Business of the House

Part of the debate – in the House of Commons at 10:33 am on 27th February 2014.

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Photo of Andrew Lansley Andrew Lansley The Leader of the House of Commons 10:33 am, 27th February 2014

My constituency is fortunate in that it contains Addenbrooke’s hospital, with its fine accident and emergency department, but in the past year or so, the Government have invested additional resources to support A and E departments. Sir Bruce Keogh’s review for NHS England on the configuration of future accident and emergency services is not about cuts, but about improving services and ensuring that people are able to get the service they need, including specialised services, at the right place and the right time.

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Jenny S
Posted on 2 Mar 2014 7:25 pm (Report this annotation)

In this reponse to a request for a debate about Calderdale and Huddersfield NHS Foundation Trust (CHFT) proposals to close Calderdale A+E, Lansley refers to Keogh’s proposals.

CHFT proposals are not about Keogh proposals. They are about cuts. The Keogh Report phase 1 p 26 says his proposals are not about cutting urgent and emergency care services, and under his proposed reforms, the overall number of proposed Emergency Centres (including Major Emergency Centres) is to be broadly the same as the current number of A&E departments.

p 8 of the phase 1 Keogh Report says “Once we have enhanced urgent care services outside hospital, we will introduce two levels of hospital emergency department – under the current working titles of Emergency Centres and Major Emergency Centres. In time, these will replace the inconsistent levels of service provided by A+E Departments.”

But the CHFT proposal is to close Calderdale A+E, without any indication of what enhanced urgent care services outside hospital will be created, or that they will open before the closure of Calderdale A+E.

p8 of Keogh Phase 1 Report also says “Emergency Centres will be capable of assessing and initiating treatment for all patients and safely transferring them when necessary. Major Emergency Centres will be much larger units, capable of not just assessing and initiating treatment for all patients but providing a range of highly specialist services.”

But the CHFT proposal is to turn HRI A+E Department into something that sounds like a Major Emergency Centre, and to close Calderdale A+E department - not to turn it into an Emergency Centre. The CHFT proposal says clearly that Calderdale Royal Hospital would only take planned-care patients - that rules out urgent and emergency assessments and initial treatments.

CHFT Proposals are not Keogh. They may want to dress themselves up as Keogh but they’re not fooling the public who see that the proposals are about cuts, not improvements.