Consultation AdviceHands Off HRI

Have YOUR Say in 3 Easy Steps

Step 1:
Read the Main Document.

Proposal for Health Services Reconfiguration in Calderdale and Greater Huddersfield [PDF] Proposal for Health Services Reconfiguration
in Calderdale and Greater Huddersfield

Step 2:
Review the Survey.
Think about your answers.

Public Consultation Survey [PDF] Public Consultation Survey

Step 3:
Fill in the Survey.
Use the Recommended Responses as a Guide

Public Consultation Survey Suggested Answers [PDF] Public Consultation Survey Suggested Answers

N.B. If you are filling in the Online Version of the survey...

First please read through the Suggested Answers to the Survey ; and then

Click through to the Online Version of the Survey.

We need Tens of Thousands of Responses

Please FILL IN THE SURVEY and PASS IT ON to people you know, so they can fill it in too.

We need to give the CCG tens of thousands of responses!

The #PassTheSurvey Game

Who wants to play a game?

It's really easy - remember Pass the Parcel?

#PassTheSurvey is exactly the same as that game (apart from the absence of music...)

The game works like this:

You can #PassTheSurvey on to as many people as you like - but you must fill it in, first!

It's a chain reaction! Let's do this!!

Whenever you're telling people about this game - or actually playing it - on Facebook, Instagram, Twitter etc. please use the hashtags ‪#‎PassTheSurvey‬ ‪and #‎FillitinPassiton‬

For more details, see: Fill It In, Pass It On on Facebook.

Additional Documents

Suggested Answers to the Survey - Web Version

Preface [Online Version of the Survey Only]

Section 1

    • [PAPER] Please do not answer this, it suggests that all possibilities have been explored; we do not feel that this is true.

    • [ONLINE] Yes, you have missed something.

    • You have missed the opportunity to provide the public with a true consultation by providing only one option.

    • Your business case is flawed. A representative from Monitor stated that the result of this reconfiguration was not sustainable; Calderdale & Huddersfield NHS Foundation Trust (CHFT) would still be in deficit by £9.5m/year.

    • You have omitted the views and opinions of frontline NHS Staff, including GPs, and the general public.

    • The notion of co-dependency with other strategies such as Care Closer to Home is undermined by projected cuts to local GP surgeries. In addition to this, care in the community is rarely the cheaper option it is portrayed as because more nursing staff is needed because only one patient can be seen at a time, also there is no back up of more senior doctors and nurses to give advice.

    • You have neglected to include an estimate in your risk assessment as to how many additional deaths would result from the relocation of A&E to Calderdale.

    • The proposals require an extra £490m of extra funding; this has not yet been secured. Owen Williams stated that the proposal could not go ahead without this loan being secured. You have neglected to outline a plan B if these funds are not forthcoming.

    • You have missed the opportunity to tackle the central problem of a lack of funding. Budgetary allocation for training doctors and nurses has been flat lined, this is a political decision and its solution lies entirely within the remit of the government if it wished to resolve it.

    • The building of an exemplary teaching hospital at Ainley Top that would have the prestige and pull to provide the necessary levels of recruitment of quality clinicians and consultants.

    • Lobby David Cameron to make good on his personal promise to sort out the Calderdale PFI debt.

    • In Northern Ireland a panel has been set up to look at the whole health service and how best to take it forward in an area of financial restraint, you have neglected to investigate the ideas of this panel.

Section 2

    1. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    2. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    3. Reliable studies show that A&E closures increase death rates for inpatients in the remaining A&E hospital, and those in the surrounding area. Furthermore, increased travel distances to A&E are associated with increased patient death rates. Moreover, this reconfiguration proposal is in danger of creating a geographical inequity of care; if this proposal is accepted there will be three A&E departments in the north of West Yorkshire. In the south, there will be none.

    1. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    2. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    3. These proposals rely on changes to community based care that have not yet been made available to be tested to any reasonable degree. Indeed, there are proposals to cut 66% of local GP services by 44%. This is contrary to the CCGs’ responsibility to ensure that enough local resources exist to make the proposed urgent care system work safely.

