Specialist vascular op centre in East Lancashire at risk after objection

Blackburn Citizen: Specialist vascular op centre in East Lancashire at risk after objection Specialist vascular op centre in East Lancashire at risk after objection

APPROVED plans to create a vascular centre have been thrown into doubt after health chiefs in Bolton objected to a partnership with the Royal Blackburn Hospital.

Last year it was announced that Blackburn would become one of three centres for specialist vascular surgery, bringing an end to complex operations in Bolton.

The aim was to create a ‘centre of excellence’ for disorders of the veins and arteries with patients from Bolton being treated by East Lancashire Hospitals NHS Trust (ELHT) to increase the volume of work and maintain consultants’ skills.

The shake-up was recommended by the Vascular Society, which said hospitals should perform a minimum number of specialist procedures each year, and approved by health secretary Jeremy Hunt last summer.

But now bosses at Bolton NHS Foundation Trust have raised concerns over the arrangement and sought assurances about its long-term sustainability.

Martin Hodgson, director of service development at ELHT, said: “It’s fair to say there was some consternation from Bolton.

“We are in dialogue but it’s quite protracted. If Bolton don’t partner with us then we don’t meet the standard and the whole thing could unravel.”

He said that Bolton was considering being part of a Greater Manchester network instead and added: “It would leave Preston as the only game in town but they can’t cope with our population coming in.”

ELHT has been in special measures since July after NHS inspectors made wide-ranging criticisms of the way it was run.

Heather Edwards, head of communications at the Bolton trust, said the vascular issue ‘has nothing to do with East Lancashire being in special measures’.

She said there were ‘ongoing discussions between the clinicians’ but did not give an answer when asked to explain the concerns.

The proposed changes form part of a regional re-organisation which would see conditions which need complex surgery, such as abdominal aortic aneurysms, treated in Blackburn, Carlisle and Preston.

Lancaster, Bolton, Blackpool and Wigan will lose specialist surgery but keep routine procedures.

Comments (2)

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4:37pm Tue 4 Feb 14

mavrick says...

Good for Bolton. there was a story in last nights LET about the RBH inability to recruit staff for the post they have vacant now, Since confidence in the ELHT is at an all time low through bad management and budget cuts, would you partner with them? Big has proved not to be too beautiful in east lancs. Reorginisation of the NHS seems to be a licence to print money for every consultant in the country. Untill the people in this country stand up and make their true voices heard on the NHS and welfare system, It will be a case of carry on chaos. so write to your MP and demand a public consultation on these issues.
Good for Bolton. there was a story in last nights LET about the RBH inability to recruit staff for the post they have vacant now, Since confidence in the ELHT is at an all time low through bad management and budget cuts, would you partner with them? Big has proved not to be too beautiful in east lancs. Reorginisation of the NHS seems to be a licence to print money for every consultant in the country. Untill the people in this country stand up and make their true voices heard on the NHS and welfare system, It will be a case of carry on chaos. so write to your MP and demand a public consultation on these issues. mavrick
  • Score: 4

11:18am Wed 5 Feb 14

Puffin-Billy says...

Private Health Companies are ripping off the Taxpayer.
They are masquerading as NHS organisations, by using the NHS logo on their websites, premises and correspondence.

http://www.keepournh
spublic.com/pdf/data
-opt-out.pdf

http://www.hsj.co.uk
/news/primary-care/n
hs-england-working-w
ith-gp-firm-over-mer
seyside-practice-con
cerns/5062905.articl
e#.UvD2cbRn1qE

http://www.labournet
.net/ukunion/1211/SS
PHealth.pdf

The following is a list of so-called “NHS Practices”, which are in fact branches of a private business, SSP Health, which is using the NHS as a front .

