Shropshire and Staffordshire 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 state of clinical trials in the UK, which allows researchers to treat adult volunteers and their children as human guinea pigs, was exposed yesterday in a damning report from an NHS panel investigating the work of consultant paediatrician David Southall and his colleagues in North Staffordshire. Guardian, 9 May 2000
          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)]
          Scientists are urgently assessing the threat from new superbugs that are wrecking antibiotic treatments for hundreds of patients and may have killed 28 people in Shropshire in the year to March. Laboratories have reported a surge in the number of urinary tract infections such as cystitis and cases of blood poisoning caused by strains of the E coli bug resistant to most antibiotics. The bugs, represented by an increasingly dreaded acronym ESBL, are not only striking in hospitals, but also turning up in GP surgeries, and only one class of antibiotic to which they have not developed resistance is available in tablet form. James Meikle, health correspondent Saturday July 17, 2004 The Guardian
          A transcript of the exchanges between ambulance controllers and a doctor attempting to transfer a dying teenage cancer patient 300 yards to intensive care has been released by the boy's parents. An investigation has been launched into the two-hour delay in July during which 16-year-old Luke Gallimore slipped into a coma while being treated at the University Hospital of North Staffordshire. Owen Bowcott Monday October 18, 2004 The Guardian
          An ambulance answering an emergency call was delayed at the barrier of Britain's only toll motorway after the paramedic driver was asked to pay £3, it emerged today. The driver was only allowed through the barrier after switching on the vehicle's blue flashing light, Staffordshire ambulance service claimed this morning. The ambulance service is now seeking urgent talks with Midland Expressway Ltd, the company which controls the M6 toll booths, to ensure that emergency vehicles are never held up at exit barriers again. Debbie Andalo and agencies Thursday December 2, 2004
    3     If the call to cancel debt is an effective means of helping the third world, why confine the concept to overseas (Monks and nuns take their fight against poverty to Westminster, May 19)? The health trust in Shropshire has a £7m debt hanging round its neck. This can only be paid by the ruthless imposition of cuts in services to the very people to whom the money is owed, the taxpayers. Many trusts are in the same boat. Why not cancel all NHS debt and start again?  Letter Friday May 20, 2005 The Guardian
        5 A new website has been launched in a bid to help save Bridgnorth and Ludlow hospitals from closure. South Shropshire MP Philip Dunne has built the site to drum up support for the campaign to save the county’s community hospitals. They are being threatened with closure as a result of a multi-million pound cash crisis in Shropshire’s medical services. Residents are being encouraged to log on to www.saveourbridgnorthhospital.com or www.saveourludlowhospital.com and sign the petitions online. Summary by Keep our NHS Public of Shropshire Star 19 December 2005
        5 Royal Shrewsbury Hospital's special care baby unit could be downgraded. Premature babies in Shropshire could be transferred to Stoke or Wolverhampton under the plans. Shropshire PCT has said its predicted deficit could increase to £3.5m.  Shropshire Star 21 December 2005
        5 Protest planned against Whitchurch Hospital closure. The march, organised by Whitchurch Hospital League of Friends, will take place in the town on 7 January. Summary by Keep our NHS Public of Shropshire Star 21 December 2005
  2       Cash crisis puts new medical centre in jeopardy. Plans to build a multi-million pound one-stop medical centre at Bridgnorth Hospital are in doubt as an agreement between Shropshire health chiefs and developers Matrix Holdings Ltd has been put on hold until the new year. Summary by Keep our NHS Public of Shropshire Star 23 December 2005
  2       New PFI health centres poised to open soon Three non-hospital health centres built under the PFI by the Prime PLC consortium will finally open after more than a decade of delays. A £1.5 million building in Packmoor in Stoke-on-Trent will be handed over to the already indebted North Stoke PCT in mid-January, followed by the £3 million Fenton health centre in April and another centre at Alton. In early 2007 a further project at Audley will be completed and schemes at Cobridge, Blythe Bridge, Bucknall, Shelton and Sneyd Green are being planned. Summary by Keep our NHS Public of Stoke Sentinel 30 December 2005
  2       Don't let cash crisis cost us new hospital. The outgoing chairman of the University Hospital of North Staffordshire, who resigned in December after it was revealed that debts were twice as high as had been reported, has said that a planned PFI 'super-hospital' development must not be sacrificed to tackle its financial crisis. He said the deal with private consortium Equion, which now appears to be under threat, is vital to provide modern facilities.  Summary by Keep our NHS Public of  Stoke Sentinel 6 January 2006
        5 Group calls for answers on hospitals. Up to a thousand protesters are expected on the streets on Saturday protesting against the proposed closures of Ludlow, Bridgnorth and Whitchurch community hospitals. More than 400 people demanded assurances over the hospitals at a meeting with the chief executive of Shropshire PCT in Ludlow on Thursday. Meanwhile, campaigners against cuts at the Princess Royal Hospital will gather in Telford on March 11 for a "March for Life".  Summary by Keep our NHS Public of  Shropshire Star 6 January 2006
        5 Protests over plan to close hospitals. Thousands of people took to the streets of Ludlow, Bridgnorth and Whitchurch on Saturday to protest against the proposed closure of three community hospitals in Shropshire. Summary by Keep our NHS Public of  Shropshire Star 9 January 2006
        5 Anxiety over ward closure proposals. A number of surgical wards, including gynaecology, are believed to be under threat in a review of services at Staffordshire General Hospital by in-debt Mid-Staffordshire General Hospitals Trust. Summary by Keep our NHS Public of  West Midlands Express and Star 9 January 2006
        5 Hospital marches hailed as a record. Saturday's demonstrations against the closure of Bridgnorth, Ludlow and Whitchurch hospitals have been hailed as the biggest demonstrations ever seen in Shropshire. Wrekin MP Mark Pritchard said he hoped for a similar turnout on March 11 for the 'March for Life' demonstration against the proposed reduction of services at Telford's Princess Royal Hospital. Summary by Keep our NHS Public of  Shropshire Star 10 January 2006
        5 Care fears as recovery bid revealed. Proposals from cash-strapped Mid-Staffordshire General Hospitals NHS Trust designed to secure the future of Cannock Chase Hospital have raised fears that care for the elderly will decline. There is also concern about possible future redundancies. Gordon Alcott from Cannock's health scrutiny committee said: "It is disappointing that the needs of long-terms patients, especially the elderly, seem to have been forgotten." Summary by Keep our NHS Public of  West Midlands Express and Star 10 January 2006
