NI Stroke Consultation: Presenting an extra Option to include the EXCLUDED populations

Q6 SUGGESTED ANSWER : 5 Hyperacute Stroke Units (HASUs) and 5 Acute Stroke Units (ASUs) at 5 acute hospitals in NI at: (1)Royal Victoria, Belfast; (2) Daisy Hill Hospital, Newry, (3)South West, Enniskillen (4)Altnagelvin, Derry and (5)Causeway Hospital, Coleraine. This option is based on existing acute stroke units that already give specialist CT scanning and Thrombolysis.This option offers timely equality of access to these necessary specialist stroke services more evenly distributed across NI to include the rural population - ignored in the consultation. NI Stroke Consultation 2019: Presenting an additional Option to include all the excluded populations of Northern Ireland.

The NI Stroke Consultation: Reshaping Stroke Care – Saving Lives, Reducing Disability 2019 asks for the public’s agreement to choose an option between 6 possible options of future configuration of both hyperacute and acute stroke units in Northern Ireland (NI) even though many local Government Districts are excluded.

In these proposals, two existing stroke units in acute hospitals at Daisy Hill Hospital in Newry City and Causeway Hospital in Coleraine have been completely EXCLUDED from ALL possible Options to choose in the Consultation Questionnaire, and isolated from the process completely.

ALTNAGELVIN, CRAIGAVON AND ROYAL VICTORIA HOSPITALS SELECTED IN ALL OPTIONS

Altnagelvin, Craigavon and Royal Victoria Hospitals are proposed in every one of the 6 Options, which means the future of these three stroke units is perceived as definitely secure whatever happens.

These three stroke units may be recruiting on the strength of this, while other units and their staff are left out in the cold, despite actively participating in the Pre-Stroke Consultation in 2017, where they were assured that no decisions had been made.

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

RESEARCH BIAS

The approach in the Questionnaire is considered bad practice in Research as the occurrence of the same 3 hospitals in all 6 Options shows bias and favouritism and employment unions may be alerted that this is a failure to follow due process in Employment Law.

This bias renders the whole Consultation invalid as the topic deals with the Change and Withdrawal of existing public services in hospitals, which are paid for using Public Money.

TIMING OF CONSULTATION

The timing of this Consultation is also called into question as it was timed at the same time as the recess for forthcoming Council Elections. This leaves populations without access to advice from full sitting Councils and Council reps on local Health Boards. Therefore the Consultation must be extended beyond the statutory 3 months consultation period to allow Newry, Mourne and Down Council Representatives and other Councils in other areas to make a response on behalf of their electorate.

NEWRY, MOURNE & DOWN COUNCIL – NEEDS A HYPER ACUTE STROKE UNIT & AN ACUTE STROKE UNIT IN DAISY HILL HOSPITAL, NEWRY

>Newry Mourne and Down Council – has the 3rd highest council population in NI of  179,000 people (of which 105,300 residents live in rural areas ). If any of the Six pre-selected Options in the Consultation are chosen – this entire local government district will be left with NO Hyperacute or acute stroke /Rehabilitation Units and no timely access to Thrombolysis.

This deliberate plan to remove without a trace the existing designated Daisy Hill Acute Hospital combined Specialist Acute + Rehabilitation Stroke Unit is deplorable, and a public health injustice which cannot be condoned. (Stroke services are assured in Derry City and Strabane Council with a population of 150,500 with only 49,900 people living in a rural area.)

OPPORTUNITY & HOPE

Despite all these issues – there is STILL an opportunity for our excluded populations to put the best case forward for their existing Stroke Units. The only positive aspect of the Reshaping Stroke Consultation 2019 is that we have been given the opportunity to answer Q.6 with additional options

PRESENTING A NEW OPTION TO INCLUDE ALL N.I.

The answer as shown in the graphic is suggested for public consideration. In the Consultation Questionnaire Q. 6 asks: “Are there additional options that we have not considered?”

Q6 SUGGESTED ANSWER : 5 Hyperacute Stroke Units (HASUs) and 5 Acute Stroke Units (ASUs) at 5 acute hospitals in NI at: (1)Royal Victoria, Belfast; (2) Daisy Hill Hospital, Newry; (3) South West, Enniskillen; (4) Altnagelvin, Derry and (5) Causeway Hospital, Coleraine.

This option is based on existing acute stroke units that already give specialist CT scanning and Thrombolysis. This option offers timely equality of access to these necessary specialist stroke services more evenly distributed across NI and to include the rural population – ignored in the consultation.

