York NHS responds to independent criticisms

Local services labelled as “requires improvement”

Bootham park

The York Council will debate on Wednesday a report on the progress being made in addressing failings in NHS services in the City.

The report responds to a Care Quality Commission review  last year in which 70% of the areas rated were judged to be ‘Good’, 25% as ‘Requires Improvement’ and 5% as ‘Inadequate’.

5 areas for immediate improvement were identified as;

  • Safety and suitability of premises
  • Systems for identifying, handling and responding to complaints
  • Ensuring staff receive appropriate training, supervision and appraisals
  • Ensuring there are enough suitably qualified, skilled and experienced staff at all times to meet patients’ needs
  • Eliminating mixed sex accommodation

A report to the Councils Health Scrutiny Committee, details the changes that the Leeds and York Partnership NHS Foundation Trust was required to make and progress against targets.

The Trust claims to have achieved 96% of its improvement targets

NB. The same meeting will discuss a report on the direct payments made to individuals in York for care services. The Council has implemented a policy where those who opt for direct payments receive the payments to a personal account. There had been some concerns raised when payments had been made to third party organisations.

York hospital resources stretched as….

…….Liberal Democrats publish plan to invest an extra £8 billion a year in NHS

LibDems NHS graphic Jan 2015

Media reports are suggesting that unprecedented numbers of people have visiting A & E departments at the York and Scarborough hospitals over the last 3 weeks, leading to unacceptable delays in treatment.

The hospital has not published any figures for patient numbers and waiting times recently and the Council’s Cabinet member with responsibility for “Health” has offered no comment.

Responsibility for scrutinising the performance of the health service in York now also rests with the York Council but again no statements have been issued and no special meetings scheduled.

Some are claiming that “bed blocking” – discharges from hospitals delayed through lack of spaces in nursing homes – is partly responsible for the crisis.

The hospital management are right to ask people not to misuse A & E services when other options may address their issues.

But more facts about relative demand levels, together with the publication of up to date performance statistics, would help residents understand the problem rather more than they do now.

Liberal Democrats to increase NHS funding by £8bn by 2020

NHS funding will increased by at least £8bn per year in real terms by 2020.

The Liberal Democrats are the first party to present a plan to meet the financial needs of the NHS as set out by Simon Stevens, the Chief Executive of NHS England in his Five Year Forward View.

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To achieve this boost in funding by 2020/21, Liberal Democrats will do three things:
(more…)

“Bed blocking” criticism grows in York

Bed blocking

NHS England list York as one of the worst communities for speedy hospital discharges

NHS England have today published data click here showing that in October 2013, the City was one of the worst communities in England for delayed transfer of care.

Of the 28 patients awaiting a move from York hospitals at the end of October, 11 were awaiting care or nursing home placements while 7 were waiting for a care in the community support package.

Both are the responsibility of the York Council to provide

Although the Council Leadership is now promising to fix the problem “within 6 months”, they have failed to explain why the developing crisis has not been mentioned in any of the reports published by members of the Labour Cabinet over the last 6 months.

The Leaders own report, being considered by the Council tomorrow (Thursday), makes no mention of the problems.
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Separately, a resident has submitted a Freedom of Information request seeking an explanation for the apparent attempt to cover up the delayed discharges scandal. The wording of the request can be read by clicking here.

Hospital “bed blocking” on increase in York

Bed blocking

The number of delayed discharges from hospital is increasing as the York Council struggles to provide care in the community places.

The delays mean that the Council has to pay substantial “fines” and in turn the “blockage” can prevent new patients being admitted to NHS beds.

The delays have reached record levels as the weekly average figures (for patients awaiting discharge to community placements) for the last few years reveal.

  • 2009/10 – 7.98
  • 2010/11 – 10.13
  • 2011/12 – 8.69
  • 2012/13 – 10.67
  • 2013/14 – 11.00 (to September)

The figures were reported to both the York Council’s “Cabinet” on 5th November and its Health Scrutiny Committee on 27th November

Neither minuted any action which they planned take to address the growing crisis.

Some of the delays are being put down to inadequate capacity in the “reablement” unit. This team seeks to train former patients to be more self-reliant.

It is the winter period when demand for NHS beds is at its highest.

The last thing that the City needs is for those that are available to be blocked by people who could, with support