West Midlands South 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

          A friend tells me (February 2002) that a successful triple bypass operation at Walsgrave Hospital in Coventry was marred when he picked up an MRSA infection that has not healed.  Hospital procedures need to eliminate all sources of infection.
        5 Richard Taylor was the star turn of the last election a retired doctor who stood as an independent and scored a symbolic victory over Labour. His one goal was to save Kidderminster hospital. Eight months on, it is still destined for partial redevelopment. So what chance do single-issue campaigns, like his, have of bucking national policy?  Andy Beckett Guardian Saturday March 9, 2002
          A maternity unit run without anaesthetics or consultant obstetricians is to be the subject of an independent investigation, following the deaths of two babies last month. All deliveries at the Wyre Forest Birth Centre in Kidderminster, Worcestershire, have been suspended. Sunday September 28, 2003 The Observer
  2       NHS trusts which have treated record numbers of patients are facing penalties of hundreds of thousands of pounds imposed by the private landlords of their hospitals. Secret clauses written into contracts between the NHS and the private consortia which build and run the hospitals stipulate that penalties must be paid if the number of patients treated exceeds a set figure, even if they are emergency cases. The money comes out of the hospitals' annual revenue budget, leaving less money in the pot for developments. The Worcestershire Royal Hospital, which has a deficit of around £15 million, was charged £200,000 this year under its penalty clause. Jo Revill, health editor Sunday March 28, 2004 The Observer
        5 If the threats to shut down Kidderminster hospital's accident and emergency department lost Labour its seat in the town in the 2001 election, what is the government's new competitive health market going to do in the 2009 election with hospital departments and wards being closed up and down the country? Few people are aware about what is going to happen to the NHS. Labour's plan is far more radical than the internal market that the Conservatives introduced in 1991. While there are more structures in place to protect standards - inspection, clear clinical guidelines and competition based on capacity not price - there is no current plan for a safety net like the one the Tories used to prevent closures and protect the party from political flak. Leader Monday June 20, 2005 The Guardian
        5 It would be devastating if ward moved. There are fears that the children's ward at the George Eliot Hospital in Nuneaton could be moved to Walsgrave Hospital in Coventry in a review of services. The hospital says it has no plans to move the ward, but staff have expressed fears that this will be the outcome of the review. Summary by Keep our NHS Public of  Coventry Evening Telegraph 25 January 2006
        5 'Use us' plea by hospital. Kidderminster's new treatment centre is running at half its capacity because people think the hospital has been closed down. Worcestershire Acute NHS Health Trust and Health Concern want more people to use the facility to help clear the trust's £20m deficit. Summary by Keep our NHS Public of  West Midlands Express & Star 25 January 2006
    3     Nine in ten say NHS will not break even next year. Only 13% of NHS chief executives surveyed by HSJ expect the NHS to break even by April 2007, as Patricia Hewitt has demanded. 32% forecast their own trust would still be in debt. King's Fund chief economist John Appleby said: "'There has got to be much better costing of current policies. What impact is patient choice going to have on demand ? We have no idea. I do not think they have thought it through. The major policy this government has pursued since Labour came to power has been to improve access to hospitals by cutting waiting times, but we have never seen a figure on how much this has cost the NHS." The full 18 trusts named by Hewitt as being the worst performing are: Acute - Hammersmith Hospitals; Barnet and Chase Farm Hospitals; Mid Yorkshire Hospitals; The Royal West Sussex; Surrey and Sussex Healthcare; Brighton and Sussex University Hospitals; University Hospital of North Staffordshire; Shrewsbury and Telford Hospitals; George Eliot Hospital (Nuneaton). Primary Care Trusts - Hillingdon (London); Selby and York; Cheshire West; West Wiltshire; Kennet and North Wiltshire; Sheffield PCTs (four organisations). Summary by Keep our NHS Public of  Health Service Journal 26 January 2006
        5 Protesters fight on to save hospital. After the people of Redditch voted by a 99% majority against closing the A& E at Redditch's Alexandra Hospital, Worcestershire Acute Hospitals NHS Trust this week agreed to a do U-turn and retain the department. However there are still proposals to close maternity, children's and gynaecology wards, and campaigners have vowed to fight on.  Summary by Keep our NHS Public of Birmingham Mail 3 February 2006
          £1m health bill dispute. Payment by results has brought Walsgrave Hospital and Coventry PCT into conflict. The PCT claims the hospital taken advantage of the new system to overcharge for treatment, while the hospital believes the PCT is trying to claw back £1m of its debt by disputing payments it had originally agreed to. The matter will now have to be decided by West Midlands South SHA. Summary by Keep our NHS Public of Coventry Evening Telegraph 3 February 2006
1         Anger as hospitals increase parking charges. Parking charges have been increased by more than 30% at Warwick and Stratford Hospitals. The charge for a week-long parking pass will more than double from £7 to £15. Summary by Keep our NHS Public of Coventry Evening Telegraph 13 February 2006
1         Parking fees outrage. Coventry's Walsgrave Hospital has increased its parking fees. Parking charges are also being introduced at Rugby's St Cross hospital for the first time. Summary by Keep our NHS Public of Coventry Evening Telegraph 13 February 2006
1         It amounts to a pay cut for workers. Amicus and Unison leaders have hit out at the revelation that Walsgrave Hospital may charge staff up to £300 a year to park. Summary by Keep our NHS Public of Coventry Evening Telegraph 13 February 2006
    3     PCT fury over lost millions as PbR compensation withdrawn. Primary care trusts are furious after learning that compensation for those that will see costs rise under payment by results is to be halved next year, before abolition in 2008. The change in policy, announced just two months before the new financial year, will leave black holes in their finances. Coventry PCT will be hit hardest with a £16.2m funding gap, and Huntingdonshire will be left with a £14.9m shortfall. PCTs in West Midlands South strategic health authority area will face a £53.1m gap, PCTs across Essex SHA will have to deal with a cut of £48m, and the four Birmingham PCTs are set to lose £20m. Norfolk, Suffok and Cambridgeshire SHA said its PCTs face a loss of £39m. Summary by Keep our NHS Public of Health Service Journal 16 February 2006 
          We don't want to work in Derbyshire. Workers at the medical records department at hospitals in Coventry and Rugby face losing their jobs unless they travel to Derbyshire to work, after University Hospitals Coventry and Warwickshire NHS Trust decided to outsource their work to private firm TNT. Many of the 70 staff are part-time and the commute would not make economic sense. Hospitals workers have now started a petition - which already has 400 signatures - which calls on hospital bosses to reverse the decision.  Summary by Keep our NHS Public of Coventry Evening Telegraph 20 February 2006
        5 Hospital plan sees new fight. Campaigners fighting proposals which could see the loss of hospital services in north Worcestershire fear moves to merge PCTs will leave them without a voice. Objectors from Wyre Forest and members of the Save the Alex Action Group in Redditch are planning to stage a protest march on Saturday 25 February. It will start from the Market Hall area of Bromsgrove town centre at 11am. Worcestershire Acute Hospitals Trust is trying to cut spending by £20m and is looking at various options to downgrade the Alexandra Hospital in Redditch. Summary by Keep our NHS Public of  West Midlands Express & Star 21 February 2006
