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Your spotlight on local services

NHS changes: Get your voice heard


Note: An up to date version of this page is here

Huge shifts are taking place in the local NHS, and residents expressed passionate viewpoints to commissioners at a recent Healthwatch Richmond event.


(For the full event report, read here )



What are the changes? How can I be heard?

Richmond’s specific changes

The local NHS has to make significant changes to its expenditure, in order to meet its statutory duty not to go into debt. A survey on changes to IVF, over the counter medications, smoking and obesity has enabled people to respond.
A formal consultation on IVF changes, alone, will run until early April: take part here or call 020 8734 3037.

But there are many other changes that are not part of this survey. These reduce the number of people who get treatments for cataracts, knee and hip replacements, bunion surgery, grommets and more.

Healthwatch Richmond view: "Some people may benefit from by having less invasive treatment. Other changes, however, could lead to a number of people facing additional months of pain, dysfunction or discomfort before they become eligible for treatment, or to poorer outcomes or increased accident risk. In some cases people will no longer have access to previously available treatment. We have asked Richmond Clinical Commissioning Group (RCCG) to undertake a proper information campaign. RCCG has committed to publishing details of these changes."

If you have comments on Richmond’s changes, you can email ccginvolve@richmond.gov.uk or you can write to Richmond CCG, 1st Floor, Civic Centre, 44 York Street, Twickenham, TW1 3BZ.


South west London's changes

As a key part of making £900 million of savings, commissioners plan to reduce the demand on acute hospital care - A&E, intensive care and specialist services - by expanding local community-based services. They currently estimate care could work better with four acute hospitals instead of the current five (which are St Georges, Kingston, Croydon, St Helier and Epsom), but there will be much more analysis and discussion first. They also plan to better join mental and physical health, and improve the efficiency of outpatient follow-ups, among other large changes.

You can take part in this by filling out a future survey (we'll update you on this), and inviting NHS speakers to your group.

To comment on south west London's changes write directly to SWLCCGs@swlondon.nhs.uk or call 020 8251 0591. You can read the full STP plan online .