We had some people from Andy's trust telling us how they had transformed
acute care in the hospital me thinks this may not necessarily be the whole
truth.

1) Getting the physicians to run an acute physicians unit-i.e. a small room
which was previously a day room converted to assess patients.

2) How an experienced GP managed to cut waiting times in the evening and
added an experienced pair of hands. Not surprisingly the GP was an
additional resource, and not surprisingly waiting times fell when more
people were seeing patients. I heard after the pilot things were not going
quite as smoothly.


Andy Webster
07886 407783

-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Andrew Volans
Sent: 21 July 2007 19:13
To: [log in to unmask]
Subject: Re: Job Cuts

We have got three new senior directors bounced onto us,
a CEO who used to run a PCT, a turnaround director who 
didn't realise she was pregnant with twins and comes from 
Simon's neck of the woods in her past life and a financial 
director who appeared on the TV who is a major bruiser.

I think the small but perfectly formed CEO is using his 
two female henchmen as the bad cops and will so appear as 
a nice guy.
I hope this is the first hand in a dangerous game of poker 
with HMG, however our previous CEO was forced to fall on 
her sword when she tried it, as were all her team.

The fundamental problem is that the Scarborough area gets 
£411 per patient for health care whereas York and 
Harrogate get £561 per patient. If we were funded  at the 
rate of the rest of North Yorks then we would not have a 
problem and indeed would be in profit by a long way.

Of our 1973 WTE, there are 175 medics, 650 nurses and 150 
PAMS so there should be some cuts without losing front 
line staff.
We had all our ambulances stacked on my driveway whilst 
the cameras were here due to lack of space to unload, due 
to the failure of the PCT to return patients to their 
homes or a nursing home. The PCT has closed several of out 
intermediate care beds set up by the acute trust as they 
won't be needed.
We cant access the community hospital beds because the 
GP's won't accept the patients into their care.
We have a ward now full of cases waiting to die because 
their nursing homes wont accept them back for end of life 
care.

It will be interesting!
The first we as consultants new of this was when radio 2 
reported it at 11am when the first meeting with the staff 
was at 12.30!
the consultants are due to be told next week!

I had a meeting with the financial director on the tuesday 
but no mention was made. This was the first she had heard 
of the "urgent care document" and the fact that the CEM 
had responded to it.
She is now telling everyone I am going to save the 
hospital because my department will take on all acute care 
and save the world, Oh and do it on 250 000K a year less!

More when I know it

Andrew
On Wed, 18 Jul 2007 19:12:40 +0100
  "McCormick Simon Dr, Consultant, A&E" 
             <[log in to unmask]> wrote:
> So, is Andy Volans going to give us an insider's view on 
>the latest
> consequence of `restructuring` the NHS for the future.
> 
> 
> 
> Simon McCormick
> 
> 
> 
> Rotherham
> 
> 
> 
> (Short staffed but not about to lose 30% more staff!)
> 
> 
> 
> 



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