How these four NHS services are currently organised and how they could look in the future

Each of the tables below outlines how the services which are part of this public consultation are currently organised (pre COVID-19 temporary changes). They also outline how services have temporarily been changed in response to COVID-19, changes which were necessary for multiple reasons during the pandemic, such as isolating staff, and the need to separate patients with COVID-19 from other patients. And finally, they outline how services would be organised in the future if our preferred options are agreed and implemented.

It can be seen in some areas there are similarities between the temporary COVID-19 changes and the preferred options for change. These temporary changes have therefore provided the Lincolnshire health system with additional insights into the proposed change.

Orthopaedic surgery

 

Services pre COVID-19
(after the pilot changes in August 2018)

Temporary changes in response to COVID-19

(in place between March 2020 and XXX)

Preferred option for change proposal

Lincoln County Hospital

Planned surgery – high risk patients

Unplanned surgery

TBC

Planned surgery – high risk patients

Unplanned surgery

Pilgrim, Boston Hospital

Planned surgery – high risk patients

Unplanned surgery

TBC

Planned surgery – high risk patients

Unplanned surgery

Grantham & District Hospital

Planned surgery

TBC

Planned surgery

County
Hospital Louth

Planned surgery – focused on day cases

TBC

Planned surgery – focused on day cases

 

Urgent and emergency care at Grantham & District Hospital

 

Services pre COVID-19

 

Temporary changes in response to Covid-19

(in place between June  2020 and July 2021)

Preferred option for change proposal

Lincoln County Hospital

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

Pilgrim, Boston Hospital

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

24/7 full A&E department

Co-located Urgent Treatment Centre (UTC)

Grantham & District Hospital
A&E operating reduced hours since 2016

A&E department (08.00-18.30 since 2016)

Specified range of presenting emergency conditions dealt with by A&E department

 

24/7 Urgent Treatment Centre (UTC)

Specified range of presenting emergency conditions dealt with by UTC – more limited than when A&E department

24/7 Urgent Treatment Centre (UTC)

Specified range of presenting emergency conditions dealt with by UTC – more akin to when an A&E department

 

Acute medical beds at Grantham & District Hospital

 

Services pre COVID-19

Temporary changes in response to COVID-19

(in place between June  2020 and July 2021)

Preferred option for change proposal

Lincoln County Hospital

Acute medical beds

Acute medical beds

Acute medical beds

Pilgrim, Boston Hospital

Acute medical beds

 

Acute medical beds

 

Acute medical beds

 

Grantham & District Hospital
 

Acute medical beds – level of provision reflective of the specified range of presenting emergency conditions

No Acute medical beds

Integrated community/acute medical beds – level of provision reflective of specified range of presenting conditions

 

Stroke services

 

Services pre COVID-19

Temporary changes in response to COVID-19

(commenced April 2020, still in place)

Preferred option for change proposal

Lincoln County Hospital

Hyper-acute stroke service including thrombolysis

Acute stroke service

Transiet Ischaemic Attack (TIA) clinics

Hyper-acute stroke service including thrombolysis

Acute stroke service

TIA clinics

Hyper-acute stroke service including thrombolysis

Acute stroke service

TIA clinics

Pilgrim, Boston Hospital

Hyper-acute stroke service including thrombolysis

Acute stroke service

TIA clinics

Acute stroke service?

TIA clinics?

TIA clinics?

Grantham & District Hospital

TIA clinics?

TIA clinics?

TIA clinics?

 

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