North and East Yorkshire and Northern Lincolnshire 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

          The disgraced gynaecologist Rodney Ledward was attacked by doctors and managers yesterday for a "breathtakingly disgraceful" defence of his years of botched surgery in which he claimed the NHS had lost in him a "first-class consultant". His remarks, universally condemned as arrogant beyond belief, raise the temperature just days before Richard Neale, a second gynaecologist, [Friarage Hospital, Northallerton, North Yorkshire] is due to face the General Medical Council, charged with a catalogue of botched operations, sub-standard treatment and falsification of documents. Guardian 9 June 2000
          Private arrangement.  NHS trust forced to open pay beds to keep consultants.  Chris Gallagher Guardian Wednesday July 24, 2002 [Scarborough]
          Forty new ambulances worth £4m have been mothballed after a health authority belatedly found that they could not cope with speed bumps. Martin Wainwright Thursday July 31, 2003 The Guardian [Tees, North & East Yorkshire]
          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)]
          A retired consultant psychiatrist has been cleared by the Court of Appeal of raping a woman patient in a hospital photocopying room.  But Dr Michael Haslam, 70, lost his appeal against his convictions for indecently assaulting the woman on a separate occasion and three indecent assaults on two other women patients.  Northern Echo 20 May 2004
          TWENTY-five GPs are among 100 or more witnesses expected to give evidence at a health service inquiry which got under way yesterday. The GPs, along with about 25 former patients, will appear at an inquiry into the way complaints against two psychiatrists were handled by the NHS. Former patients claim that complaints against North Yorkshire psychiatrists, Dr Michael Haslam and Dr William Kerr, were not taken seriously by the NHS. The GPs, along with about 50 NHS employees, will be asked to answer questions about the way complaints were handled.  Northern Echo 9 June 2004

Enquiry report [pdf]

          An NHS hospital has begun a shakeup of its outpatient systems after a heart patient's consultant appointment was cancelled 10 times, it emerged today. Hull and East Yorkshire hospitals trust launched a major inquiry into cardiology outpatient appointments after Patricia Silvester received a string of standard letters, each moving the date of her appointment. Tash Shifrin Wednesday September 22, 2004
        5 Doctors in Hornsea have spoken out against plans to close the town's minor injuries unit. Yorkshire Wolds and Coast PCT proposed axing services at Hornsea's Cottage Hospital. A local GP said: "The doctors in this town are unanimous in our thoughts. We are behind the people of the town in campaigning for the unit to stay open."  Summary by Keep our NHS Public of Hull Daily Mail 15 December 2005
    3     Effect of NHS financial crisis felt around Yorkshire. At Barnsley's hospital, £700,000 has been saved with the loss of 35 posts; Rotherham hospital is planning to slash pay costs of non-clinical staff by 10%; hospitals in Sheffield are trying to save £20m due to losses resulting from payment by results and the extra costs of meeting targets; beleaguered Selby and York PCT has predicted debts of £23.7m, and Sheffield's PCTs have combined deficits of £17; Airedale NHS Trust has had to sell former staff residences and increase car parking charges to try to stay in balance. Hundreds of operations are being delayed in north Lincolnshire. Scarborough, Whitby and Ryedale PCT, facing a £6.5m overspend, is interrogating hospitals as to why operations are being performed within a month. The trust's director of finance said: "There are more people going into hospital than we can afford. Hospitals in York and Scarborough are treating patients in three months - the national target is six months - and we are looking to slow some of those procedures." Summary by Keep our NHS Public of Yorkshire Post 4 January 2006
    3     Hospitals set to wield axe on hundreds as debt rises. Up to 300 physicians, nurses and surgeons could be cut by the Hull and East Yorkshire Hospitals Trust as part of an attempt to make £13.5m savings demanded by the SHA. The trust hopes to lose the jobs through non-replacement of leaving staff. The posts will be lost at the trust's three main hospitals - Hull Royal Infirmary, Castle Hill and Princess Royal. Summary by Keep our NHS Public of  Hull Daily Mail 16 January 2006
        5 Hospital morale "at all time low" in Bridlington. Amicus have said that staff morale is suffering as Bridlington hospital is wound down and patients are transferred to Scarborough, prompting fears that Bridlington will be closed. Scarborough and North East Yorkshire NHS Trust is predicting a £2.7m deficit. Summary by Keep our NHS Public of  BBC Online 18 January 2006
    3     'People's health must come first'. Campaigners and residents are urging Yorkshire Wolds and Coast PCT not to cut services after it drafted in management consultants KPMG to tackle its £11m deficit. The trust is due to announce whether the minor injuries unit in Hornsea will close and whether the unit at Withernsea will drop its night-time opening hours at the end of January. Summary by Keep our NHS Public of  Hull Daily Mail 25 January 2006
    3     Nine in ten say NHS will not break even next year. Only 13% of NHS chief executives surveyed by HSJ expect the NHS to break even by April 2007, as Patricia Hewitt has demanded. 32% forecast their own trust would still be in debt. King's Fund chief economist John Appleby said: "'There has got to be much better costing of current policies. What impact is patient choice going to have on demand ? We have no idea. I do not think they have thought it through. The major policy this government has pursued since Labour came to power has been to improve access to hospitals by cutting waiting times, but we have never seen a figure on how much this has cost the NHS." The full 18 trusts named by Hewitt as being the worst performing are: Acute - Hammersmith Hospitals; Barnet and Chase Farm Hospitals; Mid Yorkshire Hospitals; The Royal West Sussex; Surrey and Sussex Healthcare; Brighton and Sussex University Hospitals; University Hospital of North Staffordshire; Shrewsbury and Telford Hospitals; George Eliot Hospital (Nuneaton). Primary Care Trusts - Hillingdon (London); Selby and York; Cheshire West; West Wiltshire; Kennet and North Wiltshire; Sheffield PCTs (four organisations). Summary by Keep our NHS Public of  Health Service Journal 26 January 2006
1         NHS patients pay cash for superior care. Health Service patients are paying for enhanced levels of care and operations that are no longer available free at hospitals across England, in initiatives that are being criticised as the creation of a two-tier health service and privatisation by stealth. Harrogate and District NHS Foundation Trust is to open the Foundation Skin clinic, described by managers as a "halfway house" between state and private care. The clinic will carry out procedures like the removal of moles and warts, screening of moles and Botox injections to reduce heavy sweating - all for a fee. Trust managers admit that the initiative is a response to funding shortages. Some of the services were offered free by the trust until 2003. Queen Charlotte's and Chelsea NHS hospital in London recently began to offer one-to-one midwife treatment for £4,000. Professor Allyson Pollock, director of the Centre for International Public Health Policy at Edinburgh University, says the most vulnerable patients are suffering as a result of fees being widely introduced. "It is shocking that NHS patients can pay for a higher level of care. They are getting priority treatment and are able to pick and choose." Summary by Keep our NHS Public of Sunday Times 29 January 2006
    3     NHS slides £90m into red in Yorkshire. The overall financial position in the region is expected to worsen from a current combined deficit of £77m to £90m by April. Two-thirds of the debt is carried by four trusts - Selby and York PCT, Mid-Yorkshire Hospitals NHS Trust, Yorkshire Wolds & Coast PCT and Scarborough, Whitby & Ryedale PCT. Summary by Keep our NHS Public of BBC Online 30 January 2006