Bolton

3D Medical Centre200 Deane Road

Bolton General PracticeMarsden Road

Bolton Medical Centre21 Rupert Street

Great Lever Practice21 Rupert Street

Chorley

Eaves Lane311 Eaves Lane

InceLower InceClaire House, Phoenix Way



LiverpoolBreeze Hill PracticeBreeze Hill Neighbourhood Health Centre

Crosby Village Surgery3, Little Crosby Road

Crossways Practice168 Liverpool Rd

Everton Road Health Centre45, Everton Road

iveways Family Health Centre215 Childwall Rd

Freshfield Surgery61, Gores Lane



Garston Family Health Centre32, Church Road



Hightown Village Surgery



Kensington Park Practice157 Edge Lane

Litherland PracticeHatton Hill Road



Maghull PracticeParkhaven Trust



Marybone Health CentreUnit 1&2



Mersey View and Walk-in Surgery45 Everton Road



Netherley Health CentreMiddlemass Hey

Netherton PracticeNetherton Health Centre



Orrell Park Medical CentreTrinity Church, Orrell Lane/Rice Lane

Park View Medical CentreOrphan Drive



Princes Park Health CentreBentley Road



Rawson Road136-138 Rawson Road



Robson Street PracticeMere Lane Neighbourhood Health Centre

Seaforth Village Surgery20, Seaforth Road



Stanley Road Medical Centre60,Stanley Road



Thornton PracticeThornton Family Health Clinic



West Speke Health CentreBlacklock Hall Road

Manchester

Astley General Practice391a Manchester Road, Astley

New Bank Health Centre339 Stockport Road



The Pike PracticeMarket Street Health Centre

Newton-le-Willows

Newton Cottage Practice1st Floor Newton Community Hospital Practice



Newton Medical Centre1 Belvedere Road

Salford

The Height General Practice355 Bolton Road

St. Helens

Bowery Medical CentreElephant Lane

Widnes

Upton Rocks SurgeryWidnes RUFC Car Park

Wigan

Ashton Medical Centre120 Wigan Road, Ashton In Makerfield

Braithwaite Road Surgery36 Braithwaite Road

Higher Ince PracticeInce Surgery, Ince Community Centre

Platt Bridge Medical Centre647 Liverpool Road

No wonder that Dr. Shikha Pitalia, Director of SSP Health and Chair of United League Commissioning, based in the North West is excited with government plans to so-called “modernise” the NHS.

It is organisations such as United League Commissioning which are behind the current hysteria concerning the necessity of reducing National Health Service hospital admissions.

Their private business is profitting from, and using using as a front, NHS facilities which are being deliberately under-funded and under-resourced to the tune of £20 billion, on the advice of consultants McKinsey.

The latest situation concerning a GP practice in Accrington, Lancashire is typical.

Despite the fact that Accrington’s Victoria Health Access Centre has an excellent reputation according to its patients: ( http://www.nhs.uk/Se
rvices/GP/Performanc
e/DefaultView.aspx?i
d=41630) East Lancashire Clinical Commissioning Group (ELCCG) -which of course has absolutely no connection with United League Commissioning- has surprise surprise, launched a so-called “consultation” on primary care in Hyndburn, warning that “…financial pressures mean some services may have to be cut…”

And who will be hiding in the wings to come to the rescue?…that’s right, husband and wife team Drs. Shikha and Sanjay Pitalia of SSP Health.

It is because of people such as them that GPs are leaving the NHS.
Here is an article by one such GP.

“It’s been an amazing privilege working as a family doctor. I am trusted with the long-term care and health of sometimes four generations, and I have tried to help with their most intimate and complex problems, sometimes shared only with me. It’s the best job in medicine, and the NHS was the best place to practice.

So why am I retiring early? Because for several years I’ve fought the dismantling of the founding principles of Bevan’s NHS and on 1 April I lost. That was the day the main provisions of the Health and Social Care Act 2012 came into effect. On Wednesday night, a last-gasp attempt in the House of Lords to annul the part pushing competitive tendering sadly failed.

The democratic and legal basis of the English NHS and the secretary of state’s duty to provide comprehensive health services have now gone, and the framework that allows for wholesale privatisation of the planning, organisation, supply, finance and distribution of our health care is now in place. Since 1948, we GPs have been our patient’s advocate, championing the care we judge is needed clinically.

Everyone necessary for that care co-operated for the good of the patient – they didn’t compete for the benefit of shareholders. Sadly, patients are now right to be suspicious of motives concerning decisions made about them, which until recently, almost uniquely in the world, have been purely in their best clinical interest. Most politicians understand little about general practice, have no idea about the importance of continuity of care and blame GPs for a rise in hospital work, even though this is a direct result of their policies.

I believe patient choice is an illusion as I am restricted in terms of where I can refer and what treatments I can use. GPs are now expected to collude with rationing, are sent incomprehensible financial spreadsheets telling us our “activity levels” are too high and in some areas are prevented from speaking out about this, despite the government’s weasel words about duty of candour after Mid Staffs. Practices are already being solicited by private companies touting for business, often connected to members of my own profession. But the lie that GPs are now in control of the money will soon be exposed. Most services are to go out to tender, which will paralyse decision-making.

