Browse Sections
Interactive
Popular Sections
Partly sunnyNews
| 
Submit Comments
Document outlining hospital shake-up
23/11/2005
FAIRFIELD Hospital could lose some of its acute services as well as its special care baby unit.
Among options in the biggest review of hospital services for decades, Fairfield looks set to lose at least its acute surgery. And, if one option is picked, it could also lose its accident and emergency department.
The end result could be that Heywood people, who have traditionally used Fairfield Hospital for generations, could have to go to Royal Oldham Hospital for acute surgery and A&E.
Below are full details of the proposals, as outlined in the Healthy Futures document from Pennine Acute NHS Trust
HEALTHY FUTURES - ADDITIONAL OPTIONS INFORMATION
The Healthy Futures Joint Committee of Primary Care Trusts
have agreed that three options should be put forward for formal
public consultation.
At the heart of all of the options is:
· A wish to bring services closer to patients'
homes
· The need to provide more services out of hospitals
and more locally
· The need to provide clinically safe services out of
hospital and in hospitals.
The Primary Care Trusts have plans to dramatically improve the
potential of primary and community care through funding and
building 35 primary care resource centres over the next few years.
All PCTs have also increased investment in community services e.g.
the community matrons and the paediatric community nurses.
There are four hospitals in the Pennine Acute Hospitals Trust
area: Fairfield General Hospital; Rochdale Infirmary; North
Manchester General Hospital and The Royal Oldham Hospital. All the
options propose the conversion of at least one or more of the
existing hospital sites into a locality hospital with an urgent
care centre.
We have produced options we think are workable for the next 10
years, but health services will change again and concentrating
specialist services onto fewer hospital sites maybe a future
solution. It is clear that we have to do something in the short
term. We cannot ignore the reality of clinical risk at all existing
sites. In the shorter term, the need to rearrange services within
the existing four sites should continue to be pursued, in a fashion
that recognises and is integrated with a long-term solution.
Option A
Under this option Fairfield General Hospital, North Manchester
General Hospital and The Royal Oldham Hospital would provide acute
medical and accident and emergency services. Rochdale Infirmary
would become one of the countries first locality hospitals,
providing an integrated Urgent Care Centre (UCC), medical and
elective surgical beds, a full range of diagnostics and a
cardiology centre of excellence. A comprehensive range of health
services would be provided in the local community, many of them in
the 35 new primary care resource centres.
In addition, over time and subject to safety and the ambulance
services having the appropriate protocols in place, acute surgery
would be provided at North Manchester General Hospital and The
Royal Oldham Hospital and not at Fairfield General Hospital.
This option would be delivered in stages. The move from four
to three acute sites might be made within two years, but is
crucially dependent on our ability to recruit and train
staff.
Services and locations under Option
A
- Fairfield General Hospital, North Manchester General Hospital and The Royal Oldham Hospital will provide acute medicine and accident & emergency services.
- Planned medicine, elective surgery, day case, outpatients and rehabilitation services will be provided on all four sites.
- Acute surgery would be provided at North Manchester General Hospital and The Royal Oldham Hospital - over time we would look to move to a single site for acute surgery.
- Rochdale Infirmary would become one of the country's first locality hospitals, providing an integrated urgent care centre, medical and elective surgical beds, a full range of diagnostics and a cardiac centre of excellence.
- The option depends on the provision of enhanced primary and community services, including the management of chronic conditions, intermediate care and rehabilitation services.
- This option is deliverable within the preferred option for the Making It Better consultation for Children, Young People, Parents and Babies.
This option would be deliverable within the shorter term and
is deliverable within the physical constraints of the four hospital
sites.
This is our preferred option.
Option B
Under this option Fairfield General Hospital and The Royal
Oldham Hospital will provide acute medical and accident and
emergency services. North Manchester General Hospital and Rochdale
Infirmary will no longer provide acute medicine or acute surgery
and will become locality hospitals. A comprehensive range of health
services will be provided in the local community, many of them in
the 35 new primary care resource centres.
In addition, over time and subject to safety and the ambulance
services having the appropriate protocols in place, all acute
surgery will be provided at The Royal Oldham Hospital. Fairfield
General Hospital will provide emergency medical services but not
acute surgery.
This option requires capital investment at Fairfield Hospital
before North Manchester General Hospital ceases to provide acute
medicine or acute surgery. We estimate that this option could be
delivered within five years.
