Health cuts are ‘an enormous assault on the health care of people of Dorset’

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Poole Hospital

Mr Goodson – you speak repeatedly of misinformationĀ 20th November 2018

From Tim Goodsom – 21st NovĀ 

“Thank you for your reply …. However, many of the points you make about the changes to the local NHS are still based on third party information and opinion, and they are not accurate”.

Mr Goodson – in reply to your pdf note yesterday 21st Nov (attached).

I made 28 source references in the document sent toĀ you. 19 of these repeat references to DCCG own key documents : Dorset Clinical Services Review, RBH Clinical Review, The Future of Healthcare in Dorset, Dorset Your NHS. And further to that I referenced University of Sheffield research, Professor Jon Nicholl running the research, The King’sĀ Fund, The NHS Keogh Report, the Fraud Act 2006, MadeiraĀ Surgery Parkstone,Ā with four references (reporting public opinion) from responsible media (BBC and Dorset Echo).

And you dismiss all this workĀ asĀ “third partyĀ sourcedĀ information and opinion” and “not accurate” whenĀ overwhelmingly the source references are from your own documents.

ThisĀ goes beyond allĀ belief Mr Goodson thatĀ you dismiss sourced references from your own documents as “third party” and “not accurate”. As ever granite refusal to engage withĀ any and all facts and arguments however carefully laid out.

As thousands in Dorset I am horrified by the mass closures of medical care access. But far beyond that let me be clear as stated before I condemn and abhor the shear dishonesty and deceit driving this huge decimation of our services.

Dressing upĀ enormous cuts in service as changes and remodelling and transformation.

I am clear in my mind now I might just as well write to Cuadrilla and urge them to stop fracking as write to yourself and expect engagement on issues of public concern. Clearly the corporationĀ ethos has taken over our National Health Service directed byĀ monetary policyĀ and marketing. Your group’s mission to massively take down Dorset NHS budget and in that regroup what is left in centralised centres many miles from tens of thousands of patients

If you want to engage Mr Goodson then reply point by pointĀ on all I laid out in carefullyĀ researchedĀ detail. You want to call it opinion, I think assessment and evaluation, speaking I would think forĀ someĀ 200,000 in our county, would be more accurate.

Go through the document Mr Goodson and as I have said before by all means correct with references what you consider inaccurate. To assert anything is “inaccurate” with no explanation is just that, empty assertion.

If you want to undertake that workĀ point by point on the key issues then I will reassess views in the light of any explanation you give of inaccuracy, Further to that I am of the growing view an actiion usingĀ The Fraud Act 2006 Fraud by False RepresentationĀ is one way to deal with the whole issue.

We live most deeply regrettably in a world of huge deception and deceitĀ with the lead in this from the mass marketing world and large sections of the media. I could not be more sorry this culture has now clearlyĀ taking hold of our NHS. People will die with longer journeys and far less local access to emergency services. That is as clear as day but DCCG refuse to face up to this even when it is clear inĀ SWAST research modelling.

When this does happenĀ – and it has to be a posteriori when there has been proven deaths through longer journey times – then the cases will begin on the factual account from DCCG telling the population “changes” (closure of Poole A&E)Ā will haveĀ “minimal impact on emergency journey times ….” [Dorset Clinical Review pg 12] and many similar comments inĀ DCCG SWASTĀ documents including “60 more lives will be saved”.

DCCG speaking of “minimal impacts”Ā on patients as “a fraction of a %” when this works out to be manyĀ hundreds of patientsĀ impacted by longer journeys and higher risks to life.

And theĀ factsĀ – from your own research andĀ data 2017Ā – attached in Key Evidence document. Read through this document, with data fromĀ SWAST modelling analysis, and we see that large numbers of patients (sepsis, overdose, heart attack, bleeding) are through longer journey times clearly going to be at higher risk of dying.

And, furthermore, you state in your reply to me 11th November that following closure of Poole A&E Poole UCCĀ will have a capacity for “53,000” which is “around 80% of the current A&E capacity”. But this is notĀ the critical pointĀ Mr Goodson.Ā FromĀ NHSĀ documentsĀ Poole Annual Report 2017/18 (pg 13), of 68,070 patients who visit Poole A&EĀ each year 37,478 were “non-elective admissions”.Ā 37,478 were admitted as A&E cases.

55% (37,478) of all visits to Poole A&E 2017Ā were A&E admissions and in your wording your areĀ leading people to think that the UrgentĀ Care Unit willĀ deal with “80% of current visits to A&E”.

Under the new regime 55% of those who visitĀ A&E under the current system (37,000)Ā will be taken to Bournemeouth RBH. Only 45% (not 80%)Ā which is 30,000Ā will get the help they need as offered by theĀ UCC. Capacity of 53,000 means Poole can takeĀ 53,000 urgent care casesĀ but then the majority of current visits to A&E 37,000Ā (55%)Ā areĀ admission emergencies, not minor ailments.

An enormous disruption for people. In the words ofĀ Professor Nicholl who led the Sheffield ResearchĀ (if IĀ may be pemitted to quote a third party – one DCCGĀ refers toĀ repeatedly) :Ā “It is important to highlight that we didnā€™t find the better outcomes for patientsĀ that planners hoped to seeĀ from closing theseĀ small departments.Ā It isnā€™t clear that the disruption and anxiety that can be caused by closing emergency departments is worthwhile”.

In all Mr Goodson IĀ might welcome your invite forĀ an “open and honest conversation” butĀ I can seeĀ no value whatsoeverĀ in thisĀ until such time as DCCG address the multipleĀ issues as listed in document sent in yesterday. There is far too much to take on in one or a dozen conversations.Ā IfĀ DCCG want to engageĀ then as said repeatedly by all means work your way through what was sent in yesterday, paragraphĀ by paragraph,Ā and correct what you claim, in sweeping assertions,Ā are inaccuracies.

You are saying this is whatĀ DCCG offers on the budgets we have.Ā I am saying (along with I believeĀ the near entire Poole and Purbecks population)Ā this is an enormous assault on the health care ofĀ people of Dorset. Not good enough. Needs to be thrown back to government. If “transformation” goes ahead then in coming years there will beĀ actions against Dorset CCG in cases where ambulances couldĀ have accessed Poole A&E and the extra 20 minutes, or an hour (gridlocked A338), has led to death or irreversable damage. Deeply regrettable for all involved, not only patients butĀ medicalĀ staff and NHS as a corporate body.Ā Now before too lateĀ the time to tellĀ DHSS this is not acceptable.

Mr Goodson – you speak repeatedly of misinformationĀ …

Council meeting 13th Nov – explaining the issues ….

Yours sincerely,

Jeff WilliamsĀ CGFTC BA PGCE

Parkstone

Poole

22nd November 2018

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