KEEP THE HORTON GENERAL

Image of baby

The Horton - under threat again.......

August 2011

Keep the Horton General Campaigners were disappointed to learn that the Oxford Radcliffe Hospitals Trust (ORHT) is pressing ahead plans to end the Horton Hospital’s dedicated gynaecology ward. Banbury gynaecology ward (G-Ward), where specialist nurses care for women having operations, suffering miscarriages, post-childbirth problems, haemorrhages and other problems, will end its overnight care this month.
The ward will become a daycase unit for minor operations and patients needing to stay will be put in E Ward, a mixed surgical ward.

G-Ward staff were told of the plan as school holidays began at the end of July. In spite of staff and union rep absences they drew up a paper citing potential problems with the changes and presented an alternative plan, allowing the ward to stay open fully from Monday to Friday.

Last Wednesday, Keep the Horton General (KTHG) campaigners and other stakeholders attended a packed meeting with senior representatives of the ORHT. KTHG vice chair Charlotte Bird said, “We were lead to believe the ORHT proposals were not set in stone and the counter proposals would be discussed at a meeting attended by management and the Banbury staff last Friday. One nurse asked for clarification and was assured the nurses would be given feedback on Thursday to be digested and discussed ahead of Friday’s meeting.

“On Thursday, only a day after the meeting at Bodicote, Prof Stephen Kennedy, clinical director of women’s services, wrote a letter to staff saying the counter proposals would not be part of the way forward and the trust’s plan stands - G ward becoming a day facility Monday – Friday with anyone needing to stay overnight accommodated on the General Surgical, E ward.

“There was no discussion, no compromise, no opportunity for the people on the front line to have their say, job done.  It was only by sheer chance members of the campaign found out about this because of the complete lack of communication by the ORH with stakeholders,” said Mrs Bird.

KTHG beleives that while the standard of daycase services in Banbury and Oxford is now fairer, the standard of care is being reduced for inpatients with more serious problems. For example, gynaecological patients in Oxford who need overnight care have it in a dedicated area in the Women’s Hospital. Mrs Bird added, “So, women of Banbury and surrounding areas, rest assured that the KTHG campaign and the nursing staff at the Horton Hospital did everything they could to save gynae service for you but I’m afraid on this occasion we failed.”

Sheila Snooks, Unison rep at the Horton said last Wednesday’s meeting was a waste of time. “No one knew the result of staff consultation but the final decision must have been taken,” she said. “Is this all part of trying to meet the criteria needed for becoming a Foundation Trust? We know the trust is under awful pressure to save money but Stephen Kennedy said it was about bringing the service in line with Oxford"

In his letter to staff, Prof Kennedy said: “As a result of particular concerns... in relation to beds available for overnight and major gynae emergencies we are taking steps to amend the number of inpatient beds available (in E Ward) from four to six. We are committed to moving forward with our proposals... ensuring equity of care and the expansion of services in north Oxfordshire.”  He said implemention would start this month and progress over the next three months.

The Oxfordshire Health and Overview Scrutiny Committee - which referred Horton downgrading plans to the Independent Reconfiguration Panel, winning a reprieve for full acute services -  will discuss the changes next week.

Charity Event

Katherine Allen Bridal in Banbury are holding a charity fundraising event for The Horton General Hospital, with an evening of drinks and nibbles at their shop on Thursday 6th October, 6pm – 9.30pm. Entry will cost £5 with all proceeds going to the charity. The evening will include entertainment from harpist Karina Bell, beverages provided by Vitis Wines. Proceeds will be donated to the Horton General Hospital.

July 2011

Campaigners have been recalled to the fight, as once again the people of North Oxfordshire find services at the Horton General Hospital under threat

In response to the difficult financial climate, the ORHT has announced the loss of 10 medical beds and 7 surgical beds at the Horton General Hospital, plus changes to the gynaecology service that will result in the loss of a further 8 beds. The ORHT hopes to offset the planned bed losses through innovative solutions to the perennial problem of bed-blocking.
However, the Horton seems to be bearing a disproportionate share of the bed losses, at 7% of total beds, compared to 3.2% at the JR and Churchill sites.