        5 Protesters in bid to save health services. Bromsgrove residents are being urged to protest march in the town centre on Saturday (25 Feb) in a bid to save hospital services threatened with the axe. Worcestershire Mental Health Partnership NHS Trust revealed beds could go at county psychiatric wards, threatening the future of Brook Haven Mental Health Unit in Bromsgrove. The march will start outside Woolworths at 11am. Worcestershire Acute Hospitals NHS Trust chiefs dramatically U-turned on proposals to get rid of A& E services at the Alexandra Hospital in Redditch, but other proposals to reduce maternity, paediatrics and gynaecology services could still go ahead. Summary by Keep our NHS Public of  Birmingham Mail 24 February 2006
1         Parent group hits at baby scan price hike. Cash-strapped George Eliot Hospital in Nuneaton has increased the charge for print outs of baby scans from £3.50 for two images to £5 for just one picture. The hike is part of measures being pushed through in response to the hospital's financial position. Summary by Keep our NHS Public of  Coventry Evening Telegraph March 2006
          A lack of local knowledge involved in changes to health service provision could put Rugby patients' lives at risk, it has been claimed.  The Coventry and Warwickshire Ambulance Trust is at the centre of proposals that could see the merger of four Ambulance trusts across the West Midlands.  Supporters say the new proposals will leave more money for front-line services and improve efficiency.  However the Patient and Public Involvement (PPI) Forum for the Coventry and Warwickshire Ambulance Service say that operators in the new Trust  may lack crucial local knowledge - leading to lost time and possibly lost lives.  Rugby Advertiser 16 March 2006
        5 Community Hospital at risk in West Midlands South  SHA according to Public Finance 17 March 2006:
Evesham Community Hospital
    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     Row over hospital waiting times claim. A hospital manager has accused health bosses of falsely telling patients there are long waiting times at an NHS hospital to influence them to choose to have treatment at an ISTC. In 2004 Worcestershire's three PCTs signed a £26m contract with a Canadian firm - tying them into a deal which would see 9,000 hip, bone and knee operations performed privately at the Kidderminster Independent Treatment Centre. Health watchdogs expressed concern, saying the PCTs could find it difficult to refer enough patients to the company, in which case they would incur huge fines. Now, Jo Harper, general manager in surgical specialities at the Alexandra Hospital in Redditch, claims chiefs at Redditch and Bromsgrove PCT are telling patients they will have to wait six months for surgery at the Alex, so instead should be treated at Kidderminster. She says that the wait at the Alex is actually four months, and that it was particularly concerning as health chiefs were proposing to axe a host of services at the Alex in a bid to save £20m. The PCT denies lying. Summary by Keep our NHS Public of  Birmingham Mail 4 April 2006
    3    

Bowel screening launch curtailed. The Government's own cancer screening tsar has contradicted ministers' insistence that the national bowel cancer screening programme will go ahead this month 'as planned'. Julietta Patnick, director of NHS Cancer Screening Programmes, said: "I don't know how much money I've got, I don't know how many screening centres I can open, and we haven't bought the kits yet." The programme would probably go ahead in some form, she said. But the situation was on "an amber light". In a response to a Parliamentary question about the issue, health minister Rosie Winterton could only identify one area where the programme was going ahead - the existing pilot site in Rugby, which has been operating for six years. Summary by Keep our NHS Public of  DoctorUpdate 5 April 2006

    3     The mood of crisis in the NHS deepened yesterday with the announcement of 720 further job losses at a hospital trust in the Midlands and the resignation of a trust chief executive in the north-west, with a £475,000 payoff. Worcestershire Acute Hospitals NHS trust said it would have to shed 720 jobs over the next 12 months to balance the books after accumulating deficits worth £31.5m over several years. The staff affected will include nurses, doctors and administrative workers at hospitals in Worcester, Redditch and Kidderminster, where Labour lost a safe parliamentary seat in 2001 due to local protest at the downgrading of NHS facilities. The job losses bring the total announced by trusts in England over the past five weeks to more than 6,000. The toll this week included 160 jobs at Medway trust in Kent, 400 at Surrey and Sussex Healthcare trust and up to 300 at Royal United hospitals in Bath. Meanwhile Pennine Acute, the largest NHS trust in the north-west of England, with hospitals in Bury, north Manchester, Oldham and Rochdale, announced the early retirement of its chief executive, Chris Appleby, who was under pressure to go after a vote of no confidence from the trust's doctors last summer. An independent inquiry into the trust by Sir George Alberti, former president of the Royal College of Physicians, found a "lethal mixture" of suspect leadership styles and poor relations between doctors and managers. Other NHS developments included a report from the Audit Commission warning of serious concerns about the financial position of George Eliot hospital trust in Nuneaton. It had "deteriorated to such an extent that it cannot be managed simply through local measures", said the auditors, PricewaterhouseCoopers. And in Weston-super-Mare, Somerset, NHS managers said a new multimillion-pound mental health ward may never be opened because there was not the money to run it. John Carvel and Les Reid Friday April 7, 2006 The Guardian
    3     Another 720 ward jobs go as trust blames targets. Worcestershire Acute Hospitals NHS Trust is to lose 720 jobs - 15% of the workforce. Edna Hall, a Unison spokesman, said: "We are horrified. We were expecting some cuts, but 720 is a lot to be taken out of the system and I don't see how they can say it won't affect patient care." She said they were seeing the "full implication" of building the £95 million Worcestershire Royal Hospital, opened in 2002, using the private finance initiative. Michael O'Riordan, the trust chairman, said: "Even allowing for an extra £10 million income which we expect to come in this year, we have a funding gap of around £30 million. With an annual turnover of £250 million, that is not a gap that we can close without considerable pain and the most severe measures." Summary by Keep our NHS Public of  Telegraph 7 April 2006
  2       Town with £6m to spare says: let's build a hospital. A district council has become the first local authority in Britain to build its own hospital, in an experiment which is turning the Private Finance Initiative on its head. Wychavon District Council, in east Worcestershire, is spending £6.7m to build a 26-bed hospital in Pershore. The council is due to finish the project in September, then lease it to South Worcestershire PCT, which is in financial difficulties and making cuts elsewhere in the region. The trust plans to close the 19-bed cottage hospital. Initially it will be unlikely to run the new hospital at full capacity, as it has the staff to run only 19 beds. The council will receive a higher rate of return - 7% - than the bonds in which it had previously invested its surplus money. Summary by Keep our NHS Public of  Times 10 April 2006
    3     PATIENTS in Rugby have been told to wait for vital treatment in order to save funds, it has been claimed. Coventry and Rugby Primary Care Trusts (PCTs) sent a joint letter to the University Hospitals Coventry and Warwickshire NHS Trust in January asking them to delay setting dates for patient operations. The PCTs claim that asking for the delay would help save funds which could be used for other services. However, the Trust, which oversees the Hospital of St. Cross in Rugby, rejected the 'unacceptable' request out of hand. Bryan Stoten, Chairman of the Trust, said: "We discussed it and said at the end of the day, patients come first. It's not an uncommon practice, I'm afraid, as a lot of trusts find themselves in financial difficulties and see a way out of it by not treating patients. We said we will treat patients when we have to - they come first." Rugby Advertiser 13 April 2006.
