NHS announces £10m in emergency cuts for York and North Yorkshire

Dr David Geddes

Dr David Geddes

First published in News by

HOSPITAL bed numbers could be cut and minor injuries units closed under plans by NHS bosses to slash a £19 million health deficit.

NHS North Yorkshire and York hopes to claw back £10 million from the short-term cuts, which were revealed at a meeting of the trust’s cluster board yesterday at the Priory Street Centre in York. The body admitted many of the cuts will be “unpalatable” to the public.

Trust chiefs have until the end of March to wipe out the deficit before they hand over spending powers to the new clinical commissioning groups (CCGs), made up of local GPs.

Proposed savings include £3.1 million from no longer routinely inviting outpatients for follow-up tests, such as blood pressure checks.

It is hoped £2.8 million can be saved in a review of non-emergency surgery.

Dr David Geddes, the trust’s medical director said a temporary stop would be put to services such as “toenails, lumps, bumps and injections into joints”.

Meanwhile, short-term closure of some hospital beds is hoped to save £400,000.

Dr Geddes also proposed buying cheaper drugs which do the same job as more expensive rivals, such as substituting the cancer drug Herceptin for the cheaper Avastin.

Minor Injuries Units, such as those in Malton and Selby , could have opening hours slashed or in some cases be closed altogether.

Chris Long, chief executive of NHS North Yorkshire and York, admitted that without the cuts, the CCGs could start life inheriting up to a third of the existing deficit.

He said: “We need some immediate, short-term measures.”

He said the deficit had been worsened by higher than expected demand for hospital services.

Scarborough GP Douglas Moederle-Lumb told the meeting that if funding to GP practices was cut it could see some struggle to survive.

He said: “This paper could be the longest suicide note this organisation has ever written.”

Professor Alan Maynard, of the University of York , who also has a seat on the shadow Vale of York CCG, said: “CCGs are only just beginning to get staff and we are being set a task which the PCT (primary care trust) has failed to achieve.

“The PCT is reporting a deficit of £19million – how can we do anything different from them?”

 

List of proposed changes and the expected savings

  1. A review of non-emergency surgery – £2.8 million
     
  2. End to routine invitations for outpatient follow-up tests – £3.1 million
     
  3. A review of Minor Injury Unit opening hours, with a view to some closures – £0.4 million
     
  4. A review of community hospital beds with a view to some closures – £0.4 million
     
  5. Using cheaper drugs which deliver the same results – £0.6 million
     
  6. An end to GPs providing extra services such as treating minor injuries – £0.6 million
     
  7. A review of mental health and continuing care placements – £1.5 million
     
  8. Stopping the increase in health visitor numbers – £0.2 million
     
  9. Redesigning patient transport – £0.4 million

Comments (20)

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4:15pm Tue 25 Sep 12

R'Marcus says...

I would add to my list:-
Peoples' health MUST NOT be rationed.
Good health is not a commodity! If the NHS is short of many millions of pounds, the government should ration aid to foreign states.
The NHS should stop foreigners, except the E.U. citizens, free access to our NHS.
Go through a list of not essential health workers, for example the so-caled "managers" who just sit at desks and make a not an aota to health care.
I would add to my list:- Peoples' health MUST NOT be rationed. Good health is not a commodity! If the NHS is short of many millions of pounds, the government should ration aid to foreign states. The NHS should stop foreigners, except the E.U. citizens, free access to our NHS. Go through a list of not essential health workers, for example the so-caled "managers" who just sit at desks and make a not an aota to health care. R'Marcus
  • Score: 0

4:54pm Tue 25 Sep 12

meme says...

Could not agree more
why are we providing foreign aid when we need it ourselves?
Why do we allow people who have never paid tax in their lives in this country to get NHS treatment?
Are we mad?
Could not agree more why are we providing foreign aid when we need it ourselves? Why do we allow people who have never paid tax in their lives in this country to get NHS treatment? Are we mad? meme
  • Score: 0

6:16pm Tue 25 Sep 12

M.Blanc says...

