HOSPITAL ACTION GROUP PUBLIC MEETING Thursday December 3 rd 1. Welcome to the Church and Safety Notices Rev James Kennedy Vicar of Chipping Norton 2. Welcome and introduction and outline the Agenda Robert (Chunky) Townley Chair of HAG 3. Summary of where we are/why we are asking OCC to think again Clive Hill - Founder member of HAG 4. On behalf of the Town and Town Council Cllr Mike Tysoe,Mayor of Chipping Norton 5. Bed blocking and treatment benefits comments Rev James Kennedy - as a retired surgeon 6. The results of the HAG survey and what we think it means. John Grantham - Founder member of HAG 7. What happens next - our possible options Clive Hill 8. Open to the floor for comment and questions Robert Townley as Chair 9. Final comments and thank you Robert Townley
Why are we here today? Answer: . Because OCC has a budget problem
How have we got to where we are today?
2004 - PRIMARY CARE TRUST (PCT) consulted on replacing the old War Memorial Hospital. Action Group formed involving people of all political persuasions, town and district councillors, GPs and other local residents. 2007 - after a long campaign PCT announced the decision that safeguards CHIPPING NORTON COMMUNITY HOSPITAL. 2011 - New CHIPPING NORTON WAR MEMORIAL COMMUNITY HOSPITAL opened. Order of St John own the building with parts/services leased by the County Council and NHS.
Intermediate Care Beds staffed by NHS nurses seconded to the Orders of St John with review after three years. HAG and WODC to be involved. Review delayed by winding up of Primary Care Trusts. PCT role divided into those that commission and those that provide the service. It was expected that the Oxford Clinical Commissioning Group (OCCG) would commission NHS Hospital beds like Chipping Norton and that the County Council would commission Care Home beds.
Before handing over, the PCT specified Chipping Norton Beds as Sub-Acute - which is a level higher than that associated with beds in a Care Home setting. The PCT intended that the same specification it had written for Chipping Norton would be rolled out to all Community Hospitals in the County.
In 2014 we became aware that a review was being conducted without HAG and WODC involvement. A meeting was requested and HAG with Cllr H Biles met OCC. Until this point we did not know OCC was involved with our Hospital Beds. We still do not know why the County Council is commissioning NHS Beds. OCC is a joint Commissioner with OCCG but OCC take the lead.
In the July 2014 review OCC decided to award the contract for staffing and managing the beds to Oxford Health (NHS) Foundation Trust. Under the proposal the whole site including the care home was to be renamed under the Hospital banner. We were pleased with this because it answered the wishes of people in the community. Hospital Beds staffed and managed by the NHS.
OH(NHS)FT took over in 2014 and through the use of things like the Modern Matron improved the service and our study shows patients got more treatments for such things as physiotherapy and the length of stay was reduced so patients went home earlier. The reduced length of stay study was conducted by James Kennedy and he will explain what he found later.
We were not the only ones happy with the outcome David Cameron also said he was pleased this issue had finally been settled. However the renaming never happened and in 2015 we discovered that OCC was planning to remove the NHS nurses and place the contract for the staffing and management of the beds back with the Orders of St John because it would be cheaper.
As a result of protests from HAG and others OCC had to conduct a Public Consultation on the change. However we feel OCC has poorly advertised the consultation and the distribution of the document by OCC appears limited. Even worse when HAG presented its case to the Oxfordshire Joint Health Overview and Scrutiny Committee on July 2 nd this year John Jackson threatened that if we did not agree with the OCC plan there would be no Intermediate Care beds in Chipping Norton. July 2015 David Cameron chaired a meeting asking OCC to include Chipping Norton in the 2016 countywide review.
HAG does not believe the people have been properly consulted by OCC and this is reflected in the survey results John Grantham will share with you shortly. It is not possible for OCC to conduct a fair and open consultation with the very people it has just threatened. In view of the lack of OCC involvement with the public we decided to have this meeting of our own and to circulate a leaflet and questionnaire to homes in the OX7 area.
There are several reasons why we are worried about the proposed change: We believe the NHS is best equipped to staff and manage hospital beds. OoSJ simply do not have the depth of resource or expertise that exists within the NHS. To save money OCC plan to use fewer qualified nurses.
