5th Floor

F Mill
Dean Clough
Halifax
HX3 5AX

Ref: CGB057-63
Jenny Shepherd
changingmorethanlightbulbs@gmail.com
Date: 5th February 2016

phone us during office hours 01422 307519

email HSFeedback@nhs.net
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Right Care, Right Time, Right Place,
5th Floor, F Mill, Dean Clough,
Halifax, HX3 5AX

Dear Jenny,
Calderdale CCG Governing Body meeting in parallel with Greater Huddersfield CCG
Governing Body 20 January 2016
Thank you for your email received on 18th January 2016, submitting your question and comment
that you wished to put to the Governing Body Meeting held in public on Wednesday 20th January
2016 regarding Right Care, Right Time, Right Place.
At the meeting we explained that we had received over 300 questions and comments from
members of public many of which did not relate to the decision as to whether the CCG was ready
to start a public consultation, but focused on issues that would be explored through the
consultation. In light of the number of questions, and the majority not relating to the decision under
consideration, it was agreed that unfortunately the CCG would not be able to read out the
questions and respond at the meeting. The CCG therefore made a commitment to formally
respond to each question and comment in writing, and to publish questions and responses on the
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I would like to apologise that it has taken a number of days to respond to you; this is due to the
large volume of questions received. Thank you for your patience.
Your comments and questions:

My question is about whether the decision to make Calderdale Royal Hospital the acute/ A&E
hospital is down to the need for the hospitals Trust to maximise the value of the CRH PFI
contract. It is in several parts. But first, some background:
At the Calderdale and Kirklees Joint Health Scrutiny Committee (JHSC) meeting on 21st
October, the Monitor employee said that that Calderdale & Huddersfield NHS Foundation
Trust needed to:  
Responding to this information, the JHSC Chair Cllr Elizabeth Smaje asked:
g at which site would be better for hot and cold services in order to
 

The Monitor rep ducked the question by saying:

  the CCGs.
 
My questions are:
1.

How does the decision to make CRH the acute/emergency hospital maximise its


Please see p112 of the Pre-Consultation Business Case; Summary of the Evaluation where
we explain how valued for money is the key differentiator.

2.


value/potential of the PFI site?
The financial modelling was carried out by CHFT working with Monitor and as such CHFT may
be able to provide you with further information on the detail.

3.

If not, who was?

Please see above.

4.

Where are the documents that show this financial modelling?

Further information can be found in the Pre-Consultation Business Case section 7.2, page
95

5.

Where are the minutes of the meetings which discussed this financial modelling and, in
the light of it, reached the decision to make CRH the acute/ A&E site?
I think that it is important to emphasize the fact that the only decision made at this point in time
is to go out to consultation on the proposals as set out in the meeting on the 20th January. In
terms of any minutes, please see our response to question 2.

6.

What weight did the CCGs assign to the issue of maximising the value/potential of the PFI
site (CRH) when they decided to make it the acute/ A&E hospital?
As mentioned above, the only decision made at this point in time is to go out to consultation on
the proposals as set out in the meeting on the 20th January. In terms of the evaluation; this
can be found in section 8.0, page 106 of the Pre-consultation business case (PCBC)

7.

How much say has Monitor had in the decision to make CRH the acute/A&E hospital?
No final decisions will be made until the CCGs have concluded the consultation and have
properly considered the information that we have gathered through that consultation. The

process to identify the preferred option for consultation is described in section 8 (page 106)
PCBC.
8.

Given that elective care is the most profitable hospital service, is it the intention that once
the Huddersfield elective care centre is up and running, it will be sold off to a private
provider, (such as Locala?)
Under the proposals, the hospital that would be based on the Acre Mill site, would provide
both planned care and urgent care.

Please find the link to the pre-consultation business case on our website.
http://www.calderdaleccg.nhs.uk/wp-content/uploads/2016/01/Right-Care-Right-Time-Right-Placepre-consultation-business-case-15-January-2016.pdf
Public Consultation
I thought that it might be helpful if I provided some more information about the proposed
consultation. On 20 January, the Governing Body agreed that the CCG was ready to start the
public consultation process. This will begin in early February, run for a minimum of 12 weeks, and
will include many opportunities for people to find out more about the proposals and have their say.
This will be in a variety of forms including public meetings and information sessions in different
parts of Kirklees and Calderdale and at different times of the day and week. It is very important to
us that we gather public feedback on the proposed reconfiguration of hospital services within the
Huddersfield and Calderdale areas. As soon as consultation launches, we would like to send you a
copy of the consultation document which will contain more information and a survey to capture
your response. However, if you would prefer not to receive details of the consultation, please let us
know.
Once the public consultation starts, all our documents will be published on the website
www.rightcaretimeplace.co.uk where we will also publish a detailed calendar of events.
The responses to consultation will be analysed by an independent provider who will collate all the
information gathered during the consultation. A report of findings from the consultation will be
produced following the end of consultation. As I mentioned earlier, no final decisions will be made
until the CCGs have concluded the consultation and have properly considered the information that
we have gathered through the consultation.
Yours sincerely,

Dr Alan Brook
Chair, Calderdale CCG