        5 Hospital's award-winning birth centre under threat. An Award-winning natural birth centre could become the latest casualty of NHS cutbacks. Jubilee Birth Centre at Castle Hill Hospital in Cottingham, which delivers 350 babies a year, is to undergo a review into its future. Hull and East Yorkshire Hospitals NHS Trust will consult before it makes any decision. The trust is attempting to reduce a £5m deficit.  Summary by Keep our NHS Public of Hull Daily Mail 7 February 2006
        5 United in fight for our right to choose. Mothers, councillors and MPs have united to fight for the future of the Jubilee Birth Centre.  Summary by Keep our NHS Public of Hull Daily Mail 7 February 2006
        5 Help us to keep up the pressure. Hornsea Cottage Hospital League Of Friends is calling for supporters to keep up the campaign before the next decision about Hornsea Hospital's minor injuries unit is made at the end of March. The group has asked supporters to contact them so they can form a database. Anyone wishing to get in touch with the group can call Mr Cawkill on (01964) 537171. Summary by Keep our NHS Public of Hull Daily Mail 9 February 2006
    3     Trust deficits hits £10m. Hull and East Yorkshire Hospitals NHS Trust is set to see its deficit double over the next two months to more than £10 million. The predicted deficit has increased from £5.4m to £10.7m. It has already announced a reduction of 300 jobs, to be achieved through natural turnover over the next couple of years. The trust blames the funding mechanism for part of the debt. Summary by Keep our NHS Public of Hull Daily Mail 9 February 2006
  2       New LIFT health centre to open in Hull. The £1.9m Newington Health Care Centre will house two GP practices and opens at the end of the month. Repayments will be made to the private consortium that built it over 25 years. Summary by Keep our NHS Public of Hull Daily Mail 9 February 2006
    3     Health trusts plunge £47m into red. NHS trusts in North and East Yorkshire and Northern Lincolnshire are predicting they will be £47.2m in debt by the end of next month - despite predicting a deficit of £10m three months ago. John Grimes, director of finance at the North and East Yorkshire and Northern Lincolnshire SHA said a "serious deterioration" in the financial position had become clear in recent weeks. Staff cuts, axeing of beds and delays in operations have already been implemented, and £15m has been borrowed from the NHS Bank to enable trusts to continue paying their bills. Among the trusts, Selby and York PCT faces debts of £24m and Scarborough and Hull's debts have doubled to nearly £11m. Summary by Keep our NHS Public of Yorkshire Post 13 February 2006
    3     Taxpayers 'foot bill as health trusts cut services'. Social services and care home experts have accused Selby and York PCT, which has a predicted £24m deficit, of making cuts to services which must then be met by York City Council and North Yorkshire County Council. Sue Galloway, executive member for health and social services at York Council, said district nursing was being reduced by the PCT: "I think it is about time now that local councils actually said, 'Sorry we will do whatever we can, but we cannot go on at this rate picking up the pieces.'" Ryedale Tory MP John Greenway said: "Frail, elderly people are not being supported by Selby and York PCT. We now have a situation where there has to be an acute need before the elderly will get nursing care. The Government shrugs its shoulders and says, "not my problem" - but it is their problem." Keren Wilson, development director at the Independent Care Home Group, said: "There is a belief in nursing homes that the PCT is not assessing patients at the right level. When they release a patient from hospital they assess them as of low, medium or high need - high need costs the PCT the most to care for. They are assessing people who come out of hospital in the medium band and within four weeks these people have died, so they should have been put in the higher band. I believe budgetary pressures are forcing the trust to take decisions that are not in the best interests of the patient. That is a huge problem." Summary by Keep our NHS Public of Yorkshire Post 15 February 2006
          Woman left waiting for air supply. Jean Waters of Hornsea has been left gasping for breath after being kept waiting for a vital delivery of oxygen supplies from Air Products, the company that has taken over the service after the Department of Health privatised it at the start of this month. She had to call Air Products three times before eventually being told it could be up to three weeks before she had a delivery. She has suffered from a chronic lung infection for 13 years, and fears that without oxygen she will be hospitalised. The company blamed the delay on a higher volume of calls than it had expected.  Summary by Keep our NHS Public of Hull Daily Mail 16 February 2006
        5 'We still need to win the war'. Groups from across the East Riding of Yorkshire will gather to discuss the futures of Hornsea and Withernsea hospitals. Public meetings will take place in the two towns aimed at saving services. Campaigners say that although they saved Hornsea Cottage Hospital's minor injuries unit from closure earlier this month there is no room for complacency. Summary by Keep our NHS Public of  Hull Daily Mail 22 February 2006
    3     Hospital meal shock. Harrogate District Hospital is serving patients weekend evening meals of sandwiches on paper plates because it says it cannot afford to recruit agency staff to make hot dinners. The Harrogate and District NHS Foundation Trust said it was having difficulties recruiting permanent staff for the kitchens and claimed that employing temporary staff through an agency would be too expensive.  Summary by Keep our NHS Public of  Sun 01 March 2006
    3     Trust may seek help to manage £12.6m deficit. East Yorkshire Hospitals NHS Trust is considering asking for financial advice from the Government to cope with its large budget deficit. The trust, which runs Hull Royal Infirmary, Castle Hill Hospital in Cottingham and Princess Royal Hospital in east Hull, started the last financial year with an overspend of £4.5m. Since then, the overspend has swelled, growing by £2m since December alone. The trust has already reduced the number of staff by 300 in the next two years, stopped overtime, instituted a ban on agency staff and a recruitment freeze. Summary by Keep our NHS Public of  Hull Daily Mail 7 March 2006
    3     PCTs block referrals to hit budget targets. The BMA has called on the Government to issue clear guidance to PCTs, urging them not to delay referrals on financial grounds, after it emerged that PCTs are using referral management centres to ration care. All routine referrals at Yorkshire Wolds and Coast PCT had been delayed to push treatment into the next financial year. In South East and South West Oxfordshire PCTs, a clinical advice and liaison service set up to vet all routine referrals sends referrals back to GPs suggesting alternative routes of referral - other consultants, triage or other clinical areas. GPC chairman Dr Hamish Meldrum - who himself had a referral returned to him after a four week delay with a note saying "refer to consultant" - said that referral management schemes made a nonsense of Choose and Book, as it was unclear who made referral decisions. Summary by Keep our NHS Public of  Doctor Update 9 March 2006
    3     Cash blow for trust. Yorkshire Wolds and Coast PCT, heading for an £11m deficit this year, will receive £1.4m less than expected next year because of the DoH dropping the purchaser parity adjustment scheme. Summary by Keep our NHS Public of  Hull Daily Mail 16 March 2006
        5 Community Hospitals at risk in North and East Yorkshire and Northern Lincolnshire  SHA according to Public Finance 17 March 2006:
Hornsea Cottage Hospital
Withernsea Community Hospital
Alfred Bean Hospital
Bridlington Hospital
Whitby Hospital
