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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MONEY! MONEY! PUBLIC MONEY! 

Nearly 945 Million Pounds for the whole of the Southern Trust in 2021-2. Nearly How much of this c. £945 million was spent on Specialist Acute Inpatient Services and Emergency Services in Daisy Hill Acute Hospital, Newry in 2021 -2022?

Hospital services are paid for with public money – funded by your Regional rates, Taxes and National Insurance Contributions. In 2021/22 The Southern Trust had an income of £944,707,000* (nearly £945 million).  Management costs were £29,092,000* (c £29.1 million).   

>How much of this c. £945 million was spent on Specialist Acute Inpatient Services and Emergency Services in Daisy Hill Acute Hospital, Newry in 2021 -2022? 

>How much of this c. £945 million was spent on Specialist Acute Inpatient Services and Emergency Services in Craigavon Hospital in 2021 -2022?

>Are Newry & Mourne population (the largest LGD /locality population in the Southern Trust) getting VALUE FOR MONEY?

Redress the unbalanced NI Stroke Consultation 2019 - additional Options needed to include the Excluded populations.

There are TWO Government designated Acute Hospitals in the Southern Trust – the longest established is Daisy Hill Hospital, Newry city which is situated in the Newry & Mourne LGD –CONSISTENTLY THE HIGHEST LOCALITY/LGD population in the Southern Trust.

Newry & Mourne, South Armagh Acute Area Hospital at Daisy Hill, in Newry city
Graphic by Daisy Hill for life

The second Acute Hospital is Craigavon Hospital in Portadown (situated in Craigavon LGD -the second largest locality population in the Southern Trust area, where Newry & Mourne LGD is the highest population)

CRAIGAVON HOSPITAL REDEVELOPMENT PRIORITISED AGAIN (p43 OF SOUTHERN TRUST LATEST ANNUAL REPORT)

The Southern Trust Annual Report & Accounts 2021-22 gives information on how much is being spent overall in the Southern Trust – but the public need to know that the money is being spent FAIRLY across its acute hospitals according to population size/need.  

The public need to know this especially because Craigavon Hospital redevelopment once again gets prioritized in the Southern Trust 10 year Capital Long term Expenditure Plans (p43) but despite the long overdue population-based need and requirement in Newry & Mourne –there is NO MENTION of Long Term Expenditure Plans for the Redevelopment of Daisy Hill Hospital , Newry city, in this same 10 year review of capital priorities statement, as shown quoted below:

“as part of a 10 year review of capital priorities, the Southern HSC Trust has identified a need for investment in excess of some £430m. THIS INCLUDES REDEVELOPMENT OF CRAIGAVON AREA HOSPITAL together with much needed infrastructure, backlog maintenance and diagnostic equipment requirements.”

Southern Trust Annual Report & Accounts 2021-22 p43

This Southern Trust Annual Report and Accounts 2021-22 can be accessed and read in full from the link at the end of the article under Background and References.

IMPORTANT: WHCH LOCALITIES (LGDs) ARE INCLUDED IN THE SOUTHERN TRUST AREA?

IN LEGAL TERMS the Southern Trust area includes ONLY 5 (former) LGDs of (1) Newry & Mourne, (2) Craigavon, (3) Armagh, (4)Dungannon and (5) Banbridge. (Ref: Establishment Order 2006)

The 2006 Order also makes it very clear that accommodation and services should be provided in each of six named hospitals, with addresses, including Daisy Hill, Newry.  It does not say all hospital accommodation and services should be centralised to Craigavon only as the Southern Trust are determined to do.

The operational area of the Southern Trust is NOT Armagh, Banbridge and Craigavon; Mid-Ulster; and Newry, Mourne and Down council – This Southern Trust Annual Report has got this wrong on the Southern Trust operational area on p9 of the Southern Trust Annual Report & Accounts 2021/22.

Important:

In Legislation ‘Down’ is in the operational area of the South Eastern Trust and ‘Mid Ulster’ (Cookstown and Magherafelt) are in the Northern Trust.

HEALTH SERVICES COMMISSIONING

The number of people living within a locality (LGD) and assessed population need is supposed to be the primary factor when commissioning health Services so as Newry & Mourne LGD is the highest locality population in the Southern Trust – this should also be reflected in the funding spent on Daisy Hill Acute Hospital, Newry and its Specialist Acute Inpatient services and Emergency services.