        5 Hospital protests to gallop at races. Campaigners against the closure of Ludlow hospital have found a novel way of promoting their cause. Ludlow Races' Clerk of the Course Bob Davies and its senior medical officer have nominated one of Thursday afternoon's races the Save Ludlow Hospital Handicap Steeplechase. Meanwhile an official from Shrewsbury and Telford Hospital Trust has told the local council health scrutiny committee that closing community hospitals in Shropshire would leave the two large hospitals over-stretched. The trust already has a 95% bed occupancy rate. Summary by Keep our NHS Public of  Shropshire Star 11 January 2006
    3     Hospital beds may go to cut debts in Stoke. North Stoke and South Stoke PCTs are considering closing hospital beds, cutting health visitor and district nurse posts, reducing services at the Haywood Community Hospital and Longton Cottage Hospital and urging GPs to write cost-effective prescriptions. They are seeking to save £8m from their deficit. Summary by Keep our NHS Public of  BBC Online 16 January 2006
        5 Two wards to close at hospital. The gynaecology and women's health ward and the orthopaedic ward will close at Staffordshire General Hospital as part of controversial plans to save £600,000. Staff on the wards are now worried for their jobs. Summary by Keep our NHS Public of  West Midlands Express and Star 16 January 2006
    3     Probe urged to look at NHS management. Hospital workers in North Staffordshire are calling for Unison to focus on their region's £18m debt in its inquiry into the financial crisis. They say the fault lies with the politicians rather than health managers. Summary by Keep our NHS Public of  Stoke Sentinel 18 January 2006
    3     Health cuts branded an absolute horror. The proposed cuts by North Stoke and South Stoke PCTs include the temporary closure of 10 beds at Westcliffe Hospital, Chell; a reduction in the number of beds and suspension of X-ray services at Longton Cottage Hospital; a reduction in service at Haywood Hospital walk-in centre, Burslem; a reduction in the number of health visitors and district nurses pending a city-wide service review. The PCTs have a combined deficit of £9m. Pressure group North Staffordshire Healthwatch said the cuts would hit the elderly and the vulnerable particularly hard, but would have knock-on effects for the whole population. Summary by Keep our NHS Public of  Stoke Sentinel 18 January 2006
        5 Hospitals outcry to ministers. Petitions in defence of Whitchurch, Bridgnorth and Ludlow hospitals with 30,000 signatures have been handed to the Department of Health. Shropshire MP Owen Paterson said: "This is a phenomenal demonstration of popular feeling." Summary by Keep our NHS Public of  Shropshire Star 18 January 2006
        5 Fight to save "forgotten" hospital. The campaigns around threats to Bridgnorth, Ludlow and Whitchurch community hospitals have overshadowed the plight of Bishop's Castle Community Hospital, which also has an uncertain future. Local residents have now launched a campaign and organised demonstrations. Summary by Keep our NHS Public of  Shropshire Star 20 January 2006
    3     Patients face longer wait for treatment as minor injuries unit cut. North Staffordshire's PCTs are planning to withdraw £130,000 annually from a pioneering walk-in centre at Burslem's Haywood Hospital as they struggle to claw back millions of pounds of debt. This would leave the Haywood centre with just its £800,000 of central government funding, undermining its ability to hit the four-hour waiting target. This week Newcastle PCT also announced it will be pulling funding from cancer services and a mental health care initiative. Summary by Keep our NHS Public of  Stoke Sentinel 20 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
    3     Midlands faces an NHS debt crisis. The region's combined deficit could top £100m by April, according to BBC research. Shropshire alone is £55m in debt and proposals have been put forward to close three community hospitals in Ludlow, Bridgnorth and Whitchurch. Summary by Keep our NHS Public of BBC Online 30 January 2006
        5 NHS chief's vow over future of A&E unit. Tom Taylor, chief executive of Shrewsbury and Telford Hospitals Trust, has given his strongest pledge yet that Telford's Princess Royal will not lose its Accident and Emergency department or see it downgraded. He said there was not enough cash to make any major changes.  Summary by Keep our NHS Public of Shropshire Star 1 February 2006
    3     Jobs on the line at the University Hospital of North Staffordshire. The new chief executive of the Stoke hospital has told unions that up to 700 posts need to be shed to balance the books. He wrote to all 7,000 staff, telling them their jobs could be on the line to claw back a £18 million debt. But both he and the new chairman publicly backed the £420 PFI project for a new superhospital. The previous chairman, who resigned due to the financial situation, had called for the scheme not to be scrapped. Summary by Keep our NHS Public of Stoke Sentinel 6 February 2006
          I'll run private ambulance fleet. The chief executive of Staffordshire ambulance trust wants to turn it into Britain's first private emergency brigade to avoid a merger with three worse performing trusts that would create a West Midlands regional service. Roger Thayne said: "We save significantly more lives than the other services and do it for 25% cheaper so it would be hard for the PCTs to ignore a bid from a new independent Staffordshire ambulance service. Our assets are worth £7m to £8m and I have spoken to banks about the possibility of them finding that capital for the service and then leasing it back to the NHS under, say, a 30-year private finance initiative deal." He is not surprised that PCTs have shown interest in the scheme, "when they are facing debts of around £8 million and I can demonstrate I can run the best performing service in the UK for £4 million a year less than the average cost of ambulance trusts." The plan to merge the services has been widely opposed and 30,000 people have signed a petition. Summary by Keep our NHS Public of Stoke Sentinel 8 February 2006
    3     Politicians fight to make North Staffordshire NHS a special case for extra Government funding. Five MPs from the area around the University Hospital of North Staffordshire have signed an Early Day Motion in Parliament calling on Patricia Hewitt to provide extra funding to the institution because of the costs of operating on a split site a mile apart. The hospital's previous chief executive calculated that split site working cost an average of 6% more than having services under one roof. Taken over its annual budget of nearly £300 million, that equates to £18 million - the same sum as its current deficit. The hospital plans to cut up to 700 posts and dismantle some services over the next two years. This is in addition to 500 jobs to be lost as part of a freeze on recruitment.  Summary by Keep our NHS Public of Stoke Sentinel 10 February 2006
