Are Mid Yorkshire Hospital Trust planning to privatise by the back door?

There has been a sudden rash of Hospital Trusts in the West Yorkshire Health and Care Partnership, privatising their estates, porters, cleaners and other staff into a private company wholly owned by the Hospital Trust Board, colloqually known as a SubCo.

Airedale and Harrogate Hospitals companies went live very recently and the current staff were TUPE’d over to leave their employment in the NHS and become non NHS employees.

Mid Yorkshire Hospitals NHS Trust is referring to the new company as an SPV or Special Purpose Vehicle. We know that there is a similar structure in place to service the ongoing PFI arrangements, which rather begs the question is Mid Yorkshire Hospital Trust going to be taken over in the future by its SPV through some Venture Capital deal?

Paula Sherriff MP has been asked for comment but has not replied yet.

Roy Lilley, respected NHS commentator is worth reading on the subject, here:-

Health Optimisation plan in Kirklees, discontinued

At the Governing Body meeting in common on 14th Feb 2018 of the North Kirklees and Greater Huddersfield CCGs in Dewsbury Town Hall, it was announced that due to opposition to the introduction of the rigid rule called Health Optimisation, preventing people who smoked or had a BMI of 30 or over, receiving elective operations until they stopped smoking for 6 months or had lost a percentage of their body weight, was to be scrapped.
Paula Sherriff MP in a Westminster debate which was mentioned, had noted the enormity of the postcode lottery the measure had created particularly on the border with Wakefield whose CCG did not introduce the policy.

Thelma Walker MP for Colne Valley had drawn attention to the fact that BMI was not a measure of fitness, since people who do sports often have strong muscles and a BMI which is higher than average.
The Health Optimisation Rule  was also opposed by Clinicians in the hospitals.

At the meeting, deprivation between North Kirklees which has more than Greater Huddersfield, was clearly stated in a report by the Local Authority which summarised the most recent Joint Strategic Assesment. Nevertheless a GP from Huddersfield, said he wanted ‘disappointment’ mentioned in the minutes, because the policy was to address health inequality. In the opinion of this blog, it was not. If an  person with a BMI over 30, or smoker had the requisite £10,000 or whatever it cost, there would be a surgeon to perform their operation and the NHS would pick up any problems afterwards. It seems to highlighted wealth inequalities. Watch out for more NHS doublespeak in the future. On the level of health, GPs can still talk to their patients about the advisability of losing weight and stopping smoking.

A question in the meeting elicited the verbal response that there had been no recorded saving from the initiative while it had been running, but later in the meeting a nurse on the Governing Body from the Greater Huddersfield CCG said she had heard the savings were predicted to be considerable. She wanted to know where the money to invest in the services needed to comply with the West Yorkshire and Harrogate  wide ‘Healthy Choices’ instead, was going to come from. It is a good question. Public Health cuts are everywhere.

Integration = Cuts, if Councils’ public health plans are anything to go by.


Accountable Care Systems are not the NHS. We are fighting for the NHS not Medicare/Medicaid!

There are now 24 Accountable Care Systems we have identified in England.

These are designed to incentivise providers to offer less care. The principle of comprehensive treatment according to need will disappear under these new systems. If you want your children and grandchildren to have the same access to health treatment as you have had in the past, please join us now. Let us know how to contact you via the comments box below.

Act Local, Think National!

We are widening the scope of the campaign.

Has a hospital or ward closed near you? Has your Local Authority’s Scrutiny Committee recently referred the proposals to the Independent Review Panel? (formerly called the Independent Reconfiguration Panel?) If so please will you let us know! E-mail STP_Agony Aunt <> 

Calderdale and Kirklees 999 Call for the NHS is starting a campaign to get the Independent Review Panel to broaden its terms of reference to include investigating the damaging effects of the government’s “austerity” policy on the NHS and social care; and the effect of Sustainability and Transformation Partnerships on NHS “reconfiguration” proposals. For more info, see Calderdale and Kirklees 999 Call for the NHS – Hospital cuts consultation.