Time for Investment in Newry and Mourne LGD's acute Hospital Daisy Hill

Daisy Hill Hospital, Newry was designated in its own right one of the 9 major Acute Hospitals in NI since 2003 (as part of Developing Better Services). As such it is entitled to funding for a fully functioning acute hospital with 24/7 Consultant Led Accident and Emergency Services and 24 /7 Consultant Led Maternity Services.

It was not designated as a ‘support or local hospital’ to Craigavon (as the Southern Trust nominated it to be in 2010) or designated just as a regional elective centre as has been decided without any form of Consultation WITH THE PEOPLE WHO ARE PAYING FOR a fully functioning acute hospital.

Newry & Mourne LGD needs re-imbursement for Hospital funding due to population plan errors in the Southern Trust area > For vitally important information and explanation why Daisy Hill, Newry requires this re-imbursement for Hospital funding due to crucial errors -see the Daisy Hill for Life website – by clicking on the picture LINK below:

BACKGROUND AND REFERENCE

 (* Source: Southern Trust SHSCT Annual Report & Accounts 2021-22 for the year ended 31 March 2022 (pg 115, 43, 9)
Link below: https://southerntrust.hscni.net/about-us/annual-reports/


© 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.

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

You may also be interested in other posts on Daisy Hill Acute Hospital, Newry city, like: https://savedaisyhillhospital.com/2022/02/28/daisy-hill-hospital-newry-is-one-of-the-nine-major-acute-hospitals-in-the-regional-network-designated-in-2003-like-antrim-ulster-etc/

Newry & Mourne LGD population abandoned by the Health authorities paid to provide for them in Daisy Hill Hospital, Newry.

FACT: For over 50 YEARS since 1971, Newry & Mourne LGD has ranked in the TOP 4 HIGHEST POPULATIONS in NI with Belfast, Lisburn (Greater Belfast) and Derry. (As verified by NISRA Statistics).

The highest population in the Southern Trust - Newry & Mourne LGD has been abandoned by the Health authorities paid to provide acute services for them in Daisy Hill Hospital, Newry.

Based on the population size of Newry & Mourne LGD, (106,813 people in 2020 (NISRA) – Newry City should have a Major Specialist state of the art Acute hospital (as planned by Newry & Mourne Health & Social Services Trust) with the same specialist acute services, inpatient beds and diagnostics as Altnagelvin Hospital and Craigavon Hospital.

It should be noted that while Newry & Mourne Local Government District (LGD) has a similar population size to Derry LGD, Newry & Mourne LGD has ALWAYS had a Higher population size than Craigavon Local Government District.

DAISY HILL, NEWRY IS A GOVERNMENT DESIGNATED MAJOR ACUTE HOSPITAL

In 2003 it was finally acknowledged by the Department of Health, that with the 4th highest population in NI, Newry & Mourne was entitled to have a major functioning acute hospital based on assessed need.

Following Regional Consultation on the DoH’s Developing Better Services, Daisy Hill Acute Hospital Newry City was designated one of 9 Major Acute Hospitals which would form a network of Specialist Acute Hospitals across NI.

This ensured that no matter where anyone lived in NI every person would have equal access within one hour to 24/7 Consultant Led Accident and Emergency Services, and 24/7 Consultant Led Maternity Services in one of nine Acute Hospitals in a Regional “seamless web of care.”

The number of people living within a locality (LGD) is supposed to be the primary factor when commissioning health Services – so why has the highest population in the Southern Trust in Newry & Mourne LGD been abandoned by the Health Authorities who are paid to provide acute services in Daisy Hill Acute Hospital, Newry City?

The Southern Health and Social Care Trust (who replaced Newry & Mourne Health and Social Services Trust in 2007) never had any intention of re-developing Daisy Hill Hospital into the major acute hospital the population of Newry & Mourne were entitled to. They were only interested in redeveloping Craigavon hospital.

Consequently now in 2023 after repeated excuses and public statements the Southern Trust have managed to destroy the reputation of the brilliant hospital they inherited from N&MHSST. The Southern Trust’s centralisation agenda and the organisation’s own inability/or refusal to recruit and retain staff has taken its toll on staff in the hospital resulting in the major public health crisis the population of Newry & Mourne now finds itself in.

