Hampshire and Isle Of Wight Strategic Health Authority

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The summary articles in the table below related to the strategic health authority area are copied from the following pages, indicated in the table by key numbers.

  1. Charges
  2. Construction projects
  3. Resource shortfall Sources
  4. Treatment approval or not
  5. Withdrawal of Local Facilities - Sources
    Other
1 2 3 4 5

Summary articles

        5 The last remaining accident and emergency department on the Isle of Wight may be closed, forcing the emergency services to evacuate sick and injured patients across the Solent to a mainland hospital for treatment. Owen Bowcott Monday January 13, 2003 The Guardian
          Where the treatment centres will be. The health secretary, John Reid, today announced details of the government's controversial programme of privately run fast-track diagnostic and treatment centres, and a number of new mobile ophthalmology units. This guide explains where they will be. Friday September 12, 2003 [South-west peninsula (Mercury Health Ltd), Lincolnshire (Mercury Health Ltd), Horton hospital, north Oxford (Mercury Health Ltd), North-east Yorks (Mercury Health Ltd), Southampton (Mercury Health Ltd), Northumberland (Mercury Health Ltd), East Berkshire (Slough, Bracknell, Maidenhead and Windsor/Ascot) (Mercury Health Ltd), Didcot, Oxfordshire (Mercury Health Ltd), Ashford, Surrey (Mercury Health Ltd), Maidstone (Care UK Afrox), Barlborough Links, Nottinghamshire (Care UK Afrox), Derriford, Plymouth (Care UK Afrox), Chase Farm, Barnet, London (Anglo Canadian), King George hospital, Redbridge (Anglo Canadian), Royal National throat nose and ear hospital, Kings Cross, London (Anglo Canadian), Bradford (Nations Healthcare), Burton (Nations Healthcare), Daventry (Birkdale Clinic), Trafford, Greater Manchester (Netcare UK), Royal National Orthopaedic Hospital, Stanmore (New York Presbyterian), Shepton Mallet, Somerset (New York Presbyterian).
Two mobile units will offer ophthalmology services in the following areas: Cheshire and Merseyside (Netcare UK), Cumbria and Lancashire (Netcare UK), Horton, Oxfordshire (Netcare UK), Wycombe, Bucks (Netcare UK), North Tyneside (Netcare UK), South-west Oxfordshire (Netcare UK), North-west peninsula (Netcare UK), Dorset/Somerset (Netcare UK), Kent/Medway (Netcare UK), Hants and Isle of Wight (Netcare UK), Surrey and Sussex (Netcare UK), Thames Valley (Netcare UK)]
    3     Five hundred hospital jobs are to go in two hospital trusts whose bids for foundation status were thwarted last month. Southampton University hospitals trust and Winchester and Eastleigh healthcare trust both applied to be in the autumn wave of foundation trusts, alongside 32 other trusts. Hélène Mulholland Thursday August 5, 2004
          Fifteen hospitals have been hit by outbreaks of the new strain of the hospital superbug Clostridium difficile which has so far contributed to 25 deaths, ministers have admitted. So far there have been 75 cases confirmed by scientists at the specialist laboratory in Cardiff - the only one in the UK equipped to analysis the new strain - health minister Jane Kennedy said yesterday. The statistics reveal the outbreak of the new strain, which last week was confirmed at a second hospital in the UK, is much wider than originally believed. Hospitals where the strain has appeared are in: Preston, Birmingham, Winchester, Bristol, Romford, Southampton, Truro, Carshalton, High Wycombe, South Tyneside, Newcastle, South Tees, Sunderland, Stoke Mandeville and Exeter. Debbie Andalo Thursday June 30, 2005
    3     Debt-ridden hospital spends £700,000 on walls of scaffolding. Unison has criticised Southampton University Hospitals NHS Trust for spending £700,000 on keeping scaffolding around two of its buildings for over five years - while getting rid of 109 beds and 650 jobs in eight months. The hospital trust has debts of £14m and says it has not been able to afford to have the cladding on the buildings repaired, hence the scaffolding. The trust now plans to demolish one of the buildings, which has been empty for nine months, to make way for a car park.  Summary by Keep our NHS Public of  Daily Telegraph 6 January 2006
    3     Services cut to slash NHS debts in Hampshire. Southampton University Hospitals Trust (£19m deficit) has closed wards to save money and New Forest PCT (£12m) has cut staff. New Forest PCT and Eastleigh and Test Valley South PCT had proposed the closure of community hospitals at Hythe, Fordingbridge, Milford-on-Sea and Romsey, but were headed off by resistance from local residents. However the Fenwick hospital in Lyndhurst remains closed.  Summary by Keep our NHS Public of BBC Online 30 January 2006
        5 Community Hospitals at risk in Hampshire and Isle of Wight  SHA according to Public Finance 17 March 2006:
Emsworth Hospital
Fordingbridge Hospital
Romsey Hospital
Milford War Memorial Hospital
Havant War Memorial Hospital
Alton Community Hospital
Andover War Memorial Hospital
Fenwick Hospital
Hythe Hospital
          Costs soar as eye ops go to private firm. Eye operations at a new private treatment centre funded by the taxpayer are costing almost seven times more than they would be on the NHS. Every cataract operation at the Mercury Healthcare ISTC at St Mary's Hospital, Portsmouth, has so far cost a staggering £5,590 compared to the standard NHS price of £847. The public has so far paid £335,412 for 60 cataract operations at the private-sector centre since it opened on December 19 last year - the same number would cost just £50,820 at an NHS hospital. Mercury Healthcare has an £84m five-year contract with local PCTs. As part of the deal Mercury should carry out 1,650 cataract operations a year, although it gets paid whether GPs refer patients there or not. The government also pays out an extra 20% to compensate Mercury for setting up the £10m centre. By March Mercury should have performed 330 cataract operations. The actual number was just 60. Summary by Keep our NHS Public of  Portsmouth News 18 March 2006
          A hospital trust is to be sentenced after pleading guilty to failing to supervise doctors in a department where a man died after a routine knee operation. Father-of-one Sean Phillips, 31, died in June 2000 after developing toxic shock syndrome at Southampton General Hospital. At an earlier hearing Southampton University Hospitals NHS Trust pleaded guilty to failing to supervise doctors in the trauma and orthopaedic department. Tuesday April 11, 2006 7:38 AM
    3     In the first criminal trial to be brought over a patient's death, a hospital trust was yesterday fined £100,000 for failing to supervise two junior doctors. Southampton University Hospitals Trust was convicted after a health and safety prosecution prompted by the death of a young father who had been admitted for a routine knee operation. The trust, which has a £6m deficit, was also ordered to pay £10,000 in costs. It pleaded guilty to failing to supervise the two doctors during a brief period but, in a statement, denied any responsibility for the death. Sean Phillips, 31, died at Southampton general hospital in June 2000 after two senior house officers (SHOs) attending him in the trauma and orthopaedics department failed to realise he had contracted toxic shock syndrome. Amit Misra and Rajeev Srivastava were convicted of manslaughter by gross negligence in 2003, given an 18-month suspended sentence, and, last year, temporarily struck off by the GMC. But, in an unprecedented move, the Crown Prosecution Service also decided to prosecute the trust, under the Health and Safety at Work Act. Winchester crown court heard that there was a lack of supervision by consultants, no formal system of daily visits by registrars which should have picked up Mr Phillips' condition, and only half the required number of junior doctors. Sarah Hall, health correspondent Wednesday April 12, 2006 The Guardian
          Up to a third of dentists won't sign NHS contract. Nearly a third of dentists in some parts of England have refused to sign new NHS contracts - contradicting a recent statement by Tony Blair that "about 90 to 95%" of dentists had signed up. A leaked government document, showing exactly how many dentists in each area have taken up the contracts, reveals that in the south west, 29% of dentists have refused to sign up; in the Thames Valley, 15%; in Hampshire, 18%; in Yorkshire, 23%; and in the West Midlands, 24%. In south-west London, the figure is 12%; in Manchester, 11%; in Kent, 14%; and in Dorset, 15%. In Avon, Gloucestershire and Wiltshire, 23% have not signed up. Of the 9,419 contracts offered in England, 1,096 have been rejected, including some covering more than one dentist - a national average of 12% more than Mr Blair's claim.  Summary by Keep our NHS Public of  Telegraph 16 April 2006
    3     PR first in line for cash. A cash-strapped trust is to recruit four communications officers to persuade doctors it is listening to them. Southampton University Hospitals NHS Trust, which has a £14m deficit, has sent a memo to staff saying its internal and external communication is 'unacceptably poor'. The new team's key objectives for 'internal stakeholders' - such as doctors and nurses - include 'developing a reputation for listening to staff' and 'improving perception of the trust'. Officers are also to 'campaign for positive editorial' from national health media. The trust closed more than 100 beds in 2005. Summary by Keep our NHS Public of  Hospital Doctor 5 May 2006