In this option Antrim, Craigavon (a satellite town of Belfast) and Ulster Hospital, Dundonald – are all within 30 minutes motorway journey of Belfast and can advantageously avail of both Thrombolysis + Thrombectomy in the Royal Victoria Regional Hospital (already confirmed as having a HASU and an ASU).

Daisy Hill Acute Hospital (DHH) Newry City is in a strategic location where patients from Banbridge (approx 15mins travel from Newry City) and South Armagh and Down can avail of timely access to specialist stroke services (scanning and Thrombolysis ) in Daisy Hill (DHH) Hyperacute Stroke Unit + Rehabilitation in DHH Acute Stroke unit.

CONCLUSION YOUR LAST CHANCE to air your views in support of Daisy Hill specialist stroke unit.

The most meaningful way we can put the best case forward for the existing Daisy Hill combined Specialist Acute Stroke/ Rehabilitation unit and its dedicated staff in the Reshaping Stroke Consultation is by taking our time to respond to the questionnaire (including answering Q6).

Don’t give any rushed answers – the closing date is not until June 2019, and you can only submit one response each.

It should also be noted that the Complete Online Form’ button, and online form is set up to force people to choose one of those six options – which all mean the end for the stroke units in Daisy Hill Hospital and in Causeway Hospital. 

WE CAN and have the right to CHALLENGE these decisions and the options given and put the best case forward for RETENTION and ENHANCEMENT of Daisy Hill existing acute stroke rehab unit and its specialist services to ensure its rightful place in the network of stroke services in NI for the LONG TERM FUTURE.

More posts relating to the Stroke Consultation coming here soon and on: https://en-gb.facebook.com/daisyhillforlife/

The united community of Newry and Mourne and South Armagh will work together to ENHANCE stroke services in Daisy Hill Acute Hospital

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2021. We welcome sharing of excerpts & links, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

 

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

2 CT Scanners for Daisy Hill Hospital Newry city now

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

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

IMAGING REVIEW

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

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

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

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

 

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

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

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

REFRESH SOUTHERN TRUST IMAGING PLANS

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

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

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

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

>STATEMENT 1:

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

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

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

>STATEMENT 2:

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

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

>STATEMENT 3:

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

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

CALL FOR ACTION FROM SOUTHERN TRUST NOW

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

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

You can visit – follow and  like our Facebook page at https://www.facebook.com/daisyhillforlife/ – Thank you.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2017. We welcome sharing of excerpts & links, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

 

Balanced Representation for Newry and Mourne population essential before Daisy Hill Hospital ED Pathfinder discussions

Balanced Representation for the population of Newry & Mourne is essential – before any initial Daisy Hill Hospital Pathfinder discussions on future Consultant led 24/7 Emergency Services and Acute services in Newry City.

 After initial inspection of the membership of the Pathfinder Project Group from the documents – we assert that it is unfairly balanced in favour of the Southern Trust (SHSCT)/Board management in overall membership. (See PIE CHART 1)

Initial suggested membership of Daisy Hill Hospital Emergency Department Pathfinder Group is unfairly balanced in favour of the Southern Trust and Health Board management

REDRESS THE BALANCE

To redress the planning and decision making balance, we are suggesting some immediate changes to the make-up of this Pathfinder Group before any community involvement is even considered, to ensure a level playing field with equal voting rights. This will ensure that community involvement is meaningful and actually impacts upon the decision making and is not merely a box ticking exercise.

NEED FOR EQUAL REPRESENTATION

As the Southern Trust Management feel they are entitled to choose 13 members including the Chair, we are also entitled to choose an EQUAL number of members representing the community of patients, service users, families, staff and politicians, from the Newry, Mourne and South Armagh Locality. (See PIE CHART 2)

Redress the balance of Daisy Hill Hospital Emergency Department Pathfinder Group with an equal number of members representing the community of patients, service users, families, staff and politicians, from the Newry, Mourne and South Armagh Locality

We need to make sure that this is a proper forum and not just a communications pilot exercise by the Southern Trust in their attempt to implement the criteria from the Bengoa Report and the Transformation Implementation Group’s agenda.

There is a responsibility on all sides to ensure the community’s views are gathered, recorded and represented fairly.

CONCLUSION

In view of the seriousness of the threat of change / withdrawal of life-saving ACUTE AND EMERGENCY Services for both children and adults; we are entitled to full consultation and fair representation on the Daisy Hill Hospital Pathfinder Group as shown in Pie Chart 2. The Pathfinder Group is also known as the ‘SHSCT Task and Finish Group.’

Why have we not been given a level playing field in voting rights and a proper consultation?  We need to be assured of equal voting rights and proper consultation immediately.

