Tag Archives: Emergency Medical

07.27.25
by

DAISY HILL HOSPITAL, NEWRY NEEDS TIMELY EMERGENCY SURGERY!

Last week the campaign run by the people of Fermanagh & South Tyrone to retain Emergency Surgery at the South West Acute Hospital (Enniskillen)  has been headline news. The Health Minister Mr Mike Nesbitt MLA must be commended for listening to the people and ensuring correct procedure is followed by halting the current consultation.

The people of Newry, Mourne and Down also need access to TIMELY Emergency Surgery at Daisy Hill in Newry, and fairness and correct procedure must be adhered to here also, as the people of Newry, Mourne and Down deserve the same dignity as the rest of the people living in NI.

Daisy Hill in Newry City is (or was) the ONLY designated Acute Hospital providing access to CONSULTANT LED TIMELY life saving Emergency Surgery and Emergency Medical Care for the population of the 2 constituencies of Newry/Armagh and South Down. Population 235,877 with 60,327 under 18’s (NISRA 2020).

Because of the large Population it serves and the large land mass size, Daisy Hill Acute Hospital, Newry was designated as one of a Network of only nine Acute Hospitals in NI, after a DoH Regional Consultation. All of these nine hospitals EDs are vital to ensure timely access to 24/7 Emergency Surgical and Emergency Medical Services WITHIN ONE HOUR, to the entire population of NI no matter where they choose to live.

However, the previous Southern Trust management unfairly broke up the Regional Network of time reliant Emergency Surgery and Emergency Medical Services by proposing in April 2023 to provide Emergency Surgery only in Craigavon Hospital. This meant then the removal of timely life saving Emergency Surgery, and its specialist clinical staff from Newry City’s Specialist Acute Hospital, Daisy Hill.

The people and Newry, Mourne and Down Council were against this proposal – but the Southern Trust still went ahead. The Permanent Secretary of DoH agreed to PERMANENTLY withdraw Emergency Surgery from Daisy Hill, and announced this on 8 January 2024, without a Regional Public Consultation and when the Executive /Assembly was not in place.

>The Dept. of Health recorded this in its Annual Report and Accounts 2023-24: ‘The permanent closure of the Emergency General Surgery service at the Daisy Hill Hospital site following a comprehensive consultation process in January 2024. A new service for all Southern patients is now fully operational in Craigavon Area Hospital with new inter-Trust and NIAS pathways to manage the demand from the Newry/Mourne population.”

Despite what is written in the Annual Report, there was NOT ‘comprehensive consultation’. Emergency surgery like heart and stroke is a Regional service and there must be a Regional consultation. There was no Regional Consultation.

The Southern Trust questionnaire asked : ‘Do you agree with the proposal to provide Emergency General Surgery Services on the Craigavon Area Hospital site 24 hours per day 7 days per week? It did not state they would withdraw Emergency Surgery from Daisy Hill in the questionnaire.

This was a local Trust ‘consultation’ and not appropriate for life saving Regional Services like Emergency Surgery. In this local Trust ‘consultation’ – 94% of people said NO. The Trust received 11,377 responses including a questionnaire completed by the ‘Save Our Emergency Surgery at Daisy Hill Hospital’ group, endorsed by 11,053 people, NOT IN AGREEMENT with the Southern Trust proposal.

>REGIONAL SERVICES MUST BE PLANNED, MANAGED AND DELIVERED ON A REGIONAL BASIS.

The point must be made again -Emergency surgery like heart and stroke is a Regional service and there must be a REGIONAL consultation.

The Dept. of Health’s own Annual Report, writes that under the principles of Health and Wellbeing 2026: Delivering Together :

“This will empower local providers and communities to plan integrated continuous care based on the needs of their population, with specialised and regional services planned, managed and delivered ON A REGIONAL BASIS.” (DoH Annual Report and Accounts 2022-23 pg7)

This matter is not closed for the people of Newry, Mourne and Down, just like the people of Fermanagh and South Tyrone asking for fair play, equality and campaigning to retain Emergency Surgery in South West Hospital, the people also need access to Emergency Surgery at Daisy Hill in Newry because it saves lives and we deserve the same dignity as the rest of the people living here.

The people of Newry Mourne and Down ask for fairness from the current Health Minster and Department of Health. A proper REGIONAL Consultation is needed. This will ensure correct procedure is followed and will properly address the issue of access to Emergency Surgery across the whole network of 9 acute hospitals including Daisy Hill Acute Hospital in Newry , Mourne and Down and South West acute in Fermanagh and South Tyrone.

TIMELY Emergency Surgery saves lives!
REFERENCES

> Dept. of Health Annual Report and Accounts 2023-24 for year end 31 March 2024 (p 10 pdf)
> Dept. of Health Annual Report and Accounts 2022-23 (p 7 pdf)
>Provision of Emergency General Surgery In The Southern Health And Social Care Trust – Public Consultation Feedback Report September 2023.

Important Further Reading on Emergency Surgery follows (Written 9th March 2024)

DECLINE BY DESIGN: General Surgery Inpatient Beds Systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023

Department of Health NI information shows that the number of Beds (for both Emergency and Planned General Surgery) in Daisy Hill Acute Hospital, Newry were SYSTEMATICALLY CUT from 2007-2023.

The reduction of these beds resulted in a huge decline in the number of Emergency General Surgery Inpatients who were treated in Daisy Hill Acute Hospital in Newry.

This is vitally important because the Department of Health are using the reason “Lower patient numbers” (or volumes) as a key reason why Health Trusts are unable to recruit or retain consultants and as justification for permanent removal of services from Acute Hospitals and in this case – Emergency General Surgery from Daisy Hill Acute Hospital in Newry.

