NHSreality wonders if this will include Addenbrooke’s whose latest headline was “Addenbrooke’s staff crisis put patient safety at risk” (chris Smyth 23rd September 2015). It was not chain link that won the wild west but barbed wire. We need to ration by many methods, but the main one is to reduce demand, and it will cause distress. Wales has plenty of barbed wire preventing the sheep from choosing/reaching England.
Specialist doctors will be sent to small local hospitals to “bring more world-class care to the patient’s doorstep” and cut travel time for those who need treatment, the head of the health service will say today.
Simon Stevens, chief executive of NHS England, will say that hospitals are to form chains and set up franchises around the country, marking the end of “go-it-alone” organisations. Local hospitals will be taken over by some of the country’s best or contract out services such as cancer care or neurosurgery to specialist centres. The Royal Free in London and Salford Royal are among leading institutions that plan to set up chains, while Moorfields eye hospital and the Royal National Orthopaedic Hospital will provide specialist treatment around the country.
Mr Stevens argues that this will help small hospitals stay open after a period in which NHS leaders often seemed to be determined to close them in the name of efficiency.
“Rather than patients routinely having to travel to specialist centres, we want to test the idea of bringing that expertise to their local hospital,” he will say in a speech to the Confederation of British Industry today.
“So key departments in smaller local hospitals are in some cases now going to be run by some of the best hospitals in Britain, such as Moorfields, the Royal Marsden or the Christie. This could help support a viable future for many smaller hospitals that are often so important to local communities, and improve the quality and range of services available, reducing the need to travel long distances.
“We’ve got some of the world’s best hospitals and specialists in this country, and it’s right they should be able to extend their reach more widely.”
Thirteen hospitals have been chosen to test the plan. Mr Stevens hopes the successful ones can then be imitated.
Just to remind readers of some of the facts and figures from the past (which will have changed) initially for Wales:
and for England