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Our plans

Shaping a healthier future

Shaping a Healthier Future (SaHF) is the programme to reshape hospital and out of hospital health and care services in North West London. North West London has a growing and ageing population, and at present, specialist care is too thinly spread over too many sites and some facilities are inadequate.

A major public consultation on the proposed changes was carried out in 2012, and in 2013, the Secretary of State for Health, Jeremy Hunt, agreed that changes to NHS services in North West London should proceed as quickly as practicable.  These changes will concentrate specialist hospital services into fewer sites allowing us to provide more senior consultants’ expertise more of the time at those sites, leading to better results and safer services for our area’s two million patients. 

Summary of the changes

  • The existing nine hospitals will be transformed into five major acute hospitals, including West Middlesex Hospital
  • On the remaining sites there will be further investment in local hospitals at Ealing and Charing Cross, developed in conjunction with patients and stakeholders
  • There will be a specialist hospital at Hammersmith
  • There will be a local and elective hospital at Central Middlesex


Outline business cases for the hospital sites are currently in development. These cases describe the detailed services changes at each site, and how they can be delivered and the capital required by the programme to make these changes. They also explain how the changes will improve quality, the workforce implications and the plans for making these changes over the coming years. The Department of Health is expecting to review these cases during the second half of 2014.  

As part of these changes the NHS in North West London will also be investing more than £190 million in improving the care provided in community settings. The changes will take place over the next five years.  These plans are set out in full at www.healthiernorthwestlondon.nhs.uk

The map below shows how hospitals will be reconfigured as part of the Shaping a Healthier Future programme.


Sahf -hospitals -graphic _677x 508