    3     Aged facilities mean NHS cash is wasted. 19,000 ambulance journeys a year have to be made to transfer patients the mile between the two sites that comprise the University Hospital of North Staffordshire. North Staffordshire Healthwatch has launched a nationwide search to find if any other similar-sized hospitals' finances are squeezed by split-site working which is beyond their control.  Summary by Keep our NHS Public of Stoke Sentinel 10 February 2006
        5 Hospital axe decision call. Owen Paterson, MP for North Shropshire, has called for a decision once and for all on the future of Bridgnorth, Ludlow and Whitchurch community hospitals. The closure of the hospitals was one of a number of options put forward by management consultants Finnamore, paid £95,000 to tackle the £36m deficit of Shropshire's health economy. NHS chiefs have said the closures are still a possibility and no options have been ruled in or out. Summary by Keep our NHS Public of Shropshire Star 14 February 2006
        5 Shropshire hospitals may get reprieve. Controversial plans to save £37m a year by closing community hospitals in Shropshire have been delayed following last month's white paper on out of hospital care. A consultation document will now be published in March - later than planned because of the white paper, as well as recent policy on practice-based commissioning and payment by results. Among the options raised in the pre-consultation period were closing one or more of the community hospitals at Ludlow, Whitchurch, and Bridgnorth. A 2,000-strong demonstration protested at the plans. Summary by Keep our NHS Public of Health Service Journal 16 February 2006
    3     Hospitals staff must be axed to tackle debt. The University hospital of North Staffordshire has admitted for the first time that staff will be made redundant to tackle debts. Until now it was hoped that a recruitment squeeze would be enough to tackle the £18 million deficit. But the hospital says that policy will only reduce staff numbers by 260, well short of the 1,200 jobs it says need to go to balance the books by March next year. The hospital, which needs to cut its overall spending by £30m to ensure it stays in the black, also revealed the financial crisis had pushed up sickness leave over the past three months as morale has sunk. Summary by Keep our NHS Public of Stoke Sentinel 16 February 2006
      4   Ambulance crews in drug row. Heart attack patients across Birmingham and the Black Country are not given the blood clotting Thrombolytic drug en route to hospitals because local PCT's say they are unable to fund it. Neighbours in Staffordshire and Shropshire are given the £350 shot which can prove the difference between life and death. The West Midlands ambulance service runs in both regions but is forced to treat patients from the two areas differently. Summary by Keep our NHS Public of Birmingham Mail 16 February 2006
        5 Community hospital battles continue. Despite the recent health white paper favouring community hospitals, campaigners are still having to fight closures due to the financial pressures on PCTs. Closure decisions are still going ahead Suffolk and Wiltshire, and there are concerns for the future of services in other areas, such as Shropshire and Gloucestershire. Now the Department of Health is to issue a "get tough" message to those PCTs who are unnecessarily planning to close community hospitals in the face of local opposition, telling them such closures should not be implemented because of "short-term budgetary pressures". The Department's letter says: "We are not leaving this shift of care to chance. We will reject local NHS plans that do not set out a strategy for providing more care closer to patients." Summary by Keep our NHS Public of BBC Online 17 February 2006
    3     Hospital delays paying £4m tax bill. The University Hospital of North Staffordshire is delaying paying its tax bill in order to pay local suppliers on time. The hospital, currently predicting an £18m deficit, is £7 million short of the sum it needs to pay all its bills in the next two months. Directors of the hospital trust have authorised a delay of payments totalling £4m to the Inland Revenue until the new financial year. The hospital wishes to prioritise local suppliers and small businesses before large companies and the taxman. As part of the delay, the hospital will hold off handing over employees' national insurance contributions to the Treasury, as well as VAT. Summary by Keep our NHS Public of  Stoke Sentinel 21 February 2006
          Auf Wiedersehen from doctor. A doctor has quit a privately run GP practice just months after being appointed, as patients face further discontinuity in their care. Private firm ChilversMcRae won the contract to run Longton Health Centre in North Staffordshire in October 2004 because the PCT was unable to attract doctors to the area. But in its opening three months, Chilvers McCrea firstly had to pay a PCT to supply doctors and then it used temporary doctors to fill the gap, including one from France. It employed Dr Gabriele Muzzulini from Germany just months ago but she has now left. Summary by Keep our NHS Public of  Stoke Sentinel 21 February 2006
  2       Superhospital plan may be scaled down. Negotiations are under way to reduce the size of North Staffordshire's planned £420m PFI superhospital, raising fresh fears over job cuts. Already 1,200 posts are to be lost because of the financial state of the University Hospital of North Staffordshire. Hospital executives are in talks with PFI consortium Equion to see if the 30 annual instalments of £53m the NHS is set to pay under the PFI can be reduced by keeping some of the support services - including cleaning, catering and portering - in the public sector after all. They are also looking at a scaled down scheme with fewer beds. Unison branch secretary Pat Powell said: "We warned this would happen years ago but were ignored. It would seem the only alternative now is for the Government to ditch the whole PFI policy and start funding hospitals from the Treasury as they always used to…If the trust is now talking about cutting costs by keeping the staff within the NHS instead, that can only mean job numbers falling. We have always fought to keep jobs and services in-house at this hospital but in light of recent events you now wonder if they would be less at risk if they were working under a private contractor." Summary by Keep our NHS Public of  Stoke Sentinel 21 February 2006
  2       Plans for mini-hospital casualty of NHS crisis. A £5 million pound PFI mini-hospital to treat people falling ill at nights and weekends has been scrapped, because of the financial crisis gripping North Staffordshire healthcare. It was set to become Britain's first fully comprehensive out-of-hours medical centre, containing GPs, nurses, dentists and pharmacists. But the four North Staffordshire PCTs - with a combined deficit of £15m - say they can no longer afford the PFI scheme it due to the "present financial climate". In the autumn the service will be transferred from its current location to the University Hospital of North Staffordshire's central outpatients department. Doctors have voiced concerns over how a service incorporating 80 doctors, 48 nurses, teams of drivers and a range of full-time staff can be "grafted on to" an already busy hospital department. Summary by Keep our NHS Public of  Stoke Sentinel 01 March 2006