    3     Health staff find ward padlocked. Ward 10 at Hull Royal Infirmary was unexpectedly closed at the weekend, and now managers at the Hull and East Yorkshire Hospitals NHS Trust cannot guarantee its future. But the ward was reopened on Monday due to a shortage of beds elsewhere in the hospital. The ward, which has 26 beds, treats mainly elderly people with a range of medical conditions. The trust admitted current financial troubles meant there were not enough nurses to staff it safely. It is £12.6m in the red, and has introduced several cost-cutting measures, including shedding 300 jobs over the next two years. One nurse said: "I went to work and found chains on the door. We were not informed the ward would be closed. We were told to report to a different ward to see where we would be working. It's not good enough. Patients and their families must have been distressed. I think it's disgusting the way the trust has treated staff and patients." Summary by Keep our NHS Public of  Hull Daily Mail 3 April 2006
        5 Campaign delivers victory. The Jubilee Birth Centre in Hull is to be kept open after a concerted campaign against the threat of closure. Summary by Keep our NHS Public of  Hull Daily Mail 3 April 2006
          Angry dentists quit the NHS in droves. One in nine dental practices in Yorkshire have quit the NHS amid anger over their new contracts. Ninety practices out of 800 in the region have left for the private sector. Summary by Keep our NHS Public of  Yorkshire Post 6 April 2006 [North and East Yorkshire and Northern Lincolnshire Strategic Health Authority, South Yorkshire Strategic Health Authority, West Yorkshire Strategic Health Authority]
    3     Hospital trust to shed 200 jobs. York Hospital is to cut 200 jobs. It has not ruled out compulsory redundancies. Managers blamed the decision largely on financial problems at the Selby and York PCT, which buys services from the hospital. The hospital itself balanced its books last year. Summary by Keep our NHS Public of  BBC Online 7 April 2006
    3     Secret plan to ration patient care. Patients are being denied appointments with consultants in a systematic attempt to ration care and save the NHS money. The leaked document - 'Pan London Demand Management Arrangements 06-07' produced by the London Transition Team, led by John Bacon, a senior NHS manager - shows that while ministers promise patients choice, a series of barriers are being erected limiting GPs' rights to refer people to consultants. Health trusts across London have drawn up plans to establish panels that will monitor how many patients are referred to hospital by GPs. Trusts have been told that they must cut GP referral rates to those of the lowest 10%, saving £25m a year. Consultant-to-consultant referrals are also being limited, in many cases denying patients a second opinion. A& E departments are being told to "redirect" 40-70% of patients back to GPs or walk-in centres. Hospitals that treat people who ought to have been sent to their GPs will not be paid. The bureaucracy needed to screen all the referrals will itself cost £1.6m. The Times says: "The language of the document makes no pretence that this will improve care, and emphasises cost savings throughout. 'It is imperative that London balances its books overall,' the first paragraph says." The BMA says similar schemes are running in Kent, Oxfordshire, Dorset, Wiltshire, Surrey, Sussex, Cornwall, Shropshire, Suffolk, Lancashire and Yorkshire, as well as London. Jonathan Fielden, deputy chairman of the BMA consultants committee, said: "It's clear that clinicians don't know how these referral management systems aid improvements in clinical care. To them they are purely cost-saving. The way they work is not transparent or clear. If clinicians don't know, patients cannot know either. That certainly flies in the face of the Government's Patient Choice agenda." Myfanwy Davies and Glyn Elwyn, of the Centre for Health Services Research at Cardiff, said the centres had "appeared overnight in an evidence-free zone". Summary by Keep our NHS Public of  Times 7 April 2006
        5 Concern as county's third minor injuries unit closes overnight. The 24-hour minor injury unit at the Alfred Bean Hospital in Driffield has had its hours axed due to staff shortages. It is no longer open after 6pm. Earlier this year, Yorkshire Wolds and Coast PCT has announced decided to reduce opening hours at minor injury units at Withernsea and Hornsea, meaning many patients in the East Riding area will have to travel long distances for care at night. Summary by Keep our NHS Public of  Hull Daily Mail 13 April 2006
          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     Foundation hospital planning cuts. Harrogate Hospital has revealed plans for major cost cuts this year. The hospital trust, which has forecast a deficit of between £4.2m and £9.2m, said it wanted to cut beds and surgery but had no immediate plans to axe jobs. It said it had been hit by local PCT plans to cut the amount of work given to the hospital by £7m. Lib Dem MP for Harrogate & Knaresborough Phil Willis challenged Tony Blair over the cuts at prime minister's questions, asking: "Why should my constituents suffer for failures elsewhere in the system and above all for government meddling ?" Summary by Keep our NHS Public of  BBC Online 20 April 2006
    3     NHS levy on trusts 'will lead to cuts in services'. Health chiefs have warned of wider cuts in services in Yorkshire under plans to impose a levy on NHS trusts as part of desperate efforts to shore-up health service finances. Gordon Firth, chairman of Barnsley Hospitals NHS Foundation Trust, said his organisation would lose £6m and inevitably frontline services would be affected. Health chiefs in North Lincolnshire predict the levy will cost £4.5m, further adding to a difficult financial position. A 12-point action plan is being drawn up including deferring non-urgent surgery, reducing hospital referrals and outpatient follow-up appointments and cutting spending on mental health and the voluntary care sector. Summary by Keep our NHS Public of  Yorkshire Post 20 April 2006 [also West Yorkshire]
    3     Trust blames deficit on PCT. Harrogate and District foundation trust is facing a £9.2m deficit this year and blames Craven, Harrogate and Rural District PCT's plans to cut the amount of work given to the hospital by £7m for 2006-07. The cost-improvement programme will "necessarily impact on the level of capacity available within the trust". Summary by Keep our NHS Public of  Health Service Journal 27 April 2006
    3     Experts Help Hospital Trust Claw Back £12 Million. Hull and East Yorkshire Hospitals Trust has called in PricewaterhouseCoopers to save money in the coming year. The trust is £12.35m in the red. Summary by Keep our NHS Public of  Hull Daily Mail 11 May 2006
    3     Health staff join protests over curbs on spending. The cuts at Leeds Teaching Hospitals NHS Trust come after the most financially successful 12 months in its six-year history - it broke even without any outside help for the first time. Other NHS hospitals in Yorkshire that have already announced millions of pounds of cuts include Sheffield, Rotherham, Barnsley, Hull, York, Harrogate and Airedale. Summary by Keep our NHS Public of  Yorkshire Post 12 May 2006
    3     County's NHS Cuts could reach £80m. Health services across North Yorkshire will be dramatically affected amid a deepening financial crisis that could see up to £80m in cuts made. The true extent of the crisis will be disclosed at a public meeting next week when senior officials from the North and East Yorkshire and Northern Lincolnshire SHA will outline initial details of a recovery plan to impose the multi-million pound savings. Summary by Keep our NHS Public of  Yorkshire Post 12 May 2006
