Comment

Representation ID: 15454

Received: 09/05/2016

Respondent: Mid and South Essex STP

In reviewing the context, content and recommendations of the LDP Document and its current phase of progression, the following comments are with regard to the Healthcare provision on behalf of NHS England - Midlands & East (NHSE) and NHS Property Services (NHSPS). Within Brnetwood Borough, healthcare provision incorporates a total of 9 GP Practices, 13 pharmacists, 10 dental surgeries, a community clinic and 2 community hospitals. These are the healthcare services available that this Local Development Plan must take into account in formulating future strategies. Growth, in terms of housing and employment, is proposed across a wide area and would likely have an impact on future service provision. Existing GP practices do not have capacity to accommodate significant growth.

Comment

Representation ID: 15455

Received: 09/05/2016

Respondent: Mid and South Essex STP

In terms of optimal space requirements to encourage a full range of services to be delivered within the community there is an overall capacity deficit, based on weighted patient list sizes, within the 8 GP Practices providing services in the area. Of the 8 Practices in the area 2 currently have the capacity for growth and development Optimal space standards are set for planning purposes only. This allows us to review the space we have available and identify the impact development growth will have in terms of capacity and service delivery. Space capacity deficit does not prevent a practice from increasing its list size, however it may impact on the level and type of services the practice is able to deliver. The weighted list size of the GP Practice based on the Carr-Hill formula, this figure more accurately reflects the need of a practice in terms of resource and space and may be slightly lower or higher than the actual patient list.

Comment

Representation ID: 15456

Received: 09/05/2016

Respondent: Mid and South Essex STP

NHS England and the Basildon & Brentwood CCG (CCG) are currently working together to help plan and develop new ways of working within our primary care facilities, in line with the Five Year Forward View, to increase capacity in ways other than increasing physical space. We also endeavour to develop sustainable solutions through a proactive coordinated care approach, including hubs, not individual replacement of surgeries. With focus on premises for training and increasing capacity through technology. The CCG's emerging Strategic Estates Plan will contain further detail on this and the 3 year Primary Care Transformation Funding programme, due to commence in April 2016, will help to provide funding solutions for existing capacity issues.

Comment

Representation ID: 15458

Received: 09/05/2016

Respondent: Mid and South Essex STP

Existing health infrastructure will require further investment and improvement in order to meet the needs of the planned growth shown in this LDP document. The developments contained within would have an impact on healthcare provision in the area and its implications, if unmitigated, would; be unsustainable. It should be noted that the CCG are currently working with stakeholders to assess utilisation at Brentwood Community Hospital in order to establish future plans for the facility to ensure appropriate and effective utilisation.

Comment

Representation ID: 15468

Received: 09/05/2016

Respondent: Mid and South Essex STP

Before further progression and amendment of policies are undertaken, the Local Planning Authority should have reference to the most up-to-date strategy documents from NHS England which currently constitute The Five Year Forward View and the Emerging CCG Strategic Estates Plan & Primary Care Plan. Care should be taken to ensure that emerging policies will not have an adverse impact on healthcare provision within the plan area and over the plan period. In instances where major policies involve the provision of development in locations where healthcare service capacity is insufficient to meet the augmented needs appropriate mitigation will need to be sought.

Comment

Representation ID: 15471

Received: 09/05/2016

Respondent: Mid and South Essex STP

Policies should be explicit in that contributions towards healthcare provision will be obtained and the Local Planning Authority will consider a development's sustainability with regard to effective healthcare provision. The exact nature and scale of the contribution and the subsequent expenditure by NHS England will be calculated at an appropriate time as and if schemes come forward over the plan period to realise the objectives of the LDP.

Comment

Representation ID: 15477

Received: 09/05/2016

Respondent: Mid and South Essex STP

Plans and policies should be revised to ensure that they are specific enough in their aims, but are not in any way prescriptive or binding on NHS England to carry out certain development within a set timeframe, and do not give undue commitment to projects. Notwithstanding this, there should be a reasonably worded policy with the emerging LDP that indicates a supportive approach from the Local Planning Authority to the improvement, reconfiguration, extension or relocation of existing medical facilities. This positive stance should also be indicated towards assessing those schemes for new bespoke medical facilities where such facilities are agreed to in writing by NHS England. New facilities will only be appropriate where they accord with the latest up-to-date NHS England and CCG strategy documents.

Comment

Representation ID: 15478

Received: 09/05/2016

Respondent: Mid and South Essex STP

NHS England note the requirement for Brentwood Borough Council to deliver a plan for increased levels of housing growth for their area, resulting in approximately 7,240 new dwellings during the plan period 2013 - 2033 and have identified the anticipated impact on infrastructure arising from these proposals. The exact nature and scale of mitigation required to meet augmented needs of proposed developments will be calculated at an appropriate time, as and if schemes come forward over the plan period to realise the objectives of the LDP.

Comment

Representation ID: 15481

Received: 09/05/2016

Respondent: Mid and South Essex STP

For the smaller proposed housing allocation sites: One or more of the following will be necessary for mitigation: Contribution towards increasing capacity for local Primary care facilities, by means of extension, reconfiguration, refurbishment or possible relocation of an existing practice.
(With the exception of the West Horndon sites).

Comment

Representation ID: 15482

Received: 09/05/2016

Respondent: Mid and South Essex STP

Redevelopment of the two West Horndon Industrial sites and the Dunton Hills Village: New primary care facility required with potential to expand to accommodate the second phase of the Dunton development,outside of the plan period, as contained within the Basildon Borough Local Development Plan. Should the option of developing a Garden Suburb at the Dunton site, in conjunction with Basildon Borough
Council, be the option adopted it would be expected that joint mitigation would deliver infrastructure to accommodate the needs of the whole site and that of West Horndon Industrial Estates, Childerditch Lane and Station Road, phase to meet the housing trajectory for the developments.