          Hewitt goes against the grain on reconfigurations. The health secretary has overruled almost half of the primary care trust reconfiguration proposals submitted by strategic health authorities. The government has supported 13 of the 23 'preferred options', rejecting 10 in favour of an alternative. Meanwhile, the government has announced 13 new ambulance trusts instead of the 11 expected. The Isle of Wight will retain its own ambulance service as part of its combined trust. Staffordshire Ambulance Service trust, which opposed its merger into a West Midlands service, will remain separate for up to two years because of the 'strength of public concern'. Summary by Keep our NHS Public of  Health Service Journal 18 May 2006
          Health boss opens treatment unit. A new diagnostic and treatment centre run by Mercury Health has been officially opened. St Mary's NHS Treatment Centre in Hampshire has a minor injuries unit, a walk-in centre for Portsmouth patients and provides day-surgery procedures. The ISTC expects to deal with about 50,000 patients a year. Summary by Keep our NHS Public of  BBC Online 19 May 2006
    3     Twenty cash-hit NHS trusts may axe consultants. At least 20 NHS trusts are considering making consultants redundant as they struggle to contain multi-million-pound deficits, according to the BMA. The BMA said it was in crisis talks with health service managers to try to avert job losses. Thousands of healthcare workers and nurses have been told they will be made redundant, but for the first time doctors are being told they may lose their jobs. Dr Paul Miller, chairman of the BMA consultants' committee, said: "We have managed to avert some redundancies and we are working to avoid more. Making consultants redundant is never the right way to deal with debts - just ask patients. While this may not be the end of the NHS, you can see it from here. The biggest problem now is that the NHS is no longer based around the patient-doctor relationship but the manager-politician relationship." The East and North Herts NHS Trust became the latest to announce job losses, with 500 posts - 10% of its staff - expected to go in an attempt to save £18m. Southampton University Hospitals NHS Trust also announced that it would shed more than 500 jobs and close 140 beds as it fights to cut a £27m deficit. Community nurses in Waltham Forest have also claimed that their budget is being cut by 45% because the local NHS trust is under pressure to make £17.5m of savings. They warned that the cuts could put vulnerable children under social services care at risk as well as hinder the care of elderly people living in their own homes. Summary by Keep our NHS Public of Independent 29 June 2006
          Ministers miss key deadline for PBC as chaos dogs scheme. Practice-based commissioning is falling way behind schedule, with more than half of GPs shunning the scheme due to a catalogue of problems. Only two out of five GPs have so far signed up amid doubts over their ability to keep savings and unreasonable demands being set by PCTs desperate to save money. Even those GPs who have agreed local plans are claiming the process has been a worthless exercise. A Pulse survey of 61 PCTs covering 2,038 practices has found just 38% of GPs had agreed a local plan with their PCT by the end of June. The government target by this time was 100%. Despite having come nowhere near the target, health minister Lord Warner said the fact 3,454 practices were involved showed the NHS was "surging ahead" in adopting the Government's reforms. But in Kent, Hampshire, Somerset and Dorset, no GPs had signed up. Summary by Keep our NHS Public of Pulse 7 July 2006
1         Trust told: do not fleece patients. Health chiefs have been warned against "fleecing patients unfairly" as it emerged Southampton hospitals charge some of the highest car parking fees in the country. The Lib Dem MP said: "The extent of charging in the NHS highlights how extra costs have crept into a service that should be free at the point of use." Summary by Keep our NHS Public of Hampshire News 20 July 2006
          One of the country's biggest NHS trusts has banned visitors from sitting on patients' beds in hospital in an attempt to cut rates of the superbug MRSA. Friends and relatives will have to sit on chairs when they visit patients in the four hospitals run by Southampton University Hospitals NHS trust. Young children will only be able to visit with the approval of the ward manager, and visitors will be asked to use alcohol hand gel before and after each visit. Sarah Hall, health correspondent Wednesday August 2, 2006 The Guardian
        5 MP in birthing centre blast. A New Forest MP has blasted health chiefs for the lack of proper public meetings over plans to axe three birthing centres. Dr Julian Lewis has accused them of failing to let the public air its concerns about controversial proposals to shut maternity units at Hythe, Lymington and Romsey. He said the poorly advertised and poorly attended drop-in and focus group sessions currently being used were "entirely inadequate''. "It smacks of a manoeuvre designed to prevent the community from having its say,'' he said. Protestors say health chiefs are running scared because they are reluctant to face the sort of hostility seen last year at public meetings about plans to axe beds at five community hospitals in Romsey and the New Forest. Summary by Keep our NHS Public of Hampshire Daily Echo 4 August 2006
          Mothers in labour forced to travel hundreds of miles. Heavily-pregnant women are being forced to travel hundreds of miles to give birth because intensive care beds for premature babies are all full. In just two weeks, at least two Portsmouth mums have travelled more than 100 miles from their homes shortly before giving birth to twins, leaving their loved ones far behind. And hospital chiefs admit transferring 18 babies to a national network of other hospitals around the country - including Edinburgh - in just five months. Summary by Keep our NHS Public of Portsmouth News 4 August 2006
          Mums fear as oxygen supplier is switched. 35-year old mother Helen Armstrong relies on oxygen 24 hours a day due to severe asthma and a hole in her heart. But since private provider Allied Respiratory took over the contract she hasn't received the vital gas and has to rely on small cylinders from the local pharmacy, where she was already picking up her cylinders before the company took over. Since the contract changed in February, and despite constant calls from her husband, Mrs Armstrong is still awaiting her oxygen. Summary by Keep our NHS Public of Portsmouth News 15 August 2006 [Hampshire]
          NHS plc: a dire diagnosis. Private Eye says: "No sooner had a cross-party committee of MPs heavily criticised the government's use of independent sector treatment centres (ISTCs) than the Department of Health defiantly announced that these private sector companies would be given £lbn worth of contracts to run a series of "diagnostic centres". The identities of the lucky firms show how commercial the business of healthcare has become. The London and east England contract goes to Amicus InHealth… owned by a consortium of South African private health outfit Netcare, which botched a contract to provide cataract operations in Oxfordshire; Apax, a private equity group set up by New Labour favourite Sir Ronald Cohen; and Inhealth, a company chaired by serial private health director Tim Chessells and owned by a mysterious Luxembourg fund called Pegasus. Doubtless this bunch has nothing but the nation's health in mind as it makes crucial diagnoses and won't be unduly inclined to push people to independent treatment centres of the sort run by, er, Netcare. Meanwhile in the South West the record of the (management) consultants at Atos Origin in providing the over-priced and unpopular choose-and-book system for hospital referrals was no bar to their success. Nor in the South East were there too many concerns about the conflicts of interest presented by handing the diagnosis deal to the country's biggest private hospital operator, the taxdodging BUPA. West Midlands patients will be able to benefit from the services of Mercury Healthcare, the company that has already been paid millions for work it hasn't done and whose "group strategy director" is one Mark Smith, the former chief executive of Portsmouth Hospitals NHS trust who resigned after the trust received zero stars. From there he became head of health at PFI firm Amey working closely with Ken Anderson... who now just happens to be doling out the diagnostic centre contracts as "commercial director" of the NHS. Appropriately enough in the North East the diagnostics contract has gone to Alliance Medical, the company owned by yet another private equity group, Bridgepoint - former employer of Geordie New Labour man and ex-Health Secretary Alan Milburn. The company's previous forays into the health service include a £95m contract to run MRI scans which were so poor they had to be checked by the NHS anyway, leading the British Medical Association to describe the firm's performance as "a complete disaster". So depending on where you live, your next illness could well be diagnosed by an incompetent or a profiteer - or more likely a combination of the two." Summary by Keep our NHS Public of Private Eye 16 August 2006
