NEW Updated! Shorter Ready Reference Suggested Answers (Online consultation)

UPDATED 23.02.2025.

New Shorter Suggested answers to read or use with official Department of Health ONLINE Consultation Questionnaire for ‘Hospitals – Creating a Network for Better Outcomes’

(Full Consultation Information is available from the Background / Links section at the end of the page.)

Click on the LINK below to go to the Webpage to make an Online Response to the Department of Health Public Consultation: ‘Hospitals Creating a Network for better outcomes’

https://consultations2.nidirect.gov.uk/doh-1/hospitals-creating-a-network-for-better-outcomes/

Note: You don’t have to answer the Extra Comment Questions in the ONLINE Questionnaire, you can just select the STRONGLY DISAGREE buttons etc and click Continue to go on to the next Question – but to help make the case why Daisy Hill Hospital, Newry  should not be downgraded and is entitled to be made into an AREA HOSPITAL, Shorter suggested  answers are available here, which can be copied and pasted onto the Questionnaire as required.

If you only give an answer explanation to one Question, please ANSWER the ONLINE Q10 (which asks what this DOH Hospital Network Consultation has missed) and please state the need that Daisy Hill Hospital, Newry is entitled to be made  into an Area Hospital. (Answer Available below)

READY REFERENCE SUGGESTED ANSWERS (ONLINE Qs 1- 19) for DOH ONLINE Consultation Questionnaire for ‘Hospitals – Creating a Network for Better Outcomes’

Questions are numbered Q.1 – Q.19 on the Online Survey Version of Questionnaire (Different no’s to the Word Document version of the Questionnaire)

Based on actual population data and other factors Daisy Hill Hospital in Newry should have been made into an ‘Area Hospital’ and not a ‘General Hospital.’ For example: Population Fact 1: Of the 17 GP Federations in NI, Newry & District has the 2nd highest number of patients (161,308) registered with GP Federations after only Derry, since 2017. (Source: DOH 2023/24).

This Consultation does not value the importance of  the need for TIMELY access to ‘Accident & Emergency’ treatment where every minute counts (which includes for Stroke, Heart and Emergency Surgery) as well as accident victims  in comparison to accessing ‘non emergency’ treatment like elective care.                

ONLINE Q.11 To what extent to do you agree or disagree that the proposed list of actions in the framework will improve the experience and outcomes for service users in Northern Ireland?

Answer Q11. STRONGLY DISAGREE

ONLINE Q12. To what extent to do you agree or disagree that the framework explains how reconfiguration decisions are taken?

Answer Q12. STRONGLY DISAGREE

ONLINE Q13. To what extent do you agree or disagree that the framework explains how you will be engaged as part of the decision making process?

Answer Q13. STRONGLY DISAGREE

ONLINE Q14. Please explain the reason for your answer and provide any additional comments below –
**You do not have to give an answer here unless you want to add something

ONLINE Q15. Taking into account the answers you have provided; if you have any further comments on any aspect of this framework or the proposed actions please include below.

Answer ONLINE Q15.

If the hospital network is to be changed with ‘Area Hospitals’ at the heart of the system, then based on the health needs of Newry & Mourne Area which has had a consistently high population since 1971 to present  – Daisy Hill Hospital, Newry now located in the 3rd largest council in NI (Newry Mourne and Down) should be enhanced to be a ‘Area Hospital’ and maintain “a 24/7 Emergency Department, a 24/7 Emergency surgery and anaesthetic rota and theatre, and be supported by a critical care unit”.

Daisy Hill Hospital, Newry should also have secured for the LONG TERM future the same broad range of specialist inpatient services as the ‘Area Hospitals’ described in this consultation  including Paediatrics and Obstetrics.          

(Newry Mourne and Down Council has a current population of approx 182,634 (NISRA 2022)

Equality and Rural Needs Assessments

ONLINE Q16. A) Do you agree or disagree with the Draft Equality Impact Assessment (EQIA)?

Answer Q16: FULLY DISAGREE

ONLINE Q17. Please provide comments below:

ANSWER -ONLINE Q. 17:

 I fully disagree. These proposals and mitigating actions’ are not just or fair and will not deliver ‘health care equity’ across NI. According to this Equality document, ‘Travel support’ will be needed for most of the named Equality groups to access this new hospital network, so these proposals don’t keep to Equality rules or Human Rights. Responsibilities for accessing timely ‘Emergency’ treatment (which includes Emergency surgery) services are bypassed onto other external department’s including the Department for Infrastructure (Transport ) Also ‘Good Relations’ between communities / councils across NI will not be fostered under these proposals.

There are serious concerns regarding ‘healthcare equity’ for the population in Newry Mourne and Down (NMD). Under these consultation proposals, the population of Newry Mourne and Down will NOT have timely access to 24/7 INPATIENT Emergency Care TREATMENT. The Department of Health and others have a duty of care to continue to provide a Specialist Acute Hospital in Newry,  with inpatient beds, specialist inpatient Services and 24/7 Consultant Led Emergency surgery and Emergency Medical services based on a Population Needs Assessment.  This will ensure equitable access to specialist Acute Hospital services for the  growing population in Newry Mourne and Down LGD – the 3rd largest LGD population in NI: current population approx 182,634 (NISRA 2022).    


ONLINE Q18 B) Do you agree or disagree with the Draft Rural Needs Impact Assessment?

ANSWER Q18 b) FULLY DISAGREE

ONLINE Q. 19: SUGGESTED ANSWER  

I fully disagree with the Draft Rural Needs Impact Assessment as these proposals will create worse health outcomes for all rural populations.  Approx 36%* population of NI live in a rural area including in Newry Mourne and Down (NISRA 2020*). As the meaning of equity is ‘something that is just and fair’, this policy will not improve ‘healthcare equity’ as it aims to do, as rural residents in NI will NOT be able to “access TIMELY, high-quality care.”    

Under the 2016 Rural Needs Act, the Department of Agriculture, Environment and Rural Affairs (DAERA) and the Dept of Health have a duty of care to make sure the health and economic needs of the rural community are fully met and are entitled to be included, not deprived of the economic prosperity that being included in an Area hospital Network brings.

The Rural Impact document (page 4) has completely ignored the impact the proposals would have on Jobs, Employment, Education, Training, Poverty, and Deprivation in Rural Areas and Rural Development.

The location of the 5 proposed ‘Area Hospitals’ all with 24/7 Level 1 ED (Altnagelvin, Antrim, Craigavon, Belfast Hospitals Campus and Ulster Hospital) are concentrated within half hour of Belfast, and in Derry. Only the population in these urban areas will have TIMELY access to 24/7 Level 1 Consultant Led INPATIENT EMERGENCY CARE TREATMENT, the rural areas will NOT have TIMELY access.


Section 75 Equality Questions (optional) ONLINE Q 20 – 28 (These are Optional but you have to either select ‘Prefer not to say’ option or choose an answer to continue.

END OF QUESTIONS
****
QUICK SUMMARY

Online Q1-4 Personal Information
Online Q5-8 STRONGLY DISAGREE
Online Q9. YES
Online Q10 Add Comments if you want – see Suggested Answers above
Online Q11-13 STRONGLY DISAGREE
Online Q14 & 15. Add Comments if you want – see Suggested Answers above.
Online Q16 STRONGLY DISAGREE (Equality Impact Assessment)
Online Q17 Add Comments if you want – see Suggested Answers above.
Online Q18 STRONGLY DISAGREE (Rural Needs Impact Assessment)
Online Q19 Add Comments if you want – see Suggested Answers above.

ONLINE Q 20 – 28 Section 75 Equality Questions (optional)
20. Religious belief
21. Political opinion
22. Race
23.Gender
24.Marital status
25. Age bracket
26. Disability
27. Dependants
28. Sexual Orientation

(These are Optional but you have to either Select your answers for these or select ‘Prefer not to say’ option to continue.

END OF QUICK SUMMARY

The Consultation Closes on Friday 28th February at 5pm.

