COMMERCIAL: The foundation trust has identified who its three main competitors will be under “any qualified provider”.

Board papers say “primary competitor” will be Derbyshire Community Health Services NHS Trust, whose FT bid Chesterfield declined to support at a previous board meeting.

Some of the services currently provided by DCHS, such as therapies are also provided by the Royal and are “of interest in terms of the Royal maximising its market share as the concept of Any Qualified Provider is extended”.

Barlborough Treatment Centre provides orthopaedic treatment for patients from the South Yorkshire, Nottinghamshire, Derbyshire and Lincolnshire areas. It is understood that the majority of referrals are from Lincolnshire.

To restrain the flow of referrals to Barlborough, it is “essential that the Royal continues to maintain short waiting times for orthopaedic surgery and that the trust capitalises on opportunities to raise the profile of the specialty with GPs and the local population”.

Bassetlaw Hospital is part of Doncaster & Bassetlaw Hospital Foundation Trust. Patients are referred to Bassetlaw from practices on the north eastern boundary of the Derbyshire area and “changes in the configuration of services at Bassetlaw or indeed curtailment of some services at the Hospital, would present an opportunity for the Royal to attract increased referrals from this area, especially in the areas of maternity and paediatrics”.