This is not an ‘exciting project’ for us – we are the people who will bear the brunt of the removal of ED services which deals with all life threatening Emergencies WHERE EVERY MINUTE COUNTS. The present and future lives and outcomes of everyone who needs ACUTE and ED Services in Daisy Hill Acute Hospital are worth fighting for.

We should not have to fight to get Acute & ED services which we have paid for, and is our right.

Background info:

Project Name: Daisy Hill Hospital Emergency Department Pathfinder Project With Identification of Regional Learning.

You can follow the Daisy Hill Acute Hospital campaign also by visiting and liking our Facebook page at https://www.facebook.com/daisyhillforlife/ – Thank you.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2017. Excerpts and links may be used, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

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DAISY HILL HOSPITAL ED PATHFINDER PROJECT – PROPOSALS 1

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

The people of Newry & Mourne have been invited to take part in Daisy Hill Hospital Emergency Pathfinder meetings with Dr Anne-Marie Telford to discuss how they can work with the Southern Trust:

“to develop a long term plan which will stabilise, safeguard and sustain local emergency care services.” 

We have some thoughts and proposals on this for you to consider – Are these meetings, instead of just being about the Emergency Department – also part of a verbal consultation by the Southern Trust and Health and Social Care Board that starts us on the Bengoa Report Reform, which includes the further change/withdrawal of services, without telling us?

It seems likely, as the Bengoa Report places Emergency & urgent care as Priority 1 : in most need of reform.

In this post we would like to suggest some questions which need answers, and put forward proposals for readers to consider. We think the proposals could be a good starting point to help tackle this concern.

hospital corridor

 

WHAT WILL THE COMMUNITY GAIN FROM TAKING PART IN THE PATHFINDER PROJECT?

What difference will these August meetings make to secure PERMANENT, LONG TERM Consultant- led 24/7 EMERGENCY & ACUTE services in Newry, Mourne and South Armagh Area Acute Hospital – Daisy Hill?

We request that the Southern Trust and Health and Social Care Board (HSCB) explain urgently to the public exactly what they are asking us to support by participating in the Pathfinder Project.  As it is not clear, we request the SHSCT and HSCB to publicly tell us what’s in it for us and WHAT IS AT STAKE before they ask us to participate in individual interviews with Dr Telford.

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

Proposals to help deal with the unanswered questions

WHAT WE CALL FOR:  (PROPOSAL 1)

(1) The Health Board/Trust /Public Health Authority host a PUBLIC MEETING in Newry City with the following agenda:

(a) To inform the public the clear purpose of the Pathfinder Project

(b) To give a clear explanation on exactly which services are being ‘changed or withdrawn’ from Daisy Hill Acute Hospital.

(c) Explain what progress the SHSCT recruitment team have made to date, with regard to recruitment for Daisy Hill Emergency Department.

(d) Tell us what Questions will be asked in the verbal interviews with Dr Anne-Marie Telford.

WHAT WE CALL FOR:  (PROPOSAL 2)

(2) We would like A FULL WRITTEN CONSULTATION (as part of the first 20 weeks of the Pathfinder Project) so we can make an informed decision before participating.

The 2 Proposals explained

(1) PUBLIC MEETING, hosted by the Health and Social Care Board/ Public Health Authority/ Southern Trust,  required to be held in Newry City to address and answer the following 4 important Questions.

(1a)What is the PURPOSE of the Pathfinder Project?

Before we consider participation in the Pathfinder Project – it would be mutually beneficial if the Southern Trust (SHSCT), Health and Social Care Board (HSCB) and Public Health Authority hold a public meeting in Newry City (in a suitable large venue) where they can openly explain to the wider public, hospital staff and Unions exactly what is the clear purpose of the Pathfinder Project. This is an opportunity for the SHSCT and HSCB to explain to the public their future long term plans for Newry Mourne and South Armagh Area Acute Hospital – Daisy Hill.

(1B) WHICH DAISY HILL ACUTE HOSPITAL SERVICES WILL BE AFFECTED?

Rather than using the blanket terms of ‘Acute and Emergency services’ in the Pathfinder Project Documents – we request that the Southern Trust and HSCB explain to us in plain language and define exactly which ‘ACUTE AND EMERGENCY CARE’ services in Daisy Hill Acute Hospital will be affected and will they be  changed or withdrawn?

Does the term ‘unscheduled care needs’ or ‘Acute and Emergency Care ’ mean all  scenarios including  children’s emergency, emergency surgery, stroke, heart, unavoidable accidents (work, school, home  and sporting accidents)? Does this also include emergency treatment for car accident victims and emergency caesareans where there is only 30 minutes to save the life of mother and baby? Under EU directives there must be a functioning hospital for mothers and babies. In addition – what ACUTE SERVICES are being affected?

