Monthly Archives: March 2017

HASC asked to reconsider petition response

Buckinghamshire County Council’s Health and Adult Social Care (HASC) Committee have been asked to reconsider their petition response. The full petition response can be read at the bottom of this page. Our petition reached it’s 1000 signature target in under two days and remains live. https://you.38degrees.org.uk/petitions/no-further-downgrades-of-buckinghamshire-s-hospitals-including-community-hospitals You can post comments on there or email in to savewycombehospital@live.co.uk. Please also attend the next HASC meeting if you can:

HASC 28 Mar 2017 10.00 am
https://democracy.buckscc.gov.uk/ieListMeetings.aspx?CommitteeId=137

…………………………………………………………………………………………………………..

 

 

Email to HASC
Dear Cllr Roberts,
Thank you for replying to my email. However as HASC’s job is ‘robust’ scrutiny and that we are dealing with real people who will feel the impact of these changes, the fact that HASC doesn’t appear to have, let alone have scrutinised the Equality Impact Assessments is somewhat shocking and upsetting.

This email is a request that you reconsider your petition response and at the very least call for a proper consultation on the whole of our STP.

It is a request that you do all you can to prevent the closure of beds at Marlow and Thame. We are told that these bed closures will be for a 6 month ‘pilot’, however given that the term pilot was used for the closure of Ward 5B at Wycombe Hospital, it is pretty obvious that once these beds close they will not reopen.
I was also upset to learn that someone who more than deserves to be looked after in their own community hospital, is now having to stay further away from family and friends, making it difficult for visitors and impacting on their health.
Whilst the Trust plan to increase the number of clinics at these hospitals, (http://www.buckshealthcare.nhs.uk/Getting%20involved/Full%20pilot%20proposal%20Feb%2017%20FINAL.pdf)  the closure of beds was not part of a consultation.
A deadline of 1st April gives us little time to ask questions. HASC have yet to publish a scrutiny of the Ward 5B closure and complete work on delayed discharges. Our understanding is that all the appendices of the STP are yet to be published in the public domain.

Where’s the evidence that these bed closures will actually improve outcomes, provide the needed support by appropriately qualified staff and actually save money?

I’m sure you’re already aware of the pressures our health service has faced over the winter due to a shortage of beds, including cancellations of operations at the John Radcliffe. It’s also a well known fact that social care is struggling.
A pilot that only runs in Spring and Summer seems difficult to understand, let alone two.

Notable NHS voices such as Prof. Jarman and the General Secretary of the Royal College of nurses have expressed concerns with closure of beds and overwhelmed district nurses as ‘funding pressures bite’.

“Over the last 25 years in England we have doubled the number of admissions and we’ve halved the number of beds. If we cut more beds – and particularly if we cut the beds without proving that we have got adequate care in the community – I think that’s an extremely dangerous way to run a health service.” Prof Jarman http://www.bbc.co.uk/news/health-39204681

‘Janet Davies, General Secretary of the Royal College of Nursing, said: “This report lifts the lid on the dangers of trying to provide nursing care on the cheap. Patients waiting for district nurses at home are being let down as the funding pressures bite. “Nursing staff are straining to hold things together for their patients but they can only hold the fort for so long,” she said’ http://www.telegraph.co.uk/news/2017/03/14/nhs-rationing-leaving-dying-patients-suffer-pain-report-warns/

And yet we are closing community hospital beds…?

Further downgrades can be expected if ‘Sustainability and Transformation plans’ (STPs) are not halted. These are based on the NHS being forced to find £22 billion worth of savings, even though we spend less of our GDP on health than our neighbours and already have less beds per head than many countries (see attached).
We are already ahead when it comes to downgrades of services, having received less funding in Buckinghamshire for some time. We need everyone to speak up for our NHS.