Decline by Design - General Surgery Inpatient Beds Systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023.

As shown in the Department of Health statement published 08 Jan 2024, from Permanent Secretary Mr Peter May: “When hospitals have lower patient numbers, this can create significant issues for professionals working in key specialties. These include rota/on-call pressures inherent in smaller clinical teams, as well as insufficient case mix to support specialisation, training and skill development. These issues inevitably have consequences for recruitment and retention.” (Ref 1)

The Permanent Secretary Mr Peter May’s statement shows that he agreed with the Local Southern Trust’s decision to permanently withdraw all Emergency General Surgery from Daisy Hill Acute Hospital, Newry to Craigavon, and believed what he was told that Daisy Hill had low patient numbers needing Emergency General Surgery.

But, as the final row in the picture table shows, while Daisy Hill Acute Hospital, Newry had only 3 inpatients recorded for the whole year 1st April 2022 to 31st March 2023, this low number of inpatients was while the number of available beds in the Hospital had been REDUCED to only 8.6 beds to admit anyone needing either Emergency or planned General Surgery.

The numbers of inpatients for emergency surgery dropped because the number of emergency and planned surgery beds had been deliberately reduced.

NUMBER OF BEDS TRACKED FROM 2007-2023

Southern Trust took over Management of Daisy Hill Acute Hospital on 1st April 2007.

For the year 1st April 2006 – 31st March 2007, Daisy Hill Acute Hospital, Newry had 49.5 Inpatient beds (for Emergency and planned General Surgery) and 3,432 Emergency General Surgery inpatients

(For the same year Craigavon Hospital had 97 inpatient beds (for Emergency and planned General Surgery) and 3,540 Emergency General Surgery inpatients).

Fast forward to the year (1st April 2022 – 31st March 2023): Daisy Hill Acute Hospital , Newry had plummeted to 8.6 Inpatient beds (for Emergency and planned General Surgery) with only 3 Emergency General Surgery inpatients recorded for the whole year.

The table diagram showing official DOH statistics proves that there was a Decline by Design – and General Surgery Inpatient Beds (for Emergency and planned Surgery) were systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023.

CONCLUSION

The Southern Trust were given the function, under the 2006 Establishment Order to provide accommodation and services in Hospitals in Newry, Craigavon, Armagh, and Dungannon to ensure equal access to hospital services to everyone no matter where they lived in the former Local Government Districts of Newry & Mourne, Craigavon, Armagh, Dungannon, and Banbridge.

But although the Southern Trust Establishment Order clearly states the Southern Trust have a duty to “PROVIDE ” not “DEPRIVE” access to Accommodation and Services in Daisy Hill, Newry, they have not done so, as the falling number of available inpatient Beds in Daisy Hill, Newry for General Surgery over time can be seen in the accompanying table picture.

All Emergency Services, including Fire and Ambulance are Regional Services and as such cannot be changed or withdrawn without going through Regional Public Consultation, where decisions can be challenged by the public who are paying for the service – (not just at local level by the Southern Trust).

The final decision will then rest with the Health Minister after a REGIONAL CONSULTATION which must include Daisy Hill Acute Hospital in Newry.

BACKGROUND

Daisy Hill Hospital, Newry, along with 8 other hospitals in NI was designated as an Acute Hospital with 24/7 Consultant Led Emergency Surgery, Emergency Medical, and Maternity Services since 2003.


>In 2006/07 DHH had 49.5 inpatient beds for General Surgery ( Emergency & planned ) with 3,432 Emergency General Surgery Inpatients.
>In the year 2009/10*: DHH had 48.8 inpatient beds for General Surgery (Emergency & planned) with 3,036 Emergency General Surgery Inpatients.(see picture: 2009/10)


>By the year 20018/19*: DHH had dropped to 27.5 General Surgery inpatient beds (for Emergency & planned Surgery ) with 2,204 Emergency General Surgery Inpatients.


> But by the year 2022/23* (when the General Surgery Speciality had been ‘temporarily removed’ ) Daisy Hill Acute Hospital General Surgery Inpatient bed numbers (for Emergency & planned surgery) plummeted to only 8.6 inpatient beds with only 3 Emergency General Surgery inpatients recorded. (see picture)

REFERENCES

Ref 1 https://www.health-ni.gov.uk/…/doh-approves-permanent… – Permanent Secretary Peter May statement (08 Jan 2024 DOH)

Link to SHSCT Establishment Order 2006

https://www.legislation.gov.uk/nisr/2006/294/contents/made

The Southern Health and Social Services Trust (Establishment) Order (Northern Ireland) 2006

Establishment Order Trust 2006 nisr_20060294_enDownload
Daisy Hill Hospital, Newry City –the Acute Area Hospital for Newry & Mourne, South Armagh
Daisy Hill Acute Hospital, Newry City.

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.

Please also see the related post : ‘Emergency Surgery – the Have and the Have Nots’ : https://savedaisyhillhospital.com/2025/05/24/emergency-surgery-the-haves-and-the-have-nots-n-ireland

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2025. 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, Daisy Hill acute hospital, Newry city.

05.27.25
by

DECLINE BY DESIGN: General Surgery Inpatient Beds Systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023

Department of Health NI information shows that the number of Beds (for both Emergency and Planned General Surgery) in Daisy Hill Acute Hospital, Newry were SYSTEMATICALLY CUT from 2007-2023.

The reduction of these beds resulted in a huge decline in the number of Emergency General Surgery Inpatients who were treated in Daisy Hill Acute Hospital in Newry.

