The NHS is proposing to close Lewisham A&E. Here's what the local doctors say in a petition to David Cameron:
We,
doctors in Lewisham, have grave concerns about the proposal to
downgrade emergency medical and surgical services at Lewisham Hospital
made
by the Trust Special Administrator (TSA) for South London Healthcare
NHS Trust. Lewisham Hospital is not part of that trust. It is a solvent,
successful organisation that delivers high-quality care to its
patients. Yet the TSA has taken the extraordinary view
that Lewisham’s Accident and Emergency Department should close to
admissions, leading to closure of acute services including full
maternity services, and that most of the hospital site be sold.
Emergency
services are vital for the population of Lewisham, which contains some
of the most deprived wards in England. Lewisham Hospital’s new
£12 million A&E department opened as recently as April 2012 in
response to the need for expanded services. The TSA’s report asserts
that the need for emergency care would be reduced by 30% simply by
providing more care in the community. However, there is simply
no clinical evidence to back this up. In any case Lewisham Hospital has
already been innovative in working with social services to provide more
care at home and avoid admissions in patients with chronic illness. Our
intensive care unit has excellent standardised
mortality rates. Our new birthing centre has high maternal satisfaction
and provides high-quality care to a community with a high proportion of
‘high risk’ births, which would be jeopardised if maternity services
are lost or downgraded. Lewisham Hospital features
in the top 40 hospitals in the CHKS rankings. It its acute services are
lost, they could not be provided by others without risking patients'
safety and quality of care.
The
TSA’s review fails the “four tests” that you and the Secretary of State
for Health have recently laid down in Parliament. It does not have
the backing of GPs. It does not have public support, as the
demonstrations, public meetings and the petition have shown. It is not
based on sound clinical evidence (detailed responses from groups of
clinicians, including GPs, are at
http://www.savelewishamhospital.com/). Even the report itself acknowledges that it will not improve patient choice.
Your
government's response to this report has an importance beyond Lewisham.
The report is an attempted regional reconfiguration,
tacked
onto the statutory regime for an unsustainable provider, which is being
used here for the first time ever. The report was drawn up to statutory
timescales that are much too short for
a considered reconfiguration, with the result that the clinical
consultation is desultory and the clinical evidence is of poor quality.
If this report is accepted as it stands, it will create a dangerous
precedent for the rest of England. Furthermore, the
TSA has produced a report which perversely recommends that a solvent
and successful organisation be punished to save a separate,
unsustainable provider. We doubt that this is a signal that you will
want to send to the NHS and the public.
We
urge you and the Secretary of State for Health to reject the
recommendation that Lewisham Hospital lose its A&E and acute
services.
Here's another view.
Here's the outcome.of the decision.
Update 31st July 2013
So far the Courts agree with us, the plan has been overruled. It is a dumb and not legal decision to leap over the fence to beggar a performing NHS Trust to fund another failing NHS Trust in an adjacent area.
Here's another view.
Here's the outcome.of the decision.
Update 31st July 2013
So far the Courts agree with us, the plan has been overruled. It is a dumb and not legal decision to leap over the fence to beggar a performing NHS Trust to fund another failing NHS Trust in an adjacent area.