 90% rating, Luton and Dunstable 78%
  • PLACE assessments are an annual appraisal of the non-clinical aspects of NHS and independent/private healthcare settings, undertaken by teams made up of staff and members of the public (known as patient assessors). The team must include a minimum of 2 patient assessors, making up at least 50 per cent of the group.
  • Food on the wards at Watford General got a score of 80%, with St Albans City Hospital getting just 76%. Luton and Dunstable ward food rated about the same as Watford, with 81%, with Lister again achieving a high score of 93%.
  • The link to the NHS report on the PLACE survey is here.

https://digital.nhs.uk/data-and-information/publications/statistical/patient-led-assessments-of-the-care-environment-place/england---2024#

 

 

 


Watford General gets low scores from inpatients - Emergency and urgent care are average

  • Watford General Hospital is rated below others in England for inpatient feedback, with a 7.7 out of 10 overall score.  Inpatient areas where it got below average scores in an NHS 2023 patient survey were -- Doctors, Care and treatment, Nurses and Leaving hospital, which received a rating of just 6.5 out of 10
  • The Hospital rated above average on one measure - 'Operations and procedures' for inpatients.
  • Scores for the Watford Emergency Department were about average, although tests were not up to the English average.
  • Urgent Treatment Centres at Hemel and Watford were given 7.8 out of 10, which is 'similar to other providers across the country' according to the West Herts Trust which runs both hospitals. However, waiting times for the UTCs got a very low score of just 4.4 out of 10 
  • The full scores are on page 8 of the Patient_experience_strategy_Nov24V1D8 document just published.

Six month delay for Hemel Health Campus plan

  • Dacorum Council update on the proposed Market Square Hemel Health Campus or Hub reveals that a key document, due to be ready by May 2025, won't be submitted until the end of the year
  • The Strategic Outline Case is vital to progress but is held up in NHS bureaucracy
  • There are no details yet of services to be provided in the Hub after the planned closure of Hemel Hospital
  • Dacorum Health Action Group Chair Philip Aylett says: 'The NHS needs to put up or shut up about the closure of Hemel Hospital and the plan to replace it with a Campus or Hub. After 15 months of speculation, we are none the wiser about the future of hospital services in Dacorum.
  • 'Recent revelations about the recent severe rundown of major services at Hemel Hospital make it vital that the NHS sets out its plans for the future urgently. At the present rate of service cuts for our local hospital, there will be nothing left to transfer to the Hub if and when it is finished.'
  • This is the Health Campus team Dacorum release

 


Hemel Hospital downgrade gathers pace as more services are cut

  • Cardiology, stroke care, clinical oncology, haematology and urology services have all been removed from Hemel Hempstead Hospital in just over three years as the NHS continues to run the site down
  • There are just 17 services now offered at Hemel Hempstead. As recently as September 2021 there were 23 available locally
  • This is just the latest instalment in the long-term NHS asset-stripping that has seen resources switched from Dacorum to favoured but crowded sites in Watford and St Albans
  • Hemel's A&E was shuttered about 15 years ago - and the Gossoms End community hospital in Berkhamsted closed a few years later
  • More recently the West Herts Trust moved the valued fracture clinic from Hemel under the cover of Covid
  • The further downgrading of Hemel Hospital raises questions about the plans for a Health Hub or Campus in the Market Square - which would house facilities moved there from the current site
  • Will anything be left of Hemel's hospital services if and when the Hub opens? 
  • A paper setting out the narrowing of the range of services locally available is here:Services-at-Hemel-Hempstead-Hospital

Exploring new hospital sites - the NHS sets out the to-do list

West Herts NHS Trust explained how, in 18 months or less, a new site  could become the 'preferred option' for the area's emergency care hospital.

