1 ALL SURVEY FREETEXT RESPONSES SUPPORT Comments Q2. Do you understand why we are proposing the changes in your locality? Comments DALES If they are underused we need to question, do we need them? DALES All improvements welcome DALES I fully understand DALES As chair of a PPG I feel utilisation of using them to inform patients is not being used. I do feel because of this people think decisions are already made and decided. DALES Cost DALES Not well advertised so people may not know how to use the services DALES The proposals appear to utilise public funds in a way that maximises the service offer to patients. DALES These changes are necessary and essential. DALES We need service like Richardson's hospital to be better communicated to the public as it would then be used fully. Lack of knowledge of what it can be used for is what is hindering it. DALES Lack of information and awareness DALES 7 day access to Health Services should include Prevention. That way people will not need to go to their GP, or Hospital and it will cost less. If it is necessary a conversation over the phone prior to an Appointment should help the GP to decide if am Appointment is necessary. DALES At present, unsatisfactory and confusing. Neither Richardson or Bishop suggested by NHS111. Both are over 10 miles away with poor public transport and no local taxi. EASINGTON I understand the changes, however, does not advise what to do after 8pm weekday and weekend after 2pm. EASINGTON To reduce extended hours appointments at sites due to reduced demand EASINGTON Better communication for deaf people needed. Unable to hear questions on phone. EASINGTON If it improves things for people it will be good EASINGTON The one at Peterlee will be a good place to go to. The only issue will be transport. EASINGTON To save money and manpower EASINGTON unused appointments EASINGTON need the healthworks in easington to be 24hr gp lead like peterlee community hospital SEDGEFIELD Long over due to be honest SEDGEFIELD Money is not being well spent at the moment SEDGEFIELD 7 day access ensures patient receive the treatment they need, when they need it. Lack of, or reduced, services at weekends cause delays in the diagnosis and treatment of diseases and infections.
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
1
ALLSURVEYFREETEXTRESPONSES SUPPORTComments
Q2.Doyouunderstandwhyweareproposingthechangesinyourlocality?Comments
DALES Iftheyareunderusedweneedtoquestion,doweneedthem?
DALES Allimprovementswelcome
DALES Ifullyunderstand
DALES AschairofaPPGIfeelutilisationofusingthemtoinformpatientsisnotbeingused.Idofeelbecauseofthispeoplethinkdecisionsarealreadymadeanddecided.
DALES Cost
DALES Notwelladvertisedsopeoplemaynotknowhowtousetheservices
DALES Theproposalsappeartoutilisepublicfundsinawaythatmaximisestheserviceoffertopatients.
DALES Thesechangesarenecessaryandessential.
DALESWeneedservicelikeRichardson'shospitaltobebettercommunicatedtothepublicasitwouldthenbeusedfully.Lackofknowledgeofwhatitcanbeusedforiswhatishinderingit.
DALES Lackofinformationandawareness
DALES
7dayaccesstoHealthServicesshouldincludePrevention.ThatwaypeoplewillnotneedtogototheirGP,orHospitalanditwillcostless.IfitisnecessaryaconversationoverthephonepriortoanAppointmentshouldhelptheGPtodecideifamAppointmentisnecessary.
DALESAtpresent,unsatisfactoryandconfusing.NeitherRichardsonorBishopsuggestedbyNHS111.Bothareover10milesawaywithpoorpublictransportandnolocaltaxi.
EASINGTON Iunderstandthechanges,however,doesnotadvisewhattodoafter8pmweekdayandweekendafter2pm.
EASINGTON Toreduceextendedhoursappointmentsatsitesduetoreduceddemand
EASINGTON Bettercommunicationfordeafpeopleneeded.Unabletohearquestionsonphone.
EASINGTON Ifitimprovesthingsforpeopleitwillbegood
EASINGTON TheoneatPeterleewillbeagoodplacetogoto.Theonlyissuewillbetransport.
EASINGTON Tosavemoneyandmanpower
EASINGTON unusedappointments
EASINGTON needthehealthworksineasingtontobe24hrgpleadlikepeterleecommunityhospital
SEDGEFIELD Longoverduetobehonest
SEDGEFIELD Moneyisnotbeingwellspentatthemoment
SEDGEFIELD7dayaccessensurespatientreceivethetreatmenttheyneed,whentheyneedit.Lackof,orreduced,servicesatweekendscausedelaysinthediagnosisandtreatmentofdiseasesandinfections.
2
Q3.Doyousupportthechangesinyourlocality?Comments
DALES Ilivewithinwalkingdistancetothehospital,I'mnotsurehowIwouldfeelifIlivedfurtheraway,thoughIdoappreciateitcentralisesservicesforabetterqualityservice!
DALES 7dayaccessissoimportantforthoseofuswhoworkfulltime.ThemajorityofGPpracticeshavevacanciesandincreasingpatentnumbers.A7dayservicecouldensureavailability.
DALES Icareformydisabledhusbandandneed24/7accesstomedicalhelp.
DALES Ifruralissuesandproperengagementtogetinformationtopatientsisaddressed.
DALES NHSneedstoprovideserviceswheretheyarerequiredandprovideVFM.Provideaserviceathomewhorequiresupport.
DALES MainlyyesbutamconcernedaboutthedistancefortheDalescommunity
DALES Mustbewelladvertised
DALES Betteropportunityofgettinganappointment.
DALES Bettervalueformoney.
DALES Betteropportunityforappointments
DALES Peoplewillbenefitfromthechanges.
DALES ButcurrentlyIdrivesowhenIcan'tIhopeitwillbestraightforwardandcheaptogettoBishop.
DALESSupportoutofhoursandweekendavailabilityifitwithinreachi.e.needtheservicesatTheRichardsonHospitalinBarnardCastle.
EASINGTON Usefundsandlimitsstaffappropriately
EASINGTON IhavenotusedNHSservicesforseveralyearsasnotrequired.
EASINGTON Ifitimprovestheservice.
EASINGTON TheonlyproblemwillbetransporttogetthereonaSundaywiththebustimes.
EASINGTONWeekday>Peterleedifficulttoaccess.Alotofwheelchair/poweredwheelchairusersandscooterusersinSeaham.Publictransportnotpossible.Accessibletaxis-verylimitedsupply.
EASINGTON Couldyoupleaseadvisewhattodobefore8pmand12noonasdoesnotsayinconsultation
EASINGTON wastageofresource
SEDGEFIELD Uptoapoint.Certainconsiderationsneedtobeaddressed.
SEDGEFIELDThemainchangerelatestoopeninghoursonweekends/bankholidays-10amopeningisamoresensibletime.
SEDGEFIELDConcernregardingthecontinuityofcareforthosewithchronicillness/palliativecareneedswhoreachcrisisoutofhours.Howwillthecontinuitybemaintained?
