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.


>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

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.

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.


>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

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

Subscribe to Blog via Email

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

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

Another Budget, Another Boost for Craigavon, but what about Daisy Hill? Your Help Needed in April 2025 -DoH Draft Budget Consultation

YOUR HELP NEEDED: ANOTHER BUDGET, ANOTHER BOOST FOR CRAIGAVON – BUT WHAT ABOUT DAISY HILL?

Today’s another day to do something good for Daisy Hill. Thanks to everyone who took part in the Hospital Network consultation.  This time it’s all about the MONEY! £££. The next stage of the plan is to please help Daisy Hill again, through the Department of Health Draft BUDGET 2025-6 Consultation.

By taking part you can make a difference and help stop the cull of more acute hospital services from Daisy Hill Hospital, Newry. 

As this Budget is all about CAPITAL spending, by taking part people will also be helping keep with one of the SOS Daisy Hill Hospital Committee’s main strategic objectives  (mentioned in the lead up to their 2024 AGM) which is ‘(2) To lobby in the long term for more capital spend on Daisy Hill so it has the architectural build of a 21st century acute hospital.’  

We need to ask the Department directly for funding for Stage 1 Redevelopment of Daisy Hill as an acute Area Hospital as well as funding for specialist INPATIENT acute services (especially Emergency, including Surgery and Stroke etc) and more inpatient beds and specialist Clinical staff for Daisy Hill in Newry.

The Southern Trust won’t ask for capital investment for Daisy Hill – but we all can ask the Department and the Minister directly through the Budget Consultation for Daisy Hill’s share.  It only takes 5 minutes and some suggested answers are here for you with this post. (See below)

The closing date is very soon as replies have to be in by NEXT Wednesday 09 April. Sorry for the short notice – as we only heard about this recently.

HOW AND WHY?

From Day 1 when they took over in 2007, the Southern Trust put the need to redevelop Craigavon Hospital first, in front of Daisy Hill Hospital in Newry. Their Business Plans from 2007 onwards show this. (See Refs). This is despite the fact they were both hospitals of equal Acute status. Now it’s 2025, another Budget and despite ££££millions already spent on Craigavon, they want to spend MORE.

For those who think this is because Craigavon has a bigger population – it doesn’t – Newry & Mourne locality has ALWAYS had the highest population of the 5 localities (lgds) in the Southern Trust.

So, when will it be Daisy Hill Acute Hospital’s turn for some proper funding for redevelopment?

Time for Investment for Daisy Hill Hospital in Newry

THE BUDGET PROPOSALS – CAPITAL SPENDING

>>This new community treatment centre is to be built (costing approx £88.3million) with the purpose of stripping acute hospital services from Daisy Hill Acute Hospital.  In the trust’s own words: 

(*Southern Trust Delivery Plan  2018/19).

The Southern Trust is again completely focused on asking DOH for funding to enhance Craigavon Hospital but not for funding for beds or Consultant – led inpatient acute SERVICES in Daisy Hill acute Hospital in Newry, in another unfair allocation of resources. This is being done without a proper assessment of the needs of the 3rd largest council in NI:  Newry Mourne and Down population of c182,634 (NISRA Sept 2024).

BUT YOU CAN HELP!  Health Minister Mr Mike Nesbitt MLA wants to know if we agree with this Dept of Health Draft Budget Consultation 2025-26 and replies will be taken into consideration. They say: ‘All responses will be considered as part of the Department of Health funding decisions.’

Please join in and write and ask for a fair share for Newry’s Daisy Hill. We will not get another chance to do this.

Since the Southern Trust decided not to include Daisy Hill Hospital in their rebuilding plans we must let the DOH know the budget injustices in the Southern Trust.