This is vitally important because the Department of Health are using the reason “Lower patient numbers” (or volumes) as a key reason why Health Trusts are unable to recruit or retain consultants and as justification for permanent removal of services from Acute Hospitals and in this case – Emergency General Surgery from Daisy Hill Acute Hospital in Newry.

Decline by Design - General Surgery Inpatient Beds Systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023.

As shown in the Department of Health statement published 08 Jan 2024, from Permanent Secretary Mr Peter May: “When hospitals have lower patient numbers, this can create significant issues for professionals working in key specialties. These include rota/on-call pressures inherent in smaller clinical teams, as well as insufficient case mix to support specialisation, training and skill development. These issues inevitably have consequences for recruitment and retention.” (Ref 1)

The Permanent Secretary Mr Peter May’s statement shows that he agreed with the Local Southern Trust’s decision to permanently withdraw all Emergency General Surgery from Daisy Hill Acute Hospital, Newry to Craigavon, and believed what he was told that Daisy Hill had low patient numbers needing Emergency General Surgery.

But, as the final row in the picture table shows, while Daisy Hill Acute Hospital, Newry had only 3 inpatients recorded for the whole year 1st April 2022 to 31st March 2023, this low number of inpatients was while the number of available beds in the Hospital had been REDUCED to only 8.6 beds to admit anyone needing either Emergency or planned General Surgery.

The numbers of inpatients for emergency surgery dropped because the number of emergency and planned surgery beds had been deliberately reduced.

NUMBER OF BEDS TRACKED FROM 2007-2023

Southern Trust took over Management of Daisy Hill Acute Hospital on 1st April 2007.

For the year 1st April 2006 – 31st March 2007, Daisy Hill Acute Hospital, Newry had 49.5 Inpatient beds (for Emergency and planned General Surgery) and 3,432 Emergency General Surgery inpatients

(For the same year Craigavon Hospital had 97 inpatient beds (for Emergency and planned General Surgery) and 3,540 Emergency General Surgery inpatients).

Fast forward to the year (1st April 2022 – 31st March 2023): Daisy Hill Acute Hospital , Newry had plummeted to 8.6 Inpatient beds (for Emergency and planned General Surgery) with only 3 Emergency General Surgery inpatients recorded for the whole year.

The table diagram showing official DOH statistics proves that there was a Decline by Design – and General Surgery Inpatient Beds (for Emergency and planned Surgery) were systematically Cut from Daisy Hill Acute Hospital, Newry from 2007 to 2023.

CONCLUSION

The Southern Trust were given the function, under the 2006 Establishment Order to provide accommodation and services in Hospitals in Newry, Craigavon, Armagh, and Dungannon to ensure equal access to hospital services to everyone no matter where they lived in the former Local Government Districts of Newry & Mourne, Craigavon, Armagh, Dungannon, and Banbridge.

But although the Southern Trust Establishment Order clearly states the Southern Trust have a duty to “PROVIDE ” not “DEPRIVE” access to Accommodation and Services in Daisy Hill, Newry, they have not done so, as the falling number of available inpatient Beds in Daisy Hill, Newry for General Surgery over time can be seen in the accompanying table picture.

All Emergency Services, including Fire and Ambulance are Regional Services and as such cannot be changed or withdrawn without going through Regional Public Consultation, where decisions can be challenged by the public who are paying for the service – (not just at local level by the Southern Trust).

The final decision will then rest with the Health Minister after a REGIONAL CONSULTATION which must include Daisy Hill Acute Hospital in Newry.

BACKGROUND

Daisy Hill Hospital, Newry, along with 8 other hospitals in NI was designated as an Acute Hospital with 24/7 Consultant Led Emergency Surgery, Emergency Medical, and Maternity Services since 2003.


>In 2006/07 DHH had 49.5 inpatient beds for General Surgery ( Emergency & planned ) with 3,432 Emergency General Surgery Inpatients.
>In the year 2009/10*: DHH had 48.8 inpatient beds for General Surgery (Emergency & planned) with 3,036 Emergency General Surgery Inpatients.(see picture: 2009/10)


>By the year 20018/19*: DHH had dropped to 27.5 General Surgery inpatient beds (for Emergency & planned Surgery ) with 2,204 Emergency General Surgery Inpatients.


> But by the year 2022/23* (when the General Surgery Speciality had been ‘temporarily removed’ ) Daisy Hill Acute Hospital General Surgery Inpatient bed numbers (for Emergency & planned surgery) plummeted to only 8.6 inpatient beds with only 3 Emergency General Surgery inpatients recorded. (see picture)

REFERENCES

Ref 1 https://www.health-ni.gov.uk/…/doh-approves-permanent… – Permanent Secretary Peter May statement (08 Jan 2024 DOH)

Link to SHSCT Establishment Order 2006

https://www.legislation.gov.uk/nisr/2006/294/contents/made

The Southern Health and Social Services Trust (Establishment) Order (Northern Ireland) 2006

Establishment Order Trust 2006 nisr_20060294_enDownload
Daisy Hill Hospital, Newry City –the Acute Area Hospital for Newry & Mourne, South Armagh
Daisy Hill Acute Area Hospital, Newry City

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.

