Tag Archives: CT scanner

12.16.18
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2 NEW CT SCANNERS required NOW for Daisy Hill Acute Hospital ED

2 CT Scanners for Daisy Hill Hospital Newry city now

The Southern Trust needs to act at once to provide 2 CT Scanners as part of the VITAL diagnostic imaging services in Daisy Hill Acute Hospital, Newry city to meet their statutory duty of care and honour the promises they made in official statements (during the 2014 Stroke Consultation).

It is imperative that a NEW permanent replacement CT scanner and a second NEW CT scanner get Commissioner Approval and are installed AT ONCE in Daisy Hill Acute Hospital to give access to life saving DIAGNOSTIC treatment to save the lives of stroke and heart patients and for other medical emergencies.

IMAGING REVIEW

The Imaging Review Consultation stated the need FOR TWO CT scanners in 24/7 Emergency Departments to ensure resilience when one scanner breaks down so that another one is readily available – when patients URGENTLY need a CT scan.

Every second counts in getting a CT scan to save patients lives and give better outcomes for stroke and heart and other critical medical conditions.

CT SCANNING NEEDED TO CONFIRM TYPE OF STROKE – whether bleed or clot.

computer-tomography-image - CT scanner for Daisy Hill Hospital 2018

 

Major research into the Stroke pathway confirms the importance of diagnostic CT scanning to eliminate brain bleed for suitability for thrombolysis.

The Southern Trust needs to use the same urgent priority planning to address the needs for provision of imaging services for the Newry & Mourne population (the largest locality population in the Southern Trust), as well as addressing the needs of the Craigavon population, which has only the second largest Locality population in the Southern Trust.

In Craigavon, as the Trust Delivery Plan shows, advanced plans are already in place, with Commissioner Approval, for 2 NEW CT scanners, a new twin CT screening room and 1 more NEW MRI scanner. (Two NEW MRI scanners were already installed in Craigavon Hospital in 2014 and 2015).

REFRESH SOUTHERN TRUST IMAGING PLANS

The promises made in a series of official statements, three of which are detailed below, cannot be honoured by the Southern Trust without the provision of continuous CT scanning facilities in Daisy Hill ED, Newry City.

These promises can only be kept if the Southern Trust plan well in advance for replacement CT scanners so that the 7 year Royal College of Radiologists (RCR) recommended replacement timescale for functional life of a CT scanner is adhered to in Daisy Hill, in the same urgent manner as imaging services are planned for in Craigavon Hospital.

The Southern Trust’s IMAGING Plans must be refreshed to change the designated “non priority” for replacement of Daisy Hill’s existing CT scanner to “CAPITAL PRIORITY” and for a second new CT Scanner also as a “Capital Priority.”

The following promises were made by Southern Trust Personnel in Documents as listed below:

>STATEMENT 1:

‘STROKE CARE PROMISE’ (Newry Reporter: 27/08/2014)

“Emergency Treatment (for Stroke) will always be around the clock. If a clot busting drug is required, ….we aim to deliver a door to needle time of 60 minutes INCLUDING A CT SCAN PROVIDED AT BOTH HOSPITALS.”

(Southern Trust Director of Acute Services, Newry Reporter: 27 Aug 2014, Front page p 1, p 4)

>STATEMENT 2:

“Patients who have suffered a stroke will always get IMMEDIATE DIAGNOSIS and emergency treatment, including thrombolysis AT BOTH of our Emergency Departments in Daisy Hill Hospital and Craigavon Area Hospital. This will ensure we can continue to achieve a ‘door to needle’ time of 60 minutes for thrombolysis.”

(Southern Trust Stroke Consultation Document, p.14, June 2014)

>STATEMENT 3:

“People with symptoms of stroke are always taken first to the Emergency Department in either Daisy Hill Hospital or Craigavon Area Hospital for ASSESSMENT and treatment and our proposals would NOT change this”.

(Chief Executive of the Southern Health Trust, Launch of the Stroke Consultation, Southern Trust Press release 19/06/2014.)

CALL FOR ACTION FROM SOUTHERN TRUST NOW

A NEW permanent replacement CT scanner and a second NEW CT scanner must now be a CAPITAL PRIORITY, get Commissioner Approval, and be installed immediately in Daisy Hill Acute Hospital to give access to life saving DIAGNOSTIC treatment to save the lives of stroke and heart patients and for other medical emergencies.

Investment in CT and MRI scanners essential for Daisy Hill Acute Hospital, Newry City.