They would be very glad of the involvement of other campaign groups from across England, whose NHS and social care cuts and changes have been recently or currently referred to the Independent Review Panel.

Dewsbury is a case in point.

Dewsbury Hospital’s A&E was rated 6th best in the country in 2012.  Now it’s been downgraded and cannot take blue light ambulances. In the first year since the it opened and the A&E downgrade,  79 women in labour at Dewsbury’s midwife-led birth centre had to be blue-lighted 20 minutes to Pinderfields Hospital because something went wrong.  The Birth Trauma Association (BTA), which helps women who have been through traumatic deliveries, just last week in reference to Dewsbury, said transfers were risky for mothers and babies! – which is exactly why the Joint Kirklees and Wakefield Health Overview and Scrutiny Committee  referred the proposals to the IRP in 2013. Unfortunately the IRP said the changes were ok. They’re not.

A Birth Centre is wonderful…if there’s an A&E next door! Huddersfield birth centre is the next to have its hospital’s A&E cut. Kirklees and Calderdale Joint Health Scrutiny Committee has referred THAT proposal to the Secretary of State.

If you can remember reports in the local news about your hospital cuts, closures and a referral to the Sec of State, please let us know.

There are now 8000 fewer hospital beds than in 2010. In September this year Simon Wright, Chief Executive of Shrewsbury and Telford Hospitals, said

I think is it really important we remember that the best solution is to keep both A&E departments open’.

And he is right. Please let us know, and share the petition….Thank you 

We do not want to go back in time!

Managed neglect.

The Care Closer to Home agenda, so vaunted as the best thing since sliced bread, at the Meeting the Challenge Consultation, in 2012/13 is being rolled out apace.

The actual Care Closer to Home contract was won by Locala, where the company has increasingly, along with Hospital Trusts, suffered from a staffing crisis and the CCG has said it has recognised it has suffered challenges. But the majority of contracts in England, seem now, to be removed from hospitals. Since 2013, 86% pharmaceutical contracts have been won by non NHS organisations, 83% patient transport contracts won by non NHS organisations, 25% mental health contracts won by non NHS organisations, 76% diagnostic contracts won by non NHS organisations. Where are the costs to patient care being tallied?

Wheelchairs in North Kirklees were outsourced to Opcare. Unless we stop it, the NHS is moving towards a single, inflexible, capitated budget as 44 or so Accountable Care Systems or Organisations. What happens when a budget is capped, is nicely demonstrated by the wheelchair contract. Lauded by the CCG as the best provider for the job, having previously been an expert company moulding prosthetics and devices for disabled people, the company is not able  to fulfill  the expectations of local people who need wheelchairs.  Anecdotally we hear that children with wheelchair needs are measured, but wait so long for it to be delivered, that they have outgrown the chair by the time it arrives. In another case the child is presented with a chair without the necessary straps to regulate the body to a correct posture, so the parents have to resort to tying the child in with string! The company it seems allegedly tells parents it does not have the money to correct these situations. Extrapolate these occurrences over the whole of West Yorkshire including the complete spectrum of health disorders and you begin to get a sense of how damaging to people, a per-capita system will be.

Dermatology referrals, when the GP thinks you may not have a skin cancer but are not quite sure, go to Priderm LLP,  a community business in several GP practices in North Kirklees. Registered with the CQC in 2013, it has not been inspected yet according to the CQC website.  It is another layer of ‘the market’, which comes between a hospital specialist and a GP.  The contract seems to be covering the costs, but it hard to see how it can be cheaper than specialists in a hospital, when you think of the Priderm manager, contract expert, receptionists, venue hire and the cost to the CCG of another contract to assure compliance with. Of course in the future, a receptionist with a list of tick box questions will direct you to this company or not, depending on the criteria on the tick box list.

Mid Yorkshire has ‘delivered’ the Meeting the Challenge changes.

When Government says ‘jump’ organisations have to say, ‘How high!’

