Maternity Unit Saga Drags on

Residents, parents, local Conservatives, Lib Dems & Greens continue to express outrage at the ongoing Maternity Unit saga. After a prolonged closure due to staff shortages at Telford – where expectant and recovering mothers were expected to use Telford or Wrexham units instead – we are now into a new set of more temporary closures. This ran for several months last year.

Whilst these suspensions are more than just frustrating for the parents they may also be a cynical ploy to run the service down to the point where the Midwife-Led Units. Repeated suspensions aren’t good for parent’s peace of mind at critical times of pre and post-natal care. Parents rightly expect to plan ahead and this mess can’t continue. MLUs should be open 24/7.

Parents rightly expect to plan ahead and this mess can’t continue. MLUs should be open 24/7

SaTH is seeking people’s views on temporary suspensions, and whether rotating 4-week suspensions of inpatient services is a ‘Good’ solution to the staff shortages problem.

If you are on Facebook and you haven’t signed up to follow the Save Oswestry Maternity Unit page then I would urge you to sign up and support the campaign to keep the MLU open 24/7.

Marshalling at the 2nd march against closures last year

MLU protest march II

Yesterday supporters of the MLU joined a march in support of keeping the MLU open without any service reduction. The march started at The Bailey Head and from Gobowen Station and converging at the MLU.

I volunteered as a Marshal for the March from The Bailey Head.

The march was extremely well supported and plenty of media coverage on the day. In glorious weather, we made our way via Burma Road, Park Hall and received plenty of support along the route.

The march was to protest at the ‘temporary’ closure of the units in Oswestry, Ludlow and Bridgnorth in order to prioritise the units at Telford, and at the proposed introduction of an on-call midwife system across rural Shropshire.

This was the second protest march. The first was back in March Shropshire MLU marches & SaTH meeting

Shropshire MLU marches & SaTH meeting

David Walker enjoying the atmosphere and the weather at the Oswestry MLU protest

Last Saturday, 25th of March, LibDems joined hundreds of parents, children and concerned Shropshire residents to march against the threat to downgrade Shropshire’s Maternity Units. SaTH had previously produced a report as part of their budget which identified downgrading the units to Birthing Units, where expectant mothers would need to make an appointment to give birth at night.

Oswestry and Bridgnorth both had a march on Saturday. Ludlow had previously held a march to support their unit. Both were extremely well attended and the weather was glorious.

In Bridgnorth, they marched through the High Street to the Castle Grounds. Whilst in Oswestry they met in Cae Glas Park and paraded around the park. Both marches had a great turn out. Thank you to everybody who organised the marches and who attended to show their support.

Protesters marching through the park
Protesters marching through the park

The MLUs needs to stay open 24 hours a day and 7 days a week. Expectant mothers can’t be expected to deliver to order and to an appointment. Many sources have responded to campaigners that the MLUs aren’t going to be downgraded. Campaigners have remained cynical and kept up the pressure and the protest. The marches just being one element of that protest.

Late yesterday it emerged that SaTH were still going to go ahead with the downgrading the MLUs to a Birthing Units. The report for today’s board meeting shows that they aren’t going to be open at night, except for mothers already in labour.  Anybody who going into labour will either have to go elsewhere in an ambulance or potentially deliver in a car. Delivery can’t be planned to that extent so this policy is bonkers. Campaigners are rightly angry that they won’t have the same access to postnatal care after the downgrade.

If you haven’t signed the petitions of the Government website yet here are the links to both petitions:

Save Oswestry Maternity Unit

Save Bridgnorth and Ludlow Maternity Units

Both petitions are currently running at about 2,200 online signatures at the time of writing this. There are the same again on the paper petition.

Follow the campaign on the Save Oswestry Maternity Unit Facebook Group

NHS Crisis – Governement in denial

Robert Jones and Agnes Hunt Hospital

Just about everybody knows the NHS is in crisis, apart from the Government it seems. For years the problems have been mounting and successive Governments have been content to pass the buck, tinker around the edges and allow the demands on the NHS and A&E to escalate. The current Conservative Government has taken this to new levels, propelling a crisis into a ‘Humanitarian Crisis,’ a term more usually associated with war-torn countries,  and a term dismissed as “irresponsible and overblown” by Theresa May.

We all know people who have been caught up in delays and heard stories of bed blocking because of the failure of the social care system. A social care system also facing a similar crisis. It is widely accepted that there will be a funding gap of £30bn in the NHS by 2020, and a shortfall of around £6bn in social care, which will have serious consequences for patient care.

Last September the Liberal Democrats set a new independent commission to examine the future of the NHS and social care system. The pressure being so severe that now we need to consider how we fund the NHS and Social Care in the national interest. The new Beverage Commission made up of industry experts was asked to explore how to fund the NHS and Social care, and if a new tax was part of the mix.

The Liberal Democrats think that a new ring-fenced income tax top up of 1p in the pound to directly fund the NHS and Social Care is now needed. We also think that the NHS and Social Care should be merged into a new National Care and Health Service. Research by YouGov shows the public are open to the idea of raising money through tax or National Insurance in the face of this crisis.

