Comment

Representation ID: 24891

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

Comments on the wider impact of planned growth on all local Health services and
infrastructure needs to be co-ordinated through wider consultation with the health
economy and CCG led forums established to inform the Sustainability and
Transformation Plan for the locality. The implementation of the plan will result in extensive transformation to the way that health and care services are delivered, potentially including changes to the physical infrastructure.

It would be helpful to NHS England and the CCG if feedback received as a result of this consultation to questions 31, 104 and 105 could be shared.

Comment

Representation ID: 24893

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

Growth, in terms of housing and employment, is proposed across a wide area and would likely have an impact on future healthcare service provision. This response relates to the impact on primary care services only. Existing GP practices in the area do not have capacity to accommodate significant growth.
In terms of optimal space requirements to encourage a full range of services to be delivered within the community there is an overall capacity deficit, based on weighted patient list sizes¹, within the 16 GP Practices providing services in the area.
Policies should be explicit in that contributions towards healthcare provision will be obtained and the Local Planning Authority will consider a development's sustainability with regard to effective healthcare provision.
Notwithstanding this, there should be a reasonably worded policy within the emerging LDP that indicates a supportive approach from the Local Planning Authority to the improvement, reconfiguration, extension or relocation of existing medical facilities. This positive stance should also be indicated towards assessing those schemes for new
bespoke medical facilities where such facilities are agreed to in writing by the commissioner. New facilities will only be appropriate where they accord with the latest upto-
date NHS England and CCG strategy documents and are subject to the NHS England prioritisation and approval process.

Comment

Representation ID: 24894

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

NHS England working with the CCG, Local Authorities and local stakeholders has begun to address Primary Care capacity issues in the area and currently have projects to increase capacity underway across Ipswich. These projects vary in size and will initially deliver additional capacity to meet current planned growth requirements to 2021.
NHS England and the CCG would welcome further discussions with the Local Authorities with regard to density of development and cumulative growth over the plan period within specific areas, to understand the impact and how this may be mitigated.
In line with the Five Year Forward View please replace the use of the description 'super surgeries' with 'primary care hubs' this represents the ambition to provide a range of services from within a single premises or across a number of sites within a locality rather than the sole provision of current GP services.
Regarding infrastructure items please replace 'surgeries' with healthcare facilities.

Comment

Representation ID: 24899

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

We would support a design policy that promotes social inclusion, particularly for the
ageing population and provides easy access to local services, without the use of a private vehicle. We would also request that consideration is given to design of access within new developments for blue light services.
We would like to highlight that in order for the NHS to introduce new ways of working and increase capacity in, and access to, primary care it is vital that our infrastructure is serviced by adequate public transport systems and communication infrastructure.

Comment

Representation ID: 24901

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

NHS England note the requirement for Ipswich Borough Council to deliver a plan for increased levels of housing growth for their area, resulting in approximately 11,420 new
dwellings during the plan period 2014 - 2036, and for Suffolk Coastal to deliver 10,111 dwellings during this same plan period. This represents an additional 3,131 dwellings in Ipswich and 1,645 dwellings in Suffolk Coastal to that proposed within the adopted Local Plans, for which, at this time, no location has been identified. It is also noted that this forms part of the wider plan for the Ipswich HMA to deliver a total of 39,302 dwellings
during plan period 2014 - 2036. The impact on primary care services and infrastructure arising from this level of growth will be significant.

Comment

Representation ID: 24903

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

As stated above the exact nature and scale of mitigation required to meet augmented needs of proposed developments will be calculated at an appropriate time, as and when schemes come forward over the plan period to realise the objectives of the LP.
Comments on the growth scenarios and options set out in the LPR are shown below:
We would suggest that one of the key priorities of this document should be ensuring sustainable primary care provision for communities both existing and proposed.
NHS England and the CCG would welcome further discussions with the Local Authorities with regard to density of development and cumulative growth over the plan period within specific areas, to understand the impact and how this may be mitigated.

Comment

Representation ID: 24904

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

We would support a policy to ensure sustainable transport infrastructure linking new and existing communities.

Comment

Representation ID: 24907

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

When identifying potential land for development, consideration should be given to the role open space plays to the development of healthy communities and preventative care.

Comment

Representation ID: 24910

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

Growth Scenarios described will all have a significant impact on the delivery of primary care services. The mitigation required from each of the scenarios will reflect the level of impact and the final identified locations for development growth. It is however important to remember that improved or newly created infrastructure, alone, will not fully mitigate the impact of development growth. Resource and revenue implications provide a very significant risk to the delivery of primary care services and we should continue to work together to identify ways in which sustainable health care services can be delivered and
how development can contribute to healthy communities and the training and recruitment of health care professionals.

See attachment for detailed comments on the various options.

Comment

Representation ID: 24912

Received: 24/10/2017

Respondent: NHS England

Number of people: 2

NHS England and the CCG will have further comments to make as details of specific developments become available. In order to provide a more detailed response, a clearer understanding of phasing and anticipated trajectory will be required.
Increase in the provision of assisted living developments and residential care homes, although a necessary feature of care provision and to be welcomed, can pose significant impacts on local primary care provision and it is important that planners and developers engage at a very early stage with the NHS, to plan and implement suitable mitigations.
It is also important we continue to be consulted in relation to emerging Neighbourhood Plans in order to work with local communities to deliver and maintain sustainable healthcare.