    3     Anger at hospital jobs axe. Councillor Malcolm Meikle, who chairs Wychavon District Council's health scrutiny team, has lashed out at the plan to cut 720 staff at Worcestershire Acute Hospitals NHS Trust. He said: "Our main concern is that this catastrophic announcement has been made without any consultation with staff and the communities both of which will be greatly affected by these moves. We intend to do all we can to voice our distress at what has happened and act on behalf of our residents. We want health bosses to recognise what irreversible damage they are doing." Summary by Keep our NHS Public of  Birmingham Mail 20 April 2006
    3     Council action on NHS cuts. Worcestershire Council has set up a special task force by unanimous vote to fight the 720 NHS job cuts planned across the county because of fears over the "devastating" impact on patients. Summary by Keep our NHS Public of West Midlands Express & Star 21 April 2006
         

Hospital sends admin to India. Medical secretarial work at Nuneaton's cash-strapped George Eliot Hospital is being sent to India's cheaper labour market to be processed. Worried secretarial staff in Nuneaton fear their jobs are now on the line. One said: "We were called in by our manager to be told that, with effect from May 1 all typing work in ophthalmology, obstetrics and gynaecology will be sent to India, initially for a three-month trial. This is aimed at saving money, but we know that it will be extended beyond a trial and lead to redundancies." Summary by Keep our NHS Public of  Coventry Evening Telegraph 24 April 2006

          Whatever happened to ... Kidderminster hospital? Iain Hollingshead Saturday April 29, 2006 The Guardian
    3     Jobs to go in bid for massive budget savings. Coventry Teaching PCT has spelled out how it aims to save a massive £29 million over the next year - and job losses are on the cards. The PCT says it is under "significant pressures" to slash its patient care budget of £381million by 7.5%. It says it has to slash its budget to address several issues, including payment by results, which will cost it an extra £9million this year. Summary by Keep our NHS Public of  Coventry Evening Telegraph 4 May 2006
          If this is Patients' Choice then may heaven help us all! "Crisis: What NHS crisis?" Daily Mail headline - Monday April 24.  The above headline has compelled me to write to you.  I have had several hospital appointments over the last few months and been told I now have Patients' Choice  to choose when I attend and at which hospital.  The reality of all this is that in order to make an appointment , my doctor handed me a print out of my "instructions".  I was to wait for at least four to six weeks to see if I was contacted.  If not, I was to phone the number indicated.  This was just to check that I was in the system.  Fortunately, someone did telephone me before the time was up but only to tell me "they" would be expecting me to telephone "them" within the next couple of days and I was given a reference number to quote.  I was strongly urged to telephone within this time period as my call would be expected.  I did this immediately and couldn't believe how long it took her to make one appointment.  I wasn't "given the choice" of appointment, but given a date and asked if this would be convenient.  As it happened, it wasn't, so after another lengthy wait, another date was offered which I accepted.  I had already been informed that I had the choice of four hospitals, St Cross, Walsgrave, Coventry and Warwick and quite frankly I cannot remember the name of the other one.  However I was told that my appointment would be at the Hospital of St Cross.  As this was convenient, I duly accepted.  More recently I have received a communication asking me to attend Coventry and Warwick for a kidney CT scan, at 10.15am.  I duly telephoned the appointments clerk and said that as I didn't drive, I would have difficulty in getting there for that particular time and could they arrange transport?  She said that it was up to my GP to do this.  My GP said that unless I was disabled, I would have to make my own way there.  I explained I didn't drive but he said there was a bus service.  I telephoned Stagecoach who said they do not have a bus that goes directly to the Coventry and Warwick, only Walsgrave.  However, if I made my way to Coventry the bus would stop very near to Pool Meadow and it was only a ten minute walk to the hospital.  I had previously been told by the clerk at the hospital that if I could get to Pool Meadow, the hospital was only a five minute walk!  So far, it has become a ten minute walk!  So I am now in the position of not choosing my appointment time/date or the hospital, because obviously St Cross does not have a CT scanning machine.  I have no transport but because I'm not disabled, I must make my own way there.  I'm prepared to go by bus but there isn't a direct service (Ministers please note, you keep telling us to use public transport and this is precisely why we don't!)  As I have just got divorced, am in the middle of moving house and although not obviously disabled, I am 63 years of age, suffering from arthritis, I felt that the whole procedure was just too much, so I have cancelled the appointment for the time being and been told that I will be put back on the waiting list.  I am at present on pension credit but once my flat is sold I will have money from my divorce settlement and will be able to afford to pay for a taxi to take me to the hospital.  If this is Patients' Choice and if is the Health Service at its best, so help us all!     Mrs Wendy Law, Ash Court, Bilton, Rugby.  Letter in Rugby Advertiser 4 May 2006. [West Midlands South Strategic Health Authority]
          Medical resources wasted by the millions of patients who fail to turn up for hospital appointments cost the NHS in England £614m last year, according to figures provided by trusts under the Freedom of Information Act.  John Carvel, social affairs editor Tuesday May 9, 2006 The Guardian [Note: the situation might be improved if patients did not get appointments at times and places they cannot reach. See 4 May 2006 on University Hospitals Coventry and Warwickshire Trust Performance for a letter about this problem.  Other patients have much worse problems with no convenient bus service] [West Midlands South Strategic Health Authority]
          Local protests bring in votes. Local opposition to NHS reorganisations provided the catalyst for single-issue party candidates standing in last week's local elections. GP Dr Jacqueline Gunsell was elected to Kirklees council on the Save Huddersfield Health Campaign ticket. She was one of three candidates standing in protest at plans to move services from their local hospital in Halifax. She won with 2,176 votes, a majority of 700 over the second placed Liberal Democrats. The Save Chase Farm Hospital Party won two seats on Conservative-controlled Enfield council. It fielded nine candidates who are opposed to proposals to close the hospital's accident emergency service as part of a wider reconfiguration. A total of 12,456 people voted for the party whose policy is opposition to the closure of A& E and to any changes to existing women and children's services. The Independent Kidderminster Hospital and Health Concern Group gained one new seat on Wyre Forest council and is now the second largest party after the Conservatives. Summary by Keep our NHS Public of  Health Service Journal 11 May 2006
          The government's decision about the merger of primary care trusts announced on Tuesday attracted little interest. However, the two major concerns - size and coterminosity with county social services - that we were told made it impossible to retain the three highly regarded and passionately supported PCTs in Worcestershire, have been swept aside elsewhere in 10 instances to retain small PCTs serving populations of 150,000 or less. Eight of these are in Labour-held constituencies, the two with the lowest populations, 90,000 and 99,000, are Hartlepool and Darlington. Are there genuine reasons for retention specific to these small PCTs or is this an example of inappropriate political influence that contributes to the low esteem in which the political process and the government are held? Richard Taylor MP Independent, Wyre Forest. Letter Guardian 19 May 2006
          Blair's market madness wrecking the NHS. The Socialist says: "The deprived areas of Langwith, Creswell and Normanton in Derby are guinea pigs in Labour's plan to privatise primary health care… [UnitedHealth Europe] has little interest in Langwith and probably won't make much money there. For them the big prize is a head start in bidding for control of the budgets that pay for hospital treatments… 130 angry people were at the Keep Our NHS Public meeting in Langwith where speaker John Lister welcomed health campaigner and Socialist Party member Jackie Grunsell's victory in the Huddersfield council election. Along with victories for health campaigners in Kidderminster, he said: 'When people get a choice they're voting strongly for candidates that support the NHS.' In a passionate defence of the NHS founding principles, that treatment should be available to all no matter where they lived or how much money they had, local GP Dr. Elizabeth Barrett, said, 'To dismember the NHS limb by limb is an act of social vandalism.'" Summary by Keep our NHS Public of  Socialist 18 May 2006