BACKGROUND / LINKS


LINK ********DEPARTMENT OF HEALTH ONLINE CONSULTATION LINK – CLICK BELOW

https://consultations2.nidirect.gov.uk/doh-1/hospitals-creating-a-network-for-better-outcomes/

The link below is the main Consultation link from the Department of Health website for the ‘Creating a Network for better outcomes’ Consultation . It gives all documents including main report, Rural Impact and Equality Impact Assessments, Consultation Questionnaire Word document all available to download and read.

https://www.health-ni.gov.uk/consultations/hospitals-creating-network-better-outcomes-public-consultation

Daisy Hill Hospital in Newry is entitled to be an Area Hospital - 5 factual reasons which show this Department of Health Consultation has failed to recognise the need for an Area Hospital in Newry based on the population size, health needs and strategic location of Newry, County Down./County Armagh.

Extra info / Downloads

For your convenience, these Answers in this article can be read by downloading a handy Ready Ref Sheet – Word Document ‘V8 Shorter Ready Ref Answers Sheet for ONLINE Q’s DOH’ file below.

OR

For people who prefer to Email a seperate copy of the Questionnaire via Email – an updated version of the Full Questionnaire is available to download below. (You will need to add your own Answers to the Personal Details Questions at the beginning – please see further reading for more info)

ALTERNATIVE MICROSOFT WORD VERSION of Full Questionnaire (Prefilled – Short Answers) for Emailing

For more Information about this Consultation and How to Take Part – see links below.

Thank you. Please Share if you think this will help someone else take part in this very important Consultation for the future of Daisy Hill Hospital and its dedicated staff. 

Further Reading

https://savedaisyhillhospital.com/2025/02/23/how-to-take-part-in-the-doh-hospital-network-consultation-with-suggested-responses-updated-23-02-2025/


See also: https://savedaisyhillhospital.com/2025/01/28/gp-registers-show-vital-need-for-daisy-hill-newry-as-an-area-hospital-with-24-7-level-1-ed/

See also: https://savedaisyhillhospital.com/2025/01/26/daisy-hill-newry-is-entitled-to-be-in-the-area-hospital-category-in-the-doh-hospital-network-public-consultation-2024-25/

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.

Daisy Hill Hospital for Life

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

GP Registers show vital need for Daisy Hill, Newry as an Area Hospital with 24-7 Level 1 ED

GP Registers show vital need for Daisy Hill, Newry as an Area Hospital with 24-7 Level 1 ED

DAISY HILL HOSPITAL NEWRY IS ENTITLED TO BE CATEGORISED AS AN AREA HOSPITAL – FACTS FROM GP REGISTERS

The case for RETAINING not WITHDRAWING specialist Acute Services and 24 /7 Consultant Led Emergency Services in Daisy Hill Acute Hospital, Newry City is very strong and evidence based. 

This is why these Emergency and Specialist Acute services were always in Daisy Hill in the first place as recognised in 2003 under Developing Better Services Hospital Network Consultation when Daisy Hill was designated as one of 9 Acute Hospitals, of equal status, with 24/7 Consultant Led Emergency Surgical, Emergency Medical, and 24/7 Consultant- led Maternity Services.

But now it seems the case must be made again in the ongoing Department of Health Consultation “Hospitals – Creating a Network for Better Outcomes’,Why?

Because the Dept of Health, by downgrading Daisy Hill Acute Hospital has failed to recognise the health needs of Newry & District’s* large population size (which covers Newry, South Down and South Armagh areas), failed to take into account the strategic location of Newry and is proposing to make Daisy Hill into a General Hospital with limited services.

This CAN and must be challenged though the Public Consultation process by answering the questionnaire and promoting the need, without delay, for an Area Hospital in Newry. 

This is the latest in a series of posts which aims to explain each of the reasons in turn which can be used for people taking part in the written consultation, who can disagree with conviction on the Dept. Of Health proposal for Daisy Hill Hospital in Newry to be demoted into a General Hospital with limited services, and for the public to call instead for an Area Hospital in Newry.

An Area Hospital is needed to give the vast population of adults and children here (especially those who live in rural areas) timely equity of access to inpatient Emergency and Acute hospital services. Details on the Consultation and different categories of Hospital proposed are available from the DOH Website and from Daisy Hill for life website (See link at end)

>THERE ARE 161,308 PEOPLE ON DOCTORS REGISTERS IN NEWRY AND DISTRICT GP FEDERATION (DOH May 2024)

There are currently 17 GP Federations covering all areas of NI. One of their aims is to help deliver the Transformation Agenda in Health and Social Care. There are 29 Registered GP Practices in Newry & District GP Federation, covering Newry, South Down and South Armagh areas.

Newry & District GP Federation includes GP practices in Kilkeel, Crossmaglen, Annalong, Rathfriland, Killeavy, Newtownhamilton, Mullaghbawn, Bessbrook, Warrenpoint as well as Newry.

Out of the 17 GP federations in NI – Newry & District GP Federation has the second highest (161,308) number of registered patients (after only Derry GP Federation) since 2017 (Source: DOH 2023/24).    

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

POPULATION HEALTH NEEDS IN NEWRY & DISTRICT – SERIOUS HEALTH CONDITIONS ARE WIDESPREAD

As well as the large population size, a second important reason, as shown in the picture/graphic is that many people living in Newry & District have a high incidence of serious health needs or health conditions including Heart Failure and Stroke, Coronary Heart Disease, Cancer, Atrial Fibrillation, Hypertension and Kidney Disease. Many of these patients need and are entitled to have equitable timely access to 24/7 Consultant-Led Emergency Surgery and Emergency Medical Care, High Dependency Care and Specialist Acute Inpatient Hospital care in Daisy Hill Hospital.

Data showing 15 health conditions on GP Registers in Newry & District show the vital need for Daisy Hill, Newry to be categorised as an Area Hospital with a 24/7 Level 1 ED as part of the proposed Regional network of hospitals. (Note: all 17 GP Federations have records for the same 15 health conditions*.)

An Area Hospital with 24/7 Level 1 ED at Daisy Hill in Newry is vital to ensure better outcomes for survival and recovery of patients as well as giving timely equity of access also for other health conditions and in Emergency situations that may arise.

CONCLUSION

Of 17 GP Federations in NI – Newry & District GP Federation (covering Newry, South Down and South Armagh area) has the SECOND HIGHEST number of patients registered with GP Practices in NI since 2017 (161,308 patients ) with many patients having serious health needs.

If the Department of Health had used a Population Health Needs Assessment (at Trust/Local Commissioning Group level), with data on illnesses/conditions  taken from the 17 GP Federations including Newry & District GP Federation, the DoH would have acknowledged that Daisy Hill Acute Hospital, Newry was entitled to be categorised as an Area Hospital.

PLEASE TAKE PART IN THE CONSULTATION

Please reply to DOH Hospital Network Consultation 2025 proposals and make the case for vital need for DAISY HILL AREA HOSPITAL.

Full information on the Consultation, and some Suggested answers to the Questionnaire are available from the LINK below:

https://savedaisyhillhospital.com/2025/01/05/dept-of-health-hospital-network-consultation-2024-2025-a-suggested-response/

Please Share this post if you can, to spread the word. Thank you.

BACKGROUND/ LARGE POPULATION SIZE IN NEWRY & DISTRICT

Newry & District GP patient register includes 36,018 children and young people aged U18, the 2nd highest of the 17 GP Federations after only Derry (Source: DOH 2023/24).

*(Source DOH: published May 2024)

ENDS 

Daisy Hill Hospital for Life

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

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

Daisy Hill, Newry is entitled to be in the ‘Area Hospital’ Category in the DOH Hospital Network Public Consultation 2024/25

YOU DID IT BEFORE – YOU CAN DO IT AGAIN –PEOPLE POWER NEEDED FOR DAISY HILL HOSPITAL , NEWRY.

