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Oxford University Hospitals NHS Foundation Trust

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Oxfordshire Transformation Plan

Public consultation and the Oxfordshire Transformation Plan

A public consultation on proposals for the future delivery of health and care services in Oxfordshire is going ahead in two phases.

The Oxfordshire Clinical Commissioning Group is leading the formal consultation on the proposals which have been developed as part of the Oxfordshire Transformation Programme.

The first phase of the consultation started on 16 January 2017 and runs for three months, focusing on proposed changes to:

  • the use of our hospital beds and moving more care out of hospital and closer to home;
  • planned care at the Horton General Hospital including tests and outpatient care;
  • acute stroke services in Oxfordshire;
  • critical care at the Horton;
  • maternity services for women in north Oxfordshire and options for the future delivery of maternity services at the Horton General Hospital, including obstetrics, and the Special Care Baby Unit.

Over the past year, OUH clinical teams have worked with our NHS and social care colleagues on the options for the future delivery of services at the Horton. The opportunities for doing things differently have been discussed with staff, stakeholders, patients and the public at a number of engagement events across Oxfordshire.

Our vision for the Horton is to expand outpatient facilities and significantly increase the number of outpatient appointments available at the hospital. We want to increase day case surgery and outpatient diagnostic services reducing the need for patients to travel to Oxford’s departments for tests and scans. Our joint ambition is to better integrate health and care services and to shift resources to enable more services to be delivered locally and to treat people closer to where they live.

It was decided that a two-stage consultation process was necessary to allow for additional work to develop the options for Emergency Departments and emergency care services, children’s services, and community hospitals, and maternity services and midwifery-led units in Oxfordshire. These proposals will be consulted on in phase 2.

This consultation and the work of the Oxfordshire Transformation Programme forms a substantial part of Oxfordshire’s contribution to the wider Sustainability and Transformation Plan (STP) for Buckinghamshire, Oxfordshire and West Berkshire (known as BOB STP), one of 44 STPs being developed across the country to support the delivery of the NHS Five Year Forward View.

How to have your say

A number of events are being held in towns across the county where the public can hear more about the proposals and share their views. Further information on all of these of events, their locations and venues can be found on the website:

The public can also provide feedback by completing an online survey via the Talking Health public involvement service. Register and complete the online survey at: Or Email:

Oxfordshire Transformation Programme

The Transformation Board agrees that more should be done to:

  • Keep more people healthy, prevent ill health and manage long term conditions
  • Provide convenient and accessible care to patients as close to their homes as possible – by grouping together services in neighbourhoods or localities. This includes providing health professionals, working with patients and carers, with access to diagnostic tests and expert advice quickly so that the right decision about treatment and care can be made for patients while avoiding sending patients to hospital unnecessarily
  • Ensure the system of hospital based care keeps pace with developments in modern healthcare so they are able to provide high quality services to meet changing demands – with doctors on site 24 hours a day to deliver the quality of care patients need where required
  • Prevent people from being unnecessarily admitted to hospital or using A&E services because there isn’t a better, quicker or more local alternative
  • Make the best possible use of taxpayers’ money (including staff, equipment and buildings)
  • Meet the rising demand for services and, wherever possible, reduce that demand by improving people’s health.

Phase 1 proposals

The phase 1 proposals, developed as part of the Oxfordshire Transformation Plan, are focused on some of the services at the Horton General Hospital in Banbury, and the way we use our hospital beds. They include:

  • Developing planned care and investment at the Horton General Hospital so that up to 90,000 more outpatient appointments, diagnostic and day case procedures are available and patients in the north of the county do not have travel to Oxford for treatment. Planned care video
  • Following national guidelines that all acute stroke patients are taken to the specialist Hyper Acute Stroke Unit at the John Radcliffe Hospital in Oxford. Stroke care video
  • Changes to critical care at the Horton so that patients are treated in the best place for their specific needs, with patients requiring the highest level of care treated at the John Radcliffe Hospital. Critical care video
  • Changes to maternity services at the Horton with all women with a higher risk pregnancy giving birth at the John Radcliffe Hospital (this is due to the difficulty in recruiting and retaining suitably qualified obstetric staff at the Horton). Maternity video
  • Permanent closure of some acute hospital beds to re-invest money in rehabilitation services and care beds in nursing homes closer to where people live, which has proven to result in better medical outcomes. Liaison hub video
Oxfordshire's transformation consultation - Planned care.