MEETING THE CHALLENGE Addressing the issues Dewsbury Area Committee 26 March 2013

What you told us You value Dewsbury Hospital You want the people who run the local NHS to have the best interests of North Kirklees people at heart You think it’s all about the money Longer journey times make it much harder for visitors You think we’re not being honest about A&E You think our proposals for A&E would put lives at risk You are worried that the proposals don’t take account of deprivation and poor health locally

Most of your everyday healthcare needs would still be met locally : Outpatients, tests, x-rays, scans Planned operations All antenatal and postnatal care Birth (if low risk) Rehabilitation Summary : if you live in Dewsbury

Summary : if you live in Dewsbury (contd) If you needed care in an emergency : – most care would still be provided locally (A&E, assessment) – emergency day care would mean fewer people needed to stay in hospital If you were very sick, needed specialist treatment or had complex needs, you would go to Pinderfields More of your care would be provided by consultants and specialist trained nurses

Why the changes? Care has changed dramatically More services outside hospital including patients’ own homes Constantly improving techniques Shorter times in hospital Specialist centres save more lives Separating planned and unplanned services gives better results Not enough doctors to staff all sites 24/7 More demand Need to make better use of money and sustain them for the future

How would people benefit? More lives saved More people making a better recovery Fewer patients having to be admitted to hospital unexpectedly Services more joined-up Better use of your money

Dewsbury A&E – the key facts Approx 87,700 attendances last year Of these:  64% (approx 56,000 people) didn’t need any follow-up  9% only needed an outpatient appointment  21% admitted (approx 18,000 people)

Illness/injuryDewsbury nowDewsbury proposed Simple broken or dislocated arm/wrist/knee/ankle/hand Yes Major accidentNo – Leeds or Pinderfields Heart attackNo – Leeds Typical sports injuryYes Urinary infection/unable to pass urineYes Early pregnancy concernsYes Head injury but consciousYes Severe wound – blood loss and stitchingYes Chest painsYesAssessed by 999 or in A&E. Some home after day care. Some transferred after tests. StrokeNo – PinderfieldsNo - Pinderfields Severe abdominal pain/breathlessnessYesNo The sort of conditions we see in A&E

Q&As

Dewsbury maternity – key facts Now Both a consultant-led and a midwife-led unit 40 beds Approximately 2,600 deliveries per year Consultant(s) present on labour ward 60 hours per week In 2010/11 86 transfers during labour (8 emergencies) – all mothers and babies fine Proposed Midwife led unit 6 beds Expect approx 500 deliveries per year Consultant- led service at Pinderfields – with consultant(s) present on labour ward 168 hours p/week

What it would be like for women Antenatal and postnatal care all stay local 10 years experience of doing just this 1 in 5 women using MLU may need transfer to Pinderfields, majority will not be for life threatening events Ambulance travel time Dewsbury to Pinderfields = under 15 minutes Specialist teams put on alert before/during transfer to be ready for each emergency situation Emergencies include foetal heart problems, serious bleeding, umbilical cord prolapse

Q&As

What it’s like for children and parents Now Full outpatient service, 10 inpatient beds on children’s ward for medical admissions Day surgery in the Boothroyd Centre. 8 beds for assessment and short stay admissions 12 special care baby cots Intensive care for babies – at Pinderfields Inpatient and emergency surgery at Pinderfields Proposed Full outpatient service Children’s assessment unit with consultant presence Children’s medical and surgical inpatients at Pinderfields Special care and intensive care for babies at Pinderfields More joined up community service Investment in Dewsbury Hospital of approx £1 million

Taking part in the consultation The questionnaire On-line By post Hand it in to one of us Talk to us tonight