Posted on

This three year programme to transform hospital care across North Kirklees and Wakefield is now at an end and we monitor how the redesigned services are bedding in.

This came to an end on Sept 4 as changes to acute medicine services at both the Dewsbury and Pinderfields hospital sites were delivered. This means Pinderfields Hospital is now The Mid Yorkshire Hospitals NHS Trusts centre for acute and critical care services and allows Dewsbury and District Hospital and Pontefract to become centres of excellence for rehabilitation and elective care.

We have achieved a lot over the three year length of the programme.


  • Ambulatory emergency care service in Dewsbury offering rapid access to diagnosis and treatment without the need for hospital admission
  • Children’s assessment unit opens in Dewsbury


  • Ophthalmology centre opens at Pinderfields
  • Acute cardiology services were centralised at Pinderfields resulting in faster transfer to specialist care and shorter lengths of stay


  • Midwife-led birth centre opens at Dewsbury.  All births requiring a consultant were centralised at Pinderfields
  • Neo-natal services and children’s inpatient care centralised at Pinderfields


  • Transfer of inpatient care for acute medical patients from Dewsbury to Pinderfields.

We now have a model of care that is safer and more sustainable for local people and new services include:

  • Opening of the new Acute Care Unit (ACU) on gate 27 at Pinderfields
  • Two new Acute Care of the Elderly (ACE) Frailty assessment units at Dewsbury and Pinderfields  This is a dedicated service for elderly care focusing on rapid assessment; treatment and helping people with frailty get back home as soon as they are well enough
  • The development of a Clinical Decision Unit at Dewsbury, where patients would be admitted for a short time (normally under 12 hours) for tests and initial treatment before being discharged or transferred to a ward
  • Increased rehabilitation at Dewsbury and Pontefract Hospitals
  • Opening of medicine and elderly care step down wards at Dewsbury and Pontefract for people who are out of the acute phase of their care episode but not yet able to go home.

By putting specialist and critical care onto one site means the most seriously ill patients get faster access to senior clinicians with the right skills who are located together.  This means patients who are seriously ill are more likely to make a good recovery.

Dewsbury Hospital continues to have a 24hrs a day A&E Emergency Department. It can treat any patient who comes through the doors with a life threatening medical emergency such as head injuries, severe bleeding and cardiac arrest. If there is a need for a hospital admission this may lead to a transfer to the Pinderfields site.

Dewsbury A&E is not an Urgent Care Centre which is limited in what it provides and usually provides patients treatment for issues that are not life threatening such as broken bones and animal bites.

Please feedback your thoughts on our redesigned hospitals services offer through our dedicated email address:

It’s Go, for the downgrade to Dewsbury District Hospital starting on 4th September.

The North Kirklees CCG Governing Body heard on 30 August 2017, that the CCG’s conversation with Yorkshire Ambulance Service (YAS) had given them assurance that there was enough capacity, that is as many ambulances,  drivers and paramedics as was needed, to make extra journeys necessary due to the withdrawal of acute medicine services from DDH, possible.  The Governing Body did not hear that YAS had given the CCG written assurance! Nor did the campaign group have much confidence in anyone’s assurances, when a member of the group said a person they knew had been discharged from the A&E at DDH with a broken hip, due to the refusal to do an x-ray of it,  on the very day of the CCG Governing Body meeting and the following day when an ambulance was called, they had to wait over 2 and a half hours for it to arrive.  Of course they were taken to Pinderfields because as the ambulance staff said, “We will be severely restricted as to who we can take to Dewsbury Hospital from next week.”

Possibly that person in the Pinderfields bed, did not see the representative from the North Kirklees CCG on BBC Look North, explaining how the service was  ‘improved’ at Dewsbury today (1st September)!

Other people have had great service at Dewsbury A&E, in and out with a broken wrist, x-rayed, plastered and discharged within an hour, for example and the nurses and doctors friendly and helpful.

