Public Summary (8 pages): https://www.ldh.nhs.uk/_resources/assets/attachment/full/0/29396.pdf
Executive Summary (36 pages): https://www.bedfordhospital.nhs.uk/wp-content/uploads/2018/01/LDH-and-BHT-Merger-FBC-Executive-Summary-Final.pdf
The merger date is 01/04/2018 subject to approval by NHS Improvement (NHSI). As Luton & Dunstable Hospital (L&D) is a Foundation Trust (FT) and Bedford Hospital Trust (BHT) is not, to complete the transaction to create the new FT L&D will follow the NHSI acquisition process. In most measures L&D is twice the size of BHT.
Business Case: A&E at both locations is safe
What impact does closing A&Es have?
Business Case: Proposed investment in neo-natal and delivery wards in Luton & Dunstable
Centralisation of Services
Business Case: Possibility of centralising specialist services such as, gastro, elective orthopaedics and gynaecology
A small amount of data exists to support positive outcomes of centralising some services, but in reality it’s very little. In terms of financials, savings are low to moderate, but what it does mean is that vulnerable people have to travel further, often via inadequate public transport and their support network is located many miles away.
One example of where L&D and Bedford have centralised services is emergency Stroke services where 999 Stroke call-outs are routed to the L&D and then local residents are returned to Bedford for recovery. Feedback from the Ouse Valley Stroke Club about this service was less than glowing. Family members have difficulty in supporting patients from so far away and the levels of care themselves.
We need to ensure that any changes are EVIDENCE based and actually result in benefits to patients such as earlier discharge into adequate care environments, decreased mortality rates, better recovery.
Integration with community services
Business Case: Care jointly delivered between hospital and community teams
“…avoids ‘handovers’ and ensures best outcomes for patients. Manages rapid growth in ageing population without the need for more hospital beds. Allows staff to develop their skills to better support patients with complex needs”
There is a trend in reducing bed numbers and moving care out of hospitals and into the social care system, however there has been an 11% cut to Social Care across England against a backdrop of increasing demand and this fall in number beds.
The King’s Fund Reports:
- The total number of NHS hospital beds in England, including general and acute, mental illness, learning disability, maternity and day-only beds, has more than halved over the past 30 years, from around 299,000 to 142,000, while the number of patients treated has increased significantly.
- Most other advanced health care systems have also reduced bed numbers in recent years. However, the UK currently has fewer acute beds relative to its population than almost any other comparable health system.
Capital Investment and IMT Funding
Business Case: £150 million of additional funding required to support both Trusts’ estate redevelopment plans will ensure that the improvement can be delivered in full and sustained for the foreseeable future
No indication of whether this funding will be approved before the transaction date of 01/04/2018 as this request being run separately but concurrently to this Business Case.
Further investment is required for the implementation and delivery of digitalised solutions, again it is unknown whether this will be approved.
- Poorly publicised
- Held at inconvenient times
- None existent in some cases
- Weller Wing disappeared – if there was consultation, little effort was taken to inform the public
- Emergency Stroke Services were quietly relocated to L&D and subsequently BHT lost its dedicated Stroke Ward
- Putnoe walk-in centre is scheduled to close with September without consultation
1. Write to the CCG who makes the decisions:
2. Write to your MP, find their name and email address using your postcode:
3. Join the campaign:
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