Daisy Hill Hospital Newry is entitled to be an Area Hospital in the Department of Health Hospital Network Consultation 2024-2025.

In 2019, you did it – over 19, 500 people sent back Consultation Reponses disagreeing with Department of Health plans to cut the existing number of Stroke Units in NI and centralise stroke services to as few as sites as possible.

People power here worked after thousands filled in the Questionnaire with 95% rejecting the options, with concerns about longer travel times in an emergency. Following this consultation – the Health Minister Robin Swann MLA said stronger evidence was needed – so change can happen if we write in large numbers to these consultations.

In 2024/5 there is a new plan as the Department of Health now proposes to go way beyond centralising Stroke services and proposes changes to the whole Regional Hospital Network. This plan puts Hospitals in NI into four categories: Local, General, Area Hospitals and Specialist Regional Centres.

In the Department of Health Consultation document ‘Hospitals – Creating a Network for better outcomes’, the majority of Specialist Inpatient Services for example Stroke, Emergency Surgery etc are proposed to be centralised to 5 newly chosen Area Hospitals (at Antrim, Altnagelvin, Craigavon, Ulster and Belfast Group Hospitals) and Specialist Regional Centres (at Altnagelvin, Ulster Hospital and Belfast Hospitals) (*Ref1)

In these proposals Daisy Hill Hospital (Newry); South West (Enniskillen) and Causeway (Coleraine) are to be known as ‘General Hospitals’.  (Very different from the new proposed ‘Area Hospitals’)

The Government now wants to consult with the public who are paying for the service, to see if they agree with these new proposals. 

DAISY HILL HAS BEEN PUT IN THE WRONG CATEGORY OF ‘GENERAL’ HOSPITAL – BUT THIS CAN BE CHANGED IF ENOUGH PEOPLE DISAGREE WITH THE NEW CONSULTATION PROPOSALS

As mentioned before, only 5 places have been selected to be upgraded to be higher level ‘Area Hospitals’ – they are: Craigavon, Antrim, Altnagelvin, Ulster and Belfast Group Hospitals.  “These Area Hospitals will maintain a 24/7 emergency department, a 24/7 emergency surgery and anaesthetic rota and theatre, and be supported by a critical care unit.” (Consultation Doc p35/37pdf)  Annex D also states Area Hospitals will be expected to have 31 specialty services with inpatient beds. (Page 106/8)

What about the General Hospitals?

Information on the limited services expected to be available from ‘General hospitals’ can be read in the Consultation document ‘Hospitals – Creating a Network for better outcomes’ from the Department of Health’s website. (See pages 23, 34-36, and 113)

In the document’s very important Actions page (p113, See Action 4) –it is rather concerning that the words ‘Short to Medium Term’*(Ref 2) are used when referring to maintaining core services in the ‘General Hospital’ category. And it is the Hospital Trusts who will be in charge of this.

Are core services not going to be maintained for the Long Term in the General Hospitals then? No other Hospital Category is dealt with in this way in the Actions Page.

Daisy Hill Acute Hospital, Newry has been incorrectly put in the ‘General Hospital’ category in this new report which also falsely  describes the Newry area as a small ‘isolated’ geographical location and community (*(Ref 3) See pages 6,23, 34).

The Department of Health report fails to recognise the consistently large population size, recorded illness statistics needs and large land mass area in the Newry & District area. 

Daisy Hill Hospital, Newry must be given the long overdue investment and specialist inpatient services it and the rate-paying and tax paying population here deserves.

Your help is needed to answer the Consultation through the Questionnaire and let the Dept of Health know that they have put Daisy Hill Acute Hospital, Newry into the wrong category –due to the population size, need and land mass here.

We must challenge these unfair proposals. In Health and Wellbeing 2026 Delivering Together (p19) First Minister and former Health Minister Michelle O’Neill MLA stated “Our HSC system belongs to all of us and we all bring valuable insights in to how it can improve. We must work in partnership – patients, services users, families’ staff and politicians – in doing so we co-produce lasting change which benefits us all.”  *(Ref 4)

DAISY HILL HOSPITAL IS ENTITLED TO BE AN AREA HOSPITAL & NEEDS YOUR HELP – PLEASE DISAGREE WITH THE CONSULTATION PROPOSALS

We have a right to continue to challenge, at every opportunity, these vital healthcare decisions.  Please take part in the Consultation and Strongly disagree with the proposals, stating in the Questionnaire that Daisy Hill Acute Hospital, Newry is entitled to be and should be categorised as an ‘Area Hospital’ along with the other Area Hospitals.  

Please ask everyone in your house to take part take part in this public Consultation too and please ask your friends, family and community and Elected Representatives- councillors, MLAs and MPs to do the same.

IMPORTANT – See this Link below to Daisy Hill Hospital for life website for all links to Department of Health Consultation, Questionnaire and Suggested Answers (to read and/or use if you agree) with instructions and Source References.

Daisy Hill Hospital, Newry Saves Lives - People Power 2023

5 EVIDENCE BASED REASONS WHY DAISY HILL HOSPITAL IN NEWRY IS ENTITLED TO BE AN AREA HOSPITAL

>Reason 1 – Population fact 1: Out of 17 GP Federations in NI, Newry & District GP Federation has the Second highest number of patients (161,308) registered after only Derry GP Federation since 2017. (Source: DOH 2023/24).

Newry & District includes 36,018 children and young people aged U18, the 2nd highest of the 17 GP Federations after only Derry (Source: DOH 2023/24).

>Reason 2 – Population fact 2: Newry & Mourne Local Government District (One of 26 Former Councils) RANKED IN THE TOP FOUR HIGHEST POPULATION CENTRES In NI after only Belfast, Derry and Lisburn.  (From 1971 to 2014)

>Reason 3> Population fact 3: Newry & Mourne LGD has ALWAYS HAD THE HIGHEST POPULATION of the 5 LGDS in the operational area of Southern Trust. (Source NISRA).  The 5 LGDS are Newry & Mourne, Craigavon, Armagh, Dungannon and Banbridge.

>Reason 4 – Landmass fact : Newry & Mourne local government district area alone has the 3RD LARGEST LANDMASS in NI (898.3 Sq Km: Source NISRA).

>Reason 5: NEWRY CITY’S STRATEGIC LOCATION. Newry City could not be in a more pivotal position. NEWRY CITY is a Gateway and Main Hub in the Spatial Framework for NI to 2035. Newry is midway on the route from Belfast to Dublin on the TENS Key Transport Corridor.

It is also on the North Sea- Mediterranean Corridor: Cork> Dublin > NEWRY > BELFAST > Larne. The Eastern Seaboard Corridor is the Strategic Route linking Larne to the Border at Newry via Belfast facilitating onward travel to Dublin and the Port of Rosslare. Newry is a Gateway City to the Ring of Gullion and the Mournes (Areas of Outstanding Natural Beauty) and Gateway to the new Ring of Gullion Mourne and Sperrins UNESCO Heritage site.

Newry is so busy they are prepared to spend over £94 million on the Southern Traffic Relief Road but not on a Major hospital for potential road accidents, residents and visitors. Warrenpoint, close to Newry is the 2nd largest Port in NI.

Daisy Hill Acute Hospital, Newry is entitled to be an Area Hospital due to the consistently high population size, need and land mass area in Newry & District.  in the Department of Health's new public Consultation ‘Hospitals – Creating a Network for better outcomes’ Daisy Hill Acute Hospital has been wrongly put into the wrong Hospital category of general Hospital. Public help is needed to answer through the Questionnaire and let the Department know this and make Daisy Hill an Area Hospital, like the other Area Hospitals.

