All of our change proposals are based on:
In order to:
For each of the four NHS services within the scope of this consultation, the tables below set out the options considered at the shortlist stage, the preferred change proposal identified following the appraisal of the shortlist and a summary of the preferred change proposal.
Options appraised at shortlist stage |
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Preferred option identified following appraisal |
Consolidate planned orthopaedic surgery at Grantham and District Hospital Other options were considered initially, however these did not progress to the shortlist stage following the clinically led evaluation of the long list of options |
Consolidate planned orthopaedic surgery at Grantham and District Hospital A dedicated day case centre at County Hospital Louth (developed through the pilot) |
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Overview of preferred option |
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Options appraised at shortlist stage |
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Preferred option identified following appraisal |
Grantham and District Hospital A&E department to become an Urgent Treatment Centre (UTC) Other options were considered initially, however these did not progress to the shortlist stage following the clinically led evaluation of the long list of option |
Grantham and District Hospital A&E department to become an Urgent Treatment Centre (UTC) |
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Overview of preferred option |
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Feedback from the public received during Healthy Conversation 2019 engagement further developed this proposal into a 24/7 walk-in UTC
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Options appraised at shortlist stage |
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Preferred option identified following appraisal |
No acute medical beds at Grantham and District Hospital OR Integrated community/acute medical beds at Grantham and District Hospita |
Integrated community/acute medical beds at Grantham and District Hospital |
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Overview of preferred option |
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Options appraised at shortlist stage |
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Preferred option identified following appraisal |
Consolidate hyper-acute and acute stroke services on the Lincoln County Hospital site, supported by an enhanced community stroke rehabilitation service OR Provide hyper-acute and acute stroke services from Lincoln County Hospital and Pilgrim Hospital, Boston, supported by a combined medical on-call rota |
Consolidate hyper-acute and acute stroke services on the Lincoln County Hospital site, supported by an enhanced community stroke rehabilitation service |
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Overview of preferred option |
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The sections that follow provide more detail on the individual services that form part of this consultation.