IT’S 2022 AND DAISY HILL NEEDS YOU! in the Dept. of Health Urgent and Emergency Care Consultation (Closes 1st July 2022)

WANT TO HELP DAISY HILL ACUTE HOSPITAL IN NEWRY & HELP ENSURE WE STILL HAVE LIFE-SAVING 24/7 EMERGENCY SURGICAL & MEDICAL SERVICES THERE IN THE FUTURE?

Yes, YOU CAN HELP make a difference to our future Hospital services in Newry City by answering the Dept of Health (DOH) consultation on Changes to Urgent and Emergency Services 2022 by Friday 1 July 2022 @ 5pm.

Support Daisy Hill Acute Hospital in the Reshaping stroke services Department of Health NI 2017 consultation. stroke services. Newry and Mourne is the right place for a hyperacute stroke unit.

WHY IT IS IMPORTANT TO TAKE PART IN THIS CONSULTATION

This Consultation proposes future Changes to How and Where we can access Emergency and Urgent Care services, and will soon involve changes to our existing services.  We all need to be involved in this or the new changes will be made without our input. 

This Consultation is about proposed Changes to Urgent and Emergency Care Services, and gives us a direct opportunity, while answering the Qs, to show the Department of Health how important it is to provide Emergency & Urgent Care services in Daisy Hill Hospital.

The Provider of Services in this area, the Southern Trust withdrew Emergency Surgery from Daisy Hill Acute Hospital in March 2022 – and we would like this life-saving Emergency Care to be re-instated to Newry city.

This Department of Health Consultation places huge importance on an Action Plan called ‘No More Silos’ for future planning of Emergency services – but this No More Silos Plan was in place when the Southern Trust closed Daisy Hill’s ED during the pandemic to provide 3 EDs in Craigavon– so this is not the model of care best suited to our area. There is a real population-based need in the area and future Emergency & Urgent Care services must be commissioned for the Newry South Down and South Armagh Area Hospital -Daisy Hill, in Newry City.

A Clear vision for Daisy Hill Acute Hospital - Newry _Daisy Hill for Life
Daisy Hill Acute Hospital, Newry City

 If you would like to help by Submitting a Response to the Urgent and Emergency Care Services Consultation, or are short on time and would like some ideas – please read the Daisy Hill for Life on Facebook and this website

All Responses must be submitted before Friday 1st July 2022 @5pm.

HOW TO RETURN YOUR COMPLETED QUESTIONNAIRE TO THE CONSULTATION BY EMAIL

When you have finished the form – check and save your answers, then log into your email account.

Select New Email, Add the Questionnaire File as an Attachment to your new email message (using either the Paperclip icon or Add Attachment)

The Email Address to send your completed Questionnaire is UECS@health-ni.gov.uk ,

Type UECS@health-ni.gov.uk into the To box of your New Email

Write your message and finally click Send

 DEPARTMENT OF HEALTH NI CONSULTATION DOCUMENTS LINK

https://www.health-ni.gov.uk/consultations/consultation-review-urgent-and-emergency-care-services-northern-ireland   

Closing Date:  Friday 1st July 2022 at 5pm

WAYS TO RESPOND: 

 By Email > Send your completed Consultation Form by Email to :  UECS@health-ni.gov.uk

By Online Questionnaire > Using :

https://consultations2.nidirect.gov.uk/doh-1/review-of-urgent-and-emergency-care-services-in-no/

By Post > A hard copy of your response Questionnaire can also be sent to:

Department of Health, Regional Health Transformation Directorate, Annex 3, Castle Buildings, Stormont, Belfast BT4 3SQ

Newry South Down and South Armagh Area Hospital -Daisy Hill, Newry City.

Why Emergency & Urgent Care services must be provided in Daisy Hill Acute Hospital in Newry

  1. DEMOGRAPHICS

Latest May 2022 figures* show Newry & District has the 2nd highest number of patients in NI registered with GP practices, (159,599) many suffering with serious illnesses who need Emergency & Urgent Care and specialist hospital services.   (Newry & District also has the 2nd highest number of Children U18 in NI). Without Daisy Hill ED there is no nearby alternative for Emergency or Urgent treatment for accidents which can happen on the road, work, home or school or during sport and leisure.   (* Background information at the end)

2. COST OF LIVING

Fuel prices are increasing – people cannot afford to drive or get taxis to Craigavon hospital if services are moved there.

3. ECONOMY & JOBS

We want to keep Jobs in our Newry South Down South Armagh Area Hospital and keep our skills-base and economy strong (Fair treatment and Employment Act).

4. CLIMATE CHANGE

Centralisation of services is bad for the Environment – puts extra cars on the road and increases carbon footprint. We are told to Shop Local to protect Economy and the Environment – why should hospital services be any different?

5. RURAL PROOFING

In 2009 the NI Executive committed to strive for a fair and inclusive rural society where rural dwellers enjoy the same quality of life as all others in the region.  There is a duty on public authorities to have due regard to rural needs ( Rural Needs Act 2016) – this must be shown by the DOH in how they commission Emergency and Urgent care services.

>Newry city needs a fully functioning acute hospital with a Type 1 ED providing Time Critical Emergency and Urgent care for its citizens.  Rates, taxes and national insurance contributions all go towards these services and you and your family are entitled to have a say where the services are provided.

*BACKGROUND 1

According to the GP Federation Register May 2022 (Source BSO)

>Newry & District has the Highest number of patients in NI with Heart Failure

>Newry & District has the 2nd Highest number of Patients in NI (after only Derry/L’Derry) with Cardiovascular Disease Primary Prevention, Osteoporosis and Depression

>Newry & District has the 3rd Highest number of Patients in NI (after Derry/L’Derry and Antrim) with Cancer, Coronary Heart Disease, Asthma, Hypertension (which can lead to heart and stroke), Chronic Obstructive Pulmonary Disease, Diabetes, and needing Palliative Care.

>Newry & District also has the 4th highest no of Patients in NI with Stroke, while Craigavon is 10th. This must inform where stroke services are provided in NI.

(GP Registers are the main reliable source of info you can look at for actual illness present in a local or general area to find out if there is need to provide health services there and to what extent.). 

In 2020 Newry Mourne and Down (NMD) had the highest number of Fatal collisions, Serious collisions and Number of Seriously injured according to Recorded Injury Road Traffic Collisions (RTC) statistics.

BACKGROUND 2

ROAD ACCIDENTS:

In 2020 Newry Mourne and Down (NMD) had the HIGHEST number of 

(1) Fatal collisions ,

(2) Serious collisions and

(3) Number of Seriously injured

according to Recorded Injury Road Traffic Collisions (RTC) statistics. Similar high statistics were recorded in previous years.

ROAD ACCIDENTS – CHILD CASUALITIES

U16 Child casualties following Road Traffic Collisions (Newry Mourne and Down):

In 2020/21 : NMD had the highest number of children seriously injured  and

highest number of children in NI KSI (killed or seriously injured) .

In 2019/20 NMD had joint highest no of children in NI killed,

2nd highest no of road collisions in NI resulting in child injuries or deaths and

2nd highest no of children in NI seriously injured after Belfast.

Similar high statistics were recorded since 2016/17. (Source: Recorded Injury Road Traffic Collisions statistics).

The evidence is all there – please take part in the Department of Health NI Urgent and Emergency Care Consultation 2022 and ask for Urgent and Emergency care services to be commissioned in the Newry South Down South Armagh Area Hospital, Daisy Hill in Newry city for us, our families and our future generations.  

You can keep making a difference for Daisy Hill!

Information on this and other similar topics is also available at the companion Facebook page https://www.facebook.com/daisyhillforlife/ Please Follow or Like the Page to receive updates. Thank you.

Consultation on changes to Access to Urgent & Emergency Care Services 2022 (Department of Health NI)

Department of Health NI proposals to radically change HOW and WHERE the public can ACCESS Accident and Emergency Care, are out for consultation, so the people can agree or disagree to this permanent Change or Withdrawal of Services.

