Joint Health Scrutiny Committee meets with NHS Commissioners to try and reconcile disagreements about hospital cuts plan

Calderdale & Kirklees 999 Call for the  NHS wrote to Calderdale & Kirklees Joint Health Scrutiny Committee members ahead of their meeting with NHS Commissioners on Monday 12th December, to start the reconciliation process to try and resolve their disagreements over the Clinical Commissioning Groups’ refusal to take any notice of the Councillors’ recommendations.

No Scrutiny Committee members have acknowledged our email.

Here it is.

Dear Councillors

Calderdale & Kirklees 999 Call for the NHS would like to encourage the JHSC  to stand up for the public interest during the reconciliation process that you have started with the CCGs.

We support the JHSC’s drive for clarification of details of the Right Care Right Time Right Place proposals, to see if there’s any chance of them being workable.

We think there are many such details that need clarifying before it makes any kind of sense to proceed to develop the Full Business Case.

A list of issues we hope you will be able to get to the bottom of during the reconciliation process is attached.

SUMMARY

Before your meeting with the CCGs about the reconciliation process, we would like to draw your attention to a few issues, which we hope you will be able to get to the bottom of during the reconciliation process.

  1. The CCGs’  briefing for stakeholders shows that Calderdale & Greater Huddersfield CCGs have no intention of acting on the JHSC’s recommendations.
  2. There is new information about the lack of evidence for both the hospitals’ reconfiguration and the Care Closer to Home scheme.

The Cramlington Specialist Emergency Centre – the model for the Calderdale Emergency Centre – doesn’t perform as claimed;  Newcastle Hospitals Trust reported this in September 2015, and this winter the 3 satellite urgent care centres are being closed overnight because the Emergency Centre is so overloaded it can’t cope without the urgent care centres’ staff.

A new Nuffield Trust report on the national hospital bed shortage shows 12,000 extra beds are needed to return the NHS to the recommended 85% bed occupancy rate, and  Southwark and Lambeth Integrated Care research has found NO evidence that community-based care made the planned cost savings or the planned reduction in hospital admissions in the short term.

A recent report identifies many new unintended adverse consequences of electronic health records.

3. The impact of WY & Harrogate Sustainability and Transformation Plan on the Right Care Right Time Right Place scheme seems likely to be severe.

We hope the JHSC will be able to identify  whether the Sustainability and Transformation Plan means that Calderdale & Huddersfield NHS Foundation Trust (CHFT) is gearing up to losing specialisms, due to new requirements to close departments that rely on locums; and what the effects on CHFT will be of the WY Sustainability and Transformation Plan “rationalisation” of acute hospital services through creation of a  “foundation group” for the hospitals in the West Yorkshire Acute Hospitals Allliance.

We also hope the JHSC will be able to clearly identify the effects on the Clinical Commissioning Groups of the Sustainability and Transformation Plan, and how these will affect their ability to carry out the Right Care Right Time Right Place reconfiguration – as discussed at the 8 December Calderdale CCG Governing Body:

  • Resistance and suspicion of STP nationally is based on fairly solid ground
  • Calderdale CCG will soon be in turnaround because their finances are in such poor shape, and this has affected the 2 year  contracts they have to sign off on 23.12.16
  • They don’t know how to “assure” the CCG against risks because the situation’s changed so much with the Sustainability and Transformation Plan that the old assurance system doesn’t apply, as a lot of the risks it faces are not mitigatable – they are big strategic risks that are outside the CCG’s control.
  • They risk being unable to meet their constitutional requirements – specifically, they can’t afford to meet the referral to treatment time target, because that would mean paying for more patients to be referred, so they are looking at some kind of referral triage system to reduce the numbers of patients being referred to hospital.
  • They haven’t sorted out the Memorandum Of Understanding for the joint committee arrangement for all the WY & Harrogate Sustainability and Transformation Plan CCGs, but think they will do this by Feb
  • They don’t know how they will consult in Calderdale on West Yorkshire & Harrogate Sustainability and Transformation Plan changes that are outside their control

There were other points too but these are the main issues we hope the JHSC will be able to get proper answers about during the reconciliation process.

LONGER VERSION

We also attached a longer version with a more detailed list of issues than the summary.

You can find it online here:

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