Hospitals of the future Consultation – take part now!

The drop in events are Friday 9th November 10.00 – 15.00 in the Carriage works (Electric Press, Millenium Square). and Monday 19th November 16.00 – 20.00

The outline proposals can be found at http://www.leedsth.nhs.uk/new-hospital and also:

At the AGM Linda Pollard said they were still making the outline business case. There is very little detail on funding apart from this statement:

“Meeting these costs will be challenging. Nationally in the NHS, there are many requests for capital funding to fund developments and improvements like these. But, at Leeds Teaching Hospitals, our recent strong financial performance and improvements mean we’re in a good position to discuss funding options with the Department of Health.”

This is clearly a cautious statement! Last time we actually got to discuss all the powerful argument for a Children’s Hospital it was knocked back by the DH as too expensive, particularly given the investment in cancer facilities that had just lead to the centralisation of this service in Leeds and opening of the Beckett Wing.

Clearly we would not want a PFI deal, and would want this publicly funded by government.

Dr John Puntis in YEP – stop NHSE and management consultants withdrawing funding for NHS treatment

Dear Sir,

On Wednesday 22nd August, NHS England (NHSE) held a public discussion in Leeds Town Hall on restricting access to 17 different medical interventions, including surgery for common hand problems, varicose veins, tonsillectomy and other conditions.

Although an important national consultation on major changes in NHS provision, poor advertising and summer holidays meant it was attended by only a handful of people. The supposition behind the proposals is that doctors thoughtlessly recommend surgical interventions that are neither effective nor safe to hundreds of thousands of patients each year.

While there are excellent evidence based guidelines already available for who should have these treatments, clinicians must be compelled to make special funding requests for individual patients, and hospitals told they will not be paid for activity, in order to bring them into line with NHSE designated ‘best practice’.

The Royal College of Surgeons objects to interventions that improve quality of life and reduce pain being designated as ‘low value’, pointing out that not treating some conditions may lead to much more costly complications later on.

Revealingly, the current limited list of ‘low value interventions’ echoes that drawn up by management consultants McKinsey when asked after the 2008 banking crisis how the NHS could save money. NHSE plans to expand rapidly beyond the current list of 17 restricted treatments.

The public need to be aware that this process fundamentally changes the way the NHS works and strikes at the heart of the doctor patient relationship, where clinicians assess a patient’s needs and wants, recommending treatment based on sharing evidence of risks and benefit.

The current projected savings are minute (0.16% of NHS budget), but a key objective of NHSE is to establish that the NHS will no longer provide some treatments, and you wont be able to have these unless you pay to go privately. I would encourage your readers to visit the NHSE website (https://bit.ly/2uNYQOg) and feedback their views through the ‘consultation on evidence based interventions’.

Yours faithfully,

Dr John Puntis
Leeds Keep Our NHS Public

Restrictions on elective procedures in Leeds, please read and help

999_Call_restrictions_to_elective_care_consultation

o NHS ENGLAND’S PLAN TO cut 17 ELECTIVE PROCEDURES
And slash £200m SPENDING IN 2018/19
What you need to do:
1. Get hold of the Consultation Document online at https://bit.ly/ 2LNAWJo
2. Respond to the Consultation online at https://bit.ly/2uNYQOg and reject the plans to restrict 17 elective treatments (such as Grommets for glue ear in children, Tonsillectomy for recurrent tonsillitis, Carpal tunnel and Dupuytren’s contracture release etc), by saying
No to Questions 3, 4, 5, 7, 13, 14, 15, 16, 17, 18, 19 AND:
6: Don’t select Yes OR No, Put “All treatments should be agreed between the patient and their doctor, based on clinical need and authoritative evidence”.
8: Put: “The impact would be that patients who can afford it, would go private for operations that the NHS no longer funds. People who can’t would be left to suffer.”
9: Don’t select any option. Put same answer as to question 6.
10: Don’t select Yes OR No
11: Put “The e-referral system is already being aligned with the new programme. So why are you pretending to consult on it?”
12: Don’t select Yes OR No. Put, “Most practitioners already utilise evidence based guidelines such as NICE in order to make decisions and guide practice.”
13: No, Put “I do not agree with your proposals. The current referral process is much better than what you are proposing. It lets GPs refer patients to specialists when they feel they need help in making a diagnosis, or delivering effective treatment. And it allows specialists and patients to discuss the best options for that individual.”
15: No, put “ Punitive financial measures compromise the relationship between clinicians and patients.”
19: No, put “You are turning established guidelines for referral and treatment into mandatory protocols and interfering with the referral process in order to enforce non- payment of elective treatments.”