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10.13.18
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CAPITAL PRIORITIES FOR HOSPITAL CT and MRI SCANNERS IN DAISY HILL AND CRAIGAVON HOSPITALS OUTLINED

Hospital scanner

The urgent need for MRI and CT scanning equipment in Daisy Hill Acute Hospital, Newry for now and the future, was pointed out by many people in responses to the Draft Consultation called ‘Strategic Framework for Imaging Services in Health and Social Care’, (which closed in January 2018.)

The Department of Health NI has published the Final Framework and Summary of Responses documents on their website. (Links are available below)

WAITING LISTS GROW IN THE SOUTHERN TRUST

 

As demand for diagnostic MRI and CT scans in the Southern Trust area increases, this need for more imaging equipment becomes more urgent.

Of the 5 Health Trusts in Northern Ireland – the Southern Trust had the HIGHEST number of people (26,383) on the URGENT Waiting list in need of CT diagnostic scanning, out of 34,137 people waiting for CT scans in the Southern Trust. (for the period 31st July 2017 – 30th June 2018).

The Southern Trust also had the 2nd highest number of people in NI on the URGENT waiting list for diagnostic MRI scans during the same period (9,419 people).

Providing extra CT and MRI scanners in Daisy Hill Acute Hospital, Newry – in the largest locality in the Southern Trust would improve these waiting lists.

However there is NO CAPITAL INVESTMENT PROPOSED as a PRIORITY for the replacement of the eight year old CT Scanner, or new MRI and CT scanners in DAISY HILL ACUTE HOSPITAL (for 2014 to 2022).

Source: Imaging Review Equipment Management Document, see pg 31/32 table extract shown below *

 

Extracts from this document show plans for proposed CT/MRI Scanning Equipment Investment (2014 – 2022) and the level of priority the Trust assigns it.

New/Replacement equipment is NOT a TRUST PRIORITY for DAISY HILL Acute Hospital, Newry City.

Trust Priority         EQUIPMENT                 £ Est. Cost

NOT A PRIORITY;  MRI SCANNER Daisy Hill  £500k  for 2016/17

NOT A PRIORITY;  CT SCANNER Daisy Hill    £500k  for 2016/17

In the same period, the Trust assigns Priority 1, 2, 3 (2014 – 2022) for CT/MRI equipment for CRAIGAVON Hospital at a TOTAL COST of nearly £4.5 MILLION

Trust Priority         EQUIPMENT                £ Est. Cost

PRIORITY 1;          2ND NEW CT Scanner    £2 million       for 2015 /16
PRIORITY 2;          2ND MRI Scanner          £1.5 million    for 2014/15
PRIORITY 3;          UPGRADE CT Scanner    £495K            for  2015/16
PRIORITY 3;          UPGRADE CT Scanner    £500K            for 2021/22

Trust priority 1, 2, 3 (2014 – 2022) for CRAIGAVON > TOTAL COST nearly £4.5 MILLION

(Source: Imaging Review Equipment Management Document, see pg 31/32 table)

Investment in CT and MRI scanners essential for Daisy Hill Acute Hospital, Newry City, in the largest locality in the southern Trust area.

£62.8 MILLION PROPOSED INVESTMENT FUNDING 2014/15 – 2022 FOR IMAGING EQUIPMENT IN NI

Under the ‘Proposed Major Equipment Investment Programme’ (see Annex D Equipment Management Document) – all five Health Trusts in NI have asked for a total of £62.8 million from the Department of Health for New and Replacement of major imaging equipment (from 2014/15 to 2022) under Royal College of Radiologists guidelines.

The Trust have asked for nearly £4.5 million of this proposed Investment as a Trust Priority for CT and MRI scanning equipment for Craigavon only between 2014 to 2022.

One proposed new CT scanner in Craigavon Hospital for 2015/16 (Trust Priority 1) was itemised to cost £2million, this is enough money to pay for one Necessary MRI scanner as well as 1 Vital CT scanner in Daisy Hill Acute Hospital, Newry City.

Daisy Hill Hospital is not even down as a Trust Priority to get a REPLACEMENT CT scanner (to replace the CT scanner which was installed in 2010) even though the Royal College of Radiologist guidelines should be adhered to.

DEMOGRAPHICS (population)

Using the latest population estimates (June 2017), Newry & Mourne Locality has the largest Local population (105,161) of the five former Local Government Districts of Newry & Mourne, Banbridge, Dungannon, Armagh and Craigavon in the operational area of the Southern Trust.

Daisy Hill Acute Hospital, Newry city should currently have at least TWO NEW diagnostic MRI and 2 NEW CT scanners, plus a NEW MOBILE SCANNER and NEW SCREENING ROOMS, as in Craigavon Local Government District (which always had a smaller Local Government District or Locality population.)