        5 Support increases for mum-and-baby unit. In just two hours, more than 500 people added their names to a petition to keep a mother-and-baby unit in Basingstoke. A signing session saw hundreds of residents give their backing to the campaign to keep the unit, which helps mothers with post-natal depression - boosting the running total of signatures to well over 2,000. Last November, health bosses announced plans to move the unit, based at Fairway House, near Parklands hospital, in Basingstoke, to Melbury Lodge in Winchester because it serves the whole of Hampshire and Winchester is more central. But these plans are now in doubt. A new eating disorder in-patient unit is set to go into Melbury Lodge, which will be larger than initially thought, leaving the future location of the mother-and-baby unit in limbo. Summary by Keep our NHS Public of Basingstoke Gazette 24 August 2006
        5 Packed meeting shows anger over hospital closure. Hundreds of people had to be turned away from a packed meeting as hospital campaigners showed their fight was far from over. Residents battling to save the Royal Hospital, Haslar, Gosport, put on a show of force to grill health bosses. Up to 500 people converged on Thorngate Halls, but a staggering 300 were left outside as there was no room. Health bosses are holding a series of meetings to get the public's views on Portsmouth Hospitals Trust plans to become a foundation trust. NHS chiefs say this will mean a greater say for local residents and the potential to attract more money from the private sector. Summary by Keep our NHS Public of Portsmouth News 7 September 2006
    3     Staff fear jobs, beds to be cut at health trust. Jobs are to be cut and hospital beds closed at Winchester and Eastleigh health trust in a bid to balance the books. The trust, which runs the Royal Hampshire County Hospital site in Winchester, aims to save £15m by December 2008. Staff were this week fearing that hundreds of jobs could be axed over the next two years as part of a radical restructuring. The trust has invited consultants Health Works to produce a savings plan, called Fit For The Future, because its own financial recovery scheme is not saving enough money. Hospital bosses claim it is too early to say how many jobs will be lost, but most will be through "natural wastage" and freezing of posts. Compulsory redundancies have not been ruled out. Job losses at the trust, which employs 3,000 people and has a turnover of £83m, will hit medical and non-medical staff. Managers are also considering selling more buildings on the RHCH site. They have already sold Mount Hospital in Highcroft and three blocks of former staff accommodation, netting millions of pounds. Doug Smith, spokesman for trade unions at the hospital trust including UNISON and the Royal College of Nursing, said they were extremely concerned about the cuts. He said: "Staffing levels have already been cut to the bone. We have already gone through a process of freezing posts. The other concern is that once again the trust has indicated they are selling-off property. We feel that it is asset stripping and will put the trust at even more risk in future." Summary by Keep our NHS Public of Hampshire News 7 September 2006
        5 Breast cancer patients face mixed wards. Health bosses have been slammed for shutting a breast cancer treatment ward - in the middle of Breast Cancer Awareness Month. Royal Hospital Haslar's 3C specialist breast cancer ward, where cancer victims prepare for and recover from traumatic breast surgery, is set to close in weeks.  The cancer patients will now have to go to a mixed general ward instead. Portsmouth Hospitals NHS Trust says both wards are under-used and it is more efficient to put all the patients together. Summary by Keep our NHS Public of Portsmouth News 6 October 2006
    3     Anger as high-paid directors appointed at cash-strapped trust. Winchester hospital chiefs have come under fire for recruiting five directors on £85,000-a-year salaries each, at the same time as cutting hundreds of medical staff. There are already more managers than consultants at the Royal Hampshire County Hospital. Now Winchester and Eastleigh Healthcare Trust has appointed the new directors, including a new MD of surgical services, Sherrin Moss, former head of healthcare markets for BUPA in London. His job is to ensure the efficient operation of surgical services, be a link with the private sector, and market the hospital "as a provider of choice for elective surgery for the local community". The hospital said the management shake-up was necessary to provide stronger leadership, plan services and meet targets, including financial. The trust is currently £7.5m in the red and is faced with the enormous task of saving £15m to balance the books by 2008. But the timing of the new appointments has angered staff coming just weeks before the trust announced it was shedding 310 jobs by March 2009, about 15 per cent of the 2,200-strong workforce, and closing four wards. The job losses will affect 144 nurses, 10 consultants, nine doctors and more than 100 other workers. The £425,000 combined salaries of the new directors would pay for 17 nurses and 12 doctors. One hospital worker, who asked not to be named, said: "When they want to cut budgets the first thing they do is cut beds and nursing staff, but that is the part that matters to patients. A lot of people are very frustrated." Summary by Keep our NHS Public of Hampshire News  6 October 2006
        5 NHS demos 'mirror poll tax action'. An "extraordinary" level of protests against cuts in NHS services is building up across the UK and now threatens to rival the rebellion against the hated poll tax, the Government has been warned. Members of the public have been turning out in their thousands in recent weeks to demonstrate against closures or cutbacks across the country, including Nottingham, Cambridge, Manchester, Sheffield, Birmingham and Epsom. Marches and rallies have been held in Huntingdon, Huddersfield and Southampton while protests will be held later this month in areas including Oxford and Guildford. Unions and other organisers of the events have expressed amazement at the number of people joining in. Geoff Martin, head of campaigns at pressure group Health Emergency said: "An extraordinary grass roots movement against government policy on hospital closures and privatisation is putting thousands of people on the streets every weekend in villages, town and cities the length and breadth of the country. There's been nothing like this since the spontaneous rebellion against the poll tax in the early 90's. The Government are right to be worried. The full scale of their closure programme, which will involve up to 60 major acute hospitals, has yet to hit home and when it does the scale of the protest will ratchet up several notches. This growing NHS protest could well do for New Labour what the poll tax did for Margaret Thatcher and the Tories." Karen Jennings, head of health at Unison said: "Local people are joining these protests in their droves because they care about their local hospital. It shows that people are not interested in choice or privatisation. What they want is a good local hospital they can use they are sick. This is a mass movement of people demonstrating that they want their hospitals to stay open." Summary by Keep our NHS Public of Guardian 7 October 2006
        5 NHS SOS. There has been yet another week of protest from health trade unionists and campaigners all over the country. Nottingham had 3,000 people on the streets opposing hospital closures and cuts while between 5,000 and 7,000 marched in Hastings. NHS Logistics workers held a solid strike in all five depots, opposing the take-over by the courier company DHL on 1 October (more on page 11). Workers in other parts of the health service are warming up for industrial action in response to compulsory redundancies and privatisation. Over the next few weeks, protests are planned in Oxford, Banbury, Epsom, Redditch and Southampton. Some important victories are being won. The Stroud birthing unit has been saved from closure due to a vociferous campaign of health workers and local people. At a lobby of London's Strategic Health Authority, London Health, on 25 September, pensioners and health activists were told: "There will be no flexibility when dealing with deficits and hospitals in deficit will not be baled out". In support of the TUC lobby on 1 November, the National Pensioners Convention Greater London region has called a feeder march. The march has the support of local campaigns, NHS Logistics union reps, striking health workers at Whipps Cross hospital and many others. Summary by Keep our NHS Public of Socialist 9 October 2006
        5 NHS rallies 'echo poll tax anger'. A rising number of protests against cuts in the NHS is threatening to rival the 1990s rebellion against the Tories' poll tax, campaigners have said. The protests have attracted both health professionals and members of the public affected by potential changes. The Keep Worthing and Southlands Hospitals campaign will gather at the site on Sunday afternoon. On Saturday, more than 1,000 people took part in a protest in Huntingdon, Cambridgeshire, where Hinchingbrooke Hospital is vulnerable to closure because of a £24m debt. A Huddersfield protest related to a decision to switch the town's maternity services to a hospital in Halifax. In recent weeks demonstrators have also turned out in Southampton, Nottingham, Cambridge, Redditch, Manchester, Sheffield, Birmingham and Epsom. "An extraordinary grass roots movement against government policy on hospital closures and privatisation is putting thousands of people on the streets every weekend in villages, town and cities the length and breadth of the country," said Geoff Martin, head of campaigns at pressure group Health Emergency. Labour leadership contender John McDonnell MP has said the government risked losing dozens of seats at the next general election in areas affected by NHS cuts. Summary by Keep our NHS Public of BBC Online 9 October 2006