We are also aware that the plan to find and implement a safe, sustainable maternity service in Banbury is slipping - despite the Independent Reconfiguration Panel concluding that Banbury needs a full obstetric service.

Our response:

We acknowledge that in the current financial climate the ORHT's budget is being frozen in real terms, while the demand for services and the cost of services rise, and that this will create problems for service provision.

We support the ORHT's efforts to reduce bed-blocking, which would, if succesful, go some way toward mitigating the planned losses of beds.

We want open and truthful communication between the ORHT, staff and external stakeholders, to avoid a return to the bad old days of mistrust

We want to work with the Oxfordshire Clinical Commissioning Group to ensure that changes are made where there will be least impact to current and future sercices, and the Horton General Hospital does not bear an unfair share of the service cuts.

We want the Oxfordshire Clinical Commissioning Group to commit to finding and implementing the IRP-compliant obstetric solution as soon as possible.

What can you do?

First, if you have a facebook account, join our Save the Horton facebook group, and encourage your friends to join too. It's the fastest and most direct method we have of communicating directly with the people who care about the Horton General Hospital.

Second, we're going to ask you to write letters. Thousands of you wrote last time the Horton General Hospital was threatened - personal, powerful letters that persuaded the IRP to support our cause. We'll give you the addresses as soon as we have them (they'll be different to last time)

Personal letters are most effective but, the key points as we see them are:

- Banburyshire needs (and indeed the IRP requires) the Horton remains a local, fully functioning General Hospital

- An IRP-compliant maternity (obstetric) solution must be put in place as soon as possible, to safeguard the service in the current financial climate

- When the ORHT and OCCG make decisions, they must be careful to avoid undermining other services, and must ensure that any cuts at the Horton are fair and proportionate.


- Please be reassured that so far as we are aware, A&E and paediatrics (children's ward) are not threatened by the current plans.



OLD NEWS BELOW
- but remember, we did it before
- we can do it again!


WE DID IT!!!!!!!!!!!!!!!!!

Campaigners celebrate with a commemorative photo call - and receive a surprise visit from PM David Cameron

2 July 2010

Campaigners and stakeholders, gathering for a commemorative photo call to celebrate the decision to save paediatric and obstetric services at Banbury's Horton General Hospital, were amazed to find Prime Minister David Cameron was a surprise guest at the event.

Mr Cameron, whose constituency falls partly within the Horton's catchment area, has been an enthusiastic supporter of the cross-party campaign. He had previously visited the hospital to show his support and, together with other local MPs, spoke before the influential Independent Reconfiguration Panel, helping to influence their historic decision.

Mr Cameron is pictured (below left) with tireless Keep the Horton General Campaign chairman George Parish, local digitaries and campaigners, and (below right) with campaigners Charlotte Bird and Jan Justice.

Photos: Steve Wheeler.

WE DID IT !!!!!!!!!!!!!!!!!
ORHT BOARD APPROVES PLANS TO SAVE SERVICES

14 June 2010

At their board meeting this afternoon, the Oxford Radcliffe Hospitals
Trust APPROVED the plans and agreed to provide their share of the
extra cost of running 24/7 paediatrics and obstetrics at the Horton
General Hospital in Banbury. The plan, which will see childrens and
maternity service provided via a consultant led service, will now be
put in place, with the recruitment of additional consultants.

This means that our sick children and mothers in labour will continue
to receive safe, local treatment instead of having to spend hours in
traffic to get to the JR in Oxford. We're certain that lives will be
saved as a result of this decision, and the lives many others who rely
on open access will have been saved from becoming immeasurably harder.

There are too many people to thank individually for the huge
commitment they've made to this campaign over the last 7 years - but
you know who you are guys and I'm sure everyone is sending you a big
thank you for putting your lives on hold for so long. Long may this
solution last!

Thank you everyone, and please - join or stay a member of our facebook group - it's the cheapest and most direct method we have of keeping in touch with
people who care about the Horton. Heaven forbid, we need to call on
you again.

But for now - Hands are most definitely OFF the Horton!
.

