Help for your response to: Dept of Health Equality Impact Assessment of 2023-24 Budget Consultation available here

Downloadable Information Sheets with pre-written Response ideas to help answer this Budget Consultation are NOW AVAILABLE – to respond to the Dept of Health’s request for comments to their Equality Assessment of the 2023-24 Budget Outcome

The Department of Health cannot commit one penny of funding towards Health and Social care in Newry & Mourne or at Daisy Hill Hospital unless the Southern Trust asks for it by putting it into their Business Plans and submitting to the Department of Health.

As the Southern Trust have NOT asked or proposed any proper funding for Daisy Hill Hospital, Newry in this Budget – We the people need to speak up and ask instead through this Public Consultation

The 2023-24 Budget EQIA Consultation Deadline is Mon 14th August, so the campaign for fair treatment for Daisy Hill acute Hospital continues, with a renewed call for action for the people of Newry & Mourne, (which includes South Armagh and South Down) and surrounding areas. Please take part and write for your rights.

Based on demographics and other factors, Newry should be confirmed as a location for a new specialised Acute Hospital building so these Response/Comment Sheets to the Equality Assessment of the 2023-24 Budget Outcome are now ready to Download and read for sending responses back to the Department of Health.

To assist you – various information sources including some very good Budget Consultation Responses from the Equality Commission NI and from NI Commissioner for Children and Young People (NICCY) are available from the references section below at the bottom of the article.

What difference will it make if I take part in this Consultation?

Will it make any difference if I take part in this consultation?

Yes, because if you read the quote below from the Consultation Document from the Department of Health it states:

So if you do not ask – you will not get – but if you ask and make a good deserving case for – we could get the additional funding that Newry & Mourne LGD has needed for a long time for its large population and for its acute Hospital – at Daisy Hill, Newry. As you know, Newry & Mourne has always been the highest LGD population, with the largest population of children in the Southern Trust area. This must be recognised in this Budget.

Quote below from the Department of Health Budget 2023-24 Equality Impact Assessment Document, p31 (p33 pdf page number) shows that the Department is actively seeking for all citizens to comment on these funding proposals. If we have Equality concerns – we must tell them so they can act on them.

Thank you! Let us keep up the long running campaign to speak up for Daisy Hill Hospital, the acute Hospital for Newry & Mourne (which includes South Armagh)

Detailed info on the importance of this Consultation is described on Daisy Hill for life website at :

The Department of Health explain the Consultation as follows on their website:

“The Equality Impact Assessment of the 2023-24 Budget Outcome Consultation opened on 22 May 2023. Closing date 14 August 2023 at 23:59.
Summary
The 2023-24 Budget was announced by the NI Secretary of State on the 27 April 2023. The Budget provides the proposed Resource and Capital investment funding allocations to departments for the 2023-24 financial year. The Department of Health’s Equality Impact Assessment document provides an Equality Impact Assessment of the 2023-24 Budget Outcome for the Department, and we are seeking your comments on the equality implications.

CONSULTATION LINKS and USEFUL REFERENCES

https://www.health-ni.gov.uk/sites/default/files/consultations/health/doh-budget-eqia-cons.pdf    Direct link to Consultation Qs

Link to the Full Equality Impact Assessment of the 2023-24 Budget Consultation on the Department of Health Website: https://www.health-ni.gov.uk/consultations/equality-impact-assessment-2023-24-budget-outcome

https://www.equalityni.org/ECNI/media/ECNI/Consultation%20Responses/2023/DoH-Budget2023-24EQIA-ECNIresponse.pdf    Link to very good Consultation response from the NI Equality Commission.

https://www.niccy.org/wp-content/uploads/2023/07/NICCY-Advice-on-EQIA-on-Draft-DoH-Budget-2023-24.pdf     Link to very good Budget Consultation Response from NI Commissioner for Children and Young People (NICCY):  Advice on the Department of Health Draft Budget EQIA 2023-24