    3     Nurses back "good guy" who quit over deficits. The Royal College of Nursing has come out in support of Janet Monkman who recently stepped down as chief executive of South Warwickshire General Hospitals NHS Trust. Monkman is thought to have quit rather than face the prospect of cutting jobs in order to balance the books. Summary by Keep our NHS Public of  Birmingham Post 18 May 2006
    3     Public consulted on £13m NHS cuts. South Worcestershire PCT is running a consultation to help identify where they can save £13m. The Trust is discussing its initial plans, which include reducing sexual health clinics and rationalising health visiting for older people, with patients and users' groups ahead of presenting them to Worcestershire County Council. Summary by Keep our NHS Public of  BBC Online 24 May 2006
    3     NHS probe finds there could be more job losses. A £60m black-hole in Worcestershire's NHS is threatening to harm care for the most vulnerable people and derail government health reforms. The county's PCT are seeking to make £25m savings this year. More cuts in jobs and services across the health service could result. South Worcestershire PCT has already frozen 80 job posts and has confirmed more will follow. Worcestershire Acute Hospitals NHS Trust is to make 720 job losses to save £16m in staff wages. The trust admits some compulsory redundancies will be inevitable. Worcestershire's PCTs have suspended paying the hospitals under Payment by Results for outpatients, preferring to stick with the old system of allocating a block upfront payment to hospitals for 2006/ 07. It enables the PCTS to pay for a quota of fewer outpatients. The hospitals trust has also confirmed it has been set "ambitious targets" for reducing emergency patients. Part of the hospitals' multi-million debts in Worcestershire and Warwickshire have resulted from treating more patients than the PCTs allocated funding for - partly to meet government-imposed targets. Building the PFI hospital at Worcestershire Royal, and leasing it off the private consortium which owns it - also added millions to the debt. Summary by Keep our NHS Public of  Bromsgrove Standard 25 May 2006
          Surgeon supporters lobbying trust. Campaigners for the reinstatement of a heart surgeon are to demonstrate at the hospital from where he has been suspended for four years. Raj Mattu was suspended on full pay from Walsgrave Hospital in Coventry in 2002 amid allegations of bullying. A panel ruling that he get a written warning, has not resolved the issue. The hospital says by law it must hold another hearing, which cannot go ahead until High Court action by Dr Mattu is concluded. The protest is on Wednesday. Dr Mattu had complained over the practise of putting five patients into bays designed for four beds.  BBC 31 May 2006
          PCTs rush to bring in private providers to run GP services. One in three PCTs will strike a deal with a private company to run GP services by the end of this year, according to a major Pulse survey. The survey of 104 trusts shows the rush towards privately run NHS GP surgeries is surging ahead at a far faster pace than expected. Ten PCTs said they had already signed alternative provider medical services contracts, 10 had contracts out to tender and 12 planned to tender before the end of 2006. Far from being restricted to the deprived under-doctored areas envisaged by ministers, APMS contracts are already spreading into leafy affluent shires. Just four of the 32 trusts forging ahead with APMS were among the 36 under-doctored areas ordered by ministers to bring in private providers. Trusts with contracts already sealed ranged from deprived areas like Barnsley, and Wednesbury and West Bromwich to leafy shires including Herefordshire, and East Elmbridge and Mid Surrey. GPs accused PCTs of rushing into APMS schemes in a bid to gain political "brownie points". The issue is set to be a flashpoint at next week's LMCs conference, with delegates voting on a demand to restrict APMS to areas where there is "an identified need" and existing GPs cannot deliver the service. Dr Chaand Nagpaul, chair of the GPC commissioning and service subcommittee, said PCTs must not be allowed to stray beyond the original remit for APMS - adding GP capacity in under-doctored areas. Dr Peter Jolliffe, Devon LMC chair, said there was no justification for South Hams and West Devon PCT's plan to use APMS to establish a practice in a new town: "We don't have any problems attracting doctors here." Professor Allyson Pollock, head of health policy at University College London, urged the Department of Health to stick to its commitment to pilot APMS in six PCTs before rolling it out nationally. Summary by Keep our NHS Public of  Pulse 9 June 2006
    3   5 Wards to close in £12m NHS cuts. Two Worcestershire hospital wards are to close as part of a plan to tackle a £12.8m debt run up by an NHS trust. South Worcestershire PCT has announced that plans to shut Pershore Hospital before a new one opens have been put on hold, but Evesham Community Hospital will lose Bredon Ward and the Macmillan Unit. Savings are to be made by only opening 10 beds this financial year in the new hospital replacing Pershore. Cuts in school nurses, sexual health clinics and out-of-hours GP surgeries are still subject to consultation. The PCT has also asked the Worcestershire Mental Health Partnership Trust to make significant savings and plans to postpone the development of new services both in and out of hospitals. Worcestershire County Council could yet rule that formal public consultation is needed on the cuts. Summary by Keep our NHS Public of  BBC Online 12 June 2006
          The alert over Cadbury products contaminated with salmonella widened yesterday as it emerged other food companies bought chocolate crumb from the Herefordshire factory at the heart of the crisis. After a meeting with the authorities in London yesterday, it also emerged Cadbury has only now agreed to a comprehensive cleaning of all the production lines at the Marlbrook plant concerned. It first discovered it had a salmonella problem at the site in January this year, although the authorities believe that previous outbreaks in 2002 at its other factories may be traced back to Herefordshire. Cadbury only admitted to the contamination after an alert from the Health Protection Agency about an unusual rise in human cases of Salmonella montevideo. It agreed to recall more than 1m bars of seven types of chocolate brands that had tested positive two weeks ago. Felicity Lawrence and James Meikle Friday July 7, 2006 The Guardian
          Maternity unit "will close within weeks". The fate of Nuneaton's maternity unit has been sealed by the removal of its three top mid-wife posts according to staff at the unit. A radical shake-up of services in Nuneaton, that includes downsizing its A& E department, had left a question mark over the future of the unit at the town's beleaguered George Eliot Hospital. Plans to close Nuneaton's specialist baby unit, which treats premature babies, have already been announced, with services to be moved to Coventry; but staff now feel the maternity unit is sure to follow suit. The hospital trust has denied the move. Opponents and campaigners in Nuneaton plan a petition and have urged residents to attend a public meeting at Nuneaton Town all on July 13th. Summary by Keep our NHS Public of Coventry Evening Telegraph 4 July 2006
        5 Midlands maternity unit to close. All maternity services at Alexandra Hospital in Redditch are to be moved to the Royal Hospital in Worcester as part of a shake up of Worcestershire Acute Hospitals NHS Trust's clinical services. The plans also include a downgrading of the Redditch site's paediatric services and a new woman's hospital on the trust's Aconbury East site. The trust announced in April that it was axing 720 jobs in order to save £30m. Summary by Keep our NHS Public of Birmingham Post 7 July 2006
        5 Mother's fear over NHS maternity cuts. An anxious mum-to-be has hit out at plans to close maternity wards at the Alexandra Hospital, Redditch, fearing it could put lives at risk. The controversial proposals would see maternity services moved from Redditch to Worcestershire Royal Hospital - a 50-mile round trip. The trust revealed last September that it was to axe services at the Alex in a bid to save £20 million after clocking up debts of £32 million, but denied that the aim of the maternity transfer was to save money. Summary by Keep our NHS Public of Birmingham Mail 21 July 2006
  2 3     Health bosses to be quizzed. People in Coventry are being invited to watch councillors quizzing NHS bosses about how patients will be affected by a cash squeeze. The PCTs in Coventry and Warwickshire have had together to borrow £30m to help pay the bills for Coventry's new superhospital. They have to foot much of the first annual payment under the PFI for the new University Hospital at Walsgrave. Summary by Keep our NHS Public of Coventry Evening Telegraph 21 July 2006
