A study carried out by Queens University, Belfast show how patients reported that they would need to feel more unwell in order to attend A&E following the closures of Mid Ulster A&E.
Still Birth Increases in first 9 months of 2012 in the Mid Ulster area
Maternity services in Mid Ulster were removed in 2006 in the name of questionable safety risks, fast forward 6 years and for the first 3 quarter in 2012, 10% of all still births in Northern Ireland are to mothers resident in the Mid Ulster area.
The First 3 quarters has seen 80 still births across the province, 20 of these are to mothers normally resident in the Northern Health & Social Care Trust (NHSCT). Of these 20, 8 occurred to Mid Ulster resident mothers, 5 from Magherafelt and 3 form Cookstown.
In the 4 quarters of 2011 Northern Ireland 91 still births occurred, 14 of which were to mothers resident in the NHSCT area. The Mid Ulster area seen 5 still births, 2 in Cookstown and 3 in Magherafelt
NHSCT accounted for 15% of all still births in Northern Ireland in 2011 (4 quarters)
NHSCT accounted for 25% of all still births in Northern Ireland for the first 3 quarters of 2012
Mid Ulster (Cookstown & Magherafelt LGD) accounted 5.5% of all still births in Northern Ireland in 2011 (4 quarters)
Mid Ulster (Cookstown & Magherafelt LGD) accounted for 10% of all still births in Northern Ireland for the first 3 quarters of 2012
Cookstown has the Highest Birth Rate (per 1,000 of the population) within the NHSCT with a rate of 11.2 for the first 3 quarters of 2012
Magherafelt has the second Highest Birth Rate (per 1,000 of the population) within the NHSCT with a rate of 10.7 for the first 3 quarters of 2012
There has to be serious and instant moves by the Health Minister and NHSCT to ensure that these figures are fully addressed and that figures do not continue to rise. Although there are several reasons why stillbirths occur there is an obvious issue here as stillbirth rates are on the increase and have remained high in the Mid Ulster area since the removal of maternity services in 2006 . The Mid Ulster areas of Magheraflet and Cookstown have among the highest birth rates in Northern Ireland yet only limited services are provided at the Mid Wife led unit at the Mid Ulster Hospital. Save The Mid have responded to the health review Transforming Your Care and have included in its recommendations the introduction of a Mid Wife led delivery service similar to the one opened in Lagan Valley Hospital in 2011. Since the removal of maternity services at Mid Ulster the capacity of maternity at both Antrim and Causeway hospitals have both declined. In a FOI gained by Save The Mid it showed that emergency calls that originate in Mid Ulster has seen mothers taken across the province with 7 of the 32 calls resulting in the mothers being taken to Altnagelvin (http://savethemid.weebly.com/uploads/7/4/7/7/7477841/foi-43_transportation_of_pregnant_women_bt45_49_80.pdf) .
As shown in our response there is also a reliance on the ambulance service to take pregnant mothers to hospital, In 26 of the 32 cases, the 'chief complaint' was directly related to pregnancy, childbirth or miscarriage. In the other 6 instances the patient was pregnant but the 'chief complaint' was something else e.g. back pains, fainting. This was taken of 1 5 month period between Jan-May 2012.
As these recommendations has already been received by both the Heath Minister and John Compton form Transforming Your Care, regarding the still birth rates Save The Mid will be writing to local MLA's to gain support in reestablishing maternity services at the Mid Ulster Hospital Site.
Link to Lagan Valley - http://www.northernireland.gov.uk/index/media-centre/news-departments/news-dhssps/news-dhssps-march-archive-2011/news-dhssps-100311-health-minister-opens.htm
Link to Save The Mid Transforming Your Care response - http://savethemid.weebly.com/tyc-response-2013.html the references for the ambulance response for pregnant mothers are in here, page 57 of the briefing document.
