Statement of Purpose - The Princess Alexandra Hospital | NHS Trust

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STATEMENT OF PURPOSE - MARCH 2011
The Princess Alexandra Hospital NHS Trust was established as an NHS Trust in April
1995. It is a 544 bedded (figure includes all inpatient beds) District General Hospital with
a full range of general acute services, including intensive care and neonatal cots, as well
as community paediatric and midwifery services. The aims and objectives of the services
provided are to provide healthcare, and these services are provided to the public for the
purposes of carrying out the CQC regulated activity as an acute District General Hospital.
These services are listed in more detail below:
Emergency Business Unit
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Care of the Elderly / Rehab
Cardiology
Stroke
Gastroenterology
Respiratory
Emergency
Critical care
Sexual Health
General Medicine
Rheumatology
Dermatology
Diabetology
Neurology
Family Planning
Cancer & Core Services Business Unit
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Radiology
Medical Oncology
Chemotherepy
Breast Screening
Cytology Screening
Haematology
Pathology
Professions Supplementary to Medicine
Pharmacy
Medical Records
Elective Business Unit
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Central Sterile Services
Theatres
Anaesthetics
Out-Patients
Day-Stay Unit
Trauma & Orthopaedics
Urology
Head & Neck
General Surgery
Breast Surgery
Plastic Surgery
Women’s & Children’s Business Unit
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Gynaecology
Obstetrics
Paediatrics
Neo-Natal
Ante-Natal
Community Midwifery
New Born Hearing Screening
Child Development
The Chief Executive of the Trust is Melanie Walker. She can be contacted at:
The Princess Alexandra Hospital NHS Trust, The Princess Alexandra Hospital, Hamstel
Road, Harlow, Essex, CM20 1QX. Telephone 01279 827080.
email
Melanie.Walker@pah.nhs.uk
The Trust provides acute health care services at The Princess Alexandra Hospital, Harlow,
which incorporates Galen House, Wych Elm and Hamstel House and various satellite sites
as indicated in appendix 1.
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The Trust is also registered to provide regulated activities at Herts and Essex Hospital, St
Margaret’s Hospital, Rectory Lane Clinic and Keats House Health Centre, also covered by
Appendix 1. In addition to the communities of Harlow and Epping, the Trust serves the
populations of Bishops Stortford and Saffron Walden in the North, Loughton and Waltham
Abbey in the South, Great Dunmow in the East, and Hoddesdon and Broxbourne in the
west. The Trust owns the main site in Harlow, whilst the other sites are used through lease
arrangements, in conjunction with partner organisations – principally Primary Care Trusts.
The Hospital is located in Harlow and in close proximity to the M11 and provides largely a
local service for the people of Harlow, Epping, Uttlesford, Bishops Stortford and Loughton –
a population of circa 285,000 people. In catchment terms, the Trust is the natural hospital
of choice for the people of West Essex and East Hertfordshire.
The Trust employs over 3000 staff (2671 WTE) and has a turnover for 2008/09 of £161m,
with fixed assets valued at £119m (as at October 2009). The PAH NHST represent circa
60% of the West Essex PCT admissions and circa 17% of East and North Hertfordshire
admissions.
The core market for the Trust is defined by 11 GP surgeries within Harlow and its
immediate locality and the Trust is securing 91% of overall referrals. The peripheral market
is defined by 34 GP surgeries in adjacent areas from Thaxted in the North to Waltham
Abbey in the South and the Trust is securing 61% of the overall referrals in these areas.
The local catchment population of 285,000 is made up of 28% from Harlow, 27% from
Epping, 34% from South East Hertfordshire and 11% from other areas (including
Uttlesford).
Service user needs are governed by the demography of the area although the nature of a
District General Hospital is to provide for all anticipated needs whatever the social or other
circumstances. The population of East & North Hertfordshire is more densely populated,
compared to the England average, with higher proportions of the population in younger age
groups. West Essex has a slightly older population to the national average with variations
between its Districts. The catchment is one of contrast e.g. Harlow is a ’new town’ built in
the 1950s to provide social housing to people from London whilst Uttlesford is a largely
rural area.