3
Q5.Wouldtheproposedchangesforyourareastillallowyouaccesstobookedandsamedayevening/weekendappointments?Comments
DALES
ItisalmostimpossibletoprebookaroutineappointmentinfactthisisdiscouragedevenwithoutaGPpreference.Thisisunacceptableassomepeoplehaveworkcommitments&wouldliketobookaheadtocoincidewithadayofforholiday.Weareallawareoftheimportanceofschoolattendance&thepressureputonparentstoachieve100%attendancesoitisimportanttobeabletobookroutineappointmentsinadvanceoutsideofschoolhours,thelistisendless.Telephonetriagehasitsusesbutnotinplaceofbutalongsideprebookableroutineappointments.unfortunatelyatthemomentpatientsarebeingsignpostedtourgentonthedayappointmentsasthatistheonlyoption.Perhapsthesehubscouldofferprebookableroutineappointmentswithanydoctorascontinuityofcareisnowathingofthepast.
DALES Dependingonsurgeryandhowimplementedwhenthereareproblemswithgettinganappointmentarealreadythereandnotbeingaddressedproperly.
DALES hopethiswillbeavailableevenifbookedontheday
DALES Peoplewillbenefitfromit.
DALES Itwouldnotbeworthsupportingthesechangesif'yes'isnotapplicable
DALES Transportavailable-otherwisewouldstruggle.
DALESIfanAppointmentcannotbemadewithone'sGPbecausetheyarefullybookedup,thentheUrgentCareCentrecanbeusedbytheSurgerytobookanAppointmentforYou,beingthePatient.
DALES RichardsoninBarnardCastlepossiblebutBishopnotpossibleunlessIcallonfriendsfortransport.
EASINGTON Needmoreofthisstaffatowndoctors
EASINGTON Yes,providingIwasgivenanappointment
EASINGTON Iwouldjustwalk,it'snotfarfromwhereIlive.
EASINGTONIfindmorebookinginadvanceappointmentshouldbemadeavailable,workcommitmentsmakeithardforpeopletogetonthedayappointment,asevensheringingorvisitinggsurgeryatopenstimes,thereisrarelyanyleft.
EASINGTON
Thechangeswouldsignificantlyrestrictaccessfurtherbecauseoftheappointmentsysteminplacealready,I'vefoundthetimewaitingfromringingupforanappointmentvia111increasestheriskofpatientdeteriorationandputspeopleatgreaterriski.e.Frailandyoungchildren..
EASINGTONDespitewhatisadvertisedatsurgeriesetc.itisstilldifficulttoaccesssamedayappointments.Thatiswhytelephonelinesarecontinuallyengagedat08.30andtherearequeuesofpeoplewaitingatreceptionsforappointmentstobe'released'.
EASINGTON Don'tknowifIwillbeusingbookedappointmentsifnotanemergencyorurgent
SEDGEFIELD Somepeoplemayhaveaproblemwithtransport
SEDGEFIELDItisthe'still'word.Ifitmeansthatyoucancall111andgettheappointment,thenyes.Otherwisedon'tknow.
SEDGEFIELD Thisinformationisnotavailablethereforecannotanswerthequestion!
4
Q7.Isthereanythingwehavemissedornotconsidered?
DALESConsiderationonstaffingoverbusyperiodssuchasholidaysandincreasedappointmentavailabilityifreducingtheamountofhubswilltheamountofappointmentsattheremaininghubsbereflectedtodealwithcapacity?
DALES remindingpeopletoring111
DALES TravelfromupperWeardaletoBishopAucklandisnotpossibleeasilybypublictransport
DALES Transportisabigproblem,unabletowalkfar.
DALES Won'tknowuntilupandrunningbuthopefullynot.
DALESEmergencyresponsecallsrequiringappointmentforthosethatcallanemergencyambulanceandareassessedbyparamedicanddeemedinappropriateforA&E
DALES TheRichardson'shospitalshouldbementioned.NotBishopAuckland.
DALESUnlessitisabsolutelynecessarytrynottosendPatientstoHospitalorAccidentandEmergency.Thisshouldbealastresort.Prevention1st,telephonetotheGP,ifnecessaryanAppointmentattheGPSorUrgentCareCentre.Thatshouldbehowitisdone.
DALES LargedistanceseventoRichardsoninBarnardCastleforpeopleinupperTeesdalewherethefarmersareliabletosuffersevereaccidents.
EASINGTON NotthatIcanthinkof
EASINGTONTheopportunitytousetelephoneandvideofacetofaceappointments.Couldbeusefulforremoteorhouseboundpatientsandparentswhofinditdifficulttogettothesurgerywithothersiblings.
EASINGTON Seecommercialpropositionsofferedalready.https://www.pushdoctor.co.uk
EASINGTON
AlsoprovidingaconsistentGPtopatientswhohaveongoing,*chronicillnessesandcomplicatedmedicalhistory.**Seeingadifferenthealthcareprofessional/GP*increasestimeinappointments,asinvariablypatienthastoexplainandexpandandalsorequiresHCP/GPtoreadcopiousnotes.Thisnotonlyfreesupvaluabletimebutexpeditesconsultationanddiagnosis.Italsomeansthereislessroomforoversights,particularlyifpatientsarenotabletoexplainandcommunicateeffectively.
EASINGTON
Peoplethesedaysworklonghoursincludingyourselves.Havingnighttimeappointment/weekendsECTwouldhelpthesepeopleandfreeupthedaytimeappointmentsfortheelderlyandchildren.sumofusworklonghoursandsurgeriesaren'topenonanightandwedon'tgetpaidfortakingthetimeoffworkgoseeaboutourhealthtroubles.whichresultsinprolongedsymptomsandinsumcasesevendeath.
EASINGTON Whataboutpatientswithaccidents?
EASINGTON Clarifythatthisrelatestoemergencysamedayappointmentswhenownsurgeryisfull?
EASINGTON Outofhoursandweekendsremainthesameasbefore,apptatoutofhoursservice.
EASINGTON Difficultinanemergencytobookanappointmentvia111.Peterlee,sortingwheelchairaccessibletaxisisanissuesocan'tknowwhattimewillgetthere.
EASINGTONWhattodobetween8pmand12noonduringtheweekandwhattodobetween1pm/2pmtill9am/10am
EASINGTON TheinjuryunitatPeterleeisawasteoftimenow.IhadtogotoHartlepoolforanX-ray.Mightaswellhavegonethereinthefirstplace
EASINGTON MovethestafftoHartlepoolasmostpeoplegotherenow
EASINGTON ForpeopleonbordersbetweenDales,Sedgefield,Easingtongoingacrossbordershouldbeanoption.
5
EASINGTON
TransportoptionsfromanareasuchasMurtonissignificantlyreducedduetoseveralfactors1)busesstoptoSeaham,Easington,HoughtonandPeterleeonameveninganddonotrunSundays.2)Peopleonbenefitswhomhavelimitedexpenditure.3)familywherethereisonlyonerentandseveralchildrenwouldstrugglewithaccessingtransport,duetorestrictedregulationsforservicesprovided.Lackofowncashmaynotbeabletoaffordtransportsuchastaxis.
EASINGTON No.goodluck
EASINGTON transportforpeopleunabletoattend
EASINGTON Peoplewhodonotdriveandcan'tgetaroundinpublictransport
EASINGTON Appointmentshardtoget-oldpeoplecan'tdrive
EASINGTON
Patientswhoworkawayfromhomemon-friday.Theyneedweekendappts.Forexamplemyhusbandispronetoearinfectionsinordertogetaprescriptiontheaudiologisthastowritealetterformetotaketothedoctors.Allofthistakesupto10days.Nothinginplaceforthestypesofpatients.Saturdayapptsareamust.