        5 Campaigners protest over NHS cuts. Patients and hospital staff from Staffordshire, Hereford and Worcester have protested outside City Hospital in Birmingham over cuts, including 1,000 job losses in Staffordshire and 800 at City Hospital itself. Campaigner Andy Bentley said the march was a statement of intent. Neal Stote, from the Save the Alex Campaign which is fighting to keep services at Alexandra Hospital in Redditch, said that hundreds of people had turned out to have their voices heard. Summary by Keep our NHS Public of BBC Online 17 July 2006
          Specialist must pay trust's costs.  A doctor who failed to win an injunction against possible dismissal by a hospital trust must now pay up to £60,000 in court costs. Doctor Raj Mattu was suspended in 2002 over an allegation of harassment. He lost the injunction at the High Court on Friday and now must pay two thirds of University Hospitals Coventry and Warwickshire NHS Trust's costs. But a spokesman for a group supporting the doctor said the specialist should be reinstated. The ruling follows the trust "substantially" winning the case. The trust estimates its legal costs in the case to be at least £90,000 leaving a bill of £60,000 for Dr Mattu.   BBC 25 July 2006
        5 A LEADING councillor has expressed concerns over plans to treat seriously ill Rugby patients in Coventry. As the Advertiser reported last month, out-of-hours and weekend services at Rugby's Hospital of St. Cross may be switched to the new University Hospital. The proposal was included in the Coventry and Warwickshire Acute Services Review, set up to examine hospital care in Warwickshire. Speaking at a meeting of Warwickshire County Council's Rugby Area Committee earlier this month, County Cllr. Bryan Levy (Lab, Lawford and New Bilton) said: "We have to explain to the electorate why they are being made to go to Coventry. "We have been inundated with worries about car parking and buses.  Rugby Advertiser 27 July 2006
    3     Hospital trust sacks team of chaplains. Terminally-ill patients and bereaved relatives will be left without pastoral care if a struggling NHS trust presses ahead with plans to axe most of its chaplaincy service, the union Amicus has said. Six of seven chaplains are to be laid off under proposals by Worcestershire Acute Hospitals NHS Trust to reduce a projected £30 million deficit. The plans would leave only one chaplain serving three hospitals. Amicus, which represents the College of Health Care Chaplains, said it was the worst single example of cuts affecting spiritual services in at least seven other trusts across Britain. Two Anglican chaplains, three Roman Catholics and another from the Free Church would be sacked from the Worcester and Kidderminster hospitals under the plan, leaving one based at Redditch. The union said: "This is a cruel decision by the trust. We believe that such cutbacks are being replicated across the UK. Chaplains are a soft target." Summary by Keep our NHS Public of Telegraph 9 August 2006
  2       'Teething problems' making nurses sick. More than 20 nurses have quit their jobs since the new University Hospital in Coventry opened a month ago. Stressed staff say they are leaving because of problems at the £400 million PFI hospital at Walsgrave. They claim there is a shortage of staff, morale is low, the building is too hot and there is nowhere for nurses to change. One nurse, who would only give her name as Louise, said: "The morale at the new hospital is terrible, the place is a shambles, and a lot of staff are leaving and not always being replaced." Summary by Keep our NHS Public of Coventry Evening Telegraph 10 August 2006
    3     Hospital hugged in protest march. Protestors fighting cuts at a Warwickshire hospital took part in a march on Sunday. They walked through Nuneaton to George Eliot Hospital and then linked arms around the building in a symbolic show of support. Residents are angry about plans which could see the special care baby unit and children's ward close. There are plans to alter maternity and out-of-hours emergency surgery services with patients using other hospitals. Summary by Keep our NHS Public of BBC Online 14 August 2006
        5 Subject: St Cross
From: dwood@fsmail.net
Date: Sun, September 3, 2006 3:08 pm
To: sheila@healthdemocracy.org.uk
Please find attached my concerns about the recent proposals for St Cross [Rugby]
    3     NHS chaplain call. The Most Rev Vincent Nichols, the Archbishop of Birmingham, has called on Worcestershire Acute Hospitals NHS Trust to reverse its proposal to make six of its seven chaplains redundant. Summary by Keep our NHS Public of Times 6 September 2006
    3     Subject: Warwickshire Hospital Cuts - Documents From: "Keith Kondakor" <keithk@clara.co.uk> To: <sheila@healthdemocracy.org.uk> Date: Fri, September 8, 2006 10:25 am
I have obtained some useful documents using the Freedom of Information Act. Key is the technical report on which the Acute Services Review is based. It states that they can save £10.5m without spending on alternative care. It has a long list of conditions that will be subject to admittance avoidance - many deadly. Please read and pass on.
Keith
        5 Group upset over hospital. Pensioners held an open-air meeting to protest NHS cuts in Hinckley town centre. The Hinckley and Bosworth Pensioners Action Group arranged the meeting to oppose the transfer of services away from George Eliot Hospital in Nuneaton and the funding of new hospitals through the Private Finance Initiative. Summary by Keep our NHS Public of Leicester Mercury 19 September 2006
        5 Rain fails to dampen hospital protest. Hundreds of campaigners braved the rain to protest against the proposed downgrading of services at a Worcestershire hospital. Staff, patients and politicians joined forces to make their voices heard over plans to axe maternity, paediatric and gynaecology services at the Alexandra Hospital in Redditch. The proposals, put forward by Worcester Acute Hospitals NHS Trust, would see no more births at Redditch and expectant mothers going to Worcester or Birmingham instead. Emergency children's services would also be reconfigured, with in-patients being treated at Worcester Royal Hospital while paediatricians would operate an "eight 'til late" service at the Alexandra Hospital. More than 200 campaigners staged a rally outside the hospital ahead of the trust board's monthly meeting. Julie Kirkbride, Conservative MP for Bromsgrove, said: "Maternity, A& E and paediatric services are the very backbone of our local health service, and as such should be provided locally, rather than 40 minutes away in Worcester." Hereford Hospital NHS Trust is losing 75 jobs in an effort to balance its books. Summary by Keep our NHS Public of Birmingham Post 6 October 2006
        5 NHS SOS. There has been yet another week of protest from health trade unionists and campaigners all over the country. Nottingham had 3,000 people on the streets opposing hospital closures and cuts while between 5,000 and 7,000 marched in Hastings. NHS Logistics workers held a solid strike in all five depots, opposing the take-over by the courier company DHL on 1 October (more on page 11). Workers in other parts of the health service are warming up for industrial action in response to compulsory redundancies and privatisation. Over the next few weeks, protests are planned in Oxford, Banbury, Epsom, Redditch and Southampton. Some important victories are being won. The Stroud birthing unit has been saved from closure due to a vociferous campaign of health workers and local people. At a lobby of London's Strategic Health Authority, London Health, on 25 September, pensioners and health activists were told: "There will be no flexibility when dealing with deficits and hospitals in deficit will not be baled out". In support of the TUC lobby on 1 November, the National Pensioners Convention Greater London region has called a feeder march. The march has the support of local campaigns, NHS Logistics union reps, striking health workers at Whipps Cross hospital and many others. Summary by Keep our NHS Public of Socialist 9 October 2006
        5 NHS rallies 'echo poll tax anger'. A rising number of protests against cuts in the NHS is threatening to rival the 1990s rebellion against the Tories' poll tax, campaigners have said. The protests have attracted both health professionals and members of the public affected by potential changes. The Keep Worthing and Southlands Hospitals campaign will gather at the site on Sunday afternoon. On Saturday, more than 1,000 people took part in a protest in Huntingdon, Cambridgeshire, where Hinchingbrooke Hospital is vulnerable to closure because of a £24m debt. A Huddersfield protest related to a decision to switch the town's maternity services to a hospital in Halifax. In recent weeks demonstrators have also turned out in Southampton, Nottingham, Cambridge, Redditch, Manchester, Sheffield, Birmingham and Epsom. "An extraordinary grass roots movement against government policy on hospital closures and privatisation is putting thousands of people on the streets every weekend in villages, town and cities the length and breadth of the country," said Geoff Martin, head of campaigns at pressure group Health Emergency. Labour leadership contender John McDonnell MP has said the government risked losing dozens of seats at the next general election in areas affected by NHS cuts. Summary by Keep our NHS Public of BBC Online 9 October 2006