        5 Patients 'at risk' in closure plan. Hospital bosses have been accused of putting patients at risk after moves to close an isolation ward. NHS chiefs say the eight-bed unit at Queen Alexandra Hospital, Cosham, is not heavily used, but critics have branded the proposal ridiculous and dangerous. Nurses, health care support workers and a ward clerk would be among 20 staff affected if the closure went ahead, although bosses insist they will try to move workers to other jobs. The unit is currently used to isolate patients with dangerous infectious such as severe cases of MRSA and TB. The announcement comes as the trust battles to reduce infections in hospitals - Portsmouth hospitals have been among the worst 10 trusts in the country for rates of MRSA infections. Portsmouth South MP Mike Hancock said: 'It seems ridiculous that a hospital that has still got a serious problem with MRSA should consider closing its isolation unit.' An anonymous hospital source said: 'There will be no facilities for infectious patients or immune-suppressed patients who require isolated care. With MRSA and TB, etc, on the increase, it is absurd.' A decision on whether to close the ward is expected next month.  Summary by Keep our NHS Public of Portsmouth News 19 October 2006
          Terminally ill man says oxygen firm is forcing him into debt. A terminally ill Southampton man is being driven into debt because he can't afford to pay for the electricity that keeps him alive. Housebound Robert Fenton needs to breathe from a respirator for at least 15 hours a day to stay alive. Under a contract with the NHS, oxygen suppliers Allied Respiratory should pay for all the electricity used by the machine, about £425 a year. However, since February Mr Fenton has received only £31 from the company, throwing the 55-year-old into hundreds of pounds of debt. Mr Fenton, who suffers from terminal emphysema and chronic obstructive pulmonary disease (COPD), says unless the company pays up he will be forced to an early death. Allied Respiratory took over the supply of respirators to NHS patients in the south-east when the service was privatised in February of this year. A letter from the company to Mr Fenton states: "Patients are entitled to be refunded for the electricity that their concentrator machines consume. We calculate the amount to refund based on meter readings which are taken when the machine is serviced by our engineer, which is every six months." However, no engineer has visited Mr Fenton's home in Portswood Road, and only two payments have been made to him - one for £6 and another for £25. "The situation is ridiculous," he said. "I have been told by the company that I am only using the respirator for two hours a day. I only wish that were true - but if it was I would be dead. I am prescribed at least 15 hours a day but sometimes I need it for the whole 24 hours. Allied are putting themselves above the word of a consultant - it's complete corporate arrogance. It seems to me they are hoping I will die before they have to pay the bill."  Summary by Keep our NHS Public of Hampshire News 23 November 2006
        5 Shock as axe falls on birth centres. Thousands of mums-to-be across Hampshire got the news they have been dreading on the future of three vital birthing centres in the region. After months of public consultations, relentless campaigning and the collection of thousands of signatures the recommendation to close Hythe, Romsey and Lymington Birth Centres has been made. The services will now transfer to a stand-alone facility at Snowden House in Ashurst, the option recommended by the Southampton University Hospitals Trust board yesterday. The news came as a blow to the thousands of families who campaigned to save their midwife-led birthing centres. Joanne Lunn, one of the campaigners who hoped to save Lymington Birth Centre, said: "We are very disappointed that the board have taken this decision as we collected thousands of signatures on our petitions. We feel that the views of the general public have not been taken in to account and we will be holding an emergency meeting to discuss our next move. This is a real shame for women who want to give birth within their local community. This area of the New Forest is still quite a way from Ashurst and it will be a long journey for expectant mums and their families to make."  Summary by Keep our NHS Public of Hampshire News 23 November 2006
          A Portsmouth health trust was censured today over the death of a mentally ill patient who was restrained on the floor by staff for 25 minutes. An independent report into the death of 37-year-old Geoffrey Hodgkins criticised staff for holding him down at St James' hospital for more than eight times longer than the maximum time recommended by an earlier inquiry into a similar incident. Mr Hodgkins, who was schizophrenic, went blue and stopped breathing after being restrained by seven members of staff, including security guards not trained in appropriate restraint techniques. He was taken to another hospital but died the following day on November 20 2004. Monday October 23, 2006 Guardian Unlimited
        5 Patient care forces ward reopening. Winchester's Royal Hampshire County Hospital was forced to re-open a ward closed last month because patients needed the beds. Four wards have been earmarked for closure at the hospital trust that is battling with accumulated debts of £7.5m, and is £2.2m overspent this year in an attempt to balance the books. Victoria Ward was temporarily re-opened last Sunday evening until 5pm on Monday. Hospital managers say it is understandable that having just closed a 28-bed ward, there will be pressure on beds but progress in reducing the number of delayed discharges, more day surgery, and a 12% fall in acute medical admissions against last year, will help them manage with fewer beds. According to the trust's annual report, one of the reasons it failed to reach its savings target last year was a high number of medical emergencies during winter and re-opening previously closed beds. A "significant number" of medical patients used surgical beds, meaning orthopaedic patients were sent to private hospitals, said the report. But a trust spokesman denied re-opening the beds called into question the trust's ability to cut costs by closing 125 out of a total 600 beds and shed 310 jobs over the next two years. The next ward to close in December will be St Cross Ward, a surgical ward for breast and urological procedures. Breast patients will be transferred to Florence Portal House, while Freshfield Ward will take urological cases. More patients will also be treated as day cases in the Treatment Centre. A hospital insider was highly critical of managers. He said when Victoria Ward was closed, elderly patients in need of general care were instead sent to an annexe of Clarke Ward, a specialist cardiac ward. When this was full, Victoria Ward was temporarily re-opened with the help of bank and agency staff which was expensive and "de-motivating" for nurses who had previously worked on the ward, and been re-deployed or had their hours cut, he claimed.  Summary by Keep our NHS Public of Hampshire Chronicle 24 November 2006
          Blood staff threaten strike action. The NHS blood service may face strike action over Christmas by technicians at its Southampton centre and across the country in a nationwide job dispute. Amicus said it would ballot its members in Wales and England over plans to close blood processing and testing centres in the city and elsewhere. The union complained about a lack of consultation over the move and said that highly skilled workers would lose their jobs. Amicus regional officer Owen Granfield said: "This is a wake-up call to senior management who need to sit down with Amicus and talk about the future of the blood service. Hundreds of technical and scientific jobs are being put at risk and these are highly skilled posts which cannot just be relocated to different parts of the country. This mirrors exactly what is wrong with the NHS reform agenda because modernisation is being rushed through without consultation with staff or local communities"  Summary by Keep our NHS Public of Southern Daily Echo 28 November 2006
          Health trust axes private ops in bid to cut costs. Winchester and Eastleigh hospital bosses have clamped down on sending patients for private treatment, in a bid to cut costs. The trust, that runs the Royal Hampshire County Hospital and Andover War Memorial Hospital, is striving to save £11m by April and meet the Government requirement of balancing its budget. The pressure has forced the NHS trust to become more efficient. In the first six months of this financial year Winchester and Eastleigh Healthcare Trust forked out £1.5m on private healthcare for patients, in an attempt to reduce waiting times. Health bosses aimed to quit using the private sector by this month as part of their plan to turn around multi-million pound debts. But the trust stopped sending patients for private treatment by the end of September - nearly three months ahead of schedule. The trust is currently consulting staff on how to get the best use out of its 10 theatres. Last year, 600 operations were cancelled. Proposals include increasing operating hours from 8am to 8pm, scheduling regular planned weekend operations and more flexible working by staff between theatres. Patients were chosen for private healthcare based on the length of time they had been waiting and the type of treatment required. More complex cases stayed within the NHS, as private hospital do not have intensive care units.  Summary by Keep our NHS Public of Hampshire News 7 December 2006