Kind regards,
On behalf of concerned Buckinghamshire residents,
Ozma

Miss Ozma Hafiz

Tweet: @HandBackOurHosp
Blog: http://www.savewycombehospital.wordpress.com

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On Mon, 20/3/17, Roberts, Brian – (County Councillor) <broberts@buckscc.gov.uk> wrote:

Subject: Re: Equality Impact Assessments
To:
Date: Monday, 20 March, 2017, 17:35

Dear Ozma,
Further to your email of 16 March, I am emailing
you to clarify the role of the Health and Adult Social
Care (HASC) Select Committee. The Committee holds health
organisations to public account for their decisions and
helps to improve health outcomes for Buckinghamshire
residents. The HASC speaks up for patients needs and
robustly challenges health organisations
on an ongoing basis through its regular public meetings, as
well as through its detailed Inquiries where a report and
recommendations for improvements are made. The HASC is not
responsible for producing equality impact assessments –
these would be produced
by the relevant Health organisation.
As you have made reference to the Freedom of
Information Act, your email has been sent onto the
Council’s
Freedom of Information team who will respond to you in due
course.
Regards

Brian

Brian Roberts

County Councillor for Aylesbury South East
Division
Chairman of Health and Adult Social Care Select
Committee
Deputy Chairman Development Control Committee
Chairman of Greater Aylesbury Local Area Forum
Member of Environment and Transportation Select
Committee

On 16 Mar 2017, at 21:21,

Dear Cllr Roberts,

Please provide a copy of:

a) The Equality Impact assessment for the closure of
Ward 5B

b) The Equality Impact assessment for the closure of
beds at Marlow Community Hospital

c) The Equality Impact assessment for the closure of
beds at Thame community hospital

Hoping to receive these as soon as possible and
ideally by the end of the week, however for the avoidance of
doubt please count this request as a FOI.

Kind regards,

Ozma Hafiz …………………………………………………………………………………………………………………………………….
——————————————————————————————————————————————————————————

Full petition response:
Response from the Chairman of HASC Select Committee
The first two parts of this petition are specifically relevant to the health organisations and it is therefore for Buckinghamshire Healthcare Trust and the CCGs to respond formally to the petition on these points. In regard to the third point raised on ‘speaking up about funding constraints and ensuring patients/potentials’ needs are put first’ the HASC provides the following response:
The role of the HASC is to hold health organisations to public account for their decisions and help to improve health outcomes for Buckinghamshire residents. The HASC speaks up for patients needs and robustly challenges health organisations on an ongoing basis through its regular public meetings, as well as through its detailed Inquiries where a report and recommendations for improvements are made.
To this end the HASC invited representatives from Buckinghamshire Healthcare Trust to its special meeting on Tuesday 21st February 2017 where BHT’s pilot proposal for developing care in the community was discussed. This meeting can be seen here review at HASC here
The HASC has sought reassurance from Buckinghamshire Healthcare Trust that it will be kept fully briefed throughout the pilot stage and the item will be discussed at a future HASC meeting to evaluate the pilot and to be part of any engagement or consultation process should the proposal be developed further across the County. The measures around patient outcome will form part of the HASC’s questioning around the evaluation of the pilot.
In terms of funding, this issue is being monitored at a higher level by the HASC through its ongoing work of scrutinising the Sustainability and Transformation Plan and the HASC will continue to ask questions around funding at its future meetings on this subject.

20 Comments for 20 Beds

20 overnight beds will be closing at Thame and Marlow Community Hospitals. Here are 20 comments, and a link to more.

*Far too many beds closed already within the Trust – Suzanne Busby

*We cannot afford to lose a single bed in Bucks NHS Trust. Increased housing in the area MUST put additional pressure on infrastructure and staff , coupled with cuts to care in the community in Bucks is putting the health of local residents at great risk. – Paul Shorten, Aylesbury

*Closing Marlow and Thame seems to go diametrically against the expressed intentions in the budget speech to put money in to ease bed blocking.  The facilities are already there.  Don’t close them now in order to replace them shortly after. There is already a FAR TOO GREAT RELIANCE ON AMBULANCES IN BUCKS! – Agneta Taylor

*Marlow community hospital has been fantastic many of my family have had to use it over the years. I still remember visiting my Grandma and she was having a chat with another old lady she knew from years ago. And a lady in another bed I worked with in Burgers. True community hospital.