The Urgent and Emergency Care Services Review Consultation 2022* proposes plans to re-organise the current system of ACCESS to Urgent and Emergency Care Services (including Hospitals). It also deals with “how older people and others will be offered treatment in the community to avoid admission or delays in hospital.” The Consultation says changes are needed to help with issues like over-crowded EDS, too many patients waiting over 12 hours.

What will these proposals mean for you and the people of Newry & Mourne, South Down and South Armagh, Banbridge, Armagh etc?

Future services and investment for all Hospitals in NI including Newry’s Area Hospital, Daisy Hill will depend on these new changes.

Department of Health NI Urgent and Emergency Care Services Review Consultation 2022

The Urgent and Emergency Care Consultation Report suggests that future Emergency/ Urgent Care Services should use the “experience gained locally” during the pandemic.
The people will remember that during pandemic THERE WAS NO EMERGENCY SERVICE IN NEWRY under the Southern Trust from 28th March 2020 to 19th October 2020.

The local experience / service was, the Southern Trust CLOSED the Emergency Surgery & Emergency Medical services at Daisy Hill Hospital Type 1 ED in Newry, and Daisy Hill staff were re-deployed –to provide 3 EDs including a children’s ED in Craigavon hospital.

Daisy Hill Acute Hospital in Newry was designated to be one of the 9 Major Acute Hospitals with 24/7 consultant -led Emergency Surgery and  Emergency Medical Services necessary to provide Acute hospital services fairly to everyone no matter where they choose to live in NI in 2003.    

However, at the beginning of the pandemic, the Southern Trust was  the only Health and Social Care Trust in NI to close an acute hospital Type 1 ED. 

Daisy Hill Acute Hospital has also been left out of the NI Critical Care Network, and the Southern Trust Stage 1 and Stage 2 Rebuilding plans, showing little regard for the unscheduled care needs of the large populations Daisy Hill was designated as an Acute Hospital for. 

Time for Investment for Newry +Mourne LGD 2020

The Southern Trust consistently LEAVES DAISY HILL HOSPITAL, NEWRY OUT of their necessary Capital Priorities Business plans submitted to the Department of Health.  Because of this -Daisy Hill in Newry City is the only Acute hospital in all of NI waiting on finance for future Redevelopment, especially the  NEW hospital building, which was agreed by the Secretary of State in 2005. 

PROPOSED LOCATIONS FOR URGENT AND EMERGENCY CARE SERVICES

The Department of Health Review and Consultation does not give Names of Locations for Future Urgent and  Emergency services, but instead state they will provide them in the “RIGHT PLACE”.

Newry & District with 159,600 patients has the 2nd highest number of patients on GP Federation Registers in NI.   We need to tell the Department of Health in this Consultation that based on POPULATION size, DAISY HILL ACUTE HOSPITAL, NEWRY IS THE RIGHT PLACE for Type 1 Consultant-Led Emergency Department with and Emergency Surgery and Emergency Medicine.

The Department of Health NI wants us to tell them if they have left anything out of the Urgent and Emergency Services Consultation Proposals before they finalise the plan.  All views put forward to the Consultation will go directly to the decision makers at the Department of Health; whose responsibility it is to assess the health needs of the population, and to then commission services, based on this. 

STROKE IS A MAJOR 999 EMERGENCY 

Stroke Services are being consulted on again in this consultation, as it is a major Emergency service which we are still told to ring 999 for.   The Bengoa Report inappropriately recommended the Centralisation of Stroke services from Daisy Hill, Newry City to Craigavon.  The result of which was shown in the Department of Health NI Consultation on Reshaping Stroke Services in  2019 when Daisy Hill’s Stroke Unit was unfairly LEFT OUT of all the Options for Location of Acute and Hyper-acute Stroke units.   Craigavon, because of the Bengoa Recommendation as a local Case Study was in ALL of the Options for both Hyper-acute and Acute stroke Units, while Newry’s Daisy Hill was in NONE.

Act FAST Stroke - HyperAcute Stroke Unit for Newry 2019

No reply was ever given to any of the 19,000 people in NI who responded to the ‘Reshaping Stroke Services’ Consultation and many objected or gave alternatives to the proposals. This needs to be cleared up NOW as this consultation is in provision of Emergency/Urgent Care for the future.

If you want to make sure you can still access Emergency services at Daisy Hill Acute Hospital in Newry, in the future – This is how we tell them -We are ENTITLED TO IMMEDIATE ACCESS TO 24/7 CONSULTANT-LED EMERGENCY SURGICAL AND EMERGENCY MEDICAL SERVICES IN DAISY HILL ACUTE HOSPITAL, NEWRY CITY.   You can reply to the Consultation questionnaire online and in writing until 01 July 2022.  (Link below)

People power through Consultations -Based on demographics Daisy Hill Acute Hospital, Newry should be confirmed as a location for a Hyperacute and Acute Stroke Unit

More information on this Dept. Of Health NI Consultation will follow shortly on Daisy Hill for Life Facebook page and on this blog Daisy Hill Hospital for life

Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

LINKS
https://www.health-ni.gov.uk/consultations/consultation-review-urgent-and-emergency-care-services-northern-ireland Consultation Documents links

REFERENCE
*Review of Urgent and Emergency Care Services in Northern Ireland – Consultation Report & Strategic Priorities Department of Health Northern Ireland, 2022.

Information on this and other similar topics is also available at the companion Facebook page https://www.facebook.com/daisyhillforlife/ Please Follow or Like the Page to receive updates. Thank you.

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2022

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2022. We welcome sharing of this info and the use of excerpts and links, please give full and clear credit to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you.

WANT TO HELP DAISY HILL? YOU CAN – IF YOU REPLY TO THIS HSC CONSULTATION

Will Daisy Hill Hospital be left out again if HSC Trusts have more power? Make sure Daisy Hill isn't missing from the Network - Help shape the future, reply to the HSC Framework Consultation by 4th December 2020.

WHAT CAN WE DO ABOUT REMOVAL OF ACUTE SERVICES FROM DAISY HILL ACUTE HOSPITAL, NEWRY?

Whether it’s the Type 1 ED, Specialist Stroke Unit and even vital CT scanners – it’s a Tug of War with the Southern Trust. FINALLY NOW – here’s something we can do. We have an address and an opportunity to air our views as part of a Department of Health Framework Consultation. So we MUST USE THIS OPPORTUNITY –as Daisy Hill needs us!

During the Covid pandemic, at a days notice, (without providing a nearby alternative)  the Southern Trust removed Daisy Hill Acute Hospital’s 24/7 Type 1 ED services and staff to provide 3 EDs in Craigavon Hospital – one Covid 19, one non Covid 19 and a new Children’s ED.

YOU CAN HELP shape the future, and ensure Daisy Hill isn’t missing from the Regional network as Northern Ireland Rebuilds during and after covid-19 by replying to the ‘Temporary Amendments to the HSC Framework Document’ Consultation, by this Friday 4th December 2020, 5pm.

The Consultation Documents along with info on how to respond can be read in full at: www.health-ni.gov.uk/consultations/HSCframework (Additionally Consultation Links are available at the end of this article.)

IMPORTANT ASPECTS DIGESTED

The Department of Health (NI) has made temporary changes to the 2011 Health and Social Care (HSC) Framework Document where it describes the Role and Responsibilities of HSC bodies .So, the Consultation asks :

  1. If we agree with ‘temporary’ amendments needed to change these roles and responsibilities. Although they frame it as an “administrative” change it will mean HSC Trusts will have MORE POWER than before.

2. If we agree with their decision to establish a ‘new’ Management Board for Rebuilding HSC Services in NI (which has been in operation since June 2020 without consultation, until now).

A Clear future for Daisy Hill Acute Hospital - Newry city

TRUSTS HAVE BEEN GIVEN THE GO AHEAD TO REBUILD AND EXPAND SERVICES WHERE THEY WANT.

