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Process for tonight’s meeting

Consultation on changes to hospital services in North Kirklees and Wakefield District Dewsbury public meeting – 21st May 2013. Process for tonight’s meeting Short presentation summarising the changes proposed and their impact on services for Dewsbury area residents

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Process for tonight’s meeting

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  1. Consultation on changes to hospital services in North Kirklees and Wakefield DistrictDewsbury public meeting – 21st May 2013

  2. Process for tonight’s meeting • Short presentation summarising the changes proposed and their impact on services for Dewsbury area 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. PROPOSED CHANGES TO HOSPITAL SERVICES Dr Simon Enright Consultant in Intensive Care and Anaesthesia Clinical Lead : Service Strategy The Mid Yorkshire Hospitals NHS Trust

  4. Maternity services – proposed changes • Dewsbury • Midwife-led birthing unit • ‘low risk’ births : home, midwife unit or Pinderfields • ‘high risk’ births : deliver at Pinderfields • Pinderfields • Consultant-led unit for all ’high risk’ births • ‘low risk’ births : home midwife-led unit • Local antenatal/postnatal care

  5. Children’s services • Dewsbury : • New assessment facility for children who attend A&E • majority of current inpatients through new facility • Those requiring longer inpatient care at Pinderfields • Pinderfields : no change • Urgent assessment and outpatients at all 3 hospitals

  6. Emergency care • Dewsbury • open access for emergency care (70% of current) • staffed by A&E trained doctors and nurses (24/7) • full resuscitation facilities • able to treat a wide range of conditions • some ambulance attendances • consultants remain during the day (0900 – 2000), on call 24/7 • “ Emergency Day Care” on site to reduce need for admission • Pinderfields • specialist trauma and emergency care centre for Mid Yorkshire • centre for emergencies needing inpatient care

  7. Surgery • Dewsbury • Centre for routine inpatient surgery (more specialties) • Separation of emergency and planned surgery • Day surgery • Some minor unplanned surgery (day case) • Pinderfields • Emergency surgery, complex surgery (critical care) • Day surgery

  8. Summary : Dewsbury Hospital • Midwifery-led birthing unit • Paediatric assessment facility • 24/7 A&E for majority current attendances • Inpatient medical beds (assessment and rehabilitation) • Routine inpatient and day surgery • Outpatients • Diagnostics

  9. How will North Kirklees residents benefit? • Maternity : access to 24/7 consultant-delivered care for high-risk births • Childrens : majority of children managed through paediatric assessment facility. Inpatients will have access to more specialist and on-site consultant care at Pinderfields • Emergency : majority still seen at Dewsbury A&E. Sicker patients seen quicker by consultants and specialist teams at Pinderfields • Surgery : routine operations (including inpatients) carried out locally. Emergencies, sicker patients seen by specialist teams at Pinderfields quicker with more backup • Outpatients : more local appointments

  10. HOW WE ARE RESPONDING TO WHAT WE HAVE HEARD SO FAR Dr David Kelly Chair NHS North Kirklees Clinical Commissioning Group (CCG)

  11. Listening to You – Children • Paediatric Assessment Service • Specialist assessment and treatment • Opening hours will be demand driven to cover majority of children. Initially open to patients until 10pm • Transfers for overnight stay will be minimised (<1 day) – Children with complex needs Enhanced specialist medical and community nursing for children with most complex needs & more care at home Work with families to ensure minimal impact.

  12. Surgical Assessment • Emergency Day Care will include surgical procedures • Dedicated theatre lists • Common procedures including kidney stones, ectopic pregnancy, abscesses, minor fracture • Day Case Surgery • All surgery will be local • Planned Surgery • Developing post operative care to • increase the number of people who • can be treated locally Listening to You – Surgery

  13. Emergency Day Care • Consultant presence for longer • Using technology to enhance specialist support • More conditions treated locally including; DVT, pulmonary embolism, chest pain, cellulitis, falls, collapse, headache, chest infections, GI bleed • Elderly Assessment • Specialist assessment for • frail elderly patients Listening to You – Emergency Care

  14. Maternity Services • We’ll keep an eye on numbers. If demand rises then we can review • Outpatients appointmentswill be in DDH unless there is a good reason not to be • TravelTravel Group reconvened to look at recommendations in their report. Will present costed options to commissioners. To consider at Deliberative Event. Listening to You

  15. More patients treated locally in Dewsbury

  16. INPATIENT CHILDREN’S SERVICES

  17. MATERNITY SERVICES

  18. EMERGENCY CARE

  19. SURGERY

  20. ANY OTHER ISSUES

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