Northumberland, Tyne and Wear 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
          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 health trust was today fined £50,000 for the death of a patient with severe learning difficulties who was lowered into a bath of scalding water. The patient, Catherine Hourie, aged 39, died five days after suffering severe burns to her lower body which caused the skin to peel away from parts of her legs. Thursday July 1, 2004 [Prudhoe]
          Commuters will be able to get free medical attention on their way to and from work at a chain of NHS walk-in centres to be built near city-centre stations, the government announced yesterday. John Hutton, the health minister, said the first seven centres would open in the spring in London, Newcastle, Manchester and Leeds at a cost of £25m over the first three years. John Carvel, social affairs editor Thursday November 4, 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
  2       Billion-pound hospitals plan faces collapse. Ministers are considering scaling back or cancelling about ten PFI hospital building schemes, including projects in Bristol, Liverpool and Newcastle, due to concerns over cost. Under payment by results, hospitals do not have a guaranteed income and due to patient choice they could potentially close, leaving the Department of Health worried about the viability of the PFI. 24 PFI schemes with a total capital spend of £2.1bn have been completed. 14 more schemes, worth £3bn, have been approved. A further £12.1bn worth of projects are awaiting approval. A DoH source told the Times "Ministers are considering how to make it clearer that PFI schemes have to make financial sense. They are looking at how we got into this position and how to avoid it happening again." Patricia Hewitt ordered a last minute review of the St Barts and Royal London PFI project in December. If a decision is not made by the end of January the contract with private partner Skanska will lapse and the consortium will be entitled to walk away with costs of £100m paid, or to continue and be paid more. Summary by Keep our NHS Public of Times 16 January 2006
          MRSA "hit squads" are to be sent into 20 hospital trusts that are failing to reduce the number of patients infected by the potentially lethal superbug, the government announced today. The move came as new figures showed the NHS is failing to halt MRSA infections, with 3,580 cases of the most serious type of MRSA (methicillin-resistant Staphylococcus aureus) recorded between April and September last year. There were a total of 7,269 cases of bloodstream MRSA infection between October 2004 and September 2005. David Batty, health correspondent Monday February 6, 2006 [worst are Sandwell, Northumbria and Aintree]
          All our hard work could be snatched away. Salaried GPs in Washington, Tyne and Wear, who transformed a surgery from having no doctors to being a fully-staffed training practice, now fear a private firm will be allowed to snatch away the practice they have spent two years improving. They have been told by Sunderland Teaching PCT there is "considerable" interest from the private sector and it may be put out to tender. Dr Ashley Liston said: "It's the principle of putting out to tender a well-run practice - it's jeopardising good patient care. The patients are mystified." Summary by Keep our NHS Public of  Pulse 28 March 2006
          'Be protectionist' to battle private firms. GPs in the North-East have argued that practices need to be 'protectionist' to fend away the threat from private firms. a discussion paper from Newcastle and North Tyneside LMC urges doctors to form APMS companies and take up PBC to pre-empt private companies. Dr Roger Ford, secretary of Sunderland LMC, said: "We are already experiencing the private sector sniffing around vigorously and not just the struggling practices." Summary by Keep our NHS Public of  Pulse 28 March 2006
    3     Protest over plans to axe 100 NHS jobs. Gateshead Health NHS Foundation Trust, which runs the town's Queen Elizabeth Hospital, plans to lose as many as 100 staff to balance the books because it is £500,000 in the red. Clinical jobs will go, although the trust aims to lose the jobs by not filling vacancies. Healthcare workers in the North-East are planning a demonstration over NHS job losses. Unison members will be holding a rally at their national conference in Gateshead later this month. Summary by Keep our NHS Public of  Newcastle Journal 11 April 2006