What Marlow offers is a way for family to visit their relatives without having to arrange transport to another town. As people get older they don’t always drive. My aunt was able to walk daily to visit my Uncle with terminal cancer –  Claire Carter

*To whom it may concern ,
Why on earth are you closing hospitals when we desperately need extra beds especially in the rehabilitation  sector. Keeping beds in places like MARLOW Cottage Hospital would release scarce hospital beds. Please save MARLOW Cottage Hospital – Mary Roderick

*It is imperative that the above [Marlow Hospital] maintains its inpatient facility. – Rosemary Parfett

*Frankly, I find it absolutely appalling that our hospitals are being treated with such contempt.  It is as if we have no need of them in the real world.

Please DO NOT take away any more of our much-needed facilities at ANY hospitals.  All the staff I have met, and that is quite a few over the past twenty years or so, are so hard-working and dedicated – why are you trashing their efforts?

PLEASE MAKE SURE THAT THE CORRECT FUNDING IS IN PLACE AND CURB THE ABYSMAL WASTE, which has been apparent from the instigation of the NHS, when my father took a position as a group accountant, in 1948.

Of course there will be too much demand on the remaining A & E departments, when silly people at the top, with their own agendas, keep thinking they know better and close those near to where people need them.  A degree of intelligence would not come amiss in our so-important NATIONAL HEALTH SERVICE. Most sincerely, – Mrs Catherine Branson, Marlow

*Open everything back up again including A&E, like it used to be. I’m fed up with traveling 17 and a half miles away to go to hospital when Wycombe General Hospital is right on my door step – Robert Charles

*My concerns with the almost closure of Wycombe General Hospital is because with all the houses being built in and around High Wycombe, we need a Hospital close at hand, it has always covered not just for High Wycombe itself but a wide radius to include other towns and villages.
Something has to be done to keep it up and running to its highest potential. Please keep it open –Valerie Ryder, Downley

*Having had my medical insurance increase by 50 % all because I had cancer and required tests, a major operation and follow up care. I will not be lining the pockets of this evil company, ANY MORE!!! I have been doing so, for over 30 years, with hardly any claims!!! Where are “they” when you need “them”???

I have joined this campaign NOT just for me BUT EVERYONE who relies on the brilliant, totally over stretched NHS. – Jil Runge, Wheeler End

*For God’s sake will somebody in NHS Authority recognise that with increasing local population we need a full blown Hospital including A&E. – Ralph Briars

*Bucks Hospitals Trust has been systematically closing and downgrading hospitals for years. In Wycombe we have seen the removal of A&E, closure of maternity services and now the downgrading of Marlow’s cottage hospital. It’s got to stop – John Barlow

*Dr Geoff Payne and the NHS have consistently lied to the people of Wycombe and Marlow. The NHS and Overview and Scrutiny committee are not looking after the people of Buckinghamshire. All the Scrutiny committee are doing is agreeing with officials. It’s about
time Steve Baker woke up and started fighting for the people of Wycombe. He is there to serve the people of Wycombe – Terry Price

*In my 28 years nursing experience I have seen all too often when ignorant, politically motivated bureaucrats try to hoodwink the electorate into saying that closure of Community hospitals are for sound economic reasons. But in fact the truth is that they are usually, really much better value for money, regardless of all the benefits to patients, staff and local jobs. There are plenty of examples cited in the professional journals; Kings Fund, BMJ, Nursing Press etc – Rebecca P

*I needed one of these respite places some time ago but was kept for days in a specialist ward where I was bed-blocking because there was not a space available.  – C.J.L

*30 years ago the NHS had 300,000 hospital beds. It now has 150,000! Community hospitals provide REAL CARE!! – Sara P

*Elderlycare seems to be the first place where cuts are made, yet these people deserve to have a service close to them after contributing to the NHS all there lives – Dan L.

*Because I worked in a local community hospital and am in despair – Sheila M

*My father was in ward 5b at Wycombe Hospital. He received excellent care and now the ward is being closed. Unacceptable for a community of the size of Wycombe for this to happen! – Kevin S.

