Introductory Overview: click here for Part 1
The text below is an extract from a project press release in December and gives more detail on the ambitions for the project as well as an update on NHS changes and the future of urgent care and walk-in services locally.
Among the agreed outcomes of the October stakeholder meeting:
- High quality primary care as an integrated part of broad health and wellbeing offer
- Priority to rehouse the GPs and health care facilities and related services
- Key to bring together health, care, enhanced library, services from Churchfields centre, youth centre, cinema, as well as arts/culture/heritage to create an integrated coherent whole
- Project fits with ambitious plans for the enhanced role of libraries of the future – taking on social, economic, cultural and educational aspects – ‘centres of community’
- Two phase approach can be adopted so new health facilities can come first
- Create integrated, flexible space, open to and involving all sectors of the community: statutory, community and private
- Need to reach out to entrepreneurs and local organisations and find the key people who will use these services and contribute life and longevity to the buildings
- Project is as much about change of culture as construction of new buildings – breaking down silo-type thinking so organisations and authorities and groups really work together as a local team
- Business model must underpin project – not only provide public services but attract entrepreneurs, making spaces people want to go to/use, ensuring economic viability
- High quality design, architecture/landscaping, maybe new town square/plaza
- Project must be guided by environmental/health concerns, climate change and pandemic proofing
Next key step: finalising an outline business case for the health care elements of the project which will next be submitted to NHS England for approval.
Health Care: What Do We Know So Far?
The new health care component will offer a much wider range of services than was previously available, and the project has now determined what some of those will be. The list below is a minimum plan to offer:
- GP services with increased support via online, telephone and video appointments and same day and face-to-face access for those who need it
- Mental health services
- Health hub for delivering community and outpatient services – e.g. counselling, podiatry, physiotherapy
- Diagnostics including X-ray, ultrasound and phlebotomy
- Women’s and children’s hub
- Urgent care service (see below)
- Wider wellbeing services to help people stay healthy and well
The Future of Urgent Care and Walk-in Centres
Key to determining future services in Weybridge is the NHS review of urgent care and walk-in facilities across North West Surrey. This is driven by new national standards for walk-in care, which means it is not possible to replace the former walk-in centre in Weybridge with like-for-like services.
Between January and March 2020, the NHS ran a series of events to test a shortlist of options for how to provide walk-in type services in the future with local people. This included whether or not to house an Urgent Treatment Centre (UTC) in Weybridge. UTCs are GP-led (rather than nurse-led), open for a minimum of 12 hours a day – from 8 am-8 pm, able to provide diagnostics (such as X-ray, blood and urine tests) and able to provide some bookable appointments from NHS 111.
The NHS is able to progress plans for the wider range of services to be available from the new Weybridge facility whether a UTC is part of the final site plan or not. Flexibility is key for the new site in any case, and a shortlist of options is now being reviewed in light of changes in how patients access care and revised guidance from NHS England. Should this result in a proposal to materially change the provisioned walk-in centre services across North West Surrey, a full public consultation would follow.
The COVID-19 pandemic has of course accelerated a pre-existing shift towards use of digital services. In the long term the NHS anticipates this will continue, as it also plans safe services that limit the volume of people gathering in surgeries, clinics and hospitals.