Suggested Answers to the three Questions asked in the DOH NI Consultation: Equality Impact and Rural Needs Impact Assessment of the 2025-26 Draft Budget are available with this post and (if you want) you can copy and paste the answers into your own email to Email: draftbudget25-26response@health-ni.gov.uk   (By NEXT Wednesday 9th April 2025)

Please share to help spread the word to everyone you know. Thank you.

Suggested answers here and on the facebook page.

TO DOWNLOAD THE SHORTER ANSWERS

>For people with access to Microsoft word a Word document (Shorter suggested answers) to attach to your email is available to Download below.

Or if you cant download the file – please see below:

Q4. a. Are there any adverse impacts in relation to any of the Section 75 equality groups that have not been identified in section 5 of the EQIA Consultation document? If so, what are they?

Yes there are harmful impacts that have not been identified. The ‘critical spend’  to build a new ‘Newry Community Treatment Centre’ will allow the removal of more ‘acute services’ which are being stripped and transferred from Newry’s Acute Hospital at Daisy Hill. As the  Southern Trust Delivery Plan 2018/19, p97 states:  *“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.”

All Equality groups in the large population of Newry & Mourne will be denied timely access to acute hospital inpatient services they need (previously provided in Daisy Hill Hospital). This will mean they will be further disadvantaged as they will unacceptably have to travel all the way to Craigavon to access vital hospital inpatient acute services (including in an emergency). This will cost them extra money, and make it more difficult for them to access a necessary public service, for which funding had been allocated for them.


b. Please state what action you think could be taken to reduce or eliminate any adverse impacts in allocation of the Department’s draft budget?

Action 1:  Redirect the proposed funding for (1) ‘Newry Community Treatment Centre’ (c£88.3 million) and (2) ‘additional bed capacity at Craigavon’ and use it instead for extra inpatient acute beds in Daisy Hill Hospital and to provide the first stage of a new major specialist acute Area Hospital building in Newry City.  This new hospital should be secured for the long term future in Newry as an Area Acute Hospital with 24/7 Level 1 ED, ICU and permanent major diagnostic equipment including MRI, CT and non obstetric ultrasound scanning equipment, (essential for retention of specialist clinical staff). 

C:  Are there any other comments you would like to make in regard to this EQIA or the consultation process generally?

When Health Budgets are shared out they are supposed to be allocated fairly but these budget proposals are not based on the needs of all the population in the Southern Trust.  Newry & District has the second highest number of Patients of the 17 GP Registers in NI (c161,308) (DOH 2023) after only Derry and the continued failure of the Southern Trust to provide TIMELY access to specialist hospital inpatient healthcare in Daisy Hill Acute Hospital in Newry can be ignored no longer.

Under the Rural Needs Act it is the duty of the Department to ensure that the social and economic needs of the Newry Mourne and Down area is looked after.  The economic prosperity of rural areas depends on employment opportunities that having a fully functioning specialist Acute Hospital like Daisy Hill brings.   Newry is the gateway to NI and there must be a major acute Area hospital with 24/7 Level 1 ED to provide for road, farm, school, and work accidents etc this must be considered and can’t be ignored.

END OF SHORTER ANSWER SHEET (Answers V2a)

Longer Answer Sheet to Download to your device (Response V1b)

>For people with access to Microsoft word, a Word document (Longer suggested answers) to attach to your email is available to Download below, by clicking on the Download button.

If you can’t download the file – For Suggested Answers Pages- longer and shorter versions please see the links below for the answers in full on the Daisy Hill for Life website:

Suggested Response (Longer version- version 1): https://savedaisyhillhospital.com/2025/04/06/suggested-answers-for-doh-draft-budget-2025-26-equality-assessment-version-1/

Suggested Answers (Shorter version – Version 2: https://savedaiskyhillhospital.com/2025/04/06/suggested-answers-for-doh-draft-budget-2025-26-equality-assessment-version-2-shorter/

Daisy Hill for Life on Facebook : https://www.facebook.com/daisyhillforlife/?locale=en_GB

