Tuesday, January 10, 2017

A&E Services in Shropshire and Mid Wales.

MP for Shrewsbury, Daniel Kawczynski has secured tomorrow's adjournment debate. It's decided by ballot and will take place after the 7.00pm votes. It's on the subject of 'A&E services in Shropshire and Mid Wales'. Normally adjournment debates are confined to the MP whose debate it is and the responding Minister. Because Health Minister, Philip Dunne, MP for Ludlow has a constituency interest, it will probably be Health Minister, David Mowatt who responds. However, I have asked Daniel and the Speaker's office if I can also speak. 2/3 minutes will do. I very much hope so, and this blog post is roughly what I will say if I 'catch the Speaker's Eye', as we say in Westminster-speak.

I have three points to make. Point 1 - to emphasise that the major Shropshire hospitals serve Mid Wales as well as Shropshire. The Welsh Parliament (as I like to call it)  is a devolved parliament. It is not the  parliament of an Independent state/country. I usually refer to Wales as a nation. There is no hard border twixt England and Wales. There are financing arrangements which allow for NHS services to be accessed where best for the patients. Those calling for anything else have no proper understanding of what devolution means. Emergency care, secondary care, elective care, specialist care (whatever you call it) for most of Montgomeryshire  is accessed in Shropshire. This is not even debatable.

Point 2 - the current Emergency care model is not sustainable. The A&E services at the Royal Shrewsbury and the Princess Royal, Telford are not 'emergency services'. Only about 20%of those who present there are real emergencies. The only viable sustainable option is to build a new 'Emergency Unit' for the 20% and two 'Urgent Care Centres' for the 80%, one in Telford and one in Shrewsbury. We've known this for years. But over the last 3years, at a cost of £2million, a body charged to research and recommend, the Future Fit Programme Board,  confirmed what we already knew and made its recommendation to the joint Clinical Commissioning Boards which had set it up. Just before Christmas, the CCGs refused to accept the recommendation - a total shambles which cannot be allowed to stand. It would simply mean that A&E consultants would not be attracted to Shropshire, and services would migrate to other hospitals further away.

Point 3 - Where should the Emergency Unit be located. The clear view of the Future Fit Board was Shrewsbury. Unsurprisingly, the view of everyone I've talked to in Mid Wales is Shrewsbury. My guess is that rural parts of Shropshire (around Oswestry, Ludlow etc) would share that view. But Telford says No. Lots of Mid Wales patients have to travel anything up to an hour to reach Shrewsbury now. Telford would be another 15 minutes on top, even travelling under blue light. While Telford itself is only around 20 minutes from Wolverhampton. I must concede I do not know how this is going to end up. But I do want my parliamentary colleagues in England to know anything less than a reformed Shropshire NHS, with an Emergency Centre based at Shrewsbury would make no logical sense.




4 comments:

IanJ said...

Hope they are listening.

Who selects the members of the health board ?
If the bulk of the selecting power is from Telford area, presumably more populous than Shrewsbury now, it is easy to see why they might choose to represent their own interests.

Jane Jarvis said...

Good luck for this evening! Great speech...

Andy Hughes said...

Too many fingers in the pie whilst they leave their people to die.......... !
Health boards, committees, Welsh, English, Borders, Private, Public, regeneration and development...
It will be sunnier from MAY onwards....! Unity??
Remember future aspiration and massive development of mid Wales is still a realism especially in light of populas movement due to global warming and land loss. It's why the bankers developers got the public to pay for the hilltops of Wales by the back door Labour WAG Europe cash for the club supporters, it's an ill wind blowing. It's happened before but there was many wars over it !! What goes around comes around only in a modern way.
In the short term your right, you never know they MAY more hospitals in the south, best value is to make them hospital ships, they float!

Good Luck your vention........

John evand said...

Great words, we need two units to be able to service each area, with the point you make about time being the most important. Lives could be put at risk by any delay in getting those who lives are at under threat into a unit that is properly equipped to deal with an array of conditions. Tell em how it is!