The men, women and children of the Newry & Mourne population should not have the fear and worry which comes from the consistent drastic reduction of specialist services and inpatient beds from the major specialist acute hospital Daisy Hill, Newry City.

The main graphic shows the Southern Trust area and its 2 Acute hospitals. Newry & Mourne has the largest land mass (898.3 square Km) of all the 5 localities in the Southern Trust area.

Since the Southern Trust took over admin of Daisy Hill Acute Hospital on 1st April 2007, Newry & Mourne has ALWAYS has the highest population, highest number of births and highest number of children u18 of all the 5 LGDs in the Southern Trust.

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

BACKGROUND – The organisation of Health Care in NI

The former 26 Councils or Local Government Districts (LGDS) or localities are still named in legislation and remain as the Operational area of NI Health Trusts (Establishment Order 2006) and Commissioning Groups. In the Southern Trust area, there are still FIVE LGDs named as shown below and in graphic.

The Five LGDs in Southern Trust in consistent order of size since Establishment of the Southern Trust on 1st April 2007 according to NISRA are:

>1st Newry & Mourne;

>2nd Craigavon;

>3rd Armagh:

>4th Dungannon:

>5th Banbridge

Total LGD population order of size: (NISRA 2020):

>1st Newry & Mourne: 106,813

>2nd Craigavon: 103,341

>3rd Armagh: 63,874

>4th Dungannon: 63,552

>5th Banbridge: 50,567

Total LGD population Under 18’s: in order of population size, (NISRA 2020):

>1st Newry & Mourne: 28,116

>2nd Craigavon: 25,804

>3rd Armagh: 16,334

>4th Dungannon: 16,938

>5th Banbridge: 12,274

Official Northern Ireland Statistics and Research Agency (NISRA) Statistics.

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

ACTION 1

For Related Information

For another article on populations, the hospitals of the region including Daisy Hill Hospital, Newry -see also : https://savedaisyhillhospital.com/2020/01/15/ni-health-crisis-cut-in-number-of-specialist-acute-hospitals-their-uneven-spread-since-1995-is-a-major-factor/

The concentrated support of Newry Mourne and Down Council, to call for action and proper treatment of Daisy Hill Acute Hospital, the Area Hospital for Newry & Mourne and South Armagh is needed -for more info: https://wordpress.com/post/savedaisyhillhospital.com/3146

The people of Newry & Mourne LGD and surrounding areas show their support at the Save our Emergency Surgery March to Daisy Hill Acute Hospital, Newry on April 2023

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 – 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.

Newry City & District Health Rights Info Page

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

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

POPULATION NEED IN NEWRY & MOURNE

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

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

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

Population Need: Newry & District GP Federation

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

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

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

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

>(1st) Newry & Mourne

>(2nd) Craigavon

>(3rd) Armagh

>(4th) Dungannon

>(5th) Banbridge.

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

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

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

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

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

>Fair Treatment and Employment Legislation (Access to premises)

>Rural Needs Act (NI) 2016

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

>Regulatory Impact Assessments

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

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

>Managing Public Money (NI)

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

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

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

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

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

Independent advice is available from the following organisations

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

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

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

Daisy Hill Acute Hospital for Life

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

IMPORTANT RELATED CONTENT

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

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

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

Subscribe to Blog via Email

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

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

Put Daisy Hill acute Hospital, Newry & Mourne and its Type 1 ED for children and adults back on the map!

Newry, the main Gateway City to NI now, and after we leave the EU, is being denied its rightful place in the Rebuilding of Health and Social Care Services, by the people who are paid to include them.

The graphics which follow show THERE IS NO OTHER Type 1 ED Department in NI that can be accessed within one hour by a third of the population of Newry & Mourne/South Armagh – 38,000 people. 

That is why Newry City’s Acute Hospital, Daisy Hill’s ED department was designated in 2003 with 8 other EDs across NI  to form a Regional network of  9 Type1 EDs , vital to ensure equality of access within one hour 24/7  to Consultant-led urgent and emergency Care to everyone in NI , no matter where they live – urban and rural.

The Southern Trust needs to take its responsibilities to the Newry & Mourne/South Armagh population seriously and be accountable for their actions.   The function of the Southern Trust is to provide hospital accommodation and services in Newry City in Newry & Mourne – the largest administrative area in the Southern Trust.

