Wigan Borough Clinical Commissioning Group is the statutory body responsible for commissioning local health services in Ashton, Leigh and Wigan.

The Neuro-rehabilitation unit, the Taylor Ward, at Leigh Infirmary helps people who have serious brain injuries and other neurological injuries and illnesses to continue their recovery after they no longer need urgent medical attention. 

It is part of the Greater Manchester Neuro-rehabilitation service and offers its service to patients from Wigan Borough, Bolton and sometimes wider.

The staff at this unit are specialists and do an excellent job of providing this vital service to patients.

Wrightington, Wigan and Leigh NHS Foundation Trust have run this part of the Greater Manchester service from Leigh Infirmary for a number of years.  However, whilst the unit offers high quality care to patients, it doesn’t meet the agreed Greater Manchester standards for this type of service as it doesn’t have ready access to facilities to treat patients in need of emergency care.  Therefore it is no longer right to keep the unit at Leigh Infirmary. 

Wigan Borough Clinical Commissioning Group and Bolton Clinical Commissioning Group (CCG) jointly fund the service and will continue to fund it so the service can be available for all those who need it. 

We have explored all our options and have been unable to find a way to keep the service at Leigh Infirmary.  So, we have been working with clinical experts to find a new location for this service at a hospital with Greater Manchester that would be able to deliver the service to the agreed standard.

Following a review of the options, the preferred new provider for the service is Trafford General Hospital.

Central Manchester University Hospitals NHS Foundation Trust, who run Trafford General, have experience of delivering high quality Neuro-rehabilitation services to patients in Greater Manchester. 

Trafford General Hospital offers 24 hour medical cover meaning that patients can be treated onsite if they need urgent care.  They are able to deliver the full 20 beds on a ground floor ward, with access to outside space for patients.  The ward at Trafford will be ready in time for patients from Leigh to be moved over on or before the 31st March 2018 – the agreed end date of the contract at Leigh Infirmary.

We would like to reassure patients and carers that they will continue to get access to the high quality service throughout this process.  We will support them throughout this difficult time and do our best to minimise the impact on them and the service won't move for about another 9-12months.

If you would like to get involved and tell us what you think, please get in touch with us, come to an event (below) or fill in our online survey: https://www.surveymonkey.co.uk/r/Neuro-Rehab 

We will be holding a number of engagement events to talk to patients, staff and residents about what this means and how we can best support patients, families, carers and staff:

31st August 2017, 2pm - 4pm  Claremont House, St George's Road, Bolton, BL1 2BY
4th September 2017, 6pm - 7.30pm Leigh Cricket Club, Beech Walk, Leigh, WN7 3LH
11th September 2017, 6pm - 7.30pm Claremont House, St George's Road, Bolton, BL1 2BY
21st September 2017, 3pm - 4.30pm

Sunshine House (Annex), Wellington St, Wigan, WN1 3SA

 

FREQUENTLY ASKED QUESTIONS

What is the Taylor Ward?

The Taylor Ward is a 20 bed Neuro-rehabilitation Unit at Leigh Infirmary.  This means that it helps people who have a neurological illness or injury that affects their nervous system, including their brain, spinal cords and nerves. 

Neurological illnesses and injuries can cause people to have difficulties moving, speaking, swallowing, breathing, or learning and can affect memory, senses and mood.

What does it do?

Patients who have neurological illnesses or injuries can need a lot of ongoing support once their condition has been diagnosed and started to be treated. 

The Taylor Ward at Leigh Infirmary is one of several specialist units in Greater Manchester that supports the patients’ rehabilitation. 

The patients on the Taylor Ward don’t need a lot of specialist medical intervention such as operations; instead, the staff on the Taylor Ward are there to:

1. Help patients recover from their illness or injury as much as possible

2.  <!--[endif]-->Enhance the quality of life for patients with a long-term neurological condition and help them be as independent as possible

3. Help patients manage their illness in the long-term and the risks associated with it to make sure they can live a long and fulfilling life

4. Keep patients safe and supported so they don’t pose a risk to themselves and other

5. Make sure that patients and their families have access to the help and support they need and understand the care they are getting and the reasons behind it. 

Who does it help?

The Taylor Ward has 20 beds and generally has 15-20 patients at a time.  The patients can stay for quite long periods of time.  Its patients are from Greater Manchester (mainly from Wigan Borough and Bolton), aged 18 and over, but it sometimes takes patients as young as 16 if it is appropriate.

It also supports the patient’s family and carers and involves them in the long term care of their loved one.

