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Local Hospitals "Require Improvement"

Save Our Hospitals has responded to the CQC's report as follows:Overall, this is a disappointing report, but not entirely surprising.The rating of the A&E at St Mary’s as inadequate bears out what we have been saying for some time: problems in the handover area for ambulances; problems with ambulance turnaround times; worrying issues about early discharge; lack of adequate links with primary care services which would keep people out of hospital.Yet the A&E at Charing Cross, marked for closure, is rated as ‘good’.Why are Imperial planning to move the stroke unit, ‘third best performing stroke unit in the country’ according to the CQC, from Charing Cross to St Mary’s?Outpatient services across Imperial’s hospitals are rated as ‘inadequate’. There are concerns about inconsistent cleanliness, infection control and hygiene across the Trust. There are significant backlogs for elective surgery and major staff shortages in some wards with an over-reliance on agency and bank staff. Bed capacity for some areas is a cause for concern. Save Our Hospitals is left wondering why Imperial Health Trust and the CCG should proceed with the largest reorganisation of the NHS before they have got outpatient treatment – increasingly long appointment and then clinic waiting times – sorted. We are told the aim is to treat more people in the community – but outpatient bookings, key to out of hospital services - at all 3 hospitals has not increased capacity to meet patient needs, nor have appropriate additional links with primary care been established – where these currently exist!The management response to the report is worryingly complacent. The CQC has found some serious concerns which cannot be wished away. Imperial College Healthcare Trust needs to get the basics right before embarking on the major reorganisation that is planned across NW London. Already the closure of two small A&Es in the NW London area has caused Imperial to fall dramatically in the league tables for A&E waiting times. To proceed with the demolition of Charing Cross, the sale of 55% of the land and the building of a mini-hospital there with no acute beds and no real A&E, the demolition of 45% of St Mary’s with a major rebuild there and the closure of the Western Eye Hospital is a serious attack on local health provision.SOH is calling for a moratorium on further reorganisation, for a rethink of the proposals and a new consultation based on clear clinical evidence that that reorganisation will work. From the CQC report it seems that current provision is inadequate and now is not the time to reduce the number of beds and close A&Es and move a world class stroke unit to another hospital.

Una Hodgkins ● 4319d0 Comments ● 4319d

Choose the right care this Christmas

People in Hammersmith and Fulham are being encouraged to choose the right care for their need this Christmas to help ease pressure on NHS services.Many common winter illnesses and injuries, such as colds and flu, can be treated at home with a well-stocked medicine cabinet containing:-Paracetamol and ibuprofen for pain relief -Decongestants for cold and flu symptoms such as blocked noses or sinuses-Tablets or liquids to help with heartburn and other digestion problems-Antiseptic wipes for cuts, grazes and minor wounds-Rehydration remedies-A thermometer-Plasters and sterile dressings-AntihistaminesYour local pharmacist can provide professional, confidential advice and treatment without an appointment. You can see a pharmacist for a range of problems including coughs, colds, skin conditions, aches and pains, and stomach complaints or emergency contraception. They may prescribe you with over-the-counter remedies and will be able to advise on medicines that are safe to use with any other medications you are already taking.There are a number of pharmacies open in Hammersmith and Fulham over Christmas. Click on the link below for more information.http://www.hammersmithfulhamccg.nhs.uk/media/14425/hammersmith_and_fulham_nwl_pharmacy_xmas_rota_20141.pdfIf you’re still unsure which care option to choose, NHS 111 is a round-the-clock phone service, free to call from landlines and mobiles. NHS 111 offers expert advice for situations when you need help urgently but it isn’t an emergency.The telephone team are fully-trained and supported by nurses, paramedics and other medical professionals. If they think you should see a healthcare professional, they will direct you to the correct service for your need, including GP practices that are open at weekends.Dr Tim Spicer, chair of Hammersmith and Fulham CCG, said: “During the winter months, an increase in winter illnesses and injuries puts additional pressure on health services, so it’s important to use your NHS wisely.“Self-care is important all year round but can be particularly essential during the winter months. It’s vital to drink lots of fluids to stay hydrated, and be sure to wrap up warm.“We would also encourage people to check in regularly with any neighbours or family members who might be vulnerable in the cold and the dark.“A&Es come under a lot of pressure at this time, so using services sensibly not only means that you will get the most suitable advice or treatment as quickly as possible, it also frees up emergency services for people with life-threatening illnesses or injuries.”

Louisa Elliott ● 4321d0 Comments ● 4321d

Protests at Imperial College Healthcare NHS Trust AGM

There were angry scenes at the Imperial AGM. Ross Lydall of the Evening Standard correctly recorded them in his blog of 26th September at   https://rosslydall.wordpress.com/2014/09/26/charing-cross-sell-off-vital-to-avoid-disastrous-pfi-deal-insists-hospital-chairman/The most salient parts of his report are:Sir Richard, fighting back against hostility from Save Our Hospitals campaigners at Imperial’s AGM on September 24, told them: “We don’t have any choice. We have a 19th century, 18th century estate on one of our sites [St Mary’s], trying to deliver healthcare to the best possible quality for your benefit.“If we don’t do that we will be in serious, serious trouble. There will be all sorts of problems. We have to rebuild our estate for your benefit, not for mine.”There were gasps of "But why demolish Charing Cross which dates from 1974, and is just 40 years old!"Andy Slaughter, Labour MP for Hammersmith, challenged Dr Tracey Batten, Imperial’s chief executive, to guarantee that “there will be no further closures or run-down of services, particularly at Charing Cross, unless and until you can demonstrate there is not a demand for these services”. He added: “Not to do that will be incredibly irresponsible.”Dr Batten said the trust was “guided by our clinicians” in all the proposed changes. She said: “We can only change the number of beds within our facilities when these community services are established. That is the way we need to work.”

Una Hodgkins ● 4389d0 Comments ● 4389d