Transcript NHS Wakefield CCG NHS North Kirklees CCG Consultation and
Consultation on changes to hospital services in North Kirklees and Wakefield District
Taleem Centre – 23 rd May 2013
PROPOSED CHANGES TO HOSPITAL SERVICES
The Mid Yorkshire Hospitals NHS Trust
Maternity services – proposed changes
• • •
Dewsbury
Midwife-led birthing unit ‘low risk’ births : home, midwife unit or Pinderfields ‘high risk’ births : deliver at Pinderfields • •
Pinderfields
Consultant-led unit for all ’high risk’ births ‘low risk’ births : home midwife-led unit
Local antenatal/postnatal care
Children’s services
• • •
Dewsbury :
New assessment facility for children who attend A&E majority of current inpatients through new facility Those requiring longer inpatient care at Pinderfields Pinderfields : no change
Urgent assessment and outpatients at all 3 hospitals
Emergency care
• • • • • • •
Dewsbury
open access for emergency care (70% of current) staffed by A&E trained doctors and nurses (24/7) full resuscitation facilities able to treat a wide range of conditions some ambulance attendances consultants remain during the day (9am to 8pm), on call 24/7 “ Emergency Day Care” on site to reduce need for admission • •
Pinderfields
specialist trauma and emergency care centre for Mid Yorkshire centre for emergencies needing inpatient care
Surgery
• • • •
Dewsbury
Centre for routine inpatient surgery (more specialties) Separation of emergency and planned surgery Day surgery Some minor unplanned surgery (day case) • •
Pinderfields
Emergency surgery, complex surgery (critical care) Day surgery
Summary : Dewsbury Hospital
• • • • • • • Midwifery-led birthing unit Paediatric assessment facility 24/7 A&E for majority current attendances Inpatient medical beds (assessment and rehabilitation) Routine inpatient and day surgery Outpatients Diagnostics
How will North Kirklees residents benefit?
• • • • • Maternity : access to 24/7 consultant-delivered care for high risk births Childrens : majority of children managed through paediatric assessment facility. Inpatients will have access to more specialist and on-site consultant care at Pinderfields Emergency : majority still seen at Dewsbury A&E. Sicker patients seen quicker by consultants and specialist teams at Pinderfields Surgery : routine operations (including inpatients) carried out locally. Emergencies, sicker patients seen by specialist teams at Pinderfields quicker with more backup Outpatients : more local appointments
HOW WE ARE RESPONDING TO WHAT WE HAVE HEARD SO FAR
Dr David Kelly
Chair
NHS North Kirklees Clinical Commissioning Group (CCG)
What is emerging from the consultation so far
• Concerns over access to care – transport and travel • Concerns over emergency transfers – Dewsbury to Pinderfields • More concerns from North Kirklees than other areas
• • –
Listening to you – children
Paediatric Assessment Service
Specialist assessment and treatment Opening hours will be demand driven to cover majority of children. Initially open to patients until 10pm Transfers for overnight stay will be minimised (<1 day)
Children with complex needs
Enhanced specialist medical and community nursing for children with most complex needs & more care at home Work with families to ensure minimal impact.
•
Listening to you – surgery
Surgical Assessment
Emergency Day Care will include surgical procedures Dedicated theatre lists Common procedures including kidney stones, ectopic pregnancy, abscesses, minor fracture •
Day Case Surgery
All surgery will be local •
Planned Surgery
Developing post operative care to increase the number of people who can be treated locally
Listening to you – Emergency Care
•
Emergency Day Care
Consultant presence for longer Using technology to enhance specialist support More conditions treated locally including; DVT, pulmonary embolism, chest pain, cellulitis, falls, collapse, headache, chest infections, GI bleed •
Elderly Assessment
Specialist assessment for frail elderly patients
•
Listening to you
Maternity services
We’ll keep an eye on numbers. If demand rises then we can review •
Outpatients appointments
will be in DDH unless there is a good reason not to be •
Travel
Travel Group reconvened to look at recommendations in their report. Will present costed options to commissioners. To consider at an event with our partners and other stakeholders.
More patients treated locally in Dewsbury Patient Group
• Outpatients Attendances Planned Day Case Attendances Planned Inpatient Admissions Emergency Admissions Deliveries/births Children’s
Total: Now
96,000 8,000 1,500 16,000 2,500 3,400
123,400 2016/17
111,000 13,000 2,500 7,000 (Emergency Day Care) 500 + 2,800 (Assessment)
136,800