Please also see the related post : ‘Emergency Surgery – the Have and the Have Nots’ : https://savedaisyhillhospital.com/2025/05/24/emergency-surgery-the-haves-and-the-have-nots-n-ireland

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2025. 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, Daisy Hill acute hospital, Newry city.
05.24.25
by

EMERGENCY SURGERY – THE HAVES AND THE HAVE NOTS (N.IRELAND)

Over c.453,455 people (nearly a quarter of the NI population) have been denied access to a Regional service at Daisy Hill Acute Hospital in Newry and at South West Acute Hospital in Enniskillen, because two Health Trusts decided to withdraw life-saving Emergency Surgery at these acute hospitals, even though the decisions to remove these Regional Emergency Services never went to REGIONAL Public Consultation.* (See Background)

The accompanying map graphic shows the stark reality of the areas and numbers affected. The grey coloured area on the map shows where the 453,455 (adults and children alike), have now been left without access to Emergency Surgery in these two designated acute hospitals Newry and Enniskillen. This number does not even include the thousands of tourists who visit this area.

The accompanying map graphic shows the stark reality of the areas and numbers affected. The grey coloured area on the map shows where the 453,455 (adults and children alike), have now been left without access to Emergency Surgery in these two designated acute hospitals Newry and Enniskillen. This number does not even include the thousands of tourists who visit this area.

The local populations objected to the removal of Emergency Surgery from the two Acute Hospitals since 2022 through the only mechanisms open to them through their local councils and by objecting in their thousands through the Trust ONLY LOCAL LEVEL consultations.

In Newry, the ‘Save Our Emergency Surgery Action Group’ organised a huge rally in opposition to centralisation of Emergency Surgery to Craigavon Hospital and collected and submitted 12,000 responses to the Southern Trust LOCAL Emergency Surgery Consultation. Mr Francis Gallagher the group’s Chair stated in a Newry Reporter article : “Tell the DOH and the trust that we demand equality and respect by having equal timely access to life-saving healthcare” (Newry Reporter April 2023).

Save our Acute Services who also co-ordinated a community campaign in Fermanagh area stated they secured over 30,286 individual responses to Western Trust consultation on ‘temporary’ removal of Emergency Surgery from the South West Acute Hospital in Enniskillen.

The Community campaigns also had strong local government support, with both Newry Mourne and Down Council and the Fermanagh and Omagh Councils strongly opposing the withdrawal of Emergency Surgery from their Acute Hospitals and communicating with the Department of Health on this issue. 

FOR BETTER OUTCOMES AND EQUALITY, ALL HEALTH TRUSTS MUST ADHERE TO THE RURAL NEEDS ACT AND RETURN EMERGENCY SURGERY TO THESE ACUTE HOSPITALS.  

Health Trusts should have remembered before they took it on themselves to withdraw life saving Regional services like Emergency Surgery  from the predominantly Rural  (NUTS Classification) ‘West and South of NI’, that they have a “duty of care” to continue to provide, not deprive this population of  life saving Emergency Surgery. 

The Southern and Western Health Trusts also have to adhere to the NI Rural Needs Act 2016 and consider the extent of harm their decision did to this predominantly Rural Population when they withdrew timely life saving Emergency Surgery.  Because of this they should reverse their decision and return Emergency Surgery without delay to achieve better outcomes for the Rural population under their care.  

The Rural population in NI are entitled to the same value for public money for Life-saving Emergency services as the urban population, as the quote from the Rural Needs Act below shows.

RURAL NEEDS ACT 2016:
“In seeking to identify Rural Needs public authorities should consider to what extent the policy, strategy, plan or public services will meet the social and economic needs of people in rural areas and whether the outcomes delivered for people in rural areas will be similar to the outcomes delivered for people in urban areas.”

It is a serious situation that over 453,455 people (nearly a quarter of the NI population) has been denied access to a Regional service at Daisy Hill Acute Hospital in Newry and at South West Acute Hospital in Enniskillen.

The removal of a life saving Regional Service like Emergency Surgery is one that can only be dealt with through a REGIONAL Public Consultation. The fact that Emergency Surgery was removed from two designated acute hospitals, without a REGIONAL Public Consultation or due process makes this a Rural Needs and an Equality issue. 

The best way to continue to bring this to the attention of the Dept of Health and Health Minister is though our politicians – MLAs, Councillors and MPs and directly through the next available Equality and Disability Public Consultation. 

The latest Consultation is open and is asking for public feedback, so this a good opportunity to keep up standing our ground for our acute Hospitals, designated by Government in  2003 and paid for with our public funds, taxes and national insurance contributions.

Details on the ‘Public Consultation on the Department of Health’s Draft Equality Action and Draft Disability Action Plan 2025-2030’ will follow shortly.

BACKGROUND

Graphic Source: Population projections for the 5 former NUTS UK Eurostat Administrative Areas (year 2025): Source NISRA. NUTS III Areas still relevant because these areas cover the 26 councils which still remain the operational areas of the 5 Health Trusts.

*Emergency Surgery Withdrawn from two Acute Hospitals in NI without regional consultation

NEWRY

*Emergency Surgery withdrawn from Daisy Hill acute Hospital in Newry – permanent service change (8 January 2024)

‘DoH approves permanent service change – The Department of Health has approved the Southern Health and Social Care Trust decision to permanently consolidate emergency general surgery services at Craigavon Area Hospital.’ Date published: 8 January 2024

ENNISKILLEN

Western Trust Corporate Risk Update at 30 May 2024

23/05/2024 ‘Temporary suspension (Emergency General Surgery) remains in place with Trust now in the preparatory stages to move to consultation on a permanent change delivery model.’

Next Consultation:

Public Consultation on the Department of Health’s Draft Equality Action and Draft Disability Action Plan 2025-2030

Background ends

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Emergency Surgery

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.