Their function DOES NOT include the removal of Daisy Hill’s Emergency Department (ED)  from  the long  established Designated Regional network of  the nine  24/7 Type 1 ED Departments of Daisy Hill, Royal Group , Antrim, Ulster, Causeway,  Mater, Altnagelvin, Craigavon,  and  S.W. Acute Hospitals,  which provided a seamless web of ED care to all of the people of NI over the past 17 years.

The Southern Trust shut down Daisy Hill’s Type 1 ED, at a days notice, without consultation, or any adherence to Equality, Rural Needs, Human Rights, Disability legislation. This Type 1 ED in Daisy Hill Hospital is the only one serving the population of the Southern part of NI one hour drive-time ED Network.

GRAPHICS/MAPS

The accompanying Graphics ‘Drive Times to Nearest Type 1 ED’ show the effect the removal of Daisy Hill ED from the existing network of Nine Type1 EDs across NI has on the Population of Newry & Mourne.

The Department of Health/Public Health Agency and Southern Trust are aware of the importance of this Drive Time information as it was previously analysed and published in the Department’s Pathfinder Project Report and Appendices in 2017. The map in the graphic is a scaled drawn reproduction of the report’s map*(See end for source).

Put Daisy Hill acute hospital Newry & its Type 1 ED for children and adults back on the map! Newry, the main Gateway City to NI now, and after we leave the EU, is being denied its rightful place in the Rebuilding of Health and Social Care Services, by the people who are paid to include them.

GRAPHIC 1: Drive Time shows approx Drive time to a Type 1 ED across the Southern Trust and wider area when Daisy Hill ED is excluded. It shows that people living in Armagh, Craigavon, Lisburn, and all across the greater Belfast Area are all within a 30 minute car drive time of a Type1 ED. This is as well as being only 30 min Drive time to all other Type 1 EDs in acute hospitals in Belfast). It also shows that Newry & Mourne is most badly affected by removal of Daisy Type 1 Hill ED.

GRAPHIC 2: Focus on Newry & Mourne – Drive Time  – focuses in detail at the map showing the area of Newry and Mourne. The Rural areas of the Mournes and South Armagh are most affected without Daisy Hill ED.

Nearly 38,000 people in Newry & Mourne denied right to access a Type 1 ED within 1 hour

Graphic 2 shows the area of Newry & Mourne affected with added reference to Electoral Ward populations. Without DHH ED the population of the following electoral wards have to travel 75 to 90 minutes+ to get to a 24/7 TYPE 1 ED in an emergency situation.

Focus on Newry and Mourne -Drivetime to nearest Type 1 ED when Daisy Hill ED is excluded

OVER 75 MINUTES DRIVETIME TO GET TO A 24/7 TYPE 1 ED (coloured dark orange on maps): see key

1 : Annalong: 2. Binnion  3 :  Kilkeel Central 4 :  Kilkeel South 5 : Lisnacree 6 : Rostrevor 

60 TO 75 MINUTES+   DRIVE TIME TO GET TO A 24/7 TYPE 1 ED.  (coloured dark yellow on maps): see key:

7:  Spelga  8 : Kilbroney 9 : Seaview  10 : Clonallan 11:  Crossmaglen 12 : Creggan  13 :Silverbridge 14: Forkhill

These times are only estimates. Only those of us who have had to make the journey to the nearest ED know exactly how long the journey takes.

The Southern Trust’s has a centralisation policy of provision of all medical and surgical Urgent and Emergency Services.  Because of this Southern Trust policy – approximately 38,000 people in Newry & Mourne (including South Armagh) since 28th March 2020, have been potentially denied their right to access immediate life saving care in a Type 1 ED within one hour Drive time from their homes. This includes 8,403 children and 5,914 aged 65+.  (Population data from latest NISRA estimated 2019 stats).

REBUILDING PLANS:

Southern Trust made an agreement with other Health Trusts and the Department of Health NI that they will:

(1) Ensure Equity of Access for the treatment of patients across Northern Ireland  (2) Minimise transmission of Covid-19; and (3) Protect access to the most urgent services for our population.

By shutting down and refusing to reopen Newry City’s Type 1 ED department the Southern Trust  have not ensured “Equity of Access” for the treatment of patients across NI and have denied approx 38,000 men, women and children in Newry and Mourne access to time critical  immediate Urgent and Emergency Car within an hour. 

They have also destroyed the existing 17 years Regional network of 9 Type1 EDs being provided by all the other Trusts.