Link to the Southern Trust Delivery Plan 2018/19 on plans for the new Newry Community Treatment Centre. p97)* 

POPULATION INFO LINK
*For important info on Misrepresented population LGD sizes at :  
https://savedaisyhillhospital.com/2023/07/01/playing-with-numbers-playing-with-peoples-lives/

COUNCILS INFO LINK

Registrar General NI Link (which confirms although the 11 council model is in place since April 2015, Health Trusts remain under the former 26 council model). See below

https://www.nisra.gov.uk/sites/nisra.gov.uk/files/publications/Maps-of-NI-Health-Trusts-and-Local-Government-Districts.pdf     (see p 1& p2)
Link to Registrar General Northern Ireland Annual Report 2015 (Publication date: 31 August 2016)
Appendix 6 Northern Ireland’s Health & Social Care Trusts and Local Government Districts
Appendix 7 Northern Ireland’s 11 Local Government Districts 2015

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

End of links  

Daisy Hill Hospital, Newry Saves Lives - People Power 2023

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HEALTH BUDGET 2023-24: EQUALITY CHECK – Your Right to Reply & Ask for Funding for New Specialist Acute Hospital in Newry City

In the Dept of Health NI Budget 2023-24 document - Business Plans should have been submitted for the major construction of a New Specialist Acute Hospital development in Newry city– instead of a Community Treatment Centre.

The Department of Health Budget 2023-24 proposes extra bed capacity & equipment for Craigavon Hospital, as a critical capital scheme, but in complete contrast the Budget proposal for Newry city is to start the construction of a Newry Community Treatment and Care Centre, rather than extra bed capacity or equipment at Daisy Hill Hospital in Newry.

So why is this Community Treatment and Care Centre for Newry expressed as a Dept. Of Health critical capital priority scheme when Daisy Hill Hospital is not?

The Department of Health cannot commit one penny of funding towards Health and Social care in Newry & Mourne or at Daisy Hill Hospital unless the Southern Trust asks for it by putting it into their Business Plans and submitting to the Department of Health.

As the Southern Trust have NOT asked or proposed any proper funding for Daisy Hill Hospital, Newry in this Budget – We the people need to speak up and ask instead through this Public Consultation.

Based on accurate population plans –as Newry & Mourne LGD has always had the Highest population in the Southern Trust, Business Plans should have been submitted for the major construction of a New Specialist Acute Hospital development in Newry city– instead of a Community Treatment Centre. This is the feedback the Department of Health need to hear.

The Department of Health have asked for Public Feedback on their 2023/24 Budget proposals Equality Impact Assessment Document (Ref 1) We must use this opportunity to get straight to the decision makers, as to how our public money is being spent and its impact on our future health and economic survival.

Rally and another show of strength for Daisy Hill Acute Hospital, Newry city 25.06.2023

BUDGET PROPOSALS 2023/4 – HOW IT AFFECTS YOU: THE PROPOSED NEWRY COMMUNITY TREATMENT AND CARE CENTRE – EXPLAINED IN THE TRUST’S OWN WORDS

“The Trust is continuing to progress plans for a Health and Care centre in Newry which will support the shift of Acute services primarily from Daisy Hill Hospital to a community facility.”

Quote above from the Southern Trust Delivery Plan 2018/19 on the new Newry Community Treatment Centre. p97

The Southern Trust Delivery Plan 2018-19 (Ref 2) is available to download from the References and Links section at the end of this article.

NEWRY COMMUNITY TREATMENT CENTRE TO BE PRIVATELY FINANCED AND CONTRACTED OUT FOR 25 YEARS

The Community Treatment and Care centre for Newry proposal first appeared as a plan in the ‘Transforming Your Care’ Health Reform in 2013. This Newry Community Treatment Centre would NOT be financed using public capital funds like those in Portadown or Banbridge, but would instead be funded by the private sector.