The only function of Trusts before was as a ‘provider’ of hospital and community services. But as part of these amendments to the 2011 Framework Document in this Consultation – the role of Trusts is now elevated. Trusts are now responsible for assessing their population needs, planning to meet those needs and delivering ‘appropriate’ services in whatever location or hospital they deem appropriate.

If these changes to the 2011 HSC Framework Document go through according to this current Consultation, the Southern Trust will have the loudest voice influencing the future of Daisy Hill.

This will have a huge impact on all ED and specialist inpatient acute hospital services (including children’s services) in Daisy Hill Hospital, Newry as well as Capital investment shaping the future of Daisy Hill acute Hospital for good. Can you help?

PLEASE ENSURE DAISY HILL PART OF NI REBUILDING PLANS NOW – REPLY TO THE CONSULTATION

Nearly £7 billion has been allocated to the Department of Health and the Southern Trust handle over £800 million – we are entitled to our share of this. If we lose services in these Rebuilding Plans for two years to May 2022 we will not get them back. You can Reply to the Consultation to give your views and ensure Daisy Hill, Newry is part of the NI Health and Social Care Rebuilding Plans at both a Regional and local level.

As Health Minister Robin Swann MLA rightly stated at the 10th Annual Nicon Conference 2020

“Whilst we must face the challenges that lie ahead, we must also continue to rebuild; to transform our services in a way that ensures they are here for those who need them today, tomorrow, and for generations to come.”

Robin Swann MLA (10th Annual Nicon Conference 2020)

Newry & Mourne is projected to be the 3rd highest population in NI by 2025 and presently has the 3rd highest population of children in the whole of NI after only Belfast and greater Belfast.

We are entitled to the same investment as Altnagelvin. We must speak up for ourselves as we have seen that the Southern Trust priorities are not with Daisy Hill

We have to respond to this Consultation and speak up for ourselves, our children and their children to ensure retention and expansion of acute specialist acute services (including children’s services) in Daisy Hill acute Hospital in NI HSC Rebuilding plans NOW.

Ways to Respond

Dont forget the deadline is this Friday 4th December 2020, 5pm.

You can reply using the Online Consultation page available at: https://consultations.nidirect.gov.uk/doh-healthcare-policy-group/temporary-amendments-to-the-health-and-social-care/

Which ever you prefer. But please do take part – do it for your family, the future of Daisy Hill, for those who cant take part themselves and for generations to come. Full instructions for responding to this Consultation are available on the Department of Health’s website at: www.health-ni.gov.uk/consultations/HSCframework

Nearly £7 billion has been allocated to the Department of Health and the Southern Trust handle over £800 million – we are entitled to our share of this. If we lose services in these Rebuilding Plans for two years to May 2022 we will not get them back. There has been a hospital in Newry for 175 years – NO ONE IS ENTITLED TO TAKE IT AWAY.

Just as in the Western Trust (with a total population of 301,448*) there is need for TWO Specialist Acute Stroke Units - so too, the Southern Trust (with a larger population of 380,312*) is also entitled to TWO Specialist Stroke Units (HASUs and Acute Stroke Units), at Daisy Hill Hospital, Newry and Craigavon Hospital. This would ensure that everyone in the Southern Trust has immediate access to CT scanning and life saving thrombolysis, followed by direct access into a stroke unit.

EXTERNAL LINKS TO CONSULTATION

Consultation on Temporary Amendments to the Health and Social Care Framework Document for the period June 2020 to May 2022

All Consultation Documents can be found at www.health-ni.gov.uk/consultations/HSCframework

You can also respond to the issues using the online questionnaire, which can be accessed at the following website https://consultations.nidirect.gov.uk/doh-healthcare-policy-group/temporary-amendments-to-the-health-and-social-care

Rebuilding HSC Services Programme Coordination Office, Department of Health, Annexe 3, Castle Buildings, Stormont Estate, Belfast, BT4 3SQ

Email: RebuildingHSC.Services@health-ni.gov.uk

Telephone: 028 9052 3231

The Department of Health is inviting us all to tell them what we think about the new Amendments. If we DON’T respond we are letting the DoH and Southern Trust Rebuild (or not) for us and future generations – without us.

Thankyou.

BACKGROUND INFO AND DOCUMENTS

DEPARTMENT OF HEALTH, SOCIAL SERVICES AND PUBLIC SAFETY FRAMEWORK DOCUMENT 2011: https://www.health-ni.gov.uk/publications/dhssps-framework-document-september-2011

https://www.health-ni.gov.uk/publications/winter-surge-plans  (nb The Surge Planning Strategic Framework pdf   (nb see APPENDIX A – CCANNI CRITICAL CARE SURGE PLAN page 59) http://www.hscboard.hscni.net/coronavirus/covid-19-rebuilding-services/hospital-services/  All Trusts Phase 1+ Phase 2 Plans

Link to Rural Needs Act:  https://www.legislation.gov.uk/nia/2016/19/pdfs/nia_20160019_en.pdf

Information on this and other similar topics is also available at the companion Facebook page https://www.facebook.com/daisyhillforlife/ – Thank you. Please Follow or Like the Page to receive updates.

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2022

Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

WILL DAISY HILL BE LEFT OUT AGAIN IF HSC TRUSTS HAVE MORE POWER?

Will Daisy Hill Hospital be left out again if HSC Trusts have more power? Make sure Daisy Hill isn't missing from the Network - Help shape the future, reply to the HSC Framework Consultation by 4th December 2020.

MAKE SURE DAISY HILL ISN’T MISSING FROM THE NI REGIONAL NETWORK AS NORTHERN IRELAND REBUILDS DURING/ AFTER COVID-19– AND HELP SHAPE THE FUTURE, by replying to the ‘Temporary Amendments to the HSC Framework Document’ Consultation, by this Friday 4th December 2020, 5pm. The Consultation Documents and info on how to reply can be read in full at: www.health-ni.gov.uk/consultations/HSCframework

You can tell the Department of Health how you feel. It’s your Health service.

You can also use the Online Consultation form. Which ever you prefer. By the deadline of this Friday 4th December 2020, 5pm. But please do take part – do it for your family, the future of Daisy Hill, for those who cant take part themselves and for generations to come. There has been a hospital in Newry for 175 years – NO ONE IS ENTITLED TO TAKE IT AWAY.

Just as in the Western Trust (with a total population of 301,448*) there is need for TWO Specialist Acute Stroke Units - so too, the Southern Trust (with a larger population of 380,312*) is also entitled to TWO Specialist Stroke Units (HASUs and Acute Stroke Units), at Daisy Hill Hospital, Newry and Craigavon Hospital. This would ensure that everyone in the Southern Trust has immediate access to CT scanning and life saving thrombolysis, followed by direct access into a stroke unit.

Consultation on Temporary Amendments to the Health and Social Care Framework Document for the period June 2020 to May 2022

All Consultation Documents and info on how to reply can be found at www.health-ni.gov.uk/consultations/HSCframework

You can also respond to the issues using the online questionnaire, which can be accessed at the following website https://consultations.nidirect.gov.uk/doh-healthcare-policy-group/temporary-amendments-to-the-health-and-social-care

Rebuilding HSC Services Programme Coordination Office, Department of Health, Annexe 3, Castle Buildings, Stormont Estate, Belfast, BT4 3SQ

Email: RebuildingHSC.Services@health-ni.gov.uk

Telephone: 028 9052 3231

The Department of Health is inviting us all to tell them what we think about the new Amendments. If we DON’T respond we are letting the DoH and Southern Trust Rebuild (or not) for us and future generations – without us.

Nearly £7 billion has been allocated to the Department of Health and the Southern Trust handle over £800 million – we are entitled to our share of this. If we lose services in these Rebuilding Plans for two years to May 2022 we will not get them back. DAISY HILL NEEDS YOU!

