Now I can tell you!

I am now a GP Board Member of Wakefield Alliance - the Clinical Commissioning Group responsible for commissioning services for our patients. Just over a week ago I went to a top secret meeting with other board members from Wakefield Alliance and staff from Mid Yorks Hospital Trust. The meeting was to tell the Board about Mid Yorks plans for reshuffling hospital services across Wakefield, Pontefract and Dewsbury.

They are only just at the beginning of this project. They need to reshuffle their services because they need to substantially cut their budget over the next two years as well as continue to meet access targets (for patients referred for treatment and patients in A&E) and continue to improve the clinical quality of the services they provide - quite a few plates to juggle and keep in the air at the same time!

The meeting I went to outlined some of the criteria against which any changes options would be assessed. Their were a few things that the changes must do. The changes must make the savings they need to achieve and Pinderfields will remain the trauma centre for Trust. Aside from these givens, they had identified nine other non financial criteria. These included better clinical outcomes, delivering the 18 week to treatment target and of course 'safe an appropriate patient travelling times'.

The Trust is committed to continuing to run Out Patient and Diagnostic Services from all three sites but it is looking at centralising other services. But some of the options may mean that patients in Normanton may have to go to the Dewsbury for surgery (15 miles) instead of Pinderfields (6 miles). I got the impression that clinical safety and improvement trumped short travel times! I strongly believe that we need a clinically safe and financially viable local Trust so that my patients do not have to travel out of the area for emergency and routine treatments. They only way this is going to happen is if things are centralised and this will inevitably mean more travel for some patients and their relatives.

If you have any comments to make this then please let me know at DrBrown@GP-B87039.nhs.uk.

And of course I can break the promise to keep things secret now because this has been reported at the Trusts last board meeting which was open to the public and was reported in Fridays Wakefield Express - click here to read more!



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