Transcript NHS Wakefield CCG NHS North Kirklees CCG Consultation and
Consultation on changes to hospital services in North Kirklees and Wakefield District
Pontefract public meeting – 16 May 2013
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Process for tonight’s meeting
Short presentation summarising the changes proposed and their impact on services for Pontefract residents ‘Question Time’ style session led by independent Chairman – Steve Richards 15 minutes on maternity services 15 minutes on inpatient paediatrics 15 minutes on emergency care 15 minutes on surgery Remainder of time left on any other issues
WHY WE NEED TO CHANGE Dr Phil Earnshaw
Chair NHS Wakefield Clinical Commissioning Group (CCG)
The basis for consultation We are consulting on changes in secondary care across North Kirklees and Wakefield District – specifically:
• Surgery • Inpatient children’s services • Maternity services • Emergency care
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Greater demands – people living longer, more long-term illness Things have changed – more specialisation, more care away from hospitals Doing things differently will save more lives and give patients better outcomes:
o bringing specialists together saves more lives and gives better clinical outcomes for patients o separating planned and unplanned surgery means fewer cancelled operations and the most critically ill patients are treated quickly by specialists
PROPOSED CHANGES TO HOSPITAL SERVICES
Dr Simon Enright
Consultant in Intensive Care and Anaesthesia Clinical Lead : Service Strategy
The Mid Yorkshire Hospitals NHS Trust
Maternity services – proposed changes Pontefract
no change: midwife-led unit ‘low risk’: home, midwife unit or Pinderfields ‘high risk’: deliver at Pinderfields
Pinderfields
‘high risk’ births: all to consultant-led unit ‘low risk’ births: home, midwife-led unit
Dewsbury
midwife-led unit ‘low risk’ : home, midwife unit or Pinderfields ‘high risk’: deliver at Pinderfields
Local antenatal/postnatal care
Inpatient children’s services
Pontefract : no change Pinderfields: no change Dewsbury: inpatient care at Pinderfields Urgent assessment & outpatients at all 3
hospitals
New children’s assessment service at Dewsbury
Emergency care
• • • • • •
Pontefract
as now, open access for emergency care full resuscitation facilities able to treat a wide range of conditions some ambulance attendances consultant presence during the day and on call 24/7 development of new Emergency Day Care centre • • •
Pinderfields
specialist trauma and emergency care centre for Mid Yorkshire continues to see full range of cases centre for emergencies needing inpatient care
Surgery
• • •
Pontefract
Planned orthopaedics, ophthalmology (from 2013) Range of inpatient short stay surgery Day surgery • •
Pinderfields
Emergency surgery, complex surgery (critical care) Day surgery • • •
Dewsbury
Planned inpatient surgery (more specialties) Day surgery Some unplanned surgery
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The future for Pontefract under these proposals
As now, A&E open access with the most serious A&E cases still taken to specialist centre at Pinderfields The Clinical Decisions Unit would stay with step up/step down beds Development of Emergency Day Care centre Range of planned inpatient surgery – inc orthopaedics and ophthalmology Outpatient appointments As now, midwife led maternity unit remains As now, all antenatal and postnatal care
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Next steps
Consultation closes 31 May Analysis of consultation output and final report produced by independent experts Report considered by other partner organisations at major event 2 July Report with recommendations from 2 July event considered by the boards of NHS North Kirklees and Wakefield CCGs on 25 July when a decision will be taken