THE
HORTON IS SAFE!
(for
now....but the fight goes on)
Everyone
wants to know what you think about the proposed "Darzi Centre"
(polyclinic) - the latest threat to health services in Banbury
First,
the Oxfordshire Primary Care Trust is holding two sessions
to explain how Banbury's health care is developing - and to listen to
your views. You are welcome to meet them at Banbury Town Hall
between 11am and 5pm on Friday 20th and 10am
to 4pm on Saturday 21st.
Although
the Darzi Centre is being forced on Banbury by the government, the PCT
have influence and hold the "purse strings" - and they want
to hear what you think.
Do
we really need a new million-pound facilty that could undermine your
local GP surgery and the Horton? Or could the money be better spent
improving and extending the hours of our existing services? Make sure
you tell the PCT what you think.
Then,
shortly afterwards:.
"Keep
Our NHS Public" Meeting in Banbury
8
July 6.30 - 9.30 pm
What
do YOU think about health services in Banbury?
Here's
your chance to have your say and influence national campaign group Keep
Our NHS Public. The Oxfordshire branch of KONP is holding its next meeting
in Banbury, on 8 July, at the Peoples Church (opposite St Mary's)
Any
health related topics are open for discussion, but the live issue is
definitely the imposition of the Darzi centre on Banbury. GPs and other
stakeholders are concerned that it will destabilise local GP practices
and the Horton, as well as being a waste of money - the same benefit
could be gained at much lower cost by developing and improving existing
GP practices. Nationally, campaigners are concerned that the roll-out
of Darzi centres will lead to greater private ownership of the NHS -
with profits creamed off for shareholders at the expense of patient
care.
What
do YOU think? KONP want to know your thoughts on any of the
issues affecting health services in Banbury and the local area, and
everyone is welcome.
__________________________________________________________________
Despite
the amazing victory over the ORHT, Horton
campaigners couldn't sit back for long.
-
Primary Care Trust working with stakeholders to decide
the Way Forward
-
The next threat? "Darzi Centre" foisted
upon Banbury
-
Strategic Health Authority review
Primary
Care Trust working with stakeholders to decide the Way Forward
The
day after the Secretary of State's decision, campaigners threw themselves
into the next stage of the campaign - as part of the stakeholder group
that will help the Primary Care Trust decide how to proceed. The IRP
have said that maternity and children's services must stay in Banbury,
but it's up to the PCT to work with the ORHT and stakeholders to work
out how to do it. The IRP gave the PCT one month to come up with a timescale
for the process, and asked the Strategic Health Authority to oversee
it.
Stakeholders
gathered on Good Friday to plan how to proceed.
MPs Tony Baldry and Tim Boswell, Oxfordshire County Council leader Keith
Mitchell, Cherwell District Council leader Barry Wood, campaign leader
George Parish and others met at Mr Baldry's constituency home in Bloxham.
Those
at the meeting agreed there should be no splintering off of different
factions in the solution-seeking process and that a single, unified
group including all those committed to providing acute hospital care
in Banbury should work with the PCT throughout the process. Suspicions
were voiced that, after the dust had settled, the ORH might continue
to insist that doctors' working times and training issues would prevent
maintenance of full services in Banbury, but Mr Baldry explained it
would be impossible since both the Health Secretary and Shadow Health
Secretary had supported the IRP's insistence that services must be developed
rather than reduced.
Letter
to the PCT
Mr Baldry followed up this meeting with a letter to the Oxfordshire
Primary Care Trust (PCT) demanding that all Banburyshire's 86 GPs should
be consulted, not just the handful of pro-downgrading GPs that advised
the ORHT. He also asked for a single stakeholders' group to liaise with
the PCT on an agreed Horton future, the Horton name to be included in
the title of the trust and secrecy surrounding meetings to be ended.
PCT
publishes plan
One month after the Secretary of State's decision, the PCT
made a commitment to openness, honesty and public consultation in their
bid to forge a genuine trust between themselves and Banburyshire. Their
report, published April 2008, details a plan of work over the coming
two years.