    3     NHS trust could cut up to 90 jobs. Up to 90 jobs could be going at a West Midlands NHS Trust. Coventry Teaching Primary Care Trust said the redundancies would be across a range of areas and included clinical posts as well as corporate staff. The trust has a predicted end of year overspend of £11m. A spokesman said it was looking at financial savings as a means of preventing the overspend. The trust has said it will use voluntary redundancies or try to redeploy staff but compulsory redundancies could not be ruled out. Summary by Keep our NHS Public of BBC Online 11 October 2006
    3     In-debt hospitals forced to pay £1m for government consultants. Debt-ridden Midland hospitals have been forced to pay almost £1m for consultants sent by the government to help them with their finances. Health Secretary Patricia Hewitt ordered "turn-around teams" into Midland hospitals after they were forced to make massive cuts in an effort to balance their books. But it has emerged that hospitals across Britain have been charged more than £10m by the teams themselves. Worcestershire Acute Hospitals NHS Trust and University Hospital North Staffordshire NHS Trust have both been charged almost £500,000. The fees were uncovered by shadow Health Minister Stephen O'Brien who made freedom of information requests to the hospitals affected. He said: "Patricia Hewitt's early assurances that the turnaround costs are known and containable are well clear of the mark." The Worcestershire Trust runs hospitals in Worcester, Redditch and Kidderminster. It has been forced to axe most of its chaplaincy staff after running up debts of millions of pounds. But over the last two years it has spent £419,892 on management and financial consultants to "turnaround" its financial position. Tory MP Peter Luff said paying for consultants would take resources away from patient's care. In 2004 the NHS as a whole spent £568,000 on consultants but over the last two years hospitals have spent £10.6million. This is on top of another £11million spent by the Department of Health centrally. Summary by Keep our NHS Public of Birmingham Post 12 October 2006
    3     Blair talks tough on hospital cuts. Tony Blair has warned hospital trusts in the West Midlands that they must live within their means and take "difficult decisions" in a changing NHS. Hospital trusts across the region - including Shrewsbury & Telford and Worcestershire Acute - are planning cuts in staff and services to try to get their books back into balance. The Shrewsbury and Telford Hospital Trust is currently carrying debts of more than £31m and is cutting nearly 300 posts at the Royal Shrewsbury Hospital and Princess Royal Hospital in Telford. Blair said: "It's absolutely true that where there are deficits it concentrates the minds of people about what's wrong in their area. It focuses minds on changes that need to happen. These difficult decisions are being replicated in every walk of life, but the test is 'do you get a better service ?' Are we saying that the NHS - uniquely of any other organisation - has to remain exactly as it is, and if you change it, you are destroying the service ? That cannot be right, and it does not happen in any other walk of life." Summary by Keep our NHS Public of Shropshire Star 19 October 2006
        5 How Middle England turned into a nation of reconfiguration rebels. A wave of protests has swept across the country over the past few months, bringing thousands on to the streets. It has been sparked by increasing public anger over cuts, closures and service changes in the NHS that has erupted on a huge scale. Geoff Martin, head of campaigns at the pressure group Health Emergency, says there has been 'nothing like it since the poll tax'. The level of public anger seems to have taken the Department of Health by surprise. Public anger over NHS 'cuts' has seen 10,000 marching in Worthing, 7,000 in Haywards Heath and another 5,000 in Hastings, Sussex. Banbury in Oxfordshire has seen a protest by 5,000 people, with a similar number on the streets of Surrey commuter town Epsom. The wave of anger is something quite new in these places: none is known as a hotbed of militancy. In Huntingdon, police put a limit of 300 on the number of demonstrators, but 1,000 turned out anyway. The protest has taken in a 3,000-strong gathering in Nottingham, a march of 4,000 in Ludlow and - most remarkable of all - a demonstration of 27,000 people in sparsely populated Cornwall. It is not the easiest time to be an NHS manager. Elsewhere, the protesters have taken their grievances to the ballot box, with hospital campaigners elected to local councils in Kirklees and the London borough of Enfield. In the wake of Dr Taylor's 2001 election win in Kidderminster, the government introduced measures aimed at making reconfigurations more acceptable to the public - and less dangerous politically. The independent reconfiguration panel was set up to advise on contested changes, and new guidance, Keeping the NHS Local: a new direction of travel, specified that options for change must be developed 'with people, not for them' right from the outset, 'before minds are made up'. But somewhere along the line, the smooth new mechanisms seem to have broken down, and the public unrest shows no sign of abating. Lee Billingham, chair of Worthing Keep Our NHS Public, says: 'Kidderminster at that time was a fairly isolated example. The difference now is it's a national attack, with up to 60 accident and emergencies going.' The situation is different for other reasons, too. This time the banners have been raised against a background of widespread public concern at the effects of NHS deficits. Billingham agrees that public anger over the NHS is increasingly generalised, linking reconfiguration, financial deficits and 'broader issues: the market and privatisation'. He describes Worthing as 'Middle England'. But 10,000 people marched through the town in August to protest at moves to downgrade its hospital, while 6,000 people linked hands in a human chain around the buildings last month. 'As far as I know there's never been a demonstration of that size in Worthing, ever. Nothing on that scale.' And in Worthing at least, managers have not succeeded in persuading the public of their arguments. A rally at the end of the August protest was 'the angriest public meeting I've ever seen', he says. 'The chief executive of the SHA and her assistant came to address it. They were barracked and heckled - they were visibly shaken. I don't think they were expecting how angry people would be. They said it was OK, it was modernisation, there would be services in the community - and people were laughing. They were in fits of laughter.' The Kidderminster effect still haunts Labour, leading government members to join their opposition counterparts on the NHS protests. Chief whip Jacqui Smith, a former health minister, recently helped deliver a 16,000-strong petition in favour of retaining maternity services in Redditch. In north London's Enfield public anger over moves to remove A& E and other services from Chase Farm Hospital has made the political situation more complicated than ever. Enfield councillor Kate Wilkinson is one of two Save Chase Farm candidates elected in May, when nine health campaigners picked up 12,500 votes between them. She says there have been attempts to close the hospital's A& E under both Labour and Conservative governments, but the entire council has unanimously rejected all four options for reconfiguration now under discussion in a pre-consultation engagement phase. 'None retains a fully functioning A& E or women's and children's services staying at our hospital,' Wilkinson explains. 'It really is incredible. Everyone's up in arms. We are planning another large protest in December - the anniversary of the one last year [with 5,000 people].'  Summary by Keep our NHS Public of Health Service Journal 23 November 2006
    3     Protest at plan to cut school nurses. Head teachers in Coventry are furious over Coventry Teaching Primary Care Trust's plans to cut one of the city's two school nurse team leaders, one of the city's six senior school nurses and two of the seven school nursing assistants. They have voiced fears that the cuts, which will leave each of the remaining five staff to do the work of one full-time and one-part time nursing assistant, will hinder vital work in sex education lessons and identifying children with mental health problems. Tony Flynn, head of Spon Gate Primary School said: "I am concerned about the effect of the cutbacks. It's ironic that we're told Coventry is going to get a supernanny when these services are being cut." There are also plans to halve staffing from 14 to seven in the nursery nurse team who help parents struggling to cope with behaviour problems in pre-school children. Director of primary care for Coventry Teaching Primary Care Trust Peter Hodder said: "We are looking at reducing the size of the school nursing service in Coventry and it may be that some non-essential services are affected. We would wish to focus resources at the areas of greatest need but it is too early to speculate on the likely impact, or state where that would be, because we are still working through alternative proposals."  Summary by Keep our NHS Public of Coventry Evening Telegraph 28 November 2006