Insulin – a very dangerous situation – post Brexit, please use this template to write to your MP

RGENT: EFFECT OF “NO DEAL” BREXIT ON INSULIN SUPPLIES
Following recent reports on the threat to insulin supplies with a “No Deal” Brexit, here is a draft letter which you may wish to send to your MP. This is a very worrying scenario.

Draft Letter to your MP:
Dear
Effect of “No Deal” Brexit on Insulin Supplies
Sir Michael Rawlins, Chair of the Medicines and Healthcare Regulatory Agency, has warned that a “No Deal” Brexit could have a significant negative impact on the importation of insulin into the UK.
Sir Michael Rawlins points out that the supply of insulin is complex because the UK does not manufacture it, and transporting it is complicated as its storage has to be temperature controlled.

Following this, Diabetes UK has issued the following statement: “1 million plus people in the UK rely on insulin. It is vital to have access to insulin from abroad. Insulin is not an optional extra. It is vital that the supply continues uninterrupted”.
Please assure me that there will be no “No Deal” Brexit impeding the supply of
insulin in the UK, and that the health needs of people with insulin-dependent diabetes will not be threatened.

I heard yesterday that already certain key drugs are becoming harder to obtain, due to pharmaceutical companies anticipating Brexit. In one case, this resulted in a patient staying in intensive care longer than otherwise necessary and threatening their treatment.

Yours sincerely

Attached version:

https://www.dropbox.com/s/umfqynbo25j2u1m/Insulin-9hyqFd1VPCuEDfzFlhC_bqsZai4kdvGuG1ILcVnfjvckH4GbnNtyi1N-7o0OaJQcjOTTXEZFtVtuhSO9oHymOQ%3D%3D.pdf?dl=0

CCG Consultation – one primary care mental health trust

Residents events begin next week. There is also a survey.


NHS Leeds Clinical Commissioning Group (CCG) is currently engaging with patients, health and care professionals, providers, voluntary sector and the wider public about our proposal for a single primary care mental health service in Leeds.


Primary care mental health services are services usually provided through the GP practice to people with mild to moderate mental health problems. You might be referred into primary care mental health services if you are feeling low, vulnerable or anxious.

In Leeds there are three different primary care mental health services available:

· Improving Access to Psychological Therapies (IAPT), also known as talking therapies, provide psychological support for people with common mental health problems, such as depression and anxiety disorders. In Leeds, the IAPT service is provided by Leeds Community Healthcare (LCH) NHS Trust, Community Links, Northpoint Wellbeing and Touchstone. The whole service is known as the Leeds IAPT Partnership.

· Primary Care Mental Health Liaison Service for people whose needs cannot be met by the IAPT service. This is currently a pilot project that is only provided at some GP practices in Leeds and is delivered by Leeds and York Partnership NHS Foundation Trust (LYPFT) and Northpoint Wellbeing.

· Women’s Counselling and Therapy Service and Home Start that provides support to women in the perinatal period of pregnancy from conception to one year of birth.

Once the current contracts come to an end in September 2019, NHS Leeds CCG intends to commission a single primary care mental health service for Leeds. We think this will make services easier to understand and access.

The CCG is asking anyone with an interest in primary care mental health services to help shape the new the new citywide service model by taking part in a survey www.smartsurvey.co.uk/s/MHprimarycareservices/

The closing date for the survey is 30 September 2018.

To ensure we’re providing enough opportunities for people to give their feedback, we have organised three public engagement events where we’re hoping to meet local residents and invite them to share their views on primary care mental health services in Leeds. The events will take place at:

Armley One Stop Centre 6th of August, 10am-12pm

Reginald Centre – 28th August, 10am-12pm

Dewsbury Road Community Hub -13th Sept, 1pm-3pm

For more information about this engagement please visit our website here: https://www.leedsccg.nhs.uk/get-involved/your-views/primarycaremhservices/