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

07.07.24
by

Nuffield Trust Report recommended Daisy Hill Hospital, Newry should be bolstered with some Hyper-Specialist Services (e.g. Stroke)

Nuffield Trust Report 2023 Recommended Daisy Hill Hospital, Newry should be bolstered with some Hyper-Specialist Services (e.g. Stroke)

The independent think tank Nuffield Trust were commissioned by the Southern Health and Social Care Trust to report on ‘how care might be improved at the Daisy Hill (DH) site.’ and review services. This Nuffield Trust Report* dated 31 March 2023 sent to Dr Maria O’Kane, Chief Executive of the Southern Trust provides key findings and suggestions for building a sustainable model of care at Daisy Hill Hospital in Newry. One of the main recommendations in the Nuffield Trust Report was that there should be:

‘Bolstering of the DH site through provision of some hyper-specialist services (e.g., stroke), as well as regular outpatient clinics in each specialty on site.’ (Page 4)

As well as this recommendation emphasising the need for Specialist services like Hyper Acute Stroke in Daisy Hill Hospital, the Nuffield Trust Report emphasises the importance of Critical Care Services in Daisy Hill (e.g. the High Dependency Unit) and for Outpatient Clinics in each specialty on the DHH site. 

The Nuffield Trust also discusses staffing considerations across the Southern Trust’s TWO acute Hospitals, at Daisy Hill, Newry and at Craigavon. (*A link to the full report is available in References/Links below.)

CONCLUSION

BOLSTERING OF HYPER-SPECIALIST SERVICES IN DAISY HILL, NEWRY IS NEEDED TO SAVE LIVES

In their Report of March 2023 following their review, the Nuffield Trust came to the conclusion that there was need for more Hyperacute services in Daisy Hill Acute Hospital, Newry stating Daisy Hill Hospital should be bolstered with Hyper-Specialist services e.g. stroke. (See p4)

Looking at the illness prevalence on the list of patients in the 17 GP Federations across NI it can be seen why bolstering of Hyper-Specialist services in Daisy Hill Acute hospital, Newry is necessary to save lives. An official Needs assessment will also back this up, as Dept of Health illness stats by area detailed below show.

ILLNESS PREVALANCE STATS SHOW THE NEED IN NEWRY & DISTRICT

According to GP Registers in 2023 Newry & District GP Federation had the HIGHEST number in NI of patients on their register for Heart Failure (2,060 patients);also THIRD HIGHEST of the 17 GP Federation Registers for Hypertension (21,465 patients); Cancer (4,582 patients); Coronary Heart Disease (5,259 patients); Asthma (9,613 patients); Chronic Kidney disease (6,434 patients) and Atrial Fibrillation (3,258 patients).

Newry & District Federation also had fourth highest number of patients in NI with Stroke (2,680 patients) after GP Federations in Derry (3,991 patients) East Antrim (3,282), South West (2,749). (Source: DOH 2023)

THE NUFFIELD TRUST SAYS – URGENT NEED FOR SOUTHERN TRUST EXECUTIVE TEAM TO COMMIT TO THE DAISY HILL SITE

The Nuffield Trust Report also advised the Southern Trust that Public commitment to Daisy Hill Hospital from the Southern Trust Executive Team was urgently needed, writing: 

1.Public commitment to the DH Site – There is an urgent need for the Executive Team to commit to the DH site and to a long-term plan for the two sites to be developed.’
(Page 4)

As recommended by the impartial Nuffield Trust Report, the Southern Trust Executive Team needs to make a firm commitment to Daisy Hill Acute Hospital and develop a long term plan for its future development. 

Back in 2005 Labour Secretary of State to NI Peter Hain MP said that Daisy Hill Acute Hospital in Newry should have full investment and development, and as the people here will testify, it is long, long overdue.

REFERENCES AND LINKS

*The full Nuffield Trust Report 31st March 2023 can be read in the preview below or downloaded by clicking on the Download button underneath :

Nuffield-Trust-review-of-Northern-Ireland-provision-of-hospital-care (1) – CopyDownload

(This report is also available from the Southern Trust website.)

Who are the Nuffield Trust?

“The Nuffield Trust is an independent health think tank. We aim to improve the quality of health care in the UK by providing evidence-based research and policy analysis and informing and generating debate.” https://www.nuffieldtrust.org.uk/about/what-we-do

POPULATION INFORMATION

Newry & District’s very large population size is proven by official data, as in 2023 Newry & District has the 2nd highest number of patients on GP registers in NI (with 160,615) after only Derry, including the 2nd highest number of children in NI under 18, with (36,228 ): (Source DOH 2023).

Newry Mourne and Down is the 3rd largest Council in NI with a population of 182,634.This includes 45,193 children under 18 and 31,473 over the age of 65 (NISRA 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

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

Excerpts and links may be used, provided that full and clear credit is given to  http://www.savedaisyhillhospital.com  (Daisy Hill Hospital for Life) and Daisy Hill for Life on Facebook with appropriate and specific direction to the original content. Thank-you. We welcome sharing.

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Daisy Hill Hospital for Life
01.29.23
by

As the number of Emergency Departments in NI goes down, the number waiting over 12 hours goes UP by thousands (NI Statistics)

Emergency Department Waiting Times Statistics published by the Department of Health NI indicate that when the number of Emergency Departments in NI was reduced, thousands more people waited over 12 hours in the remaining Emergency Departments in NI .

ED waiting time stats show that 49 people waited over 12 hours, from April to October 2008 when there were 20 Emergency Departments in Northern Ireland. (Type 1, 2 and 3 EDs) The locations of the 20 Type 1, 2 and 3 Emergency Departments in April to October 2008 are shown on NI map.