Link to source of still births - http://www.nisra.gov.uk/demography/default.asp27.htm these are reflective of where the mother is resident the hospital stats wont be printed until later but you will find some of it here, neither -
Link to DHSSPS information regarding hospitals in where still births occurred during April11-12, http://www.dhsspsni.gov.uk/index/stats_research/hospital-stats/inpatients.htm / http://www.dhsspsni.gov.uk/ni_hospital_statistics_-_inpatient_activity_2011_12.pdf
Save The Mid - http://savethemid.weebly.com/
Tel: 07871503189 (after 6pm)
Twitter : @SaveTheMid
Transforming Your Care roadshow will be coming to Magherafelt, this is your opportunity to ask the panel questions and gain more information on the current consultation on the Population Plans : http://www.tycconsultation.hscni.net/wp-content/uploads/2012/10/Northern-Population-Plan-Oct-2012.pdf
The Transforming your care document is a finished document, one which Magherafelt Council did not respond to to begin with.
There is confusion in the public arena as to what you are actually responding to, even more so as some of the proposals for the future of Mid Ulster Hospital are already happening.
Part of the population plans is to turn the Mid Ulster Hospital site into a health center. This health center setup has already been agreed by Magherafelt Council.
Can everyone take the time and attend the meeting and ask the Transforming Your Care panel and Council members "why are we being asked for our opinions on the future of the mid Uslter Hosptial site while the Council and Northern Health & Social Care Trust have already agreed to turn it into a health center"
For more information on how Magherafelt Council sold out the people of Mid Ulster behind closed doors, this can be found here;
I particularity ask Cookstown Council residents to attended and also ask Magherfelt Council, "why did the council agree to remove services from the Cookstown Council area, without consulting people from the Cookstown Council Area?"
There has been an absolute blackout of the public being made fully aware of what they are actually consulting upon in Mid Ulster, take your chance and use it wisely and I hope to see you all there.
Event:Public Meeting – Magherafelt
Start:December 6, 2012 7:00 pm
Venue: Civic Room, Magherafelt District Council Address:
50 Ballyronan Road, BT45 6EN, United Kingdom
Involving you in improving Northern Ireland’s Health and Social Care
The consultation document Transforming Your Care: Vision to Action makes proposals for how a range of health and social care services would be delivered differently to ensure all services are safe, high quality and resilient now and into the future.
This is one of a series of meetings being held across Northern Ireland, to discuss the proposed plans for changes in health and social care services over the next 3 to 5 years.
If you would like to attend we would be grateful if you would contact us by either emailing firstname.lastname@example.org or by phoning (028) 9055 3790.
If you have any particular requirements to enable you to attend a meeting, e.g. a sign language interpreter, or have any accessibility requirements, please let us know.
Recent update on Wesltands residential Home Cookstown:
To keep up to date with information on this we ahve created a new page on our website: http://savethemid.weebly.com/westland-residential-home-cookstown.html
Please find attached briefing paper in regards to Save The Mid meeting with Cookstown Council regarding Westlands residential home in Cookstown and Transforming Your Care on the 23rd Oct 2012.
Further to this and at the request of the Council Save The Mid will further produce another document to aid the council in response to the population plans, the due date for this final document will be set by Save The Mid as 2nd Nov 2012. This will contain fact based evidence on what the council was briefed on, due to time constraints and the short notice of meeting it was not feasible to produce such a document without diluting the content.
‘Record number’ using ‘Mid’ - claim
Published on Thursday 28 June 2012 11:08 Mid Ulster Mail
A RECORD number of people are attending the Mid-Ulster Hospital’s Minor Injury Unit as Antrim Area Hospital’s waiting times continue to suffer, according to a local health group.
Last month the Minor Injury Unit (MUI) at the Mid-Ulster Hospital recorded its highest number of attendants to date.
Over 730 people passed through the doors of the 9am to 5pm unit, which replaced the Magherafelt hospital’s emergency department in May 2010.
Pressure group ‘Save the Mid’, who recently submitted details of a patient survey of Mid-Ulster residents to the Health Committee, said it is now time for the Northern Health and Social Care Trust (NHSCT) to begin utilising more acute services back into the Hospital Road site.
Read Full Article Here: http://www.midulstermail.co.uk/news/local/record-number-using-mid-claim-1-3998006
Mr Hugh McCloy
Save the Mid
1 June 2012
Dear Mr McCloy,
Accident & Emergency Services At its meeting on Wednesday 20 June 2012 the Committee will be taking evidence from the Department for Health, Social Services & Public Safety on the work of the A&E Improvement Action Group.
