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Plans to redevelop our facilities

Redeveloping our estate
Camden and Islington NHS Foundation Trust (C&I) is looking to redevelop mental health facilities across the Camden and Islington estate.
 
The redevelopment proposals are part of C&I’s wider, clinical vision to provide the calibre of mental health care that our service users deserve, expect and that is fit for the 21st century. This includes building two new and vibrant community mental health hubs and a warm and welcoming inpatient facility. 
 
We have submitted an Outline Business Case (OBC) to NHS Improvement proposing three feasible options for the St Pancras estate, which consists of over 30 sites. 

The three feasible options in the OBC are:

Option one

Repair and maintain all our current buildings including on our St Pancras site. 

Positives

  • This would avoid a move and the inevitable disruption this would cause for those inpatients and their carers who have been coming to St Pancras for many years 

Challenges 

  • Ongoing repairs will become more and more costly and frequent, making this an unsustainable model in the long term
  • The St Pancras area has changed irrevocably over the years. The St Pancras site is already starting to be overlooked by tall buildings, with planning permission granted for further tall buildings that will negatively impact the privacy of inpatient service users at St Pancras
  • The old Victorian buildings are not inherently safe, nor the kind of modern environment people expect and deserve to be treated in

Option two

Sell or lease of the land at St Pancras, (potentially to Moorfields Eye Hospital and for private and some affordable key-worker housing) and use the revenue to move inpatient beds to a newly-built facility on a site behind the Whittington Hospital adjacent to Highgate Mental Health Centre.  Make significant investments in our community services by building two brand new mental health hubs where services can be integrated and which afford the opportunity to offer space to work alongside other health and social care partners.  Retain some of the St Pancras site for our clinical services and academic research, enabling it to remain the Trust’s “beacon” location. 

Positives

  • Enables us to rebuild our inpatient beds opposite Highgate Mental Health Centre and create two new mental health community facilities – potentially on existing sites at Lowther Road (Islington) and Greenland Road (Camden) - so that we can deliver modern care, in a modern setting.  These new mental health hubs would house some of the community services that would move from the St Pancras site, such as our talking therapies, but a decision has still to be made on which services may be better off remaining at St Pancras and which could move to the new community hubs. Our Recovery College and Veterans’ Service, for example, may be better sited at St Pancras for ease of access for individuals travelling into London from outside the capital
  • Enables us to position all our inpatient beds close to an acute Trust (The Whittington) where service users’ physical health needs can be easily provided too 
  • Brings our academics together on a single site at St Pancras to work on research that can be translated into tailored, individual treatment
  • Potential for a significant proportion of the land to remain within the NHS, albeit with another NHS provider (potentially Moorfields) and for a significant amount of social housing. 

Challenges

  • Whilst inpatient beds will be staying within our two boroughs, they would move from Camden to Islington, albeit just over the Camden/Islington border 
  • Disruption to inpatients at St Pancras during the move

Option three

Sell or lease some of the land at St Pancras, (potentially to another NHS Trust, Moorfields Eye Hospital and for some affordable housing) and use the revenue to move inpatient beds to a newly-built facility on a site next to St Ann’s Hospital in Tottenham.  Make significant investments in our community services by building two brand new mental health hubs where services can be integrated and which afford the opportunity to offer space to work alongside other health and social care partners.  Retain some of the St Pancras site for our clinical services and academic research, enabling it to remain the Trust’s “beacon” location. 

Positives

  • Enables us to rebuild our inpatient beds at St Ann’s Hospital and create two new mental health community facilities – potentially on existing sites at Lowther Road (Islington) and Greenland Road (Camden) - so that we can deliver modern care, in a modern setting.  These new mental health hubs would house some of the community services that would move from the St Pancras site, such as our talking therapies, but a decision has still to be made on which services may be better off remaining at St Pancras and which could move to the new community hubs. Our Recovery College and Veterans’ Service, for example, may be better sited at St Pancras for ease of access for individuals travelling into London from outside the capital
  • Brings our academics together on a single site at St Pancras to work on research that can be translated into tailored, individual treatment
  • Potential for a significant proportion of the land to remain within the NHS, albeit with another NHS provider (potentially Moorfields) and for approximately 35% of the land sold for housing to be allocated for key-worker housing 

Challenges

  • Moving inpatient beds to Tottenham would mean moving them out of the boroughs of Camden and Islington
  • St Ann’s is a harder-to-reach location for most people than the Highgate site in Option 2 
  • Disruption to inpatients at St Pancras during the move.

 

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