Do you agree? If so, please continue to speak up for Daisy Hill. Continued support from the Community, Politicians, Individuals, Trade Unions and businesses on this issue is URGENTLY NEEDED NOW.

Daisy Hill Acute Hospital for Life, Daisy Hill acute hospital, Newry city.

BACKGROUND INFO & LINKS

Links to the Strategic Framework for Imaging Services in Health and Social Care Consultation documents referred to in this article are below:

*Link to Imaging Review Equipment Management doc –  https://www.health-ni.gov.uk/sites/default/files/consultations/health/Imaging%20Review%20%20Equipment%20Management%20pdf.pdf  (See pages 31 -32 for Southern Trust planned Investment including Daisy Hill Hospital)

https://www.health-ni.gov.uk/sites/default/files/publications/health/IR-responses.pdf

https://www.health-ni.gov.uk/publications/strategic-framework-imaging-services-health-and-social-care

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

Daisy Hill Acute Hospital, Newry City

01.21.18
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PROPOSE FUTURE INVESTMENT FOR VITAL SCANNING EQUIPMENT FOR DAISY HILL HOSPITAL TODAY

MRI scanner for Daisy Hill Acute Hospital Newry in 2018Can you please help ensure that Daisy Hill Acute Hospital is included in the Department of Health’s Investment Plan for vital diagnostic equipment like MRI and CT scanners by sending in an EMAIL to the latest consultation, due in Mon 22 Jan by 5pm?

To save time, you can just send an email, with this suggested answer.

Please email your response to: Email: ImagingReviewConsultation@health-ni.gov.uk along with your NAME and ADDRESS:

Suggested answer below to copy and paste, (of course – you can alter as you wish, or write your own.) Please add your name and address, underneath Yours Sincerely at the end of your letter. Thank you!

SUGGESTED ANSWER

‘Dear Imaging Review Consultation Secondary Care Directorate

Thank you for the opportunity to give my views on a Strategic Framework for Imaging Services in Health and Social Care.

Investment in all vital Imaging Services and Equipment must be provided for in Daisy Hill Acute Hospital, Newry City.

I propose that Capital Funding for CT scanners, MRI scanners, non obstetric scanners and other vital imaging equipment must be allocated to Daisy Hill Acute Hospital, Newry to ensure that the objectives of ‘increasing capacity to meet future demand and to further improve quality and safety’ are met.

Daisy Hill Acute Hospital, Newry City is in the largest locality in the Southern Trust in Newry & Mourne, and also provides for the wider catchment population which also includes South Armagh and Banbridge. The allocation of funding for imaging equipment investment and replacement planned for the Southern Trust area must include Daisy Hill Acute Hospital.

As the consultation document states – “Timely and accurate imaging plays a vital role in ensuring patients are appropriately diagnosed, treated and monitored.” It is just as vital for Newry City’s Daisy Hill Acute Hospital to give timely access to imaging services for its catchment population –and needs commitment for capital investment now and in the future to achieve this.

The population of Newry & Mourne (29% of which are children) are entitled to safe timely access to medical imaging (scanning) services in Daisy Hill, one of the 10 acute hospitals in NI. This includes access to services such as MRI, CT, non-obstetric ultrasound and X-ray. It also includes, Cardiac Imaging, Paediatric imaging, Ultrasound scanning, and Obstetric scanning in Daisy Hill Acute Hospital.

Newry & Mourne locality – projected to be the 3rd highest population in NI by 2023 (after only Belfast and Lisburn- greater Belfast ) has paid for, needs, and is entitled to equality in provision and forward looking investment and funding for new, up to date major CT and MRI scanning equipment.

Thank you
Yours sincerely

Your Name and address

………………………………………………………

Consultant Doctor examining notes

BACKGROUND INFO AND LINKS

(1) Newry & Mourne has always had the highest population of the 5 localities in the Southern Trust since pre 2008.
(2) Newry & Mourne has always had the highest number of births in the Southern Trust.
(3) Newry & Mourne has always had the highest number of children (under 18) in the Southern Trust.

Thank you.

Full Consultation info and Documents available at:
https://www.health-ni.gov.uk/…/consultation-draft-strategic…

Equipment Management Doc -See pages 31 -32 for Southern Trust planned Investment including Daisy Hill Hospital) (This doc can be downloaded or you can type in required page number 31 in the top left hand corner while still in the browser):
https://www.health-ni.gov.uk/…/Imaging%20Review%20%20Equipm…

The Deadline for responses is Monday 22nd January at 5pm.

 

 

computer-tomography-image - CT scanner for Daisy Hill Hospital 2018

09.24.17
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Time for Health Chiefs to recognise the size and need of the Newry & Mourne locality

The Hospital/ healthcare needs of the Newry & Mourne population must finally be recognised by those who Provide and Commission Services and they need to provide the services IN THE AREA WHERE THEY ARE NEEDED.

