Our work so far

We have published our initial evidence. These help us consider our options:

We are now pulling together evidence which will help us decide whether we have any preferred option(s) and if we should proceed to consultation:

  • The second phase of the Integrated Impact Assessment is underway, this looks at the positive and negative impacts of any potential changes to services, as well as mitigations the CCGs could take, such as transport solutions.
  • We are working through any potential impacts on other NHS services in the area with neighbouring NHS providers.
  • We are refining our clinical model working with our clinical advisory group and the London and South East Clinical Senates.
  • All of this work is going through an assurance and assessment process during 2019 with NHS England, NHS Improvement and the Joint Health Overview and Scrutiny Committees.

Next steps

  • The three CCGs will consider all further evidence and feedback before deciding whether to proceed to public consultation on any proposals.
  • We are looking at our funding options with our regulators, NHS Improvement and NHS England, to agree how we take this forward.
  • We could be ready to consult by Autumn 2019 if we have agreement in principle for the funding.
  • No decision about any changes to services will be made until after a full public consultation has taken place and all of the information has been considered by the CCGs.




  • What are we proposing?
    Our vision for local health and care services We want to bring together health and…
  • What people think
    What clinicians, staff, GPs and local people think is key to us developing the right…
  • Why do we need change?
    We are looking to address the significant challenges at Epsom and St Helier hospitals around…