PCT
chief executive Andrea Young said it describes three phases, with public
consultation between each one. And while a solution is found the Horton's
current services must continue.
The
stages will be assessing Banburyshire's health needs; developing strategies
for meeting those needs; and creating a workable plan that delivers
the final strategy.
"We
will be asking the Oxford Radcliffe Hospitals Trust (ORH) for a plan
on how a stabilised service will be delivered during the life of this
project," she said. "Commitment from the ORH is implicit in
the recommendation that says it must do more to develop integrated practice
across its sites at the Horton, JR and Churchill hospitals. We haven't
an outcome in mind; it's about working out a process with all the stakeholders."
The
proposal is to work with a Programme Board, to ensure the project is
administered, and a Community Partnership Forum to bring ideas in, test
proposals and give views on work being developed.
"We
want cross representation in both groups but haven't yet decided who
or what. Both groups will meet in public and we'll try to meet as much
as possible in Banbury. Cherwell District Council has made the generous
offer of a secretariat and to help where they can with room."
"We
have had discussions with key stakeholders and we are taking a fresh
approach to looking at healthcare in Banbury and the surrounding areas."
The
report says detailed plans for the Horton's long term future are unlikely
to be developed until mid 2009.
The
planned Darzi GP medical centre in Banbury will be taken into account
as plans are considered. The PCT insists it is making no explicit assumptions
on the outcome and welcomes community involvement and leadership throughout.
The
Oxfordshire Health Overview and Scrutiny Committee, which referred ORH
downgrading plans to the Health Secretary, will oversee engagement with
stakeholders, patients and the public and will observe the community
partnership forum. Community
involvement will be encouraged at every possible level.
The
next threat? Unwanted "Darzi Centre" foisted upon Banbury
Lord
Darzi's review of NHS services is incomplete, yet Oxfordshire's PCT
has been told it must launch an 8,000 patient, walk-in doctors surgery
in Banbury. Patients will be able to walk in to the Darzi centre between
8am and 8pm and see a GP on demand. The service will cost £900,000
per year to run.
Local
GPs are against the idea, but are being forced into making their own
bid. Principal Medical Ltd, a consortium of Banburyshire GPs which already
runs the out of hours service at the Horton, is bidding to run the centre
to avoid it falling into private (profit making) hands.
Dr
Richard Lehman said "None of the local GPs think it is a good idea.
There is a problem of under-capacity in Banbury, but it could be solved
for a small fraction of the £900k budget. Its only purpose is
to bring in the private sector, undermine existing services and hasten
the fragmentation of the NHS"
Campaigners
speculated that the decision to locate the Darzi centre in Banbury was
made as a sop, when many people thought the Horton would be downgraded.
The centre is supposed to strengthen primary care in the Banbury area,
but the centre will also offer some secondary services such as minor
surgery, which campaigners worry will undermine the Horton.
Keep
the Horton General supports our local GPs' bid. If, as we are told,
the centre is inevitable, let it at least stay out of private hands,
and in the hands of those who want the Horton to remain viable.
Strategic
Health Authority review
The
NHS is never allowed to stand still, so campaigners awaited the Strategic
Health Authority's shake-up of hospital services with dread. Plans revealed
last week by health minister Lord Darzi suggested the government was
planning a mass programme of service closures at local hospitals, with
maternity and children's services likely to be the first to go.
But,
on this occasion, our fears appear to be unfounded. The proposed changes,
announced on 19 May 08, did not revive any downgrading at the Horton.
Campaigner George Parish said "I'm very pleased that the SHA are
following the IRP's directive. The report is looking at all the services
together, and that can only be good thing"
MP Tony
Baldry said the IRPs decision had effectively "ring fenced"
the Horton's future for the next two years, while the PCT works out
how to retain services. He said "I strongly suspect that if the
IRP had not been so firm, we would have seen the Horton yet again being
threatened today"