    3     NHS Direct, the nurse-led health helpline, will today axe more than 1,000 staff in a comprehensive restructuring of branches and business objectives, the Guardian has learned. Proposals will be presented for consultation with staff unions to close 12 call centres across England and shed more than a quarter of the workforce to avert a forecast £15m deficit for 2006-07. The move follows an announcement yesterday by Nottingham University Hospitals NHS trust that it plans to shed 1,200 jobs to avoid a deficit of £60m - caused partly by a new payment-by-results system introduced last month. The Nottingham cuts - like most of the 13,000 hospital job losses over the past few months - will be achieved largely through staff turnover, with few compulsory redundancies. But NHS Direct said up to 114 of its nurses may be sacked, along with managers and administrators. NHS Direct was founded in 1997 to provide a 24-hour telephone helpline advising patients on how to deal with symptoms and where to go in an emergency. It handles about 6.5m calls a year and its website attracts 1m visits a month. This side of its business is likely to grow, but a report to staff today admits the organisation has failed to meet targets for expanding into new areas. It expected to get the lion's share of contracts for call centres for patients wanting to see a GP outside working hours - but got only 20% of the business. It also runs an appointments line to support the choose and book system that enables patients to fix an outpatient appointment at a convenient time at the hospital of their choice. Delays in installing necessary IT equipment in hospitals and GP surgeries slowed this income stream. It says it can no longer afford to run many of the smaller call centres. The proposals call for the closure of centres in Doncaster, Scunthorpe, York, Chester, Bolton, Preston, Chorley, Southport, Cambridge, Croydon, Brighton and Kensington, London. They will shut over the next 18 months and staff will be made redundant unless they can be redeployed. Eighteen call centres will be expanded.John Carvel, social affairs editor Tuesday May 16, 2006 The Guardian
    3     'Cosmetic' ops axed in £51m cuts. Four primary care trusts serving North Yorkshire will stop offering treatment for "cosmetic" procedures, such as varicose veins, in a bid to save £51m. They said a small number of procedures will no longer be offered unless there was a strong case for an exception. The trusts will also try to reduce referral rates to hospital and to cut the number of routine outpatient follow-up sessions. Summary by Keep our NHS Public of  BBC Online 17 May 2006
    3 4   Cuts may mean some operations rationed. North Yorkshire primary care trusts are considering rationing certain surgical procedures to help balance the books by the end of the financial year. Operations to carry out varicose vein removal, vasectomies, and hip replacements may be curtailed for all but exceptional cases. Summary by Keep our NHS Public of  Yorkshire Post 22 May 2006
          DoH throws down gauntlet on APMS. The pace of private sector involvement in primary care has accelerated, with ministers trumpeting the first in a series of Government-backed private provider deals, allowing a private company to run a traditional GP practice in east London. Health Minister Lord Warner said private provider Care UK would run a new 7,000-patient practice and walk-in centre in Barking and Dagenham. The DoH said similar contracts that would "challenge the existing monopoly of independent GPs" were close to agreement in Hackney, Liverpool, Lancashire, Plymouth and Yorkshire. PCTs have also begun planning to put directly managed practices out to tender to avoid the cost of running them. Sunderland PCT has opted to put out to tender a practice run by two GPs for the past two years. Dr Ashley Liston and Dr Tracey Lucas, who transformed the struggling practice, had hoped to take it over. He said: "We are disappointed but not surprised by the outcome. We're keen to continue the work we've started here, so we will be putting in a bid. We recognise the challenges of competing with large multinational companies, but we will give it our best shot." GPC Medical Practitioners Union representative Dr Ron Singer said: "PCTs will get Brownie points from the Government by involving the private sector. They are beginning to realise that they don't want salaried practices." Dr Chaand Nagpaul, a member of the GPC sessional GPs subcommittee, called on the Government to make it a legal requirement that salaried GPs keep their NHS contracts when APMS providers take over a practice: "We need to ensure the private sector is not seen as a cheap option with doctors on lower rates. The worry is we will see a downward trend in employer and employee terms." Dr Richard Fieldhouse, chief executive of the National Association of Sessional GPs, told salaried doctors not to sign alternative contracts if their practice is taken over: "It's like a civil servant moving to become part of McDonald's." Summary by Keep our NHS Public of  Doctor Update 30 May 2006
          Hospital trusts faced criticism from Britain's biggest trade union yesterday over a scheme to send tens of thousands of confidential patient records to be transcribed in India, the Philippines and South Africa under a new form of outsourcing that will save the NHS millions of pounds. Hospitals in London, the south-east, the Midlands, Hull and the south-west are replacing their medical secretaries with staff employed overseas by private British dictaphone companies who pay 6.5p a line to transcribe doctors' notes and email them back to hospitals. Unison accused hospital trusts of putting lives at risk because of typing errors by staff thousands of miles away who are not able to cross-check the information by accessing a patient's medical history or talking to a consultant. David Hencke, Westminster correspondent Thursday June 22, 2006 The Guardian
    3     More NHS cuts due to £20m deficit. A series of cutbacks have been unveiled to tackle a £20.7m deficit for two primary care trusts in the East Riding. The Yorkshire Wolds and Coast and the East Yorkshire trusts have said they face a joint deficit of £20.7m by April 2007 unless they act to cut costs. Plans include closing two centres for on-call GPs and reducing follow-up appointments for outpatients. Family planning, mental health and palliative care budgets will all be affected by the plans and some pharmacies may stop opening out of hours as their subsidies are axed. Summary by Keep our NHS Public of  BBC Online 7 June 2006
          ISTC chaos ignored. The Government is ignoring local concerns over the national ISTC programme as evidence emerges of more schemes being scrapped or put on hold. At least eight of 24 schemes in the £2.5bn wave two ISTC procurement have now been dropped and another put on hold after commissioners said they were not needed. But the DoH is not only insisting that Norfolk, Suffolk and Cambridge SHA spends £38m on a elective surgical ISTC, it has also rejected its proposals for case-mix of patients treated there. A recent report by Cambridge City and South Cambridgeshire PCTs said the DoH had "modelled that we need this capacity" without factoring new NHS capacity into the model. It said "there will be high risk to local providers because the aim is for the [ISTC] to fill up first". The PCTs are also under pressure to buy more scans under the national diagnostics procurement. Most of the commissioned scans would substitute for work done in the NHS rather than supplement it, the report says. Essex SHA has been ordered to spend £45m on independent sector schemes, despite the collapse of two ISTC projects in 2005. A paper presented to Colchester PCT's board in January said the SHA had "identified a number of concerns" with this but the scheme was going ahead anyway. A surgical scheme for Leicestershire, Northamptonshire and Rutland SHA has been halted. The SHA said that a PFI project to upgrade three hospitals and an ISTC could lead to over-capacity. The SHA is negotiating to leave the national private diagnostics procurement. The DoH has allowed the scrapping of a surgical ISTC in York, which already has a surgical treatment centre, at Clifton Park. Birmingham City Hospital's ISTC had been dropped and it has been reported elsewhere that a further six schemes have been abandoned. These are: County Durham & Tees Valley, South Yorkshire (both cardiology and general surgery), South West Peninsula, and West Yorkshire (both plastics and multi-specialty centres). Dr Paul Miller, chairman of the BMA's seniors' committee, said: "There's clear evidence that wave one schemes are surplus to requirements - spare capacity is being hawked around like soft fruit at the end of market day. Rather than imposing wave two schemes where they are not wanted the DoH should stop now. It should not sign another contract before it has reviewed the whole policy." Summary by Keep our NHS Public of  Hospital Doctor 8 June 2006