Oxfordshire Primary Care Trust agrees to support the consultant-led service

27 May 2010

The plan to safeguard obstetric and paediatric services at the Horton General Hospital has moved a step closer to reality, as the Primary Care Trust has agreed to support the proposal to allow Banbury's 24/7 childrens and maternity services to continue.

They have agreed to provide £1.5 million towards the extra £2.4 million it will cost annually for consultants to run the services.

Now it is up to the ORHT - which runs the Horton - to agree the plan and decide whether it is willing to fund the remaining £900,000 per year. The Board meets on 14 June.

We'd like to tell the ORHT how much the Horton means to the people of the Banbury area, so please email us with your messages of support. We'll pass your messages on in advance of the meeting.

You can email us at hortoncrisis@hotmail.co.uk

Programme Board agrees to support the consultant-led service

May 2010

We're very pleased to report that the Programme Board has agreed to support the consultant led service. So the next decision is in the hands of the Primary Care Trust, who will decide on Thursday 27 May whether or not the service is affordable.

We've sent hundreds of emailed messages on, to support them - but keep them coming in to hortoncrisis@hotmail.co.uk !

After the PCT, the decision is in the hands of the ORHT.

"SAVE THE HORTON ' now on Facebook

March 2010

"Save the Horton" has been on Facebook since 2007, but we've gained nearly 1000 new members in recent weeks as supporters forwarded our plea for emails (below) to their friends. This is great news for us, as it means we can contact even more people quickly, directly and at no cost.

We use our facebook group to ask supporters for help at key points in the campaign; for example writing emails in support of the Horton before the vital decisions over the coming weeks, and if necessary, to organise public protests such as Hands Around the Horton or the Mayor's March.

If you want us to keep you informed of developments, please join our facebook group by following this link (you will need to create an account first, if you aren't already a member, but it's quite painless)

PLEASE EMAIL US TO "SAVE THE HORTON'

The plan that would save vital services at the Horton is in danger of being thrown out as “too expensive”. This would leave us back where we were two years ago – with our sick children and mothers in labour facing an unsafe and inhumane trip of 30 miles, 1.5 hours in traffic, to the John Radcliffe hospital in Oxford.

The extra cost of maintaining the 24/7 children’s ward and a doctor-led maternity service at the Horton is expected to be around £2m per annum. That’s just 0.22% (less than a quarter of one percent) of Oxfordshire’s annual health budget (£892m p/a).

We think that’s worth spending to keep our children and mothers safe.

WHAT WE NEED YOU TO DO

We're asking you to send us an email in support of the Horton's 24/7 children’s ward and doctor-led maternity service. We’ll pass on all the messages to the Primary Care Trust before they decide whether or not to spend the extra money.

If you’re short on time, a one-liner is better than nothing, but a personalised message is even better.

Please send your email to us at hortoncrisis@hotmail.co.uk
and copy it to baldryt@parliament.uk

We know that public messages of support make a difference because YOUR MESSAGES OF SUPPORT were key in the IRP's historic rejection of the original plans.

Please play a part one more time and together we can SAVE THE HORTON!

Putting money before lives?

25 February 2010

- Plan that will save lives could be thrown out for being “too expensive”
- Banbury MP calls for everyone to write in support of vital services

Banbury MP and Horton General Hospital campaigner Tony Baldry said it is vital people write to him at baldryt@parliament.uk to stress their determination that a full-scale downgrading of children’s, maternity and A & E services must not happen.

His move comes after Oxfordshire health bosses have suggested to him that the preferred plan to maintain paediatric cover at the Horton may be too expensive.

Hospital campaign leader George Parish promised ‘all hell will be let loose’ if the plan is abandoned.

"Horton General Hospital services are still under threat. I don’t want anyone to be under the illusion the plan is a done deal," Mr Baldry said this week.

"As a community we must make it clear we won’t settle for anything less than continued secure maternity, children’s and A & E services. We can’t sleepwalk through the next few months assuming all is well. The reality is we’re no further forward than a ‘preferred proposal’.