The Southern Trust described this finance deal as a: ‘novel/untested type of procurement known as Third Party Development (3PD)’

As verified from another source, the Strategic Investment Board (Ref 4 in Links list) states :

ORIGINAL PLAN FOR A NEWRY COMMUNITY TREATMENT CENTRE BASED ON MISREPRESENTED POPULATION SIZES

The Southern Trust plan for a new Community Treatment and Care Centre in Newry first appeared c.2013 when it was encouraged by the Health Minister in charge of the ‘Transforming Your Care’ Health Reform. (TYC)

This TYC Health Reform was informed by the Southern Locality Population Plan and Tables which misrepresented the population sizes of the 5 Localities (LGDs) in the Southern Trust area.

In these ‘population plans’ the Newry & Mourne LGD was incorrectly represented as the smallest locality in the Southern Trust, instead of correctly showing it as the Locality (LGD) with the highest population in the Southern Trust and the smaller population of Craigavon LGD population size was enhanced by adding it to Banbridge LGD population. (for details on this – See Ref 3 link at very end of article below).

This population size misrepresentation / error has had implications on funding decisions ever since.

Based on accurate population plans –as Newry & Mourne LGD has always had the highest Locality/LGD population in the Southern Trust, business plans should have been submitted for the major construction of a New Specialist Acute Hospital development in Newry – instead of just proposals to build a privately funded Newry Community Treatment Centre.

Daisy Hill acute Hospital in Newry city has no nearby alternative Hospital and has no alternative support Hospital, unlike Craigavon which has 2 non acute support Hospitals, (Lurgan 2 miles away and South Tyrone).

The population of Craigavon are 20 minutes motorway journey from Belfast and from several major acute hospitals in Belfast city and in nearby Ulster Hospital. Newry city needs its designated acute hospital as well as a Community Treatment Centre just like Craigavon in Portadown.

EQUALITY CHECKS FOR THESE BUDGET PROPOSALS – THIS IS WHAT DEMOCRACY LOOKS LIKE

You can use your democratic right to express your opinions on how the money is spent by taking part in this consultation on the Budget Equality Document.

If you want to give your views on how the Department of Health here proposes to spend your hard earned Public Money on Health Services and where these future services exist, contributing to health, the economy and job prospects both medical and construction and all associated jobs linked to a hospital – this is your chance.

Time for Investment for Newry & District 2023

This Department of Health Budget EQIA 2023-24 which proposes extra bed capacity & equipment for Craigavon Hospital, should also have had equivalent funding for a new Specialist Acute Hospital building for Newry city, for its large population to keep in line with Equality and Rural Needs Legislation. This important Budget Consultation is open until Monday 14th August 2023.

Short Suggested Answers to this Consultation (along with reasons) will be presented on Daisy for Life on facebook and on this website very very soon at https://savedaisyhillhospital.com/posts/

Liking and Sharing these posts can help support the campaign. Thank you.

REFERENCES AND LINKS

CONSULTATION LINK

Ref 1: Link to the Department of Health NI Consultation: Equality Impact Assessment of the 2023-24 Budget Outcome:

https://www.health-ni.gov.uk/consultations/equality-impact-assessment-2023-24-budget-outcome

Ref 2: The Southern Trust Delivery Plan 2018-19, See p97 Click on the Download button below:

POPULATION INFO LINK

Ref 3 : For important info on Misrepresented population LGD sizes in the Southern Trust area at :

https://savedaisyhillhospital.com/2023/07/01/playing-with-numbers-playing-with-peoples-lives/

NEWRY COMMUNITY TREATMENT CENTRE TO BE 3PD (THIRD PARTY /PRIVATELY DEVELOPED) LINK

Ref 4: The Strategic Investment Board’s website describes the plan that the Newry Community Treatment Centre would be funded as a third party development: “Two pathfinder hub schemes (Newry and Lisburn) were identified in 2013 to test the Third Party Development (3PD) approach” Read the full article from this link: Strategic Investment Board NI -project -3pd-primary-and-community-care-programme/

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

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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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.

