The Changes

There are a number of service changes going on in our NHS in SYB (South Yorkshire & Bassetlaw) – mostly behind closed doors.

  • Local service changes in each of the 5 ‘places’ within SYB (Barnsley, Bassetlaw, Doncaster, Rotherham and Sheffield)
  • ‘System-Wide’ service changes – across all of SYB

Local Changes:

We will try our best to keep you up to date in the News page of the local changes as they happen. Please tell us any you know about that we haven’t put online ourselves.

In Barnsley:

  • Emergency Stroke Service – already partly closed &  the rest closed by Jan 2019
  • Mount Vernon hospital, a community hospital – closed now
  • Non-specialist Children’s Surgery and Anaesthesia – to be closed
  • Free NHS Pain service acupuncture treatment service – closed now
  • Keresforth Centre for young disabled people – mostly closed
  • Hospital Review threatens Emergency Unit, Children’s Ward, Maternity & Neonatal

In Bassetlaw:

  • Operating theatres unused and standing idle  
  • Children’s ward closed overnight – children transferred 18 miles to Doncaster
  • Out of hours GP service unavailable in some areas

In Doncaster:

  • Earmarked as a specialist stroke centre – potential overcrowding issues
  • Also potential specialist centre as part of hospital review and overcrowding issues

In Rotherham:

  • Non-specialist Children’s Surgery & Anaesthesia services – to be closed 
  • Emergency Stroke Service – to be closed in June 2018 
  • Hospital Review threatens Emergency Unit, Children’s Ward, Maternity & Neonatal

In Sheffield:

  • Earmarked as a specialist stroke centre – potential overcrowding issues
  • Also potential specialist centre as part of hospital review and overcrowding issues
  • Minor Injury & Walk In Centres in the city centre – to be closed

System-wide Service Changes:

These are mainly hospital changes – so far.

The majority of the changes that are well under way are from the Acute Care Hospital Vanguard, called Working Together, that started work in 2016 looking at planning hospital services across the 8 acute hospitals in Wakefield, SY, Bassetlaw and Chesterfield.  As a result of this work some services will definitely close this year.

  • Some decisions have already been made
  • Some are part of a Hospital Services Sustainability review
  • Some are being looked at in Workstreams (service committees)

Service Closure Decisions Already Made:

Hyper Acute Stroke Services – (see SYBACS website page) is the first 72 hours of emergency care and treatment after a stroke, and will close in Rotherham (July 2018) and in Barnsley (by January 2019).  This was consulted on over the winter of 2016/17 and a Decision Making Business Case presented to the Joint Committee of CCGs (Clinical Commissioning Groups legally responsible for the availability of local services):

A decision was made to approve the changes on 15/11/17

Non-Specialist Children’s Surgery and Anaesthesia – (see SYBACS website page)  will close later this year in both Rotherham and in Barnsley.  This was consulted on, alongside the Hyper Acute Stroke Service, over the winter of 2016/17 and a Decision Making Business Case presented to the Joint Committee of CCGs:

A decision was made to approve the changes on 28/06/17

Hospital Services Sustainability Review:

This was launched in public at the end of July 2016 at a Joint Health Scrutiny Committee meeting  the minutes of which record it as follows:

Professor Welsh, Independent Review Director for the SY&B Accountable Care System Hospital Services Review gave a brief verbal update on this workstream. This was an independent review and would take ten months to April 2018.
The first stage would be to define the criteria to help understand what a sustainable hospital service was. Then the review would be looking at services and defining those which were non-sustainable and advising on future models of delivery to ensure long term sustainability.”

It has been the subject of two public events – one in August that lasted 2 hours. The second event in December was longer, but mainly because they had a number of speakers from the services being reviewed explaining what they were doing.

Some, not all, attendees received some information – after the event:

Also the Hospital Services Terms of Reference is available as a document on the SYBACS website.

The Review has decided that the five services they will be reviewing five hospital services being Reviewed are:

  • Urgent and Emergency Care
  • Maternity
  • Care of the Acutely Ill Child
  • Gastroenterology and Endoscopy
  • Stroke (acute and rehabilitation)

The Hospital Review will report in April 2018.

However thay have been looking at the services for Acutely Ill Children for some time. There has been a detailed ‘case for change’ presented to the CCGs (Clinical Commissioning Groups legally responsible for the availability of local services) but no decision has been made yet – or any public consultation carried out – as yet.

This recommends that:

“Option 3 (Transform children’s acute care provision South and Mid Yorkshire, Bassetlaw and North Derbyshire – changing the service model and pathways to improve performance and quality), should be considered by the Children’s Core Leaders group and then by the Programme Executive Group (PEG) as the preferred option.
The PEG will be asked to review and endorse the proposal that Option 3 be considered
by the Clinical Senate to enable the work to progress.”

They also recommend looking further at – “other services such as neonatal and
maternity care would need consideration alongside discussions on proposals for
change around acute care”.

There is no progress to report – yet. (But maternity and neonatal services are one of the five hospital services being reviewed for sustainability).

Workstreams

Services are being looked at by committees, called Workstreams, consisting of people working in the same service areas across the SYB area.  These committees oversee the work to ‘transform’ these servicesacross the whole ‘system’ or area in SYB.

These workstreams are listed in the SYBACS Memorandum of Understanding (their formal Partnership Agreement) on P19:

“8.0.2. Transformation priority workstreams include:
 Urgent and emergency care
 Cancer
 Healthy lives, living well and prevention
 Primary care
 Mental health and learning disabilities
 Elective care and diagnostics
 Maternity and children’s

8.0.2.1. Enabler workstreams
 Workforce
 Digital and IT
 Carter, estates and shared services
 Finance
 Communications and engagement”

BUT

We have no more information  about these workstreams.

There is nothing available for the public to see that shows us any of their discussions, decisions or even the who the members are of all these workstreams.

 

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