What type of illnesses and injuries get treated on the Taylor Ward?

The Taylor Ward is a Neuro-rehabilitation Unit at Leigh Infirmary.  This means that it helps people who have a neurological illness or injury that affects their nervous system, including their brain, spinal cords and nerves.  The Taylor Ward helps them continue their recovery once their immediate illness is stabilised.

Neurological illnesses and injuries can cause people to have difficulties moving, speaking, swallowing, breathing, or learning and can affect memory, senses and mood.

Some examples of the neurological illnesses and injuries that the Taylor Ward treats are:

  • Diseases of the blood vessels that supply the brain, such as a stroke
  • <!--[endif]-->Injuries to the spinal cord and brain
  • <!--[endif]-->Seizure disorders, including epilepsy
  • <!--[endif]-->Degenerative diseases where the nerve cells are damaged, such as Parkinson’s disease
  • <!--[endif]-->Genetic diseases, such as muscular dystrophy

Why does it have to move?

The service doesn’t meet the agreed GM neuro-rehab standards that make sure everyone gets the same high quality care as there isn’t 24 hour medical cover.

The CQC inspection of Leigh Infirmary said that whilst the staff delivered high quality care, the ward itself isn’t fit for purpose

Given this, the Trust (Wrightington, Wigan and Leigh NHS FT) have said they no longer feel it is right to keep the service at Leigh.

 

The funding for the service will remain in place at the same level.

Where will the service move to?

Following an indepth review, our preferred new location for the service is Trafford General Hospital.

Trafford General Hospital is part of the Central Manchester University Hospitals NHS Foundation Trust.

 

The address is: Moorside Road, Davyhulme, Manchester M41 5SL.  It is quite near to the Trafford Centre.

When will the service move?

 

We have agreed with the Trust that the service will move on or before 31st March 2018.

What options did you consider within Wigan Borough?

Because Leigh Infirmary doesn’t meet the GM standards, we can’t simply move it to another ward at Leigh Infirmary

We looked for a health centre or community healthcare centre to host it, but they can’t provide 24 hour medical cover either, so they don’t meet the GM standards.

There isn’t a free ward at Wigan to host the service currently, so it couldn’t move there.

 

This left us with no choice but to ask other GM hospitals if any of them could take the service.

What do the GM Standards require?

The specification requires that there should be:

  • single rooms provided where necessary
  • adequate therapy space
  • access to outside space
  • ample community space
  • appropriate leisure activities
  • 24 medical cover

What did you think about when you reviewed your options?

We had a list of criteria:

 

Criteria

For example:

Clinical Model

To ensure the provider can deliver the clinical model to the required specification and can provide the skills, experience and competences to deliver the service.

Is there 24/7 medical cover?

Do they have a plan to recruit staff if the current staff do not wish to relocate?

Accommodation

To ensure that  new accommodation meets the service specification

Can the location offer 20 beds?

Is there adequate space for therapy activities?

Is there easy access to outside space?

Is there enough communal space?

Are they planning appropriate leisure activities?

Location & Access

To provide a suitable location which has easy access for families and carers

Can families and carers get there on public transport?

Can families and carers get there in their own cars?

Safety

All options should demonstrate the delivery of a safe and sustainable service which meets the service specification

Can they keep the service for the sustainable future?

Do they have plans to make sure they deliver a safe service?

Quality

To ensure that all options deliver a high quality service which meet the patients, families and staff needs 

Do they have plans to make sure they deliver a high quality service?

Do they have experience of delivering rehabilitation services?

Cost

To consider the financial requirement of delivering each option

Can they deliver the service for the same amount of money currently being paid for it?

How much additional money will it cost to make the location meet the needs of the service?

How long will it take us to arrange the additional money, if we could get it?

Delivery

The provider must be able to demonstrate their ability to provide the service , the timescales for delivery and how they will have a plan for implementation  and lead in

When will they be able to take over the service?

 

How will patients be supported?

We know that this will be very difficult for patients, families and carers.  These are vulnerable patients who need us to take lots of care of them.  We will work with patients, families and carers to make the move as simple for them as possible.

 

We will be going to the ward and holding meetings over the coming months to talk to patients and their families and carers to understand how we can best support them.

What will happen at the Leigh Infirmary site?

Leigh Infirmary is an important site for delivering services to patients from Leigh and the rest of the Borough.

It is only the old mental health wards that have been affected by recent changes, including the development of the new Atherleigh Park hospital and the Taylor Ward review.

 

We are working with partners to look at what we can do with that part of the site to offer more to local patients.

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