SEDGEFIELDIdon'tthinkthetimespanislongenoughontheweekend.MostpeopleIknowtendtofeelillonanevening.
SEDGEFIELDWouldservicessuchastestsonblood,takenattheweekend,alsobecarriedoutattheweekendordelayeduntilMonday?
SEDGEFIELD WouldtheservicebestaffedbyDrsandNurses?
SEDGEFIELD Don'tthinkso-changessofarareminimal-onehourlessweekends/bankholidays.
SEDGEFIELD Ithinkitwouldbehelpfulifnursepractitionerscanprescribewithinintheirremitwhilstvisiting.
SEDGEFIELD
PeoplelivingintheNewtonAycliffeareacantraveltoDarlingtonmoreeasilyeitherbycarorusingpublictransport.ThisisnotcoveredbytheSedgefieldlocalityandoftenleadstoconfusionaboutavailabilitye.g.isPiperHousestillavailableasanemergencywalk-incentre?
SEDGEFIELD WhatengagementhasbeenundertakenwithLD/MH/LTCandclientgroupswithouttransport?Whataretheissuestheywouldfaceandhowwilltheybeovercome.
SEDGEFIELD Telephoneconsultationappointmentswithprescriptionemailedtoapharmacy
SEDGEFIELDThosewithmentalhealthproblemswhofindithardtoleavethehouseduetoanxietybeingtobadandshouldalsogethomevisitsfromGP
SEDGEFIELD
Notjustfrailorhouseboundpatientswhataboutpatientslikemyself.IhaveseverearthritisandAddison'sdisease.SoshouldIneedantibioticslikeatthismomentintime.I'vejustfinisheda5daycourseofantibioticsbutI'mnotbetterthanIwaswhenIstartedthem.SoahomevisitfromaGPwouldbeanideaasAddison’sisclassedasbeingimmunosuppressedsobeingsatinawaitingroomwithothersickpatientsisn'treallyagoodidea
SEDGEFIELD Transportisabigissue.
Q8.Anyothercommentsregardingthisconsultation?
DALES Verylimitedawarenessraising.Patientsmaynotknowabouttheconsultation
DALESImportanttoensurethattheservicewillhaveGP/appropriatepractitioneron-sitetoavoid'bouncearound'theservice
DALES Wheredoes111fitin?
DALES Suchanoptionwouldhavetoensureitcouldmeetthedemandsofthewholearea.Bothcentrebasedandvisitinghouseholdserviceinanextensiveruralarea.
6
DALES
LivinginBarnardCastleandhavingtogotobishoporDarlingtonurgentcare/outofhoursisinconvenientandunnecessarywhenwehaveanamazinghospitalinwalkingdistancefromtown.ThetownwantsandneedstheRichardson'soutofhours.ThereisagreatdealmorethatIthinkthehospitalcouldofferalso.IwillbepassingonmycommentsatanymeetingwiththefriendsofRichardson'sinhopethatwecankeepthisservicegoing.
DALESWheninHospital,ifitisabsolutelynecessaryandvitaltosavelivesthenthatwillbeso.Thecareshouldbeasitisnowandimproved(e.g.ANurse,Consultant,etc.)fortheindividualPatient.
DALES ThissurveyshouldhavebeenpostedouttoallresidentsasmanydonotuseITorthosewhodo,don'tconsulttheNHSorCCGwebsites.
EASINGTON
Coulditbefeasibletohavemoredoctorsandhealthcareprofessionalsatsurgeriesinsteadofahub?Ihavecomplicatedchronicillness'sandfinditalmostimpossibletogetasameornextdayappointment.AnexampleisIrangthesurgeryat08:00preciselyandwas9thinthequeueattheoutset.Iwasonholdfor37minutesthenwhenIgotthroughIstartedmakingtheappointmentandthereceptionistSaid,Iheardhertalkingtosomeoneelse,'isyourphonegoingfunny?'ShehungupandIhadtoringbackandwaitedanother17minutestospeaktosomeone,whothensaidnoappointmentsavailablelocallyandgavemeoneover6milesaway.Ithenwaited1hour20minutesaftermyappointmenttimetoseeaGP,whohadrunover,whoIhaveneverseenbefore.**ItwouldsaveconsiderabletimefortheGP/HealthprofessionalforchronicallyillandcomplicatedmedicalhistorypatientstohaveconsultationswiththesameGPtheyhaveamedicalrelationshipwith.
EASINGTON Willtherebeenoughappointmentsforallpatientsifonlyonecentre?
EASINGTON Transportveryimportant
EASINGTON Shouldhaveleftitasitwas
EASINGTON10yearsagoanambulancewouldbeunabletotransportanaveragesizepoweredwheelchair.Apatientwouldbetakentoandadmittedtohospitalwithoutabilitytomovearound.Hasanythingchangesinthedesignofambulances?
EASINGTON MademeawareoftheservicesatPeterlee.Havenotbeeninformedofthisservicebymydoctorssurgery.
EASINGTONIfonlyopenuntil2pmonaweekendIworrywhatwillhappenifIneedserviceafter2pm-howfarwillIhavetotravel?
EASINGTON Ihaverangmydoctors4daysinarow.Unabletogetareply.3phones2peopleanswering.Nophonemessagetoringbacklater.
EASINGTON
Sincelastchangesthisservicehasnotbeencascadedtopublic.WhenyoucallGPforanappointmentyou'reneverguidedtotheseavailableservices,thiswouldbeagreatideatohavelocalGPStoaccesseveningsorweekends.CurrentlymyGPasksyoutocall111whereyou'reaskedalistofquestionsamIbleedingetcwhenallyourequireisanappointment.Thesearenonemedicalpeoplewhoaretickingaboxbeforeappointmentsbythemareconsideredforoffer.AsapatientwhywouldIshareconfidentialinformationtoanonemedicalpersontomakejudgementonmetoseeifIrequireanappointment.Thisdisempoweredvunerablepatientsondecisionmaking
SEDGEFIELD Withongoingandincreasinghealthissues,I'mseriouslyconcernedaboutconstantlyseeingdifferentdoctorswhodon'tknowmeanddon'thavetimetofullyreadwhatisgoingon.
SEDGEFIELD Basicsseemtobeadequatelycovered.Moreproofwillbeobviouswhenupandrunning.
SEDGEFIELD Needsmanymoremembersofthepublictoputtheirviewsforward
SEDGEFIELD There'sashortageofGPsandplannedclosureofsurgeries.Howwillthisfitwith7dayservices?
SEDGEFIELDJustworriedaboutoutofhoursservicesforfrailorhousebound.I'mnotsurehowyouplanforthistoworkbearinginmindthelengthoftimeittakestogetouttothepatient.
SEDGEFIELD Itwouldbeusefultoreadaboutservicesavailabletopatientsinthelocalfreenewspaper"TheNewtonNews".
7
OPPOSEComments
Q2.Doyouunderstandwhyweareproposingthechangesinyourlocality?Comments
DALES Ifservicesareunderusedthismustbeaddressed.Butnotnecessarilybysimplyclosingthem.