    3     MP's plea on hospital chaplains. Mid-Worcestershire MP Peter Luff has written to health chiefs urging them not to "devastate" the county's hospital chaplaincy service. Health chiefs meet to discuss the proposals to axe up to six of seven chaplains serving Redditch, Kidderminster and Worcester next week. The trust announced the cost-saving plans in August, saying its primary duty was to provide high-quality, effective clinical care to its patients. Summary by Keep our NHS Public of Birmingham Mail 1 December 2006
        5 Mother leads NHS campaign group. The founder of People United Saving Hospitals (PUSH), Venessa Carey, has organised 100 local campaign groups to plan a series of marches across England to demonstrate against cuts and the use of private money in the NHS, with the first planned for December 15th. "We believe that we do need to continue having local demonstrations and local groups but now we also feel the time is here for people to come together," said Ms Carey. Summary by Keep our NHS Public of BBC Online 4 December 2006. [The trigger was George Eliot Hospital, Warwickshire]
        5 Reforms to improve NHS, says PM. In a speech to the NHS Confederation Tony Blair has called on doctors and managers to sell NHS reforms to the public. The plea comes as think-tank The Institute for Public Policy Research suggested that campaigns to save local A& E units could lead to more than 1,000 unnecessary deaths a year. Critics of the reforms say they are being implemented to save money and will put patient's lives at risk. Mr Blair told his audience that improvements were being made in the NHS to ensure the very sick have speedy access to specialist care while also treating people more conveniently closer to home. The IPPR researchers said people should be campaigning for changes in services, not retention of traditional ones and that "they need to understand that preserving the local hospital will not always be in their best interest if something life-threatening happens." Dr Johnathan Fielden, chairman of the British Medical Association's consultant's committee said decisions on reconfiguration should be based on "good evidence". However others, such as Professor Christopher Marks, cancer surgeon and chairman of the independent campaign to save the Royal Surrey Hospital in Guildford disagree. He accepts that some cases must go to specialist centres but pointed out that centralisation of services in Surrey would see a doubling of minimum ambulance response times. "Thanks to the money that the government has put in, particularly to A& E, the service has improved marvellously, and it is a pity to throw the baby out with the bath water when you have spent all this money," he said. Dr Richard Taylor, the independent MP for Wyre Forest, who campaigned against the closure of his local hospital in Kidderminster, admitted that many campaigns were driven by emotion but that downgrading left A& E departments unable to cope. "There has got to be compromise that keeps adequate facilities at a wider range of acute general hospitals than these super-specialist centres alone."  Summary by Keep our NHS Public of BBC Online 5 December 2006
        5 'Closures are not about saving money, but saving lives'. The closure of accident and emergency services at some hospitals is in the interests of patients, the Government has said. If that were true, Andrew Lansley retorted, it could have been done before, not after, financial deficits in the NHS had come to light. The Government fears that it is losing the argument over NHS reconfigurations, which involve A& E and maternity services, among others. The reports, published yesterday, are designed to present the issue more positively, by showing that change might not mean worse care. But the argument assumes that the money saved by closing some A& Es is devoted to building others into specialised centres. That is not guaranteed. Geoff Martin, of the campaign group Health Emergency, said: "Claiming that closing local A& E departments, trauma units and intensive-care facilities will improve services turns all logic on its head. People are fighting these closures in their tens of thousands up and down the country because they know that closing local services and increasing journey times puts lives at risk." The Government has not produced a list of trusts where A& E departments have closed or are threatened. But the Tories say they have identified hospitals in 29 NHS trusts: Ashford and St Peter's Hospitals; Barking, Havering and Redbridge; Barnet and Chase Farm Hospitals; Buckinghamshire Hospitals; Calderdale and Huddersfield; East and North Hertfordshire; East Sussex Hospitals; Epsom and St Helier University Hospitals; North Bristol; George Eliot Hospital; Good Hope Hospital, Sutton Coldfield; Hinchingbrooke Health Care; North West London Hospitals; Oxford Radcliffe Hospitals; Pennine Acute Hospitals; Princess Royal Hospital, Haywards Heath; Queen Mary's Sidcup; Royal Free Hampstead; Royal Surrey Hospital, Guildford; Royal West Sussex; Sandwell and West Birmingham Hospitals; South Tees Hospitals; South Warwickshire General Hospitals; United Lincolnshire Hospitals; West Hertfordshire Hospitals; Whipps Cross University Hospital; Whittington Hospital; Worthing and Southlands Hospitals.  Summary by Keep our NHS Public of Times 6 December 2006
          Private contracts "destabilise NHS". Doctors are being forced to refer patients to private centres for fast track treatment by NHS bosses while local hospitals have longer waiting times imposed upon them. The British Medical Association has condemned the move calling it a "two-tier" health service that is being used to prop up privately-run centres. They also claim that it makes a mockery of the Government's "patient choice" policy. In one instance, GPs in Basingstoke, Hampshire, have been told to divert people who need routine hip and knee operations away from North Hampshire Hospital in Basingstoke and to surgical centres run by Capio, a Swedish company. While waiting times at the private centres are as low as six weeks and a maximum of 10 weeks, health bosses are imposing a "go slow" on orthopaedic surgery at North Hampshire Hospital by refusing to fund routine hip and knee surgery unless the patient waits at least 16 weeks. One GP said: "The business with Capio is a disgrace. We have been told that operations will be done extremely quickly… but there are a whole lot of people waiting longer than that on the local hospital waiting list. I don't understand why they can't invest this money in the hospital service itself." Similar "go slow" arrangements are working in Coventry and Warwickshire. Summary by Keep our NHS Public of Telegraph 11 December 2006
        5 Save Our NHS. People United Saving Hospitals, the campaign started by Nuneaton woman, Vanessa Casey, held a torchlit protest in the town last night. Chanting "no ifs no buts, no hospital cuts", the protesters marched from the Griff and Coton Social Club in Heath End Road to Nuneaton Town Hall to protest against proposed cuts to services at George Elliot Hospital. Under the plans, Nuneaton will lose its baby care unit and some children's services. Emergency out-of-hours operations will also be transferred to University Hospital in Walsgrave. Miss Casey, of Bucks Hill, said: "We need to keep our maternity, the special care baby unit and children's services at the hospital. I feel that years ago people fought for the things we've got and today if we don't fight for things at the hospital what are our children and grandchildren going to have ?" The rally was one of many held nationally in places such as Kendal, Chichester, Hinckley, Coventry and Redditch to form a united front. In London, marches sang carols at the gates of the Department of Health. Summary by Keep our NHS Public of Coventry Evening Telegraph 19 December 2006
    3     NHS trusts with total £186m deficit could get extra funds. Seventeen indebted NHS trusts whose income was capped under the transition to payment by results are now eligible for additional financial support in 2007/ 08, the Department of Health has said. The trusts reported a combined deficit of more than £186m in 2005/ 06, with over half forecasting a deficit in 2006/ 07, eight of them more than 5% of annual turnover. A further ten trusts whose income was also capped yet who have not experienced a deficit will also be eligible for support from their strategic health authorities. Any support given will have to be approved by the DoH and reported in financial plans. Potential recipient trusts include South Warwickshire General Hospitals Trust, which has a £14m deficit, equivalent to 13% of annual turnover. The trust last year told Public Finance it would not have a deficit at all if it was not capped.  Summary by Keep our NHS Public of Public Finance 5 January 2007