Life expectancy is a measure of overall life chances and can indicate areas of poor health.
Life expectancy is influenced by economic and social determinants and access to health
care and the local ‘picture’ is that life expectancy is better than the national average
although there are ‘hotspots’ of lower life expectancy with large variations between wards.
Trends show that the rates are not improving as fast as the national rates.
Deprivation in the local Districts is significantly less than nationally with NHS West Essex
ranked as 126/152 (1 = most deprived) and NHS East and North Herts 138/152. These
rankings include extremes of the scale i.e. pockets of these areas which are greatly affluent
and most deprived. West Essex has an increasing ethnic minority population of 7.59% and
5.0% in East & North Hertfordshire. The national average being 7.9%.
Melanie Walker
Chief Executive Officer
March 2011
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Appendix 1
P.A.H.**
H.E.H.
ST. MGTS
RECTORY
LANE
KEATS
HOUSE
Rule 1 a &
b, Rule 8
Rule 1a
Rule 1a
Rule 1a
Rule 1a
Treatment of disease, disorder or injury
x
x
x
x
x
Assessment of medical treatment for persons
detained under the Mental Health Act 1983
x
Surgical procedures
Diagnostic and screening procedures
x
x
x
x
x
x
x
x
x
x
Management of supply of blood and blood
derived products etc
x
Transport services, triage and medical advice
provided remotely
x
x
x
x
x
x
x
x
x
SITES
REGULATED ACTIVITIES
Personal Care
Accommodation for persons who require
treatment for substance misuse
Accommodation for persons who require
nursing or personal care
Accommodation and nursing or personal care
in the further education sector
Maternity and midwifery services
Services in slimming clinics
Termination of pregnancies
Nursing Care
Family planning services
P.A.H. Main Site
Galen House
Pre-Assessment Service
Hamstel House
x
x
x
x
x
** P.A.H. Rule 1a Sites
Hamstel Road, Essex, CM20 1QX
** P.A.H. Rule 1b Sites
Hamstel Road, Harlow, Essex, CM20 1DS
1a, Wych Elm, Hamstel Road, Essex, CM20 1QP
Hamstel Road, Harlow, Essex, CM20 1QX
** P.A.H. Rule 8a & b Sites
Waltham Abbey Clinic
Barbara Castle Centre
Surestart - Children Centre - Hazelwood
Stansted Clinic
Dunmow Clinic
Surestart - Children Centre - Potter Street
Lister House
Saffron Walden Community Hospital
Harlow Community Team
SureStart - Children Centre - Alderton Way
Buckhurst Hill
Spring Team Treehouse
SureStart - Children Centre - The Meadows
Jenner House
Osler House
13, Sewardstone Road, Waltham Abbey, EN9 1NP
Broadley Road, CM19 5SJ
The Hillhouse Primary School Site, Ninefields, Waltham Abbey, EN9 3EL
Grafton Green House, 72, Chapel Hill, CM24 8AQ
58, New Street, Dunmow, CM6 1BH
Potter Street Primary School, Carters Mead, CM17 9EU
Staple Tye, Harlow, CM18 7LU
Radwinter Road, Saffron Walden, CB11 3HY
Addison House, Harlow, CM20 1DS
Alderton Hall Lane, Loughton, IG10 3HE
Buckhurst Hill, IG9 6HP
Parnall Road, Harlow, CM18 7NG
Harberts Road, Little Grove Field, CM19 4BU
Garden Terrace Road, Harlow, CM17 0AX
Osler House Surgery, Prentice Place, Harlow, CM17 9BG
Harlow Fields School
Tendring Road, Harlow Essex CM18 6RN
Hoddesdon Tower Centre Clinic
29 Tower Centre, Hoddesdon, Herts EN11 8UD
Child Development Centre
Church Langley, Harlow, Essex, CM17 9TE
Herts & Essex Hospital
St Margarets Hospital
Rectory Lane Clinic
Keats House Health Centre
Haymeads Lane, Bishop Stortford, Hertfordshire CM23 5JH
The Plain, Epping Essex CM16 6TN
Rectory Lane, Loughton, Essex IG10 3RU
Bush Fair, Harlow, Essex CM18 6LY
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