  2       Doctors had own plan for treatment. A doctors' co-op in North Staffordshire's was prepared to run out-of-hours medical cover and was poised to build a state-of-the-art centre before the service was incorporated into the mainstream NHS two years ago. Now PCTs cannot afford the mini-hospital. Summary by Keep our NHS Public of  Stoke Sentinel 01 March 2006
    3     Old buildings, inefficient systems, delayed operations and £18m losses. Portrait of a struggling trust [hospitals in Stoke on Trent].  Hugh Muir Wednesday March 8, 2006 The Guardian
    3     Despair of Shelton boss at cuts. Staff and patients have been told that the Lilleshall mental health ward at Shelton Hospital in Shrewsbury will close on April 23, to generate savings of about £300,000. The boss of Shropshire's mental health service said he felt "utter despair" that it has been caught up in the county's NHS cash crisis through no fault of its own. Despite being able to balance its books for the fifth year running it is still being forced to freeze more than 50 staff vacancies. Summary by Keep our NHS Public of  Shropshire Star 8 March 2006
  2       Two big hospital PFIs at risk. The University of North Staffordshire NHS Trust has admitted it will not be able to afford it's £350m PFI hospital without scaling back the project. The scheme, which also includes the construction of a community hospital, would tie the trust in to paying the private consortium Equion between £52m and £53m a year over 30 years, a total of around £1.5bn. The government is also reviewing the PFI project at the University Hospitals of Leicester NHS Trust. Summary by Keep our NHS Public of  Independent 12 March 2006
    3     Health trust's cash "bombshell". Telford & Wrekin PCT has said it cannot rule out an impact on patient care because of a financial "bombshell". New pricing structures will cost the PCT £1.1m next year while the strategic health authority has asked for £5.3m back to cover deficits elsewhere. The trust's chief executive said: "When recovering that sort of money you can't rule out there being some impact on patient care." Summary by Keep our NHS Public of  BBC Online 13 March 2006
    3     Patients facing longer wait as hospital debt is slashed. Cost-cutting measures have succeeded in reducing the debt at the University Hospital of North Staffordshire by a million pounds in three months. But the number of patients waiting for an operation rose by nearly 400 in January to 6,286. The hospital still plans to lose 1,200 jobs in the next two years, a figure that will require compulsory redundancies. Summary by Keep our NHS Public of  Stoke Sentinel 13 March 2006
        5 Hospital protest hits the streets. More than 1,000 people took to the streets of Wellington to deliver a clear message to health chiefs: "Hands off our hospital." There are fears that the Princess Royal Hospital could be downgraded and could lose its A& E. Summary by Keep our NHS Public of  Shropshire Star 13 March 2006
    3     Hospital to cut up to 1,000 jobs. Staff at the University Hospital of North Staffordshire have been told 1,000 jobs could be lost, including 750 compulsory redundancies. An estimated 370 of the posts will be nurses and midwives. Vacant posts may not be filled to help reduce staffing and 15 consultant posts could be cut. The hospital is £17m in debt. The overall figure of 1,000 jobs represents a seventh of the workforce. Summary by Keep our NHS Public of  BBC Online 16 March 2006
    3     Up to 1,000 jobs could vanish in an attempt to reduce the debts of a hospital trust which is carrying a deficit of £18m - one of the worst in the country - it was announced yesterday. As many as 750 of the redundancies at the University hospital of North Staffordshire NHS trust could be compulsory, the staff were warned at the launch yesterday of a 90-day consultation process. Sarah Boseley, health editor Friday March 17, 2006 The Guardian
          Ambulance chief quits over merger. Roger Thayne, head of the Staffordshire Ambulance Service, has resigned following a row over planned mergers. Summary by Keep our NHS Public of  BBC Online 17 March 2006
        5 Community Hospitals at risk in Shropshire and Staffordshire  SHA according to Public Finance 17 March 2006:
Ludlow Community Hospital
Bridgnorth Hospital
Whitchurch Hospital
    3     Question Time. Staffordshire MPs are to meet with Tony Blair amid concerns that the NHS in North Staffordshire is in crisis. Staff at the University Hospital of North Staffordshire have gone into official dispute after refusing to accept guarantees that patient services would not be hit. Unions have pulled out of all negotiations on the redundancy programme. Unison secretary Pat Powell said: "Staff are so angry some are talking about industrial action but with so many jobs going I don't know where that would get us. Documentation from the trust says they want to reduce the length of stay for patients and cut outpatient appointments by 27,000. We do not accept that can be done without drastically reducing patient care." Summary by Keep our NHS Public of  Stoke Sentinel 17 March 2006
    3     The public must fight to save hospital jobs. A campaign of public resistance is being called for to fight the hundreds of compulsory redundancies due to hit the University Hospital of North Staffordshire. North Staffordshire Healthwatch called on the public to step up pressure on MPs to fight the cuts by acting at national level. Group co-ordinator Ian Syme said: "It is the equivalent of closing a small acute hospital and cannot be accepted by the public." Summary by Keep our NHS Public of  Stoke Sentinel 17 March 2006
    3     Hewitt gets blame for hospital's slashing of 1,000 jobs. Patricia Hewitt has come under fire for the axing of 1,000 jobs at the University Hospital of North Staffordshire as the government was blamed for causing its cash crisis. A Unison report by John Lister cited "perverse" government targets and "contradictory" policies for the hospital's £15.5m debt. Dr Lister highlighted the cost of the £350 million hospital being built on the Stoke site through the PFI. He also accused the Government of turning a blind eye to high debt before last year's general election to avoid "politically embarrassing cuts in services". Niall Dickson, the chief executive of the King's Fund, said hospitals could not be blamed for the costs of pay deals negotiated by the DoH, which is now making the NHS "carry the can". Liz Longstaff, the regional officer for the RCN, said it was preparing to ask its members to work to rule if the threat of such large cutbacks was not lifted. She said: "If every nurse worked their contractual hours let's see how many they could get rid of then." Summary by Keep our NHS Public of  Telegraph 18 March 2006
    3     Thousands more jobs may go as crisis hits NHS Direct. Hundreds of jobs could be lost at NHS Direct, the telephone and online service, as it becomes the latest arm of the health service to report a deficit. Cost-cutting proposals include an immediate recruitment freeze, compulsory redundancies and the closure of some call centres. Meanwhile the RCN has warned that there could be 5,000 more job losses in the West Midlands alone, on top of the 1,000 jobs cut by the University Hospital of North Staffordshire, because of "huge problems" at hospitals such as Good Hope and City Hospital in Birmingham, New Cross in Wolverhampton, and Worcestershire Acute Hospitals NHS Trust. Summary by Keep our NHS Public of  Telegraph 18 March 2006