BACKGROUND INFORMATION/ REFERENCES

*Ref. 1. Hospitals – Creating a Network for better outcomes.  Department of Health, (October 2024).  Main Consultation document, Hospital Categories (Pages – pdf pg no. p23-25)

*Ref. 2. Action 4 states that “Consideration to be given to how in the short to medium term HSC Trusts can work in collaboration to maintain these core General Hospital services.” Creating a Network for better outcomes.  Department of Health, October 2024.  Main Consultation document, (pdf pg no p113)

*Ref. 3 Description of General Hospitals in ‘Creating a Network for better outcomes’. (Department of Health, October 2024,) the word ‘isolated’ is used 3 times  describing the ‘location’ and ‘community’ of the 3 named proposed ‘General hospitals’: Causeway Hospital, Daisy Hill Hospital and South West Hospital (Pages 6, 23, 34).

P6/23 :  “General Hospitals, delivering defined secondary care services including unscheduled care, geared to a specific, more ISOLATED geographical location…”

P34/ “What and Where: General Hospitals” – …… These hospitals have a key role in ensuring our system can respond to the challenges of an aging population, delivering a range of acute and rehabilitation services, with the advantage that they are closer to an otherwise more ISOLATED community.”]

*Ref. 4. Health and Wellbeing 2026 – Delivering Together – Department of Health, (October 2016.) (p19)

*Definition –‘Centralise’  “concentrate under one control” (Collins English Dictionary)

Northern Ireland Ambulances Saves Lives - Daisy Hill Hospital Saves Lives

For Suggested Answers to the Questionnaire and more info on this current consultation please see : https://savedaisyhillhospital.com/2025/01/05/dept-of-health-hospital-network-consultation-2024-2025-a-suggested-response/

Want to know how else you can help? – please see: https://savedaisyhillhospital.com/how-you-can-help/

Further reading on population:

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/

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

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

DOH Hospital Network Consultation 2024-2025 – Suggested Response (Updated! )

QUICK LINKS – SHORT EXTRACT

*SUGGESTED ANSWERS HELP 1 – FULL QUESTIONNAIRE (Prefilled)

A NEW word version of the Questionnaire (W shorter -with Shorter Answers – with some pre-filled selected options to read or use for your own answers is available to download by clicking on the Download button below.

A word version of the Questionnaire (version V3-Longer Answers) with some pre-filled selected options to read or use for your own answers is available to download by clicking on the Download button below.

*SUGGESTED ANSWERS HELP 2 (ONLINE QUESTIONNAIRE)

You can use this V8 Shorter Suggested Answers – Ready Reference Sheet (word document) BELOW to help you if want to copy and paste onto or if you need some ideas while you are filling out the online questionnaire. (Link to the online Questionnaire in main article)

You can use this V6 Extra Online Qs Suggested Answers Sheet (word document) BELOW to help you if you need some ideas while you are filling out the online questionnaire. (Link to the online Questionnaire in main article)

If you agree with the typed answer suggestions you can even copy and paste the answers in part or full. (Just download it to your device and open the file for reference)

OR

You can use this V6 Extra Online Qs Suggested Answers Sheet (lONGER ANSWERS) (word document) BELOW to help you if you need some ideas while you are filling out the online questionnaire. (Link to the online Questionnaire in main article)

If you agree with the typed answer suggestions you can even copy and paste the answers in part or full. (Just download it to your device and open the file for reference)

Please note these files are in Word document format, if you are unable to open these files on your mobile or laptop successfully, it may be because your device doesn’t have Word installed.

Updated Feb 2025

If you are unable to download the Word files and want to fill in the Online Questionnaire page- you can go to these pages below instead :

FOR NEW SHORTER ANSWERS – see this page:

https://savedaisyhillhospital.com/2025/02/23/new-updated-shorter-ready-reference-suggested-answers-online-consultation/

OR FOR MORE DETAILED LONGER ANSWERS – SEE THIS PAGE BELOW:

https://savedaisyhillhospital.com/2025/02/19/ready-reference-suggested-answers-online-consultation/

DOH Hospital Network Consultation 2024-2025 – A Suggested Response

Daisy Hill Acute Hospital, Newry is entitled to be an Area Hospital due to the consistently high population size, need and land mass area in Newry & District. In the Department of Health’s new public Consultation ‘Hospitals – Creating a Network for better outcomes’, Daisy Hill Acute Hospital has been put into the wrong Hospital category of ‘General Hospital’.

Public help is needed to answer through the Questionnaire to put the case forward to the Department of Health through the Public consultation process for Daisy Hill to be made an Area Hospital, like the other Area Hospitals, as it is entitled to be.

You can help by responding to this Department of Health Consultation ‘Hospitals – Creating a Network for better outcomes.’ (October 2024) (More information on the topic is explored in ‘Why This Consultation Matters section below.

An updated word version of the Questionnaire with some pre-filled selected options to read or use for your own answers, (now with extra info on the Rural Needs and Equality Questions) is available to download by clicking on the Download button below :

NEW SHORTER ANSWERS!!

Notes for the Prefilled Questionnaire

>If you use this pre-filled version you will first need to save the file to your phone/computer/device etc), Select the Save As Option, and select where you want to save it in Downloads/Documents etc.

>Then give it a new filename by adding your initials at the front/end or some other change to the standard name.

Example 1. New file name: AB questionnaire doh-hospitals-better-outcomes.

Example 2. New file name: questionnaire doh-hospitals-better-outcomesRR1

>Edit the new version by starting with Q1 to add your name and Q2 to add your Email address by typing into the Space in the Answer Boxes on the Questionnaire. This is really important so the department will count it as a real response coming from you. (There is space to add extra comments on some of the other answer boxes if you wish. )

>When you are finished Save your file again and then your version of the Questionnaire is ready. This new filename is the version you can send as an email attachment, (or for printing, if you want to post it.)

Ways to respond are detailed below.

Daisy Hill Hospital Newry is entitled to be an Area Hospital in the Department of Health Hospital Network Consultation 2024-2025.

DEPARTMENT OF HEALTH CONSULTATION LINKS

https://www.health-ni.gov.uk/consultations/hospitals-creating-network-better-outcomes-public-consultation

The link above is the main Consultation link from the Department of Health website for the ‘Creating a Network for better outcomes’ Consultation . It gives all documents including main report, Rural Impact and Equality Impact Assessments,  Consultation Questionnaire Word document all available to download and read.

WAYS TO RESPOND TO THE CONSULTATION

There are 3 WAYS TO RESPOND to Department of Health Hospitals – Creating a Network for better outcomes Consultation proposals 2024-2025:

1>By Email > Send your completed Questionnaire by email to the Department by attaching the Consultation Questionnaire to the email address:    rebuildinghsc.services@health-ni.gov.uk

2>By Online Questionnaire

Click on the Online Questionnaire link below and scroll down to and click ‘have your say’

https://consultations2.nidirect.gov.uk/doh-1/hospitals-creating-a-network-for-better-outcomes/

3>By Post > A hard copy of your response Questionnaire can also be sent in Writing to:

Transformation Branch
Regional Health Services Transformation Directorate
Department of Health
Annex 3, Castle Buildings
Stormont Estate
Belfast
BT4 3SQ

By the Closing Date of 28th February 2025.

For Enquiries on the ‘Hospitals -Creating a Network for better outcomes’ consultation the Department of Health contact email is: rebuildinghsc.services@health-ni.gov.uk

Department of Health General Telephone number is : Telephone: 028 9052 0500

In 2019, you did it – over 19, 500 people sent back consultation Reponses disagreeing with Dept of Health plans to cut the existing number of Stroke Units in NI and centralise stroke services to as few as sites as possible.

People power here worked after thousands filled in the Questionnaire with 95% rejecting the options, with concerns about longer travel times in an emergency. Following this consultation – the Health Minister Robin Swann MLA said stronger evidence was needed – so change can happen if we write in large numbers to these consultations.

In 2024/5 there is a new plan as the Department of Health now proposes to go way beyond centralising Stroke services and proposes changes to the whole Regional Hospital Network. This plan puts Hospitals in NI into four categories: Local, General, Area Hospitals and Specialist Regional Centres.