What progress have the Southern Trust recruitment team made to date recruiting for Daisy Hill Emergency department?

(1C) WHAT PROGRESS HAVE THE RECRUITMENT TEAM MADE?

As the original issue publicly reported by the Southern Trust was RECRUITMENT of medical staff for DHH at night in the Summer months – At this public meeting we need to see the continued detailed efforts of the SHSCT Recruitment Team in finding medical staff for Daisy Hill ACUTE HOSPITAL. This must include the detailed job adverts for Craigavon Hospital as well as for Daisy Hill Hospital.

1 (d) We would also like the public meeting to advise us what Questions will be asked in the verbal meetings with Dr Anne-Marie Telford and how will this information be recorded/collated? How will this information be reported back to the Pathfinder group? What impact will it have?

(2) WE REQUEST A FULL WRITTEN CONSULTATION, and not just a verbal consultation

– a written consultation is our right under ‘Change or Withdrawal’ of services. While some may welcome the opportunity to attend a face to face consultation, not everyone will be able, or available to attend the meetings so there must be a written option too.

As part of ‘meaningful consultation’ – Under the 2009 Act on ‘change or withdrawal of services’ – we are entitled to 3 months WRITTEN PUBLIC CONSULTATION so we can make an informed decision BEFORE we participate in the Pathfinder Project. This written consultation must be included as part of the first 20 week period – as a ‘final decision’ is being made after 20 weeks. We need to know what impact will this ‘final decision’ have on ‘acute and emergency care services’ in Daisy Hill Acute Hospital, Newry City?

As part of this consultation document the Southern Trust and the HSCB should tell us in writing, exactly what service change they are planning and why, in clear terms.

We require a full written consultation for Daisy Hill Acute Hospital Emergency Pathfinder Project

A comparison with the Consultation into the Belfast Trust’s change in Adult Emergency Department services

This WRITTEN CONSULTATION must include OPTIONS for possible reconfiguration of services as was undertaken by the HSCB Board for withdrawal of Adult Emergency services in the urban areas of the Belfast Health and Social Care Trust when ED services were only being moved (approx 1.2 miles down the road) from the City Hospital to the Royal. It is vital to note that in the Belfast consultation, the children’s emergency services were not threatened with closure. The HSCB Consultation in Belfast included detailed written explanation for the public.

Newry & Mourne, as the largest locality in the Southern Trust should have the same written public consultation as the population of the Belfast Trust – now- at the start of this 80 week project for the public to be meaningful involved from the start.

CONCLUSION

The united community of Newry and Mourne works together for Daisy Hill Acute Hospital

CALL TO ACTION: If you agree with these proposals/ideas:

Please write to the Chairperson/Mayor of Newry, Mourne & Down Council; Councillor Roisin Mulgrew and also to all our MPs, MLAs and Councillors who represent us, and ask for the following:

  1.  A PUBLIC MEETING hosted by the Health and Social Care Board/ Public Health Authority/ Southern Trust in Newry City addressing the 4 points in this post above.
  2. A written public consultation to accompany the Pathfinder Project in addition to the verbal meetings.

REFERENCES & CONTACT INFO for public representatives:

Newry Mourne & Down Council

Mayor of Newry, Mourne & Down Council; Councillor Roisin Mulgrew

By Post: Newry, Mourne & Down Council, Monaghan Row, Newry, BT35 8DJ, Northern Ireland.
By Email: roisin.mulgrew@nmandd.org
Newry, Mourne and Down Council Telephone: 0300 013 2233

Chief Executive; Mr Liam Hannaway at the same address or by email, care of: info@nmandd.org

Elected members (Councillors) :

http://www.newrymournedown.org/elected_members

MLAs; MP; MEPs

A List of our MLAs and MP, MEPs is available to view at: Write to them website

Newry & Armagh MLAs

Contact info: http://aims.niassembly.gov.uk/mlas/contacts.aspx

From this page, Filter by Constituency > Newry & Armagh

Then select Address> Constituency Offices for local contact addresses for MLAs.

Please EMAIL your councillors MLAs and MPs to support Daisy Hill Acute Hospital

Thank you for reading this post. Please share the proposals if you agree. We must all stay united and continue to support Daisy Hill Acute Hospital and its wonderful dedicated staff.

You can follow the Daisy Hill Acute Hospital campaign also by visiting and liking our Facebook page at https://www.facebook.com/daisyhillforlife/ – Thank you.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2017. We welcome the sharing of excerpts and links, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content. Thank-you!

This website is a free website from WordPress and adverts which appear here are not endorsed or controlled by the Web admin team of Save Daisy Hill Hospital.com

Evidence – what Evidence?