Now your doctor, the hospital, your specialist or the employing company has a financial incentive built into the clinical decision-making – even whether or not you are seen at all. Your referral may be to a related company, with both profiting from your care – so was that operation, procedure or investigation really in your best clinical interest? Or you may be told a service is now no longer available. The jargon used is that “we are not commissioned for that”. But you can pay. The elephant in the consulting room is the ethical implication of private medicine. In my 30 years as an NHS GP, some of the most disastrously treated patients are those who elected for private care. Decisions were made about them for the wrong reasons, namely profit. Patients are rarely aware of this.

The politicians who drive this unnecessary revolution claim the NHS is not being privatised because it is still free at the point of use. This is duplicitous as the two are not connected. They are ignorant or dismissive of the founding principles of the NHS which include it being universal and comprehensive – both of which have gone. The NHS logo appears on all sorts of private company buildings and notepaper which is one reason patients haven’t noticed the change yet. Just leaving “free at the point of use” under an NHS kitemark doesn’t constitute a national health service. It’s now one small step to insurance companies picking up the bill (but obviously profiting from it) rather than the state. An Americanised system run by many US companies. The end of a “60-year-old mistake”, as Jeremy Hunt once co-authored.

I am proud to have been an NHS GP. I believe the way a society delivers its healthcare defines the values and nature of that society. In the US, healthcare is not primarily about looking after the nation’s health but a huge multi-company, money-making machine which makes some people extremely rich but neglects millions of its citizens. We are being dragged into that machine and I want no part in it.