This downgrade, is a systemic problem brought about by 7 years of  deliberate underfunding, lack of workforce planning , fragmentation,  under investment in every area of doctor and nurse education and training, public denigration of dedicated doctors and nurses and all to dismantle the NHS as a whole.

What is happening in Nottingham is a scandal and disgrace.

Centene Corporation contract with Nottingham NHS organisations is £2.7m can of worms

If you have frustrating experience of Dewsbury’s A&E please let us know via the comments box.  We had permission to mention the patient story above. We will never publish anything which has not had permission from you, in writing! Thanks.

Go, or No Go for the next round of changes to Dewsbury Hospital due to begin on 4th September

Today, 3 August 2017, the North Kirklees Clinical Commissioning Group, met with Wakefield Clinical Commissioning Group, to accept or reject the assurances of Mid Yorkshire Hospital Trust (MYHT) and Yorkshire Ambulance Service (YAS), that the centralisation of Critical Care at Pinderfields Hospital in Wakefield addressed all the concerns raised by something called the Star Chamber, which as we understand it, is a group of doctors looking at safety for patients amongst service change at various Hospital Trusts.

After looking at the papers for the meeting, this blog asked some questions. The general questions for which time should have been allocated at the start, were not answered. The comment was that they were questions about the STP and we don’t know the answers. These will be listed a the end of the account.

Questions about Service Changes at Dewsbury Hospital.


Centralising Critical Care in Pinderfields

Does this mean there will be no high Dependency Beds in Dewsbury?


There will be no High Dependency beds in Dewsbury.


If someone ‘goes down’ ie gets worse, while in the ambulatory care ward…where will they go for stabilisation and help?


There are protocols which are followed when something like this is happening. There are resuscitation and CRASH teams  on the Dewsbury site. There will be an anaesthetist at Dewsbury for 24 hours 7 days a week.


What is the priority for ambulances for inter hospital transfer? Has the implication for the ambulance service to move patients, been satisfactorily addressed?


Yorkshire Ambulance Service has been part of the discussions about the service changes at Dewsbury hospital and also in the Mid Yorkshire region where it is contracted by 23 CCGs. Other hospitals are also undergoing service changes and the two CCGs need to to be sure that a change in an area away from here, does not have a knock on impact and compromise the service when a patient needs it here. They (YAS) are coming up with a novel approach,  a new category which needs a response, but there are 2 issues here, response capacity  and resources.

Checks and balances will be at work and some of the changes will reduce pressure on the Ambulance Service. North Kirklees CCG and Wakefield CCG want something in writing to confirm that YAS is ready, with no commitment from the CCGs to provide more resources.

North Kirklees CCG Governing Body ‘Chair’ Dr David Kelly, stressed that they can not proceed with out this extra assurance in writing and that if it is not forthcoming there will need to be another ‘extraordinary Governing Body meeting to discuss the ‘risks’ associated with not going ahead with the changes. (This is because winter pressures will mean extra capacity is needed in the hospital while it is still trying to manage critical care.) Since all YAS’s services are funded by the 23 CCGs it is not easy to separate out one hospital, but they would need to assure themselves about resources.

The North Kirklees CCG Chair said “The two issues are resources and assurance that YAS can deliver the service. If we can’t get it, we can’t push the button.”

In that case the changes would have to wait until May 2018, with all the risks associated with that. The Chief Operating Officer for both CCGs said ” We  constantly juggle resources with patient safety issues.”


Are there any instances of difficulties in getting people repatriated to the non critical hospital due to lack of ambulances?

Question not answered.


Are there any instances of difficulties getting patients into the Critical Care Centre due to lack of ambulances? Eg women in labour.

Question not answered


What is a definition of ‘Frail Elderly?’


Frailty is about  a vulnerable person with multifaceted and a number of conditions, not always age related, who deteriorate quickly.


What is the Frail Elderly pathway?

This includes the new Clinical Decision Unit (CDU) and ambulatory care. It is so that the Frail Elderly don’t wait in A&E and don’t stay in a bed too long. There is a National Process for ‘quality and safety’ which will be followed.


