Barnet, Enfield and Haringey Clinical Strategy

The Barnet, Enfield and Haringey Clinical Strategy identified the need to deliver better healthcare for the people of Barnet, Enfield and Haringey. The changes resulting from the proposed implementation of the strategy will see widespread improvements in local health services, including:

• Improvements to primary care
• 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/expansion of midwife-led birthing units at both
• Development of urgent care services at Chase Farm Hospital, including assessment centres for children and older people.  

The case for these changes has strengthened over time, with the need to:

• Ensure local services meet London-wide quality standards
• Ensure the right staff are available to provide healthcare services, including providing the right level of consultant cover to meet quality standards
• Reduce the risks associated with the duplication of services
• Invest in local hospital facilities, bringing them up to modern standards
• Deliver a sustainable future for the local NHS
• Expansion of planned surgery at Chase Farm Hospital.

Help shape the future of the hospitals  

We are looking at how we can make the best use of our hospitals in the future. We want you to be part of these discussions and changes. Whether you are a member of staff, patient, carer or a local resident, your views and knowledge could help shape local health services.

To find how to get involved please contact the Communications Team on 020 8375 2180 or email bcfcommunications@nhs.net.   

Full Business Case published

The Barnet, Enfield and Haringey Clinical Strategy is the most significant change to health services in North London for many years. Health services have to change in response to local health needs and developments in healthcare. These changes come with the strong endorsement of the clinical community both inside and outside hospitals.

Since 2007, local residents, campaigners and clinicians have been engaged on the best way to deliver high quality health services locally. As a result, the BEH Clinical Strategy was developed by senior clinical staff to improve the health of local people, tackle health inequalities across three boroughs and improve services for patients. It has been endorsed by an independent panel of expert clinicians and approved by the Secretary of State for Health.

The changes planned for Barnet and Chase Farm Hospitals mean redeveloping women's, children's and emergency services in order to meet quality standards, provide a greater concentration of specialist care and better opportunities for training junior doctors. Obstetrics and emergency care will be concentrated at Barnet hospital, at the same time a new future for Chase Farm Hospital will be created as an elective care, outpatient, urgent care and diagnostics centre providing services in an improved estate.

These proposals are aligned to the significant investment and improvements there have been in primary and community care. These include the redevelopment of Finchley Community Hospital and the development of large community health centres to provide care closer to home, GP practices offering extended opening hours, and more services being provided in the community such as anti-coagulation monitoring, ophthalmology and heart failure nursing.

We are excited about these changes, which we believe will bring about genuine improvements to healthcare in the local area. This Full Business Case (FBC) sets out how we undertake this ambitious task and how we work with all our partners; the North Middlesex University Hospital NHS Trust, our commissioners and our colleagues in primary, community and social care, to bring about sustainable benefits to the health of local people.

To request a copy of the appendices please email bcfcommunications@nhs.net.

BEH Clinical Strategy creates two hospitals with complementary services

	Chase Farm	Barnet
Outpatients
Planned Surgery
Enhanced Recovery
Intensive Care and High Dependency Units
Day Surgery
Emergency Surgery
Rehabilitation
A&E
Urgent Care Centre
Children’s Assessment Unit
Elderly Care Assessment Unit
Maternity (including Midwife-Led unit)
Children’s Inpatient Services
Women's Diagnostics
Paediatric Assessment Unit (PAU)
Paediatric Outpatient Services
Paediatric Inpatient Ward
Neonatal Services
Gynaecology Outpatient Services
Midwifery-Led Units		*
Obstetric and Midwifery-Led Antenatal Services
Maternity Day Units
Inpatient Obstetric Services
Early Pregnancy Assessment Unit
*including Edgware

Who’s leading the process?

The core programme team for the schemes currently includes:
Dr Tim Peachey Interim Chief Executive (SRO)
Kevin Howell Project Director
Cathy Geddes BCF Programme Director
Alex Hickinbotham Implementation Manager
Marcia McKnight Communications Lead
Helen Pickering Assistant Project Director
Robert Shaw Finance Lead
Veva Attoh-Quarshie Workforce Lead
Jenny Galpin and Keith Terry Project Manager
Neill Hoad Lead Architect

Implementing the BEH Clinical Strategy is a very complex change programme. This diagram illustrates the implementation working groups and reporting structures involved.

When will the changes happen?

The BEH Clinical Strategy Programme is planning changes to services and working towards implementation in November 2013. A final decision about the timing of the implementation will be taken by local Clinical Commissioning Groups in September 2013.

This diagram illustrates the key milestones.

This diagram illustrates the timetable for building works and service changes that will support the BEH Clinical Strategy.

Building work at Barnet Hospital

There is external and internal building and refurbishment work taking place to expand and improve Barnet Hospital over the next 12 months. There will be noise and disruption in many areas including Maternity, A&E, Outpatients and car parking. This work is expected to be completed by November 2013. We apologise for any inconvenience this may cause.

Building work documents

A&E department building work poster

Barnet Hospital floor plans

Building work has started poster

Larch, Palm and Olive wards building work poster

Changes at Chase Farm Hospital

The implementation of the BEH Clinical Strategy means a new future for Chase Farm Hospital. This new leaflet explains the changes that are being made and describes the services that will be at Chase Farm Hospital and what the hospital will finally look like.

Changes are happening in Maternity

As part of the BEH Clinical Strategy the proposed intention is to improve quality and safety to meet the standards recommended by Healthcare for London for maternity services across Barnet, Enfield and Haringey.

The key proposed change is that deliveries will not happen at Chase Farm Hospital after November, although women will be able to have antenatal and postnatal care at the hospital. Women due to give birth in November are being booked for Barnet Hospital and North Middlesex University Hospital from mid-April.

These changes should not impact on choice, as women may choose a home birth or the Edgware Birthing Centre and all women will continue to be able to choose other providers which could include West Hertfordshire NHS Trust, Whittington Health, Royal Free Hospital or University College Hospital.

Maternity changes documents

Having a baby after 2013? poster

Pregnant or hoping to be? Your guide to maternity services in Barnet, Enfield and Haringey

Change has already happened for GUM services

As part of the BEH Clinical Strategy changes the Clare Simpson GUM Clinic was the first service to move location. The clinic has moved from Barnet Hospital to 1 Wellhouse Lane. The Nurse-led GUM service at Edgware Hospital will also be expanded to meet the rising demand of patients from Barnet and the surrounding area.