The politicians responsible for this must live with their consciences, as it is the greatest failure of democracy in my lifetime.”
Private Health Companies are ripping off the Taxpayer. They are masquerading as NHS organisations, by using the NHS logo on their websites, premises and correspondence. http://www.keepournh spublic.com/pdf/data -opt-out.pdf http://www.hsj.co.uk /news/primary-care/n hs-england-working-w ith-gp-firm-over-mer seyside-practice-con cerns/5062905.articl e#.UvD2cbRn1qE http://www.labournet .net/ukunion/1211/SS PHealth.pdf The following is a list of so-called “NHS Practices”, which are in fact branches of a private business, SSP Health, which is using the NHS as a front . Bolton 3D Medical Centre200 Deane Road Bolton General PracticeMarsden Road Bolton Medical Centre21 Rupert Street Great Lever Practice21 Rupert Street Chorley Eaves Lane311 Eaves Lane InceLower InceClaire House, Phoenix Way LiverpoolBreeze Hill PracticeBreeze Hill Neighbourhood Health Centre Crosby Village Surgery3, Little Crosby Road Crossways Practice168 Liverpool Rd Everton Road Health Centre45, Everton Road iveways Family Health Centre215 Childwall Rd Freshfield Surgery61, Gores Lane Garston Family Health Centre32, Church Road Hightown Village Surgery Kensington Park Practice157 Edge Lane Litherland PracticeHatton Hill Road Maghull PracticeParkhaven Trust Marybone Health CentreUnit 1&2 Mersey View and Walk-in Surgery45 Everton Road Netherley Health CentreMiddlemass Hey Netherton PracticeNetherton Health Centre Orrell Park Medical CentreTrinity Church, Orrell Lane/Rice Lane Park View Medical CentreOrphan Drive Princes Park Health CentreBentley Road Rawson Road136-138 Rawson Road Robson Street PracticeMere Lane Neighbourhood Health Centre Seaforth Village Surgery20, Seaforth Road Stanley Road Medical Centre60,Stanley Road Thornton PracticeThornton Family Health Clinic West Speke Health CentreBlacklock Hall Road Manchester Astley General Practice391a Manchester Road, Astley New Bank Health Centre339 Stockport Road The Pike PracticeMarket Street Health Centre Newton-le-Willows Newton Cottage Practice1st Floor Newton Community Hospital Practice Newton Medical Centre1 Belvedere Road Salford The Height General Practice355 Bolton Road St. Helens Bowery Medical CentreElephant Lane Widnes Upton Rocks SurgeryWidnes RUFC Car Park Wigan Ashton Medical Centre120 Wigan Road, Ashton In Makerfield Braithwaite Road Surgery36 Braithwaite Road Higher Ince PracticeInce Surgery, Ince Community Centre Platt Bridge Medical Centre647 Liverpool Road No wonder that Dr. Shikha Pitalia, Director of SSP Health and Chair of United League Commissioning, based in the North West is excited with government plans to so-called “modernise” the NHS. It is organisations such as United League Commissioning which are behind the current hysteria concerning the necessity of reducing National Health Service hospital admissions. Their private business is profitting from, and using using as a front, NHS facilities which are being deliberately under-funded and under-resourced to the tune of £20 billion, on the advice of consultants McKinsey. The latest situation concerning a GP practice in Accrington, Lancashire is typical. Despite the fact that Accrington’s Victoria Health Access Centre has an excellent reputation according to its patients: ( http://www.nhs.uk/Se rvices/GP/Performanc e/DefaultView.aspx?i d=41630) East Lancashire Clinical Commissioning Group (ELCCG) -which of course has absolutely no connection with United League Commissioning- has surprise surprise, launched a so-called “consultation” on primary care in Hyndburn, warning that “…financial pressures mean some services may have to be cut…” And who will be hiding in the wings to come to the rescue?…that’s right, husband and wife team Drs. Shikha and Sanjay Pitalia of SSP Health. It is because of people such as them that GPs are leaving the NHS. Here is an article by one such GP. “It’s been an amazing privilege working as a family doctor. I am trusted with the long-term care and health of sometimes four generations, and I have tried to help with their most intimate and complex problems, sometimes shared only with me. It’s the best job in medicine, and the NHS was the best place to practice. So why am I retiring early? Because for several years I’ve fought the dismantling of the founding principles of Bevan’s NHS and on 1 April I lost. That was the day the main provisions of the Health and Social Care Act 2012 came into effect. On Wednesday night, a last-gasp attempt in the House of Lords to annul the part pushing competitive tendering sadly failed. The democratic and legal basis of the English NHS and the secretary of state’s duty to provide comprehensive health services have now gone, and the framework that allows for wholesale privatisation of the planning, organisation, supply, finance and distribution of our health care is now in place. Since 1948, we GPs have been our patient’s advocate, championing the care we judge is needed clinically. Everyone necessary for that care co-operated for the good of the patient – they didn’t compete for the benefit of shareholders. Sadly, patients are now right to be suspicious of motives concerning decisions made about them, which until recently, almost uniquely in the world, have been purely in their best clinical interest. Most politicians understand little about general practice, have no idea about the importance of continuity of care and blame GPs for a rise in hospital work, even though this is a direct result of their policies. I believe patient choice is an illusion as I am restricted in terms of where I can refer and what treatments I can use. GPs are now expected to collude with rationing, are sent incomprehensible financial spreadsheets telling us our “activity levels” are too high and in some areas are prevented from speaking out about this, despite the government’s weasel words about duty of candour after Mid Staffs. Practices are already being solicited by private companies touting for business, often connected to members of my own profession. But the lie that GPs are now in control of the money will soon be exposed. Most services are to go out to tender, which will paralyse decision-making. Now your doctor, the hospital, your specialist or the employing company has a financial incentive built into the clinical decision-making – even whether or not you are seen at all. Your referral may be to a related company, with both profiting from your care – so was that operation, procedure or investigation really in your best clinical interest? Or you may be told a service is now no longer available. The jargon used is that “we are not commissioned for that”. But you can pay. The elephant in the consulting room is the ethical implication of private medicine. In my 30 years as an NHS GP, some of the most disastrously treated patients are those who elected for private care. Decisions were made about them for the wrong reasons, namely profit. Patients are rarely aware of this. The politicians who drive this unnecessary revolution claim the NHS is not being privatised because it is still free at the point of use. This is duplicitous as the two are not connected. They are ignorant or dismissive of the founding principles of the NHS which include it being universal and comprehensive – both of which have gone. The NHS logo appears on all sorts of private company buildings and notepaper which is one reason patients haven’t noticed the change yet. Just leaving “free at the point of use” under an NHS kitemark doesn’t constitute a national health service. It’s now one small step to insurance companies picking up the bill (but obviously profiting from it) rather than the state. An Americanised system run by many US companies. The end of a “60-year-old mistake”, as Jeremy Hunt once co-authored. I am proud to have been an NHS GP. I believe the way a society delivers its healthcare defines the values and nature of that society. In the US, healthcare is not primarily about looking after the nation’s health but a huge multi-company, money-making machine which makes some people extremely rich but neglects millions of its citizens. We are being dragged into that machine and I want no part in it. The politicians responsible for this must live with their consciences, as it is the greatest failure of democracy in my lifetime.” Puffin-Billy
  • Score: 0

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