Consultation on changes to hospital services in North Kirklees and Wakefield District Dewsbury...
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Transcript of Consultation on changes to hospital services in North Kirklees and Wakefield District Dewsbury...
![Page 1: Consultation on changes to hospital services in North Kirklees and Wakefield District Dewsbury public meeting – 21st May 2013.](https://reader036.fdocuments.net/reader036/viewer/2022062515/56649d0b5503460f949de9f2/html5/thumbnails/1.jpg)
Consultation on changes to hospital services in North Kirklees and
Wakefield District
Dewsbury public meeting – 21st May 2013
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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
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Dr Simon EnrightConsultant in Intensive Care and Anaesthesia
Clinical Lead : Service StrategyThe Mid Yorkshire Hospitals NHS Trust
PROPOSED CHANGES TO HOSPITAL SERVICES
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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
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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
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Emergency care
Pinderfields• specialist trauma and emergency care centre for Mid Yorkshire• centre for emergencies needing inpatient 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
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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
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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
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How will North Kirklees residents benefit?• Maternity : access to 24/7 consultant-delivered care for high-
risk 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
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Dr David KellyChair
NHS North Kirklees Clinical Commissioning Group (CCG)
HOW WE ARE RESPONDING TO WHAT WE HAVE HEARD SO FAR
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• Children with complex needsEnhanced specialist medical and community nursing for children with most complex needs & more care at homeWork with families to ensure minimal impact.
• Paediatric Assessment Service Specialist assessment and treatmentOpening hours will be demand driven to cover majority of children. Initially open to patients until 10pmTransfers for overnight stay will be minimised (<1 day)
Listening to You – Children
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Listening to You – Surgery• Surgical Assessment
Emergency Day Care will include surgical proceduresDedicated theatre lists Common procedures including kidney stones, ectopic pregnancy, abscesses, minor fracture
• Day Case Surgery All surgery will be local
• Planned SurgeryDeveloping post operative care to increase the number of people who can be treated locally
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Listening to You – Emergency Care
• Emergency Day CareConsultant presence for longerUsing 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
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Listening to You• Maternity Services
We’ll keep an eye on numbers. If demand rises then we can review
• Outpatients appointmentswill be in DDH unless there is a good reason not to be
• TravelTravel Group reconvened to look at recommendations in their report. Will present costed options to commissioners. To consider at Deliberative Event.
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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 7,000 (Emergency Day Care)
Deliveries/births 2,500 500 +
Paediatrics 3,400 2,800 (Assessment)
Total: 123,400 136,800
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INPATIENT CHILDREN’S SERVICES
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MATERNITY SERVICES
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EMERGENCY CARE
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SURGERY
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ANY OTHER ISSUES