Something as innocuous as 'a review of community beds with a view to some closures' has far reaching consequences. The majority of people who use such beds are the elderly, whose spouse is equally elderly and infirm and finds it hard enough visiting their loved one in the community hospital. If that hospital closes and they have to go to York or Scarborough, not only does the patient feel isolated, but so does the spouse and other relatives. This has a direct relation to patient wellbeing and recovery.
And closing minor injuries in Selby and Malton only places a bigger burden on the Ambulance Service who then have to transport these people who 'cannot afford a taxi or do not drive', to an already busy minor injuries department at York or Scarborough...that is of course if Scarborough is actually open and recieving patients!
The Government should step in, wipe clean the slate and invest more in Health.
Something as innocuous as 'a review of community beds with a view to some closures' has far reaching consequences. The majority of people who use such beds are the elderly, whose spouse is equally elderly and infirm and finds it hard enough visiting their loved one in the community hospital. If that hospital closes and they have to go to York or Scarborough, not only does the patient feel isolated, but so does the spouse and other relatives. This has a direct relation to patient wellbeing and recovery. And closing minor injuries in Selby and Malton only places a bigger burden on the Ambulance Service who then have to transport these people who 'cannot afford a taxi or do not drive', to an already busy minor injuries department at York or Scarborough...that is of course if Scarborough is actually open and recieving patients! The Government should step in, wipe clean the slate and invest more in Health. M.Blanc
  • Score: 0

6:41pm Tue 25 Sep 12

ouseswimmer says...

North Yorkshire is constantly underfunded by the Government. Take a look at Hull where they have so much more funding than York.
North Yorkshire is constantly underfunded by the Government. Take a look at Hull where they have so much more funding than York. ouseswimmer
  • Score: 0

6:53pm Tue 25 Sep 12

rothko says...

So much to Cameron's "The NHS is safe in our hands". These cuts come at a time when the government is wasting hundreds of millions restructuring the NHS to aid privatisation.
So much to Cameron's "The NHS is safe in our hands". These cuts come at a time when the government is wasting hundreds of millions restructuring the NHS to aid privatisation. rothko
  • Score: 0

7:59pm Tue 25 Sep 12

Digeorge says...

I wonder when someone will bring a case in relation to the 'provision of services' in respect of the Equality Act 2010 that some of these cuts may well be 'discriminatory'.

The NHS is free at the point of need.
I wonder when someone will bring a case in relation to the 'provision of services' in respect of the Equality Act 2010 that some of these cuts may well be 'discriminatory'. The NHS is free at the point of need. Digeorge
  • Score: 0

11:52pm Tue 25 Sep 12

rockape3 says...

Health Care is supposed to be based on preventative care... Cutting follow up services such as minor surgery, routine investigations will mean more patients needing longer term care for preventable diseases. Cutting minor injury and also G.P. services will increase the use of A&E services causing increased waiting times due to delivery of non-emergency care. Using cheaper medication may exacerbate presenting illness e.g epilepsy effecting seizure control. Closing beds will impact on care delivery, especially coming into winter!
Health Care is supposed to be based on preventative care... Cutting follow up services such as minor surgery, routine investigations will mean more patients needing longer term care for preventable diseases. Cutting minor injury and also G.P. services will increase the use of A&E services causing increased waiting times due to delivery of non-emergency care. Using cheaper medication may exacerbate presenting illness e.g epilepsy effecting seizure control. Closing beds will impact on care delivery, especially coming into winter! rockape3
  • Score: 0

8:07am Wed 26 Sep 12

Digeorge says...

"Using cheaper medication may exacerbate presenting illness e.g epilepsy effecting seizure control".

Agree, have problems with cheaper medication in the form of Quinoric used as a cheaper brand of Plaquneil (anything really which causes prolonged QT) and Calcitiriol in comparison to Rocaltrol due to its composition and certain brands of Amlodipine.


Closing beds will impact on care delivery, especially coming into winter!

Agree, the Trust haven't coped the last two years never mind having wards that close.