        5 'Job and bed cutter' is new NHS boss. The appointment of a new interim chief executive at Epsom and St Helier NHS University Hospitals Trust has sparked further speculation over its future. Graham Smith took over the position on January 4 after the departure of his predecessor Lorraine Clifton. The former chief executive left the trust after criticism from Surrey health scrutiny committee for planning significant changes without adequate public consultation. Mr Smith has filled the same position for brief periods at various trusts across the country over the past six years. Prior to accepting the job at Epsom and St Helier he was interim chief executive at South Warwickshire General Hospitals NHS Trust from May until September 2006. While there, he was challenged with saving £9m in a year to try and bring down Warwick Hospital's £23m deficit. At the time, the Warwick Courier reported that due to merging wards the medical unit only had four staff looking after 39 patients from midnight onwards. Geoff Martin, head of campaigns at pressure group London Health Emergency, said: "It's like he has been on a national tour. He's been all over the country and seems to go to trusts to cut jobs and beds." Mr Martin urged people to continue putting pressure on the trust to cease cuts and closures. Summary by Keep our NHS Public of Sutton Guardian 12 January 2007
        5 Health service shake-up defended.  PROPOSALS to transfer seriously-ill patients in Rugby straight to Coventry, and further cuts to bed numbers, have been approved - and defended. Under new recommendations, patients during 'off peak' hours and weekends will be taken straight to the University Hospital for treatment, rather than the Hospital of St. Cross. The plans were put forward by the Coventry and Acute Services Review Board, which has been considering a number of plans affecting hospitals across Warwickshire. Although it means patients would have to wait longer for treatment, Dr. Mark Newbold, managing director for the St. Cross, said it would help Rugby patients access greater care faster. Rugby Advertiser 16 January 2007
    3     Ward shuts at new hospital. Bosses at Coventry's new University Hospital have announced plans to close a ward and axe 24 beds - just six months after it opened. Ward 33a is to close down under the plans, which will save the hospital trust about £400,000, and the staff and patients will be spread around other wards. But staff and union officials have accused hospital management of failing to think through the plans, which could come in to force as early as February 1. And they say mixing the wards is a potential disaster, as it could see cases of superbug MRSA rocket at University Hospital, which has until now had a good record for the bug. Charlie Sarrell, regional officer for Unison, said: "They're closing ward 33a and shunting everybody to 22 and 32, and one of our main concerns is that services will be lumped in together, and this could be dangerous. This is not good clinical practice. Management are taking the view that there can be fewer beds if there's a faster throughput of surgical patients, but surgical beds are used when there is an over-flow of clinical patients, so where will they go ? There are no redundancies indicated but we are concerned about the disruption to staff and the fact that the management seem to be rushing this through. There will be more pressure on staff, consultants will be expected to be more available and nurses could end up discharging patients, which is not their job." One nurse affected by the closure, who asked not to be named, said she was worried that nurses were being asked to reapply for their jobs. She said: " We've been told we have to reapply for our own jobs within a week. They told us there were going to be bed closures and it was for economic reasons." Acting director of nursing Dr Ann-Marie Cannaby said: "We are not making any nurses redundant. A small number of nurses will have to work on a different ward but they are being asked for their preference as to where they would like to work." Summary by Keep our NHS Public of Coventry Evening Telegraph 19 January 2007
        5 A&E review is planned. Health chiefs have agreed to review accident and emergency services across Worcestershire, including the minor injuries unit at Kidderminster. The review is expected to take into account "interesting ideas" put forward by Wyre Forest MP Dr Richard Taylor. It follows calls to restore a doctor service at the unit in Kidderminster to help save thousands of patients from making a 40-mile round trip to Worcester. Worcestershire Primary Care Trust chief executive Paul Bates today said: "The trust is under pressure to make sure it reaches the 98% target of people who attend A& E being seen within four hours. With that in mind we will be carrying out a wide-ranging review of A& E, including the minor injuries unit, and how out-of-hours GP services operate. This is not about restoring accident and emergency at Kidderminster. We are planning to review the way we are operating." Members of the trust yesterday met to hear calls for a doctor to be restored to the minor injuries casualty unit at Kidderminster. Health campaigners from Worcestershire yesterday descended on London to join a mass rally against Government plans to close or downgrade hospitals. The group turned up at Westminster to support people protesting against hospitals suffering a similar fate to Kidderminster. Summary by Keep our NHS Public of West Midlands Express & Star 19 January 2007
        5 Nurse steps in over axed blood tests. Nurse Pat Brady is launching her own blood test clinics - weeks after being made redundant by the NHS. Mrs Brady was the only member of staff forced out of a job when Coventry Teaching Primary Care Trust controversially decided to scrap its community blood test service. Mrs Brady said: "I came up with the idea when I was talking to an elderly lady a few weeks ago and she told me she had been to the new hospital and the trip had cost her £25 in a taxi. I thought starting my own service out in the community could help people like her." Mrs Brady said she and many of her colleagues had been sad to hear the service was being scrapped. But she believes the decision will become such an extra burden on the hospitals and cause so many complaints that the service will be reintroduced in the future. About 500 people are protesting about cuts to the blood test service in Cheylesmore. The clinics were cut back as part of a bid by the PCT to save £10.5m. From next week, people will have to attend either University Hospital, Walsgrave, for blood tests, or a unit on the Coventry and Warwickshire Hospital site, in the city centre. Summary by Keep our NHS Public of Coventry Evening Telegraph 26 January 2007
        5 Delays will get even worse… In the first days after blood testing services have been moved from 14 neighbourhood clinics to two Coventry Hospitals, patients have been waiting up to 90 minutes for tests and hospital staff are warning of impending chaos as queues build up. Supervising Nurse Jayne Moore admitted on Friday that the Coventry and Warwick phlebotomy clinic was almost chaotic. "Our numbers are going up here but we're not getting any extra staff - we had an awful time last week and I can only see it getting worse," she said. "We will cope with it because we have no choice, but we'll end up getting complaints because people will have to wait longer." Pathology services manager Carl Holland said: "The two sites are already doing about 900 patients a day between them, but now we're expecting an extra 850 a week." Spokesman for Coventry Teaching PCT Simon Dudman said: "It is regrettable that changes to this service will be inconvenient to a small number of patients. The NHS has a duty to prioritise services for those with the greatest health need within the financial resources available." Summary by Keep our NHS Public of Coventry Evening Telegraph 30 January 2007
      4   Epileptic boy, 13, denied treatment. A DEVASTATED mother has criticised penny-pinching health bosses after they turned down funding for potentially life-saving treatment for her teenage son. Doctors treating 13-year-old John Love had applied for £7,500 for a nerve stimulating device which could help treat his severe epilepsy. However, Warwickshire Primary Care Trust has turned down the application, claiming it was not 'cost-effective'. John's mother, Eve, of Smeaton Lane, Stretton-under-Fosse, said the decision - which she claims is the first refusal of funding of its kind 'for years' - had ruined his chance for an improved life.  Rugby Advertiser 1 February 2007
          'Super bug killed my mum' - claim.  A DISTRAUGHT woman claims that a deadly superbug could be lurking at Rugby's Hospital of St. Cross after her mother died from contracting it. The woman, who did not wish to be identified, told the Rugby Advertiser her mother died from clostridium difficile (c. diff) after being treated at the hospital. The woman, herself a nurse now living in Weymouth, claimed the hospital was not clean enough to prevent the bug from spreading. Cases of c. diff have steadily increased in recent years but most people who catch the infection make a full recovery. However, the woman's 88-year-old mother from Lutterworth, who she did not want to name, died on January 25. She was taken to St. Cross days before Christmas with infected leg ulcers and looked to be recovering well until contracting the bug. The woman said she visited her on December 27 to discover she had been moved into a side ward as a precaution against c. diff.  Rugby Advertiser 1 February 2007
          Crisis looms as GPs face cutbacks. Doctors are warning that a crisis is looming at GP surgeries across Coventry. They fear major cutbacks in services, including job losse