          Private contracts "destabilise NHS". Doctors are being forced to refer patients to private centres for fast track treatment by NHS bosses while local hospitals have longer waiting times imposed upon them. The British Medical Association has condemned the move calling it a "two-tier" health service that is being used to prop up privately-run centres. They also claim that it makes a mockery of the Government's "patient choice" policy. In one instance, GPs in Basingstoke, Hampshire, have been told to divert people who need routine hip and knee operations away from North Hampshire Hospital in Basingstoke and to surgical centres run by Capio, a Swedish company. While waiting times at the private centres are as low as six weeks and a maximum of 10 weeks, health bosses are imposing a "go slow" on orthopaedic surgery at North Hampshire Hospital by refusing to fund routine hip and knee surgery unless the patient waits at least 16 weeks. One GP said: "The business with Capio is a disgrace. We have been told that operations will be done extremely quickly… but there are a whole lot of people waiting longer than that on the local hospital waiting list. I don't understand why they can't invest this money in the hospital service itself." Similar "go slow" arrangements are working in Coventry and Warwickshire. Summary by Keep our NHS Public of Telegraph 11 December 2006
    3     Pulse survey shows GPs are in the front line of NHS financial cutbacks. Pressure on GPs to cut their hospital referrals is intensifying as the NHS gets ever more desperate to rein in mounting deficits. Almost seven GPs in 10 are being subjected to policies aimed at cutting their referrals, with some facing attempts to cut them by more than 20 per cent. Referral management centres are the most popular method being used by PCOs. Some 53 per cent of GPs said their referrals were now going via these centres. Stopping named consultant referrals (45 per cent) and using standardised referral forms (35 per cent) were the next most-used restrictions. 'There is no evidence to show new methods such as the referral management system work,' said Dr Thomas Nichols, a GP in Oxford. 'Letters get lost, or we have to make several referrals. There is no way to know the impact on health, but there is a big nuisance factor for GPs and patients.' Dr Mohammad Mustafa, a GP in Fareham, Hampshire, said: 'I have been trained to know what a patient needs and I am upset that my decisions are being challenged because of money issues.' One GP in four had been set a specific target to cut their referrals by their PCO. Dr Douglas Moederle-Lumb, a GP in Scarborough, said cuts of 20 to 30 per cent were being demanded by North Yorkshire and York PCT. Orthopaedics, where 44 per cent of GPs were having difficulties, and mental health (27 per cent) were the specialties where GPs experienced most problems. More than a third of the first 185 respondents said it was increasingly difficult to refer to a hospital of their choice. Summary by Keep our NHS Public of Pulse 14 December 2006
  2       £750m cottage hospital plan under way. The first of a new generation of NHS cottage hospitals will be announced by the Department of Health today, kickstarting a £750m programme to move minor operations away from the big general hospitals and closer to people's homes. Lord Warner, the health minister, will sign a deal to build community hospitals to serve patients living on the fringes of Sunderland, Bristol, Gosport and Minehead. They will provide minor surgery, medical tests and follow-up care for about 75,000 patients a year. Scores of cottage hospitals across England had been under threat of closure. Some, but not all, will be saved and given new or upgraded accommodation. Ministers think patients will benefit from having a full range of diagnostic tests closer to their homes. But the move will reduce the income of the big hospitals, with A&E departments offering a full range of medical services. Some may be forced to close departments. John Carvel, social affairs editor Thursday December 21, 2006 The Guardian
          It's not privatisation, but Care UK's hospital job could be profitable. Robert Cole, market analyst for the Times, writes: "As stock exchange statements go, the one from Care UK looked like pretty small beer. In terms of healthcare provision across the country, it is more significant than it looks. The quoted nursing home company, which has set out its stall to take business offered by the Department of Health under the Independent Sector Treatment Centre (ISTC) scheme, could equate to some seriously large potatoes. The deal is not done or dusted. But Care - through a 50 per cent-owned joint venture company called Partnership Health Group (PHG) - has won preferred bidder status on a contract to run Royal South Hants Hospital and Lymington New Forest Hospital. Care and PHG will not own any of the facilities, but if it moves from preferred bidder to contract winner, as is likely, Care will have day-to-day responsibility for administrating the medical establishments from top to bottom. It will do everything from ensuring that surgeons are suitably supported in operating theatres to seeing that gardeners have the wherewithal to keep the hedges trimmed. It is not the first time Care has got this close to winning a contract of this sort. But it is the largest deal it has sought and, if the company proves it can handle the responsibility, it could be the first of many… The best guess is that Care's earnings will rise by about 10 per cent in two years. That is insufficient to explain the fact that Care shares trade on a price-earnings multiple of 25. But if it secures some other contracts and keeps the nursing home business ticking over, there is hope of share price appreciation." Summary by Keep our NHS Public of Times 22 December 2006
          Private firm is awarded total control of NHS hospital. The first NHS hospital to be put under the total control of a private company has been announced by the Department of Health. In a further erosion of the health service's role as sole provider of healthcare for NHS patients, ministers have awarded a five-year contract to manage the new Lymington New Forest Hospital in Hampshire to the Partnership Health Group, a partly owned subsidiary of Care UK. PHG will run all services at the 60-bed hospital, built for £36m under the private finance initiative, including the minor injuries unit, x-ray, urgent care and medical admissions. The company will deliver about 40,000 emergency and non-emergency operations and procedures. Doctors and nurses will be seconded from the NHS to work alongside staff employed directly by PHG. The NHS's South Central strategic health authority said: "The contract with the independent sector provider will be the first in the country where the provider will manage the services at a whole NHS site. It is also the first contract where the independent sector will be running urgent care services with a state-of-the-art medical admissions unit." Karen Jennings, head of health at the public sector union Unison, said: "Handing over the running of the new hospital in Lymington represents a fundamental, seismic shift towards pushing entire communities out of the NHS and into the private sector. We fear this is just the first wave." Care UK expects to take over responsibility of the hospital in July. Yvonne LeBrun, area director of care services for Hampshire primary care trust, said: "Healthcare at the Lymington New Forest Hospital will continue to be funded by the NHS and it will remain an NHS facility. Hospital services will be designed by the NHS to meet the needs of the community." Summary by Keep our NHS Public of Guardian 23 December 2006
          Healthcare that's fit for the 21st century? A 107-bed, three-storey building on the outskirts of Lymington is to be officially opened on Tuesday 9 January and will soon be the first complete NHS hospital to be run by the private sector. Lymington New Forest Hospital has been dubbed a "one-stop-shop", incorporating appointment, consultant, diagnosis and treatment services - all under one roof. Built by Ryhurst under the private finance initiative, health bosses took official ownership of the building last week. That came as the Department of Health announced it wanted Partnership Health Group (PHG), a private company, to run all services at the hospital from July in a first scheme of its kind in the country. Hampshire Primary Care Trust will run it until then. PHG will invest £21m. The project is set to include a new 20,000 patient a year treatment centre at Royal South Hants Hospital in Southampton from 2008. The six-ward Lymington hospital will employ about 400 staff and see about 45,000 patients a year through its 8am to 10pm minor injures unit, outpatient clinics and diagnostic treatment centre, which will carry fast, prebooked day and short-stay surgery such as cataract removal, hip and knee replacements and hernia repair. The hospital has two theatres, two endoscopy suites, a larger radiology department with a CT scanner from next month, two ultrasound suites, medical and surgical day units, stroke rehabilitation and a surgical ward. There will be also be an urgent care centre plus support services such as a pharmacy, education and training centre. Half of the beds will be immediately filled by patients who are being transferred from the existing Lymington hospital, in Southampton Road, which will be closed. The site is being sold off to a developer to build 41 houses. PHG - jointly owned by Care UK Plc and Life Healthcare - currently operates NHS treatment centres in Plymouth, Barlborough, near Chesterfield, and Maidstone. Summary by Keep our NHS Public of Salisbury Journal 8 January 2007