    3     Concern over Gateshead 'breach'. Gateshead Health foundation trust 'might be in significant breach of its authorisation', according to independent regulator Monitor, which has has 'serious concerns as to the trust's liquidity'. The trust is 'stretching its creditors' and is not 'adhering to best practice' in paying back lenders. Meanwhile, University College London Hospitals foundation trust is failing to operate 'in an effective, efficient and economic way', according to Monitor. The regulator has so far decided against intervention, but the trust has to submit a recovery plan by the end of April that must show the 2006-07 deficit will not exceed £10m, and that it will have broken even and improved its financial risk rating from 1 to 3 on a scale of 1-5 by April 2008. Summary by Keep our NHS Public of  Health Service Journal 20 April 2006
1 2 3   5 The politics column - Allyson Pollock. In the New Statesman's main political column, Allyson Pollock writes: "According to Patricia Hewitt the NHS has had its best year ever. So why is the Royal College of Nursing threatening industrial action over cuts and closures, and why did the annual conference of Unison, traditional Labour supporters, greet the secretary of state with heckling? In her words, "the NHS must modernise or die". So why, from Surrey to Manchester and from Gateshead to Shropshire, are local people banding into hospital action groups and "Keep our NHS public" campaigns in an effort to defend the health service ? The chief targets for cuts are mental health services, palliative care, older people's care and emergency hospital care, yet Hewitt maintains, to general derision, that quality will not be affected… Pay accounts for 60-70 per cent of NHS hospital budgets, but pay awards accounted for less than 30 per cent of the new money and should have been absorbed easily. Nor was greed involved; the increases returned NHS pay to previous levels after years of pay freezes. The hourly rate of the lowest-paid rose initially from £5.16 to £5.67 an hour; medical consultants got increases of 4-5 per cent a year, taking them to averages of between £75,000 and £95,000, while managers - their numbers swollen by the complications of marketisation - got 7.5 per cent more last year. The real reason for the decision to axe in excess of 13,000 clinical staff and 1,000 NHS beds, plus associated services, is market-oriented reforms such as "choose and book", "payment by results" and foundation hospitals. Hospitals and services are required to behave like stand-alone companies, competing with each other and private corporations for income and patients… The government plans to hand over most of the NHS budget to the private sector through "practice-based commissioning". Under this policy, local PCTs will eventually contract with for-profit companies such as the US-owned UnitedHealth Europe to provide GP services… The Prime Minister asserts that the reforms are bearing fruit, and so they are - for "investors" such as the lucky shareholders of Norfolk and Norwich and Bromley PFI hospitals, who received a windfall of more than £500m within months of the new hospitals opening. But the PFI has been less "fruitful" for local people, who have seen a quarter of beds closed and clinical staff and community provision cut. A large part of hospital trust deficits is due to PFI debts, running at £1.5bn a year… And then there are the costs associated with establishing and operating a market - costs the NHS was explicitly designed to avoid: these are for invoicing, marketing, advertising, drawing up hundreds of thousands of contracts, legal disputes with contractors and rival hospitals, and using management consultants… And though NHS hospitals remain responsible for balancing their books, the government has ensured that the only way they can do so is by cuts, closures, the sale of land and buildings - and more privatisation. Some foundation trusts are entering joint ventures with companies such as the Hospital Corporation of America, providing care to private patients in what were previously NHS beds. Others are charging NHS patients for "extra" care: Queen Charlotte's and Chelsea NHS hospital has introduced a fee of £4,000 for one-to-one midwife care - once the NHS standard - and the government is allowing it. The less fortunate hospitals - if that is the right word - are closing services and sacking staff. Is this what the English patient needs or wants ?" Summary by Keep our NHS Public of  New Statesman 2 May 2006
         

An ambulance in Tyneside was misdirected twice by a satellite navigation system when on an emergency call.  The chair of the patient and public involvement forum said, "... Satellite navigation can be very effective when it is used correctly and with local knowledge.  It should not be relied on by itself though." Summary of Daily Mail 16 May 2006  [There is a danger of ambulance drivers' local knowledge becoming less complete as a result of the Government's decision to merge ambulance trusts.]

