Consultation on changes to hospital services in North Kirklees and

Wakefield District

Pontefract public meeting – 16 May 2013

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

WHY WE NEED TO CHANGEDr Phil Earnshaw

ChairNHS Wakefield Clinical Commissioning Group (CCG)

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

• 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

Dr Simon EnrightConsultant in Intensive Care and Anaesthesia

Clinical Lead : Service StrategyThe Mid Yorkshire Hospitals NHS Trust

PROPOSED CHANGES TO HOSPITAL SERVICES

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

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

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

SurgeryPontefract • Planned orthopaedics, ophthalmology (from 2013)• Range of inpatient short stay surgery• Day surgery

Pinderfields • Emergency surgery, complex surgery (critical care)• Day surgeryDewsbury • Planned inpatient surgery (more specialties)• Day surgery • Some unplanned surgery

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

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

INPATIENT CHILDREN’S SERVICES

MATERNITY SERVICES

EMERGENCY CARE

SURGERY

ANY OTHER ISSUES