Newry City & District Health Rights Info Page

We are many, we are strong and the Law is here to protect our Right to Healthcare

Newry & Mourne LGD has always had the highest population, highest number of births and highest number of children of the 5 localities in the Southern Trust area.

POPULATION NEED IN NEWRY & MOURNE

Newry & Mourne LGD* has always had the highest population; highest number of births and highest number of children aged under 18 of the five localities /LGDs) in the Southern Trust area.

(*See below for info on the 5 LGD populations in the Southern Trust )

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

Population Need: Newry & District GP Federation

Newry & District with 159,599 patients – has the 2nd Highest number of patients registered with the 17 GP Federations in all NI. (Derry is the highest and Newry & District is the Second Highest. Figures: 2021/22)

Newry & District has the 2nd Highest number of children in NI under 18 (36,117). Figures: 2021/22)

* The Newry & Mourne LGD is still relevant as the former 26 Council Model is still used today in terms of the ‘operational areas’ of the Health and Social Care Trusts in NI.

There are FIVE Local Government Districts (LGDs) in the Southern Trust area. In consistent order of population size since the Southern Health Trust was established in 2007, they rank:

>(1st) Newry & Mourne

>(2nd) Craigavon

>(3rd) Armagh

>(4th) Dungannon

>(5th) Banbridge.

Newry & Mourne LGD has a population of 106,813 with 28,116 (Children Under-18s) (2020 NISRA )

Newry & Mourne LGD has always had the highest population; highest number of births and highest number of children aged under 18 of the five localities /LGDs) in the Southern Trust area.

LAWS WHICH PROTECT YOU RE: HEALTH AND SOCIAL CARE /PUBLIC SERVICES

>Human Rights Act 1998, (Right to life…etc)

>NI Act 1998, (Section 75 Equality categories including disability, political opinion, race, and so on)

>Fair Treatment and Employment Legislation (Access to premises)

>Rural Needs Act (NI) 2016

>Climate Change Act (NI) 2022, (Carbon Footprint etc)

>Regulatory Impact Assessments

>The Southern Health Social Services Trust (Establishment) Order (NI) 2006

>The Southern Health Social Services Trust (Dissolution Order) (NI) 2006

>Managing Public Money (NI)

We have to pre-pay for our hospital services in Daisy Hill Acute Area Hospital, Newry city through Regional Rates, Taxes and National insurance deductions from our wages so are entitled to value for money.

The Population need in Newry & Mourne and all Laws shown here must be adhered to by all relevant authorities when they commission and/or remove hospital services and accommodation.

Daisy Hill Hospital, Newry City –the Acute Area Hospital for Newry & Mourne, South Armagh

(See also : Newry & Mourne LGD ranks-in-the-top-4-lgds-in-all-NI since-1971-so-where’s-the-matched-funding-for-daisy-hill-acute-hospital-newry?

Other Useful Information on Your Rights is available from NI Direct website: https://www.nidirect.gov.uk/articles/find-out-your-rights

Independent advice is available from the following organisations

Northern Ireland Human Rights Commission Website: https://nihrc.org/
Equality Commission for Northern Ireland https://www.equalityni.org/Home
Advice NI https://www.adviceni.net/about

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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Email Address:


© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2024

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.

Daisy Hill Acute Hospital for Life

THE TIME TO BUILD A MAJOR SPECIALIST ACUTE HOSPITAL IN NEWRY CITY IS NOW!

The most urgent Capital Priority and counter proposal when answering the Southern Trust Emergency Surgery Consultation is to build a Major new Specialist Acute Hospital in Newry city – not a community treatment centre.

This Capital Priority needed right now for Newry & Mourne is funding and business plan for a Specialist Acute Hospital building for the area, as agreed at Government level in 2005 so it is LONG overdue.