Detailed info on the importance of this Consultation is described on Daisy Hill for life facebook at : https://www.facebook.com/daisyhillforlife/photos/pb.1575478679404441.-2207520000../2832050437080586/?type=3&theater

BACKGROUND INFO AND DOCUMENTS

DEPARTMENT OF HEALTH, SOCIAL SERVICES AND PUBLIC SAFETY FRAMEWORK DOCUMENT 2011: https://www.health-ni.gov.uk/publications/dhssps-framework-document-september-2011

https://www.health-ni.gov.uk/publications/winter-surge-plans  (nb The Surge Planning Strategic Framework pdf   (nb see APPENDIX A – CCANNI CRITICAL CARE SURGE PLAN page 59) http://www.hscboard.hscni.net/coronavirus/covid-19-rebuilding-services/hospital-services/  All Trusts Phase 1+ Phase 2 Plans

Link to Rural Needs Act:  https://www.legislation.gov.uk/nia/2016/19/pdfs/nia_20160019_en.pdf

Information on this and other similar topics is also available at the companion Facebook page https://www.facebook.com/daisyhillforlife/ – Thank you. Please Follow or Like the Page to receive updates.

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2022

Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

SOUTHERN TRUST WON’T COMMIT TO RE-OPEN DAISY HILL ED IN PHASE 2 REBUILD PLAN

Rebuild2020 Reopen Daisy Hill Hospital Type 1ED Now -(Newry, Northern Ireland)

Southern Trust Rebuild Plans Phase 2 (July to 30 Sept 2020) now published show the Southern Trust have not committed to the permanent re-opening of Children’s and Adults ED Department in Daisy Hill Acute Hospital. Newry. (See Plan page 6, link at end)

Six months with no emergency department through the dark days of the continuing covid-19 pandemic and no commitment to reopen the Consultant Led-24/7 ED – is a public health failure.

The Southern Trust will go down in history as the Health Trust who denied access to Daisy Hill hospital for immediate life saving care to the men, women and children of the largest locality in their care- Newry & Mourne. (106,500 population: NISRA)

Both Phase 2 and Phase 1 Rebuild Plans by Southern Trust show they have not responded to calls by elected representatives and individuals who have campaigned for the return of the Type 1 24/7 ED in Daisy Hill, Newry.

LAW AND STANDARDS THE SOUTHERN TRUST MUST ADHERE TO

1. Establishment Order

The Southern Trust function under their founding legislation is to PROVIDE hospital accommodation and services, not to TAKE AWAY accommodation and Services in Daisy Hill acute hospital, Newry. Their function is not to centralise all services including immediate life saving services like ED from Newry to Craigavon. They have a duty to keep the doors of Daisy Hill acute hospital open to anyone in need of immediate life saving care.

The Southern Trust’s function is to provide health and social care services paid for with public money from Regional Rates and Taxes. They have almost 1,600 admin staff and were given nearly £700 million in 2019/20 from the HSCB for provision of services across ALL of the Southern Trust, not just in some of the 5 geographical areas under their care.

2. Rural Needs Act 2016

Trusts also have obligations under the Rural Needs Act. Every other health trust in NI continued to provide Covid and Non Covid Care in their Rural and Urban Acute Hospitals, except the Southern Trust. The Southern Trust decided to deny access to Daisy Hill Acute Hospital which provided life saving Urgent and Emergency services for children and adults to the largest Rural catchment population in their care. Daisy Hill had ED attendances of 58,277 people in 2018/19.

3. Quality Standards for Health and Social care

Quality Standards for Health and Social care take into account Equality and Human Rights legislation where everyone has to be treated equally and humanely.


To refuse access to immediate life saving care to children and adults alike in Daisy Hill hospital by closing the only Accident and Emergency Department they have access to for immediate life saving services is inhumane treatment and should not be condoned.

The Centralisation of Acute Hospital Services to Craigavon Agenda of the Southern Trust evident in their planning policies is unfair and inhumane – and does not take into account the legislation.

RE-OPEN DAISY HILL TYPE 1 24/7 ED IN NEWRY NOW!

Southern Trust Rebuild Phase 2 Plan available here: https://www.health-ni.gov.uk/sites/default/files/publications/health/shsct-plan-2.pdf

Links to all Trust Rebuild Plans 2020 here:

 https://www.health-ni.gov.uk/publications/rebuilding-hsc-services

Link to Rural Needs Act:  https://www.legislation.gov.uk/nia/2016/19/pdfs/nia_20160019_en.pdf

Daisy Hill Hospital Emergency Department is vital for stroke and life threatening emergencies

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Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

Email Campaign: Return Urgent + Emergency Services to Daisy Hill Hospital, Newry NOW!

EMAIL CAMPAIGN FOR RETURN OF URGENT AND EMERGENCY CARE SERVICES TO DAISY HILL ACUTE HOSPITAL, NEWRY NOW!

Two different versions of an Email letter supporting Daisy Hill Hospital are available for those who wish to use them via the following links: V1-Email-re-Daisy-Hill-acute-H or V2-email-re-Daisy-hill-acute-H

These letters ask for the Return and Enhancement of all Acute and Emergency services and valuable staff transferred to Craigavon Hospital to be restored to Newry IMMEDIATELY, without delay. If you agree, please contact your local representatives, including Councillors, MLA’s and MP’s,  Contact Details Follow Below

After downloading (Just Click on the Blue Links, Select Save and then OK to save to your own device.) The contents of these draft Letters  can be used as they are or as a guide to copy and paste from to write your own message/letter to send to MPs, MLAs, Councillors and/other organisations like Health Authorities (e.g. Department of  Health) and other Stakeholders regarding the Southern Trust – June 2020 Rebuild Plan. 

Please add your name and address to the letter if you are attaching it to an Email so the recipient knows it is genuine and also remember to ‘Save As’ with a New Filename or your choice e.g. Daisy Hill Hospital-2020 or whatever you like maybe using your initials to make it unique.

Tips on attaching the Email-Letter Doc to an Email are at the end of this piece, should you need them.

Quick Links to Contact Lists available here:

Contact-list-MLAs-MPs-for-Newry+Armagh_-South-Down-16.06.2020

Contact List for Newry, Mourne and Down Councillors from data.gov.uk here : nmddc-councillors-12nov19

Contact List for Health Authorities here: Contacts-Health-Authorities-DoH-HSCB-SLCG-ST

What is the Southern Trust Rebuild Plan? (June 2020)

More information on why these Plans are concerning for those who use Daisy Hill Acute Hospital is available here  from the Daisy Hill for life post:  Southern Trust Plan to Keep Daisy Hill ED closed and Retain 3EDs for Craigavon

Dept. of Health ‘Rebuilding Health and Social Care’ Framework docs show services provided during COVID by each of the 5 Health Trusts, and more importantly Plans on how the Health Trusts propose to both Restore and scale back services following the easing of COVID 19.

The Plans each Trust have for Rebuilding HSC Services can be found at:

https://www.health-ni.gov.uk/publications/rebuilding-hsc-services

This letter is to support the view that all Acute and Emergency services and valuable staff transferred to Craigavon Hospital should be restored to Newry IMMEDIATELY, without delay.

If you agree please contact all your local representatives, Councillors, MLA’s and MP’s.  They are all in a position as stakeholders to represent our views in relation to the future Rebuilding of Health and Social Care services at a NI and local level and putting forward the case for restoration, and expansion of ED, inpatient bed capacity and Acute and unscheduled health care services in Daisy Hill acute Hospital, Newry.

Please use your phone to speak up for Daisy Hill Acute Hospital

 MORE CONTACT INFO & LINKS

Contact List for MLAs & MPs for Constituencies of Newry & Armagh/ South Down (14.06.2020)

They are all in a position as stakeholders to represent our views regarding the future Rebuilding of Health and Social Care services at a NI and local level and putting forward the case for restoration, and expansion of ED, inpatient bed capacity and Acute and unscheduled health care services in Daisy Hill acute Hospital, Newry.