Under-funding of the NHS of the scale we are seeing is a scandal of massive proportions. Patients waiting on trolleys in A&E corridors, because A&E departments are full. Two people dying on A&E trolleys in Worcester – one after waiting for 35 hours for a bed is wrong on every level and IS an outrage to humanity. Ambulances are delayed at A&E waiting to hand over patients. A&E departments shut their doors to patients more than 140 times in December in England – a 63% rise on the same period in 2015. 42 such diversions happened over Christmas Week.

Last August, 237 hours of ambulance time were lost at the Royal Shrewsbury and a further 127 lost at the Princess Royal. 364 hours in total. Every minute an Ambulance is delayed at A&E or on a diversion it has potentially life-threatening consequences if those Ambulances are not out in the field.

Whilst unnecessary A&E visits and Health Tourism are adding to the problem, the main culprit is Social care underfunding.

  • 11,980 people received social care from Shropshire in 2009
  • 5,245 people received social care from Shropshire in 2014
    or a 56% reduction.
  • 7,685 people from Shropshire asked for social care last year
  • 4,175 did not get any Social Care from Shropshire in 2015/16
    or 54% of requests were denied social care

More and more isolated elderly people are failing to get social care support and ending up in A&E with problems quality social care could have prevented. Each day 7 times more patients are admitted than are discharged. That is only going to have one outcome, and fast.

The Government has tried to paper over the cracks by moving money around from other areas to support A&E but this then means problems elsewhere in the NHS. Nationally there are Maternity Units that have been shut to provide extra A&E beds. Nationally and locally we see Maternity Units under threat and services under pressure. As the A&E crisis grows we will only see more knock-on delays and problems in the rest of the NHS and the system cracks under the pressure.

Just look at the Consultant Waiting Times at The Robert Jones and Agnes Hunt Orthopaedic Hospital: RJAH Consultant Waiting Times. If the NHS buckles under the burden of A&E and money is moved away from these services towards A&E then these times will only go up.

Last weekend Mike Adamson, British Red Cross chief executive, said:

“The British Red Cross is on the front line, responding to the humanitarian crisis in our hospital and ambulance services across the country.

By Wednesday and PMQs the story was gathering ever more momentum, so the Government tried to play it down and deflect blame with Theresa May branding the term “irresponsible and overblown.” Skillfully ignoring the fact that 400,000 elderly people are now without any social care support in their local communities, forced into A&E when they need support.  Instead simply trying to pin it all down to demographics and an ageing population. Theresa May claimed to be putting in an extra £10bn yet Sarah Wollaston, former GP and chair of the health select committee, said the real figure was closer to £4.5bn.

On Wednesday, chief executive of NHS England, Simon Stevens, told the Public Accounts Committee that:

  • NHS spending per person was 30% less than that spent in Germany
  • £4bn of the NHS’s capital budgets – for building projects – had been raided to prop up day-to-day spending.
  • Spending in 2018-19 per person in England was going to go down

“Over the next three years spending is going to be highly constrained and in 2018-19 NHS spending per person in England is going to go down…”

‘We are not robbing Peter to pay Paul. We are robbing Paul to pay Paul,” he said.

Meanwhile, The Independent reported that: “Overcrowding in NHS hospitals has become so severe that last week more than 20 trusts issued ‘black alerts’, meaning they are unable to guarantee life-saving emergency care.”

Crisis? What Crisis says, Theresa and Jeremy. Well, it is about time they both woke up and saw what we all see…. a crisis of epic proportions. This crisis is unsustainable. At PMQs, Norman Lamb, the Lib Dem Health Spokesman called on the Prime Minister to seek an urgent cross-party solution to the health and care crisis. To this end, he has also set up a government petition here: https://petition.parliament.uk/petitions/177055

 

Oswestry Maternity Unit forced to close overnight

Robert Jones and Agnes Hunt Hospital

Last week I read with some dismay on the Save Oswestry Maternity Unit Facebook page and subsequently on the Save Bridgnorth Maternity Unit page that the units were going to close because of Staff shortages in Telford. The obvious concern being that this is a cynical strategy to undermine the midwife-led units and soften up protests to the idea of them becoming Birthing Centres. You may recall that Birthing Centres aren’t staffed overnight, where women in Labour must call the units to arrange for them to be opened or place an emergency call for an ambulance to take them A&E, which we all know are facing massive pressures already. Crazy.

The Bridgnorth Group have a meeting set up with Philip Dunn MP who might offer assistance as a Government Health Minister. I hope I am wrong but I expect platitudes and little or no action. Shropshire’s MPs have failed miserably to defend Shropshire’s Corner and ensure Shropshire got it’s fair share under the Sustainability and Transformation Plan (STP) allocation. If Shropshire had received the same STP Allocation as Cornwall then Shropshire’s NHS services would have been better off to the tune of an extra £200m! Cornwall has a similar population to Shropshire but was allocated 24% more money. Shropshire’s Leaders asleep at the wheel it seems.

Shropshire Star article on the closures from last Friday:

Read the Oswestry Advertiser take on the closures below:

 

If you haven’t signed the petitions of the Government website yet here are the links to both petitions:

Save Oswestry Maternity Unit

Save Bridgnorth and Ludlow Maternity Units

Both petitions are currently running at just under 1,500 signatures at the time of writing this.