The word ‘evidence’ is used a lot in the Bengoa Report and this word alone tries to justify taking acute Specialist Stroke Services from Daisy Hill to offer them only in Craigavon. But the actual ‘evidence’ is NOT PROVIDED in either the Bengoa Report, or the Criteria document, nor is there a list of References WHERE the evidence came from, at the back of either the Report or the Executive Summary, as you would expect in any piece of scholarly work. The Bengoa Report (Systems not Structures – Changing Health and Social Care – Full Report can be read here.

Re change in specialist stroke services in the Southern Trust, What is the evidence? Has it been validated? Who provided the evidence? These 3 Q'S need answers to verify the ‘evidence’ on outcomes for Criteria No 1 in the Consultation on criteria for reconfiguring HSC services

These 3 Q’S need answers to verify the ‘evidence’ on outcomes for Criteria No 1 on the consultation on criteria for reconfiguring HSC services

The Bengoa Report states the case for change must be “fully evidenced”. It also states how this must be done:

“Clinicians must identify the evidence for change, managers must ensure the correct processes are followed, and the Minister, supported by the executive, must act quickly to take the final decision. All three groups will need to be prepared to defend the decision publicly.”

Therefore – we think the Questions shown in the picture need to be asked and we are entitled to answers.

Without these answers – the use of the word evidence alone is NULL and VOID. Given the whole of the criteria are based on ‘evidence’ and must be addressed urgently (Recommendation 13) – The Public who are paying for the services need to know WHAT IS THIS EVIDENCE before such services changes by centralisation of services are made across N Ireland including specialist Stroke Services and A&E.

BE AWARE! – there is no doubt that agreeing to the criteria will be the first step in AGREEING to centralisation ( or otherwise known as “rationalization”) of many specialist services from Daisy Hill Hospital as shown below in the extracts from the Bengoa Expert Panel Report, 2016, page 75-76

Based on the evidence the panel has received, the specialties that are currently in most need of reform would seem to be:
Priority 1
EMERGENCY & URGENT CARE, STROKE SERVICES, PRIMARY CARE INCLUDING GP OUT OF HOURS, GENERAL SURGERY, PATHOLOGY, VASCULAR

Priority 2
PAEDIATRICS, PALLIATIVE CARE, OBSTETRICS, RADIOLOGY, NEONATAL SERVICES, TRAUMA,
UROLOGY, REHABILITATION, COMMUNITY BASED ELDERLY CARE, BREAST SERVICES

RECOMMENDATION 13
The Panel recommends that the Department should formally endorse the criteria and apply them to five services each year to set out the future configuration of services to be commissioned (or not) from the Accountable Care Systems. If applying the criteria leads to the conclusion that the service is vulnerable, plans for reconfiguration should be developed and actioned within this twelve month period.

(Source: Bengoa Expert Panel Report, 2016, page 75-76)

It should also be noted that the Dept. of Health was very clear at the first meeting on 16th January that they want us to ‘have our say’ on only the Criteria, but as this criteria comes directly from the Bengoa Report – it is NOT possible to separate the two even though it would be convenient for them for us to do so.

Health Minister Michelle O’Neill has extended the period of consultation on the criteria for reconfiguring health and social care services by a further two weeks at the request of the public. Speaking about the decision to extend the period of consultation the Minister Michelle O’Neill said:

“The views of the public are vital in bringing forward change and I want to ensure that as many as possible get the opportunity to put their views forward. The meetings provide a real opportunity for the public to engage directly with senior professional medical, nursing and policy staff from the Department of Health.  These criteria will be instrumental in shaping change across HSC and it is critical we get it right.

“I would like to assure the public that full consideration will be given to the views expressed as part of this process in determining the way forward.”

As we have been invited to ask Q’s at the second Dept of Health meeting on Monday 30th January, Newry, Canal Court Hotel,  7 pm – 9 pm, it is VITAL we use this opportunity to ask the 3 Q’S as stated in the picture – as the answers are needed to verify the ‘evidence’ on outcomes for Criteria No 1.

Thank-you to all who continue to speak up and show support for Daisy Hill Hospital to keep it for future generations.

© Daisy Hill for Life on Facebook and http://www.savedaisyhillhospital.com, 2015 – 2017. Excerpts and links may be used, provided that full and clear credit is given to http://www.savedaisyhillhospital.com and Daisy Hill for Life with appropriate and specific direction to the original content.

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Bengoa Report Public Meeting in Newry Mon 16th Jan: 7 – 9 pm

dec-27th-bengoa-meeting-1_3

Click here for meeting info from the Department of Health’s website.

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