Contact List to Download:  Contact-list-MLAs-MPs-for-Newry+Armagh_-South-Down-16.06.2020

This contact list is based on information as listed on the NI Assembly Portal page and other sources such as MLA’s Facebook pages or political party websites. Despite attempts to be as accurate as possible, if there is any information which is not up-to-date – apologies. (MLAs are listed in alphabetical order.)

Newry Mourne and Down Council Contacts

https://www.newrymournedown.org/your-councillors

List to download from source : Newry Mourne and Down District Councillors info from data.gov.uk

Contact List already downloaded from data.gov.uk also directly available here:  nmddc-councillors-12nov19

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Step by Step Instructions how to Use the Draft Email Letter

  1. Download the Document to your device and  ‘Save As’ to give the File a new name of your choice .
  2. Edit the document as you please, either delete or add your own info.
  3. Add your NAME and ADDRESS at the end (or Email Address) so the recipient knows it is a genuine letter.
  4. Click ‘Save’ to Save your new Changes
  5. Compose New Message and Select the Paperclip Icon and select your File to Attach it to your Email message. (You will see the Filename attached to your Email when it has uploaded)
  6. Type the email address of the person you want to send an email to in the To Field.
  7. Write a short message and then click Send!
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LINKS AND FURTHER INFO

Government Official Links

Northern Ireland Assembly: AIMs Portal: http://aims.niassembly.gov.uk/mlas/search.aspx

UK Parliament Website: https://members.parliament.uk/

Other Useful Links

WriteToThem.com

Newry& Armagh search on WriteToThem: https://www.writetothem.com/who?pc=BT342PF&fyr_extref=https%3A%2F%2Fdemocracy.warwickshire.gov.uk%2FmgFindMember.aspx

South Down Search search on WriteToThem:  https://www.writetothem.com/who?pc=BT358QS&fyr_extref=https%3A%2F%2Ft.co%2Fe3BAO1Sagu%3Famp%3D1

https://members.parliament.uk/

DAISY HILL HOSPITAL, NEWRY NEEDS YOUR SUPPORT LIKE NEVER BEFORE

3 Reasons why it is so important to Email your Representatives.

>REASON 1:  THESE HSC REBUILD PLANS WILL DICTATE WHAT ACUTE SPECIALIST SERVICES WILL BE CENTRALISED TO CRAIGAVON FOR NOW AND THE FUTURE.

The Southern Trust Plan for June to September shows that although they promised to return the urgent and Emergency Care Services and staff to Daisy Hill as soon as the immediate threat of Covid- 19 was over – they have refused to do so.  The Southern Trusts function, under the 2006 Establishment Order, is to provide hospital services, in Daisy Hill, Newry for the consistently largest population of the five localities in the admin area of the Southern Trust in Newry & Mourne – (their function is NOT to move them to Craigavon).

These Rebuilding Plans are LONG TERM future plans to decide location of all urgent and emergency care services, diagnostics, cancer, stroke, heart, and will decide which hospitals will shut in the future. This will dramatically affect provision of ED and inpatient hospital services in Newry & Mourne and NI FOR THE FUTURE.

Daisy Hill Hospital Emergency Department is vital for stroke and life threatening emergencies

>REASON 2: NEWRY & MOURNE HAS NO OTHER NEARBY ALTERNATIVE FOR URGENT AND EMERGENCY CARE AND INPATIENT CARE SERVICES:

In 2019 THERE WERE 60,000 ATTENDANCES TO DHH ED.  When all ED services and ED staff were suddenly stripped from Daisy Hill Hospital and centralised to Craigavon Hospital at the height of the Covid Pandemic, the people of Newry & Mourne and surrounding areas unacceptably had no nearby alternative ED to go to for either Covid or non-Covid Emergencies.  Adults and children alike, requiring  any emergency care which needs immediate attention are now having their LIVES PUT IN DANGER because the Southern Trust are refusing to provide treatment in Daisy Hill ED now or in the future.

TAKE YOUR PICK

In direct comparison, Craigavon population has many alternative EDs to go WITHIN HALF HOURS MOTORWAY JOURNEY AWAY .They are as follows: The Royal (NI Regional Hospital), Royal Hospital for Sick Children, The Mater (NI Covid Centre), the Ulster, the City (formerly Covid Nightingale Hospital), Antrim Hospital, and Lisburn Hospital.

Official statistics, as presented by NISRA must determine where Specialist acute Hospitals are located in NI.

>REASON 3: POPULATION STATS:
Newry & Mourne has been 4th highest locality population in NI since pre 1972 and is projected to be 3rd highest population in NI by 2023. Since the Southern Trust was established in 2007 Newry & Mourne has always been the largest of the 5 localities in the Southern Trust – with greatest need and THIS CAN BE IGNORED NO LONGER. In 2019 Newry & Mourne has the 3rd highest number of births in NI.  This all can be confirmed by official NISRA stats.

>WHO CAN I EMAIL?

1. Representatives (Councillors, MLA’s and MPs).

2. Public Authorities (Public servants – Dept of Health, Health Trusts)

3. Others in your area who you may think of yourself e.g. Charities, community groups, business leaders etc

>Join Us please and WRITE FOR YOUR RIGHTS!

Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

Updates available on : https://www.facebook.com/daisyhillforlife/ Please like or follow the page to support. Thank you

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2021.

Draft letters + Contact List to seek support for Daisy Hill ED in Newry June 2020

People power through Consultations -Based on demographics Daisy Hill Acute Hospital, Newry should be confirmed as a location for a Hyperacute and Acute Stroke Unit

Two Draft Letter/Emails re Restoration of Daisy Hill ED June 2020 for those who wish to write to their MP, MLAs or Councillor or other Stakeholders regarding the Southern Trust – June 2020 Rebuild Plan is available by clicking on the blue links below:

Version1-Email-re-Daisy-Hill-acute-Hospital  or    Version2-Email-re-Daisy-hill-acute-Hospital           

for you to download and type on (or print off if you want to post it). After downloading save the File with a new name if you intend to attach it to an Email. Edit as you please and remember to add your NAME and ADDRESS (or Email Address) so they know it is a genuine letter.

Links to Contact Lists:

 

 

What is the Southern Trust Rebuild Plan? (June 2020)

More information on why these Plans are concerning for those who use Daisy Hill Acute Hospital is available here  from the Daisy Hill for life post:  Southern Trust Plan to Keep Daisy Hill ED closed and Retain 3EDs for Craigavon

Dept. of Health ‘Rebuilding Health and Social Care’ Framework docs show services provided during COVID by each of the 5 Health Trusts, and more importantly Plans on how the Health Trusts propose to both Restore and scale back services following the easing of COVID 19.

The Plans each Trust have for Rebuilding HSC Services can be found at:

https://www.health-ni.gov.uk/publications/rebuilding-hsc-services

This letter is to support the view that all Acute and Emergency services and valuable staff transferred to Craigavon Hospital should be restored to Newry IMMEDIATELY, without delay.

If you agree please contact all your local representatives, Councillors, MLA’s and MP’s.  They are all in a position as stakeholders to represent our views in relation to the future Rebuilding of Health and Social Care services at a NI and local level and putting forward the case for restoration, and expansion of ED, inpatient bed capacity and Acute and unscheduled health care services in Daisy Hill acute Hospital, Newry.

Please use your phone to speak up for Daisy Hill Acute Hospital

 

MORE CONTACT INFO & LINKS

Contact List for MLAs & MPs for Constituencies of Newry & Armagh/ South Down (14.06.2020)

Contact List to Download:  Contact List MLAs, MPs for Newry+Armagh_ South Down 16.06.2020

This contact list is based on information as listed on the NI Assembly Portal page and other sources such as MLA’s Facebook pages or political party websites. Despite attempts to be as accurate as possible, if there is any information which is not up-to-date – apologies. (MLAs are listed in alphabetical order.)