DALES
MostpeopleIknowareunawareoftheoutofhoursservice.Itmustbepromoted,notcut.Advicefromthe111facilitymustbeconsistentsothattheserviceissufficientlyaccessed.IhavetakenitasagiventhatIwouldhavetotakemychildoutofthedaletobeseenasIdidn'tknowtheserviceexistsasfullyasitdoes.
DALES Iassumeyou'retryingtosavemoney.ThepreviouslesseningoffacilitiesinApril2017wasbadenough,thisisjustunacceptable.
DALESTheStanhopeoptionhasbeenwellhiddenfrompatientsandisnotofferedunlessaskedfor-manypatientsdidn'tknowitexisted.Perhapsifitwasbetteradvertiseditwouldhaveahighertakeuprate.
DALESPleasedon'tchangejustmoreinformationtomakepeopleknowitsavailable.Wehavenotransportinthedaleswhichwouldaccommodateemergencies.Transportrequires48hournotice
DALESIfonly20%ofappointmentsinthisareaarebeingtakenup,thereismoreprovisionthanisneeded.HoweverIamnotsurethattheprovisioniswellunderstoodbymanypeopleinthedale,asIhaveheardpeopletalkingaboutgoingtoBishopAucklandorringing111.
DALES Becauseyoudon'tcareaboutwhatpeopleneedandwant
DALES Ifonly111wouldrecommendthemtheywouldbeusedevenmore
DALESItseemsasthoughtheappointmentsofferedinStanhopearenotbeingused-Ibelievethisisbecausepeopleareunawareoftheserviceandtheyarenotbeingofferedtheappointmentsby111.
DALES Ihaveseenlittleinformationaboutit
DALES BecausetheoutofhoursconsultationserviceatStanhopeiscurrentlyunderusedyouareproposingtoremovetheservice
DALES Livinginaruralcommunityismychoicehoweverhavingalackofmedicalcareisnot.
DALES IthinkmanypeopleareunawareofservicesofferedinStanhopeatweekends
DALES It'sobviouslyunderusedbecausethepublicdon'tknowaboutthisserviceinStanhope
DALES Servicehasnotbeenused.
DALES YouwishtostoptheoutofhoursServiceappointmentsatStanhopesurgery,whichIdisagreewith.
DALESBecausetheruralareahubsarenotaswellusedastheurbanareawhichisBishopAucklandinmycase.
DALES ThecommunicationhasbeenatotalofNIL
DALESInotheardanythingandIworkforNHS.Anotherdowngradeforbishopit'sbadenoughtryingtoseesomeoneespeciallywhenyoudon'tdrivewithouthavingtotrailtoDarlingtonorDurhamwhenyourillwo
DALES Weneedthe24hrcarefacilitiesinBarnardCastleandBishopAucklandtoremain.
DALESTheappointmentshavenotbeenutilisedasnobodyknowsaboutthisservice.Peopleareunclearonwhattodowhenill,outofhoursoronaweekend.MostpeoplejustattendA&Ewhichisclearlythewrongservice.Thiscausesbusydepartmentsandexpense.
DALES ThepublicneedtohavebettercommunicationfromtheNHS,sowecanhelpsavetheserviceaslongaswecan.
DALESProbablytosavemoneyandmakeourlivesmoremiserable.Somepeopleworkandcan'tgettotheconsultation,donethisdeliberatelyhaveyou?
8
DALES Itwouldseemthatthe‘hub'inStanhopeisunderused.
DALES Becauseofthegovernment'sausteritymeasurestheNHSisbeingsqueezedtothedetrimentoflocalNHSservices
DALESwhenpeopleringtheyarenotgivenoptiontogotoStanhopesurgerytheyaregivenbishopAucklandthisiswhatIamledtobelievehashappenedsosurveydoesn'tgivetrueusage
DALESWhychangethisthinkoftheresidentofWeardalewhocannottravelandtheelderlywhocannottravelonthebuseswhichstopat5.00pm
DALES
Iunderstandtheproposedchangebutfeelthatboththe7dayaccessbeforeandafterthechangeisnotwellthoughtthrough.Itwasstatedthattoaccessthe7daysystembothbeforeandafterthechangeisthroughthe111servicehoweverthisisconfusingasurgentcareisalsoaccessedvia111.IfyouwantGPservicestobeaccessedthrough7daysthenitshouldbeviatheGPreceptionistsystem.ThereasonthattheBChubisunderusedisduetothislackofclarityandpublicity.
DALES Whyhasthecurrentservicenotbeenstaffedorpublicisedproperly-thisservicewasdesignedtofail.
DALES Savingmoney
DALES Tosavemoney
DALES TheargumentthattheCCGuseisthatnotenoughofthepublicinWeardale.
DALES
IthasnottakenintoaccountlackoftransporttoBishopAucklandatanytimeonSundayorafter7.30pmtherestoftheweek.WhentherecordssaythattheappointmentswerenotutilisedinStanhope,weretheyactuallybeingofferedwherepeopledidnotaskforStanhope.ThelocalposttownisBishopAucklandbutis18milesawayfromStanhopeandfurtherfromtheupperreachesoftheDale.OperatorstendtogobythepostcodeDL13whichisBishopAuckland.FewlocalpeopleknewtherewassuchaserviceatStanhopeGPSurgerysowouldnotask.
DALESMyguessisthatnotmanyoftheout-of-hoursappointmentsweretakenupinStanhopebecausenooneknewtheywerethereanditseemedtobeimpossibletobookthemonline,sothelackoftake-upheremaynotreflecttheperceivedneed.
DALES Butpresumablyitistosavemoney.
DALES Thereisnoreasontomovethe111outofhoursGP/ANPservicetoBishop.
DALES -theservicehasnotbeentherelongenoughtojudgeitssuccess
DALES -thereisawealthofevidencethattheserviceisnotworkingasitshould-particularlythat111phoneoperatorsdonothavetheRichardsoninformationandarenotreferringthere
DALES -theresidentsofTeesdalehaverepeatedlytoldyouthatwehavenotbeengiventhefullandcorrectinformationaboutourservice,andsodonotknowhowtouseit.
DALES-IwasamazedattheconsultationwhenIwastoldhowtheserviceshouldwork-Ihavenotmetanyonewhoknowshowitshouldwork-itisNOTworking-ifitwasitwouldbewellused
DALES-youwillapparentlybeusingcurrentstafftospendtimeintheircarsdrivingbacktoTeesdaletoseethefrailandelderlypatientswhocannottravelasfarasBishop.Thisisnotgooduseofstafftime,andtheweatherwillbeanissueatcertaintimesofyear.
DALES TheCCGreallyneedstotakealookatitselfandwonderaboutitsobligationtoprovideeffectiveservicesforitscommunities
DALES Notgood
DALES
IthinkitisshortsightedandpersonallyforthepeopleofTeesdaleitjustaddstotheburdenofthecostofhealthcare.ThoselivinginBarnardCastlewouldhavetodriveanadditional16milestogetoutofhoursappointments,somethingwhichwhenyouarenotfeelingyourbestisnotgreat.Forthoselivingfurtherupthedale-likemyself,itaddsevenmoremilesontoajourney.Forthosewhoarewithouttransportitmakesappointmentsnighonimpossible.