          Health hijack. In a comment piece, John Lister writs: "A brand new hospital in the New Forest, to be paid for by the NHS, is handed over to the management of a private company before it even opens: in Oxfordshire a long-standing NHS orthopaedic hospital, which has just spent millions on rebuilding work, faces the threat of closure or merger as private sector treatment centres hijack the simplest routine cases. Two Essex NHS trusts scrap plans for new hospitals because they face massive losses under the new system of payment by results: west Hertfordshire residents fight the "centralisation" of A& E services on the condemned crumbling site of Watford General, now plans for a £550m super-hospital have been binned. In Bolton 132 medical and nursing staff face the axe as a strategic health suthority opts to divert work to a private treatment centre. Like the sorcerer's apprentice, Tony Blair's "modernising" reforms of the NHS now threaten to lurch out of control: they have conjured up a booming new, costly, private sector in health care provision, while the core public sector hospitals and health services are sent reeling from one cash squeeze and reorganisation to the next. A new pamphlet outlining the dynamics and the implications of what it terms the "patchwork privatisation" of the NHS has just been published after months of research by the Keep Our NHS Public campaign. It shows that while Thatcher's privatisation of state-owned utilities were high profile campaigns with mass sales of shares, the piecemeal process of hiving off key NHS services to private providers has been an obscure process, largely conducted behind a cloak of "confidentiality" with minimal public involvement or debate. Especially tight security has shrouded the contracts for Independent Sector Treatment Centres (ISTCs) with all future decision-making now in the hands of Strategic Health Authorities with no local accountability to patients or public. The Healthcare Commission this week underlined the lack of data on the clinical quality of ISTC services: but the general public is equally in the dark on the real cost of these controversial new units. Ministers admit that the ISTCs get paid an average 11.2% more than the NHS for each operation they do: but no details are published on the profits pocketed by ISTC companies at the expense of the NHS. Similarly, the details of the £8bn worth of new hospitals to be built through the controversial Private Finance Initiative (PFI) remain under wraps, with deals signed behind closed doors and not a single unexpurgated full business case having been published. Government figures now show the long-term cost of borrowing the £8bn capital in this way will be a staggering £53bn - £37bn in "rent" for use of the new buildings over 30-35 years, almost five times the initial cost. Had trusts been allowed to borrow as a conventional repayment mortgage at 6% they would pay back twice the cost of the initial investment - over just 25 years. The extra cost above this (equivalent to paying a massive 18% interest) is the premium that the NHS is set to pay for this one-sided, extravagant "partnership" with the private sector - without taking any account of further windfall profits from refinancing their loans on the money markets once the construction phase is complete. It seems the secrecy surrounding these deals is because there is plenty that ministers are understandably eager to hide. But while every million extracted from the NHS in profit is a million less in resources for patient care, the real cost of private sector involvement is far higher than its profits and bureaucracy… All of the constraints have fallen on the public sector: all the growth is in the private sector. That's why NHS trusts like Ipswich, which once sweated to reduce waiting lists and waiting times, are now being forced to drive them back up again, or face fines and penalties from indebted primary care trusts. It's all gone horribly wrong, leaving a dozen ministers - and dozens more local communities - supporting local campaigns against "reforms" endorsed by Tony Blair. In 2005 New Labour were reinventing failure in health policy: now with their own Starship Enterprise they are exploring new dimensions in failure, with patchwork privatisation at the centre of policies that have managed to be both more expensive and more unpopular than ever before." Summary by Keep our NHS Public of Guardian 20 January 2007
        5 Another ward shuts in drive for efficiency. Winchester hospital chiefs have announced the latest ward closure in an attempt to cut costs and balance the books. Under its financial recovery plan, Winchester and Eastleigh Healthcare Trust, which runs the Royal Hampshire County Hospital and Andover War Memorial Hospital, needs to save £11.2m by April. The cash-strapped trust is proposing to cut 125 beds, equal to four whole wards, as well as shed 310 jobs within three years. Two wards at the RHCH have closed since last October, plus five beds in family services. Now the plan is to close a further 21 beds by May. Clarke Ward, including six coronary beds will close, but four high dependency beds will transfer to a high care cardiac bay in the intensive care unit. Hospital managers say up to six beds on Clarke Ward will be kept as "contingency beds" to be re-opened during busy times. Other wards are also being reorganised, including Clifton ward and the stroke unit The financial recovery plan hinges on selling off NHS property, including The Mount Hospital in Eastleigh. Summary by Keep our NHS Public of Hampshire News 26 January 2007
          South African press probes Netcare as UK government audit chief voices concerns over NHS outsourcing. A statement from clinical negligence solicitors Michelmores reads: "Michelmores' head of clinical negligence, Laurence Vick, was interviewed this week for South African newspaper, Business Day, over the firm's involvement with orthopaedic claims arising out of the Haslar outsourcing project. This was an NHS contract that saw Netcare, the largest healthcare provider in South Africa, treating 1000 NHS orthopaedic patients at MoD Royal Hospital Haslar in Hampshire in late 2003 and early 2004. Netcare reacted to suggestions that their main focus must have been patient number targets rather than clinical care by dismissing any complaints as "isolated incidents". We believe that the orthopaedic cases could reflect wider concerns about the delivery of NHS healthcare by private providers. A Channel 4 News special report on the 7th December 2005, in which Laurence Vick was interviewed, raised issues relating to Netcare's provision of both orthopaedic and ophthalmic surgery. The BBC has also commented on what it regards as plans to emasculate the clinical role of Primary Care Trusts by reformulating them as purely commissioning bodies. On 11th November 2005, it described the whole question of private sector involvement in the NHS as a "niggling sore that will not go away". In another recent development, the outgoing head of the Audit Commission, James Strachan, told the BBC on 3rd January 2006 of his concerns that "outsourcing significant slices of NHS work" has had adverse implications for the way that the NHS works. The Audit Commission is a government public spending watchdog whose comments are seen as authoritative. The warning reinforces the concerns of Laurence Vick, who has been leading the debate over the risks that NHS outsourcing might pose to patient safety. The move to have increasing volumes of NHS surgery performed by the private health sector is a key initiative in the government's health strategy. Laurence Vick says, 'At last there are signs that the crucial issues surrounding private NHS outsourcing will be aired and debated thoroughly. They are too important to be overlooked in the quest to drive down waiting lists. If we are to have an additional tier of healthcare delivery within the NHS there must be adequate procedures in place to monitor results and audit outcomes.'" Summary by Keep our NHS Public of Michelmores 5 February 2007
