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 email@example.com. Please also attend the next HASC meeting if you can:
HASC 28 Mar 2017 10.00 am
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.
On behalf of concerned Buckinghamshire residents,
Miss Ozma Hafiz
On Mon, 20/3/17, Roberts, Brian – (County Councillor) <firstname.lastname@example.org> wrote:
Subject: Re: Equality Impact Assessments
Date: Monday, 20 March, 2017, 17:35
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
Freedom of Information team who will respond to you in due
County Councillor for Aylesbury South East
Chairman of Health and Adult Social Care Select
Deputy Chairman Development Control Committee
Chairman of Greater Aylesbury Local Area Forum
Member of Environment and Transportation Select
On 16 Mar 2017, at 21:21,
Dear Cllr Roberts,
Please provide a copy of:
a) The Equality Impact assessment for the closure of
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.
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.