This should not be news, as it is obvious to most! But it is news – because those in charge of commissioning these services for Newry & Mourne seem blind to these basic facts.

Newry and Mourne has the highest population and greatest need so must have acute hospital services in Newry and Mourne

Newry & Mourne (one locality or LGD) is projected to have the 3rd highest population in NI by 2023 and has always been (since pre 2008) the largest locality in the Southern Trust, with the GREATEST POPULATION and GREATEST NEED.

Those commissioning health services NOW need to recognise the size of our existing (and growing population) and the lack of capital investment in provision of hospital buildings, acute specialist hospital services, provision of hospital beds and specialist medical staff in the Newry & Mourne area, in Daisy Hill Acute Hospital, including in the Emergency Department.

Investment for Newry & Mourne must be as intensive as investment for Craigavon which has a smaller population.

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.

The PATHFINDER NEEDS ASSESSMENT GROUP must also accept this in the needs assessment which they have sent to the Department of Health.

ASSESSMENT OF NEED MUST BE BASED ON ACCURATE POPULATION STATISTICS

Assessment of need must be based on ACCURATE local government NISRA statistics which show Newry & Mourne with the HIGHEST POPULATION in the Southern Trust.

It should NOT be based on numbers of patients being ADMITTED to Daisy Hill Acute Hospital through the Emergency Department.

These figures do not reflect the need here, rather they reflect the lack of beds in the Emergency Department and medical emergency beds.

The Southern Trust have a duty of care to Emergency and Acute patients to provide enough specialist acute services, medical staff and hospital beds in Daisy Hill Acute Hospital, as they do in Craigavon hospital.

Here are some facts about our area THAT CAN BE IGNORED NO LONGER. >

These facts and figures show the greatest need for provision of Acute specialist Hospital and Emergency Services and outpatients clinics is in Newry & Mourne and South Armagh. These services must be provided in Daisy Hill Acute Hospital, Newry City.

NEWRY & MOURNE LOCALITY (LGD) KEY FACTS

(1) Newry & Mourne is projected to have the 3RD HIGHEST POPULATION IN NI by 2023.

(2) Newry & Mourne has ALWAYS had the highest population of the 5 localities in the Southern Trust since pre 2008.

(3) Newry & Mourne has ALWAYS had THE HIGHEST NUMBER OF BIRTHS in the Southern Trust.

(4) Newry & Mourne has ALWAYS had THE HIGHEST NUMBER OF CHILDREN (under 18) in the Southern Trust.

(5) Newry & Mourne in 2016/17 had the highest number of deaths (of under 75s) in the Southern Trust.

THE LIST GOES ON…

DAISY HILL ACUTE HOSPITAL KEY FACTS

There were 259 emergency caesareans in Daisy Hill in 2016/17.

  • In the same year there were 2,420 children admitted through the Emergency Department as inpatients.
  • There were 11,256 inpatients of all ages admitted to Daisy Hill Hospital in 2016/17 through its Medical Emergency Department.
  • Over 52,000 people attended Daisy Hill Emergency Department last year.

CONCLUSION – TIME TO REDRESS THE BALANCE!

These key facts have NOT been accepted by those whose duty it is to commission and provide services, but NOW IS THE TIME TO REDRESS THE BALANCE – it is time for Newry & Mourne to have its correct share of funding.

Any need assessment must accurately represent Newry & Mourne as the largest population in the Southern Trust with greatest need.

The population of Newry Mourne Locality (which includes South Armagh) need acute specialist hospital services, medical staff and hospital beds NOW in Daisy Hill Acute Hospital, Newry City.

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

Background Info:

ROLE OF HSCB:

The HSCB Health and Social Care Board through the Southern Local Commissioning Group have to ASSESS HEALTH AND HOSPITAL NEEDS of the FIVE localities or Local Government Districts (LGDs) of Newry & Mourne; Craigavon; Dungannon; Banbridge and Armagh under the 2009 Act.

Their job is to ASSESS NEED and TARGET RESOURCES to those local Government District areas (LGDs) WHERE IT IS MOST NEEDED.

The HSCB must understand the health needs and size of our population and identify inequalities in health and access to services here.

Any needs assessment undertaken must identify and ACT ON health needs in the Newry & Mourne Locality (including South Armagh) and provide specialist acute hospital services ( including in the Emergency Department ) in Daisy Hill Acute Hospital, Newry City, to address these inequalities.

Daisy Hill Hospital for Life, Daisy Hill acute hospital, Newry city.

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