9
DALES
WhileconurbationslikeBishopAucklandareprobablywellservicedforpublictransportyoumaynotthinkthisisaproblem,butforsomeresidentsbusservicesareextremelylimited(only2perdayinmyvillage8.30amand5pm).Sopeopleinruralareasareonceagainpenalised.
DALES Limitedinformationisavailable,Iassumethisisamoneysavingexercise
DALES Reducingnumberofhubs
DALES Tosavemoney
DALES
ItappearsthatthechangesbeingproposedarebasedonflaweddataregardingthelevelofuseatBarnardCastle.Thereisplentyoffirst-handandanecdotalevidencethatthereasonforthelowusagefiguresthatyouhavepublishedisthatveryfewpeopleknowthatthereisanout-of-hoursserviceavailableinBarnardCastleandthat111operatorsarealsounawareoftheservice.
DALES Iunderstandthatthisisaboutsavingmoneyandmanagingscarceresources.
DALES TheproposalsthatarebeingmadetoclosetheBarnardCastle,RichardsonHospitaloutofhoursGP/nurseserviceisbasedontotallyinaccuratestatistics.
DALESAsIresidentofBarnardCastle,Ionlyfoundoutaboutthisservicecompletelybychance,andwhenIlookedon-lineformoreinformationaboutitIfindthatthereisabsolutelynoinformationavailableatall.
DALESIfirmlybelievethattheservicehasbeenset-uptofailandthelackofusehasbeenengineeredbydeliberatelackofinformationavailablebothtolocalresidentsandtooperatorsofthe111service.
DALES RuralcommunitiesarebeingseriouslyneglectedwithintheNHSservicegenerally.LocalDalespeopleareexpectedtotravelmanymoremilesforhealthcareanditisunacceptable.
DALES
TheclosedwarattheRichardsonHospitalshouldtoo,inmyopinion,bere-opened,ifonlytohelppeoplewhoarenotquiteyetreadyforhome.Thiswouldthenfreeuphospitalbeds.Economically,itmakessense,andasaserviceforpeoplefromfar-flungcommunitiesitmakesevenmoresense.
DALES Lackofeffectivemanagementoffundsisthelargeststumblingblockforruralcommunitiestohavetheservicewhichtheyhaveeveryrighttoexpect.
DALESIamwellawarethatcentralisingservicesmakemoneymanagementeasier,buteasierdoesn'tnecessarilymeanmoreefficient,andwhenitisatthecostoflackofservicestothousandsofpeoplethentheaimsandresultsneedaseriousoverhaul.
DALESYouareseekingtocloseessentialservicesinordertocomplywiththegovernmentscontinuingfundingcutsdespitehowneededtheyare.
DALES TheNHShastomakecutsbecauseofgovernmentunderfunding.
DALESDoesno-oneinthewholeoftheNHShavetheconjonastosayNO?TheNHSisapublicservice,notabusinessthatneedstomakeaprofit.TheNHSshouldhavethefundingitneedstoprovidetheserviceitwascreatedfor,otherwiseitisnotaNationalHealthService.
DALESYou'reproposingchangestoaservicethatisnotadvertisedorevenpossibletoaccesswhenphoning111.Idon'tthinkanychangesarebeingmadebecauseIthinkitwasyourmainplanallalong...don'tadvertise,peoplewon'tuseandthenyoucanshutit....disgraceful!!
DALESIunderstandtheintentionistoclosetheOutofHoursGPservicesatBarnardCastle.BarnardCastleandsurroundingruralvillagesneedsomewhereclosertohomeforOutofhoursGPservices.RichardsonHospitalisidealandthemostconvenientforall.
DALES I’mpresumingit'sbecausethesystemisunderused.
DALESWealreadyhavemilestotraveltoreachBarnardCastle.GoingtoBishoporDarlingtonistoofarandalmostimpossiblebypublictransportcertainlyafternormalbusinesshours.Wedonotliveinacity!
DALES Yes:"Notagooduseoffinances",anapparentmis-diagnosisoftheunderlyingissues.
10
DALES Forthemoney
DALESWewanttheRichardsonHospitaltobeourcentre,whichatthemomentisnotsupportedbyourlocaldoctorswiththethreatofclosingthesaidhospital.
DALES Iunderstandbutdon'tagree.
DALESOnlybecauseitwasinTheTeesdaleMercury.Ididnotknowtherewas/hadbeenaconsultationaboutRichardson'sHospital,BarnardCastle
DALES Itseemstomethatthepressureofscarcefundingresourceisleadingyoutotakepoordecisions
DALES
PleasereconsiderandpublicisetheRichardsonHospitalamenitiesinsteadofclosingthem.TotraveltoBishopAucklandorDarlingtonwhenyoufeelunwellorwithpoorlychildrencanbequitetraumatic.Teesdaleisgrowing,ourlocalsurgerycanhardlycopewiththedemandwithinhours.
DALES Towasteevenmoremoneyinyetanotherrevampjustifyinggreysuitjobs???
DALES
HavinglivedatHolwickandhavingtotraveltwentyfivemilestoDarlingtoninfirmaryIknowfromfirsthandexperiencewhattheextradistancemeanstopeoplewholiveinthedales.InowliveinBarnardCastleandwehavealovelynewcottagehospitalwhichisn'tbeenusedtoitsfulluseduetolackofinformationonhowtoaccesstheservicesthere.Phone111andyougetsenttoDarlingtonorBishopwhenwearetoldwehaveanoutofhoursservicehere
DALESIamawareofonlylimited&confusinginformationregardingproposedchangesatRichardsonHospital,BarnardCastle
DALES
TheunderutilisationofStanhopeandBarnardCastleisinsomepartdueto111operatorsnotdirectingpeopletotheserviceswhentheycouldbeappropriate.manylocalresidentshavesaidthattheywereneverofferedtheoptiontoattendStanhopeorBarnardCastle.Thereforetheattendancefigureshavebeenmassagedtogivetheoutcomerequired.
DALES Evenmoreerosionofservicesandcare.
DALES TheserviceatRichardson'sHospitalisunderused,mainlybecauseappointmentstherearenotbeingoffered,andmanypeopleareunawarethattheserviceexists.
DALES DoesthissurveyincludeRichardsonHospital?
DALESThishospitalisavitalpartofUpperTeesdale,asisBishopAucklandwhereIreceivetreatmentin2differentdepartments.Totraveltoanyotherhospitalswouldnotevenbeconsideredinmycaseandatmyage.
DALES IambitterlyopposedtoanyreductionofservicesattheRichardsonHospitalinBarnardCastle.
DALESIunderstandyouwishtorationalise/rationservices.Yourproposalswillincreasetravellingdistancesandtimesforruralpatients
DALES itsalltosavemoneywearepeoplethatneedtheNHSwecannotgetadoctorsappointmentsojustuseAandEdonotclosetheoutofhoursattheRichardsonhospital
DALES tosavemoneyatacosttothelocalpeoplebothfinanciallyandthroughhealthdeprivation
DALESYesbuttheinformationdoesnotexplainwhatactualchangesarebeingproposed.Reducednumberofhubspresumablymeansclosingseveralhubsincludingmynearest(byalongway)inBarnardCastle.
DALES
AstheDalesareaseemstobeabletohavelessandlessinthewayofpublicservicesandbusesarecut,petrolgetsmoreexpensiveandpeoplelivingintinyvillagesalongwayfrommajorconnobationswedesperatelyneedplaceslikeTheRichardsonHospitaltosayavailableandopen.
