NHS bosses’ failure to consult on proposed hospital cuts and A&E closure is not in the public interest

A Calder Valley member of the public who was confused by Craig Whittaker’s recent comments on her facebook page about the proposed NHS shake up in Calderdale and Huddersfield asked Plain Speaker for clarification about the following issues.

Here is the Plain Speaker view. Just to be clear, the reporter Jenny Shepherd is also the Green Parliamentary Candidate for Calder Valley Continue reading

Calderdale Royal Hospital’s future as small planned care clinic plus Care Home and Hospice

The hospitals Trust has finally made public their Outline Business Case (OBC) for the shake up of hospital and community NHS services in Calderdale and Greater Huddersfield.

The OBC comes down on the side of making Calderdale Royal Hospital the small planned care hospital, carrying out planned treatments like hip or knee operations, with only 85 of its current 350 beds in use and no A&E, just a Minor Injuries Unit that would see around 22,500 patients a year.

24/7 acute and emergency care would be at Huddersfield Royal Infirmary. This would include trauma, major surgery, crticial care, acute & specialist medicine, inpatient paediatric services and complex maternity services.

In addition to minor injuries units, the OBC says both hospitals would provide outpatient care for children and adults, midwifery-led maternity units and specialist psychiatric liaison services.

The OBC sees a possible future for the “redundant” space in the rest of CRH as a care home and hospice, and says

“There is potential to link up with other Care Home or Hospice providers” (p141)

Continue reading

Calderdale Health and Wellbeing Board jittery over public consultation on NHS shake up

At Calderdale HWB Board  on 30 October 2014, Jen Mulcahy, the Commissioning Support Unit Programme Manager for Right Care Right Place Right Time, gave an update on the Right Care Right Place Right Time NHS shake up in Calderdale and Greater Huddersfield.

She said this was being carried out through taking forward:

  • plans for community care in Calderdale
  • plans for community care in Kirklees
  • plans for the Calderdale and Huddersfield hospitals.

Continue reading

NHS privatisation quango’s secret meeting about recommissioning NHS community care contracts worth £hundreds of millions

The Board of  Monitor (the Ofgem of the NHS, ie the quango that promotes “competition” in the NHS “market”) met on 29th October to deliberate in secret about re-commissioning NHS community services like Locala’s in Kirklees.

Agenda item 7 asked the Monitor Board to note, in secret, “significant developments with regard to the work of the Co-operation and Competition directorate.”

They say if the public knew what the directorate had found, this would “inhibit the free frank disclosure of information.” Continue reading

Let the people set the agenda for the remaining NHS debates by Calder Valley parliamentary politicians

The first NHS debate between Calder Valley parliamentary hopefuls and the current MP Craig Whitaker ran along familiar lines.  The politicians repeated what they have already said several times in other situations.

There were only two unexpected comments.

  • Craig Whitaker MP accused Labour Parliamentary Candidate Josh Fenton Glynn of “schoolboy politics”, instead of repeating his earlier slur that Josh was a “stick of celery”.
  • The LibDem Parliamentary Candidate, Alisdair McGregor, said that in the next Coalition Government, which he seemed confident would happen, LibDems would push for the widespread roll out of Personal Health Budgets (despite the fact that the Dutch experience of Personal Health Budgets has been that they led to escalating costs and widespread abuse, with the result that the Dutch have radically reduced their availability – which Mr McGregor didn’t mention.)

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Rhubarb rhubarb for two hours as Calderdale NHS commissioners outwit Councillors’ scrutiny of shake-up plans

A dismayed member of the public who attended the 17th September Scrutiny Panel meeting, where Councillors allowed themselves to be outwitted over Calderdale NHS commissioners’ plans to delay public consultation on the NHS shake-up, said,

“They might as well have been saying rhubarb rhubarb for two hours, for all the use that meeting was.”

There is an overview report of the meeting here.

For anyone who has the stomach for rhubarb, here is a more verbatim account. It covers

  • The CCG’s evasiveness about whether it will dump the hospitals Trust as the provider of existing community health services, and switch to buying them from private companies or 3rd sector/voluntary organisations.
  • The Scrutiny Panel’s failure to use its power to decide whether the CCG’s plan to re-specify and re-purchase existing community health services by the end of this year would significantly change existing NHS services in Calderdale and so require public consultation.
  • The timeframe for costing Phase 2 community health services, which will happen over the next 3 months. Phase 2 would involve taking services for frail elderly people with multiple illnesses out of hospital and into the community or people’s homes.

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NHS commissioners hoodwink Council Scrutiny Panel over setting up Care Closer to Home without public consultation

Yesterday Calderdale Adults Health and Social Care Scrutiny Panel members failed to use their power to decide whether the Calderdale NHS Commissioners need to consult the public about the new community health care system they are in the process of setting up.

Instead they have given the nod to the CCG to go ahead with their plans and report back to the Scrutiny Panel later.

Members of the public said they had now lost faith in the Scrutiny Panel’s ability or willingness to use its powers to protect the NHS in Calderdale.

One member of the public said,

“They might as well have been saying rhubarb rhubarb for two hours, for all the use that meeting was.”

Continue reading

Yorkshire Ambulance Service boss says work has stalled on implications of proposed A&E closure

Andrew Simpson, Yorkshire Ambulance Service (YAS) Trust’s Head of A&E Operations for Bradford, Calderdale and Kirklees, told a Calderdale Council “People’s Commission” meeting yesterday that Calderdale Royal Hospital is the destination of 95% of ambulance trips in Calderdale.

But in response to a question from a member of Calderdale 38 Degrees NHS campaign, he could not say if information had been collected about the extra number of ambulances and staff that would be needed if Halifax A&E closed – creating longer traveling times – and how much that would cost.

NHS Commissioners’ plans to make changes to community health and social care without public consultation have put both the Ambulance and the Hospitals Trusts on the back foot. Continue reading

Calderdale NHS Bosses’ AGM whitewash

Calderdale Clinical Commissioning Group – the organisation that decides what NHS services people in Calderdale have access to, and which organisations provide them – gave a highly selective version of events at its first AGM, held at the Threeways centre in Ovenden yesterday.

The Secretary of State Jeremy Hunt has told NHS clinical staff that they owe a duty of candour to their patients and must tell them the truth.

Surely this duty applies to NHS commissioners as well?

Calderdale CCG failed this test at its AGM.

Airbrushed out – massive public opposition to planned hospital cuts never happened Continue reading

#Calderdale Council Health Scrutiny Panel in private unscheduled meeting this evening

In response to a question from Plain Speaker, the Chair of Calderdale Council’s Adults Health and Social Care Scrutiny Panel has confirmed that the Panel is to hold a private meeting on Monday 1st September at 6pm in Halifax Town Hall.

The meeting is not on the official Council calendar, nor on the printed sheet which was issued on 28 August listing amendments to committees for the period 1 September to 1 October.

Neither the Council’s Democratic Services Manager, other Councillors who are not on the Scrutiny Panel, nor the public had been told about it. Continue reading