At its meeting on Wednesday 31 May the Committee agreed to write seeking your views on the current provision of Accident & Emergency Services and any ideas you would have for improving waiting times.
I would be grateful if you could provide me with a response by Wednesday 13 June 2012.
Yours sincerely Dr Kathryn Bell
Save The Mid's full response will be available to download in due course
Complaints received for April2012 totalled 50, with 39 (78%) being responded to within 20 working days. The target for 2010/11 was 72% within 20 working days and the Trust achieved 64%. The position for May is not yet available.
Patients waiting in A&E over 12hrs for treatment must be reported as Serious Adverse Incidents under DHSSPS guidance. There were 240 cases reported to DHSSPS for May 2012. 14 of these cases were related to Ambulance breaches which were attributed to the Trust.
Access Targets/Waiting Times
Elective In-patients and daycases – As at the 31st May there were 1,612 NHSCT patients waiting over 13 weeks, 409 of which are IS transfers.
248 patients were breaching the Trust Plan backstop positions at the end of May 2012, 111 of which are IS transfers. 75% of total patients were waiting within 13 weeks. (Information validated weekly by operational staff). New backstops applied for quarter 1 2012/13.
Out-patients - As at the 31st May there were 5,333 NHSCT patients waiting over 9 weeks, 2,103 of which are IS transfers. An additional 267 patients were waiting over 9 weeks for ICATS specialties. There were 404 patients
breaching the Trust Plan backstop positions at the end of May 2012, 174 of which are IS transfers. (Information validated weekly by operational staff) New backstops applied for quarter 1 2012/13.
Diagnostics – As at 31st May there were 515 Cardiology patients, 1 Respiratory Physiology and 28 Urodynamic patients waiting over 9 weeks.
AHPs - As at 31st May there were 177 patients waiting over 9 weeks, 101 Occupational Therapy, 2 Orthoptics, 47 Physio and 27 Speech & Language.
Mental Health waiting list – As at 31st May, there were 107 (CAMHS) patients in breach of the 9 week target. Psychological Therapies continues to be monitored against the 13 week target and there were 12 patients in breach of this target.
Accident & Emergency
All patients should be seen within 12 hours. During May the Trust had 240 patients in excess of this target. 14 of these breaches were requests to the NI Ambulance Service (NIAS) outside of a 4 hour request target. Within the overall Trust A&E sites there were 73% of patients who had been seen and discharged within 4 hours for May. The target is 95% at each individual site. Both Antrim and Causeway sites continue to fall below the target. An Unscheduled Care Programme Board has been setup including an Improvement group to identify and implement actions for A&E.
Responsibility for 12-hour breaches for patients who require ambulance transport from the Emergency Department is as follows:
- Where a patient requiring NIAS transport from the Emergency Department waits longer than 12 hours, the breach will be attributed to NIAS if the transport was requested within four hours of the
patient presenting to the Emergency Department.
- If however the request for ambulance transport is made after four hours of the patient presenting at
the Emergency Department, the breach will be attributed to the relevant Trust.
This is the first report from Save The Mid, it was created during the closure of Acute services at the Mid Ulster Hospital site.
You can judge for yourself:
HAS THE NORTHERN TRUST, MISLED THE PUBLIC AND THE ASSEMBLY
According to hospital statistics as provided by the DHSSPS (link), it shows that in terms of A&E care Antrim hospital was already underachieving in terms of dealing with the input of patients. With the closure of Mid Ulster and White Abbey a&e there will be a greater input of patients from the surrounding areas, in the range of 2500 +.
Health Minister, Michael Mc Gimpsey, is already on record stating that the closure of the two sites in Mid Ulster and White Abbey is not based on a financial factor, but based on a factor of health and safety for patients.
The following tables in two different formats clearly show that before the closure the health and safety of patients in Antrim hospital was at a critical standing, one that will in the coming months only be added to.
Points of Interest
· Waiting over 12 hours, Antrim. April 2009 = 17 / April 2010 = 299
· % seen in less than 4 hours, Antrim. April 2009 = 79% / April = 61.1%
Media/Reporters - Please Read
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We do want to share our stories with as wide an audience as is possible but we ask that you respect our three simple conditions.
1. You alert us to your plans to publish.
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3. If publishing online, that you link back to us.