          NHS workers in Yorkshire rubbish their own hospitals. An official survey carried out by the Healthcare Commission, asking NHS staff their opinion of the services they work in, has produced damning results. When asked whether they would be happy as a patient with the standard of care provided; ten Yorkshire trusts had more staff unhappy about the treatment they would receive. Beverley and Holderness MP Graham Stewart said the survey showed NHS staff "who aspire to high standards but feel they're not being allowed to deliver." Summary by Keep our NHS Public of  Yorkshire Post 13 June 2006
    3     Hewitt warns overspending NHS. Overspending NHS trusts that are "concentrated in the healthiest and wealthiest areas" will have to take responsibility and not rely on being bailed out by the rest of the NHS according to Patricia Hewitt. Addressing an Amicus conference in Scarborough, the health secretary said that although trusts in the black will be asked to help their neighbours this year, they will get the money back with interest starting with the poorest areas. Hewitt also admitted that times would be particularly hard for acute trusts as attempts are made to drastically reduce the number of visits made to hospital by those taken seriously ill. Hewitt's comments come as more Yorkshire health workers are set to lose their jobs and Scarborough hospital faces the threat of a new private non-urgent surgery clinic in York. Summary by Keep our NHS Public of  Yorkshire Post 13 June 2006
    3     Hospital referral cuts "to hit patients". York and North Yorkshire PCT's request to GPs to cut referral rates will force GPs "to make compromises that could effect the health of patients" according their local representatives. The comments come from Dr Dougie Lumb, Yorkshire GP and deputy head of the Local Medical Council. He said: "This is something we are unwilling to do. We have rejected the PCT's proposals which we believe will significantly disadvantage patients in North Yorkshire." The new trust is attempting to make savings of £54m. Summary by Keep our NHS Public of Yorkshire Post 4 July 2006
    3     Fears for patient care as trust cuts £23m. Selby and York PCT is to carry out severe cuts to services in order to slash 7.5% from its budget. The cuts will include a 20% cut in hospital referrals, fewer follow up appointments and a reduced drug bill. Local politicians have expressed concerns about the impact of the cuts. Liberal Democrat Councillor Sue Galloway said: "The decisions look to have been taken by business consultants, rather than healthcare professionals, so I am concerned that the impact on patients has not been looked at holistically." As well as a reduction in hospital referrals, the number of operations will be cut and care for the elderly will be slashed by £5m. Summary by Keep our NHS Public of Yorkshire Post 14 July 2006
  2       Hull healthcare LIFT project taking shape. Hull Citycare, the LIFT partnership, has just begun the construction of the next two new primary care centres of the first tranche of nine for the city. The centres are to be designed, built and maintained by the Sewell Group. These two developments are the latest of Hull Citycare's planned nine medical centres, representing just the first tranche for the city, which are all at various stages of planning and construction, with two already operational. Summary by Keep our NHS Public of thepfi.net 26 July 2006
        5 Anger as trust cuts hospital centre's hours. Angry campaigners are threatening to hold a further protest after it emerged that an East Coast minor injuries unit (MIU) is to start closing overnight. Mick Pilling, of the Save/ Support Bridlington Hospital Campaign Group, said he was appalled by the lack of consultation with townspeople by the Scarborough and North East Yorkshire NHS Trust. From September 4, the unit will close overnight from 9pm to 9am. The trust, which is £6.9m in the red, says the service will have to close "temporarily" because of staff sickness. But Mr Pilling said it was the third time the trust had reduced hours in as many years. He said: "They blamed the closure last time on staff shortages. There is a complete overtime ban at Bridlington Hospital and staff who leave are not being replaced. It is absolutely diabolical. Full consultation was promised at past meetings, but the trust has failed yet again." Summary by Keep our NHS Public of Yorkshire Post 17 August 2006
    3     Health watchdog attacks trust over £8m cuts. A patient watchdog has attacked plans by health chiefs to ration treatment in the struggle to save £8m. Craven, Harrogate and Rural District PCT is examining cuts that could see patients referred to hospital only for urgent treatment with more care being provided in the community. Angry family doctors have already branded the proposals unsafe, claiming the cuts will "undermine the principles of the NHS". The plans would mean that for the first time in the history of the NHS, doctors would not be able to refer people who in their opinion needed expert help to hospital. The opposition from GPs has forced managers to think again and now the area's patient and public involvement forum has expressed its fears that plans to refer people to expert GPs rather than to hospital specialists could put patients at risk. The forum has also criticised proposals not to fill vacancies, leading to a reduction in nurses dealing with young people with mental health problems and staff trained to assist people with learning disabilities. Summary by Keep our NHS Public of Yorkshire Post 25 August 2006
    3     Exclusive: 'Babies are dying due to lack of beds'. Premature babies are dying because of a shortage of cots and nurses, a senior NHS manager has warned. Risking her job by speaking out, Tracy Woodall disclosed that desperately sick newborn infants are being transported hundreds of miles for specialist care when they are at their most vulnerable. In one instance Woodall, £50,000-a-year network manager of neonatal care in Yorkshire, rang round the country for seven hours trying to find a cot for a baby due to be born at 25 weeks in Scarborough General, North Yorks. But there were no beds available in England. Finally, at 2.30am, Tracy found the nearest - in Edinburgh 220 miles away. Unless another hospital is found, the infant faces being taken there in a pitifully weak condition by helicopter at a cost to the taxpayer of £25,000. At least three premature babies are transferred between hospitals every day because of severe shortages of cots and specialist nurses. The average journey length is 126 miles, according to premature baby charity Bliss. But journeys of 200 or 250 miles are not uncommon. Premature babies need round-the-clock care from nurses and specialists with intensive care training. The Department of Health announced an extra £70million funding three years ago to tackle the crisis. But that was not ringfenced and only 34% went on improving services. Summary by Keep our NHS Public of Mirror 31 August 2006
        5 'Betrayed by ward closure'. Patients will no longer be kept in overnight at an East Riding hospital. Yorkshire Wolds and Coast PCT is closing the 12-bed inpatient ward at Hornsea Cottage Hospital from October 1. Patients normally admitted to the ward include those needing continued medical care or requiring rehabilitation, as well as those recovering from surgery or suffering from terminal illnesses. They will now have to be treated at home or at another hospital. Staff will also be moved to other hospitals. The move comes just days after it was announced the minor injuries unit at Bridlington Hospital is to be closed overnight. Beverley and Holderness MP Graham Stuart, chairman of Hornsea Health Forum, said he felt "betrayed" by the decision. He said: "We think this is a substantial change in service provision and it is driven by financial, not clinical, need." Hornsea Cottage Hospital's League of Friends Chairman Ian Smith said: "This is…tantamount to closing the hospital down and I don't think the management can make that decision." The PCT has said it will reopen three beds in Withernsea Hospital and three at Bridlington and will review the situation in March. Summary by Keep our NHS Public of Hull Daily Mail 8 September 2006