DALESyousayit'snotbeingusedenough,asaBarnardCastleresidentwholives1minutewalkawayandusessomeoftheclinicsalready,Iknewnothingoftheservice
DALES Costsaving
DALES Butifthefacilityhadbeenadvertisedbettermorepeoplewoulduse
11
DALESThereasonpeoplearenotusingtheextendedtimesatStanhopeHubisthatnotenoughhasbeendonetomakepeopleawarethatitexists.IonlyfoundoutaboutwhatIactuallyhadanaccidentlateinthedayafewweeksago.
DALES Money?
DALES
Tosavemoney(notbotheredaboutpeopleslives.ButwearenowusedtobeingtreatedlikethepoorrelationcomparedtotheSouthofthissocalledUnitedKingdom.Wenowhavelessambulancecoverandlessdoctorcoveragethaninyearsgoneby.RichardsonisaperfectbuildingforthedalesandwasrefurbishedforjustthatbutlikeBishopAucklandisstartingtolooklikeaWhiteElephant.
DALESThisappearstobebasedontheideathattownsaretheonlyplacesthatneedservicesandthatruralproofingisnotnecessary.
DALES Yourlackofengagementisappalling,yourlackofaccountabilityunacceptable.
DALES Toreducethehubs
DALES
Iunderstanditisbecausepeopleareunderusingtheservice.IknewnothingabouttherebeingaserviceatStanhope,phoning111,theyseemnottoknowStanhopeexists.Nowonderitwasunderused.BishopAucklandisalongwayfromWeardalewhenyouneedadoctorurgently.
DALES Iftheserviceinmylocalityisunderuseditisbecausepeopleareunawareofitsexistance.ItisonlyinthislastweekthatIhavegottohearofit.
DALESSuchaproposalwouldbesheerfolly,servicesmustberetainedclosesttothepointofdeliveryandtomovefurtherfacilitiesfromBarnardCastletoBishopAucklandcannotbejustifiedatthepresenttime.
DALES Weneedthelocalfacilities
DALES ButifitinvolvesclosingoutofhoursservicesattheRichardsoninBarnardCastlethenI'magainstit.
DALESClosingWard6atBishopAucklandGeneralHoospitalandRichardsonswouldseemtobelikelytoleadtoanincreaseinbedblockingelsewherewhichdoesnotseemtobehelpfultoin-patientsandwouldbein-patients
DALES
UnderusageoftheRichardsonhospitalisbeingdictatedbylackofappropriatereferalbyNHS111andpoorsignpostingbyotherNHSserviceproviders.Itshouldbemadecompletelyplaintopatientswhatservicesareavailableandhowtheycanbeaccessed.ExpectingallpatientstophoneNHS11toaccessappointmentsiscounterproductiveasthesystemtakestoolong,manypatientsarenotsatisfiedwiththeoptionstheyaregiven.
DALES Toreducethenumberofstaffandstaffhours.
DALES ThefacilityinBarnardCastleisunderutilisedbecauseonoccasionsNHS111nosuggestiontouseRichardson.
DALES WhyistheRichardson'satBarnardCastlenotbeingutilised?
DALES Ibelieveitistocutcosts.
DALESYouappeartobelievethattheserviceinthisareahasbeenunderused,andyouaretryingtosavemoney.TheonlyOptionsyouhavegivenmeinthisconsultationareaboutOpeningtimesinQ4.
EASINGTON ButIdonotthinkthatthefullextentofimpacthasbeenmeasured
EASINGTON
COSTCUTTING?Icannotunderstandwhythepublicshouldtakethebarchartsshownonpg2aretakenasgospeldespitetherenotbeinganexplanationofthe%agefiguresused-wherearetheactualnumbersofpatientsseenwouldbettergiveanindicationofuseordemand.Whataretheypercentagesof-theslotsavailable?-wereequalnumbersavailableatallsites-ifnotyoucannotcomparethemfairly.
12
EASINGTON Duetoappointmentsnotbeenutilisedandfailingtoprovideacosteffectiveservice
EASINGTON FinancialreasonsshouldnotbeusedtoremoveanexcellentservicefromtheSeahamarea.
EASINGTON Idisagreewithchangesasitishardtogetappointments.
EASINGTON Iunderstandthereasons,butdon'tagreewiththem.
EASINGTON Iunderstandthereasons,butdon'tagreewiththem.
EASINGTON Itseemslikeareductiononservicejusttosavebudgets
EASINGTON Notreally.Presumeitisafinancialreason.
EASINGTON Peoplearealreadystrugglingwiththechangesmadewhenwalkinwasstopped.MostpeopletraveltoHartlepoolwalk-inservice.
EASINGTON ThoughtitwassetuptoreducepressureoffA&Eandgivemoreaccess.Well,that'sajoke.You'regoingtocreatemoreproblems.
EASINGTON Tobetterutilisetheservicesofferedtopatients.
EASINGTON Tosavemoney
EASINGTON Understandbutdonotagree
EASINGTON Weneedmorehours.
EASINGTON Whyareyoutryingmakeitmoredifficultorimpossibleforelderlyorvulnerableandlowincomepeopletoaccesshealthcare?
EASINGTONWhywasteabuildingforprimarycarewithx-ray,peoplehavetotraveltoSunderlandorPeterleeforsamefacilitiesandit'sgotgoodlocalbusserviceandnoparkingfee.
EASINGTON Wouldthinkitisacostcuttingexercisewhichdoesn'talwayssuitthoseneedingcare.
EASINGTON
Youchangedfromawalkincentretoanappointmentsystemconfusingpatients.Youdonotsendpeopletotheirnearestorpreferredcentreasyoudictatewherepeoplego.Transportisafactorasisthetimespublictransportisavailable.Changebacktoawalkincentretocorrectthesituation.
EASINGTON Youwanttocutservicesonthepretextofimprovingpatientcare,however,itissimplyamoneysavingexercise.
EASINGTON Underuseofcurrentprovision
EASINGTONIamguessingtosavemoney.ItsaystheserviceisunderusedbutIhaveneverfoundthisespeciallywhenitwasadropincentre.Nowitismoredifficulttogetanoneurgentappointmentatthegpsincesystemchanged.
EASINGTONSinceprimarycarewasintroducedanumberofyearsagoithasbeensubjecttoconstantchangeresultinginitsunderuse.Thechangeshaveinflictedunderuseandnottheprospectiveusers
EASINGTONicanunderstandtheneedtoreduceifservicenotused,butmanypeopledon'tunderstandwheretheycangoiftheyneedawalkinservice.thelastchangesweretoocomplicatedandpeopledon'tunderstandwheretheycanandcannotattend.
EASINGTONThisservicehasnotbeeninformedaboutverywell,recentlyIhaveusedtheservicetwicein2weeksithasbeenexcellent,andonlywishIhadknowntherewassuchaserviceinmydoctorspreviously.
EASINGTON Otherthanyetanothercostcuttingexercise!!!
SEDGEFIELD Costsaving
SEDGEFIELD Currentlyfindingithardthatstaffarecomplainingaboutnothavingenoughworktodo!
