Hertfordshire County Council Health Scrutiny Committee

1. Hertfordshire County CouncilHealth Scrutiny Committee Submission of evidence by Broxbourne Borough Council Cllr. Ken Ayling, Leader of the Council Rosie Sanderson, Head of Community Planning & Corporate Projects

2. The Big Issue for Broxbourne • Movement of acute hospital services away from the Borough will result from both Hertfordshire and North London reviews Leading to: • Exacerbation of existing problem with transport to hospitals • Need for increased primary care provision

3. On the Plus side Broxbourne Council welcomes: • Decision to site urgent care centre at Cheshunt Community Hospital • Proposal by East and North Herts NHS Trust to provide outpatients services at Cheshunt Community Hospital • Commitment from the NHS for financial support for the health transport call centre and the Broxbourne Health Shuttle

4. Still needed • Further investment in primary care, especially at GP surgeries. • Long term investment in transport services • Outpatient services at CCH provided by Princess Alexandra hospital (Harlow)

5. Current position • Health issues, especially travel to hospitals are an important issue for Broxbourne Borough residents, shown by surveys • Residents are referred to a variety of hospitals, dependant on the GP practice they attend. These include: • Chase Farm (Enfield) • QEII (Welwyn Garden City) • Princess Alexandra (Harlow) • Lister (Stevenage)

6. Partnership to improve primary care in Broxbourne • Broxbourne Council supports an expansion of primary care, and has worked with the NHS to achieve this: • Investment by the council to expand Cheshunt community hospital • Use of planning agreements to obtain improvements to GP surgeries Cheshunt Community Hospital Hailey View Surgery, Hoddesdon

7. Deprivation • Broxbourne is the second most deprived district in Hertfordshire (IMD, 2007) • Residents of deprived areas are more likely to need access to acute healthcare and less likely to be registered with a GP • Other areas in Hertfordshire with significant deprivation have and will continue to have an acute or general hospital close by

8. Movement of acute hospital services

9. Transport • Very poor access from Broxbourne Borough by public transport to any local hospital at present • Health shuttle service started in recognition of this need, a partnership between Broxbourne Council and HCC. • Car ownership low in areas of deprivation • Transport issues will be exacerbated by movement of acute services away from the Borough

10. Location of Cheshunt Community hospital in relation to deprivation

11. Cheshunt Community Hospital (CCH) • Outpatient services run by Barnet and Chase Farm NHS Trust • Building owned by E & N Herts PCT • Residents who attend GP surgeries in Broxbourne & Hoddesdon are not referred to this service at present as they go to PAH (Harlow) or QEII (Welwyn Garden City), although CCH is nearer • Collaboration between acute providers (E & N Herts NHS Trust, Barnet and Chase Farm NHS Trust and E & N Herts PCT) needed to ensure access to services at CCH is available to ALL local residents.

12. Conclusion • Proposed changes will move services further away from Broxbourne Borough residents • The proposals for Cheshunt Community Hospital are welcomed Still needed: • Outpatient services at CCH by Princess Alexandra hospital (Harlow) • Long term investment in transport services • Further investment in primary care to increase the provision of services from GP surgeries