        5 MP's legal fight to save hospital. Patients are being urged to join a legal challenge to save facilities at an East Riding hospital. Beverley and Holderness MP Graham Stuart is seeking a High Court injunction to prevent the closure of the inpatient ward at Hornsea Cottage Hospital. The 12 beds in the ward are used for people recovering from surgery, suffering from terminal illnesses or in need of long-term medical care. Yorkshire Wolds and Coast PCT has announced it will close the ward on October 1. Mr Stuart said: "What we need in order to get funding for our challenge is a resident who uses the services and is eligible for legal aid. Ideally, we want a proven user of Hornsea Cottage Hospital. I would also like to hear from anyone who fears a decision will affect them personally, so I can make the best possible case on behalf of everyone who uses that service." Mr Stuart said he was making the legal challenge on the basis the public were not consulted about the move. Mr Stuart said: "The trust is behaving illegally and illogically." Summary by Keep our NHS Public of Hull Daily Mail 10 September 2006
        5 MPs could probe ward closure. The closure of a Holderness cottage hospital ward may be scrutinised by the House of Commons health select committee if it is found that services are being cut as a result of overspending. Committee chairman and Rother Valley MP Kevin Barron said: "We are continuing to look into the NHS deficits issue and what's happening where there has been overspend and it might be that this is one of those cases. If it came to our attention we would look at it. We need to know whether this has come about as a result of deficits." Yorkshire Wolds and Coast PCT announced last week it was shutting the 12-bed ward because it could not afford to recruit agency staff to cover at the hospital. The trust said current staffing levels were putting patients and staff at risk. It described the closure as temporary and said it would review the situation in March. But a national lobby group, which includes senior doctors and trades union leaders among its ranks, has accused the trust's managers of using stealth tactics to bring about the permanent closure of the ward. The group, Keep Our NHS Public, fears the ward will close for good when it stops admitting patients on October 1. Spokesman Alex Nunns said: "We've seen this in other parts of the country where trusts close a ward and say it's only for a limited period of time, and when that time is up, surprise, surprise, it doesn't open again. It's a method managers use to close things down." The axeing of the ward infuriated many in the area, including those who successfully blocked plans to shut the hospital's minor injury unit last year. Campaigners are considering a legal challenge and Mr Nunns said he believed that was worth pursuing. He said: "Closing a ward is a major service change and patients have legal rights to be consulted. They need to use those rights to keep this ward open. There was a case in Oxford where they planned to close a pain relief unit, and just the threat of legal action from patients forced a U-turn. Legal action is available to patients and we would encourage them to use it." Staff from the ward, who are being transferred to other services in the area, are also said to be unhappy at the decision. Polly Worsdale, East Riding councillor for North Holderness, and a member of Holderness Hospitals Action Group, said: "Just after it was announced I saw one of the nurses and she was in tears. All they want to do is look after people." Summary by Keep our NHS Public of Yorkshire Post 10 September 2006
        5 'We'll keep ward for elderly open'. Health managers have denied a hospital ward for the elderly at Hull Royal Infirmary is to be axed to save money. Nursing staff told the Mail they fear ward 10 may be closed by the end of the month, with the loss of 28 beds. But senior officials at Hull and East Yorkshire Hospitals NHS Trust said ward 10 would not close, although its role may change in the future. The trust is examining the running of each hospital ward as part of its "turnaround" plan to save £31m by 2008. One member of staff said the trust had attempted to close the ward in March, but had to re-open it days later because of demand for beds. Earlier this year, the trust commissioned a report from business advisers Pricewaterhouse Coopers to tackle its financial problems. Summary by Keep our NHS Public of Hull Daily Mail 12 September 2006
        5 We'll pay to keep our hospital open. Campaigners said they were prepared to stump up £90,000 to save services at an East Yorkshire hospital. They said the cash could be raised by the end of the week to halt controversial closure plans at Hornsea Cottage Hospital. The cash would cover the cost of running the hospital's 22-bed inpatient ward for six months, which the Yorkshire Wolds and Coast Primary Care Trust (PCT) is closing on Sunday, October 1. The money would be donated by Hornsea Cottage Hospital League Of Friends, Hornsea Town Council and individuals. Summary by Keep our NHS Public of Hull Daily Mail 12 September 2006
    3     Health bosses 'waste' £1/2m. An NHS Trust with a £23million debt blew £500,000 on accountants - who advised them to cut spending. City accounting firm KPMG was called in by Selby and York Primary Care Trust after it was identified as an organisation at risk of "serious financial overspend" last December. KPMG is set to charge £490,000 for work carried out by a team of 14 accountants from December to May. Hospital staff are furious at what they see as a further waste of cash. Medics and nurses face the axe as part of cuts by the trust. The number of care home beds will also be reduced. The row came as it was revealed that the NHS spends £172 million on management consultants each year. Summary by Keep our NHS Public of Sun 13 September 2006
        5 Unions look for security of beds. Staff at an East Riding hospital threatened with service cuts are calling for assurances over their jobs. A letter of grievance has been sent to the Yorkshire and Wolds PCT after it announced plans to temporarily close Hornsea Cottage Hospital's inpatient ward. Amicus, Unison and the Royal College of Nursing have sent the letter to the trust asking for the ward to be kept open until negotiations have taken place. The letter said staff will not take part in any talks over their jobs moving until they have been told beds will reopen and have been reassured over their future. John Fleming, regional officer for Unison, said: "We are supposed to be working in partnership, but we were never told about this. There has been no consultation whatsoever. We had a successful meeting on Monday night and we have agreed a way forward." Meanwhile, London-based law firm Leigh Day and Co is preparing to take the PCT to the High Court. It will launch a bid for a judicial review on Friday, on behalf of two Hornsea patients, if the PCT does not reverse its plans. Summary by Keep our NHS Public of Hull Daily Mail 14 September 2006
    3     NHS trust faces cuts to save cash. A struggling NHS trust in North Yorkshire is considering closing two wards and axing up to 100 jobs in a bid to save money, it has emerged. Last year, the Scarborough and North East Yorkshire Healthcare NHS Trust overspent by £7m. Accountants Price Waterhouse Coopers who were hired to advise the trust, have recommended several options to balance the books by March 2008. One option is to axe 99 jobs and close two wards at Scarborough Hospital. The report also suggests cuts in the number of midwives and agency nurses and reducing the hours worked by consultants and junior doctors. Summary by Keep our NHS Public of BBC Online 15 September 2006