    3     Midwife: Women stand to lose a gold standard birth choice service. Sue Brown, the deputy head of midwifery and Royal College of Nursing representative at the University of North Staffordshire, said the hospital's jobs cuts will affect the standard of patient care: "We offer a gold standard service and women will lose that service. The birth rate is increasing and we need more midwives, not less. Recently, 10 midwives qualified, having trained here for three years, but there's a recruitment freeze so we can't take them on. We've tried to make births as normal and natural as possible, like the Government wanted, by providing choice. Now that choice won't be there." Summary by Keep our NHS Public of  Telegraph 18 March 2006
    3     300 jobs to go at two hospitals. Almost 300 jobs are to go at Shropshire's two main hospitals. 80 jobs will go immediately this financial year and 211 before the end of the next at the Princess Royal Hospital and Royal Shrewsbury Hospital. The Shrewsbury and Telford NHS Trust is in debt by £30m. Compulsory redundancies have not been ruled out. Summary by Keep our NHS Public of  BBC Online 21 March 2006
    3     Problem of NHS deficits far worse than admitted, with real deficit at £900m. A Conservative Party analysis of 139 NHS organisations suggests the financial crisis gripping the NHS is far worse than ministers have admitted, with hospital and PCTs expected to be £900 million in debt by the end of the financial year. The organisation with the greatest increase in predicted deficit is Burton Hospitals NHS Trust, which runs Queen's Hospital in Burton Upon Trent. The predicted overspend is £31 million - £29,850,000 more than expected in September. Summary by Keep our NHS Public of  Telegraph 21 March 2006
    3     Postcard campaign launched to fight hospital cuts. Hundreds of postcards are being sent to hospital bosses from residents urging them not to axe services. More than 1,600 people signed the postcards against cuts at Macclesfield Hospital, which serves patients in Congleton and the Staffordshire Moorlands. Summary by Keep our NHS Public of  Stoke Sentinel 21 March 2006
        5 A proposal to close several community hospitals in Shropshire has been dropped, health bosses have confirmed. Campaigners have been protesting at the plans to close Bridgnorth, Whitchurch and Ludlow hospitals. The NHS in the county collectively has a £55m deficit, and it was suggested closure would save several million. Shropshire Primary Care Trust (PCT) said it was proposing "substantial changes" for community hospitals but ruled out closing any of them. BBC Online 24 March 2006
    3     Hospital will axe 150 staff to save £10m. Mid-Staffordshire General Hospitals NHS Trust, which runs Stafford Hospital, has announced that more than 150 posts are to be lost to save £10m next year. Compulsory redundancies have not been ruled out. The trust is actually making a surplus this year. Summary by Keep our NHS Public of  Stoke Sentinel 30 March 2006
    3     NHS watchdog may ask minister to halt job cuts. Stoke-on-Trent City Council's health scrutiny commission is considering a plea to Health Secretary Patricia Hewitt to rule on whether the planned job cuts should be allowed to go ahead. It will take the move if it believes that patient care will suffer as a result of the cuts. Unions at the hospital have lodged a dispute with management after failing to be convinced by assurances on patient care and called for officials to demonstrate how they can pull it off. The dispute means that a 90-day consultation period over redundancies has been put on ice. Summary by Keep our NHS Public of  Stoke Sentinel 30 March 2006
          Blair is accused of wrecking NHS with confused policies. The former chairman of the University Hospital of North Staffordshire, the hospital forced to sack 1,000 staff due to its £15.5m debt, has accused the Government of wrecking the NHS with bureaucracy and contradictory policies. Calum Paton said Tony Blair had "snatched defeat from the jaws of victory" on state-funded health. He said the Prime Minister had "not a hope in hell" of achieving his stated aim of a maximum 18 weeks between a patient's first GP visit and having an operation. He said: "The Government has suffered from drastic policy confusion and what I call initiativeitis, bringing out up to three initiatives a day that cost a fortune to run." Encouraging Trusts to work independently to promote choice but at the same time telling them to promote local collaboration had caused confusion. SHAs "crawl to ministers and refuse to tell them the full extent of the financial crisis". He slammed patient choice, saying "patients in Staffordshire don't want a bus trip around the country to go to hospital, they want good local services. If the Government had taken a harder look at strategy at the outset it could have spent the same and got much better health care." Summary by Keep our NHS Public of  Telegraph 5 April 2006
    3     Round up some patients and reopen an operating theatre. The Health Secretary is paying us a visit. The University Hospital of North Staffordshire reopened an operating theatre that had been closed for 10 months for the visit of Patricia Hewitt. Staff were told last Thursday that Hewitt was visiting and that for the day the theatre would be doing eye operations again. A doctor said: "We had to wash out and check all the equipment, the microscopes and the cataracts operating machine. The nurse who ran the theatre before was called back in and for the first time in almost a year the theatre was used for eye operations again. All this was so that the hospital could show Miss Hewitt that all was well and that cuts could not affect patient services, which is of course rubbish. It was an incredibly sneaky thing to do but then the management is obsessed with spin rather than trying to run a good hospital. What Miss Hewitt won't see is that tomorrow, the next day and for the foreseeable future the eye theatre will be closed again." As Hewitt arrived she was heckled by protesters angry at the job cuts. Jim Cessford of the NHS Save Our Staff Campaign said: "Staff say they are already working to full capacity. They say this reduction will tip them over the edge, as well as putting lives at risk." Summary by Keep our NHS Public of  Telegraph 5 April 2006
          Patient care jobs face axe. Seventy voluntary car drivers could lose their jobs taking patients to Shropshire hospitals and care centres after the county ambulance service lost a £1.5 million transport contract. Instead Shrewsbury and Telford Hospital Trust and the area's PCTs awarded the contract to the private sector. Summary by Keep our NHS Public of  Shropshire Star 5 April 2006
    3     Dear Mrs Hewitt. A letter from "the people of North Staffordshire and South Cheshire" on the front page of the Stoke Sentinel calls for Patricia Hewitt to alleviate the problems of the University Hospital of North Staffordshire. It says: "Our main hospital, the University Hospital of North Staffordshire, has done all you have asked in the past year… It is the 7,000 staff on the ground who have made all this possible by over-performing on the hospital's contract with the PCTs. But it is 1,000 of them who now face the dole as a reward for their dedication and hard work." Summary by Keep our NHS Public of  Stoke Sentinel 5 April 2006
