Gloucestershire hospitals bed closures latest

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Wednesday, March 10, 2010
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This is Gloucestershire

​A hospitals boss yesterday apologised for “poor communication” surrounding proposals to cut beds.

Up to 200 beds in Cheltenham and Gloucester could be closed as Gloucestershire Hospitals NHS Foundation Trust looks to save £30 million.

A protest was staged by nurses outside a meeting of health bosses and councillors yesterday, demanding “no more ward closures”.

Speaking at the Gloucestershire County Council’s health, commun-and care overview and scrutiny committee meeting, Dr Frank Harsent said: “Chair, I would like to apologise to you and your committee for the poor communication which happen-around the issue.”

The hospitals trust chief executive said he thought the beds issue had been in the public domain and gave an assurance there would be a very close working relationship in the future.

This was then echoed by chairwoman Dame Janet Trotter.

The committee asked the trust to continue to hold any proposed changes to bed numbers while a consultation was carried out.

Dr Harsent gave a presentation on the proposed changes, highlighting the expected improvement to the quality of services.

Proposals include reducing the number of admissions and speeding up discharges. The trust, which sees 60,000 emergency admissions per year, says its average length of admission for the last financial year was 6.3 days – against a national average of 5.7. “Saving eight to 10 hours on every patient over 60,000 means we end up with an awful lot more beds than needed,” he added.

Part of the changes include moving stroke and neurology beds to a combined unit. This move, which does not include a reduction of beds, has been given the go-ahead.

Emphasis will also be put on treating people in the community. Dr Harsent said: “This is about trying to keep people at home and if you do come into hospital you only stay as long as you need to.” Phase one of the bed reduction programme was due to start at Gloucestershire Royal Hospital this April – with 95 beds going.

Committee chairman Andrew Gravells said: “We would like the NHS Trust to speak to patients’ groups, carers’ groups and the six MPs about the impact of closures.

“It was a useful meeting where we were able to have an honest exchange of views and understand much more clearly what the trust is proposing.”

Helen Hancox, regional officer for the Royal College of Nursing, said the organisation already received calls from concerned nurses unable to find beds for patients.

She added: “Members would have felt much more comfortable if efficiency savings had already been implemented which demonstrated that the hospital has already got too many beds.”

THE RECOMMENDATIONS:

The committee will inform Monitor, the foundation trust regulator, and NHS Gloucestershire that it is not satisfied the trust had adequately consulted on the proposed changes.

It requested the trust give it the results of its consultation.

The committee supported the proposals regarding stroke and neurology services. However, it asked the trust to place the other proposals on hold.

Committee members reminded the trust of its statutory duties to engage and consult with the committee, Gloucestershire LINk and the community.

They also requested the trust’s chief executive identified:

a) How the trust proposed to change its communication practice.

b) How the trust proposed to engage with the committee to monitor progress of implementation of certain changes.

c) How any future changes would be communicated to the committee.

Writing in today's Citizen, Editor Ian Mean, says now is time for clear communications from the local NHS:

Some sanity has finally come to the chaotic communications which resulted in The Citizen roundly criticising the boss of the county’s hospitals trust for dropping a bombshell over bed cuts.

Dr Frank Harsent yesterday appeared before the county’s powerful health scrutiny committee – very much a humiliated man – after announcing that up to 200 beds would be lost at Gloucestershire Royal and Cheltenham General hospitals.

Dr Harsent apologised for the lamentable communications surrounding his bed cuts announcement.

Readers will remember those page one headlines in The Citizen. They caused concern and worry among patients and staff concerned about their jobs.

Senior county councillors were in the dark over the sudden announcement, and it also caused shockwaves in Downing Street.

A health story like this involving the loss of up to 200 beds in the county was not exactly the news that the Labour government wished to be defending just before a General Election with two MPs seats at stake.

The NHS in the county wisely decided to put the bed closures on hold and this was yesterday confirmed at the scrutiny committee meeting.

Dr Harsent and his team will now be forced to draw up a proper consultation plan – that means talking to real people who have real concerns about such plans. Not just a tick in the box paper exercise.

Dr Harsent’s team left the meeting with a warning of “no more surprises” ringing in their ears from Councillor Andrew Gravells, the take-no-prisoners chairman of the scrutiny committee.

We hope he now listens. The Citizen has no problem about the delivery of difficult messages. What we object to is major announcements like this being made in an atmosphere of secrecy.