Services and locations under Option
B
- Fairfield General Hospital and The Royal Oldham Hospital will provide acute medical and accident and emergency services.
- Planned medicine, elective surgery, day case, outpatients and rehabilitation services will be provided on all four sites.
- Acute surgery and orthopaedic trauma will be provided at The Royal Oldham Hospital.
- North Manchester and Rochdale Infirmary would become two of the country's first locality hospitals, providing integrated urgent care centres, medical and elective surgical beds, and a full range of diagnostics.
- Rochdale Infirmary will become a centre of excellence for specialist cardiology services.
- The option depends on the provision of enhanced primary and community services, including the management of chronic conditions, intermediate care and rehabilitation services.
Option C
Under this option The Royal Oldham Hospital will provide all
acute surgery, acute medical and accident & emergency services.
A comprehensive range of health services will be provided in the
local community, many of them in the 35 new primary care resource
centres.
This option requires major investment in and expansion of The
Royal Oldham Hospital. This is the only one of the four sites with
space to expand; it is a larger hospital and is well serviced by
the road network. We estimate that this option could be delivered
within 10 years.
Services and locations under Option
C
- The Royal Oldham Hospital will provide acute surgery, acute medical and accident and emergency services.
- Planned medicine, elective surgery, day case, outpatients and rehabilitation services will be provided on all four sites.
- North Manchester, Fairfield General and Rochdale Infirmary would become three of the country's first locality hospitals, providing integrated urgent care centres, medical and elective surgical beds, a full range of diagnostics.
- Rochdale Infirmary will become a centre of excellence for specialist cardiology services.
- The option depends on the provision of enhanced primary and community services, including the management of chronic conditions, intermediate care and rehabilitation services.
This option is similar to the concept of a new build, but is perhaps more deliverable in that all inpatient acute services would be transferred to an existing hospital site i.e. Oldham. The Oldham site has the physical capacity to expand given significant capital investment, however this would again remain a long-term aspiration.
The Locality Hospital
All the options propose the conversion of at least one or more
of the existing hospital sites to a Locality Hospital with an
Urgent Care Centre.
The transfer of a considerable amount of work to primary and
community care inevitably means that less capacity will be required
in the existing hospitals.
In addition the need to specialise services and concentrate
medical and other clinical staff to meet working time directive
requirements, means that it would be impossible to maintain the
full range of district general hospital facilities on all sites and
at the same time ensure improved clinical care and safe
services.
A Locality Hospital would overcome these problems by bringing
together and developing some primary and community services
together with a range of current hospital services to provide the
maximum amount of local integrated care.
Issues around increased specialisation and maintaining rotas
and staffing levels apply as much to emergency medicine and
Accident and Emergency as to other clinical services. Acute
medical admissions and full Accident and Emergency services would
not therefore be provided on all hospital sites, but Locality
Hospitals would contain Urgent Care Centres which would deal with
most patients currently attending Accident and Emergency (together
with those attending walk in centres), while patients with major
trauma or other very serious medical conditions would be taken
directly or transferred by ambulance to the nearest major trauma
hospital.
Within the locality hospital would be an urgent care centre
which would see the vast majority of patients currently attending
traditional accident and emergency departments. Patients who would
not be seen would include those with major trauma, severely ill
patients, those with serious head injuries, major fractures (hips
etc). Such patients would be referred elsewhere by their GP, taken
to the nearest appropriate acute hospital or transferred from the
urgent care centre.
Although the model has yet to be refined in addition we
propose that the UUC would additionally include:
- Rapid response assessment service
- Follow up clinics
- Base for GP OOH
- Emergency dental services
- Base for mental health and social care teams
- Multi purpose treatment rooms
- Paediatric observe and assess unit
- Access to diagnostic (x-ray and pathology) and pharmacy facilities
- Clinical assessment unit
Have your say
Got an opinion you want to share?Latest stories
Personal Finance
Customers with a 'good' credit profile
| Company | Typical APR |
| Platinum Exclusive Loan | 7.8% |
| AA | 7.9% |
| Sainsbury's Personal Loan | 8.2% |
| Alliance & Leicester | 8.7% |
| Lloyds TSB | 8.9% |
| Abbey Personal Loan | 8.9% |
HASH(0x2b73de021360)
| Provider | AER* |
|
ICICI BANK HiSAVE Savings Account |
4.50% |
|
FIRST DIRECT Everyday e-Saver |
1.75% |
|
SAINSBURYS FINANCE Internet Saver |
2.25% |