    3     'Ridiculous' to say patients won't suffer. North Staffordshire NHS Save Our Staff, a new group comprising leading figures from North Staffordshire's trade unions, the city's socialist party, campaigning group Healthwatch and staff leaders from the University Hospital of North Staffordshire, say it is ridiculous to claim that cutting 1,000 jobs will not affect patient care. A delegation including four workers whose jobs are under threat met Patricia Hewitt when she visited the hospital on Tuesday. The group plans a mass demonstration in Stoke-on-Trent at the end of April. Summary by Keep our NHS Public of  Stoke Sentinel 5 April 2006
    3     Shorter stays to save cash. With the University Hospital of North Staffordshire planning to discharge patents earlier to save money, opponents including Healthwatch and Unison have claimed patient care will be harmed because the facilities are not in place to care for people in the community. North Stoke PCT, which would be expected to pick up much of the slack, is itself in debt and has cut services. Summary by Keep our NHS Public of  Stoke Sentinel 5 April 2006
    3     It's all your own fault. Patricia Hewitt has rounded on managers at the crisis-hit University Hospital of North Staffordshire for recruiting hundreds of staff it could not afford. And she also savaged previous teams of NHS officials for failing to improve community services enough to allow patients to be discharged sooner. Summary by Keep our NHS Public of  Stoke Sentinel 6 April 2006
  2       Plan for new hospital site to be reviewed. Patricia Hewitt revealed that a DoH team is in Staffordshire reviewing plans for the £420m PFI superhospital, which has already been delayed two years and may now be downsized. Summary by Keep our NHS Public of  Stoke Sentinel 6 April 2006
      4   Breast cancer patients living in Wales are getting the so-called "wonder drug" Herceptin free at a hospital but women living in England have to pay, it emerged yesterday. The "postcode lottery" surrounding the potentially life-saving drug means that women in Wales do not have to pay for the treatment at the Royal Shrewsbury hospital because Herceptin provision is funded by their health board. But women in the early stages of breast cancer who live in England must raise the £30,000 a year cost themselves, because their primary care trust will not foot the bill. The disparity - which illustrates the differences in priorities between different PCTs - was exposed yesterday by Owen Paterson, the North Shropshire Tory MP. Since February, all Welsh local health boards have agreed to pay for the drug for women living in Wales who need it, even if they are treated in England. Sarah Hall, health correspondent Monday April 10, 2006 The Guardian
    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
    3     Help me to save 350 jobs. University Hospital of North Staffordshire chief executive Antony Sumara wants £20m from the Government to save around 350 of the 650 workers facing compulsory redundancy and bring the hospital's finances back into credit. The hospital is requesting the £20m "bridging finance" to transfer nurses and other staff to look after patients outside hospital. Sumara said: "It is ridiculous that we are having to throw away such large sums in redundancy payments when these staff could transfer to primary care and look after the same patients being rehabilitated at home rather than in hospital." Unison branch secretary Pat Powell said: "It is a good start but this is only taking care of less than 300 jobs and is nowhere near enough. We can't afford to lose any jobs because there isn't enough staff for the services that are there now." Summary by Keep our NHS Public of  Stoke Sentinel 11 April 2006
    3     Hostile reception for hospital boss. Scores of furious health workers and NHS campaigners greeted University Hospital of North Staffordshire boss Anthony Sumara as he justified plans to axe 1,000 jobs to Stoke-on-Trent city council's scrutiny committee. Save Our Staff (SOS) campaign - formed to try to block the redundancies - held a banner-waving protest. Summary by Keep our NHS Public of  Stoke Sentinel 11 April 2006
          Claim patients face long wait in ambulances. Bed shortages at the Royal Shrewsbury Hospital have forced patients to be kept in ambulances for up to two hours before being taken into the A& E department, according to Shrewsbury and Atcham MP Daniel Kawczynski. Summary by Keep our NHS Public of  Shropshire Star 13 April 2006
          Private firms to run non-999 ambulances. Two private firms have won contracts to run non-emergency ambulance services in Staffordshire. Parkwood Healthcare and Ambuline will manage the majority of the county's Patient Transport Services. Staffordshire Ambulance Service's acting chief executive Geoff Catling said: "It is devastating news that, despite this trust having a well-renowned name for the quality of the services it provides…the coordinating organisation acting on behalf of the PCTs and hospitals in Staffordshire has awarded the majority of the contracts to two private companies. PTS staff at the trust have all been trained to a higher level than the national standards for this group of health workers, with all vehicles equipped with 'heart start' machines and carrying fully-kitted responder bags and oxygen therapy equipment. There is a real danger of sustainability of the trust when reacting to potentially very serious or major incidents." An Ambuline spokesman admitted that the company's ambulances would not carry cardiac monitors. North Staffordshire Healthwatch spokesman Ian Syme said: "An ambulance service is an NHS service and should remain in the NHS." Summary by Keep our NHS Public of  Stoke Sentinal 19 April 2006
    3     Health bosses face a grilling over NHS cuts. An OVER-50s campaign group is to challenge health leaders about hundreds of job losses planned for the University Hospital of North Staffordshire. Hospital chief executive Antony Sumara and Newcastle Primary Care Trust chairman Ian Ashbolt will answer questions in a session organised by the newly-created Newcastle 50+ Forum. Summary by Keep our NHS Public of  Stoke Sentinel 19 April 2006
  2       Superhospital plan to be scaled down. The blueprint for the £420m PFI superhospital for North Staffordshire has been torn up, as the area's NHS faces financial meltdown. Instead, planners are looking at a scaled-down scheme, with contractors moving on site at least three years later than the previous proposals. Equion has "stood down" its teams working on the contract. Delays in the superhospital had already sent the cost of the scheme soaring by £21m a year, and preparation work was already underway.
Cuts are a prescription for concern. Most medical specialities will see their beds cut under the scaled-down proposals for the revised superhospital. There will only be 86 intermediate care beds, as opposed to 202 in the original plans, despite the fact that intermediate care beds are seen as essential to reduce the lengths of hospital stays. Overall, bed numbers inside the hospital will fall from the current 1,300 to 1,169 - including drops in maternity from 72 to 55, paediatric intensive care from 29 to 26, heart and lung critical care from 23 to seven, and general child health from 80 to 42.
