Comment

01.02.13

Bringing the country's leading orthopaedic hospital into the 21st century

Source: National Health Executive Jan/Feb 2013

Professor Tim Briggs, consultant orthopaedic surgeon at RNOH and its director of strategy and external affairs, explains the hospital’s vision for the future.

As one of the UK’s leading specialist hospitals, the Royal National Orthopaedic Hospital (RNOH) is prominent nationally and internationally as a provider of orthopaedic and musculo-skeletal patient care, teaching and research.

We deliver world-class services, with a dedicated team of staff, working in a physical environment that does not refl ect the quality of care provided (see images). The physical fabric of the site and its facilities requires a major overhaul to enable it to meet the needs of patients in the 21st century.

In December the RNOH submitted a major planning application to the London Borough of Harrow to redevelop its estate. The current proposals follow years of false-starts in efforts to modernise the site. Anyone who has visited the hospital will need little convincing of the need to rebuild. Every health minister who has visited RNOH in recent times has acknowledged the poor state of the existing facilities and the need to redevelop the hospital on the Stanmore site.

Some of the buildings are more than 100 years old; many are aged, ineffi cient and outdated for modern clinical practice. They include a number of old huts and portable cabins that were originally intended for temporary use in World War II.

Proposals to redevelop the site have been considered for more than three decades, during which time a series of reviews concluded that retaining the expertise in one place offers the best outcomes for patients. The NHS is now aware of the benefi ts of specialist hospitals to the NHS in terms of patient care, teaching and research.

Planning permission for the site was originally granted in 2007 by the London Borough of Harrow and renewed in 2010 for a diverse mix of hospital, residential and educational uses. However, new planning permission is required as the existing permissions no longer safeguard the future, or meet the aspirations of the RNOH.

This is a unique opportunity for us to provide new, state-of-the-art wards, accommodation units for parents and children, improved staff accommodation, a private patients’ unit and residential units.

Having worked at the RNOH for 21 years I have seen fi rst-hand the fantastic work that we deliver as a team and I am very proud of the achievements we have made. When Professor Sir John Temple conducted an independent review of the RNOH in 2006 his conclusion was that it was a ‘jewel in the crown of the NHS’. It is vital that these plans go ahead to ensure that we are able to continue to deliver these world class services.

To reach this stage we have undergone extensive consultation with stakeholder groups and the local community. The plans that have been submitted have been carefully considered and are fi nancially and clinically sustainable. They will mean a sensitive and sustainable redevelopment of the hospital’s Green Belt site. Funding for the redevelopment will come from multiple sources – cash sources generated through the trust’s annual NHS and private patient income, land sale receipts, borrowing available under the trust’s proposed Foundation Trust status from April 2014, funding from the private sector to build new private patient facilities and charitable donations.

Central to the redevelopment are the direct benefits it will bring to the patient environment. A good example of this is the proposed new Children and Young People’s Centre. Whilst many associate orthopaedic care with older patients, the RNOH treats more than 8,000 children and young people a year. This includes surgery for congenital limb abnormalities, treatment for bone cancer and spinal deformities. The new Centre will be crucial to the future of orthopaedic services for children and will ensure children can fi nally be treated in facilities that match the high-quality care provided.

Despite the outdated facilities, the RNOH continues to play a unique role in providing high quality, specialist care for patients with some of the most complex orthopaedic and musculo-skeletal conditions.

It also plays a major role in teaching and research; we are responsible for training 20% of all future orthopaedic surgeons in the UK. Such expertise needs to be protected and celebrated. And that is why this redevelopment must go ahead.

Tell us what you think – have your say below, or email us directly at opinion@nationalhealthexecutive.com

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

NHS calls on remaining social media companies to clamp down on ‘potentially harmful material’

19/09/2019NHS calls on remaining social media companies to clamp down on ‘potentially harmful material’

The chief executive of the NHS in England has urged remaining social media firms to get tougher on potentially harmful material being posted onli... more >
Plans for new £11.5m Musgrove Park Hospital unit unveiled

19/09/2019Plans for new £11.5m Musgrove Park Hospital unit unveiled

Taunton and Somerset NHS Foundation Trust have unveiled new proposals for the expansion and relocation of units at Musgrove Park Hospital, as par... more >
NHS gambling clinic opens In Leeds

18/09/2019NHS gambling clinic opens In Leeds

National charity GambleAware have opened The NHS Northern Gambling Clinic in Leeds today, the first in the country outside of London. Throug... more >

681 149x260 NHE Subscribe button

the scalpel's daily blog

An ageing population means hand care and injury prevention is more important than ever

23/08/2019An ageing population means hand care and injury prevention is more important than ever

Grey Giddins, member of the British Society for Surgery of the Hand, discusses how hand care and injury prevention have become increasingly important given the UK’s ageing population   It’s no secret that the UK’s ageing population presents challenges for the NHS. The fact that we are living longer means greater demand for medical care across a number of healthcare specialisms, one of which is hand surgery. ... more >
read more blog posts from 'the scalpel' >

interviews

NHS dreams come true for Teesside domestic

17/09/2019NHS dreams come true for Teesside domestic

Over 20 years ago, a Teesside hospital cleaner put down her mop and took steps towards her midwifery dreams. Lisa Payne has been delivering ... more >
How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >

last word

The NHS needs more senior women in leadership

The NHS needs more senior women in leadership

The gender pay gap in the NHS remains a hotly debated topic, especially as the final report from the Gender Pay Gap in Medicine Review approaches. Andrea Hester, deputy director of employment rel... more > more last word articles >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

health service focus

What commissioners need to transform healthcare

04/09/2019What commissioners need to transform healthcare

Dr Graham Jackson, co-chair at NHS Clinical C... more >
From post office to national health service

03/09/2019From post office to national health service

Rob Houghton, the chief operations officer fo... more >