Wednesday 5 September 2007

Browns Flannel on Maidstone A&E Petition

Gordon Brown has published his response to the petition against the downgrading of Maidstone A&E.

To demonstrate just how disinterested he and his Government are, they have not even bothered to find out that the KCC NHS Scrutiny Committee has already referred the decision to the Secretary of State for Heath.

The full text reads as follows

Although the Department of Health provides strategic leadership to the NHS and social care organisations in England, it is for local NHS organisations to plan, develop and improve services for local people. These bodies are therefore best placed to respond to patients' concerns and needs. However, the Government has made it clear to the NHS that any changes to the configuration of local services should not compromise patient care and should show how the quality of care will continue to improve further in the future. Local services must continue to meet patient safety requirements and the standards set in National Service Frameworks and should demonstrate how they will use improvements in medical technology and techniques in future.
The Government is halfway through a ten-year plan to provide a modern NHS, responsive to patient needs and focusing equally on promotion of health and well-being, as well as the treatment of ill health. So far, the NHS has been leading the change, focusing on increasing capacity with more staff and more facilities. As a result, hospital waiting lists are now the lowest since records began, early deaths from cancer and coronary heart disease continue to fall and patients have more choice and involvement in their own care. The White Paper Our Health, Our Care, Our Say: a new direction for community services focuses on a strategic shift that locates more services in local communities and closer to people's homes.
Similarly, the Department of Health's clinical reports, such as Mending Hearts and Brains and Emergency Access - Clinical Case for Change outline the opportunities to change acute hospital care in order to deliver the best possible services in future. These proposals build on the improvements that have already been made to health and social care and will reinforce the Government's existing programme of reform.
Plans for the future configuration of acute services provided across the south east have not been determined at a national level. Any proposals for change that may be put forward by local NHS organisations will be subject to extensive consultation with local people. This discussion phase will inform the proposals, and any significant service changes proposed will be subject to the full public consultation which is expected to take place in the autumn. The decision for the future service pattern will then rest with the Primary Care Trust (PCT), which will analyse the responses and decide which course of action to take.
Should formal public consultation be required, the PCT's final decision will be subject to scrutiny from the local authority overview and scrutiny committee (OSC), which is made up of elected local councillors.
If the OSC determines that the consultation has been inadequate or that the proposal itself is flawed, it can refer the decision to the Secretary of State who has committed to asking for an independent expert clinical opinion form the Government's Independent Review Panel for any cases referred to him.

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