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

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

2. 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

3. Summary : if you live in Dewsbury 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

4. 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

5. 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

6. 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

7. 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)

8. The sort of conditions we see in A&E

9. Q&As

10. 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

11. 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

12. Q&As

13. 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

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