        5 Hospital locks out heart patient. A woman claims her husband nearly died after being locked out of an East Yorkshire hospital while suffering a heart attack. John Deakin woke up in the middle of the night with severe chest pains and his wife May drove him to her local hospital in Bridlington. The couple were astonished to find the hospital closed - and were forced to spend an anxious 20 minutes waiting in the cold for an ambulance to arrive from Scarborough. Mr Deakin, 58, was stabilised by paramedics when they arrived and then admitted to the hospital. His wife has since added her name to almost 20,000 others calling for Bridlington and District Hospital's minor injuries unit to be reopened between 9pm and 9am. On September 4, Scarborough and North East Yorkshire NHS Trust closed the unit between those hours. It said the closure was temporary and a result of staff shortages. Although patients such as Mr Deakin should not have been affected, with other services at the hospital continuing around the clock, the unit's closure is thought to have made access to the hospital more difficult. The closure has left patients in the town, which has a population of about 44,000, either having to rely on an out-of-hours GP service, or the accident and emergencies unit at Scarborough General Hospital. The trust is in desperate financial straits. It has a historical deficit of £13.4m, and a projected overspend this financial year of £9m. Mick Pilling, who has organised the petition on behalf of the Save Bridlington Hospital campaign, said Mr Deakin's case proved that lives were being put at risk by the closure. He said: "If you go up to the hospital at night all the doors are locked - what kind of hospital is that ? Most of us have paid our National Insurance contributions and our income tax and yet we are not getting the service we deserve." Summary by Keep our NHS Public of Yorkshire Post 29 September 2006
        5 Outcry over hospital bed closures. Objectors to a plan to reduce beds at a community hospital from 20 to 10 left a public meeting on Monday believing the move had been blocked and the unit saved from possible closure. But the PCT had already jumped the gun and halved the number of beds in use at Ripon Community Hospital before its plans were criticised by an independent Health Scrutiny Committee. Now the new chairman of the North Yorkshire and York PCT, Johnny Wardle, is to be challenged about the decision by the chairman of North Yorkshire's Health Scrutiny Committee, John Blackie, whose members unanimously opposed the loss of beds. He said: "Clearly it does cause me concern that the PCT came along to the meeting and said there would be consultation and in fact they were consulting on a proposal that had already been implemented. What I hope is that they will react very quickly to Monday's meeting and the recommendations of the Scrutiny of Health Committee." A PCT spokesman confirmed beds at Ripon had been reduced before Monday's meeting. He said: "The PCT does not have the nursing staff safely to open more than 10 to 12 beds at the hospital at the moment. We are unable to recruit more unless a decision is taken to allow us to do so." A former Mayor of Ripon and Freeman of the City, John Richmond, said: "What worries me is it was made quite clear that if beds were reduced to 10 the Ripon hospital would not be viable and it would lead to its closure."Summary by Keep our NHS Public of Yorkshire Post 29 September 2006
        5 Health chiefs plan top-level talks. Health bosses will see for themselves some of the challenges they face in providing services for North Yorkshire's most rural communities when they travel to their first meeting with county councillors. The two top officials of the new North Yorkshire and York Primary Care Trust (PCT) will have been in their posts for less than a fortnight when they meet members of North Yorkshire's health scrutiny committee next week. One item on the agenda will be halving the number of beds from 20 to 10 at Ripon Community Hospital, a move opposed by councillors. Craven and Harrogate Rural District PCT went ahead with the cuts, prior to consultation, as part of efforts to save £9m. At the time a spokesman said the cuts were down to current staffing levels and were a short-term operational response which will be reviewed in November. He added that any full-time change would have to go out to public consultation. Summary by Keep our NHS Public of Yorkshire Post 5 October 2006
    3     Petition aims to protect healthcare. A petition calling for the protection of healthcare and support of NHS staff is being launched this weekend by Conservative Beverley and Holderness MP Graham Stuart. Plans to cut Hornsea's remaining in-patient beds were scrapped last month after a legal challenge by Mr Stuart over the consultation process. Mr Stuart said: "I want to influence the strategic health authority so it gives back £8m that was taken away from the primary care trust in top slicing. If they were to give that money back, I believe our PCT is fully capable of improving services without cutting back to make short-term savings." Summary by Keep our NHS Public of East Riding Mail 16 October 2006
        5 22,000 sign petition to help save hospital. Thousands of names have been handed over to councillors concerned about cutbacks at Bridlington Hospital. The hospital has already had its minor injuries unit's 24-hour cover halved and campaigners fear it may suffer further as Scarborough and North East Yorkshire NHS trust looks to make further savings. Mick Pilling, chairman of campaign group Save and Support Bridlington Hospital said he hoped that councillors would challenge any cuts and that the petition would be taken on board by NHS bosses. He said: "The amount of people who took part shows the strength of feeling." Summary by Keep our NHS Public of Hull Daily Mail 17 October 2006
        5 What is our health trust waiting for? Pressure was mounting today on health officials in East Yorkshire for failing to bid for Government cash to safeguard community hospitals. Campaigners have spoken of their anger after it emerged a neighbouring health trust had already applied for £8m in extra cash. Earlier this year, Health Secretary Patricia Hewitt unveiled a five-year £750m fund to support and renew cottage hospitals. However, no application has been sent by East Riding of Yorkshire Primary Care Trust (PCT), which has a multi-million pound deficit. Campaigners are fighting to save services at Hornsea Cottage Hospital and Beverley Westwood Hospital - run by the East Riding of Yorkshire PCT - as part of the Mail's Hands Off Our Hospitals campaign. Now it has been revealed that the neighbouring Scarborough, Whitby and Ryedale PCT has submitted a bid for £8m from the new fund. However, the East Riding of Yorkshire PCT has delayed its bid until March when the latest public consultation on the future commissioning of services has come to an end. As a result, the trust will miss out on at least the first two waves of funding, which could put it behind in the race to win the cash. Campaigners are urging the East Riding of Yorkshire PCT to act in the same way Scarborough NHS Trust has.  Summary by Keep our NHS Public of East Riding Mail 23 November 2006
          Private hospital is first in UK to open NHS ward. Classic Hospital in Lowfield Road, Analby has opened the first private ward dedicated to NHS patients. The Wilberforce Wing cost £800,000 and was opened by Shadow Home Secretary David Davis. The 10-bed facility will treat a whole range of conditions and managers have already signed a £3.5m contract with the NHS. A hospital spokesperson said: The Wilberforce Wing is a testament to the partnership forged with the NHS and a shared vision of choice and quality healthcare for NHS patients."  Summary by Keep our NHS Public of East Riding Mail 27 November 2006
