1. Consultation on changes to hospital services in North Kirklees and Wakefield District Pontefract public meeting – 16 May 2013

2. 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

3. WHY WE NEED TO CHANGE Dr Phil Earnshaw Chair NHS Wakefield Clinical Commissioning Group (CCG)

4. 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

5. 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: o bringing specialists together saves more lives and gives better clinical outcomes for patients o separating planned and unplanned surgery means fewer cancelled operations and the most critically ill patients are treated quickly by specialists

6. Dr Simon Enright Consultant in Intensive Care and Anaesthesia Clinical Lead : Service Strategy The Mid Yorkshire Hospitals NHS Trust PROPOSED CHANGES TO HOSPITAL SERVICES

7. Pontefract no change: midwife-led unit ‘low risk’: home, midwife unit or Pinderfields ‘high risk’: deliver at Pinderfields Pinderfields ‘high risk’ births: all to consultant-led unit ‘low risk’ births: home, midwife-led unit Dewsbury midwife-led unit ‘low risk’ : home, midwife unit or Pinderfields ‘high risk’: deliver at Pinderfields Local antenatal/postnatal care Maternity services – proposed changes

8. Pontefract : no change Pinderfields: no change Dewsbury: inpatient care at Pinderfields Urgent assessment & outpatients at all 3 hospitals New children’s assessment service at Dewsbury Inpatient children’s services

9. Emergency care Pinderfields specialist trauma and emergency care centre for Mid Yorkshire continues to see full range of cases centre for emergencies needing inpatient 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

10. 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

11. 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

12. 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

13. INPATIENT CHILDREN’S SERVICES

14. MATERNITY SERVICES

15. EMERGENCY CARE

16. SURGERY

17. ANY OTHER ISSUES