|
Options
|
Reason
|
Savings
|
Cost
|
|
Children’s
Services
C1. Children’s
Day Centre with extended opening hours (inpatients in Oxford
Children’s Hospital)
C2. Children’s
Day Centre with normal opening hours (inpatients on Oxford
Children’s Hospital)
|
Current Service
not clinically sustainable.
Future costs
avoided: £433,000
|
£85,000
£417,000
|
|
|
Maternity
Services
M1. Maintain
the midwifery-led service, (obstetric-led deliveries at Oxford Women’s
Centre)
M2. an enhanced
midwifery-led service (obstetric-led deliveries at Oxford Women’s
Centre)
|
Current service
not clinically sustainable.
Future costs avoided:
£1.1 - £1.4 million
|
£167,000
|
Capital cost
being assessed
|
|
Gynaecology
G1. Increase
day care gynaecology at the Horton (consolidate emergency and inpatients
in Oxford).
|
Medical staffing
is directly linked to obstetric service.
|
£400,000
|
|
|
Emergency
general surgery and trauma
E1. Continuation
of emergency general surgery and trauma in daytime scheduled emergency
theatre lists, with out-of-hours and weekend emergency general surgery
and trauma transferred to the John Radcliffe Hospital.
|
Current out-of-hours
service not clinically sustainable.
Future costs
avoided: £400,000
|
£380,000
|
|
|
Elective
surgery and day care procedures
Transfer of
some elective surgery from Oxford.
|
Full provision
of these services for North Oxfordshire residents in Banbury.
|
|
Being evaluated
|
|
Emergency
Department
Additional
consultant presence and out-of-hours cover
Higher grade resident out-of-hours cover
Enhanced paediatric life support skills.
|
Service enhancement
to meet modern standards
|
|
£230,000
|
|
Care of
the Older Person
A rapid assessment
and diagnostic service
An enhanced acute stroke service
An enhanced rehabilitation service
Intermediate care beds on site
|
Service enhancement.
|
|
Being evaluated
|
|
Specialist
Services
Continuation
of current services plus some enhancements
|
Improved access
to specialist expertise.
|
|
Being evaluated
|
|
Laboratory
medicine and pathology services
L1. Consolidation
of the microbiology service into a single county-wide service based
at the John Radcliffe Hospital.
|
Cost savings
Future costs
avoided: £75,000
|
£30,000
|
|