Charing Cross Hospital

Site
Charing Cross Hospital

Trust

Setting of Care

Imperial College
Healthcare NHS Trust

Existing provision and proposed approach

Charing Cross Hospital is a general acute hospital
that provides a full range of adult clinical
specialities.
Some specialist services currently provided include
cancer care (medical, surgical and head and neck);
lower limb trauma; hyper acute stroke care;
neurosciences; orthopaedics and urology.
The hyper acute stroke unit (HASU) is one of eight
in London, and is ranked as one of the top stroke
units in England according to the Royal College of
Physicians.
The site also hosts the West London Neuroscience
Centre and Maggies Cancer Centre.
Current challenges
In order to truly meet the changing needs of the local population, the Trust must demonstrate commitment to
innovate to serve the needs of the local communities and participate in the shift towards more communitybased care.
The vision for developing Charing Cross into a Local Hospital ensures on-site presence for services that need
to be at a central location rather than in peoples homes. This includes access to emergency care as well as
diagnostics. Care clinics will provide a base for proactive care for frail elderly people. The Local Hospital
service model is an innovative response to changing the way care is provided, delivering holistic patientcentred care by addressing the patients physical, mental and social care needs.
Proposed approach
Charing Cross will be developed as a Local Hospital with a 24/7 UCC and a series of enhanced services that
will include specialist services for frail elderly people. It will be developed as a compact site with only on-site
presence for services that need to be at a central location rather than in peoples homes, including access to
emergency care services appropriate to a Local Hospital and diagnostics.
The re-development of the Charing Cross Hospital site will lead the way for a new type of hospital, providing
dedicated access to a wide range of specialist planned care on an outpatient or ambulatory or day-case
basis. This will facilitate the more rapid development of ambulatory and cay-case services as part of a much
more integrated approach across secondary, community and primary care. Urgent and emergency care
services will also be provided at Charing Cross.
Best in class care for hyper acute stroke will continue to be provided nearby at St Marys Hospital where it will
be co-located with other specialist services and able to be staffed appropriately with the right level of
consultants and specialist nurses 24/7.
The intention is that the Local Hospital will become an integral part of the local community. In practice, this
means local patients, patient groups, the voluntary sector, the local council through the Health and Wellbeing
Board, and local clinicians will be involved in developing and running the Local Hospital. At the point that
commissioners tender for the Local Hospital service provision, it is expected that the providers of services in
the Local Hospital will be required to submit proposals on how they involve service users, their families, carers
and communities in the on-going design of the Local Hospital; development and monitoring of key
performance indicators; involvement in improvement projects; and the running of the services.