SEDGEFIELD
Ihavehadnowritteninformationabouttheproposedchangesandhowtheyaredifferenttowhatwasputinplace.NordoIhaveinformationaboutthecostsbeforetheschemewasintroduced,currentcostsandimpactonotherservicesnorfuturecostsandanticipatedimpact.
13
Q3.Doyousupportthechangesinyourlocality?Comments
DALESAfacilityisstillrequiredinBarnardCastle,butonethatispublicisedandmadeavailable.IhaveneverbeenofferedtheopportunitytohaveanappointmentattheHubandwasundertheimpressionthatitwasonlyforrealemergencies.Bishopisinaccessiblewithoutacar.
DALES Absolutelynot.Seeabove.
DALES
Againitcomestoservicesbeenunderusedatbishopifitkeepsgoingweenduploosinghospitalaltogethercompletewasteofmoney.Timesyouofferarenogoodforpeoplewhoneedtoseesomeoneafter8pmyoudon'tknowwhenachildgoingtotakeillandnoparentwantstoseechildreninpainbuthavingtotravelfurtherwillonlyprolongitforchildrentoseeGPornurse.Weekendtimesareajoke.
DALESIwouldaddthatNHSservicesarebeingconsistentlyconcentratedinurbanareas.Theredoesnotseemtobeanyawarenessofruralissues-letaloneasenseofobligationtoprovideaproperservicetopeopleruralareas.
DALES anymovetoreduceserviceistoberesisted
DALES Asabove.Pleasedon'tblamelackoffundsyetagain,itreallydoesnotconvinceme.
DALES
Assomeonewhohasusedtheseservicesonseveraloccasionsbothbydroppinginandthrough111,IhaveneverbeeninformedofservicesatBarnardCastlenorStanhope.BothoftheseareasaccessibletomeasBishop.If111aredirectingpeopletoBishopthentheyaregoingtobiastheusagestatstomakeBarnieandStanhopelookunder-used.Inotherwords,theirapproachhasaidedthisjustification.
DALES
BarnardCastleandsurroundingruralvillagesneedsomewhereclosertohomeforOutofhoursGPservices.RichardsonHospitalisthemostconvenientforall.BishopAucklandisalongtrekforsomeonefromsayMiddletoninTeesdaleorevenasfarasForestinTeesdalewithajourneyofoveranhour!
DALESBasingdecisionsonthelowusageoftheRichardsonhospitalwhenitsavailabilityhasbeensopoorlyknownisatravesty.Byeithercockuporconspiracypatientshaveseldombeenofferedanopportunitytouseit.
DALESBecauseIliveinaruralareaIambeingpenalisedyetagain.Travellingfurtherforoutofhoursservicesformyparentswouldbeextremelydifficultandwouldinvolvea60mileroundtripiftheyhadtogotoBishopAuckland
DALESBishopAucklandisnotintheDalesandtoreachtherenecessitatesa45minutecarjourney(ingoodweather).Ifbypublictransport,itisimpossibletoreachonaSundayasthereisnopublictransport
DALES BishopAucklandistoofartotravelcomparedtoStanhope
DALES Couldbeitisunderusedasitisnotadvertisedanddifficulttoaccess.
DALES
Definitelynotinsupportoftheservices.IftheservicewasproperlyadvertisedandmanagedIthinkyouwillfinditisnotunderused.Personalexperienceisthatpatientsarebeingdeniedtheservice-IwasrefusedaccesstotheoutofhoursnursepractitionersserviceANDBishopAucklandasIwasnotconsideredanemergency.Soratherthanshuttingaservice,itwouldbebettertorefineit,trainstaffonwhatservicesareavailableandprovidesaidservicetothepeoplewhoneedit.
DALES DuetothelackofinformationIhaveonlybeenawareofthisforthelast2months
14
DALES
HastheCCGconductedanalysisontheoutofhoursserviceimpactonwiderNHSsystems?Forexample,byhavingthese'hubs'haveambulancecalloutsorA&Eadmissionsreducedasaresult.Ifsohasthecostbeenjustifiable.Whyhaveappointmentsonlybeenutilised20%?Didpeopleknowabouttheservices.Ididnot!Cantheseappointmenttimesbeusedmoreflexibly?CouldtheappointmenttimesbeofferedtopatientsseekinganormalGPappointment.MypartnerhascausetoseekanumberofGPappointmentsrecentlyandthedatesofferedtohimhavebeenunacceptablyfarinthefuture.Whycouldthis80%appointmentcapacityoneveningsorweekendsnotbeusedtosupplementnormalGPoperations?Idon'tthinkyouhavethoughtaboutthisproperly.Thiswillsignificantlyimpactonworkingagepatientsabilitytogetanappointment.
DALESHowoneartharetheoldandpeoplewithouttransportsupposedtogettoBishopAucklandonSunday,wehavenopublictransportsothereforetheemergencyservicescouldbecalledout,drainingthehealthservices.
DALES
Iappreciatethatwhereservicesareunderusedtheremaybeavalidreasontowithdrawthem.However,Iamnotconvincedthattheserviceshavebeenwelladvertised,hencethelowtakeup.WedonotvisitthepracticeatStanhopeveryoftenbutthosetimeswehavethepostersadvertisingtheservicehavenotbeenveryeye-catchingnorveryprominent.Theredoesnotseemtohavebeenuseofmobilecontactswhichalertforthcomingappointmentstoadvertisethenewservice.MyexperienceasaCABManagersettingupoutreachsessionsinGPsurgeriesshowsthatittakesquitesometimetogetthingsofftheground.
DALES Idon'tthinktheoutofhoursserviceatTheRichardsoninBarnardCastleshouldbeclosed.
DALESIliveandworkinWeardaleonthenortheastambulanceandoftenusetheSaturdayamsurgeryatStanhopeviathe111serviceforpatients.PeopleintheupperWeardaleandTeesdaleneedalocalplacetoattendandnota4hourslotonweekendsatbishop.
DALESIopposeanyreductionofservicesprovidedatRichardsonHospital.ForresidentsofTeesdale,BarnardCastlecanbedifficulttogetto.BishopAucklandistoofarawayandanyfurthercouldcauseveryseriousproblems
DALESIthinkit'sacompletedisgracethattheRichardsonisimpossibletoaccessandthenyouwanttocloseitbecausewedon'tuseit.....wewoulduseithadwebeengivenachancetoo!!!!
DALES
IthinkthatitwouldmakemoresensetokeepappointmentsavailableatStanhopebuthavefewerofthem.ManypeopleinWeardalehavelittleaccesstotransport,andthebusesarenotexactlyfrequent.IttakesalongtimetogettoBishopAucklandbycar,nevermindbus,andsomeoneinneedofmedicalhelpmaywellfindsuchajourneymorethantheycouldcopewith.
DALES
Ithinktheruralhubsarevital-IliveinWeardaleandhaveusedtheStanhopehubformyselfandmyfamilyandoneachoccasionitwouldhavebeendifficultorimpossibletotraveltoBishopAucklandforcare,withwintermonthsapproachingthisserviceisevenmorevitalparticularlytoourelderlyandvulnerablepeoplelivinginthedale.
DALES IwouldliketoseeBarnardCastlekeptopenbecauseifallservicesaretransferredtoBAitwilloverloadsystem.