The Chief Operating Officer for the 2 CCGs Pat Keane,  went on to say that the extra service changes were mitigated against the Equality Impact Assessment.

The Recommendation from the meeting was that “We proceed subject to assurance by YAS but that this assurance will not commit us to funding.” There was more to the recommendation but not all of it was read out.

The wider  MEETING the CHALLENGE programme.

The Chief Operating Officer for both CCGs said that the CCGs had engaged “Good Governances” because the Meeting the Challenge has yet to complete and the Star Chamber’s metrics did not take into account the promises made to patients. There has been a lot of activity and “Good Governances” had begun to take interviews from parties involved although the Chair of North Kirklees CCG said he had not been approached.  One of the Governing Body members from Wakefield CCG said that it would be good if people can know how their conversation feeds into the report. It was also said that patients and the public will be involved in this Good Governances initiative. If interested, get in touch with your local CCG and request to be involved.

QUESTIONS UNANSWERED: look for the answers in the papers for North Kirklees CCG  Governing Body; 30 August 2017


City & Hackney CCG are reluctant to hand over responsibility for local decisions about NHS organisation and funding, to the East London Health and Care Partnership, based on advice from their lawyers as to the legality of ELHCP’s proposed arrangements.

Have North Kirklees CCG had legal advice about the West Yorkshire STP decision making process?


City & Hackney CCG are reluctant to hand over responsibility for local decisions about NHS organisation and funding, to the East London Health and Care Partnership, based on advice from their lawyers as to the legality of ELHCP’s proposed arrangements.

Have Wakefield CCG had legal advice about the West Yorkshire STP decision making process?


Are North Kirklees CCG Governing Body going to hand over responsibility for local decisions about NHS organisation and funding to the West Yorkshire STP?


In the light of the ongoing issues with the Care Closer to Home providers, this handing over would not seem wise since the local CCG has to carry the risk/responsibility for commissioning and subsequent problems. Has the NKCCG got a strategy for this eventuality ie problems and what is it?

Are Calderdale Councillors scared of the Government and NHS Bodies?


Huddersfield TUC, campaign groups and the public, begin to assemble outside Huddersfield Town Hall.

On 21 July 2017 Calderdale and Kirklees Joint Scrutiny Committee met to discuss whether the proposals they had made to the Greater Huddersfield CCG, Calderdale CCG and Calderdale and Huddersfield Foundation Trust (CHFT), about their  plans to reconfigure the Hospital Service in the area had been met. If they had not been met then the Scrutiny Committee had the powers to refer the proposals to the Secretary of State for Health. Campaign Groups Hands off HRI, Let’s Save HRI, Friends of HRI, Huddersfield Keep Our NHS Public and Calderdale and Kirklees 999 Call for the NHS, were in attendance. All the campaign groups in their deputations called for the proposals to be referred.

Joint Health Scrutiny Committee – please refer the hospitals and community care reconfiguration to the Secretary of State

Here is the deputation from CK999.


I’m speaking as chair of Calderdale and Kirklees 999 Call for the NHS.

We’ve carefully read the CCGs’ and Trust’s reports to this meeting and it’s clear that they haven’t satisfied the Committee’s recommendations – which were designed to make sure that the proposals would meet the health needs of the population.

So we’re extremely concerned that the NHS organisation’s failure to satisfy the recommendations means that these proposals won’t meet the population’s health needs.

We therefore ask you to refer the proposals to the Secretary of State for Health.

The CCGs and CHFT have had months to do the recommended work to make their proposals safer, but they haven’t got round to it.

The Trust’s failure to sign off and publish the Full Business Case makes it impossible to assess the finances and what the costs of a second PFI debt would be.

The CCGs say they will only support the Full Business Case – once they’ve reviewed it – if it fits in with the Sustainability and Transformation Partnership’s cost cutting plans.

More important than money – the CCGs have failed to come up with a coherent plan for providing enough Care Closer to Home capacity to make up for the 105 lost hospital beds.