*Community Hospitals are essential, especially for the elderly. I know this little hospital and it’s first class. – Yvonne C

Our petition:  No further downgrades of Buckinghamshire’s hospitals – including community hospitals reached its 1000 signature target in under 2 days! Further comments can be found on the petition.

Email = savewycombehospital@live.co.uk

Marlow and Thame ‘pilots’ – letter to Councillors

Dear Cllrs,
This email is a request that you do all you can to prevent the closure of beds at Marlow and Thame. We are told that these bed closures will be for a 6 month ‘pilot’, however given that the term pilot was used for the closure of Ward 5B at Wycombe Hospital, it is pretty obvious that once these beds close they will not reopen.
I was upset to learn today that someone who more than deserves to be looked after in their own community hospital, is now having to stay further away from family and friends, making it difficult for visitors and impacting on their health.
Whilst the Trust plan to increase the number of clinics at these hospitals, (http://www.buckshealthcare.nhs.uk/Getting%20involved/Full%20pilot%20proposal%20Feb%2017%20FINAL.pdf) the closure of beds was not part of a consultation. In fact we need a proper consultation on the whole of our STP plan.
A deadline of 1st April gives us little time to ask questions. HASC have yet to publish a scrutiny of the Ward 5B closure and complete all their work on delayed discharges. Our understanding is that all the appendices of the STP are yet to be published in the public domain.

Where’s the evidence that these bed closures will actually improve outcomes, provide the needed support by appropriately qualified staff and actually save money?

I’m sure you’re already aware of the pressures our health service has faced over the winter due to a shortage of beds, including cancellations of operations at the John Radcliffe. It’s also a well known fact that social care is struggling.
A pilot that only runs in Spring and Summer seems difficult to understand.

Notable NHS voices such as Prof. Jarman and the General Secretary of the Royal College of nurses have expressed concerns with closure of beds and overwhelmed district nurses as ‘funding pressures bite’.

“Over the last 25 years in England we have doubled the number of admissions and we’ve halved the number of beds. If we cut more beds – and particularly if we cut the beds without proving that we have got adequate care in the community – I think that’s an extremely dangerous way to run a health service.” Prof Jarman http://www.bbc.co.uk/news/health-39204681

‘Janet Davies, General Secretary of the Royal College of Nursing, said: “This report lifts the lid on the dangers of trying to provide nursing care on the cheap. Patients waiting for district nurses at home are being let down as the funding pressures bite. “Nursing staff are straining to hold things together for their patients but they can only hold the fort for so long,” she said’ http://www.telegraph.co.uk/news/2017/03/14/nhs-rationing-leaving-dying-patients-suffer-pain-report-warns/

And yet we are closing community hospital beds…?

Further downgrades can be expected if ‘Sustainability and Transformation plans’ (STPs) are not halted. These are based on the NHS being forced to find £22 billion worth of savings, even though we spend less of our GDP on health than our neighbours and already have less beds per head than many countries 17191264_10158547199830413_5790128573897071882_n
We are already ahead when it comes to downgrades of services, having received less funding in Buckinghamshire for some time. We need everyone to speak up for our NHS.

Next public meeting dates:

HASC 28 Mar 2017 10.00 am
https://democracy.buckscc.gov.uk/ieListMeetings.aspx?CommitteeId=137

Trust board meeting Wed 29 March, 2017, 9.00am
Education Suite, Florence Nightingale Hospice Charity, Unit 2, Walton Lodge,
Walton Street, Aylesbury

Click to access a%20Trust%20board%20meetings.pdf

You’re also very welcome to get in touch with any suggestions.
Our petition: https://you.38degrees.org.uk/petitions/no-further-downgrades-of-buckinghamshire-s-hospitals-including-community-hospitals reached its 1000 signature target in under two days.

Kind regards,
Ozma
Tweet: @HandBackOurHosp
Blog: http://www.savewycombehospital.wordpress.com

Email: savewycombehospital@live.co.uk