Newry & Armagh MLAs

  1. Cathal Boylan (Sinn Féin)
  2. William Irwin (DUP)
  3. Liz Kimmins (Sinn Féin)
  4. Justin McNulty (SDLP)
  5. Conor Murphy (Sinn Féin)

Cathal Boylan MLA  (Sinn Féin);

Email: cathal.boylan@mla.niassembly.gov.uk

Constituency Address: Thomas Street, Armagh, BT61 7QB;

Phone: 02837511797

William Irwin MLA (DUP)

Email: william.irwin@mla.niassembly.gov.uk

Constituency Address: 18 Main Street, Rich Hill, BT61 9PW; Phone: 028 38870500;

Liz Kimmins MLA (Sinn Féin)

Try Email as listed on MLA’s facebook profile, Email: lizkimminssf@gmail.com or Newry & Armagh Sinn Fein Email address: sfcrossmaglen@gmail.com

(No Email listed on AIMS portal)

Parliamentary Address: Room 260, Parliament Buildings, Ballymiscaw, Stormont, Belfast, BT4 3XX

Constituency address details unknown; Phone: 028 3026 1693

Justin McNulty MLA (SDLP)

 Email: justin.mcnulty@mla.niassembly.gov.uk

Constituency Address: Trevor Hill, Newry, BT34 1DN Phone: 02830267933 or 028 37526800

Conor Murphy  MLA (Sinn Féin)

Email: conor.murphy@mla.niassembly.gov.uk

Constituency Address: Newry Street, Crossmaglen, BT35 9JH; Phone: 02830861948

MP for Newry & Armagh : Mickey Brady (Sinn Féin) Kilmorey Terrace, Patrick Street, Ballinlare, Newry, BT35 8DW; Phone: 02830 261693; Email: mickey.brady28@gmail.com

SOUTH DOWN MLAs

  1. Sinéad Bradley (SDLP)
  2. Sinéad Ennis (Sinn Féin)
  3. Colin McGrath (SDLP)
  4. Emma Rogan (Sinn Féin)
  5. Jim Wells (DUP)
  • Sinéad Bradley (SDLP)

Email: sinead.bradley@mla.niassembly.gov.uk

Constituency Address:  11-14 NEWRY STREET, RINGMACKILROY, WARRENPOINT, BT34 3JZ; Phone: 028 41754000

  • Sinéad Ennis (Sinn Féin)

Email: Sinead.Ennis@mla.niassembly.gov.uk

Constituency Address: SRÁID NA BANRIONA, WARRENPOINT, BT34 3HZ ; Phone 02841754448

  • Colin McGrath (SDLP)

Email: colin.mcgrath@mla.niassembly.gov.uk

Constituency Address : MAIN STREET, NEWCASTLE, BT330AE; Phone 02843798350

  • Emma Rogan (Sinn Féin)

Try Email: sinnfeindownpatrick@yahoo.ie  (No Email listed on AIMS portal)

Constituency Address : 64 St Patrick’s Avenue, Downpatrick, BT30 6ND; Phone: 028 44614405

  • Jim Wells (DUP)

Email: jim.wells@mla.niassembly.gov.uk

Constituency Address : Bridge Street, Kilkeel, BT344AD,

Phone: 02841769900

MP for South Down:

Christopher Hazzard (Sinn Féin)

Constituency Address 64 St Patrick’s Avenue, Downpatrick, BT30 6ND; Phone: 028 44614405;

Email: chrishazzardsf@gmail.com

Newry Mourne and Down Council Contacts

https://www.newrymournedown.org/your-councillors

LINKS AND FURTHER INFO

Government Official Links

Northern Ireland Assembly: AIMs Portal: http://aims.niassembly.gov.uk/mlas/search.aspx

UK Parliament Website: https://members.parliament.uk/

Other Useful Links

WriteToThem.com

Newry& Armagh search on WriteToThem: https://www.writetothem.com/who?pc=BT342PF&fyr_extref=https%3A%2F%2Fdemocracy.warwickshire.gov.uk%2FmgFindMember.aspx

South Down Search search on WriteToThem:  https://www.writetothem.com/who?pc=BT358QS&fyr_extref=https%3A%2F%2Ft.co%2Fe3BAO1Sagu%3Famp%3D1

https://members.parliament.uk/

Daisy Hill Acute Hospital Emergency Department serves the entire area of Newry and Mourne and South Armagh the largest popultation in the Southern Trust

Updates available on : https://www.facebook.com/daisyhillforlife/ Please like or follow the page to support. Thank you

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2021.

NI Stroke Consultation: Call for Dept. of Health to Assess for Population Health and Rural Needs as Next phase of Work

NI Stroke Consultation -Call for Dept. of Health to Assess for population health and Rural Needs

Dept.of Health NI have stated in Hospital Reconfiguration Update Nov 2019 that 19,000 responses were submitted to NI ‘Reshaping Stroke Care’ Centralisation proposals and 4,500 responses received on proposed centralisation of NI Reshaping Breast Assessment Services.

The Department’s plans to proceed after these two consultations differ radically with a plan to carry out a Population Health Needs Assessment for BREAST ASSESSMENT but NOT FOR STROKE SERVICES.

The two statements on (1) Stroke and (2) Breast Assessment services appear below.
(1) Statement on ‘Reshaping Stroke Care’ services:

“A consultation on improving stroke services to improve outcomes launched in March 2019. The consultation document set out seven commitments to improve stroke care across the stroke pathway, alongside six potential options for the establishment of a hyperacute stroke network in Northern Ireland.
19,000 consultation responses were received. The Department is currently analysing consultation responses to inform the development of a preferred model for stroke care.”

Dept. of Health NI (DoH) 2019 Hospital Reconfiguration Update

(2) Statement on ‘Reshaping Breast Assessment Services’ :
“A consultation on proposals to improve breast assessment services ran from 25 March to 30 August 2019.
Over 4,500 responses have been received. The Department is currently analysing all responses. This will help to inform the next phase of work to review breast cancer treatment services which is commencing with a Population Needs Assessment. Further details will be announced in the weeks ahead.

Dept. of Health NI (DoH) 2019 Hospital Reconfiguration Update
Official statistics, as presented by NISRA must determine where Specialist acute Hospitals are located in NI.

POPULATION HEALTH NEEDS ASSESSMENT VITAL FOR BOTH STROKE SERVICES AND BREAST CANCER SERVICES.

The Department’s plan to carry out a “Population Health Needs Assessment” for Breast Cancer services as a next phase of work is a good proposal, but where is the plan to carry out a Population Health Needs Assessment for specialist emergency, inpatient, outpatient and rehabilitation treatment for Stroke Services covering the complete stroke pathway – across NI? THERE HAS NEVER BEEN ONE.

A failure to carry out accurate Population Needs Assessments for health services is a recurring theme in the Southern Trust area – NO NEEDS ASSESSMENT WAS UNDERTAKEN as part of the SOUTHERN TRUST STROKE CONSULTATION in 2014.

Despite this, the 2016 Full Bengoa Expert Panel Report used the controversial proposed removal of Specialist Acute Stroke services, and its specialist Acute Stroke staff, from Daisy Hill acute Hospital in Newry as the prime local Case Study for Centralising Stroke Services in NI.

The full Bengoa Report inappropriately promoted (quote below) the choice of Craigavon Hospital for a Specialist Stroke Unit, singled out ahead of all other NI hospitals, and WITH NO NEEDS ASSESSMENT.

This was proposed to make sure that Craigavon could have a 24/7 specialist Stroke Centre leaving Daisy Hill Newry without its existing life saving combined specialist Acute Rehabilitation Stroke Unit and its valuable specialist stroke staff.

“In 2014…, a decision was taken to create a single specialist stroke inpatient unit within the Southern Health and Social Care Trust, at Craigavon Area Hospital. The Trust is proposing to provide a consistent and specialist service 24/7 in one centre rather than spreading the specialist team of staff across four sites. Daisy Hill Hospital will continue to provide ongoing rehabilitation and support through community stroke teams working to a regionally agreed care model.”

Bengoa Expert Panel 2016 (Full Report) (pg 72/ 73).