They plan for a 3.5%/year reduction in A&E attendances by patients with long term illnesses, but the NHS Transformation Unit  are very doubtful that they could achieve this when they’ve not managed anything like it so far.

And the CCGs haven’t yet done the community modelling work to figure out how this will be possible.

As a result, proposed measures to make sure 111 sends patients to the right places will have to wait until the CCGs have clarified what the right places are.

And the Clinical Senate are still unable to confirm that the “plans” will provide the required standard of care, because the CCGs won’t have the information the Senate needs until the implementation planning.

Staffing is vital for patient safety – but CHFT plans to cut 479 staff over the next 10 years.

It says this will be possible because there will be “clinical networks” and centralised hospital services for very seriously ill patients.  In other words – such patients will go to Leeds or Pinderfields and our hospitals here will shrink.

The Trust’s workforce strategy indicates a 3.4% increase in Community Nursing staff, which is totally inadequate for the task in hand; and although there’s no pool of trained staff to recruit from, it doesn’t accept any responsibility for ensuring that training is available locally.

The CCGs have refused to say what their Primary Care strategy is, so there’s no idea if or how they plan to restore the numbers of GPs  – who will be responsible for more acutely ill patients.

The NHS organisations have recklessly disregarded the JHSC’s recommendations. Their proposals do not meet the public’s health needs and the JHSC’s clear duty is to refer them to the Secretary of State.

You can see the meeting in full here. (copy and paste the link into your browser)
Or read a comprehensive account here:-
The issue is important to Keep All Services at Dewsbury Hospital because when the reconfiguration to Dewsbury District Hospital was at the Consultation Stage in 2013, acceptance was undertaken on the premise that there was a fully functioning A&E in Huddersfield. These plans remove that certainty and replace HRI with what sounds like a GP surgery with a 64 bed Urgent Care Centre for minor injuries plus elective day case and elective short stay cases, with no intensive care or high dependency beds. The knock on effect of more ‘blue light’ cases going to Halifax, Pinderfields and Leeds will increase the already overcrowded facilities there.
Save Dewsbury Hospital Services banner before the meeting.
Paula Sherriff MP for Dewsbury,  Denby Dale Mirfield and Kirkburton gave a deputation statement reminding Councillors of this fact. The Chair of the Joint Scrutiny Committee said she was also on the Scrutiny Committee for that Mid Yorkshire Hospital Trust reconfiguration, which incidentally has seen the difficulties with the Care Closer to Home provision and the Mid Yorkshire Hospital Trust has moved to put all the planned changes at Dewsbury, in the slow lane. See more here:-
 The Calderdale and Kirklees Joint Scrutiny Committee adjourned after the deputations, and consideration of the report involving  questions to the NHS bodies, on their proposals. It is interesting that the Chair of Greater Huddersfield CCG was not present, only Carol McKenna, the Chief Officer. Finance Officers were present from Calderdale CCG but neither the Chair or Chief Officer attended. CHFT was represented by Owen Williams the CEO.
It was following the adjournment that the 2 new proposals drafted by the Scrutiny Committee on the consultation, were read out and Councillors asked to vote on them.
It was then that the 3 Calderdale Councillors, gave their shocking opinion that if they were to refer these proposals to the Secretary of State, then they may get something worse, so they would not vote to refer.
Nevertheless, fortunately other Councillors used their common sense and the proposal to refer was carried by 5 votes to 3.
A retired Consultant joins the members of the public.
This blog is considering whether to accept that the fear of Government and NHS bodies by the Calderdale  Councillors, is evidence of an increasing rise in Private Government in the NHS, where ‘capital’ is seen to control working lives, such as GPs being asked to refrain from prescribing
  •       paracetamol,
  • antihistamines,
  • gluten-free foods
  • sunscreens for skin protection from UV radiation
  • soya and thickened infant formulas
  • infant formula for lactose intolerance
  • cream for unwanted facial hair and other products that have a predominantly cosmetic action
  • emollient (moisturiser) for minor skin conditions
  • camouflage products e.g. for port wine stain birthmarks
  • multivitamins, where no specific deficiency has been identified

Hospital staff being made to work shifts of 12 hours and out of social duty, choosing to  forego  breaks, due to pressure of patients, would be another indicator.  What would happen if they worked to rule?

