Leaked document shows odds stacked against St Helier Hospital in battle to retain A&E and maternity

Wimbledon Guardian: Leaked document shows odds stacked against St Helier Hospital Leaked document shows odds stacked against St Helier Hospital

A leaked document has revealed the odds are stacked against St Helier Hospital retaining its accident and emergency (A&E) and maternity departments.

The document, seen by the Sutton Guardian, shows a draft of ten "options" an expert panel from the Better Services Better Value (BSBV) review will score as part of the reconfiguration of health services in SW London.

According to the options the only way St Helier can retain its A&E department is if Croydon University Hospital – which is at the heart of London’s largest borough – loses its A&E.

It looks like it will be a straight shoot out between Epsom and St Helier as to which could become the most downgraded site which BSBV are calling a "local hospital" – which could include GP services and practices, treatment for simple fractures, chest infections and burns.

All the options recommend that both St George’s and Kingston should retain their A&E and maternity facilities.

Last year BSBV, which is being carried out for a second time, published data the scoring panel of 60 people were considering and made public announcements of their recommendations.

However, this time they will not publish the data, being scored by a panel of eight people, and will not make an announcement of their recommendations until it has all been considered by the programme board along with a financial appraisal next Wednesday.

The Epsom and St Helier University Hospitals NHS Trust has asked BSBV not to make a public announcement until they have had a chance to speak to their staff on the Thursday morning (February 21).

Campaigners have vowed to continue their fight against any recommendations to downgrade St Helier Hospital.

The MP for Sutton and Cheam Paul Burstow, who has been calling for an end to the review, is bracing himself for bad news.

He said: "It is a bad process leading to bad options – in the end offering the problem a false choice.

"It has committed so many errors and assumptions on which they base their decisions on.

"In the real world this is just not a practical set of solutions. In effect they are playing one hospital against another and one community against another.

"I think they had a pre-determined outcome in mind and they have worked towards developing that outcome.

"That pre-determined outcome – downgrading St Helier and disposing of Epsom when it came on the scene."

Mary Burstow the chair of the health and well being scrutiny committee has warned that if St Helier becomes the "local hospital" there is no chance the Department of Health will approve the £219m earmarked for the rebuild of St Helier.

Sutton’s two MPs are planning on visiting St Helier Hospital to speak to staff following the announcement.

Tom Brake the MP for Carshalton and Wallington is urging people to attend a public meeting to challenge those behind the review.

The meeting will take place at 7pm on Thursday, February 21, at the Carshalton Boys Sports College, Winchcombe Road.



The leaked document
scorecard.pdf



Comments (9)

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3:20pm Mon 11 Feb 13

David7 says...

Sophia Sleigh, you need to look at where two of the BSBV leaders practise – think you’ll find it’s, er, St George’s and Kingston. Funny that.
Sophia Sleigh, you need to look at where two of the BSBV leaders practise – think you’ll find it’s, er, St George’s and Kingston. Funny that. David7

4:10pm Mon 11 Feb 13

Car99 says...

David 7, I think you'll find that all three Joint Medical Directors of BSBV have links with Kingston and St. Georges hospitals, and one used to work at Epsom.
St. Helier doesn't stand a chance.
David 7, I think you'll find that all three Joint Medical Directors of BSBV have links with Kingston and St. Georges hospitals, and one used to work at Epsom. St. Helier doesn't stand a chance. Car99

4:20pm Mon 11 Feb 13

David7 says...

Yep, Car99 – two current, one former.
Yep, Car99 – two current, one former. David7

2:28am Tue 12 Feb 13

GR-London says...

I'm just baffled by all this.

The UK is already overpopulated, but in 2014 Bulgaria and Romania get free access to the UK.

The politicians think we can do with less A&E units than before the UK became overpopulated - but overpopulation is going to get worse?

Maybe we should be going to nursery school and getting some three-year old kids that just learned maths to run the country?
I'm just baffled by all this. The UK is already overpopulated, but in 2014 Bulgaria and Romania get free access to the UK. The politicians think we can do with less A&E units than before the UK became overpopulated - but overpopulation is going to get worse? Maybe we should be going to nursery school and getting some three-year old kids that just learned maths to run the country? GR-London

12:10pm Tue 12 Feb 13

David7 says...

