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Vanguard scheme (1516032-A)




No. Reference Question Calderdale CCG Response
1. C&H – Monitor Round Table -CHFT slides (redacted) – Slide 3 Care Closer to Home – Calderdale CCG -Vanguard What is the “compact”?




When will key milestones and timelines be made public?

Unfortunately we are unsure as to what this is.  You may wish to direct this question to CHFT


The key milestones and timelines were presented to the Calderdale and Kirklees Joint Scrutiny Committee on 29th June and to the Calderdale Adult Scrutiny Committee on 7th July.  (Please see attached).

2. In relation to RCRTRP Monitor & NHS England 7 May meeting with GH & C CCGs: a)     Is the Upper Valley programme that was designed in Feb 2015 available to the public?


b)      Is it the same as the Upper Valley Vanguard programme? If not, what is it and how does it relate to the Vanguard scheme?

We are not sure what you are referring to when you ask about the programme in February 2015.  Do you have any more information and then we can find the reference and respond.


However you are right when you say that the Upper Calder Valley programme is the same as the Vanguard programme.  Vanguard is a national title for a range of programmes – one of which we were awarded to test our model of care in the Upper Calder Valley.

3.   How can the CCG have confidence that community services are working well when the CCG has only just begun phase 2 Care Closer to home (which is moving community health services out of the hospital)? The Governing Body at their meeting tomorrow will consider whether they have sufficient confidence that existing community services have been strengthened and are beginning to achieve the necessary outcomes.

Care Closer to Home phase 2 is currently in development phase and is not due to be mobilised until April 2016.

We will be considering a number of criteria to assess our readiness for consultation.  These will be considered by the Governing Bodies at their September meetings.

4.   Will the consultation include consultation about this phase 2 care closer to home since it is in fact a change to hospital services? Potential service changes in Phase two will either be included in the engagement (if we have gaps in our previous engagement activity) or in any formal consultation if they represent significant service change.
5. Comment Can the CCG get out of this double bind:


As I understand it, the CCG can’t lawfully consult on the future of the hospital when it’s already predetermined much of the hospital’s future by starting to move services out of the hospital into primary/community care settings. This doesn’t give the public a full set of options to decide on.
Equally, the CCG can’t demonstrate readiness for consultation without thus invalidating the consultation,  by taking services out of the hospital and putting them in the community to show that they work by improving patient care and health and reducing acute and emergency hospital admissions, so giving grounds for “confidence that community services are working well”

Comment noted.
New Questions received 12th August 2015
6. Monitor round table CHFT slides (redacted) slide 4 hospital services:


“April meeting describes CCG intent for…unified emergency centre accessed through urgent care centres or via an ambulance with reference to a networked function across West Yorkshire”.

a)     What services would the unified emergency care centre provide

b)      Would this range of services be subject to downgrade over time (as is happening with the Dewsbury and District hospital A&E, which is effectively being downgraded to an urgent care centre)

c)      Is the “networked function” the existence of a small number of specialist emergency centres in West Yorkshire.

a)      We have a clinical consensus on the potential range of services to be provided as part of a unified emergency care offer.  There is further work to do to establish what the configuration of these services could look like.


b)     It is not possible to answer this question.


c)     The networked function is a reference to what is happening now i.e. certain specialties are concentrated in a smaller number of hospitals e.g Head Trauma in Leeds.



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