Expect further bloodshed as A&E reorganisation leads to departments being replaced with low-key urgent care centres.
But the reorganisation of stroke and trauma care happened below the radar. A&E is highly visible. NHS medical director Sir Bruce Keogh will soon put forward plans to rationalise it, which will have to mean closing some hospital departments and replacing them with low-key urgent care centres.
Politicians inevitably join their constituents at the barricades to defend local services, as they did at Lewisham and in north-west London, where there are also closure plans. Consensus seems impossible. Bloodshed is far more likely.
Plans to slash services at a successful
hospital have been declared unlawful, in a blow to the health secretary Jeremy
Hunt, which could have major repercussions for future NHS hospital shake-ups. London
an unexpected triumph for local campaigners, a High Court judge ruled yesterday
that cuts at
, approved by Mr
Hunt earlier this year, should never have been recommended in the first place. Lewisham
A genius has decided you can have a 75% heart attack or stroke as he has decreed that Lewisham will run a 75% A&E department. Wow!
The truth may be simpler: in an internal market system soon to be exposed to external market forces, A & E is the only department where CCGs have very little control over. Punters, (sorry patients) still hope they might see a real doctor at the A & E (soon to be ¾ doctor). Government figures showed that attendance figures are not dropping.
Punters have little faith in OOH services and UCCs as well and can you blame them? In health care, death is certainly not reversible.
So the genius has decided not to use UCC for Lewisham and that is why he is a genius. But when the rumour is that the rest of the hospital will gradually be “3-quartered”, call it anything you want.
In time over a third of A & Es will have to be downgraded to reverse the rising trade! Read more in a previous blog post:
NHS A & E: Unpredictable, Unruly & Ungainly
As I wandered through the forests of Sibelius' Finland, I marvelled at how well the different plants co-exist in an integrated fashion.
Why can't our NHS be integrated like this forest? With berries and mushroom growing in abundance! Looks like our A & E departments will be the first of the Hospital Services to be culled.
What happens when there is a major E. Coli disaster. Who is going to pay for all the dialysis?
It is not difficult for anyone in the NHS to see how the internal market has continued to fragment and disintegrate our health service.
Look at major hospitals in
: Urgent Care Centres are set up and staffed by nurse practitioner, emergency nurse practitioners and GPs so that the charge by the Hospital Trusts (soon to be Foundation Trusts) for some people who tried to attend A & E could be avoided. It is often a time wasting exercise and many patients still need to be referred to the “real” A & E thus wasting much valuable time for the critically ill patients and provided fodder for the tabloid press. And payment still had to be made. Currently it is around £77.00 a go. But wait for this, over the New Year some of these Centres would employ off duty A & E Juniors to work there to save some money that Trusts could have charged. England
A decision is expected later on plans to close the Accident and Emergency department at
and downgrade its maternity unit. London
The proposal came after neighbouring South London Healthcare NHS Trust (SLHT) ran up debts of £150m.
What hope is there for the NHS when a hospital without the problems of Mid Staffordshire face downgrading? Would it not be better for bankruptcy and a true default of the PFI? Or should we bankrupt the government?
After all, Metronet did, didn't they?