The majority of Specialist Inpatient Services for example Stroke, Emergency Surgery etc are proposed to be centralised to 5 newly chosen Area Hospitals (at Antrim, Altnagelvin, Craigavon, Ulster and Belfast Group Hospitals) and Specialist Regional Centres (at Altnagelvin, Ulster Hospital and Belfast Hospitals) (*Ref1)

In these proposals Daisy Hill Hospital (Newry); South West (Enniskillen) and Causeway (Coleraine) are to be known as ‘General Hospitals’.  (Very different from the new proposed ‘Area Hospitals’)

The Government now wants to consult with you, the public who are paying for the service to see if they agree with these new proposals. 

Acute hospital-Emergency entrance

DAISY HILL HAS BEEN PUT IN THE WRONG CATEGORY OF ‘GENERAL’ HOSPITAL – BUT THIS CAN BE CHANGED IF ENOUGH PEOPLE DISAGEE WITH THE NEW PROPOSALS

As mentioned in previous posts, only 5 places have been selected to be upgraded to be higher level ‘Area Hospitals’ – they are: Craigavon, Antrim, Altnagelvin, Ulster and Belfast Group Hospitals.  “These Area Hospitals will maintain a 24/7 emergency department, a 24/7 emergency surgery and anaesthetic rota and theatre, and be supported by a critical care unit.” (Consultation Doc p35/37pdf)  Annex D also states Area Hospitals will be expected to have 31 specialty services with inpatient beds. (Page 106/8)

What about the General Hospitals?

Information on the limited services expected to be available from ‘General hospitals’ can be read in the Consultation document ‘Hospitals – Creating a Network for better outcomes’ from the Department of Health’s website. (See p23, 34-36, and 113)

In the document’s very important Actions page (p113, See Action 4) –it is rather concerning that the words ‘Short to Medium Term’*(Ref 2) are used when referring to maintaining core services in the ‘General Hospital’ category. And it is the Hospital Trusts who will be in charge of this.

Are core services not going to be maintained for the Long Term in the General Hospitals then? No other Hospital Category is dealt with in this way in the Actions Page.

Daisy Hill Acute Hospital, Newry has been incorrectly put in the ‘General Hospital’ category in this new report which also falsely  describes the Newry area as a small ‘isolated’ geographical location and community (*(Ref 3) See pages 6,23, 34).

The Department of Health report fails to recognise the consistently large population size, recorded illness statistics needs and large land mass area in the Newry & District area. 

Daisy Hill Hospital, Newry must be given the long overdue investment and specialist inpatient services it and the rate-paying and tax paying population here deserves.

We must challenge these unfair proposals. In Health and Wellbeing 2026 Delivering Together (p19) First Minister and former Health Minister Michelle O’Neill MLA stated “Our HSC system belongs to all of us and we all bring valuable insights in to how it can improve. We must work in partnership – patients, services users, families’ staff and politicians – in doing so we co-produce lasting change which benefits us all.”  *(Ref 4)

DAISY HILL HOSPITAL IS ENTITLED TO BE AN AREA HOSPITAL & NEEDS YOUR HELP – PLEASE DISAGREE WITH THE PROPOSALS

Your help is needed to answer the Consultation through the Questionnaire and let the Dept of Health know that they have put Daisy Hill Acute Hospital, Newry into the wrong category –due to the population size, need and land mass here.

We have a right to continue to challenge, at every opportunity, these vital healthcare decisions.  Pls take part in the Consultation and Strongly disagree with the proposals, stating in the Questionnaire that Daisy Hill Acute Hospital, Newry is entitled to be and should be categorised as an ‘Area Hospital’ along with the other Area Hospitals.  

Please ask everyone in your house to take part take part in this public Consultation too and pls ask your friends, family and community and Elected Representatives to do the same.

BACKGROUND INFORMATION/ REFERENCES

REFERENCES

*Ref. 1. Hospitals – Creating a Network for better outcomes.  Department of Health, (October 2024).  Main Consultation document, Hospital Categories (Pages – pdf pg no. p23-25)

*Ref. 2. Action 4 states that “Consideration to be given to how in the short to medium term HSC Trusts can work in collaboration to maintain these core General Hospital services.” Creating a Network for better outcomes.  Department of Health, October 2024.  Main Consultation document, (pdf pg no p113)

*Ref. 3 Description of General Hospitals ,In ‘Creating a Network for better outcomes’. (Department of Health, October 2024,) the word ‘isolated’ is used 3 times  describing the ‘location’ and ‘community’ of the 3 named proposed ‘General hospitals’: Causeway Hospital, Daisy Hill Hospital and South West Hospital(p6,p23, p34).

P6/23 :  “General Hospitals, delivering defined secondary care services including unscheduled care, geared to a specific, more ISOLATED geographical location…”

P34/ “What and Where: General Hospitals” – …… These hospitals have a key role in ensuring our system can respond to the challenges of an aging population, delivering a range of acute and rehabilitation services, with the advantage that they are closer to an otherwise more ISOLATED community.”]

*Ref. 4. Health and Wellbeing 2026 – Delivering Together – Department of Health, (October 2016.) (p19)

*Definition –‘Centralise’  “concentrate under one control” (Collins English Dictionary)

Daisy Hill Acute Hospital, Newry City.
Daisy Hill Hospital, Newry City

BACKGROUND INFORMATION

WHY DAISY HILL HOSPITAL IN NEWRY IS ENTITLED TO BE AN AREA HOSPITAL:

>Reason 1 – Population fact 1: Out of 17 GP Federations in NI, Newry & District GP Federation has the 2nd highest number of patients (161,308) registered after only Derry GP Federation since 2017 (Source: DOH 2023/24).

Newry & District includes 36,018 children and young people aged U18, the 2nd highest of the 17 GP Federations after only Derry (Source: DOH 2023/24).

Reason 2 – Population fact 2: Newry & Mourne Local Government District (One of 26 Former Councils) RANKED IN THE TOP FOUR HIGHEST POPULATION CENTRES In NI after only Belfast, Derry and Lisburn.  (From 1971 to 2014)

Reason 3> Population fact 3: Newry & Mourne LGD has ALWAYS HAD THE HIGHEST POPULATION of the 5 LGDS in the operational area of Southern Trust. (Source NISRA).  The 5 LGDS are Newry & Mourne, Craigavon, Armagh, Dungannon and Banbridge.

Reason 4 – Landmass fact : Newry & Mourne local government district area alone has the 3RD LARGEST LANDMASS in NI (898.3 Sq Km: Source NISRA).

Further reading: https://savedaisyhillhospital.com/2025/01/28/gp-registers-show-vital-need-for-daisy-hill-newry-as-an-area-hospital-with-24-7-level-1-ed/

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.

Daisy Hill Acute Hospital is the heart of the community – The heart that keeps us alive.

Daisy Hill Acute Hospital -the heart of the community - The heart that keeps us alive. Restore Emergency Surgery to Daisy Hill Hospital, Newry.

Newry Mourne and Down District Council recently announced a motion against the Permanent Secretary’s decision to permanently remove Emergency Surgery from Daisy Hill Hospital and are calling for the new Health Minister to reinstate Emergency Surgery at Daisy Hill Acute Hospital immediately. (Link at end)

It is good to see this action from Newry Mourne and Down Councillors on this vitally important issue, whose job it is to speak and act for the people in their areas. The estimated population of Newry, Mourne and Down Council for 2023/24 is 185,808 adults and children (NISRA). Newry Mourne and Down has the third biggest Council population in NI, with the third largest land mass area.

The removal of Emergency Surgery from Daisy Hill Hospital, Newry is a very serious withdrawal of a core timely life-saving Regional Emergency service from an Acute Hospital.

Centralisation of this kind also has a serious impact on all other Health Trusts especially the Ambulance Trust.

The Southern Trust does not have the authority to remove Regional Services.

This decision to permanently remove Emergency Surgery from an Acute Hospital can only be taken after a Regional Public Consultation and after approval by a Health Minister.

