Is new pilot another step towards the closure of Cheltenham’s A & E?

Liberal Democrats have once again raised concerns over the future of Cheltenham hospital as a new NHS pilot will see patients moved to Gloucester.

A letter circulated by Gloucestershire Hospitals Foundation Trust gives details of service changes over the coming months as part of a winter plan. From October 2017 to March 2018, all orthopaedic acute and trauma patients requiring admission or surgical intervention will be moved from Cheltenham General Hospital to Gloucestershire Royal Hospital.

Liberal Democrat Spokesperson on Health and Communities, Cllr Iain Dobie (Leckhampton and Warden Hill) said:

“We’ve already seen Cheltenham’s A & E reduced at night between 8pm and 8am from a full doctor-led service to a restricted nurse-led operation in 2013. Martin Horwood MP and Liberal Democrat councillors opposed this permanent downgrading  at the time. In this latest move, the day time service is now being cut back at Cheltenham A&E.

“People turning up in pain with a broken leg or arm which needs an immediate operation, or someone with a broken hip which demands time in a hospital bed, will now be sent over to Gloucester.

“We are calling for the restoration of a full 24/7 A&E service at Cheltenham General and a properly funded NHS.”

Elected members in other parts of the county are also worried about the impact these changes will have on residents in their own districts, for example, Liberal Democrat Group Leader, Cllr Paul Hodgkinson (Bourton and Northleach) said:

“This news is troubling. People in the Cotswolds rely on Cheltenham as their nearest hospital so this will mean extra travel for them and their relatives. But what does this really mean for the future of Cheltenham hospital? Slowly but surely services are being whittled away and moved elsewhere. The future of this hospital is at stake – many people value it a lot and it must stay!”

Call for hospital’s future to be secured

A call has been made to safeguard the future of Cirencester Hospital.

PaulHospital

Cllr Paul Hodgkinson – Prospective MP for the Cotswolds – made the call following a statement issued by the Clinical Commissioning Group in Gloucestershire which launched a review into whether the hospital could be used more.

Mary Hutton, Accountable Officer at the county’s NHS Clinical Commissioning Group, said:

“A Cirencester Hospital project group, with representatives from the Clinical Commissioning Group, Gloucestershire Care Services NHS Trust and the South Cotswolds GP Executive Group, has been set up.

“The review aims to fully understand the health needs of people living in the South Cotswolds and how more patients could, where appropriate, be treated at Cirencester Hospital rather than at the main hospitals in Cheltenham, Gloucester and Swindon. The review will take some months to complete.

Cllr Hodgkinson is looking for a positive outcome to the review: “Following on from the disappointment over the reduction in A&E services in Cheltenham, people will be wary of the word ‘review’. However, if this latest move leads to people in the Cotswolds being able to make more use of Cirencester Hospital this has to be a good thing.

“Cirencester Hospital is a gem – it provides a really good service for minor injuries and illnesses. Given the journey times to Cheltenham or Gloucester for residents, an expanded service in Cirencester would make sense.

“I want the Hospital to have a secure future as people value it. It could also take some pressure off Cheltenham.”

Call for NHS to come clean over future of Cheltenham hospital

A document has been made public which casts serious doubt on the local NHS hospitals trust’s reassuring words about the future of Cheltenham Hospital A&E.

Cllr Paul Hodgkinson (right) next to Cheltenham MP Martin Horwood, protesting against the A&E closure

Cllr Paul Hodgkinson (right) next to Cheltenham MP Martin Horwood, protesting against the A&E closure

The document – drawn up by surgeons within Cheltenham General and Gloucestershire Royal Hospitals – was aimed at developing a long-term plan for all the different surgical specialties.  It contains a suggestion that emergency surgery should be taken from Cheltenham and centralised in Gloucester.

Cllr Paul Hodgkinson, Lib Dem Parliamentary candidate for the Cotswolds, has campaigned to reverse the change to Cheltenham’s A&E and is very concerned about the impact of this latest proposal on Cotswolds residents: 

“Some of the proposals are uncontroversial – no-one minds travelling a few miles for planned surgery if that means they get the best treatment.  But there are some services which you need to reach in a hurry and where, in an emergency, every second could counts. So the fact that emergency surgery was included in the list of specialties that might be centralised is worrying. Many people in the Cotswolds rely on Cheltenham as their nearest hospital.

“Major trauma emergency cases –  road accidents for instance – already go to Gloucestershire Royal and the hospital’s trust decided in July that overnight blue light ambulance admissions would also go to Gloucester and not to Cheltenham.  The trust said this was because recruitment problems had made it impossible to fully staff two A&Es 24 hours a day.  But the fear was that all ambulance admissions would soon follow and that Cotswolds patients who go to Cheltenham would be faced with a hospital with little more than a minor injuries unit.  Clinical research shows that, in an emergency like a severe asthma attack, the extra 8 miles would probably make a critical difference in a significant number of cases.

Liberal Democrat councillors on the local Health & Wellbeing Board called for a rethink in the plans earlier this year but were outvoted by Conservative councillors.  Cotswold Tory MP Geoffrey Clifton-Brown said he would prefer one A&E department and hoped Gloucester’s would be enhanced.

At the time the trust said there were no plans to close Cheltenham’s A&E but the surgeons’ document raises the prospect of emergency surgery being centralised in Gloucester, in which case Cheltenham A&E would have to close.

“We really need to know what the trust management are up to,” said Paul.  “What is the plan?  Are they taking this document seriously and contemplating the closure of Cheltenham’s A&E, even though they told us the opposite?  Are they committed to restoring two full A&E departments if they can? Or are they going to revive the old plan for one new hospital half way between Cheltenham and Gloucester?

“We need a well-informed but open debate, including Cotswolds residents, as soon as possible.”

Dismay at A&E closure

A decision to close Cheltenham’s A&E unit to emergency cases overnight has led to dismay in the Cotswolds.

At a meeting held last week at the NHS Foundation Trust in Brockworth, the clinical commissioning group governing body voted to restrict the hospital’s A&E admissions between the hours of 8pm and 8am. From August, patients with a critical illness who need treatment from emergency medicine doctors will need to go to Gloucester Royal Hospital.

The proposals were consulted on between February and May this year. However, few people locally have been aware of this.

Cllr Paul Hodgkinson (right) next to Cheltenham MP Martin Horwood, protesting against the A&E closure

Cllr Paul Hodgkinson (right) next to Cheltenham MP Martin Horwood, protesting against the A&E closure

Cllr Paul Hodgkinson, CDC Lib Dem Leader spoke after the decision was made, “I’m dismayed by the decision. How many Cotswolds residents were aware of this proposal? I was only made aware recently and it will impact in a big way on the Cotswolds – particularly to the north, east and south east of Cheltenham. “

“The proposal may lead to higher mortality rates – a study undertaken previously stated that mortality rates rise by 1% for every extra 10kms travelled.”

“There may be increased waiting  times at Gloucester Hospital.”

“For a large chunk of the Cotswolds, Cheltenham hospital is the nearest and most direct place to go to for emergency treatment. This decision was made by unelected people in the face of opposition from the Cheltenham MP and thousands of residents.”

“24/7 A&E facilities are vital for the areas surrounding Cheltenham.”