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The Grange University Hospital

The Grange University Hospital is a brand new hospital with 470 inpatient beds (around 560 including trolley spaces) located near Cwmbran for people across Gwent that need highly specialised services including critical care.

The Grange University Hospital will contain a host of specialist services in one place, which will include a 24 hour Emergency Department and assessment unit for major emergencies, resuscitation, which could require onward intensive care. 

It will be the main hospital in Gwent for people that have suffered a heart attack, a stroke, a major accident, require major surgery, or other highly specialised care.

There will be no outpatient clinics or a Minor Injury Unit at The Grange University Hospital, therefore patients will only be admitted to the hospital in one of the following ways:

  • Following an emergency 999 call to the ambulance service (e.g. suspected heart attack, stroke, or serious accident).  
  • Having been referred by their GP for a specialist service provided at The Grange e.g. major surgery, high risk birth, or paediatric inpatient services.
  • Referred by another specialist, such as a consultant, at a Local General Hospital. 

 

It is important to note that if a very ill or injured person walks into The Grange University Hospital, they will be treated and not turned away.

Critical Care departments that are currently located at the Royal Gwent Hospital and Nevill Hall Hospital will centralise at The Grange University Hospital.

It is not a PFI scheme. It will cost circa £358 million (plus inflation) of public funding from Welsh Government. 

  • Major Emergency Treatment and Assessment Unit  
  • Critical Care
  • Acute Cardiac Unit including Cardiac Catheter Laboratories  
  • Inpatient services for complex and major conditions
  • Major elective (planned) surgery, for example colorectal surgery and major head and neck surgery 
  • Emergency General Surgery  
  • Acute Medicine
  • Women and children inpatient services such as Paediatrics, Neonatology (Newborn baby intensive care), Obstetrics and Gynaecology.
  • Emergency cases requiring resuscitation 
  • Heart attack  
  • Stroke 
  • Major surgery 
  • Intensive Care  
  • Emergency surgery & trauma 
  • Children’s inpatient services and surgery 
  • Neonatal Intensive Care for babies  
  • Emergency endoscopies 
  • Obstetric inpatient treatment & high-risk births 
  • Emergency assessments 

Most staff will transfer with their specialist services from the Royal Gwent Hospital and Nevill Hall Hospital. Also, we are already receiving a high volume of interest from healthcare professionals across the UK that wish to work in a centre providing a high standard of specialist and critical care (Centre of Excellence). There will also be new roles developed within the centre.   

Yes, there are 15 wards, with some specifically for Critical Care, Cardiology and Paediatrics. The wards mainly comprise 32 beds, with 24 single rooms with en-suite bathrooms and 2x4 bedded bays. 

Patients from South Powys that require the services provided at The Grange University Hospital might also be taken there. If a visitor to the area were suddenly taken ill, they could be treated initially at The Grange, and then moved closer to their home for recovery and rehabilitation. 

Firstly, the injury would need to be properly assessed to determine how serious it is (e.g. whether or not surgery would be needed). This assessment could be made by the Welsh Ambulance Service, or could take place at the Royal Gwent Hospital (Newport), Nevill Hall Hospital (Abergavenny) or Ysbyty Ystrad Fawr (Ystrad Mynach). If the injury could be treated at one of those hospitals, there would be no need to transfer the patient to The Grange University Hospital. 

 

For major accidents or when patients need critical care, paramedics would take the patient straight to The Grange University Hospital. Whilst there is no ‘walk-in’ Accident and Emergency Department at the hospital, if a patient were critically ill or injured and arrived by other means (not an ambulance), they would still be seen and assessed. If a patient presents with a minor injury then they would be safely redirected to one of the enhanced Local General Hospitals.     

Yes, Regional Centres of Excellence will continue to provide treatment and care for people from across Wales. Therefore, some treatments for cancer, serious head injuries, major heart problems and serious burns will be carried out in regional centres in Cardiff and Swansea in the same way as they are now. 

The Health Board has worked closely with the Welsh Ambulance Services NHS Trust on the development of these plans. A travel time analysis across Gwent was carried out for the population that will be served by The Grange University Hospital, which was the determining factor for the hospital’s location. There will also be a helipad onsite for the Welsh Air Ambulance helicopter. 

