Changes for a North Yorkshire hospital
Health bosses have recommended downgrading the children's and maternity unit at Northallerton's Friarage hospital.
A number of options are on the table, including keeping it is a consultant-led paediatric and maternity service.
But, the Commissioning Group say it still won't be sustainable, even after a huge amount of investment.
So, the preferred choice for health bosses is that the maternity and children's services be kept at the Friarage....
The midwifery led maternity unit, which includes a community midwifery and outpatient service.
A public meeting to discuss the preferred option will be held next Monday
NHS Hambleton, Richmond and Whitby Clinical Commisioning Group Statement:
Children's and maternity services at the Friarage - recommendation for public consultation announced
Following an in depth review of clinical information and feedback received from patients and members of the public, NHS Hambleton Richmondshire and Whitby Clinical Commissioning Group (CCG) has announced its recommendation for the future of children's and maternity services at the Friarage Hospital.
The CCG's clinically preferred option is to maintain children's and maternity services at the Friarage by:
" Running a midwifery led maternity unit, including a community midwifery and outpatient service; and
" Running a short stay paediatric children's assessment unit including a community nursing and outpatient service.
This recommendation is the preferred choice from two other options:
" Keep a consultant-led paediatric and maternity service, which would require significant investment and would still be fragile in terms of sustainability.
" Provide a paediatric outpatient service only (no assessment unit) with enhanced community services, whilst offering a midwifery-led maternity service. Although this would be in line with costs for the preferred recommendation, it was felt it was too restrictive in terms of patient access to services.
The paper detailing the recommendation will be taken to the CCG's Shadow Governing Body, at a meeting held in public, on Monday 17 September for discussion and approval.
Following that meeting, the recommendation will be discussed by the Board of NHS North Yorkshire and York (the Primary Care Trust currently responsible for commissioning services) at its meeting on 25 September 2012. The Board will decide the final options for public consultation.
If it is approved, a formal public consultation period will begin. This consultation will take place over fourteen weeks and will give members of the public a chance to have their say and give feedback on the proposals.
Dr Vicky Pleydell, Shadow Accountable Officer at NHS Hambleton, Richmondshire and Whitby CCG said:
"We have spent the last few weeks analysing all the data we have collected on The Friarage and the options available to us. After careful consideration, our Council of Members, made up of all local GPs, has recommended an option that would see a midwifery led maternity unit and an short stay paediatric assessment unit at The Friarage.
"We will recommend to the PCT Board that this is our preferred option, along with the other two options we feel are less suitable, then we will be running a public consultation.
"We know children's and maternity services at The Friarage have been facing issues for some time and this option means that women can still have low risk births at the Friarage and children can still be assessed by the appropriate clinician.
"Our duty is to commission the safest, most high quality services and clinical evidence tells us that this option will allow us to do this, whilst ensuring we remain within our allocation of funding.
"The recommendation will be discussed in detail at our The meeting will take place on Monday 17 September from 10am to 12pm at The Main Hall, Hambleton Forum, Bullamoor Road, Northallerton DL6 1LP. Members of the public are welcome to attend, and there will be a twenty minute Q and A session at the beginning of the meeting for people to any questions."