    1. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    2. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    3. A planned care hospital in Huddersfield would cause travel problems for Calderdale residents, particularly for cancer patients attending day case treatment. Furthermore, there won’t be any emergency services, such as an Intensive Care Unit on site should things go wrong in planned care surgery. In addition, the proposed planned care hospital on the Acre Mill site does not seem to represent value for money leading to further questions about the sustainability of the proposal.

    1. Other, I do not agree with this proposal or the hot site cold/site clinical model.

    2. I would like to ask if these “plans to improve community based services for women at all stages of their pregnancy...providing more care closer to home” are to rely on the recent National Maternity Review and its call for £3,000 “personal care budgets” for all pregnant women? If so, I believe that this would result in fewer services, privately provided, and would further undermine the NHS principle of universal comprehensive care.

    1. Other, I do not agree with this proposal or the hot site cold/site clinical model.

    2. Other, I do not agree with this proposal or the hot site cold/site clinical model.

    3. How does your proposal address the problems faced by the already overstretched and underfunded GPs and community services? Furthermore, there are recognised problems with depending on NHS 111 to determine whether children should go to urgent or emergency care. Moreover, how will the proposal address travel problems for Huddersfield’s families with children who would have to come to Halifax for emergency and inpatient paediatric care?

    1. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    2. Other, I do not agree with this proposal or the hot site/cold site clinical model.

    3. There is no evidence that Care Closer to Home will provide the required standard of care. There is also no reliable evidence that it will reduce acute and emergency hospital admissions. There is a shortage of GPs with vacancies unfilled and only 60% of GP trainee places taken up. Despite incentives for GPs to target at risk patient to reduce unplanned admissions to hospital over several years now, this had failed to show a reduction in A&E attendances to date. Primary health care is underfunded and struggling. Moving hospital services into the “community” depends on social care funding for affected patients. The notion of co-dependency with other strategies such as CC2H is undermined by projected cuts to local GP surgeries. In addition to this, care in the community is rarely the cheaper option it is portrayed as because more nursing staff is needed because only one patient can be seen at a time, also there is no back up of more senior doctors and nurses to give advice.

Section 3

  1. Yes. I fear that the most vulnerable will be the worst affected by this proposal. I believe the local NHS provisions will be adversely affected resulting in worse patient outcomes for Kirklees and Calderdale. If this proposal is accepted, the population of Kirklees; 434,000+ will be without A&E provision.

    Our health needs are for evidence based comprehensive, universal, and equitable, value-for-money health care. These proposals offer none of these things. I have no confidence that they will deliver safe, high quality patient care, or safe, fair working conditions for NHS and social care staff. I fear that lives will be lost as a direct result of this proposal.

  2. Tell them what you think they could do to improve travel, transport and parking.

  3. Disagree. I completely reject this proposal, the hot site/cold site clinical model and all of the implicit suggestions therein.

Equality Monitoring Form

Please fill this section in according to your status.

Review the Online Version
of the Survey Before you Fill it In

It's always a good idea to read through a questionnaire before you fill it in.

Unfortunately, the CCG's online version of their survey doesn't allow you to do this - you can only see each next page of the survey after you have filled in answers to all the questions on the current page.

Fortunately, #HandsOffHRI has produced a graphic which enables you to preview the online version of the survey before you go ahead and fill it in.

Just click on the image below to open a new tab.

Then scroll down the new tab to see a preview of the entire online survey.

Complete Preview of the Online Version of the CCG Public Survey Online Survey Preview

Once you've:

Go ahead and Fill In the Survey.

And... when you've finished filling in the survey, don't forget to play: #PassTheSurvey

Huddersfield Examiner Article:
Hands Off HRI wants you to give THIS answer to Health Bosses in the A&E Consultation

Click for the complete article in the Huddersfield Examiner:
Hands Off HRI wants you to give THIS answer to Health Bosses in the A&E Consultation - Huddersfield Examiner Article Hands Off HRI wants you to give THIS answer to health bosses in the A&E consultation

A Call to Arms

A Call to Arms #HandsOffHRI

Please don't ignore this Call to Arms. When the CCG's Public Consultation ends on June 21st, 2016, you won't get another chance to say you don't want Huddersfield Royal Infirmary or Calderdale Royal Hospital to lose vital services. By then, it will be too late.

Fill out the survey. Use your voice. Have your say. Say NO.

#HandsOffHRI

Okay, I'm ready to take this seriously - take me back to the beginning