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New Hospital Threat From Hunt

I don't even understand their 'logic'. Why would the existence of a trust that is struggling financially be justification for closing down a neighbouring hospital? :confused:
 
I don't even understand their 'logic'. Why would the existence of a trust that is struggling financially be justification for closing down a neighbouring hospital? :confused:
In theory, economies of scale basically. Consolidating services can produce better outcomes for patients as well, but that's nothing to do with the financially triggered closures.

The theory can sometimes be valid.

But how it's going to be used in practice is another matter...
 
This is what Brake (my MP) put out...

https://www.facebook.com/brake/posts/610236415718913?stream_ref=10

Many assurances, clarifications and commitments.....but not one 'pledge'. Hmmm...wonder why that is Tommy boy?

I got this. . .

Thank you for contacting me about clause 119.

This clause makes vital changes to the Trust Special Administrator regime (TSA) that will help protect hospital services and save patients’ lives.

This regime was introduced by the last Labour Government in 2009. It provides a time-limited transparent way of dealing with local health services which are badly failing. It is only used as a last resort when all other efforts to improve services have been unsuccessful and lives are potentially being put at risk (to date it has only been used twice, in Mid-Staffordshire and South London).

I am proud of the fact that we have a National Health Service, but one consequence of that is that local health services are not independent of each other in the way that say Croydon libraries are independent of Bromley libraries. That means that at a hospital that is failing badly any changes will have implications for services at other hospitals. The original legislation was always intended to allow TSAs to look at the wider health economy in this way, but a recent court ruling means that TSAs are currently only able to look at failing providers in isolation. This can’t be right.

Of course it is important that everyone has the choice to have their say – that is why Clause 119 lengthens the time the administrator has to produce their draft report and extends the formal consultation on the recommendations, giving more time for staff and members of the public to have their say.

If you are not convinced, I attach some quotes from key organisations within the NHS supporting what the Government is doing.

Thank you again for taking the time to contact me.


Regards

Gavin Barwell
MP for Croydon Central

He seems to be highlighting the bad aspects of clause 119 as if they are good, but forgetting to see it from the point of view of the hospitals losing out.
 
Here is my MP's response when i asked whether it was now possible my local hospital (which isn't even bery local) could be closed (it's long had a poor performance record, though I'm not sure that's entirely deserved). It's somewhat long.

Thank you for contacting me about Clause 119 of the Care Bill. I've done some fairly detailed research into the issue and, I'm happy to say, it turns out there's a great deal more to the argument than it first appears. The crucial question is what should happen when a hospital goes so badly wrong that it starts to let down its patients, as happened in the dreadful scandal of awful care in Mid Staffordshire Hospital for example. Goodness knows I'm not usually a fan of the last Labour Government but, in this case, they (rightly) set up the Trust Special Administrator process, so they could put a 'hit squad' of top managers into any NHS hospital if it was going off the rails. That's fine as far as it goes, but if the new managers of the failing hospital decide they have to close down a particular service (e.g. hip replacements) because it isn't safe for patients to carry on, it's got to be provided by another hospital nearby. Otherwise parts of the NHS service would close without being replaced, leaving patients in the lurch.
So the NHS has to be able to make sure that any service which is closed in a failing hospital is moved to a good one, rather than simply abandoned altogether. That means neighbouring trusts will have to expand their services to match, and normally the local GPs and other medical professionals in the area would simply discuss and agree on the medically-best and most cost-efficient way of doing this. But, very occasionally, they may not be able to reach an agreement and, since it clearly wouldn't be fair to leave patients without the missing services just because local medics can't agree on a decision, the new clause allows the Secretary of State to break the deadlock and make a decision so services aren't lost.
As you'll appreciate, it's a pretty unlikely that local medical professionals won't be able to agree on the best answer, so this is purely a 'last resort' power for when everything else has been tried unsuccessfully. But, I'm sure you'd agree, doing nothing would put patients' health at risk by expecting them to put up with underperforming or missing services.
Interestingly, once all these points had been explained in the Parliamentary debate on Clause 119, Paul Burstow (the MP who tabled the amendment which everyone was campaigning about) was persuaded that it's the right thing to do, and urged everyone to support the clause after all. As a result, the only people who still opposed it were the ones with a party-political axe to grind; Ed Miliband and the Labour Party, the trade unions (particularly Unite) and left-leaning pressure groups like '38 degrees'. Everybody else in the 'sensible centre ground', as I call it, was greatly reassured.
Yours sincerely,
 
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