Plus exactly where are they going to put all these people with mental health problems - in the community causing pressure on GPs. Maybe cutting the stupid psychiatric diagnosis that add nothing to a patient's care, I could think of a few that are a total waste of time.
"Using cheaper medication may exacerbate presenting illness e.g epilepsy effecting seizure control". Agree, have problems with cheaper medication in the form of Quinoric used as a cheaper brand of Plaquneil (anything really which causes prolonged QT) and Calcitiriol in comparison to Rocaltrol due to its composition and certain brands of Amlodipine. Closing beds will impact on care delivery, especially coming into winter! Agree, the Trust haven't coped the last two years never mind having wards that close. Plus exactly where are they going to put all these people with mental health problems - in the community causing pressure on GPs. Maybe cutting the stupid psychiatric diagnosis that add nothing to a patient's care, I could think of a few that are a total waste of time. Digeorge
  • Score: 0

9:02am Wed 26 Sep 12

chickpea says...

Mental health services get it again I see. No surprise there. Just let us rot away in our homes with no support as per usual.
Mental health services get it again I see. No surprise there. Just let us rot away in our homes with no support as per usual. chickpea
  • Score: 0

9:37am Wed 26 Sep 12

FossLad says...

These cuts are a disgrace. Central Government must provide extra funding, as the largest rural county has unique delivery problems which are not being recognised !
These cuts are a disgrace. Central Government must provide extra funding, as the largest rural county has unique delivery problems which are not being recognised ! FossLad
  • Score: 0

10:21am Wed 26 Sep 12

perplexed says...

Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?

This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover!
Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it? This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover! perplexed
  • Score: 0

11:35am Wed 26 Sep 12

Zetkin says...

Government still trying to make us pay for the crisis instigated by their super-rich banking pals.

Property prices at the top end of the market are soaring, indcating that the very wealthy are profiting from this depression, whilst the rest of us are suffering wage cuts, job cuts, and service cuts.

Now they want to deprive us of even basic healthcare unless we can afford to pay for it.

Yet another reason to join the huge TUC demonstration in London on October 20th.

http://afuturethatwo
rks.org/
Government still trying to make us pay for the crisis instigated by their super-rich banking pals. Property prices at the top end of the market are soaring, indcating that the very wealthy are profiting from this depression, whilst the rest of us are suffering wage cuts, job cuts, and service cuts. Now they want to deprive us of even basic healthcare unless we can afford to pay for it. Yet another reason to join the huge TUC demonstration in London on October 20th. http://afuturethatwo rks.org/ Zetkin
  • Score: 0

12:55pm Wed 26 Sep 12

Jackanory2 says...

Maybe if they started re promoting smoking and alcohol, they would get loads in taxes and have loads to spend on the NHS (WIN, WIN). Only joking by the way.
Maybe if they started re promoting smoking and alcohol, they would get loads in taxes and have loads to spend on the NHS (WIN, WIN). Only joking by the way. Jackanory2
  • Score: 0

4:43pm Wed 26 Sep 12

Older Sometimes Wiser says...

perplexed wrote:
Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?

This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover!
Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply.
We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail .
[quote][p][bold]perplexed[/bold] wrote: Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it? This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover![/p][/quote]Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply. We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail . Older Sometimes Wiser
  • Score: 0

6:17pm Wed 26 Sep 12

Frodo Baggins says...

perplexed wrote:
Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?

This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover!
Your statement is slightly wrong perplexed - "Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?" Change WANT to NEED.
[quote][p][bold]perplexed[/bold] wrote: Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it? This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover![/p][/quote]Your statement is slightly wrong perplexed - "Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?" Change WANT to NEED. Frodo Baggins
  • Score: 0

7:53am Thu 27 Sep 12

topumpire1 says...

The government, once again, have given the NHS a kick in the teeth, demanding cuts after cuts, without thought of the consequences. Cut some routine operations, will likely result in MORE emergency admissions as the Operation turns fron routine (& a short stay in hospital/ recovery time from work) TO emergency when the Op will be longer, the stay in hospital longer & the recovery time - timeoff work longer= MORE money
The government, once again, have given the NHS a kick in the teeth, demanding cuts after cuts, without thought of the consequences. Cut some routine operations, will likely result in MORE emergency admissions as the Operation turns fron routine (& a short stay in hospital/ recovery time from work) TO emergency when the Op will be longer, the stay in hospital longer & the recovery time - timeoff work longer= MORE money topumpire1
  • Score: 0

10:16am Thu 27 Sep 12

Melody Clarke says...

