MEETING THE CHALLENGEAddressing the issues

Dewsbury Area Committee26 March 2013

What you told us

You value Dewsbury HospitalYou want the people who run the local NHS to have the best interests of North Kirklees people at heartYou think it’s all about the moneyLonger journey times make it much harder for visitorsYou think we’re not being honest about A&EYou think our proposals for A&E would put lives at riskYou 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 • Birth (if low risk)• Rehabilitation

Summary : if you live in Dewsbury

Summary : if you live in Dewsbury (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 dramaticallyMore services outside hospital including patients’ own homesConstantly improving techniquesShorter 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 them 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

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

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

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 • Approximately 2,600 deliveries per year • Consultant(s) present on labour ward 60 hours per week• In 2010/11 86 transfers during labour (8 emergencies) – all

mothers and babies fineProposed• 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 = 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

What it’s like for children and parentsNow• Full outpatient service,• 10 inpatient beds on children’s ward for medical admissions• Day surgery in the Boothroyd Centre. • 8 beds for assessment and short stay admissions• 12 special care baby cots• Intensive care for babies – at Pinderfields• Inpatient and emergency surgery at PinderfieldsProposed• 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