The work towards a new preferred option, set out in a paper for the Trust Board in May 2022, would include:

  •  an updated site search to identify suitable potential sites
  • an appraisal of these sites to identify any viable options / a shortlist of
    potential sites
  • more detailed appraisal of the shortlist to identify one or more preferred
    options
  • initial review of site infrastructure requirements
  • preliminary commercial negotiations
  • exploratory discussions with relevant planning authorities
  • detailed feasibility studies and 1:500 designs for the identified site/s to produce robust and comparable capital costs for the shortlist appraisal
  • The paper  says 'Once all the above had been completed the detailed option appraisal could be updated and a new preferred option recommendation ascertained. It is anticipated that it would take c.12 to 18 months to complete the above work and cost in excess of £2m.' 
  • There would then be more detailed work on the new preferred option, including getting planning permission. That could take between 9 and 18 months.
  • Even if this preliminary work on a new option took the maximum time calculated by the Trust, the project would be well on the way by 2028.
  • The Watford General project does not have full planning permission and no final design has been determined

The papers are here - see Tab 5.2 - shortlist review   May_2022_board_papers2


County Council elections - a chance to make your voice heard on Hemel and Watford hospitals

  • The Herts County Council elections on 1 May are a chance to make your voice heard on Hemel and Watford Hospitals
  • Why? Because the NHS is run in a way that is completely undemocratic
  • The key decisions on our health services are made in secret by unelected bureaucrats and people appointed by the Government. These have often been bad decisions in West Herts
  • The only impact voters can have on what happens to our hospitals is via the County Council, which has a Health Scrutiny Committee
  • These Committees have strong powers. The  Government says they 'play a vital role as the body responsible for scrutinising health services for their local area. They retain legal duties to review and scrutinise matters relating to the planning, provision and operation of the health service in the area.'
  • But the Herts Committee has failed to use these powers effectively. It has made no impact on the NHS trusts and their unpopular plans for a rebuild of Watford General - and the vague proposal for a 'Hub' in Hemel to replace Hemel Hospital
  • We need elected people to hold the Trust bureaucrats and placemen to account for their decisions
  • If and when candidates and canvassers call round and ask for your vote, please ask them:

- Will you urge the County Council Health Scrutiny Committee to demand a hospital in Hemel Hempstead that will provide enough high-quality hospital services to meet the needs of Dacorum's ageing and growing population for at least 30 years?

– Will you urge the Health Scrutiny Committee to demand that the NHS explore accessible new sites as alternatives to the delayed rebuild of Watford General?

 


The West Herts Trust doesn't want you to see these reports

  • The decision to reject all possible clear new accessible sites for a new emergency and specialist West Hertfordshire Hospital was based on a single technical assessment by NHS civil servants published in 2020
  • This 'site feasibility study'  (SFS) said that it would be quicker and less risky to build a new hospital facility at Watford General than at any clear new site in a place that West Herts people could reach more easily (page 3)
  • This SFS has been suppressed by the Trust - it has been removed from the Trust website and the Trust has done its best to make it impossible for the public to trace it on the internet
  • But the New Hospital Campaign have kept a copy - attached!
  • Also attached is a report by an independent expert commissioned by the New Hospital Campaign which says it would be quicker to build on a clear new accessible site than to build at Watford General
  • That report, by Mike Naxton, says: 'The Watford site would seem to take a much longer period to deliver a fully functional facility under the proposed redevelopment plans than would be the case with the Greenfield New Build option.' He continues that there is a 'high risk of time and cost overruns as a result of
    encountering unforeseen problematic conditions on an existing aged operational hospital estate
    such as Watford.' (page 26)
  • Please feel free to make your own choice! 
  • This is the report with the assessment by NHS civil servants:
  • WHHT Site Feasibility Report - 210820 - final
  • This is the independent report:
  • Full-Naxton-Report-with-Appendices

Is it built of Lego or not? Trust muddle over 'actual design' of new hospital

  • West Herts Trust's new website sows confusion over the design for the proposed Watford General rebuild
  • Its redevelopment page proudly proclaims that a video shows 'the actual design' of the costly new hospital, suggesting the main design work has been done and dusted
  • No such luck. There are big differences between the two images of the design of the entrance block which appear next to each other on the same website page.
  • One image (the top one below) shows a rounded building with a consistent height, smoothly linking into the 200 foot-plus towers where most patients will be
  • The other image (the bottom one below from a slightly different angle) shows a squared-off building with varying heights, awkwardly butting up against the closely-packed tower blocks. Legoland Watford.