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Consultation on changes to hospital services in North Kirklees and Wakefield District Pontefract public meeting – 16 May 2013. Process for tonight’s meeting Short presentation summarising the changes proposed and their impact on services for Pontefract residents

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Consultation on changes to hospital services in North Kirklees and Wakefield DistrictPontefract public meeting – 16 May 2013

slide2

Process for tonight’s meeting

  • Short presentation summarising the changes proposed and their impact on services for Pontefract residents
  • ‘Question Time’ style session led by independent Chairman – Steve Richards
  • 15 minutes on maternity services
  • 15 minutes on inpatient paediatrics
  • 15 minutes on emergency care
  • 15 minutes on surgery
  • Remainder of time left on any other issues
slide3

WHY WE NEED TO CHANGE

Dr Phil Earnshaw

Chair

NHS Wakefield Clinical Commissioning Group (CCG)

slide4

The basis for consultation

  • We are consulting on changes in secondary care across North Kirklees and Wakefield District – specifically:
  • Surgery
  • Inpatient children’s services
  • Maternity services
  • Emergency care
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Greater demands – people living longer, more long-term illness

  • Things have changed – more specialisation, more care away from hospitals
  • Doing things differently will save more lives and give patients better outcomes:
    • bringing specialists together saves more lives and gives better clinical outcomes for patients
    • separating planned and unplanned surgery means fewer cancelled operations and the most critically ill patients are treated quickly by specialists
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PROPOSED CHANGES TO HOSPITAL SERVICES

Dr Simon Enright

Consultant in Intensive Care and Anaesthesia

Clinical Lead : Service Strategy

The Mid Yorkshire Hospitals NHS Trust

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Maternity services – proposed changes

Pontefract no change: midwife-led unit‘low risk’: home, midwife unit or Pinderfields‘high risk’: deliver at PinderfieldsPinderfields ‘high risk’ births: all to consultant-led unit‘low risk’ births: home, midwife-led unitDewsburymidwife-led unit‘low risk’ : home, midwife unit or Pinderfields‘high risk’: deliver at PinderfieldsLocal antenatal/postnatal care

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Inpatient children’s services

Pontefract : no changePinderfields: no changeDewsbury: inpatient care at Pinderfields Urgent assessment & outpatients at all 3 hospitalsNew children’s assessment service at Dewsbury

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Emergency care

  • Pontefract
    • as now, open access for emergency care
    • full resuscitation facilities
    • able to treat a wide range of conditions
    • some ambulance attendances
    • consultant presence during the day and on call 24/7
    • development of new Emergency Day Care centre
  • Pinderfields
    • specialist trauma and emergency care centre for Mid Yorkshire
    • continues to see full range of cases
    • centre for emergencies needing inpatient care
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Surgery

  • Pontefract
    • Planned orthopaedics, ophthalmology (from 2013)
    • Range of inpatient short stay surgery
    • Day surgery
  • Pinderfields
    • Emergency surgery, complex surgery (critical care)
  • Day surgery
  • Dewsbury
    • Planned inpatient surgery (more specialties)
    • Day surgery
    • Some unplanned surgery
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The future for Pontefract under these proposals

  • As now, A&E open access with the most serious A&E cases still taken to specialist centre at Pinderfields
  • The Clinical Decisions Unit would stay with step up/step down beds
  • Development of Emergency Day Care centre
  • Range of planned inpatient surgery – inc orthopaedics and ophthalmology
  • Outpatient appointments
  • As now, midwife led maternity unit remains
  • As now, all antenatal and postnatal care
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Next steps

  • Consultation closes 31 May
  • Analysis of consultation output and final report produced by independent experts
  • Report considered by other partner organisations at major event 2 July
  • Report with recommendations from 2 July event considered by the boards of NHS North Kirklees and Wakefield CCGs on 25 July when a decision will be taken