See more info on that here:-

Theresa May

Halifax Road main entrance as it used to look. It has been changed in the initiative to erect motivational adverts in all Mid Yorks Hospitals.

Yesterday, 28 June 2017, MP Paula Sherriff asked a question about Dewsbury Hospital and Huddersfield Royal Infirmary, at Prime Ministers Question Time.

Ms Sherriff asked: “She stated, and I quote, ‘people were scaremongering’.

“Can she use this opportunity today to reassure my constituents that all services will be retained at both hospitals, including a full A&amp;E provision?”


The Prime Minister responded: “Yes I was asked about Dewsbury A&E and I can confirm that Dewsbury A&E is not closing. The service will be open 24 hours a day, seven days a week and patients will see no change to their services.”

In fact the A&E in Dewsbury is already downgraded, so there will be no change to provision and it will remain so. It is NOT  FULL A&E provision although, yes it is open 24 hours a day and you can go there seven days a week.

Full A&E provision in the traditionally accepted form,  involves the availability of a High Dependency Unit, Intensive Care, a complete set of consultants from all specialities and general surgeons ready to deal with emergency injuries. These facilities are no longer available at Dewsbury District Hospital.  The new name for a ‘proper’ A&E is Emergency Centre.  Dewsbury is not an Emergency Centre.

Young children who are taken to Dewsbury between 8pm at night and 10am the following morning are sent to Pinderfields, even for minor cuts to the face and even if no x-rays or scans are deemed necessary. Children needing overnight stays for monitoring or further tests need to be taken to Pinderfields.

People suffering from a stroke should go to Pinderfields.

Emergency childbirth cases go to Pinderfields. Dewsbury’s Birth Centre can not administer epidural pain relief, nor are there special cots for babies who are poorly when they are born, available.

Mrs May is risking people’s lives if she is willing to mislead them in the way she has and they turn up at Dewsbury, when they should be at Pinderfields. Dewsbury has 4 resuscitation beds for adults and one for a child. It has 4 ‘enhanced care’ beds, for elective surgery patients only. It is not closed, but it is not a full A&E in the traditional sense.  “The rooms behind the A&E have changed” said a MYHT Board member recently.  There are 2 wards over and above those specified in the Full Business Case at the Meeting the Challenge reorganisation and a number of elective colo-rectal surgery operations, due to lack of capacity ie not enough room, at Pinderfields.

Who knows what cuts are down the pipeline in the West Yorkshire Sustainability and Transformation Plan arrangements? We will be asking all our MPs to keep their eye on the ball with that one.

Today (29th June 2017) Tracey Brabin MP spoke in the House about the fact that her some of her constituents were being made to wait for operations for 6 months and up to a year, if they smoked or if they were classed as obese. This move has been brought in by the North Kirklees Cinical Commissioning Group, to ‘manage’ demand and is not clinician led as Andrea Leadsome said it was, rather it is ‘manager led.’ While it is hoped that clinicians are able to over rule the managers if a cancer needs to be removed, for example, it is the beginning of ‘managed care,’ a regime used in the US by insurance companies, to restrict treatment and therefore maximise profit. While the NHS as yet is not looking for a profit as a whole, individual bits of it, those with for-profit providers, are.  Paula Sherriff MP also reiterated her question about Dewsbury A&E. Andrea Leadsome said she did not understand the question and invited Paula Sherriff MP to write to her about it.

As for the denying operations to some classes of patients, it is a very slippery road to be going down. Why should someone who has been sexually abused as a child, be punished again in adulthood and have treatment denied?  Who exactly knows why some people present as they do?