STRUCTURE: The full business case for reconfiguring acute services in Shropshire has been published ahead of final decisions by commissioners and the West Midlands strategic health authority.

The proposals follow a public consultation under the banner of Keeping it in the County.

Documents published online by the West Mercia primary care trust cluster said that the plans had received support from PCTs and the local joint health overview and scrutiny committee.

Local services would be consolidated across two sites under the proposals.

The Princess Royal Hospital, Telford would have:

  • A consultant-led maternity and neonatology unit, alongside gynaecology and paediatric inpatient services and a paediatric assessment unit;
  • An enhanced antenatal service;
  • A women’s service including inpatient gynaecology and breast surgery, colposcopy and an early pregnancy assessment service on one ward;
  • Adult inpatient head and neck services being located near theatres and critical care;
  • New accommodation for paediatric outpatients, paediatric cancer and haematology unit and parts of the children’s ward.

Meanwhile, the Royal Shrewsbury Hospital would have:

  • All elective and emergency inpatient surgery, for vascular, colorectal, bariatric, urology and upper gastro-intestinal placed near theatres and critical care;
  • A surgical assessment unit adjacent to A&E;
  • Improved accommodation for its antenatal services, pre antenatal day assessment unit and the midwifery-led unit;
  • Improved accommodation for paediatric outpatients and a paediatric assessment unit adjacent to A&E;

Only two changes were put in place at the Shrewsbury and Telford Hospitals Trust board meeting on 1 March, the documents showed.

One of these related to £35m of extra money from the Department of Health

The other concerned women and children’s services at the Royal Shrewsbury Hospital “due to the freeing up of clinical space through the bed reduction project”.

The case was agreed by the Shropshire joint health overview and scrutiny committee on 12 April and approved by Telford and Wrekin Clinical Commissioning Group on 17 April.

Shropshire County Clinical Commissioning Group received a draft presentation on 4 April and is due to review the final version on 2 May.

The plans are scheduled for SHA approval on 24 May.