"I am asking all my constituents and others in the Horton catchment area to take five minutes to write to me or email me at the House of Commons to express their clear support for continuation of children’s, maternity and A & E services at the hospital."

Mr Baldry said he understands why people believe services would be safe into the future after Secretary of State Alan Johnson accepted advice from the Independent Reconfiguration Panel (IRP) that Oxford is too far to move 24-hour maternity and children’s services.

In early 2008, Mr Johnson asked Oxfordshire Primary Care Trust (PCT) to liaise with the Oxford Radcliffe Hospitals Trust (ORH) and the community to find a solution to specialist staffing problems. "That offered the opportunity to find alternative options which has been done after rigorous work over the last couple of years, involving many people attending numerous meetings and much hard work carried out in good faith," said Mr Baldry.

"Everyone was entitled to consider services were safe when at the end of the two years the PCT said their preferred option was a consultant-delivered children’s service enabling the special care baby unit, consultant-led maternity and other services to be protected.

"However what both the PCT and ORH are now saying is they are having to consider whether that proposal is deliverable in terms of whether they can find the doctors and if they can afford it."

Mr Baldry said the PCT is unlikely to have obtained sufficient costings promised for the end of March and before the General Election. And even if the finance is available it would take the ORH many months to recruit specialists, he said.

"In the meantime we’ve got to pray the interim arrangements the ORH has put in place for the Horton will stick, because they were agreed only for two years," he said.

Mr Baldry said the first thing he would do if re-elected will be to ask the Speaker for a parlliamentary debate on the future of the Horton.

George Parish said: "If the plan works out we will have a party for 5,000 in People’s Park. If not there will be 180,000 cheated, angry patients outside the John Radcliffe demanding answers," he said.
"We might as well not have had the IRP inquiry if this isn’t made to work. Our fight has gone on since the Task Force in 2003; it seems it has been purposely left until the election. If the 24-hour children’s ward is not saved all hell will break loose and I’ll be at the head of it. Money can’t be the issue. This is about is children’s and young mums’ lives. We expect them to find the money."

Mr Parish said he was aware Oxford paediatriatricians did not want to cover Banbury night and day. "People think they can rule the roost. They should be prepared to rotate; they are meant to be preserving lives not risking them - that is what this is all about. The IRP said downgrading wasn’t right, Alan Johnson said it wasn’t right, Andy Burnham (Secretary of State) wants it sorted out.

"We support Tony Baldry all the way and the Keep the Horton General Campaign is on alert," he said.

Supporters should write to Tony Baldry MP, House of Commons, London SW1A 0AA or email him at baldryt@parliament.uk.

 

Childrens Ward under threat - or not?

29 September 2009

Horton campaigners, attending a Community Partnership Forum meeting on 29 September 2009, were astounded to hear a presentation by a group of JR and Horton paediatric consultants which outlined the downgrading of children's services once again.

Although it emerged only under questioning, the proposal was for the children's ward to operate only between 10am and 10pm, with children needing care outside these hours being transferred to the John Radcliffe. Just as in the original proposals, which were soundly rejected by the Independent Reconfiguration Panel in 2008, this would have a knock-on effect on the Special Care Baby Unit and the obstetrics (consultant-led maternity), neither of which can operate without 24 hour paediatrics.

Shocked campaigners met the following day with representatives of the Primary Care Trust. (The PCT essentially hold the purse-strings and decide which services to commission, but it is up to the Oxford Radcliffe Hospitals Trust to determine how to actually provide the services) Campaigners were immensely relieved to hear that the PCT will be demanding that a full, 24 hour paediatric and obstetric service is maintained at the Horton General Hospital.

Reconciling the need for these essential services with the difficulty of finding a solution that all stakeholders support is something the Keep the Horton General campaign are fully engaged in. We look forward to the Better Healthcare Programme's report, which is due to be presented to the Programme Board on 13 October at Bodicote House.

As the process draws to a close, please keep an eye on the website and local press in case we need to call on your support. If you have anything to offer - time or resources - we'd love to hear from you. Please contact us.

__________________________________________________________________

 

 

Links:

Home

2008 Horton victory - everything about our successful campaign

Contact us

External links