        5 NHS beds to go in care homes switch. East Riding Primary Care Trust has drawn up radical plans to shake up healthcare across the county and privatise some services. All beds are to be removed from Beverley, Driffield, Hornsea and Withernsea community hospitals. 60 beds would then be offered at Bridlington, Goole and an unspecified third location. Radically, a further fifty beds would be moved from the NHS into private care homes across the county. The local Hands of Our Hospital campaign has experienced recent success in blocking moves to cut beds at Hornsea Cottage Hospital by challenging the way in which the decision was reached. However the new move is seen as the latest - and possibly most significant - threat to rural hospitals in the East Riding. Grandmother Jean Waters, who recently spent 10 days in Hornsea Cottage Hospital, said "Removing the beds from Hornsea Cottage Hospital would be devastating. I don't believe we would get the same level of care from a care home" Residents will have the opportunity to view the proposals and give their comments at four meetings set to start next month.  Summary by Keep our NHS Public of East Riding Mail 28 November 2006
        5 Report outlines draft proposals for community healthcare. East Riding of Yorkshire Primary Care Trust has outlined its draft proposals for the future of community healthcare in a report titled Discussion Document On A Future Commissioning Strategy For Community Services. The plans include shifting NHS-funded beds out of community hospitals in Beverley, Driffield, Hornsea and Withernsea into the "independent care home sector", as well as possible upgrades to the hospitals in Bridlington and Goole. It states: "The role of community hospitals would need to change, in order to enable a wider variety of services to be delivered."  Summary by Keep our NHS Public of East Riding Mail 30 November 2006
    3     Crisis over beds boosts day unit. A day care unit at York Hospital is being expanded to cope with a reduced number of beds amid the financial crisis gripping the county's health service. 22 additional beds will be opening for patients on the hospital's day unit as the second phase of an £8m development is completed. However, it emerged in September that a total of 60 beds - the equivalent of two wards - is expected to go amid multi-million pound Government cutbacks. The newly-expanded day care unit will now be used to cater for more patients who will be staying for treatment for shorter periods.  Summary by Keep our NHS Public of Yorkshire Post 30 November 2006
        5 'These hospitals won't be closed'. Campaigners fighting to safeguard community hospitals were today given hope for the future. Health officials have pledged to keep all four of the county's community hospitals open. But they have insisted far-reaching changes must be made to ensure their long-term survival. The plans were to remove all beds from Withernsea Hospital, Hornsea Cottage Hospital, Beverley Westwood Hospital and Alfred Bean Hospital, and upgrade hospitals in Bridlington and Goole and an unspecified third location. And in the most controversial move, 50 NHS beds would be shifted into care homes in what is seen by critics as the creeping privatisation of the service. Today, officials at the East Riding of Yorkshire Primary Care Trust said as much as £8m could be spent upgrading facilities in Bridlington and Goole. And a new hospital could be built depending on the results of the consultation. But they said the current community hospitals would "absolutely not" be closed. It is the first such guarantee since the launch of the Hands Off Our Hospitals campaign 2 years ago. Claire Wood, the PCT's interim chief executive, warned the current system must change and that doing nothing could lead to cuts and closures, clinical errors and problems finding and retaining staff.  Summary by Keep our NHS Public of East Riding Mail 1 December 2006
    3     £16m taken from trusts. Healthcare managers have pledged services will not suffer from budget cuts of more than £16m. Hull Teaching and East Riding of Yorkshire primary care trusts (PCT) have been required to plough millions into a Strategic Health Authority (SHA) fund used to support trusts across the county that most need it. Almost £8m was taken from the old trusts working in the East Riding, which have now merged to form East Riding of Yorkshire PCT. A total of £8.5m was also taken from Hull. Managers today said the levy, which is 2.5% of the PCT's budget, had been expected and planned into finances. However, campaigners said they feared it would put extra pressure on patient services at a time when budgets are tight. A spokeswoman for the SHA said: "The creation of this strategic reserve is primarily to support the management of financial risk. The SHA has reviewed the situation and has identified those organisations facing significant challenges."  Summary by Keep our NHS Public of East Riding Mail 7 December 2006
        5 Campaigners will fight hospital plans 'to the bitter end'. A campaign is being mounted to combat the latest threat to a community hospital. People and organisations are being urged to join forces to fight controversial proposals for Alfred Bean Hospital. The hospital could face losing its 20 patient beds under East Riding of Yorkshire Primary Care Trust's (PCT) proposals for future healthcare. Health watchdog Driffield Hospital Defence League, which has fought planned cutbacks in the past, is organising a series of meetings to draw up a campaign strategy. Alfred Bean Hospital includes two wards, a minor injuries unit, outpatients clinics, X-ray facilities, a physiotherapy department and a Macmillan day hospital. A public outcry followed the PCT's latest proposals, which are now the subject of a consultation exercise, which will end in March. Summary by Keep our NHS Public of East Riding Mail 7 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
        5 "It may be the only way to keep services close to people's homes". Members of East Riding of Yorkshire Primary Care Trust met with campaigners yesterday to go over controversial new proposals for healthcare which are to be consulted on until March next year. The plans could see new facilities at Bridlington and Goole and the possibility of a new hospital in Market Whittington. However the proposals would also see the beds in four East Riding community hospitals relocated to care homes. Hundreds have already added their names to a petition against any privatisation of healthcare but health bosses have defended the move. Dr Duncan Ross, director of commissioning and procurement for the trust, told a public meeting in Cottingham: "We cannot afford to have beds in community hospitals. A bed in an acute hospital costs between £500 and £600 per week, but in a community hospital it is about £1,700 per week. By using nursing homes, care can be provided close to people's homes. The provision of beds in independent care homes will be fully funded by the NHS." Summary by Keep our NHS Public of East Riding Mail 18 December 2006
    3     NHS facing more pain after dental fees blunder. Cash-stricken NHS trusts in Yorkshire face another blow amid fears a Government blunder in calculating controversial dental charges will leave a multi-million black hole in budgets. found health chiefs in the region are predicting losses of up to £11m in revenue from new dental charges introduced in April. If the same pattern were to be repeated nationwide it could leave the NHS facing a dental charge deficit of more than £100m in 2006-07 - on top of an escalating crisis in health service finances which is already leading to swingeing cuts in care. The miscalculation would be the latest by the Department of Health over new contract. The biggest predicted deficit is in the Bradford district where health chiefs estimate they will be £2.4m below target by March. Sheffield Primary Care Trust (PCT) could run up losses of £2m - nearly 25 per cent of total revenue. Only health chiefs in North Yorkshire and Calderdale are confident they will recover the full total but most are predicting they will be 10-30 per cent short. The losses are exacerbating the NHS financial crisis. In latest estimates, NHS trusts in Yorkshire are predicting they will plunge £129m into the red by the end of March. Summary by Keep our NHS Public of Yorkshire Post 27 December 2006
    3     NHS trusts force patients to wait longer for operations. Patients in some parts of the National Health Service are for the first time facing minimum waits to be seen and treated as managers attempt to balance their books. Suffolk, Hertfordshire, North Yorkshire and Kingston are all imposing various forms of minimum wait, with some primary care trust chiefs saying their organisations may foll