MEETING THE CHALLENGE

Addressing the issues

Al-Hikmah Centre25 April 2013

Thank you for inviting us

Feedback so far

You value Dewsbury Hospital

You want the people who run the local NHS to have the best interests of North Kirklees people at heart

You think it’s all about the money

Longer journey times make it much harder for visitors

You think we’re not being honest about A&E

You think our proposals for A&E would put lives at risk

You are worried that the proposals don’t take account of deprivation and poor health locally

Most of your everyday healthcare needs would still be met locally : • Outpatients, tests, x-rays, scans• Planned operations• All antenatal and postnatal care (inc consultant

led appointments)• Birth (if low risk)• Rehabilitation

Summary : if you live in the Dewsbury/Batley area

Summary : if you live in the Dewsbury/Batley area (contd)

• If you needed care in an emergency : • most care would still be provided locally (A&E,

assessment)• emergency day care would mean fewer people

needed to stay in hospital• If you were very sick, needed specialist treatment or

had complex needs, you would go to Pinderfields • More of your care would be provided by consultants

and specialist trained nurses

Why the changes?• Care has changed dramatically:

• more services outside hospital inc patients’ own homes• constantly improving techniques• shorter times in hospital

• Specialist centres save more lives • Separating planned and unplanned services gives better

results• Not enough doctors to staff all sites 24/7• More demand• Need to make better use of money and sustain services

for the future

How would people benefit?

• More lives saved

• More people making a better recovery • Fewer patients having to be admitted to

hospital unexpectedly

• Services more joined-up

• Better use of your money

Dewsbury A&E – the key facts

• Approx 87,700 attendances last year

• Of these:• 64% (approx 56,000 people) didn’t need any

follow-up• 9% only needed an outpatient appointment• 21% admitted (approx 18,000 people)

Illness/injury Dewsbury now Dewsbury proposed

Simple broken or dislocated arm/wrist/knee/ankle/hand

Yes Yes

Major accident No – Leeds or Pinderfields

No – Leeds or Pinderfields

Heart attack No – Leeds No –Leeds

Chest pains Yes Assessed by 999 or in A&E. Some go home after day care.Some transferred after tests.

Typical sports injury Yes Yes

Urinary infection/unable to pass urine Yes Yes

Early pregnancy concerns Yes Yes

Head injury but conscious Yes Yes

Severe wound – blood loss and stitching

Yes Yes

Stroke No – Pinderfields No - Pinderfields

Severe abdominal pain/breathlessness Yes No

The sort of conditions we see in A&E

Q&As

Dewsbury maternity – key factsNow• Both a consultant-led and a midwife-led unit• 40 beds • Approx 2,600 deliveries p/year • Consultant(s) present on labour ward 60 hours p/weekProposed• Midwife led unit • 6 beds • Expect approx 500 deliveries per year• Consultant- led service at Pinderfields – with

consultant(s) present on labour ward 168 hours p/week

What it would be like for women

• Antenatal and postnatal care all stay local• 10 years experience of doing just this• 1 in 5 women using MLU may need transfer to

Pinderfields, majority will not be for life threatening events

• Ambulance travel time Dewsbury to Pinderfields is under 15 minutes

• Specialist teams put on alert before/during transfer to be ready for each emergency situation

• Emergencies include foetal heart problems, serious bleeding, umbilical cord prolapse

Q&As

Dewsbury children’s service key facts

Now• Full outpatient service• 10 inpatient beds on children’s ward for medical

admissions• Inpatient and emergency surgery at Pinderfields• Day surgery in the Boothroyd Centre• 8 beds for assessment and short stays• 12 special care baby cots (SCBU)• Intensive care for babies (NICU) at Pinderfields

Dewsbury children’s service key facts

Proposed• Full outpatient service• Children’s assessment unit with consultant presence• Children’s medical and surgical inpatients at

Pinderfields• Special care and intensive care for babies at

Pinderfields• More joined up community service• Investment in Dewsbury Hospital of approx

£1 million

Taking part in the consultation

• The questionnaire• On-line• By post• Hand it in to one of us• Talk to us tonight