AM highlights knock on SCBU effect

Most people recognise that the NHS has to adapt to the changing needs of the population.

Drugs are expensive, disciplines are becoming more specialised, sufferers of chronic conditions are increasing and there’s not enough money to meet the competing demands of health, education and social care to name but a few.

Through all this we must listen to people’s concerns and above all protect the vulnerable.

Few are more vulnerable than our newborns and the current inconsistency of provision and crucial nature of neonatal care throughout Wales are some of the reasons that last year the NAW Children and Young People Committee undertook a wide-ranging inquiry into the provision of neonatal care.

As a member of that committee I can say that few inquiries have surprised, shocked or angered committee members so much.

Accepted, we are not medical practitioners but the evidence before us both written and oral spoke for itself.

Special care baby units come in three levels with level three, currently at Singleton, being for the sickest babies.

The evidence showed a service under financial pressure, teams of nurses and doctors running to cover massive staffing and training shortfalls, families in distress, the specialist unit at Singleton often full, an absence of coherent and consistent planning across health boards, and scant regard for the rurality of many communities.

I do not see how the decision to site the new SCBU at Glangwili meets recommendation 13 of the inquiry that the Welsh Government ensures local health boards take transport transfer times into account.

Furthermore the level two is an “aspiration” already – it may not happen because of recruitment and training issues.

So we lose what we have now and inevitably in order to support the new SCBU, paediatricians will be sucked over to Carmarthen which in turn will affect the provision of obstetrics and gynaecology and eventually A&E.

Comments(8)

Tina2 says...
4:09pm Sat 2 Feb 13

So what happens when a baby has to be transfered to Carmarthen and the roads are blocked with snow and the baby is unable to go in the helicopter?

Honest Local says...
7:48pm Sat 2 Feb 13

Tina, your views and concerns are shared by many and this closure does not make any sense at all. The unit that should close is the one in Carmarthen and that is what the staff and other health professional are saying. There is no doubt that deaths of mothers and young babies will increase, not because of road closures but purely because of the distance and travel time to Carmarthen from places like St Davids, Dale and Angle for example. I expect that the long range planning of this Hylwe Ddada Health Board has already identified the likely number of additional and acceptable deaths but they will not publish this data of course as it would be too controversial.

Tina2 says...
5:38am Sun 3 Feb 13

Well let us hope that if God forbid a death of a newborn should happen because they were not able to get to a unit quick enough the parents sue Hywel Dda.

Rockface says...
6:45pm Sun 3 Feb 13

I am sure that the committed staff at Withybush will ensure that any baby is stable before being transferred to another hospital, providing there is space to care for a child. If not, what happens then? Does a baby have to be transported to a hospital 100 miles away.

With regard to the MIU closures, I note from our rights as a patient that there is no mention of a right to choose which hospital treats us, seems Wales do not implement this as done in England.

What we need to do here is demand travel costs if any of us have to attend clinics out of the county or if treatment cannot be treated at our local GP surgeries. These costs are offered to those on low income or benefits and in order to be treated 'equally' this needs to be changed as we will indeed be treated less favourably and discriminated against in terms of our rights to healthcare!

Tina2 says...
6:25am Mon 4 Feb 13

Rockface wrote:
I am sure that the committed staff at Withybush will ensure that any baby is stable before being transferred to another hospital, providing there is space to care for a child. If not, what happens then? Does a baby have to be transported to a hospital 100 miles away.

With regard to the MIU closures, I note from our rights as a patient that there is no mention of a right to choose which hospital treats us, seems Wales do not implement this as done in England.

What we need to do here is demand travel costs if any of us have to attend clinics out of the county or if treatment cannot be treated at our local GP surgeries. These costs are offered to those on low income or benefits and in order to be treated 'equally' this needs to be changed as we will indeed be treated less favourably and discriminated against in terms of our rights to healthcare!
Of course they will make sure the baby is fit to travel but anything can happen and 30+ miles to travel is a long way when you are poorly.

As someone who worked for the NHS I know just how quickly a patients health can deteriorate.

Travel costs is a good idea especially when you are forced to take a taxi home in the middle of the night and it costs £30.

I think travel costs are available for some if they have to attend certain clinics.

Rockface says...
9:52am Mon 4 Feb 13

Tina2 wrote:
Rockface wrote:
I am sure that the committed staff at Withybush will ensure that any baby is stable before being transferred to another hospital, providing there is space to care for a child. If not, what happens then? Does a baby have to be transported to a hospital 100 miles away.

With regard to the MIU closures, I note from our rights as a patient that there is no mention of a right to choose which hospital treats us, seems Wales do not implement this as done in England.

What we need to do here is demand travel costs if any of us have to attend clinics out of the county or if treatment cannot be treated at our local GP surgeries. These costs are offered to those on low income or benefits and in order to be treated 'equally' this needs to be changed as we will indeed be treated less favourably and discriminated against in terms of our rights to healthcare!
Of course they will make sure the baby is fit to travel but anything can happen and 30+ miles to travel is a long way when you are poorly.

As someone who worked for the NHS I know just how quickly a patients health can deteriorate.

Travel costs is a good idea especially when you are forced to take a taxi home in the middle of the night and it costs £30.

I think travel costs are available for some if they have to attend certain clinics.
Every year I have to take my grandson to Cardiff on a 200 mile round trip. Last time we were there we were with the consultant less than five minutes and he said all was OK and will see my grandson same time next year. This could have easily been done over the telephone as there was no examination, just face-to-face chat.
We as patients need to vote with our feet regarding travel costs... I feel for those with sick babies having to go out of county but what can we do? Not having a choice is wrong. Seems the consultation process was a sham and token as the decision was already made at the outset.

Honest Local says...
7:50pm Mon 4 Feb 13

I think you are all getting this wrong and not hearing what Mrs Burns is saying. She understands the significance of the SCBU and all of the support services. Once SCBU is gone then all other children's services will go - paediatrics, obstetrics and ultimately our A & E at the Withybush Hospital. We should not be arguing about travel costs - that is not important in the bigger scheme of things. In the last few weeks Pembrokeshire has been isolated for hours and even days on end - first the snow, then the floods, and yesterday with road accidents. Wake up and fight before its all gone to Carmarthen,and ask yourself was this consultation a sham or a genuine attempt to listen to the public ??

Rockface says...
11:35am Wed 6 Feb 13

Honest Local wrote:
I think you are all getting this wrong and not hearing what Mrs Burns is saying. She understands the significance of the SCBU and all of the support services. Once SCBU is gone then all other children's services will go - paediatrics, obstetrics and ultimately our A & E at the Withybush Hospital. We should not be arguing about travel costs - that is not important in the bigger scheme of things. In the last few weeks Pembrokeshire has been isolated for hours and even days on end - first the snow, then the floods, and yesterday with road accidents. Wake up and fight before its all gone to Carmarthen,and ask yourself was this consultation a sham or a genuine attempt to listen to the public ??
I don't think we are getting anything wrong. Travel costs are an issue to some people and important, particularly if they cannot afford to get to hospital or make their way back home.. I am wide awake on the bigger scheme of things and have already said the consultation was a sham and the participation of the people of Pembrokesire was completely token.

Maybe if we all voted with our feet with regard to travelling elsewhere and demand to be reimbursed (as we have no choice in this) the costs to the NHS would be significant and may outweigh services being provided in other counties or regions.

I hear what Mrs Burns is saying but feel it's a bit late in the day for this input!

click2find

About cookies

We want you to enjoy your visit to our website. That's why we use cookies to enhance your experience. By staying on our website you agree to our use of cookies. Find out more about the cookies we use.

I agree