Er... Croydon A&E set for £15m makeover. Do they know about the result of the ‘consultation’ already?

http://www.thisiscro
ydontoday.co.uk/Croy
don-University-Hospi
tal-s-15million-plan
/story-18088658-deta
il/story.html#axzz2K
aq3xTaY

Can anyone smell crookedness?
Er... Croydon A&E set for £15m makeover. Do they know about the result of the ‘consultation’ already? http://www.thisiscro ydontoday.co.uk/Croy don-University-Hospi tal-s-15million-plan /story-18088658-deta il/story.html#axzz2K aq3xTaY Can anyone smell crookedness? David7

10:46pm Tue 12 Feb 13

Wait right there says...

How much has this BSBV cost? People die - at home, in hospital between the two. The fact is that emergency hospital is there to save who it can. Spread that money and they don’t have the capability. The more money we spend on keeping people alive the less we have for education etc. Emergency health care is the modern moral dilemma
How much has this BSBV cost? People die - at home, in hospital between the two. The fact is that emergency hospital is there to save who it can. Spread that money and they don’t have the capability. The more money we spend on keeping people alive the less we have for education etc. Emergency health care is the modern moral dilemma Wait right there

12:11am Wed 13 Feb 13

David7 says...

It’s not just about emergency care and saving lives, Wait right there – maternity wards are also possibly closing, together with specialist departments.

People are rightly annoyed because the ‘consultations’ appear to be a sham, and the outcome a fait accompli.

Yes, people are fearful that they or their loved ones might pop their clogs because their ambulance takes an extra 40 minutes to get to Kingston or Tooting in the rush hour.

Women in labour don’t want their babies born in an ambulance.

And the staff at the hospitals which will take the strain are very concerned at how they will cope with the extra burdens when they are already full to capacity.

It’s so much more than a moral dilemma.

And I still believe that the ‘ringfenced’ promised £219m for St Helier will never materialise.
It’s not just about emergency care and saving lives, Wait right there – maternity wards are also possibly closing, together with specialist departments. People are rightly annoyed because the ‘consultations’ appear to be a sham, and the outcome a fait accompli. Yes, people are fearful that they or their loved ones might pop their clogs because their ambulance takes an extra 40 minutes to get to Kingston or Tooting in the rush hour. Women in labour don’t want their babies born in an ambulance. And the staff at the hospitals which will take the strain are very concerned at how they will cope with the extra burdens when they are already full to capacity. It’s so much more than a moral dilemma. And I still believe that the ‘ringfenced’ promised £219m for St Helier will never materialise. David7

12:44am Wed 13 Feb 13

Wait right there says...

If it is a fait accompli then why are we spending so much money announcing it? Free at the point of care is the mantra but it is emergency care, the health care resulting from and the care given to keep people alive beyond what they would should expect ( not what they would want as that should be private health care responsibility) that costs so much.
Also these times in the back of an ambulance depens on where they pick you up. To claim a slippery slope is one thing but all I hear is local protectionism
If it is a fait accompli then why are we spending so much money announcing it? Free at the point of care is the mantra but it is emergency care, the health care resulting from and the care given to keep people alive beyond what they would should expect ( not what they would want as that should be private health care responsibility) that costs so much. Also these times in the back of an ambulance depens on where they pick you up. To claim a slippery slope is one thing but all I hear is local protectionism Wait right there

10:19am Wed 13 Feb 13

David7 says...

Wait right there wrote:
If it is a fait accompli then why are we spending so much money announcing it? Free at the point of care is the mantra but it is emergency care, the health care resulting from and the care given to keep people alive beyond what they would should expect ( not what they would want as that should be private health care responsibility) that costs so much.
Also these times in the back of an ambulance depens on where they pick you up. To claim a slippery slope is one thing but all I hear is local protectionism
I am at a loss for words. Which, to be fair, is unusual.
[quote][p][bold]Wait right there[/bold] wrote: If it is a fait accompli then why are we spending so much money announcing it? Free at the point of care is the mantra but it is emergency care, the health care resulting from and the care given to keep people alive beyond what they would should expect ( not what they would want as that should be private health care responsibility) that costs so much. Also these times in the back of an ambulance depens on where they pick you up. To claim a slippery slope is one thing but all I hear is local protectionism[/p][/quote]I am at a loss for words. Which, to be fair, is unusual. David7

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