WHY ASSESS NEED?

Population Needs Assessments are widely recognised as a statutory requirement for health commissioning across the UK to ensure fairness and to reduce inequalities. A Needs Assessment is absolutely vital to ensure that immediate access to stroke services is available for all NI stroke patients – not just those attending hospitals confirmed in all six options in the urban areas of in and around Belfast namely the Royal, Craigavon and Altnagelvin.

POPULATION NEEDS ASSESSMENT DATA MUST USE OFFICIAL NISRA STATISTICS

This Needs Assessment must be undertaken using accurate NISRA Local Government Districts Demographics – not by using (1) imaginary theoretical demand of 600 stroke patients to certain hospitals or (2) Integrated Care Partnerships (which vary across local government districts).

Neither is an accurate statistical representation of the POPULATION health needs of an area.

New investment in acute specialist hospital services, hospital beds and specialist medical staff is due in the Newry & Mourne area, in Daisy Hill Acute Hospital, including in the Emergency Department.

DEPT. OF HEALTH N.I. ARE FAILING TO ADDRESS THE HEALTH NEEDS OF NEWRY & MOURNE POPULATION

(1) Newry & Mourne LGD is consistently the HIGHEST POPULATION IN THE SOUTHERN TRUST OPERATIONAL AREA

(2) Newry & Mourne LGD is consistently the 4TH HIGHEST POPULATION IN NI -SINCE c1972

Newry and Mourne locality has always been the largest population of the 5 localities (LGDs) in the Southern Trust and must have investment for a Specialist Acute Hospital.

The DOH, PHA, HSCB and Commissioners need to take action to assess Population Health Needs and provide services for Newry & Mourne former LGD , (which includes South Armagh) both as:

(1) Newry & Mourne has been the consistently largest local government district that remains in the operational area of the Southern Trust since its inception in 2007. NISRA demographics confirm this.

Latest official population stats for the 5 LGDs in the operational area of the Southern Trust

(1)Newry & Mourne ( 105,693*); (2) Craigavon ( 101,489*); (3)Armagh(62,976*) (4) Dungannon (62,666*) and (5) Banbridge (50,717*) [ [2018* NISRA]. This has been consistently ignored by the Southern Trust since they came into operation in 2007.

(2) Newry &Mourne LGD has always been the 4th highest LGD population in NI since 1972 (for nearly 50 years) after only Belfast, Lisburn (Greater Belfast ) and Derry.

(3) NISRA demographics confirm the Newry & Mourne population is projected to be the 3rd HIGHEST LGD POPULATION IN THE WHOLE OF NI BY 2023 with 110,090 population after only (1st)Belfast (289,130) and (2nd) Lisburn (Greater Belfast): 133,106. Derry is projected to be the 4th highest population in NI with 110,028 (NISRA).

These demographics were not considered in the ‘Reshaping Stroke Care’ Consultation or by the Southern Trust. A population Health Needs Assessment using accurate statistics will show the DoH the population health needs within Newry & Mourne, including needs for specialist stroke services.

A Population Health Needs Assessment (at local Government District Level) using accurate NISRA demographics will show quite clearly the continued need for specialist Stroke staff in Daisy Hill acute Hospital combined Stroke Unit, in order to provide time crucial emergency, acute and rehabilitation stroke care for the Newry & Mourne population and further afield within the same time frame as in urban areas in NI.

Centralisation of stroke services to one area in Craigavon will not provide safe stroke care in Newry & Mourne and will cost lives.

Act FAST Stroke - HyperAcute Stroke Unit for Newry 2019

PHASE OF WORK REQUESTED:

CALL FOR THE DOH, PHA, HSCB and COMMISSIONERS TO:

1. Conduct a Full Population Health Needs Assessment at individual Local Government District level (not at Trust level) using official NISRA Statistics – not Administrative stats such as Integrated Care Partnerships or theoretical modelled hospital demand.
2. Carry out Full Rural Impact Assessment (Rural Needs Act 2016)
3. Carry out an Environmental Impact Assessment to assess the Carbon Footprint implications of Centralisation
Then
4. Rewrite the Stroke Consultation and Stroke Options following these assessments, based on population needs, along with the Consultation Responses.

WHY THE STROKE OPTIONS NEED TO BE RE-WRITTEN

Under “Change or Withdrawal of services” – ALL 8 existing specialist Acute Stroke Units (including Daisy Hill, Newry combined specialist Acute Stroke Rehabilitation Unit) , NOT JUST 6 STROKE UNITS are entitled to be included in an NI wide consultation questionnaire options for upgrading to Hyperacute stroke units and retained as Acute Stroke Units.

The finally selected options must ensure immediate access to Emergency and inpatient specialist stroke Care in a fair and regionally balanced way across NI

>>>>>BACKGROUND

Dept. of Health NI latest Update to NI 2019 ‘Reshaping Stroke Care’ Consultation can be seen at the following link:
https://www.health-ni.gov.uk/hrn-newsletter-edition1

For Bengoa Report: Systems not Structures: Changing Health & Social Care (FULL REPORT) (link Below) See pages 72/73
https://www.health-ni.gov.uk/topics/health-policy/systems-not-structures-changing-health-and-social-care

You can follow the Daisy Hill Acute Hospital campaign also by visiting and liking our Facebook page where you will find current information at https://www.facebook.com/daisyhillforlife/ – Thank you.

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2021. We welcome sharing of this info and the use of excerpts and links, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

Another Call to Action for the Specialist Stroke Unit in Newry: Write for your rights!

Suggested Answers to the RSC Consultation NOW AVAILABLE – including the Extra 5 Equality, Human Rights & Rural impact Questions

As the 2019 Stroke Consultation Deadline is Fri 30th August, Daisy Hill’s campaign for Hyperacute Stroke Unit status continues, with a renewed call for action for the people of Newry & Mourne, South Armagh,  South Down and surrounding areas.

Based on demographics Daisy Hill Acute Hospital, Newry should be confirmed as a location for a Hyperacute and Acute Stroke Unit – so Suggested Answers to Reshaping Stroke Care are now ready to Download for sending back to the Department.

If you want to help but haven’t submitted any Response to the Consultation, OR if you have already signed a Support Our Stroke Services Questionnaire and need to answer the Equality Questions, both documents are available below.

1. For those YET TO REPLY to Re-shaping Stroke Care 2019 Consultation

ALL Questions Suggested Answers Version 1 (Complete Questionnaire)  is available to download and save as a new filename from this Link: All Qs Answers Reshaping Stroke Care questionnaire

OR

2. For Those who have Responded to the first Questions but not the EQUALITY\ RURAL IMPACT QUESTIONS in Reshaping Stroke Care 2019

5 EQUALITY Q’s ONLY Questionnaire is available to download and save as a new Filename from this link: 5 Equality Qs answers Reshaping Stroke Care Questionnaire

These Suggested answers are already typed onto the RSC Questionnaire in Word Format for easy access for you to download and read.  

The Answers are only intended to be a Guide for your own Answers – but if you agree with these and find it useful and time-saving– you can use all or part of the content.  You can type changes directly onto the Questionnaire, (adding or delete as you wish!) It is recommended that you do make some changes so they are not all identical. Please remember to add your name/address/email address too.

After Downloading, please remember to ‘Save As’ and Give the document a new filename – perhaps adding your Initials or Surname. For e.g. RSC_Questionaire_All_JSmith_2019

The Original RSC blank Questionnaire is available from the Department of Health NI website :  https://www.health-ni.gov.uk/reshaping-stroke-care . Click on ‘Reshaping Stroke Questionnaire’(Word doc) and save.