CONSULTATION LINK 

Department of Health NI Consultation: Equality Impact and Rural Needs Impact Assessment of the 2025-26 Budget Outcome – all documents available from the Department of Health’s website and link below:

https://www.health-ni.gov.uk/consultations/consultation-draft-budget-2025-26

The Equality Impact, Rural Assessment and Easy Read Consultation Docs are available below:

https://www.health-ni.gov.uk/sites/default/files/2025-01/doh-consultation-draft-budget-25-26-equality-impact-assessment.pdf

See page 15 of the Equality Impact Assessment (EQIA) for the Budget Plans in Southern Trust. (The pdf page number is p17)

See page 51 of EQIA for the Consultation info and Questions. (The pdf page number is p53)

https://www.health-ni.gov.uk/sites/default/files/2025-01/doh-consultation-draft-budget-25-26-rural-needs-impact-assessment.pdf

https://www.health-ni.gov.uk/sites/default/files/2025-03/doh-equality-impact-draft-budget-2025-26-easy-read.pdf

Background:

Population – NISRA :

Population info on Daisy Hill for Life website: https://savedaisyhillhospital.com/

https://www.facebook.com/daisyhillforlife/?locale=en_GB

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.

Subscribe to Blog via Email

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

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

Shorter Suggested Answers for DOH Draft Budget 2025-26 Equality Assessment (Version 2)

All responses will be considered as part of the Department of Health funding decisions.

Comments on the Departments 2025-26 Draft Budget Equality Impact Assessment can be submitted by email.

Email: draftbudget25-26response@health-ni.gov.uk

Compose a New Message (or use pen icon)

Put Email Address: draftbudget25-26response@health-ni.gov.uk into the ‘To‘ field of the Email (Recipient) write an Email in the normal way – you can type your comments and copy and paste any of these suggested answers as you wish.

Give your name and ask for a reply.

Click Send

Links and Background

CONSULTATION LINK 

Department of Health NI Consultation: Equality Impact and Rural Needs Impact Assessment of the 2025-26 Budget Outcome – all documents available from the link below:

https://www.health-ni.gov.uk/consultations/consultation-draft-budget-2025-26

Quick Access to Consultation Docs –

Draft Budget 2025-26 – Equality Impact AssessmentAdobe PDF (1 MB) https://www.health-ni.gov.uk/sites/default/files/2025-01/doh-consultation-draft-budget-25-26-equality-impact-assessment.pdf

Draft Budget 2025-26 – Rural Needs Impact AssessmentAdobe PDF https://www.health-ni.gov.uk/sites/default/files/2025-01/doh-consultation-draft-budget-25-26-rural-needs-impact-assessment.pdf (617 KB)

Draft Budget 2025-26 Easy Read https://www.health-ni.gov.uk/sites/default/files/2025-03/doh-equality-impact-draft-budget-2025-26-easy-read.pdf

Short Suggested Answers (Version 2 ) to download

Background

Population information – NISRA:

More population info from Daisy Hill for life: https://savedaisyhillhospital.com/

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.

Subscribe to Blog via Email

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

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

Suggested Response for DoH Draft Budget 2025-2026 Equality Impact Assessment (Version 1)

>For people with access to Microsoft word, a Word document (Longer suggested answer to answer the three Questions asked) to attach to your email is available to Download below.

If you can’t download the file – please see below for the Answers to the three questions asked (Q4a – c, page 51 of EQIA doc:

4. As part of the consultation process, we invite stakeholders to consider the information included within this EQIA and provide feedback through the following consultation questions.

Q4. a. Are there any adverse impacts in relation to any of the Section 75 equality groups that have not been identified in section 5 of the EQIA Consultation document? If so, what are they?

Give your name and ask for a reply. Click Send

Links and Background

https://www.health-ni.gov.uk/consultations/consultation-draft-budget-2025-26

Background:

Daisy Hill Hospital for Life

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

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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

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 – 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.