Just like the changes to Stroke Services and all other Regional Services which affect the whole population, before there are any permanent changes to Emergency Surgery Services at Daisy Hill Acute Hospital, Newry, the following will be required:

1. A proper Population Needs Assessment using official data from NISRA
and
2. An open and accessible Regional Public Consultation on Emergency Surgery provision.

As Health Minister, Mr Robin Swann MLA will be aware of the importance of all factors in Regional health service decision making and will wish to ensure that there is no geographic disparity (inequality) in the core acute hospital services provided across the region.

He will also be aware of the need to match other core values for the Programme of Government including Good Relations, Rural Needs and Climate Change Regulations.

Health Minister Robin Swann MLA will be aware of all these factors and the decision now rests with him.

Daisy Hill hospital is the heart of the community – and needs to remain as an Acute Hospital, the people have paid for it to be there when they need it in an emergency.

Background Links
https://www.newrymournedown.org/council-meeting-minutes

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 HOSPITAL CAMPAIGN HIGHLIGHTS OF 2023 ( Updated! )

SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023

As 2023 draws to a close, we thought it fitting to remember a very special stand out event from the Daisy Hill Hospital Campaign in 2023 – by returning to the SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023 to feature some of the speeches spoken from the platform.

Over 10,000 men, women and children came out to support SOS Daisy Hill Hospital Committee by gathering in Marcus Square for speeches and then a people’s march up to Daisy Hill Hospital, applause for the staff and a walk right around the hospital complex to form a “ring of steel” of people.

A number of excellent speakers spoke to the assembled crowd at the Rally in Marcus Square, and audio of three of the speakers is available here – Pls click on the links to listen:

Francis Gallagher Chairperson of SOS Daisy Hill Hospital Committee

Tanya Killen President of NIPSA (Northern Ireland Public Service Association)

Deborah Yapicioz UNISON

Eddy Curtis SOS Daisy Hill Hospital Committee

As we remember that day and listen to some of the available inspirational speeches, is a reminder of the enthusiasm, strength of feeling and determination that exists in the community and beyond to continue to challenge unfair decisions like the removal of core emergency services and beds and the failure of the Southern Trust and others to properly invest, plan or recruit for Daisy Hill Acute Area Hospital, Newry.

The words and actions of this Public Rally in June encourage us to look forward with positivity and with determination for the future of Daisy Hill Acute Hospital in 2024.

Summed up by Mr Eddy Curtis from SOS Daisy Hill Hospital Committee from the Rally platform that day, here are some extracts from his speech:

“We have to continue battling and fighting and putting our best foot forward – to say the people of Newry & Mourne and South Armagh will not accept anything less than an international quality of health that you deserve.

 We are asking all families and their children to lead the parade, because at the end of the day – they are the future of our region and they are the people who are going to need health services.

We are going to walk right round the hospital – to put a ring of steel on it and let them see– it’s ours – you cannot touch it – you have to invest in it.”

Eddy Curtis (SOS Daisy Hill Hospital Committee)
SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023

Population info

GP registers in NI : Newry & District has 160,615 patients (2nd highest in NI (after only Derry), including the 2nd highest number of children in NI under 18, with (36,228 ) (Source DOH 2023)

For more on this topic:

OUR HEALTH SERVICE, OUR ACUTE HOSPITALS – PAID FOR WITH OUR PUBLIC MONEY – see: https://wordpress.com/post/savedaisyhillhospital.com/4163

Real Need for Hospital Services and Specialist Acute Inpatient Beds in Newry Region – see: https://wordpress.com/post/savedaisyhillhospital.com/4012

Daisy Hill Acute Hospital's Emergency Department with Emergency Surgery is a  Northern Ireland Regional Service and saves Lives

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

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

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Email Address:

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Daisy Hill Hospital for Life logo

DAISY HILL HOSPITAL CAMPAIGN HIGHLIGHTS OF 2023

SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023

As 2023 draws to a close, we thought it fitting to remember a very special stand out event from the Daisy Hill Hospital Campaign in 2023 – by returning to the SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023 to feature some of the speeches spoken from the platform.

Over 10,000 men, women and children came out to support SOS Daisy Hill Hospital Committee by gathering in Marcus Square for speeches and then a people’s march up to Daisy Hill Hospital, applause for the staff and a walk right around the hospital complex to form a “ring of steel” of people.

A number of excellent speakers spoke to the assembled crowd at the Rally in Marcus Square, and audio of three of the speakers is available here – Pls click on the links to listen:

Francis Gallagher Chairperson of SOS Daisy Hill Hospital Committee

Tanya Killen President of NIPSA (Northern Ireland Public Service Association)

Deborah Yapicioz UNISON

Eddy Curtis SOS Daisy Hill Hospital Committee

As we remember that day and listen to some of the available inspirational speeches, is a reminder of the enthusiasm, strength of feeling and determination that exists in the community and beyond to continue to challenge unfair decisions like the removal of core emergency services and beds and the failure of the Southern Trust and others to properly invest, plan or recruit for Daisy Hill Acute Area Hospital, Newry.

The words and actions of this Public Rally in June encourage us to look forward with positivity and with determination for the future of Daisy Hill Acute Hospital in 2024.

Summed up by Mr Eddy Curtis from SOS Daisy Hill Hospital Committee from the Rally platform that day, here are some extracts from his speech:

“We have to continue battling and fighting and putting our best foot forward – to say the people of Newry & Mourne and South Armagh will not accept anything less than an international quality of health that you deserve.

 We are asking all families and their children to lead the parade, because at the end of the day – they are the future of our region and they are the people who are going to need health services.

We are going to walk right round the hospital – to put a ring of steel on it and let them see– it’s ours – you cannot touch it – you have to invest in it.”

Eddy Curtis (SOS Daisy Hill Hospital Committee)
SOS Daisy Hill Hospital Committee Public Rally in Newry on 25 June 2023

Population info

GP registers in NI : Newry & District has 160,615 patients (2nd highest in NI (after only Derry), including the 2nd highest number of children in NI under 18, with (36,228 ) (Source DOH 2023)

For more on this topic:

OUR HEALTH SERVICE, OUR ACUTE HOSPITALS – PAID FOR WITH OUR PUBLIC MONEY – see: https://wordpress.com/post/savedaisyhillhospital.com/4163

Real Need for Hospital Services and Specialist Acute Inpatient Beds in Newry Region – see: https://wordpress.com/post/savedaisyhillhospital.com/4012

Daisy Hill Acute Hospital's Emergency Department with Emergency Surgery is a  Northern Ireland Regional Service and saves Lives

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

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

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OUR HEALTH SERVICE, OUR ACUTE HOSPITALS – PAID FOR WITH OUR PUBLIC MONEY

SoS Daisy Hill Hospital Campaign Rally - another show of community strength in Newry city on 25.06.2023. Estimated 10,000 attended the Rally in Marcus Square, Newry and then walked up to Daisy Hill Acute Hospital.

The most recent full Department of Health Report, ‘Health and Wellbeing 2026: Delivering Together’ brought out by former Health Minister Michelle O’Neill, MLA – stated:

“the Health service belongs to all of us… Everyone who uses and delivers our health and social care services must be treated with respect, listened to and supported to work as real partners within the HSC system.” *

Health and Wellbeing 2026: Delivering Together’ p19

When it comes to any decisions made about Daisy Hill Acute Hospital, Newry and any of the Acute Hospitals here in this NI region, these Principles in Delivering Together and the Rules and Procedures around the spending of public money and the statutory accountability of all who deliver and attempt to withdraw Regional Health public services must be followed.

Emergency Surgery and Acute Stroke Services are REGIONAL Services. They cannot be centralised again from a major Acute Hospital like Daisy Hill without a valid Population Needs Assessment and a full Regional Public Consultation by the Department of Health.  A local or individual Health Trust Consultation is NOT enough to make a decision to withdraw vital Regional Services like Accident and Emergency Surgical or Medical services from one area of NI which is going to have a detrimental adverse effect on the lives of everyone across the NI region.