          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
          Protest greets health chief. Angry patients lobbied NHS boss Sir Ian Carruthers in a protest during the opening of a £6m Wearside health centre. Campaigners are furious that their doctors' practice, Encompass Healthcare in Washington, is to be put out to tender, fearing their GPs may be forced out if a private firm wins the contract. The practice had been without a permanent doctor for more than two years before Drs Ashley Liston and Tracey Lucas took over nearly two years ago. The patients say they don't want to lose them and handed a 1,200 name petition to Parliament, which will end up on Carruthers' desk. Encompass patient Brian Lawrence, 66, a retired haulage worker who has been with the practice for 27 years, said: "I hope common sense prevails and we keep the doctors. We want to see them get the practice. If we get a private company, I don't think we would get the level of care we need. We want to keep these doctors. They have done a brilliant job and we don't want to lose them." Sir Ian Carruthers said: "I heard their view. They are very supportive of the present general practice." He said it was a matter for Sunderland Teaching Primary Care Trust, which runs the practice, but added: "What the trust wants and the local public want are the same thing. They want to have a good service which commands the support of the people."  Summary by Keep our NHS Public of  Sunderland Today 12 June 2006
          GP fury over practice out to tender. GPs in the North-East are embroiled in a furious row over a PCT's decision to put one of its directly-managed practices out to tender. Sunderland Teaching PCT is to seek bidders to run the Encompass practice in Washington, despite the incumbent salaried GPs asking to take it over almost a year ago. Trusts around the country are trying to divest themselves of their PCTMS practices. Dr Ashley Liston and Dr Tracey Lucas had been under the impression they would be allowed to take their practice on. The two GPs have turned the practice around in the past two years, taking on training status and scoring 1,047 quality points. But the PCT has said Department of Health guidance on alternative provider medical services (APMS) contracts leaves it with no option but to run a competitive tender. Sunderland LMC has warned the move will jeopardise recruitment to the region and leave the two salaried GPs who made the practice an attractive proposition for potential bidders out of a job. BMA lawyers have also advised the LMC there is no legal requirement for the trust to advertise the practice. Sunderland LMC accused managers of selectively quoting and misquoting from key documents and legislation to support its move. It also argued there had been inadequate patient consultation - because the PCT believed their views would be "biased". Summary by Keep our NHS Public of Pulse 7 July 2006
          GPs are told to tender for their own practice. The BMJ says: "Ashley Liston seems like a model GP. He has an altruistic streak, inspired he says by Julian Tudor Hart, the socialist doctor and passionate advocate of the NHS who worked as a GP in Wales for 30 years. Two years ago Dr Liston gave up his position as principal GP in a practice in a comfortable Newcastle neighbourhood, where he had worked for eight years, to become a salaried GP at a practice that had relied on locums for 30 months. "I wanted to maximise the benefits of my skills without going abroad. I wanted to make a difference and to have a personal challenge," he said. If the feedback from his patients at the Encompass practice in Washington, Tyne and Wear, is anything to go by then Dr Liston, who works with another salaried GP, has achieved what he set out to do." However now Sunderland Teaching PCT has decided to put the Encompass practice out to tender, and he will have to compete with the private sector for his own practice. Summary by Keep our NHS Public of British Medical Journal 14 July 2006
    3     Foundation hospital cuts 500 jobs to save £20m. About 500 jobs are to be axed at the NHS foundation hospital in Sunderland to save £20m over the next three years. City Hospitals Sunderland NHS Foundation trust said it needed to cut up to 10% of the workforce to compete effectively with other hospitals and private treatment centres. Karen Jennings, for the public service union Unison, warned of a "summer of discontent" and more job cuts on the way. Summary by Keep our NHS Public of Guardian 27 July 2006
    3     Workers' fury over NHS cuts. Angry doctors and nurses leaders have blasted the Government over its health service reforms. Officials from 12 unions met Patricia Hewitt to call for more consultation over changes they fear are leading to privatisation. The talks followed news of almost 1,000 more job losses in the NHS as hospital trusts continue to make cuts to try to balance the books. Those in Sunderland and Brighton are both axing up to 500 jobs each. It brings total NHS job losses this year to 18,000. Brendan Barber, general secretary of the TUC, said: "There has been an unprecedented expression of anger. Morale is at a very low ebb." Summary by Keep our NHS Public of Mirror 27 July 2006
          Help for GPs to compete on APMS. A PCT that is putting four practices it directly manages out to tender has pledged to help the incumbent GPs compete with major private providers. Salford PCT has promised that managers will assist salaried GPs in preparing a bid, including giving advice on how how they might be able to collaborate with other practices or providers. The trust, which plans to set up Chinese Walls to ensure impartiality, has also promised patients' views will be taken into account in deciding criteria to judge the bidders' proposals and in evaluating bids. It has made the pledges in order to avoid the accusations of bias that have plagued similar tenders in Sunderland and Derbyshire. Mike Burrows, chief executive of Salford PCT, said tendering was the best way to evaluate all models of care, including the private sector and social enterprise. He said he was acutely aware of the furore that occurred in Derbyshire and had deliberately taken a more even-handed approach. Summary by Keep our NHS Public of Pulse 11 August 2006.