JUST LIKE NEWRY AND DAISY HILL WAS LEFT OUT OF THE STROKE CONSULTATION OPTIONS

Like with the Stroke consultation (where all Stroke care  was centralised to Craigavon from Newry), the Southern Trust has again wrongly left Daisy Hill out –  this time out of the Regional Plans for Urgent and Emergency  and other services in their Rebuilding Health and Social Care services plans.

STAND YOUR GROUND

It is on record that there has been a hospital in Newry caring for anyone in need of immediate life saving services for the past 175 years, through famine, wars and the Cholera epidemic.

It took the Southern Trust, to remove its caring specialist staff at a days notice, from Newry to Craigavon, when they were needed most in Newry, during the Covid 19 pandemic, leaving the entire population of Newry & Mourne without a lifeline in Newry city to time critical Urgent and Emergency Care.                                          

All Politicians, Unions, community representatives and individuals.  Please stand your ground to get what is rightfully ours because we have paid for it.  

Time for Investment for Newry +Mourne LGD 2020

The Department of Health get £5 billion to improve the health and social Care of all of the people of NI who need healthcare no matter where they live. Together we will stand our ground to get Newry, the Gateway City to NI and Newry & Mourne/South Armagh firmly back on the map.

Background:

*Map –  (Source: Appendices – Daisy Hill Hospital Pathfinder Project – Development of an Unscheduled Care Model through a Co-Production Approach, 20th December 2017.  Appendix 2 – Population Needs Assessment – Report of the Needs Assessment Figure 6-2: Drivetime Analysis for NI – DHH ED excluded. Pg 87/88.)

TYPE 1 Emergency 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.

Daisy Hill Acute Hospital with 24/7 Type 1 ED in Newry is in the Southern Health and Social Care Trust area.

The Golden Hour in stroke is well supported by Clinical Evidence

RELEVANT RESEARCH

Extensive research by ‘Developing Better Services’ Report 2003 found that only a total of 9 EDs would ensure the entire population of NI had access WITHIN ONE HOUR to immediate urgent and emergency care no matter where they lived in both urban or rural areas.

Newry & Mourne is the largest locality of the 5 localities in the operational area of the Southern Trust. The five localities in consistent order of population size since the establishment of the Southern Trust in 2007 are: (1) Newry & Mourne (2) Craigavon (3) Armagh (4) Dungannon and (5) Banbridge.

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

GOVERNMENT CONSTITUENCY INFO

Newry & Mourne Locality is in Two Westminster and NI Assembly constituencies: Newry Armagh and South Down.  17 Wards are in the Newry Armagh Constituency and 13 Wards from Newry & Mourne are in South Down Constituency.

NEWRY & ARMAGH CONSTITUENCY: Daisy Hill, Drumalane, St Marys, St Patrick’s, Windsor Hill, Drumgullion, Ballybot, Newtownhamilton, Camlough, Derrymore, Bessbrook, Tullyhappy, Crossmaglen, Creggan, Silverbridge, Forkhill, Fathom.

SOUTH DOWN CONSTITUENCY:  13 electoral wards of Newry & Mourne are in South Down Constituency.

Spelga, Rostrevor, Sea View, Clonallan, Burren & Kilbroney, Mayobridge, Derryleckagh, Annalong, Binnion, Kilkeel Central, Kilkeel South,  Lisnacree,  and Donaghmore:
49,000 of the Newry & Mourne population are in the South Down Constituency.

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

Links to all Trust Rebuild Plans 2020 here:

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

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

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

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

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

8,000 people unite to support Daisy Hill Acute Hospital Rally

Save Daisy Hill Hospital Campaign Rally today had a brilliant turn out from the people of Newry & Mourne today with all the community united in support of the Hospital.  8,000 people (PSNI estimate) showed their support by a Rally followed by a march to Daisy Hill Acute Hospital where the Mayor of Newry & Mourne Council, Daire Hughes handed in a letter to the Southern Trust on behalf of the people.

Thank you to everyone who came out in person and all those who support the campaign but were unable to attend today.  The campaign continues! We can save Daisy Hill for Life!  There is still time for the Southern Trust and Southern Commissioning Group to rescind the decision to remove stroke services from Daisy Hill and transport services to Craigavon Hospital.

Daisy Hill Hospital Newry

8000 people gather in support of Daisy Hill Hospital

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