          Protests over blood centre cuts. Hundreds of NHS workers are set to protest against plans to close blood centres across England. Demonstrations are planned outside many centres including those in Leeds, Birmingham, Sheffield and Southampton. Unions are campaigning to halt plans to centralise work in three centres in London, Bristol and Manchester. The union Amicus has voted to take industrial action but the National Blood Service denies patients will be put at risk by the changes. Amicus official Owen Granfield said: "If we only have three sites in the UK, it would be impossible to maintain the right levels of blood stock and patients may go short of blood products and services." Bill Campbell, national officer of Unison, said it was wrong to make cuts in a "life-saving service". "Closing centres will mean precious blood supplies will have to be transported from one end of the country to the next. The National Blood Service should look again at these proposals and make their decisions on what will help to save the most lives, not what will save the most money." Summary by Keep our NHS Public of BBC Online 14 February 2007
    3     Health trust 'on target' to break even this year. Winchester hospital trust has "a good chance" of balancing the books in three months, although costs still need to be cut. In December the trust, which runs the Royal Hampshire County Hospital and Andover War Memorial Hospital, managed to control running costs for the first time in nine months. The trust has an accumulative overspend of £653,000 and is £500,000 adrift of its financial recovery plan. The trust ended the financial year 2005/ 06 £3m overspent. A large charitable donation and a "war chest" of past savings could help plug the estimated £1m black hole in its budget this spring, the board heard. Up to 125 beds and 310 jobs are to be axed over three years as part of a plan to turn around debts and get back in the black. Other cost-cutting measures included asking office staff to empty their own bins and reducing the number of delayed discharges. Summary by Keep our NHS Public of Hampshire News 19 February 2007
          Protesters march against NHS privatisation. Protestors took to the streets of Hampshire to get their campaign against the privatisation of the NHS noticed. Noisy marches took place in Winchester and Lymington, amid the busy shopping crowds. The events were organised by public services union Unison as part of the nationwide NHS Together Day of Action and were attended by healthcare workers and supporters. In Lymington, the protest was against the privatisation of the new Lymington New Forest Hospital. Bobby Noyes, chairman of the Southampton Unison health branch, added: "There was no consultation concerning the private company that's going to be taking over the running of Lymington hospital. The Department of Health just told the PCT that the hospital was going out to tender in the private sector. It means we will finish up with a dual system of healthcare." Summary by Keep our NHS Public of Hampshire News 5 March 2007
        5 Storm over injured troops' care fails to save military hospital. Defence chiefs vowed to press ahead with the closure of Britain's last military hospital yesterday despite growing concern about the standard of care offered to injured troops returning from Iraq and Afghanistan. Amid complaints about the plight of severely injured soldiers at Selly Oak hospital in Birmingham and revelations that the record numbers of troops returning with mental illnesses are having to wait up to 18 months for treatment, the surgeon general, Lieutenant General Louis Lillywhite, insisted that the Ministry of Defence will not change strategy. Britain will become the only country in Europe without a dedicated military hospital this month when Haslar hospital at Gosport, Hampshire, is closed. Troops will be treated at Selly Oak. Yesterday the relatives of soldiers being treated there disclosed the contents of letters sent to ministers alleging neglect and substandard care. Concerns were also voiced by Lord Guthrie, the former defence chief of staff, who accused senior medical officers and ministers of a "lack of leadership and drive". The NHS immediately launched an investigation. But the surgeon general said the complaints were at odds with views expressed by military patients at Selly Oak this year, all of whom rated their treatment as "excellent, very good or good". Hugh Muir Monday March 12, 2007 The Guardian
1         £95m NHS parking bill. Patients and visitors forked out £95million to park at NHS hospitals last year. Two trusts earned more than £2m from car park charges, while another 30 topped £1m. Cambridge University Hospitals Foundation Trust and Southampton University NHS Trust made the most. Judy Beard of Macmillan Cancer Support said: "These figures are shocking. Parking should be free for regular patients." Summary by Keep our NHS Public of Mirror 19 March 2007
1         Hospital car parks make millions. Figures from the Estates Return Information Collection have revealed that over 30 NHS trusts make over a million a year in car parking charges, with some making over £2.2m. The top earners were Southampton University Hospitals at £2.41m and Cambridge University Hospitals, £2.26m. The total for trusts looked at was £95m, however 74 trusts did not provide any figures. Macmillan Cancer Support acting chief executive, Judy Beard, said: "These figures are shocking. Cancer patients spend hundreds of pounds each year on hospital parking. Macmillan wants to see all cancer patients travelling regularly for treatment to be able to park free at hospital. NHS Trusts urgently need to implement this guidance - it is shameful that cancer patients are still paying to park at hospital." Sandra Gidley, Liberal Democrat health spokesperson, described the figures as a "tax on the sick". Roy Lilley, a former NHS trust manager, said: "Whilst most hospitals do have exemptions it is very hard to figure out how you get an exemption. You should not have to feel that you have to go begging for the refund. Where you pay there should be a list saying this is how you do it." Summary by Keep our NHS Public of BBC 20 March 2007
    3     NHS crisis is forcing cuts to maternity care, charity warns. Support for pregnant women is being cut because of the NHS's financial troubles, a healthcare charity has warned. The National Childbirth Trust (NCT) says it is receiving "increasing reports" that NHS antenatal classes, breastfeeding services and postnatal visits are being cancelled. NHS antenatal classes have been cut or suspended in at least 10 areas in England and Wales, according to the NCT. These are Romsey in Hampshire; Worcestershire; Newham in London; Watford; Gwent in south Wales; south-west Kent; Nottinghamshire; Gloucestershire; Hemel Hempstead in Hertfordshire; and Wiltshire. The NCT said it also understood that postnatal home visits have been stopped or are facing cuts in Wiltshire and in east and north Hertfordshire, which would mean new mothers have to travel to a clinic in order to receive after-birth care.  Press Association Monday March 26, 2007 SocietyGuardian.co.uk
    3     Maternity care cut 'to balance books'. Hampshire MP Sandra Gidley has condemned cuts or reductions in antenatal services to tackle the NHS financial crisis. The comments come in response to a report by the National Childbirth Trust (NCT) which identified at least ten areas in England and Wales where antenatal classes have been cut or "temporarily suspended", including Mrs Gidley's constituency of Romsey. Mrs Gidley said: "Antenatal classes help women prepare for childbirth and knowing what to expect can help make the experience a more comfortable and less medical one." A spokeswoman for the NCT said: "These cuts in maternity services may reflect a more widespread pattern. The NCT is concerned that these short-term measures to ease financial deficits are having a negative effect on new parents and parents-to-be, preventing them from getting the information and support they need at this important stage in their lives." The Department of Health said that trusts were expected to follow the guidelines within the Children's National Service Framework and those provided by NICE. Summary by Keep our NHS Public of Southern Daily Echo 27 March 2007
          NHS dentist reforms have failed, says survey. The government's reforms of NHS dentistry have failed to improve the scope and quality of the service, according to two surveys today. A year after the introduction of a new dental contract there is still "huge inequality in access to NHS dentistry", with no change in the number of people receiving treatment, according to the Citizens Advice, the umbrella group for Citizens Advice Bureaux. It estimated that nearly 2 million people were unable to get treatment. Two thirds of the 4,000 people polled in England and Wales said they ended up going without treatment due to "huge problems accessing NHS dentistry and not being able to pay for private treatment". More than three quarters of the respondents to the survey, called Gaps to Fill, said they were unable to get treatment because none of their local dentists were accepting NHS patients. Some patients said they were forced to do round trips as long as 120 miles to reach an NHS dentist. The British Dental Association (BDA) also criticised the government's reforms, backing the CAB's findings that the new dental contract has failed to improve access to NHS treatment. Its research found that 85% of 394 dentists surveyed believe the new contract has not improved patient access to NHS dentistry. Furthermore, 95% of dentists questioned felt less confident about the future of NHS dentistry than they did two years ago. Citizens Advice called on ministers to take urgent action to deal with "dentistry deserts" in some parts of England and Wales. The charity said there was a postcode lottery of NHS dental care with some areas, such as Hartlepool and Hornchurch, "spoilt for choice" and others, including Blackburn and Petersfield, having "very poor access". David Batty and agencies Wednesday March 28, 2007 Guardian Unlimited