The Health Board is working with the Welsh Ambulance Service to complete the transfer of patients to The Grange University Hospital, and they are well-rehearsed in alternative routes, should any road problems occur. The hospital will also have a helipad, so that if this is deemed to be the best option for them, extremely critical emergency patients can be taken there very quickly. 

This service is an NHS funded service.

All high risk births will take place at the Grange University Hospital. Low risk births will take place in Midwife birthing units at our other hospitals as well as the Grange University Hospital. The midwifery team that provide care will be able to give advice on individual delivery plans.   

The Clinical Futures Strategy focuses on providing local services for the majority of patients, with The Grange University Hospital delivering specialist services. As significant numbers of patients use outpatient services, it was decided that these should remain in local hospitals.

The hospital also brings together specialist services that are currently provided across two sites- The Royal Gwent Hospital and Nevill Hall Hospital- thus reducing duplication and the number of rotas required. This will also improve compliance with National Junior Doctor training requirements.

There will be no dedicated Mental Health facilities at The Grange University Hospital, but Mental Health staff will work at the hospital in integrated teams. Providing high quality mental health services will remain a priority for us and these will continue to be delivered from our existing sites.  

We have developed a wayfinding and signage strategy for the hospital, and we also have an overall Art and Design Strategy for the hospital that will consider the environment of individual departments. Patient and visitor safety will have the highest priority and every consideration will be given to patients with dementia, or any other issues that challenge their ability to navigate the hospital safely and with ease. 

At The Grange University Hospital, there are over 1,000 car park spaces on site agreed with the Local Planning Authority, which will be split between staff and visitors. There will also be charging points for electric cars.

As Critical Care services move out of the Royal Gwent and Nevill Hall Hospitals and into The Grange University Hospital, pressure will ease on both of these very busy sites.    

Yes. There are 18 charging points confirmed at this time.

There will be provisions for external undercover cycle storage for around 100 bikes at The Grange University Hospital. There are also showers and changing facilities close to the main entrance.  

There will be a green travel plan for the hospital, and whilst the Health Board will not be developing cycle paths or routes off the site, cycling will be an important part of the plan. 

The hospital will provide specialist, complex and critical care, so most people would be taken there by ambulance. The Grange University Hospital will not provide outpatients services. Visitors can arrive via road links to the hospital, primarily the A4042 from Newport and Abergavenny.      

The Grange University Hospital is being built on the old Llanfrechfa Grange Hospital site in Cwmbran, close to the Police Headquarters.

The Health Board is currently working on a travel plan which will involve local transport providers. We will also be working closely with Welsh Ambulance Services NHS Trust, not only for emergency transport, but also for general patient transport.      

There will be a bus service through to the Grange between Newport via Caerleon / Ponthir and Cwmbran. It’s also scheduled to stop in Newport Railway Station and Cwmbran Railway Station too.

Work is ongoing to secure routes from Blaenau Gwent and Abergavenny. Timings will be worked around shift patterns.

Yes, public Wi-Fi services will be available at The Grange University Hospital.  

Work on the road system is now complete. There is a new roundabout on Caerleon Road just after leaving the A4042, before the current hospital drive. This includes roads to the emergency entrance for ambulances, a road to reach the car parks and main entrance, and a service delivery road (the old Llanfrechfa Grange Hospital drive).

The Health Board has a developing master plan for the Llanfrechfa site which will define how the rest of the site is used for the benefit of patients. Grange House (the old house on the right hand side of the site) is a listed building and will continue to provide office accommodation for the Health Board.

Highly specialist services to treat patients with conditions that are serious and immediately life threatening will move out of the Royal Gwent Hospital and Nevill Hall Hospital and into The Grange University Hospital when it opens. 

These will include many services, such as:

  • Hyper acute stroke services 
  • Cardiac care  
  • Critical care 

This means that in an emergency, patients who need to be treated by a specialist team will go directly to The Grange University Hospital, where the highest levels of care and diagnostic support will be available 24 hours a day, 7 days a week. The A&E Departments at The Royal Gwent Hospital and Nevill Hall Hospital will need to change, as they will no longer have the full range of back up services to support a full A&E Department. These will become Minor Injury Units led by Emergency Nurse Practitioners.