A freedom of information request showed internal OCC/OoSJ documents confirmed the improvement under the NHS and we do not want to lose it. Andrew Cheesbrough who was at OoSJ said he did not wish to provide the same service level as exists under OH(NHS)FT as he considered it to be ‘completely over the top’. We do not agree. All of this points to a significant reduction in service level which is unacceptable.
HAG also suspect that OCC/OoSJ plan to share qualified nurses across the Hospital Beds and the Care Home. We believe this will further dilute the resources and lead to a reduction in the quality of hospital care. We were all promised a strict segregation between the Hospital and the Care Home.
OCC has denied Chipping Norton is a Community Hospital yet we have the PCT statement to say it is, the Prime Minister says it is and the people in this community know it is. During our investigations recently we have discovered that last year OCC without any Public Consultation downgraded our Sub Acute Bed specification to one more in keeping with the beds it commissions in Care Home settings. This is totally unacceptable.
In summary:- We were promised a Community Hospital and the PCT specified Sub Acute beds. We believe these beds should be staffed by NHS nurses with clear segregation from the Care Home. We do not understand why OCC has become involved in commissioning NHS beds. We see no reason why our Hospital Bed service should be downgraded in order to save money on the OCC budget ignoring the bed blocking impact and when the beds should be commissioned by the NHS.
We believe there is an NHS option if the costings are done fairly. OH(NHS)FT indicated this in August. HAG suspect that OCC calculations load unfair charges on to the NHS options. If our beds are returned to sole NHS (OCCG) commissioning the true costings can be used and it would release OCC from it’s budget problem. WIN/WIN. As a COMMUNITY HOSPITAL Chipping Norton should be included in the county-wide review and OCC/OCCG should suspend all action on Chipping Norton until that review is completed.
THE INITIAL RESULTS OF THE HAG SURVEY CARRIED OUT IN NOVEMBER 2015 . THE FUTURE OF THE INTERMEDIATE CARE BEDS AT CHIPPING NORTON WAR MEMORIAL COMMUNITY HOSPITAL. John Grantham
QUESTION 1 - WHO IS BEST ABLE TO PROVIDE HOSPITAL CARE ? THE NHS 1282 OXFORD COUNTY COUNCIL 6 MAKES NO DIFFERENCE 6
QUESTION 2 WERE YOU AWARE OCC HAD DOWNGRADED THE BEDS IN 2014?? YES 258 NO 1023
QUESTION 3 DO YOU BELIEVE THAT CHIPPY HOSPITAL IS A COMMUNITY HOSPITAL AND SHOULD HAVE FULL RANGE OF SERVICES ? YES 1289 NO 6
QUESTION 4 WHAT AGE GROUP SHOULD IT CONCENTRATE ON? 18 YRS AND ABOVE 1143 ONLY THE ELDERLY 90
QUESTION 5 DO YOU THINK OCC HAS KEPT YOU WELL INFORMED? YES 20 NO 1252
QUESTION 6 WOULD YOU BE HAPPY IF OSJ NURSES STAFFED THE BEDS RATHER THAN NHS ? VERY HAPPY 6 REASONABLY HAPPY 33 QUITE UNHAPPY 238 EXTREMELY UNHAPPY 1016
QUESTION 7 IS THE OCC STATEMENT RE LOOSING THE BEDS A THREAT TO OUR COMMUNITY? YES 1159 NO 8
QUESTION 8 SHOULD THE BEDS BE HANDED BACK TO THE NHS ? YES 1282 NO 3
QUESTION 9 SHOULD ANY CHANGE BE DELAYED UNTIL AFTER THE COMMUNITY HOSPITAL REVIEW IN 2016 ? YES 1268 NO 18
QUESTION 10 IF WE HAVE TO HAVE OSJ NURSES AND NOT NHS NURSES DO YOU ACCEPT THAT? YES WILLINGLY 4 YES RELUCTANTLY 174 YES VERY RELUCTANTLY 607 NO 479
What happens next ? CLIVE HILL - Hospital Action Group
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