Daniel Elkeles, Chief Executive, said there have been a number of reviews of Epsom and St Helier over the last fifteen years, many of which called for the closure of St Helier. The Trust has since been able to provide reassurance to staff that that the hospital will remain open for the next five years. The Trust has recently been successful in a recruitment drive for nurses. Epsom and St Helier is now one of the ten worst estates in the country. Half a billion pounds will be needed to replace the estate.

In regards to the timetable for the next stage of the consultation it is hoped to have a developed an option for a preferred site by June. A consultation event is being held on the 19^th March to discuss the criteria for developing the options.

A panel member asked how the Trust will improve it’s services in the community and what the timescale will be. The Chief Executive reported that the Estates Strategy is for 2020.  A new building will mean less money tied up in building maintenance costs. Staff will need to be trained to support people in the community. Doctors will need to think differently and help to invest and support people in the community to prevent expensive in-patient care.

A panel member asked what provision is being put in place when a home environment is not suitable for the care of a sick person. Dr James Marsh, Joint Medical Director reported that each case will be dealt with on its own merit, and alternatives such as community hospitals will be available for those who are unable to manage at home.

A panel member asked if the future of St Helier can be secured. The Chief Executive said they are working to secure the future of St Helier. They will develop a financial case for the costs needed for the infrastructure. There are a number of options and will be consulting with community on developing the criteria for the options.

A panel member asked for clarification about the current financial situation at Epsom and St Helier and how will the new estate be funded. The Chief Executive was reminded that the community will continue to defend A&E and maternity services at St Helier hospital. The Chief Executive said the Trust will be able to access private sector funding. The Trust currently is facing a deficit of £25-30 million over the next two years. The cost of maintaining the buildings is contributing to the deficit. The Trust will not be able to break even within the current buildings.

Panel members asked if departments could be closed if the Trust is not able to secure funding and the timescale for the new hospital being built.

The Chief Executive said if funding is not secured there is a risk it could have a significant impact on the hospital. In regards to the timescale there are a number of steps in the process, any of which could be delayed. If all runs smoothly the hospital could be ready by 2021. However, this date is very optimistic.

RESOLVED

The Trust were thanked for their attendance and asked to keep the Panel up to date with the progress of this work.