It is important to remember that the number of patients with very serious life threatening conditions are actually a small proportion of the number of patients that go to A&E, so significant numbers of patients will still be seen at Royal Gwent Hospital and Nevill Hall Hospital.

These are our two newest hospitals in Ysbyty Ystrad Fawr (Ystrad Mynach) and Ysbyty Aneurin Bevan (Ebbw Vale), and they will continue to grow and develop as more services are provided from them. Both have all single rooms with en-suite bathroom facilities, which makes them extremely good for infection control.       

We still need all of our hospitals- these newer hospitals, and hospitals such as Chepstow Community Hospital and County Hospital. They will continue to provide services as they have done in the past i.e. treatment that doesn’t need to be carried out in a critical care environment. We will also continue to develop services across our network of hospitals, Primary Care Resource Centres and clinics.  

The hospitals will continue to provide many diagnostics, treatments, therapies and inpatient care. We are currently looking at options to make optimum use of the space released by The Grange University Hospital, as we want to rationalise older accommodation on these sites in the future. 

There will be a jointly agreed protocol with Welsh Ambulance NHS Trust and our clinical staff to ensure that in an emergency, the ambulance takes the patient to the most appropriate hospital for their treatment and care. 

If a patient attends any of our other hospitals, they would be assessed and treated where it is clinically most appropriate for their condition. They would only be referred onto The Grange University Hospital if their condition was critical or life threatening.       

We are working closely with Welsh Ambulance Services NHS Trust, who would provide patient transport between our hospitals. The Gwent-wide travel plan will also consider other non-emergency transport between all our hospitals and local transport networks.    

Our Clinical Futures plan redefines the whole system of care. The Grange University Hospital will provide just one element of the whole healthcare system in Gwent.    

It’s a key piece in the jigsaw to complete our network of hospitals. The larger element of the system is the development of community and primary care; to be able to support people in helping themselves to stay healthy and independent, without the need for hospital admission.    

The Health Board will continue to work closely with local authorities, in order to strengthen the capacity for all Social Care Services for the citizens of Gwent. There is significant investment being made to support the delivery of integrated health and social care across our communities.  

The University of Wales Hospital in Cardiff provides a full range of inpatient and outpatient services, from very serious conditions to minor conditions for the population it serves.  

It is also a regional centre for Specialist Services (for all of South Wales) for such illnesses as brain injuries, major heart surgery and organ transplants.  

The Grange University Hospital is a dedicated centre for Critical Care and Specialist Services for Gwent and South Powys.   

There will be no routine outpatient appointments at The Grange University Hospital. Routine planned operations (for conditions that are not critical), outpatient services, rehabilitation and general diagnostics will continue to be provided at our existing range of hospitals. 

The contractor for the hospital is Laing O’Rourke, and they are making every effort to recruit and employ people locally. Obviously there are a huge range of skills employed on the site, and for some specialist work, they may need to go out of the area to recruit people with those skills.

The new hospital will provide an additional 470 in-patient beds (around 560 including trolley spaces) which will result in a reduction of beds at the Royal Gwent and Nevill Hall Hospital.  

Further work is now being undertaken to develop the detailed clinical models for the hospital network as a whole, including our community hospitals. This work will determine the overall bed capacity requirements of the Health Board as a whole, once The Grange University Hospital is opened.  

So overall, we expect the Health Board's bed numbers to reduce, following the opening of The Grange University Hospital. However, it is difficult to say by precisely how many, as many clinical models will change over the next few years. This, coupled with continuing work to provide care much closer to home, means that less inpatient beds will be required in the future.

There are plans in place to be able to quickly increase bed availability if there is a second surge of COVID.   

We don't envisage that there will be any major problems with traffic once the hospital opens, as there were two independent transport surveys carried out as part of the Business Case for the new hospital to determine its location. 

This hospital will be very different to the Royal Gwent and Nevill Hall Hospital - one of the main differences is there will be no outpatient appointments carried out there, so fewer people will be coming and going to the hospital. 

Most of our staff and visitors will access the new hospital from the A4042, and staff at the hospital will be working 24/7 across a range of different shift patterns, meaning there should be no major peaks in traffic.