DIFFERENT WAYS TO RESPOND  

(1) EMAIL: Email your Questionnaire \answers to the Department of Health at:  StrokeConsultation@health-ni.gov.uk

(2) ONLINE: You can copy and paste some or all the Reshaping Stroke Care ‘suggested answers’ plus add your own comments onto the online questionnaire at:

https://consultations.nidirect.gov.uk/doh-healthcare-policy-group/reshaping-stroke-care-saving-lives-reducing-disabi/consultation/intro/

(3) BY POST (using First Class Stamp) post (before 4.30pm Wednesday 28th August 2019 at the latest) to:                

Reshaping Stroke Care, Hospital Services Reform, Department of Health, Annexe 3, Castle Buildings, Stormont Estate, Belfast BT4 3SQ    

If you know people that would like to respond to the Consultation, that do not have a computer or do not wish to respond online, forms are available from the Department of Health.

To get a form posted to you: Phone (028) 9076 5643 and ask for a RESHAPING STROKE CARE Consultation Questionnaire. It is advisable to do this as soon as possible as All Responses must be received by the DOH before the Deadline of Friday 30th August 2019 @5pm.

All the Consultation Documents (including the Questionnaire Form are available online at   https://www.health-ni.gov.uk/reshaping-stroke-care

IMPORTANT INFORMATION

THIS ACTION IS TO FURTHER SUPPLEMENT THE EXCELLENT WORK ALREADY DONE BY SUPPORT OUR STROKE SERVICES COMMITTEE

As you know, another Campaign Group, Support Our Stroke Services Committee organised Community Outreach events over the summer in Shops, Shopping Centres and local places to encourage people to sign Questions from the Online Questionnaire.  These Questionnaires supported the community goal to ensure that Daisy Hill Acute Hospital both retains its acute specialist Stroke Unit and is elevated to a Specialist Centre with Hyperacute Stroke Unit.

Many thousands signed these Consultation Questions up to the Alternative Option Question, but answering the remaining Equality & Human Rights Questions is an absolutely vital part of this whole process.

The flawed Department of Health Consultation Questionnaire prevented access to the Equality Questions previously, as these Questions could only be reached once you had selected one of the Options and every one of them excludes Daisy Hill Hospital.

Now with the Extended deadline – we have the opportunity to supplement the ‘Support Our Stroke Services’ Committee facilitated Questionnaires by submitting the rest of the 5 Equality Questions to support the need for a Hyperacute Stroke Unit in Daisy Hill, Newry.

The people from Newry & Mourne, South Armagh,  South Down and surrounding areas, still stand together to challenge the flawed Consultation document which deliberately excluded Daisy Hill’s specialist combined Acute Stroke Rehabilitation Unit from the proposed Options in Reshaping Stroke Care, but every-one of us need to continue to put the case in writing.

STILL NEED CONVINCING?

Time is Brain - Urban and Rural -None of the Options in the NI Stroke Consultattion are best for all of NI. Every minute matters during a stroke says London Stroke Strategy.

The DoH states that the proposals will have MINOR IMPACT in NI. This is not the case in Newry & Mourne, Down and South Armagh area where there will be MAJOR IMPACT on the lives of stroke patients.

There will be removal of scanning, administration of the crucially time dependant clot-busting drug Alteplase and removal of direct access into a specialist acute stroke rehabilitation unit from Daisy Hill acute Hospital as if it never existed.

This includes losing existing direct access to the Royal for Thrombectomy from Daisy Hill Hospital.

Your life could depend on it.

We must challenge the Department of Health by answering this Consultation – The more the better to get the message through loud and clear. We can do it with YOUR help.

WE CAN DO THIS TOGETHER !

Thank you.

Daisy-Hill-still-needs-you!-call-to-action-for-the-specialist-stroke-unit-in-Newry

For background information on the 2019 NI stroke Consultation document – please see the following post:

https://savedaisyhillhospital.com/2019/05/05/ni-stroke-consultation-2019-overview/

You can follow the Daisy Hill Acute Hospital campaign also by visiting and liking our Facebook page where you will find current information at https://www.facebook.com/daisyhillforlife/ – Thank you.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2019. Thank-you!

Urgent Message to HSCNI: Retain Emergency Stroke Services in Newry Now

Urgent Message to the HSCNI: Retain Emergency Stroke Services in Newry Now (Re: NI stroke Consultation 2019) As Trusted Clinicians confirmed scanning and thrombolysis would remain in Daisy Hill Hospital, Newry city.

There is plenty of Clinical evidence in support of the combined Acute Stroke/Rehabilitation Unit at Daisy Hill Acute Hospital, Newry. Multiple official quotes show that Clinicians, Directors, Chief Executive and the Health Minister in 2014, spoke in favour of keeping all emergency Stroke Services, especially scanning and Thrombolysis (Alteplase – clot busting drugs treatment) in Daisy Hill Hospital.

This evidence from the Southern Trust Stroke Consultation in 2014 is relevant today as Stroke Services in the Southern Trust was used as a local case study in the Bengoa Expert Panel report (2016, p72). This Bengoa Report continues to inform Health Policy in 2019.

The 2014 Consultation questionnaire itself and clinician’s statements made it very clear that emergency services for stroke – Scanning and Thrombolysis would always be in Daisy Hill Hospital. This was reiterated by more official statements in press, minutes and meetings in 2014/15.

Now fast forward to 2019, the people of Newry & Mourne discover that in the latest NI wide Stroke Consultation, the Emergency services for stroke (Scanning and Thrombolysis), that Trusted clinicians had assured them would remain, are proposed for removal from Newry too.
Secondly Daisy Hill Hospital, Newry is completely excluded from the Stroke consultation Options and Questionnaire.

We will not accept this – and we ask the Permanent Secretary to deliver on his promised statement:

“to do better, for the public we serve”

(Source: Department of Health Blog 05.04.2019)

>This urgent message to the HSC Northern Ireland, is to ask them to publicly explain their actions for the proposed Change or Withdrawal of Services from Daisy Hill, Newry – one of the designated acute hospitals in Northern Ireland with 24/7 emergency services.

We urgently request the Health Social Care Northern Ireland (HSCNI) to take action to Retain Emergency Stroke Services in Newry Now.

We need to appeal for Emergency Care for the dying and vulnerable in our society.

Act FAST Stroke - HyperAcute Stroke Unit for Newry 2019

CLINICAL EVIDENCE QUOTE EXAMPLES – supporting Emergency Stroke Care at Daisy Hill Hospital, Newry

Example 1:

“The Southern Local Commissioning Group supported the proposal to retain thrombolysis on both Craigavon and Daisy Hill Hospital sites, given the need to ensure that for those patients who are suitable for this procedure, they receive it within the optimum time.”

(Source: Appendix 1, Southern Local Commissioning Group, March 2015)

Example 2:

“We are proposing that patients who have had a stroke will continue to go to their nearest Emergency department, at Daisy Hill or Craigavon, where they will receive the appropriate specialist assessment. Stroke Thrombolysis, the clot busting drug, can be provided at both sites to the patients who are suitable. This is the same immediate and urgent access to emergency care that patients experience at present.”

(Source: Southern Trust Chief Executive, M. McAlinden, at a meeting with the Newry & Mourne Council representatives, in the presence of senior medical staff and Directors, ‘Chief Executive meets with Newry and Mourne Council Representatives’ Southern Trust Website 21/10/2014)

BACKGROUND
The 2014 decision by the Southern Trust to create a single specialist stroke inpatient unit in Craigavon was widely contested by the people and the Council of the largest locality in the southern Trust – Newry & Mourne. The high performing stroke unit, on Level 6, Daisy Hill Hospital, Newry was the only existing Specialist Acute Stroke Rehabilitation Unit in the Southern Trust.

Newry and Mourne population Rally for enhanced Stroke services at Daisy Hill Acute Hospital in 2015
2015 Rally to Save Stroke Services at Daisy Hill Hospital, Newry was attended by over 10,000.

This appeal for Emergency Care for the dying and vulnerable in our society continues in 2020, so we urgently request the HSCNI to take action to Retain Emergency Stroke Services in Newry Now.

Please share widely if you agree. You can follow the Daisy Hill Acute Hospital campaign also by visiting and liking our Facebook page at https://www.facebook.com/daisyhillforlife/ – Thank you.

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