In reply to Offwidth:
"Copeland, ... should have been safe even with the labour disarray. Mid term by-election, major local NHS issues and the local labour candidate looked OK. Its an amazing win for the tories."
Roy Lilley's take on the NHS bit:
"Trudy Harrison, the newly elected Tory MP for Copeland, opposes the proposed changes to NHS services in her patch. Protecting local services; ' One of her key priorities', she said. Cue picture of candidate with ambulance in the back-ground.
The Maymite declined (4 times) to say if she supports the cuts to maternity services. Trudy's been dropped in it before she even starts.
The Labour candidate Gillian Troughton, a St John Ambulance driver and a former hospital doctor, campaigned on a 'babies will die' ticket'.
As far as I can make out, the actual changes proposed are;
*A midwife-led maternity unit for low risk births at the West Cumberland Hospital in Whitehaven, with consultant led services dealing with more complex deliveries;
*Concentrating in-patient children's services in Carlisle, with a short-stay observation unit and some overnight beds in the Whitehaven hospital;
*Concentrating beds in cottage hospitals in Whitehaven (Copeland Unit), Cockermouth, Workington, Penrith, Brampton and Keswick, which would mean closing beds in Wigton, Maryport and Alston.
*Maintaining 24/7 accident and emergency services in Whitehaven and Carlisle, but with the most complex cases taken to Carlisle where there would be more intensive care beds.
The CCGs and STP are trying to circle the wagons, putting the remains of the good stuff in one place and get the Jim Reaper and the Treasury off their backs. The fly in the ointment; travel times. In that neck of the woods there ain't no M25; people don't feel safe if they have to travel and visiting relatives becomes a pain. Unless the CCG get a bung or the STP are bullied into submission I suspect Trudy Harrison will find herself in increasing difficulty as local services are hollowed out.
If Labour are clever they will nail her feet to the NHS. Opposing NHS shuffle-n-cuts, when shuffle-n-cuts is the only game in town, makes it easy to claim a headline but the small print is much more difficult to deliver. Services that are thin, probably inadequately staffed and fall into the margins of 'not-safe' will require managerial courage to fix and political leadership to reassure a sceptical public. Without recurring funding it's difficult to see what else any one can do.
United Lincolnshire Trusts is another interesting example. The prisoners of geography, demography and history, they are struggling to recruit. They made a wise and safe decision to cut back A&E. The Tory dominated County Council have complained to the Tory Tinkerman who is ordering a review led by a Conservative peer. If this looks like blatant system-gerrymandering it's because it probably is. It's like ULHT don't have enough to worry about batting-off the ridiculous CQC with their impossible demands. As STP plans begin to bite how many more Conservatives will by-pass consultation and use the political route? Will the Tinkerman involve himself in protests in Labour constituencies? Once again the NHS is in the middle of political knock about.
Political promises are not covered by the Advertising Standards Authority; you can say what you like. Any one waiting for the £350m a week to be repatriated from the EU budget and injected into the NHS is likely to grow old and die before it happens. Is NHS planning a scaffolding to prop up political careers or a fulcrum point and lever for safe services what work for patients and fit the NHS pound. The Copeland by-election and the disgraceful events at Lincoln sum up the present state of our dirty politics. The way to fix this is to fix health and care funding. Chancellor Hammond has an opportunity to do just that; in his budget in a couple of weeks time.
Politics is a rotten game.
We'll find out just how rotten."
-----------------------
Contact Roy - please use this e-address
roy.lilley@nhsmanagers.net
Know something I don't - email me in confidence.