When there were twenty Emergency Departments in NI, between April and October 2008, statistics show that 49 people waited over 12 Hours to be seen across all the Emergency Departments in NI. (See Table )

The 20 Type 1, 2 and 3 Emergency Departments in NI during the period April to October 2008 are shown below on the map.

COMPARISON

In comparison, when the number of Emergency Departments had been reduced to fifteen EDs across NI, between April and Oct 2020, the number of people waiting over 12 hours had ROCKETED up to 13,365 people.

The figures for 2008 (April to October) are shown below alongside the figures for 2020 in the same 6 month period (April to October) so the comparision can be made. The huge increase in those waiting over 12 hours against the reduced number of EDs open in NI is evident.

ED waiting time stats show that 13,365 people waited over 12 hours between April and Oct 2020 when there were 15 Emergency Departments in Northern Ireland. In comparison 49 people waited over 12 hours between April and Oct 2008 when there were 20 EDs in Northern Ireland. (Type 1, 2 and 3 EDs) Statistics from Department of Health NI

The remaining Emergency Departments in NI, with information on whether they were open or closed during the period April to October 2020 is also shown on the map below. The Emergency Department Types ranged from Major Acute Hospital EDs (Type 1) to the Minor Injury Units (Type 3)

NI Statistics show that when the number of Emergency Departments in NI are reduced, the number of people waiting more than 12 hours increases by thousands. The locations of the Type 1, 2 and 3 Emergency Departments for the periods April -October 2008 and April -October 2020 are shown on a map of NI along with a Table showing the statistics from Department of Health NI

Daisy Hill Acute Hospitals’ Emergency Department (Type 1) in Newry was closed during the period Apr-Oct in 2020.

Daisy Hill was the only Acute Hospital ED in NI closed during this period and this closure contributed significantly to the extra numbers waiting over 12 hours in other Emergency Departments (EDs).

CONCLUSION AND SOLUTION

As these Statistics indicate, FEWER Emergency Departments mean THOUSANDS MORE wait over 12 hours, then a SOLUTION to decrease the numbers waiting in Emergency departments across NI, should be:

RESTORE THE NUMBER OF EMERGENCY DEPARTMENTS in NI BACK TO AT LEAST 20 while KEEPING AT LEAST 10 Type 1 EDs (with Emergency Surgery) , including Daisy Hill, Newry and South West, Enniskillen.

This suggested solution will also go some way to helping meet the obligations of Equality Legislation and the Rural Needs Act 2016 to ensure equity of access to emergency healthcare which all the population of NI (Urban and Rural) are entitled to.

BACKGROUND

As the Emergency Department Types in Northern Ireland discussed here ranged from Major Acute Hospital EDs (Type 1) to the Minor Injury Units (Type 3), definitions of each are given below:

DEFINITIONS OF THE THREE SEPERATE EMERGENCY DEPARTMENTS

Type 1 departments are defined as those with a consultant-led service with designated accommodation for the reception of emergency care patients, providing both emergency medicine and emergency surgical services on a round the clock basis.

Type 2 departments are consultant-led service with designated accommodation for the reception of emergency care patients, but which does not provide both emergency medicine and emergency surgical services and/or has time-limited opening hours.

Type 3 departments are minor injury units (MIU) with designated accommodation for the reception of patients with a minor injury and/or illness. It may be doctor or nurse-led. A defining characteristic of this service is that it treats at least minor injuries and/or illnesses and can be routinely accessed without appointment.

(Source: Urgent & Emergency Care Waiting Time Statistics for Northern Ireland)

BACKGROUND
In 2008 there were 20 EDs (Type 1, Type 2, Type 3)
Type 1: Altnagelvin, Antrim, Belfast City, Royal, RBHSC, Mater, Causeway, Craigavon, Daisy Hill (Newry), South West, Ulster

Type 2: Lagan Valley, Downe

Type 3: Tyrone County, Mid Ulster, Whiteabbey, Bangor, Ards, Armagh Community, South Tyrone

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

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2025. 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, Daisy Hill acute hospital, Newry city.
06.29.22
by

2 Days to go! You need to Know! Daisy Hill Acute Hospital, Newry and the DoH NI Urgent and Emergency Care Services Consultation 2022

2 Days to Go ! Consultation closes on Fri 1st July 2022 @ 5pm

Please respond to the DOH NI Consultation on Urgent and Emergency Care Services in Northern Ireland . For reasons why – Pls Read Why This Consultation Matters below.

Link to the Online Consultation – below:

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

Main Department of Health NI Consultation Documents are available to read here:

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

WAYS TO RESPOND to the DoH Urgent and Emergency Care Services Consultation 2022: 

 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

WHY THIS CONSULTATION MATTERS TO THE FUTURE OF DAISY HILL ACUTE HOSPITAL IN NEWRY

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

The DOH NI Public Consultation on Urgent and Emergency care suggests we should agree to their proposals for future Urgent and Emergency care services in NI and that the services should be delivered as they were during March – Oct 2020.  We can’t be expected to agree to this, as this was when Daisy Hill Hospital Emergency Department was closed, Daisy Hill staff were relocated and 3 Emergency Departments were provided in Craigavon and none in Newry.

Because they are planning for this again – the Southern Health and Social Care Trust has received funding for and works completed (Nov2020) for a dedicated additional ambulance handover zone for Craigavon Hospital – but not for Daisy Hill Acute Hospital (Southern Trust Delivery Plan 2021/2022).