Just remind me someone - exactly what infinitesimal fraction of one Trident missile would wipe out this deficit?
Just remind me someone - exactly what infinitesimal fraction of one Trident missile would wipe out this deficit? Melody Clarke
  • Score: 0

1:09pm Thu 27 Sep 12

IsthisUsernamealreadyinuse says...

Why don't they start charging all the drunken idiots who are in there on a Friday and Saturday night after their fights/over abuse of alcohol? they would make a fortune out of it!

Wouldn't be any worse than getting charged for an ambulance when its a road traffic accident.
Why don't they start charging all the drunken idiots who are in there on a Friday and Saturday night after their fights/over abuse of alcohol? they would make a fortune out of it! Wouldn't be any worse than getting charged for an ambulance when its a road traffic accident. IsthisUsernamealreadyinuse
  • Score: 0

1:50pm Sat 6 Oct 12

Older Sometimes Wiser says...

Older Sometimes Wiser wrote:
perplexed wrote:
Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?

This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover!
Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply.
We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail .
Update
Julian Sturdy MP for Outer York states that he is active in attempting to safeguard local NHS funding, together with any North Yorkshire PM's who will join him. His prime aim is to prevent the local Clinical Commissioning Groups ( CCG's) from being " lumbered " with the PCT's deficit.
However this may well depend on the KPMG report on local healthcare costings.
Any letters of encouragement from constituents of any party to their MP's may help.
[quote][p][bold]Older Sometimes Wiser[/bold] wrote: [quote][p][bold]perplexed[/bold] wrote: Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it? This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover![/p][/quote]Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply. We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail .[/p][/quote]Update Julian Sturdy MP for Outer York states that he is active in attempting to safeguard local NHS funding, together with any North Yorkshire PM's who will join him. His prime aim is to prevent the local Clinical Commissioning Groups ( CCG's) from being " lumbered " with the PCT's deficit. However this may well depend on the KPMG report on local healthcare costings. Any letters of encouragement from constituents of any party to their MP's may help. Older Sometimes Wiser
  • Score: 0

1:52pm Sat 6 Oct 12

Older Sometimes Wiser says...

Older Sometimes Wiser wrote:
Older Sometimes Wiser wrote:
perplexed wrote:
Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it?

This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover!
Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply.
We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail .
Update
Julian Sturdy MP for Outer York states that he is active in attempting to safeguard local NHS funding, together with any North Yorkshire PM's who will join him. His prime aim is to prevent the local Clinical Commissioning Groups ( CCG's) from being " lumbered " with the PCT's deficit.
However this may well depend on the KPMG report on local healthcare costings.
Any letters of encouragement from constituents of any party to their MP's may help.
Correction MP's not PM's
[quote][p][bold]Older Sometimes Wiser[/bold] wrote: [quote][p][bold]Older Sometimes Wiser[/bold] wrote: [quote][p][bold]perplexed[/bold] wrote: Cameron has gone on the record yesterday to say that we must keep our promises to the poor regarding overseas aid . What about your promises to look after the poor and sick in this country, Mr Cameron? Why are we borrowing £12 billion next year to give away to countries like India, Argentina and China who don't want it? This is sheer madness. Last year over £400 million went to Aid Consultants alone ! It is a question of priorities and for Cameron to cast aside the sick of this country in order to cast himself as statesman of international standing is a disgrace. I sincerely hope all our local MP's will fight this injustice for the people of North Yorkshire as we don't all have private medical cover![/p][/quote]Agree wholeheartedly with most of the above.If all the local MPs, who supposedly represent us the voters rather than their political party, collectively lobbied the Government to prioritise that which benefited those in real need ,we may retain a functioning NHS. However when I attempted to book an appointment with my local MP Julian Sturdy, who is holding a local surgery on Friday there was no reply. We as voters and constituents should demand action from our MPs. This is above Party politics and unless we act now the system will fail .[/p][/quote]Update Julian Sturdy MP for Outer York states that he is active in attempting to safeguard local NHS funding, together with any North Yorkshire PM's who will join him. His prime aim is to prevent the local Clinical Commissioning Groups ( CCG's) from being " lumbered " with the PCT's deficit. However this may well depend on the KPMG report on local healthcare costings. Any letters of encouragement from constituents of any party to their MP's may help.[/p][/quote]Correction MP's not PM's Older Sometimes Wiser
  • Score: 0

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