          NHS cleaners may continue strikes. There could be further disruption at a Tyneside NHS Trust after unions and hospital bosses failed to reach a deal following a six-day strike by cleaners. About 200 domestic staff returned to work on Tuesday at South Tyneside Foundation Trust following the third strike since mid-July. The GMB and Unison want to see job descriptions revised to recognise that cleaners assist with providing drinks. But trust chiefs said cleaners should only be responsible for cleaning. Hospital managers stepped in to clean wards during the strike, and the trust has rejected claims by the unions that hygiene standards were affected. Summary by Keep our NHS Public of BBC Online 15 August 2006
          A court ruling could make it harder for NHS trusts to open up GP surgeries to big business in the face of opposition from patients. Annie Kelly Wednesday August 30, 2006 The Guardian [Derbyshire and Washington]
    3     Monitor in target warning. The independent foundation trust regulator has warned that progress towards the 18-week target could be slowed down by primary care trusts attempting to cut spending. summary of findings from foundation trusts' annual plans warns that foundation trust financial and operational planning will become 'increasingly uncertain' and that 'the progress towards 18-week waiting targets may be slowed'. 'Operational and financial planning is complicated as foundation trusts balance waiting list targets with commissioners' desire to minimise activity,' it says. The regulator also says the 'priority to achieve financial balance is leading some commissioners to demonstrate behaviour which conflicts with payment by results reform'. Seven foundation trusts have forecast a deficit for the end of the current financial year. University College London Hospitals is predicting the biggest deficit - £10m by year-end. Countess of Chester Hospital, Gloucestershire Hospitals, Barnsley Hospital, Doncaster and Bassetlaw Hospitals, City Hospitals Sunderland, and Homerton University Hospital foundation trusts are forecasting deficits ranging from £1m-£3m. Summary by Keep our NHS Public of Health Service Journal 31 August 2006
  2       Villagers fight PFI bid. Villagers yesterday came out in force against proposals for a multi-million pound health centre in their Northumberland community. They say the plans by Prime UK Development will be out of keeping with the surrounding area in Corbridge. Prime UK has applied to Tynedale Council for permission for the private finance initiative (PFI) centre, which is expected to cost between £1.5m and £2m. It will provide a range of services under one roof and would include a 32-space car park. Health officials in the village say the current centre has become too small for the population of the community, with 2,000 new patients having joined the books since it opened in 1982. Tynedale Council is set to give the plans the go ahead at its meeting of the development control committee. But villagers and the Corbridge Village Trust are concerned that the design of the building could have a detrimental impact on the village, which is within a conservation area. Summary by Keep our NHS Public of Newcastle Journal 15 September 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
  2       North east LIFT reaches final close. Robertson Construction North East England Ltd (RCNEEL) has reached financial on a £10million second tranche Local Improvement Finance Trust (LIFT) project in Newcastle and North Tyneside. The project will be delivered on behalf of Newcastle and North Tyneside LIFT company (NNT LIFT Co) - a joint-venture company that includes both private and public sector shareholders with Scottish-based Robertson Capital Projects as majority investor. The second-phase project will see the development of three new buildings in Dudley and Shiremoor on North Tyneside and Gosforth in Newcastle. NNT LIFT Co is jointly owned by Robertson Capital Projects, Newcastle and North Tyneside Councils and Newcastle and North Tyneside Primary Care Trusts. NNT LIFT Co holds exclusive rights to modernise primary care and community-based premises for the NHS and can also be invited to develop a wide range of premises for local authorities. The first-phase of the 20-year-partnership has already delivered four resource centres in Brunton Park, Kenton and Walker in Newcastle and a further facility in Shiremoor. Summary by Keep our NHS Public of thePFI.net 22 December 2006
          Blood centre plans 'put lives at risk'. Lives could be put be at risk if health bosses go ahead with plans to close Newcastle Blood Centre, it was claimed. Dozens of protesters gathered outside the centre for a Valentine's Day Save Our Service event, to campaign against the decision to close the site over the next three years with the loss of 250 jobs. The NHS Blood & Transplant Service is planning a national shake-up, which will see blood testing centralised to laboratories in London, Bristol and Manchester. This will see the loss of 700 jobs nationally over four years, including highly-skilled workers such as lab technicians and researchers. Union officials at Amicus claim the move could put lives at risk. NHS bosses have said there will still be a local blood bank in the North-East despite the proposed closure, but Amicus claim there is a danger of a geographical gap in services, which could lead to delays in vital deliveries. Summary by Keep our NHS Public of Newcastle Journal 16 February 2007