Summary by Keep our NHS Public of Stoke Sentinel 21 April 2006
    3     Residents to fight hospital job losses. North Staffs NHS SOS (Save Our Staff) campaign is appealing to residents to join a protest against job cuts at the University Hospital of North Staffordshire on Saturday, April 29. Summary by Keep our NHS Public of Stoke Sentinel 21 April 2006
        5 Hospital may close a year early. A community hospital due to close in 2007 could be shut down this summer to cut costs. North Stoke Primary Care Trust plans to shut Westcliffe Hospital in Chell, north Staffordshire. The hospital currently treats treats 30 elderly patients who will have to be moved to the University Hospital of North Staffordshire. Jobs may be lost through the closure although exact numbers are not known. Summary by Keep our NHS Public of  BBC Online 26 April 2006
    3     Thousands of cancer patients are waiting longer than two months before they can begin treatment, according to new figures that reveal a crucial health target has been missed. The government had promised that 95 per cent of patients would start treatment for cancer within 62 days of being referred by their GP. But figures to be released in June will show that 9 per cent of all patients had to spend longer in the queue, equating to around 12,000 people a year. The main delays happen in the wait for a diagnosis, where there is still a shortfall of both staff and equipment to carry out the tests needed to assess the nature and severity of a cancer. The biggest waits are for bowel cancer, the third most common form of cancer in Britain affecting 34,000 people a year, where patients need a colonoscopy, an internal probe to find the tumour, for their diagnosis. ... The figures came as new pressures emerged over the deficits facing the NHS. A rally took place yesterday in Stoke-on-Trent where up to 1,000 jobs could be lost as the NHS trust, the University Hospital of North Staffordshire, faces debts of up to £15m. Managers have launched a 90-day consultation on the plans, which have been greeted with dismay by staff there. The actual deficit in the NHS could be as high as £1.2bn with 58 per cent of hospital trusts facing deficits. Many of them now have to repay loans to the NHS Bank, which has traditionally lent money and allowed deficits to be carried over. Niall Dixon, the fund's chief executive, said further cuts in services were almost inevitable because of the pressure to meet targets on cancer and waiting lists. 'It's clear that these financial problems threaten to derail the reform agenda,' he told the Health Service Journal. 'Hospitals will be left with too little cash to fund policies which would improve patient care.' One leading economist called last week for the government to acknowledge that there would be a huge funding gap for the NHS by 2009, when the large year-on-year increases in funding dry up. Oxford economist Andrew Dilnot, former head of the Institute of Fiscal Studies, said the government should contemplate a system of 'co-payments' so that those able to afford it could pay towards routine care, and the NHS would be safeguarded. ...· Have you or your relatives had to endure a long wait for cancer radiotherapy? If you want to tell us about it, please email jo.revill@observer.co.uk   Jo Revill, health editor Sunday April 30, 2006 The Observer
    3     Salary hikes for health trust chiefs. Chief executives at debt-ridden NHS trusts have been awarded pay rises up to 12 times the rate of inflation. The average pay for a hospital chief executive last year was £125,000. The Sunday Telegraph survey of pay reports, compiled by the analysts Incomes Data Services for the financial years 2003-04 and 2004-05 and based on audited NHS accounts, found that. among the largest pay awards was that given to Derek Smith, the chief executive of Hammersmith Hospitals NHS Trust, which has a deficit of £15 million and is shedding 300 jobs through freezing vacancies. He received a 35% increase in 2003-04, taking his pay from £157,500 to £214,000. His 2005 salary was £197,500, meaning he enjoyed a 25% rise over two years. At University Hospital of North Staffordshire, the former chief executive David Cowley, who left the trust last summer, enjoyed an 18% pay rise in 2004-05, from £127,700 to £150,700. The trust is facing a £15m deficit and has announced 1,000 job cuts. At the Royal West Sussex Hospital, the chief executive Andrew Liles received a 16% increase in 2004-05, from £90,000 to £105,000. The trust is facing a deficit of £13.9 million. At James Paget Healthcare NHS Trust in Norfolk, the chief executive David Hill received a 16.9% increase, from £118,000 to £138,000. There is no deficit, but 100 jobs are likely to go through a vacancies freeze. 115 executive directors of NHS trusts are flouting Department of Health guidance on openness and refusing to reveal their salaries, citing the Data Protection Act. Summary by Keep our NHS Public of  Telegraph 30 April 2006
    3     Rally to fight hospital jobs cuts. 5,000 Uniformed workers, union members and residents took to the streets of Stoke-on-Trent to protest at plans to axe 1,000 jobs at the University Hospital of North Staffordshire. NHS Save Our Staff march organiser Jim Cessford said: "People were cheering us into the city centre, clapping us on. The whole city centre came alive in support of us today. Every car that came past us tooted their horn. The community is 100% behind us." Summary by Keep our NHS Public of  BBC Online 2 May 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
    3     Show of unity at NHS protest march. 5,000 people turned out to fight plans to cut more than 1,000 jobs at the University Hospital of North Staffordshire in a protest on 29 April. Among the people taking part were NHS workers, patients, politicians and entire families, from children in pushchairs through to pet dogs. Motorists tooted their horns along the way. Summary by Keep our NHS Public of  Stoke Sentinel 2 May 2006
    3     'Nurses are dead on their feet - they can't carry on'. Campaigners in North Staffordshire plan to link up with other pressure groups and trade union leaders to stage a national protest over NHS job cuts. They are calling on the Government to write off hospital debts and spare staff from compulsory redundancies. Jim Cessford, chairman of the Save Our Staff campaign, said the 5000-strong march through Stoke-on-Trent at the weekend was merely a prelude to a much larger expression of anger. Summary by Keep our NHS Public of  Stoke Sentinel 2 May 2006
    3 4   Obese patients to be refused hip operations. Overweight people are to be made the latest victims of a cash crisis gripping healthcare in North Staffordshire. People classified as clinically obese will be denied hip and knee replacement operations, to help the area tackle its £30 million of NHS debt, which is already forcing the loss of 1,000 hospital jobs. The cut-off point will be a Body Mass Index (BMI) measurement of 30. The clampdown, which is still awaiting final approval, could rule out treatment for a quarter of the 700 patients having joint replacement surgery at the University Hospital of Staffordshire every year. The initiative is among a string of economies revealed by North and South Stoke-on-Trent PCTs, which are £9 million in the red, and need to cut annual spending by £18.5 million a year to balance coming budgets. Summary by Keep our NHS Public of  Stoke Sentinel 2 May 2006