According to the Southern Trust, the Department of Health NI has allocated £4.5 million to spend on progressing acute health services in Newry city. The Trust says this funding was to purchase a site at Abbey Way, Newry and associated design for a new community treatment centre.  But to progress acute services they should be provided in an ACUTE HOSPITAL  in Newry just like in Craigavon – not just in a treatment centre.  The £4.5million site, at Abbey Way, Newry, is large enough and the ideal place for a NEW Major Specialist Acute Hospital Building.

Funding plans for a new hospital to upgrade Daisy Hill Acute Hospital were announced for Newry by previous Secretary of State, Sir Peter Hain in 2005 to match the population size.  This funding has still not been followed up by the Southern Trust in their Capital Priorities Programme submitted to the Department of Health/ DoH, but the population has not forgotten.

Building a new Specialist Acute Area Hospital building in Newry could then complement the Daisy Hill Hospital building, if the intention is to reconfigure Daisy Hill into a ring-fenced elective care centre (instead of a specialist acute hospital) as the Southern Trust have proposed.  

The proposed removal of Emergency Surgery from Daisy Hill Acute Hospital, Newry city to Craigavon is forefront in people’s minds. At the recent public meeting in the Canal Court Hotel, the few people who were allowed to speak made it clear to the Southern Trust representatives there that they were totally opposed to removal of emergency surgery, and questioned the Trust’s constant removal of acute services from Newry, as well as the Southern Trust’s failure to provide beds for patients and diagnostic equipment for Staff in Daisy Hill, Newry city.

If the DoH and Southern Trust are now ready to offer some long overdue capital investment to actually provide specialist acute services in a specialist hospital in Newry instead of transferring services, beds and equipment to Craigavon, then the people of Newry & Mourne, South Armagh and surrounding areas may well be interested in their proposals.

If the Southern Trust fail to provide for the Newry & Mourne population, and keep up this policy of transferring specialist services to Craigavon, they will be called out on this as it goes against the Rural Needs Act and other legislation. 

Calls for fair treatment can be expressed through talking to Councillors, asking for an emergency Council meeting and through responding in writing to the Consultation on Emergency Surgery.

The Southern Trust need to listen to what we want – not continue telling us what we can’t have.

This is the one and only chance in your lifetime you are ever going to get to write to the Southern Trust what you want, what you pay for through Rates and Taxes, and more importantly what you are entitled to.  The Southern Trust have a statutory duty to take into account in their decision making and responses, any suggestions you make in reply to the consultation on removal of emergency surgery from Newry to Craigavon.

That is why when 19,000 people including over 12,000 people from this area opposed the centralisation of Stroke services to Craigavon, Altnagelvin and Belfast the Department of Health couldn’t go ahead with their unfair proposals because of the opposition. 

We have a right to challenge the constant removal of Specialist Acute Services especially Emergency Surgery and Emergency Medical Services from Newry to Craigavon.

Daisy Hill for Life is asking people of Newry, Mourne and Down to write NO to the questions in the Southern Trust Consultation Questionnaire on centralising Emergency surgery to Craigavon.

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

Please also speak/write to your Councillors, MLAs, MPs and Trade Unions asking them for their support in rejecting the Southern Trust’s proposal to remove Emergency Surgery from Daisy Hill Acute Hospital, Newry. (How to contact them : see this page: https://savedaisyhillhospital.com/how-you-can-help/ )

Please also ask for their support for the need for the long overdue Major new Specialist Acute Hospital Building in Newry – not a community treatment centre.    A new Major Specialist Acute Hospital building will also bring huge economic benefits to Newry, including construction jobs.

IMPORTANT RELATED CONTENT

(See also : https://savedaisyhillhospital.com/2020/02/04/newry-mourne-local-government-district-lgd-ranks-in-the-top-4-lgds-in-all-northern-ireland-consistently-since-1971-so-where-is-the-matched-funding-for-daisy-hill-acute-hospital-newry/

This article also gives vitally important information on the population sizes of the 5 Local Government Districts which make up the Southern Health and Social Care Trust operational area.

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 – 2024

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.