1. West Hertfordshire Hospitals NHS Trust Centralisation of Acute Services Dr Colin Johnston Medical Director WHHT

2. West Hertfordshire Hospitals NHS Trust 2008 Hemel Hempstead Acute Medicine Acute surgery Cardiac Cath Lab MRI Watford Acute medicine Acute surgery Trauma.orthopaedics Gynaecology Urology Paeds

3. West Hertfordshire Hospitals NHS Trust European Working Time Directive

4. West Hertfordshire Hospitals NHS Trust Acute Admissions Unit Level 1 Assessment 1-24 hr stay Level 2 Diagnostics, Cardiology, Pharmacy Level 3 short-stay 1-48hrs

5. West Hertfordshire Hospitals NHS Trust Acute Admission Unit Acute Consultant Physicians 8am -1pm On-call Consultant 2-9pm (week-ends 9- 9) On-call Consultant Cardiology 7 days per week On-call Consultant Surgeon 7 days per week

6. West Hertfordshire Hospitals NHS Trust 100 DAY REVIEW

7. West Hertfordshire Hospitals NHS Trust

10. Patient Experience

11. West Hertfordshire Hospitals NHS Trust Our Journey to Improve Services in West Hertfordshire Continues Centralisation of Acute Services-Y New hospital-X Community Care pathways-X

12. West Hertfordshire Hospitals NHS Trust

13. Work in Progress Watford General St Albans City Hemel Hempstead Hospital

14. West Hertfordshire Hospitals NHS Trust We need to do this together