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 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 Radiology Medical Oncology Chemotherepy Breast Screening Cytology Screening Haematology Pathology Professions Supplementary to Medicine Pharmacy Medical Records Elective Business Unit 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 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. 1 of 3 D:\687297508.doc 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 2 of 3 D:\687297508.doc 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 3 of 3 D:\687297508.doc