    3   5 Health boss pledges no cuts to front line services. Stoke-on-Trent's PCTs are to make £18.5m of cuts to services. Elective operations, help with hearing and eyesight problems, vasectomies, orthopaedic care, health promotion and some mental health care will be given a lower priority because of the need to protect life or death care. There will also be cuts at the Haywood Hospital walk-in centre at Burslem. Among other savings are: bringing forward closure of Westcliffe Hospital, Chell; withdrawing clinics for people suffering depression; and reduction in counselling services. Summary by Keep our NHS Public of  Stoke Sentinel 2 May 2006
  2 3     NHS to pay out for non-existent centre. Staffordshire's cash-strapped NHS will have to pay up to £750,000 for an out-of-hours medical centre that was never built. The "abortive costs" include fees paid to architects, planners and consultants. Local health officials are arguing with Prima 200 Ltd, the private firm that was to construct the building, to decide how the cost will be shared between them. Summary by Keep our NHS Public of  Stoke Sentinel 2 May 2006
    3     Health trust in fresh delay. Health chiefs have delayed a public consultation on the future of hospital services at the Royal Shrewsbury and Telford's Princess Royal for a third time. The hospitals trust is working on proposals with accountants Price Waterhouse Coopers, one of the Government's special "turnaround teams". Summary by Keep our NHS Public of  Shropshire Star 3 May 2006
    3     Trusts Plan Thrown into Disarray. Cuts in mental health services by Stoke-on-Trent's two PCTs have scuppered the bid of North Staffordshire Combined Healthcare trust to become a foundation trust. Financial uncertainties mean the trust failed to be awarded foundation status by Monitor. While against foundation trusts in principle, leaders of Combined Healthcare's 2,500 staff have joined management in condemning the cuts to be imposed by North and South Stoke PCTs. Summary by Keep our NHS Public of  Stoke Sentinel 4 May 2006
    3     £4m Budget cut for mental health care. Patients in Stoke-on-Trent face being denied some mental health services as the city's primary care trusts plan to slash £4m from their psychiatric services budgets. The figure represents a 10% reduction in funding and has wrecked North Staffordshire Combined Healthcare trust's bid for foundation status. Combined Healthcare is appealing to the PCTs for more time to avoid the cuts and possible redundancies. Summary by Keep our NHS Public of  Stoke Sentinel 4 May 2006
          Mental health trusts get new status. The first three mental health foundation trusts have been launched following authorisation from regulator Monitor. From May 1, Oxleas Foundation Trust, South Essex Partnership Foundation Trust and South Staffordshire Healthcare Foundation Trust joined 32 acute foundations. The authorisation came a month late because of the complications surrounding the payments by results tariff. Summary by Keep our NHS Public of  Public Finance 5 May 2006
          Shock sinks in over BNP councillors. Residents have blamed job cuts at the University Hospital of North Staffordshire for the surprise success of the BNP in the recent local council elections. Summary by Keep our NHS Public of  Stoke Sentinel 9 May 2006
    3     Bed cuts plan for hospitals. Bed cuts and ward closures in community hospitals are planned as part of a range of measures to save Shropshire County PCT £4m a year. The PCT has rejected closing hospitals, but the proposals include reducing the number of general beds at Ludlow Community Hospital and closing its Clee ward. The Whitcliffe ward, which looks after elderly mental health patients, would be closed. At Bishop's Castle Community Hospital it is proposed to reduce the number of NHS beds from 24 to 12. Whitchurch Community Hospital would lose six general inpatient beds. Changes to district nursing and health visiting services, as well as more controlled GP prescribing, are also being considered by the PCT. These measures will now be subject to a 13-week public consultation. Summary by Keep our NHS Public of  Shropshire Star 9 May 2006
        5 Hospital campaigners meet bosses. Campaigners fighting to save services at Ludlow community hospital in Shropshire are to meet health officials. There are plans to close a mental health ward at the hospital to try and save £3m. Shrewsbury & Telford Hospitals NHS Trust is still looking at configuring services between the Royal Shrewsbury & Princess Royal Hospitals and changes may affect several services including emergency, paediatric and maternity.  Summary by Keep our NHS Public of  BBC Online 15 May 2006
        5 Hospital cuts spark anger. Over 200 Ludlow Residents confronted Shropshire health bosses over proposed cuts at two south Shropshire hospitals. Shropshire PCT is planning to close a ward for elderly mentally infirm patients at Ludlow Hospital as well as cutting up to 20 other beds. Bishops Castle Community Hospital will also lose beds under the plan that local residents have described as "inept." Chief executive of the PCT Julie Grant conceded that the closures would cause problems such as long journeys for those visiting relatives as well as demoralising staff. Summary by Keep our NHS Public of  Shropshire Star 18 May 2006
          Hewitt goes against the grain on reconfigurations. The health secretary has overruled almost half of the primary care trust reconfiguration proposals submitted by strategic health authorities. The government has supported 13 of the 23 'preferred options', rejecting 10 in favour of an alternative. Meanwhile, the government has announced 13 new ambulance trusts instead of the 11 expected. The Isle of Wight will retain its own ambulance service as part of its combined trust. Staffordshire Ambulance Service trust, which opposed its merger into a West Midlands service, will remain separate for up to two years because of the 'strength of public concern'. Summary by Keep our NHS Public of  Health Service Journal 18 May 2006
  2       Crunch time for new super hospital. North Staffordshire's new super hospital will find out its future in the next fortnight when the government rules whether it can go ahead. The plans for the PFI hospital have been scaled down because the local health economy could not afford the £53m annual instalments to be paid over 30 years to private partner firm Equion. University Hospital of North Staffordshire chief executive Anthony Sumara said he was "optimistic" the long-awaited approval was imminent. Summary by Keep our NHS Public of  Stoke Sentinel 19 May 2006
    3     Hospitals get £34m lifeline. Shrewsbury and Telford Hospital Trust has received a massive loan from the new NHS regional bank to cover its £31.4m "historic debt" and help plug a £5m budget gap for the coming year. The loan, which still leaves the trust with a £2.2m budget shortfall an