Download NHS Wakefield CCG NHS North Kirklees CCG Consultation and

Consultation on changes to hospital
services in North Kirklees and
Wakefield District
Dewsbury public meeting – 21st May 2013
Process for tonight’s meeting
•
Short presentation summarising the changes proposed and
their impact on services for Dewsbury area 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
PROPOSED CHANGES TO HOSPITAL
SERVICES
Dr Simon Enright
Consultant in Intensive Care and Anaesthesia
Clinical Lead : Service Strategy
The Mid Yorkshire Hospitals NHS Trust
Maternity services – proposed changes
Dewsbury
• Midwife-led birthing unit
• ‘low risk’ births : home, midwife unit or
Pinderfields
• ‘high risk’ births : deliver at Pinderfields
Pinderfields
• Consultant-led unit for all ’high risk’ births
• ‘low risk’ births : home midwife-led unit
Local antenatal/postnatal care
Children’s services
Dewsbury :
• New assessment facility for children who
attend A&E
• majority of current inpatients through new
facility
• Those requiring longer inpatient care at
Pinderfields
Pinderfields : no change
Urgent assessment and outpatients at all 3
hospitals
Emergency care
Dewsbury
• open access for emergency care (70% of current)
• staffed by A&E trained doctors and nurses (24/7)
• full resuscitation facilities
• able to treat a wide range of conditions
• some ambulance attendances
• consultants remain during the day (0900 – 2000), on call 24/7
• “ Emergency Day Care” on site to reduce need for admission
Pinderfields
• specialist trauma and emergency care centre for Mid Yorkshire
• centre for emergencies needing inpatient care
Surgery
Dewsbury
• Centre for routine inpatient surgery (more specialties)
• Separation of emergency and planned surgery
• Day surgery
• Some minor unplanned surgery (day case)
Pinderfields
• Emergency surgery, complex surgery (critical care)
• Day surgery
Summary : Dewsbury Hospital
•
•
•
•
Midwifery-led birthing unit
Paediatric assessment facility
24/7 A&E for majority current attendances
Inpatient medical beds (assessment and
rehabilitation)
• Routine inpatient and day surgery
• Outpatients
• Diagnostics
How will North Kirklees residents benefit?
• Maternity : access to 24/7 consultant-delivered care for highrisk births
• Childrens : majority of children managed through paediatric
assessment facility. Inpatients will have access to more
specialist and on-site consultant care at Pinderfields
• Emergency : majority still seen at Dewsbury A&E. Sicker
patients seen quicker by consultants and specialist teams at
Pinderfields
• Surgery : routine operations (including inpatients) carried out
locally. Emergencies, sicker patients seen by specialist teams
at Pinderfields quicker with more backup
• Outpatients : more local appointments
HOW WE ARE RESPONDING TO WHAT
WE HAVE HEARD SO FAR
Dr David Kelly
Chair
NHS North Kirklees Clinical Commissioning
Group (CCG)
–
Listening to You – Children
•
Paediatric Assessment Service
Specialist assessment and treatment
Opening hours will be demand driven to cover majority of
children. Initially open to patients until 10pm
Transfers for overnight stay will be minimised (<1 day)
•
Children with complex needs
Enhanced specialist medical and
community nursing for children with most
complex needs & more care at home
Work with families to ensure minimal
impact.
Listening to You – Surgery
•
Surgical Assessment
Emergency Day Care will include surgical procedures
Dedicated theatre lists
Common procedures including kidney stones, ectopic
pregnancy, abscesses, minor fracture
•
Day Case Surgery
All surgery will be local
•
Planned Surgery
Developing post operative care to
increase the number of people who
can be treated locally
Listening to You – Emergency Care
•
Emergency Day Care
Consultant presence for longer
Using technology to enhance specialist support
More conditions treated locally including; DVT, pulmonary
embolism, chest pain, cellulitis, falls, collapse, headache,
chest infections, GI bleed
•
Elderly Assessment
Specialist assessment for
frail elderly patients
Listening to You
•
Maternity Services
We’ll keep an eye on numbers. If demand rises then we
can review
•
Outpatients appointments
will be in DDH unless there is a good reason not to be
•
Travel
Travel Group reconvened to look at recommendations in
their report. Will present costed options to commissioners.
To consider at Deliberative Event.
More patients treated locally in Dewsbury
Patient Group
Now
2016/17
Outpatients Attendances
96,000
111,000
Elective Day Case Attendances
8,000
13,000
Elective Inpatient Admissions
1,500
2,500
Emergency Admissions
16,000
Deliveries/births
2,500
500 +
Paediatrics
3,400
2,800 (Assessment)
Total:
123,400
136,800
•
7,000
(Emergency Day Care)
INPATIENT CHILDREN’S SERVICES
MATERNITY SERVICES
EMERGENCY CARE
SURGERY
ANY OTHER ISSUES