          Fresh blow to faith in care records. Confidence in Connecting for Health's development of care records has fallen to a new low with hospital staff claiming that a patient administration system that will form part of the service is 'not fit for purpose'. This comes on top of existing concerns about patient confidentiality and the robustness of the national spine. Management at Milton Keynes General Hospital, one of the five trusts at which the Millennium system has been rolled out, were sent a letter from 79 hospital doctors and administrative staff reporting major problems. The Millennium system is a patient administration system that includes a module allowing clinicians to record medical problems and procedures directly onto the electronic patient record. Staff reported that the system was 'clunky', and that patient notes were lost or impossible to access. 'We cannot foresee the system working adequately in a clinical context,' the letter said. 'It should not be installed in any further hospitals. If it is not already too late, there is a strong argument for withdrawing the care records service system from this hospital.' Dr Paul Cundy, GPC IT subcommittee chair, said the faults reported in Milton Keynes raised serious questions about the NHS care records service project as a whole. A spokesperson for Connecting for Health denied that the problems with Millennium would have a larger impact on the care records service, but admitted there had been 'unacceptable problems' that required 'immediate attention'. The other trusts at which Millennium has been rolled out are Nuffield Orthopaedic, Winchester, Buckinghamshire and Weston. Staff at the Nuffield Orthopaedic Centre filed a serious untoward incident after the system went live in December 2005, amid reports of delayed treatments and lost patient records. Summary by Keep our NHS Public of Pulse 20 April 2007
          MP quizzes secretary over NHS web breach. Portsmouth's Labour MP has challenged the health minister over 'dreadful' security lapses on an NHS website. Sarah McCarthy-Fry went head-to-head with Patricia Hewitt over breaches in the on-line job application website for junior doctors. The Medical Training Application Service has been suspended after personal details of junior doctors accidentally became accessible to the public. Ms Hewitt - who has faced calls to resign over 'shambolic' medical training reform - was forced to explain in the House of Commons what precautions she had ordered. Ms McCarthy-Fry, MP for Portsmouth North, said: 'The website has been closed while investigations into this dreadful security breach take place, quite rightly, but has not yet re-opened. I was concerned that this delay could jeopardise junior doctors' training. I asked the Health Secretary if she could give any clearer indication of when the website would re-open.' The health minister assured MPs that it would take a while to fix and she had brought in technical experts to help restore confidence in the system. Summary by Keep our NHS Public of Portsmouth News 8 May 2007
        5 Maternity shake-up delays. The future of maternity services will not be known until the end of the year. A consultation into which birth centres will remain open in the area is due to begin next month, but the options are yet to be decided. Hampshire Primary Care Trust has come under fire for the two-year delay in proposals for the future of services that will impact on The Grange, Petersfield; Blake, Gosport; and Fareham Community Hospital on the Coldeast site. At the PCT board meeting members agreed to give the chairman, Professor Jonathan Montgomery, the power to give the consultation the go-ahead once they had each given him their thoughts. While the trust says no decisions will be made until the consultation comes to an end on October 31, insiders say the move could see services in Gosport, Fareham, or Petersfield expand. Plans could include upgrading the Grange to a midwife-led unit. Summary by Keep our NHS Public of Portsmouth News 29 June 2007
      4   Would-be mother loses out in fertility treatment lottery. When doctors told Claire Dando she could never conceive naturally she was devastated but she put her faith in the government's promise of free fertility treatment to couples like them. She ticked all the boxes laid down by government guidelines; at 33, she was in the right age group (between 23-39) and had a medically proven problem. She also felt that, since an NHS consultant had misdiagnosed and mistreated the cause of her infertility, setting her back 18 months, her local trust would be sympathetic. Her local authority, North Hampshire, has decided to ignore the health secretary's advice to all trusts to offer at least one free IVF cycle to infertile couples who qualify under guidelines set by the National Institute for Clinical Excellence (NICE). Instead, it introduced its own age criteria of women between 36-39. "The biggest thing is the lack of fairness. Some people can access it and some can't. In Scotland, people get three free cycles. In some parts of England, they get one, others two. People are told they are too young, others too old. The government should be more honest about what they can achieve or be more direct with the PCTs." Now 35, Ms Dando ought to be eligible for free IVF next year at the Berkshire trust, where the criteria is the same as Hampshire. But she has now paid for two IVF cycles privately, inadvertently making herself ineligible. She believes it is means-testing by the back door. "Previous ability to pay shouldn't be seen as continuing ability to pay. People borrow or somehow scrape together enough money, but it doesn't mean they'll be able to do it again. I If they gave one cycle to everyone eligible, it would be equitable." She describes IVF on the NHS as a "Cinderella service", a description that was backed by a recent report which concluded that trusts are "reluctantly funding the barest minimum with which they can get away with, if they fund any at all". She added: "If the NHS isn't going to fund fertility treatment, then the government should take a much more active role in the regulation of treatment to stop people being ripped off. Infertility is definitely big business which is making a lot of people very rich. There is no ceiling on what can be charged." Summary by Keep our NHS Public of Guardian 13 August 2007
  2       £5 million hospital expansion plan. A major £5m hospital expansion plan to provide a better environment for patients going through cancer treatment has been revealed. Health bosses have received the cash injection to revamp Southampton General Hospital's pioneering blood disorder unit. The news comes just 24 hours after proposals by Southampton University Hospitals NHS Trust to slash £21m from its budget by introducing cost-cutting initiatives. Summary by Keep our NHS Public of Basingstoke Gazette 28 August 2007
          Government overpays private groups 222m for NHS treatments. The government's independent surgical treatment centre programme, under which it has committed to purchasing 1.4bn of services, is running at 16% below capacity. The remaining 222m is being paid regardless because most of the centre's operators have negotiated contracts whereby the are paid the full sum whether or not the NHS sends enough patients. A spokesman for the Department of Health said: "Whole programme utilisation of the wave-one ISTC programme is currently 84 per cent. Utilisation is the value of procedures used as a percentage of the procured value." The department refused to comment on individual centres as "specific details about individual schemes and their contracts are commercially sensitive." However, it has been revealed that Mercury Health's St Mary's NHS Treatment Centre in Portsmouth is running at just 80 per cent of capacity, according to its owner, Care UK. Another ISTC, Capio Healthcare's centre in Reading, was under performing considerably, but is now operating at 90% capacity. The department of Health said the numbers were improving. Graham Kendall, spokesman for the NHS Partners Network, the organisation representing independent healthcare providers, said the deals were necessary to persuade companies to make initial investment in the centres. Private investors privately blame poor estimates of patient numbers, vested interests in the NHS and institutional opposition from some elements within the NHS hierarchy. Mr Kendall said: "Every provider is working to maximise take-up. It's in the interests of all of the providers to treat as many people as possible." Summary by Keep our NHS Public of Times 19 September 2007
        5 Hospital will remain closed to new patients. A Hampshire hospital will remain closed to new patients until next year while an external investigation into patient care is carried out, it has been revealed. And there is no guarantee that the in-patient ward at Fordingbridge Hospital, will reopen once the three-month inquiry is concluded. New Forest West MP Desmond Swayne described the latest developments as "very worrying". Admissions to the hospital's Ford Ward were controversially halted last week after Hampshire Primary Care Trust (PCT) received what it described as a "very serious complaint" about the quality of care at the facility. Forest MPs have spoken of their fears that the suspension of admissions is a backdoor attempt to close the hospital. PCT chief executive Gareth Cru