FAILURE TO FOLLOW DUE PROCESS MEANS THE DECISIONS ARE INVALID.

The local catchment population are asking for and are entitled to fair treatment and continuing access to acute hospital premises when it comes to the availability of Emergency Surgery and Emergency Stroke services in their acute hospital Daisy Hill, Newry City.

CENTRALISED TO NINE MAJOR ACUTE HOSPITALS IN 2003

In 2003, following the Hayes Review and Regional Consultation, Acute Hospital Provision including 24/7 Consultant Led Accident and Emergency Services and Maternity services were Centralised  to nine major acute hospitals. It was recognised by the Department of Health at that time, following the Regional Consultation that the three newly designated acute hospitals in Newry, Enniskillen, and Coleraine, were also needed as well as the so called “Golden Six” to provide timely access to Acute Hospital services as well as ensuring timely access to 24/7 Consultant- Led Emergency Surgery and Emergency Medical Services and Maternity Services to everyone no matter where they choose to live in NI.

All three acute hospitals are situated within predominately rural areas with no nearby acute hospital which can provide timely access to Accident and Emergency and Maternity services.

>FURTHER ACTIONS AND REQUIRED SOLUTIONS

For those wishing to take further action for Daisy Hill Hospital, Newry as a designated Acute Hospital, people can build on the action of the SOS Daisy Hill Hospital Committee who recently drafted a letter to send to the Southern Trust Chief Executive which expressed opposition to the decisions to remove Emergency Surgery and Acute Stroke services from Daisy Hill Hospital, Newry to Craigavon Hospital.

SOME SUGGESTIONS FOR REQUIRED SOLUTIONS:

The Southern Trust must:

>1. Immediately return vital life saving Regional Emergency Surgery and Regional Acute Stroke Services to Daisy Hill.

>2. Invest properly in Daisy Hill Acute Hospital, Newry to ensure the large population in Newry & District is provided for and to fulfil their statutory and legal obligations towards Equality, Human Rights, Rural Needs, Rights of the Child, Good relations and Climate Change regulations.

>3. Return permanently specialist acute inpatient beds to Daisy Hill Hospital

>4. Buy permanent major diagnostic equipment for Daisy Hill Hospital and

>5. Recruit properly for staff for Daisy Hill Hospital and stop prioritising Craigavon and (Lurgan (non acute)) Hospitals.

People can keep asking  MLAs, Newry Mourne and Down Council Councillors and officials, local representatives on the Southern Local Commissioning Group, the Southern Trust, DoH NI, Patient Client Council, Public Health Agency,  Equality Commission, Older People’s Commission, Children and Young Peoples Commission for all these five solutions detailed above for Daisy Hill: (1) Return vital services, (2)Investment, (3) inpatient beds, (4) permanent diagnostic equipment and (5) Proper Recruitment for a level playing field for Daisy Hill Acute Hospital Newry because it is true – the health service does belongs to all of us and we must be treated with respect, listened to and supported to work as real partners within the HSC system*

Refs: *(Health and Wellbeing 2026: Delivering Together, Quote p19, Health Minister Michelle O’Neill, MLA

ENDS

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

To read more about Acute Hospitals and population need in NI:

Are people in Northern Ireland being treated fairly in the number and location of specialist acute hospitals? Read more below:

SaveDaisyHillhospital.com and Daisy Hill for Life on Facebook have been created in partnership for the positive promotion of Daisy Hill Acute Hospital, Newry city and to promote the need for expansion of specialist acute services, staff, number of beds, and imaging equipment at Daisy Hill Acute Hospital, Newry city for now and the future.

Consultation on the HSC NI Draft Equality Disability Action Plans 2023-28: closes tomorrow Mon 25th September 2023 – pls take part & give your views

HSC NI Equality Disability Action Plans 2023 Equality Needed in Southern Trust

“The six Health and Social Care Trusts in Northern Ireland have worked in partnership to develop new draft Equality and Disability Action Plans for 2023-28. These draft equality and disability action plans outline the proposed actions to be taken forward by the Health and Social Care Trusts over the next 5 years to address Section 75 inequalities, and to promote positive attitudes towards people with a disability and to encourage participation in public life.  We are now seeking views on our draft Equality and Disability Action Plans and welcome your feedback regarding the potential impact of our proposed actions or how they could be improved.

We are keen to hear from anyone – service users, carers, staff and trade unions and we value input from those with lived experience.

All comments should be returned to the Northern Health and Social Care Trust Equality Unit.”

Information above From the Northern Trust’s website at : https://www.northerntrust.hscni.net/about-the-trust/involving-you/consultations/disabilityandequality/

>QUESTIONNAIRE AVAILABLE BELOW to help you respond to this Consultation.

You can provide your feedback on the draft plans by completing the consultation proforma.  The Northern Trust have also provided a word version of the consultation proforma available.

Consultation Deadline tomorrow Monday 25th September 2023

  • Once it has downloaded -open the Word version of the consultation file and you can start to edit it.
  • You will need to fill in your name and your email address on page 1 and answer the Equality and Disability Plan Qs and if you want to answer the Equality Monitoring Data Questions 10- 20 you can fill them in too.
  • Then Save your filled in consultation questionaire version to your device with a New file name of your choice.

Instructions for those not used to replying to consultations through email

  1. Save file to your device (then Save as a new filename) eg ‘word consultation proforma RSmith or Add your intitals’
  2. Login to your Email, then Select Write New Email/Pen icon/compose
  3. Attach the renamed file to your email using the (paperclip icon/Insert/Attach option)
  4. Type the recipients email address into the To field: equality.unit@northerntrust.hscni.net
  5. Subject field : Response to HSC NI Equality Disability Action Plans 2023 -28 Consultation
  6. Write a short message e.g. Please find attached my consultation response and Hit Send
  7. Send your responses to equality.unit@northerntrust.hscni.net by tomorrow Monday 25th September 2023:

WHY IS THIS CONSULTATION IMPORTANT?

Consultations are one of the best ways to get straight to the decision makers, and stand up for the services we are entitled to in this area.

We all have a say in how our Public Money is spent and have to speak up at every opportunity for Equal Treament and against removal of Regional Emergency Services and specialist Acute inpatient services in Daisy Hill and campaign for the Major new Specialist Acute Hospital building in Newry City for our large population, which was promised at Government level in 2005.

https://consultations2.nidirect.gov.uk/hsc/hscni-equality-and-disability-action-plans/

Consultation References and Links

https://www.northerntrust.hscni.net/about-the-trust/involving-you/consultations/disabilityandequality/

How to give your Feedback (From the Northern Trust )

You can provide your feedback on the draft plans by completing the consultation proforma.  We also have a word version of the consultation proforma available.

Alternatively, we welcome your views in any format.  Please contact the Equality Unit at 028 2766 1377 or equality.unit@northerntrust.hscni.net

You can write to the Equality Unit at Route Complex, 8e Coleraine Road, Ballymoney, Co. Antrim, BT53 6BP.

Online Consultation

https://consultations2.nidirect.gov.uk/hsc/hscni-equality-and-disability-action-plans/

Other Useful links

POPULATION INFO LINK

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

Registrar General NI Link (which confirms although the 11 council model is in place since 2014, Health Trusts remain under the 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

The Equality Commission for NI : https://www.equalityni.org/

The Northern Ireland Human Rights Commission : https://nihrc.org/

The Commissioner for Older People for Northern Ireland: https://www.copni.org/

NI Commissioner for Children and Young People: www.niccy.org/

YOUR RESPONSES WILL MAKE A DIFFERENCE

Replying to this Consultation and Liking and Sharing these posts can help support all Daisy Hill Hospital campaigns. Thank you.    

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.

SaveDaisyHillhospital.com and Daisy Hill for Life on Facebook have been created in partnership for the positive promotion of Daisy Hill Acute Hospital, Newry city and to promote the need for expansion of specialist acute services, staff, number of beds, and imaging equipment at Daisy Hill Acute Hospital, Newry city for now and the future.