    3     Protestors take to the streets over NHS cuts and closures. Thousands turned out last weekend to protest at cuts, deficits, and increasing private sector involvement in the NHS. The "Day of Action" was organised by NHS Together, a collaboration of health service unions, NHS staff organisations, and the Trades Union Congress. A series of events took place across the country. A "Rock for the NHS" concert took the stage at Woking, while in Crawley protestors marched in nightgowns and bandages. Other rallies were held in Brighton, Maidstone, Gloucester, Preston, Belfast, London, and Sunderland, where Dr George Rae, chairman of the BMA's northern regional council (left) took part. In Tunbridge Wells, a small crowd protested at the closure of the Homoeopathic Hospital. In Birmingham, Unison general secretary Dave Prentis said the protests were "testament to the growing number of people worried about the future of our NHS." Summary by Keep our NHS Public of British Medical Journal 9 March 2007
          Nurses told to re-apply for jobs. Nurses at a North-East health trust have been told they must re-apply for their jobs as part of a shake-up of surgery at five hospitals. The review, being carried out by Northumbria Healthcare NHS Foundation Trust, is aimed at standardising theatre procedures. But bosses have insisted there are no plans to cut jobs as part of the review, which it is thought will affect about 100 nurses and care staff in Wansbeck, North Tyneside, Hexham, Alnwick and Berwick. The review could bring in changes to shift patterns at the hospitals to help prevent patients being sent home without their operations being carried out. Unison regional officer Keith Blackburn said: "We would be saying quite categorically that to front-load the idea with people re-applying for their jobs is no way to go about it. We've always told people to resist that. We will be examining what they are proposing to see whether it has any legs and whether it contravenes family friendly policies." The root of any problems with surgery is that there is not enough staff, he added. Summary by Keep our NHS Public of Newcastle Journal 23 March 2007
    3     City health cash goes to help out others. Health chiefs have transferred money from Sunderland Teaching Primary Care Trust (TPCT) to Gateshead Primary Care Trust (PCT) to make up a deficit in its finances. Last year Sunderland TPCT spent carefully, leaving it with a surplus of £10.3m. That money has been promised to be ploughed back in to Sunderland in the coming years, but £4m of it has already been "lent" to Gateshead PCT to help it sort out its cash- flow problems. Summary by Keep our NHS Public of Sunderland Echo 30 July 2007
          Legal disputes soar as PCTs squeeze PMS practices. A massive rise in the number of recorded disputes between PMS practices and PCTs is just the 'tip of the iceberg', the GPC said this week. Statistics from the NHS Litigation Authority (NHSLA) show the number of disputes between PMS practices and PCTs rocketed almost six-fold between the financial years 2005/ 6 and 2006/ 7. The rise - from 12 disputes up to 68 - is another indication of the cash squeeze facing PMS surgeries. GP profits, especially in PMS surgeries, have been set to plummet as PCTs attempt to claw back their deficits by renegotiating contracts. Chief executive David Nicholson revealed last week that the NHS was heading for a near £1bn profit, but the GPC warned that with 22 PCTs still in deficit and others embarking on massive cost-cutting missions, PMS surgeries remain in the firing line. Dr Chaand Nagpaul, GPC negotiator and a GP in Stanmore, Middlesex, said many more practices were involved in payment disputes that hadn't gone as far as the NHSLA. Dr Ross Worthington, a GP in Haverhill and one of 46 PMS practices being represented by Suffolk LMC, is among those taking to the streets to protest at the weekend at PCT proposals he says amount to 'more work for less money'. He said: 'We are looking at a loss of £300,000 over five years - or 15% of the total budget for the three practices in Haverhill.' Disputes over contract payments are also raging in other parts of the country including Barnet, Northumberland and Nottingham. Summary by Keep our NHS Public of Pulse 7 September 2007
          Fly on the wall interviews: Local authority and primary care trust partnerships.  IDeA's National Adviser for Healthy Communities, Liam Hughes, introduces a compelling series of case studies that explore the relationships between councils and primary care trusts (PCTs);- Barnsley Council and PCT 17 October 2007; City of Bradford Metropolitan District Council 17 October 2007; London Borough of Brent 17 October 2007; Cannock Chase Council and PCT 17 October 2007; Croydon Council and Croydon's PCT 16 October 2007; Gateshead Council and Gateshead PCT  16 October 2007; Greenwich Council 17 October 2007; Herefordshire Council 17 October 2007; Kent Council and PCT 15 October 2007; Knowsley: joint appointment council and PCT;  15 October 2007 Lewisham Council and PCT 15 October 2007; Shropshire County Council 15 October 2007; Stockton-on-Tees Council and PCT 17 October 2007; Tameside Metropolitan Borough Council 15 October 2007.  Care & Health 18 October 2007
           

Heat Map North East

Community Hospitals under threat.  Map and index Telegraph 8 February 2007

Closed Threat of closure/loss of service Under review
Northumberland, Tyne and Wear  former Strategic Health Authority
        Morpeth Blyth

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Sheila Porter-Williams
Campaign for Health Service Democracy
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Dunchurch
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sheilaCHSD@porter-williams.freeserve.co.uk