 The ‘No More Silos Action Plan’ published Oct 2020 is the document that is referred to in the NI Executive Summary Document, when Daisy Hill was excluded from the NI Regional ED Network, NI Critical Care Network and Southern Trust Rebuild Plans.  The Executive have been told “Once the public consultation has concluded, proposals will be finalised and an investment and implementation plan will be developed for Ministerial consideration” (Ref: Executive Summary p2/3)

So we can’t agree to this consultation because Daisy Hill hospital ED Newry city – is not included in the No More Silos Action Plan. Daisy Hill Hospital doesn’t feature in this future provision of ED services in NI if they go by No More Silos. We have to tell DOH what’s been left out. Remember Daisy Hill was left out of stroke options, never again must this happen! We must act/reply now or find your way whatever way you can to Craigavon, Mid Ulster.

In 2003 Daisy Hill, Newry was designated as a Major Acute Hospital with a Consultant led 24/7 ED  to ensure timely access within one hour to Emergency Surgery and Emergency Medical Care to its very large catchment population. This catchment  population depending on access to timely Emergency Surgery and Emergency Medical Care , has increased yearly since then and in  2022 Newry & District has the second highest number of patients in NI (159,599) including the 2nd highest number of children U18 (36,117) registered with GP Practices. (The Highest is in Derry -Source: BSO).

This Consultation closes this Friday 1st July 2022 So please help the community, the economy and for Daisy Hill Hospital today – help keep our Type 1 Emergency Department in Daisy Hill, Newry.

We know you are all just waiting to do whatever you can to help Daisy Hill for all our futures. WE ARE ALL STRONG WHEN WE WORK TOGETHER!

BACKGROUND:

NO MORE SILOS ACTION PLAN LINK
https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-no-more-silos.pdf

No More Silos is the Department of Health’s action plan to support and maintain urgent and emergency care services, making changes to existing services and introducing new ones to ensure that patients can access the right care, in the right place, and at the right time. In October 2020, the Minister of Health published an urgent and emergency care action plan called ‘No More Silos’. This sought to maintain and improve urgent and emergency care services through the COVID-19 pandemic and beyond.

2. KEEP EMERGENCY DEPARTMENTS FOR EMERGENCIES (pg 7 No More Silos Key Action 2 )

“How will it work? This action is closely linked to the following action to develop Urgent Care Centres. Under the new arrangements, direct access to Emergency Departments will only be possible for patients who arrive by ambulance or who are referred to the Emergency Department from the Urgent Care Centre or by their GP. All patients who make their own way to a hospital site will be assessed by a health professional who will determine whether they should attend ED, the Urgent Care Centre, or some other service. Care will be needed to ensure this does not lead to an increase in 999 calls for an ambulance to access ED. All patients will continue to have 24/7 access to care and advice on current ED sites”

IMPORTANT STATS

Latest May 2022 figures show (after Derry) Newry & District has the Second Highest Number of patients in NI registered with GP Practices. (159,599) including the 2nd highest number of children U18 (36,117) (Source: BSO).

These GP Registers state:

Newry & District has: The Highest number of patients in NI with Heart Failure and Heart Failure due to Left Ventricular Systolic Dysfunction.

2nd Highest number of Patients in NI (after only Derry) with Cardiovascular Disease Primary Prevention, Osteoporosis and Depression

3rd Highest number of Patients in NI (after Derry and Antrim) with Cancer, Coronary Heart Disease, Asthma, Atrial Fibrillation, Chronic Obstructive Pulmonary Disease, Diabetes, Palliative Care and Hypertension (which can lead to heart disease and Stroke).

4th Highest number of Patients with Stroke: South West is 3rd: Causeway 7th: Craigavon 10th. This must inform where stroke services are provided in NI.


© 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 on Facebook with appropriate and specific direction to the original content. Thank-you.

Additional articles on this Consultation and other ways to respond using the longer questionnaire help is available from : IT’S 2022 AND DAISY HILL NEEDS YOU! in the Dept. of Health Urgent and Emergency Care Consultation (Closes 1st July 2022) – Daisy Hill Hospital for Life (savedaisyhillhospital.com)

and

Consultation on changes to Access to Urgent & Emergency Care Services 2022 (Department of Health NI) – Daisy Hill Hospital for Life (savedaisyhillhospital.com)

02.28.22
by

Daisy Hill Hospital, Newry is one of the 9 Major Acute Hospitals in the Regional Network, designated in 2003 like Antrim, Ulster, etc

Newry & Mourne, South Armagh Area Acute Hospital at Daisy Hill, in Newry city

Daisy Hill Acute Hospital, Newry earned the right to be recognised as a Major functioning Acute Hospital because it was designated in 2003 as one of the nine Major Acute Hospitals, in its own right, like Antrim, Ulster, the Royal Group, etc. These nine acute hospitals were designated to provide 24/7 vital life saving Emergency Surgery and Emergency Medical Care to the population of NI no matter where they choose to live. (Ref 1*)

The population size of Newry & Mourne has consistently been the largest Locality in the Southern Trust operational area and the population needs Emergency Surgery in their Type 1 Emergency Department at Daisy Hill, Newry city. (Ref 2)

Since Famine times (1840’s) Newry’s Area Hospital and its compassionate staff have provided an open door to Emergency or Unscheduled care to everyone who went to there for help.

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

But now in February 2022, the Southern Health and Social Care Trust are withdrawing vital life saving Emergency Surgery from Daisy Hill Hospital Newry City, again without Public Consultation, or adhering to statutory duties imposed on Health Trusts by Section 75 of the NI Act 1998. They are yet again citing Southern Trust recruitment problems as the reason.