So do Monitor, the Government’s health watchdog. which now has its beady eye on our trust.

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10 Comments

  • Profile image for This is Gloucestershire

    by Bob Stackhouse, Gloucester

    Wednesday, March 10 2010, 6:12PM

    “If the bed closures still go ahead at GRH and the General then where will the funding come from to treat all the people in the community who will not be getting treated in the Hospitals. I think that you will find the cost of treating people in their own homes, or other places in the community, will save little or nothing out of the total NHS budget for this County”

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    by anon, glos

    Wednesday, March 10 2010, 5:23PM

    “staff on neurology still do not know where they will be working despite the decision that the move for them will go ahead. as the ward is being reduced from 28 beds to 16, some staff will have to be redeployed. the other two specialities (dermatology and rheumatology) that are currently on the same ward as neurology are being split on to two other wards. so some beds are still being closed, some staff redeployed and still the trusts communication skills are not working. stafff only know what is happening via the citizen.....NOT GOOD ENOUGH FRANK OR ANY OF THE OTHER MANAGERS INCLUDING SO CALLED MODERN MATRONS...”

  • Profile image for This is Gloucestershire

    by Tim, Cheltenham

    Wednesday, March 10 2010, 2:09PM

    “Who is expected to care for patients in the community?!”

  • Profile image for This is Gloucestershire

    by Will Ting, Gloucester

    Wednesday, March 10 2010, 2:04PM

    “What a lot of fine words from Ian Mean, especially aimed at raising Andrew Gravells' profile and trying to present the illusion that Gloucester and Cheltenham hospitals are staying open solely as a result of his efforts.

    I know Andrew and he is a very hard working councillor and a very nice chap too.

    But Mr Mean, was it just Andrew and Mr Harsent at that meeting?

    You seem to trying to give the impression that Gloucestershire PCT is as guilty in all this as the Gloucestershire Hospital Trust.

    Be honest with your readers Mr Mean. Did Jan Stubbings as CE of the PCT not quite clearly and most firmly remind Mr Harsent of his responsibilities and statutory duties?

    It may suit you to have voters think that a Tory will sort things out, but don't distort the truth too much, at least give credit where it's due, in this case to Jan Stubbings.”

  • Profile image for This is Gloucestershire

    by Men in black, Earth

    Wednesday, March 10 2010, 1:35PM

    “ET Frank ,gnome home !”

  • Profile image for This is Gloucestershire

    by Dr Who, Glos

    Wednesday, March 10 2010, 11:19AM

    “Finally Frank Harsent got the dressing down he deserved. Him and his team of overpaid executives need to realise they are not untouchable.
    I hope he leaves and gets back to comedy soon.”

  • Profile image for This is Gloucestershire

    by Dave, Tuffley

    Wednesday, March 10 2010, 11:15AM

    “If Frank Harsent has a shred of decency, he would be saving the hospital trust a lot of money by vacating his post.

    On the Channel 4 news last night, the Health Minister, Mike O'Brien said that Gloucester (Gloucestershire Hospitals Trust) had financial problems in 2006/7, at the peak of Government funding input and that he was not happy with, and was indeed concerned about what is going on here and had already written to Dr Harsent expressing his concerns as to the methods that he is adopting. "I am not happy with what's happening in Gloucester". He went on to say that the government is putting an extra 5% into the NHS this year and 5.5% next year, so what is Mr Harsent planning to do with that, award himself a pay rise?

    Give up this job Frank and get yourself into mushroom farming, you'd be a natural.”

  • Profile image for This is Gloucestershire

    by nurse, chelt

    Wednesday, March 10 2010, 10:02AM

    “It is time for Dr Harsent to clear his desk. He is making the trust a joke, his primary concern in financial and although we are acutely aware that the current financial climate is dire we do not believe that reducing the quality or provision of care is beneficial to patients. Patients can not look after themselves and every complaint against the trust with regard to poor care is due to the lack of staff which is Dr Harsent's doing. Vote of no confidence.”

  • Profile image for This is Gloucestershire

    by Anon, Glos

    Wednesday, March 10 2010, 9:48AM

    “If people are treated in the community more, and discharged from hospital quicker, then those who are in patients will be sicker and more dependent. Will there be more nurses on the remaining wards to care for them? I doubt it.”

  • Profile image for This is Gloucestershire

    by Jerry Hattrick, Glos

    Wednesday, March 10 2010, 8:50AM

    “Harsent must go.
    He's lost all credibility.”

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