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CORNWALL FIGHTS FOR AN EQUITABLE HEALTH SERVICE

CORNWALL FIGHTS FOR AN EQUITABLE HEALTH SERVICE. CORNWALL. A COUNTY IN CRISIS A COUNTY AT RISK!. POPULATION Cornwall 513,500 Annual report from Director of Public Health 2004. Cornwall 513,500 Visitors 5,700,000. Projections Population c 605,000

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CORNWALL FIGHTS FOR AN EQUITABLE HEALTH SERVICE

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  1. CORNWALL FIGHTS FOR • AN EQUITABLE HEALTH SERVICE

  2. CORNWALL A COUNTY IN CRISIS A COUNTY ATRISK!

  3. POPULATION Cornwall 513,500 Annual report from Director of Public Health 2004

  4. Cornwall 513,500 Visitors 5,700,000

  5. Projections Population c605,000 Visitors c6,500,000

  6. SHA maintains Cornwall has 3 DGH’s

  7. SHA maintains Cornwall has 3 DGH’s Two are in Devon!

  8. SHA maintains Cornwall has 3 DGH’s Two are in Devon! Trelsike - the only county based DGH

  9. Anaesthetic Consultants South Yorks. 1 per 9,453 pop. Cornwall 1 per 11,100 pop. 17%LESS!

  10. A&E Consultants N’land T&W 1 per 62,800 pop. Cornwall 1 per 100,000 pop. 59% LESS!

  11. Consultants in Acute Hospitals N.C London 1 per 1,000 pop. Cornwall 1 per 2,484 pop. 148% LESS!

  12. Medical & Rehabilitation Beds North West 150 beds per 100,000 South West 90 beds per 100,000 40% LESS!

  13. CORNWALL A COUNTY IN CRISIS A COUNTY ATRISK!

  14. Market Forces Factor Costs Cornwall £43.6 MILLION! Every year

  15. Comparison of Like Areas Pop.Per Capita West of Cornwall 150,000 £961.42 Dumfries Area 148,000 £1080.74 Highlands 210,000 £1077.48 Gwynedd 117,000 £1022.47

  16. Rurality Factors Costs Cornwall £88.0 MILLION! Every year

  17. Market Forces & Rurality Factors Costs Cornwall c£132 MILLION! Every year

  18. £’s North Mersey 1,008,000,000 Beds/Herts 880,000,000 Sandwell & W. B’ham 591,000,000 N. Bristol & S. Glos. 310,000,000 Hillingdon 271,000,000 GOSH 225,000,000 Leeds 204,000,000 Papworth 148,000,000

  19. £’S Stanmore 121,000,000 Southend 100,000,000 Taunton 75,000,000 Tees/N.Yorks 73,000,000 Leicester 52,000,000 S. Tyne & Wearside 50,000,000

  20. £ 4 . 1 BILLION

  21. Reasons why we cannot have 2nd DGH “ any decision to initiate a suggestion of this sort would have to be based upon a detailed assessment of the ability of any scheme to recover both its running costs and generate the required return on capital”

  22. Reasons why we cannot have 2nd DGH “a massive or even complete redirection of all health service spend into hospital based care at the expense of other sectors;”

  23. £ 4 . 1 BILLION

  24. Our argument has always been an equal provision of health services for the population of Cornwall in line with that provided elsewhere.

  25. RCHT NHCT C&H HT

  26. RCHT NHCT C&H HT

  27. RCHT NHCT C&H HT

  28. RCHT NHCT C&H HT

  29. DGH PER POPULATION • RCHT 1 per 400,000 pop • C & H HT 1 per 210,000 pop • NHCT 1 per 166,000 pop

  30. Furness General Pop 140,000 404 beds Royal Lancaster pop 120,000 543 beds Prince Charles Pop 153,000 423 beds Grantham & District Pop 100,000 194 beds Yeovil District Pop 150,000 321 beds Weston General Pop 150,000 283 beds West Cumberland Pop 137,000 425 beds North Devon Pop 153,000 423 beds

  31. RCHT NHCT C&H HT

  32. RCHT NHCT C&H HT

  33. RCHT NHCT C&H HT

  34. RCHT NHCT C&H HT

  35. RCHT NHCT C&H HT

  36. RCHT NHCT C&H HT

  37. CORNWALL A COUNTY IN CRISIS A COUNTY AT RISK!

  38. Projections Population c605,000 Visitors c6,500,000

  39. Cornwall • fewer A&E Consultants • fewer Anaesthetic Consultants • fewer Consultants in total • fewer beds

  40. MFF = £43.6 MILLION Rurality = £88.0 MILLION TOTAL = £131.6 MILLION Every year

  41. £ 4 . 1 BILLION

  42. Population 400,000 500,000 420,000 Patients 578,000 477,210 620,903 DGH’s 1 2 + 1 2 Acute Beds 1020 1100 870 Employees 4189 7,500 5,300 Consultants 174 203 198 Community Hospitals run by the Acute Trust 0 7 1 Other hospitals 2 0 0 Budget £M 202 £M 196 £M 200 RCHTNHCTC &H HT

  43. CORNWALL A COUNTY IN CRISIS A COUNTY ATRISK!

  44. Treliske, as a District General Hospital, is in the wrong place

  45. Treliske, as a District General Hospital, is in the wrong place • by 2015 traffic into County will have grown by 20% • by 2023 population of Cornwall will have grown by 18% to 604,500!

  46. Rt. Hon Tony Blair’s - Vision for the Future • “Move away from mass production services”

  47. Rt. Hon Tony Blair’s - Vision for the Future • “Move away from mass production services” Sir Nigel Crisp’s - Vision for the Future • “Patients, service users and individual members of the public driving the whole system”

  48. Cornwall - A Vision for the Future • Royal Cornwall Hospital (West) Situated for ease of access by patients in the West

  49. Cornwall - A Vision for the Future • Royal Cornwall Hospital (West) Situated for ease of access by patients in the West • Royal Cornwall Hospital (East) Situated for ease of access by patients in the East

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