Share this:

People Power in Newry- Daisy Hill Hospital, Newry Saves Lives
People Power in Newry- Daisy Hill Hospital, Newry Saves Lives – 2023

Real Need for Acute Hospital Services and Specialist Acute Inpatient Beds in Newry

There are 160,615 adults and children on GP Registers in Newry & District who depend on timely access to Daisy Hill Acute Hospital, Newry City to Consultant Led Emergency Surgery and Emergency Medical Services to save their lives. There is no other nearby alternative Acute hospital with 24/7 Consultant Led ED Department. How many inpatient beds have the Southern Trust left in Daisy Hil acute Hospital to provide for them? Equality needed in the Southern Health and Social Care Trust
Acute Hospital services and specialist acute inpatient beds needed in Newry 2023. Equality needed in the Southern Health and Social Care Trust.

There are 160,615 adults and children on GP Registers in Newry & District who depend on timely access to Daisy Hill Acute Hospital, Newry City to Consultant Led Emergency Surgery and Emergency Medical Services to save their lives.  There is no nearby alternative Acute hospital with 24/7 Consultant Led ED Department.

On 1st April 2007 the Southern Trust (Under the 2006 Establishment Order) took over responsibility and accountability to the public (from existing providers Newry & Mourne Health & Social Services Trust) to continue to PROVIDE (NOT TAKE AWAY) hospital accommodation (beds) and Services in Daisy Hill Acute Hospital. 

HOW MANY INPATIENT BEDS HAVE THE SOUTHERN TRUST LEFT IN DAISY HILL ACUTE HOSPITAL, NEWRY TO PROVIDE FOR NEWRY & MOURNE POPULATION IN SEPTEMBER 2023?

There were 249.7 beds in Daisy Hill Hospital in 2010*(Ref1) but by September 2023 the Southern Trust has cut the number of inpatient beds dramatically and is now fast tracking centralisation to Craigavon despite the size and need of the larger population in Newry & District.

Newry & District’s very large population size is proven by the latest official data, as in 2023 Newry & District has the 2nd highest number of patients on GP registers in NI (with 160,615) after only Derry, including the 2nd highest number of children in NI under 18, with (36,228 ). (Ref2*: Source DOH).

The Southern Trust rather than provide hospital accommodation (beds) in Daisy Hill Hospital, Newry – instead recently CUT the number of inpatient beds in Daisy Hill, Newry and then soon afterwards has the insensitivity to put out an appeal to the public for help because high numbers of ill patients need hospital beds due to serious overcrowding in Daisy Hill Hospital and Craigavon Emergency Departments.  (30th August 2023 Extreme Hospital pressures: See end for ‘Public appeal’ link*(Ref 3).

The Southern Health and Social Care Trust, with an income of nearly £945 million public money in 2021/22 has the function in Law to provide hospital accommodation (beds) and services for people in ALL the FIVE local government districts in the Southern Trust operational area (in order of population size, starting with the highest: Newry & Mourne, Craigavon, Armagh, Dungannon and Banbridge).

Yes this is correct – Newry & Mourne LGD has ALWAYS been the highest locality population of the 5 LGDs in the Southern Trust operational area (NISRA) (* Ref4) , however the Southern Trust simply will not allocate the appropriate investment on hospital buildings, services, equipment or staff in Newry & Mourne’s Acute Area Hospital – Daisy Hill.

CONCLUSION

There are unacceptable clear health inequalities in the Southern Trust right now, which must be challenged. 

The Southern Trust is presently providing a 2-tier health system across its two acute hospitals.

For the population of Newry & Mourne the focus is on Acute Care at Home.

>How the Southern Trust are doing this:

The Southern Trust are enhancing ‘ACUTE’ CARE AT HOME services (with patients over 65 years to be cared for in their own homes rather than admitted to hospital), AMBULATORY (SAME DAY) HEALTHCARE and are aiming to provide ALTERNATIVES TO HOSPITAL CLOSE TO HOME as  ABSOLUTE PRIORITIES for the Southern Trust for the POPULATION OF NEWRY & DISTRICT. 

The Southern Trust have drastically reduced specialist acute inpatient beds in Daisy Hill Acute Hospital (DHH), Newry City and their ‘Ambitious’ plan for Daisy Hill aims to prevent and reduce inpatient medical admissions. The Southern Trust wants to transfer acute services from Daisy Hill Hospital to a community treatment centre.

>Meanwhile at the other end of the scale is the SECOND ACUTE HOSPITAL in the Southern Trust – CRAIGAVON.   While Daisy Hill lost beds in 2023 – the Department of Health Budget 2023-24 proposed EXTRA BEDS & PERMANENT DIAGNOSTIC EQUIPMENT FOR CRAIGAVON HOSPITAL AND ENHANCEMENT AFTER ENHANCEMENT.  The Southern Trust steam on ahead with their unwavering plan for a £400million (2014 estimate) MAJOR NEW HOSPITAL FOR THE SMALLER POPULATION OF CRAIGAVON.

Equality means treating people fairly and making sure they have the same chances at life.” According to the HSC Equality Action Plan 2023-28 – but how is this 2-tier health system in the Southern Trust equality?

Hospitals are paid for with public money and the Southern Trust is meant to provide services – not take them away without public consultation. Local authorities must follow the law and be accountable to the people.

REQUIRED SOLUTION:  

The Southern Health and Social Care Trust must:

  1. Invest properly in Daisy Hill Acute Hospital, Newry to ensure the large population in Newry & District is provided for and to fulfil their statutory and legal obligations towards Equality, Human Rights, Rural Needs, Rights of the Child, Good relations and Climate Change regulations.
  2. Return specialist acute inpatient beds to Daisy Hill Hospital
  3. Buy permanent major diagnostic equipment for Daisy Hill Hospital and
  4. Recruit properly for staff for Daisy Hill Hospital and stop prioritising Craigavon and (Lurgan (non acute))  Hospitals.

BACKGROUND REFERENCES & ADDITIONAL DATA

Ref 3 (30th August 2023 Extreme Hospital pressures: Southern Trust Public appeal link: https://www.facebook.com/photo/?fbid=596100106018491&set=a.239622701666235

Ref 4 – Newry & Mourne LGD has ALWAYS been the highest locality population of the 5 LGDs in the Southern Trust operational area. (* Ref4 : Source NISRA). For more information and data on this – pls see: 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/

EXTRA DATA: HOSPITAL INPATIENT BEDS FACTS

(A) INPATIENT BEDS: ALL PROGRAMMES OF CARE (Source DOH 2010 & 2022)

 249.7 Average available inpatient beds in Daisy Hill Acute Hospital, Newry.  [1st April 2009 to 31st March 2010].
221.1  Average available inpatient beds in Daisy Hill Acute Hospital, Newry.  [1st April 2021 to 31st March 2022].
In September 2023 – how many inpatient beds are left in Daisy Hill acute Hospital, Newry?

(B) INPATIENT BEDS: General Surgery: 1st April 2009 to 31st March 2010 (DOH 2010)

> General Surgery : Daisy Hill: 48.8 average available inpatient beds and 3,036 non elective inpatients
> General Surgery CAH: 85.9 average available inpatient beds and 3,727 non elective inpatients.

 (C) INPATIENT BEDS: General Surgery 1st April 2021 to 31st March 2022 (DOH 2022)
>General Surgery: Daisy Hill: 24.2 average available inpatient beds and 2,089 non elective inpatients
> General surgery: CAH: 70.5 average available inpatient beds and 3,008 non elective inpatients.
(Non elective inpatients =unplanned/emergency). ‘Average Available/Occupied Beds: The average number of available and occupied beds during the year in wards that are open overnight, measured at midnight. Hospitals may also have a number of beds in wards that are only open during the day. Beds reserved for day care admission or regular day admission are not included.’ (Source DOH 2022).

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