Firstly in 2016 they said they couldn’t get any consultants to replace the consultant who was retiring. The Health Minister at the time fairly agreed to fund Locums to keep the Emergency Department up and running until permanent consultants were recruited.

Since 2016, the Southern Trust, without going to any Public Consultation, have used their own recruitment problems as an excuse to avoid carrying out their Statutory function to Provide Hospital Accommodation and Services in the 24/7 Emergency Surgical and /or Emergency Medical Department in Daisy Hill Acute Hospital, Newry City.

In March 2020 The Southern Trust – the only Health Trust in NI to shut down a Type1 Acute Hospital vital life saving Emergency Department for 7 months, refused to keep the doors of Daisy Hill open to provide Emergency Surgery, Emergency Medical and Respiratory Care in Daisy Hill, Newry City, when it was needed most by the Newry & Mourne population of 106,813 people, including 28,116 under 18s at the beginning of the Covid Pandemic.

The Southern Health and Social Care Trust stated that Emergency Surgery and Emergency Medical and Respiratory Care for the whole Southern Trust population would only be provided in Craigavon, leaving Newry, South Down and South Armagh without any Emergency Surgical, Emergency Medical, or Respiratory Care for children or adults alike, while Craigavon would have 2 EDs for adults and 1 new ED for Children.

Covid 19 does not excuse them from Screening and Equality Impact Assessments.

The Southern Trust are required under Section 75 of the 1998 NI Act to address the impact their decision to remove Emergency Surgery will have on people of different religious belief, political opinion, racial group, age, marital status, sexual orientation, men and women generally, people who are disabled and those who are not and people who have dependants and those without in the Newry & Mourne – South Down and South Armagh area. (Ref: 3)

The three good relations categories are people of different religious belief, political opinion, and racial group. (Ref 4)

FUNCTION OF THE SOUTHERN HEALTH AND SOCIAL SERVICES TRUST

The Southern Trust needs to stop looking for ways to centralise Emergency Services to Craigavon and provide more – (not less) beds, equipment, more medical staff, and bring Daisy Hill (Newry, South Down and South Armagh Area Hospital up to state of the art modern building standards with its fair share of capital expenditure investment as they are constantly doing in Craigavon.

They need to acknowledge and comply with their Functions clearly set out in the Southern Health and Social Services Trust 2006 Establishment Order (Ref 5)

which are:-

2(a)”to provide hospital accommodation and services at Craigavon Area Hospital, Craigavon, Daisy Hill Hospital, Newry, Longstone Hospital, Armagh, Lurgan Hospital, Lurgan, Mullinure Hospital, Armagh, St Luke’s Hospital, Armagh, and South Tyrone Hospital, Dungannon, and associated premises;

Southern Health and Social Services Trust 2006 Establishment Order

The Southern Trust Establishment Order does not give them the right to WITHDRAW accommodation (beds) or services (including staff) from Daisy Hill hospital.

If the Southern Trust want to take away vital life saving Emergency Surgery services which have been there for over 100 years, then they need to have a better excuse than their own inability to recruit medics.

And if the Southern Trust are genuinely concerned about their inability to recruit medics then they can recruit general surgery Locums for Daisy Hill like they are recruiting for Craigavon Hospital.

( BACKGROUND)

Ref 1 * Developing Better Services 2003, Department of Health NI

*Please Note: There are now 10 ten acute hospitals -as it was shown that the New South West Hospital in Enniskillen was also needed. (See also: https://savedaisyhillhospital.com/2017/08/17/daisy-hill-hospital-an-acutely-important-fact/

and https://savedaisyhillhospital.com/2022/02/07/newry-citys-acute-hospital-daisy-hill-is-entitled-to-its-rightful-place-in-the-ni-type-1-acute-hospital-regional-network/

Ref 2: See Northern Ireland Statistics and Research Agency NISRA Tables at ; https://www.nisra.gov.uk/

Ref 3: https://www.equalityni.org/ECNI/media/ECNI/Publications/Individuals/Leaflet-KnowYourRights.pdf

Ref 4: https://www.equalityni.org/ECNI/media/ECNI/Publications/Employers%20and%20Service%20Providers/Public%20Authorities/Good_Relations_Public-Authorities-Summary_Guide.pdf

Ref 5: Southern Health and Social Services Trust (Establishment) Order (Northern Ireland) 2006

Southern Health and Social Services Trust (Establishment) Order (Northern Ireland) 2006

Nature and functions of the trust:

2(a) to provide hospital accommodation and services at:

Craigavon Area Hospital, 68 Lurgan Road, Portadown, Craigavon BT63 5QQ,

Daisy Hill Hospital, 5 Hospital Road, Newry, BT35 8DR,

Longstone Hospital, 73 Loughgall Road, Armagh BT61 7PR,

Lurgan Hospital, Sloan Street, Lurgan, Co Armagh BT66 8NS,

Mullinure Hospital, Loughall Road, Armagh BT61 7NN,

St Luke’s Hospital, 71 Loughgall Road, Armagh, BT61 7NQ,

South Tyrone Hospital, Carland Road, Dungannon BT71 4AU, and associated premises;

(b) to provide community based health and personal social services from the trust headquarters and associated premises; and

(c) to exercise, on behalf of Health and Social Services Boards, such relevant functions as are so exercisable by the trust by virtue of authorisations for the time being in operation under Article 3(1) of the Health and Social Services (Northern Ireland) Order 1994

Southern Health and Social Services Trust (Establishment) Order (Northern Ireland) 2006
Daisy Hill Emergency Department served 53555+ people in 2016 - banner

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© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2023

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.