DALES
I'dpreferBishopAucklandtobeopen24x7forsemiemergencytreatment,DurhamistoofarforbeingseenandonlyhasanA&E.SomeillnessneedtobeseenASAP,butaren'tlifethreatening,butareacauseofrealconcern.It'ssodifficulttogetadoctorsappointmentasitis.Weneedthisforemergencies
DALES
I'macarerinthedale.Ilookaftervulnerableelderlypeople.AsIsaidabovethetheserviceisunderusedbecausepeoplearenotbeingtoldthatthereisaserviceinStanhopeandaresenttoBIshopby111.I’msurethatitwillbeusedmorebydalefolknowmorepeoplegettoknowaboutit.TheelderlyareisolatedenoughduetolackoftransportandtheinabilitytousebusessoIspeakforthemifthisservicegoesthiswillputthesealreadyvulnerablepeopleevenmorevulnerable
DALESIftherearespacesnotbeingusedopenthemupfornormalappointmentsasit'shardtogetGPappointmentsattimesthatsuitpeoplethatwork
15
DALES
Ifyouareill,youmaynotbeabletodrivetothesurgeryinthevillageletalonedealwitha44mileroundtriptoBishopAuckland.Theavailabilityofsimplemedicinesalsoneedstobeco-ordinatedwiththe7dayaccesstomedicalcare.After1p.m.onaSaturdayallindependentchemistsarecloseduntilMondaymorningandBootsinBarnardCastleisverybadlystockedtotheextenttheydon'tevensupplydissolvableparacetamol.IbelievetheRichardsonHospitalslackofuseisduetothewaytheaddressisstoredintheoutofhourssystem.Ithinkitislistedunder"VictoriaRoad".Ifthereisnoeasilyavailableoutofhoursservicethensomethingurgentandsimplewilldevelopintoahospitalvisit.
DALES InfrequentbusesinDalesmaketraveldifficult.Richardson'siseasiertoaccess-asmallfortunewasspenttobuildit.Youaredeliberatelyrunningitdown.
DALES
IthasnottakenintoaccountlackoftransporttoBishopAucklandatanytimeonSundayorafter7.30pmtherestoftheweek.WhentherecordssaythattheappointmentswerenotutilisedinStanhope,weretheyactuallybeingofferedwherepeopledidnotaskforStanhope.ThelocalposttownisBishopAucklandbutis18milesawayfromStanhopeandfurtherfromtheupperreachesoftheDale.OperatorstendtogobythepostcodeDL13whichisBishopAuckland.FewlocalpeopleknewtherewassuchaserviceatStanhopeGPSurgerysowouldnotask.
DALES
Itisextremelydifficultalreadyforpatientslivinginoutlyingareas,liketheupperdales,toaccessprimarycare.Ilive25milesfromBishopAuckland,mynearest'hub',andgettingthereisdependentonmyhusbandbeingavailabletodriveme.Icannotusepublictransport,whichinanycaserunsonlyduringtheday.Therearemanyotherslikemefacingthesameproblem.
DALES
Contractingtheserviceevenfurther,because'under-use’isregardedbymanagersasbeingthesamethingasinefficiency,isunacceptable.ApublichealthsystemliketheNHSmustcontainsomeslack,sincesoonerorlaterasituationwillariseinwhichtheservicewillbeusedatfullcapacity.
DALESItisunderusedbecauseindividualsarenotdirectedthere.TheyaregenerallydirectedtoBishopAucklandinsteadoftheDalesservice,becausewehaveaBishopAucklandpostcode.It'sthephoneservicethatneedstobeeducated.
DALES Itpenalisesthosewhoareunabletotravellongdistancestootherhospitals.
DALES
Itstimetostoppanderingtothegovernment'splantoprivatisetheNHSbystreamlininganalreadyoverburdened,underresourcedvitalcommunityservice.WeneedtobacktheNHS,provideitwithresourcesitneedsothatitcanprovideagoodallroundwellbeinghealthservicebackintoourruralcommunities.IfyouarementallyorphysicallyunwellandarerequiredtotraveltoBishopAucklandfromfurtherupthevalleythatdoesnothaveareliableregularpublictransportsystem,itisjustnotviableandpeoplewillsufferasaresultputtinganevengreaterburdenonthestretchedresourcesoftheNHS.
DALES
No.IfeelthattheruralhubsarenotaswellusedbecausetheyhavelesspopulationperareaincomparisontobishopAucklandwhichisdenselypopulated.PeoplewhorequiredoutofhoursservicesandliveinStanhopeforexample,wouldneedtotravel40mins+toaccesshealthcareoutofhours.Thisisnotalwayspossible!
DALES Personally,IliveinbishopAucklandthereforeitwouldn'tbeaproblemformetotravelbutIfeelthatitisimportanttorecognisetheneedsofothers.
DALESGPswillnotwanttoworkSaturdaysandSundays,andrightlyso.Theywillbeoverworkedandinturnthiswillresultinlesseffectivecareforpatientswithoverworked,tiredstafflefttotreatthem.
DALESBishopAucklandhospitalshouldbeopenedbackupasanurgentcarecentreandproperlyfunded.Won'thappenunderthisgovernment.Thisproposalisnotagoodidea,itmaysavemoneybyclosingextrabuildingsbutitwillcostlives.
DALES notallhavetransportandbusservicesarenotavailable
DALES Onpaperthischangesoundsfeasiblehoweverinpracticeitisnotgiving7dayaccesstoGPsinthecommunityitisjustgoingtoprovideanalternativetourgentcare.
16
DALES
HavingahubinBishopAucklandisnotpractical-e.g.recentlyinthenewscervicalsmearuptakesareverylow.ThisBishophubwillnotbeprovidingworkingwomenwithanoptionofavisitoutofworkhours-itonlyseemstobedesignedforurgentappointmentse.g.urgentcare-whichyoualreadyhave.ItseemsthatthegovernmenthasanagendaofopeningupGPappointmentsoutsideworkinghoursandthisisreallyanattempttosaywearedoingsomething.
DALES Ourveryruralcommunityneedsservicesmuchnearertohome-transportisverydifficult.
DALES Peopleareunawareoftheservice.111doesnotoffertheservicetothepeoplewhoneedit.Thepooruptakeisfullyexplainedbytheseissuesandnotbyneedinthearea.
DALES PeoplelivingatthetopendofTeesdalehavequiteajourneytogettotheHubinBarnardCastle.Ifthisclosesthey'regoingtohaveevenfurthertotravel.Notgoodforthisruralarea.
DALES PoorpublictransportfromweardaletoBishopAuckland.
DALES BishopAucklandalreadydowngradedandthealternativeDarlingtonandDurhamarealotfurthertotryandtraveltoo.
DALES A&Eserviceisnowridiculousfromthedales
DALES
removingtheservicesfromStanhopeandBarnardCastlewillrequirepeoplefromWeardaleandTeesdaletotravelhugedistancesfortreatmentresultingintreatmentdelays.Thereisalargeproportionofolderandretiredresidents,notallofwhomhavecarsandthiswillcreateextradifficultiesforthem.
DALES RichardsonHospitalexistsandshouldbeappropriatelyruntoprovidetherightkindofoutofhoursservicethatthearea'sinhabitantsneed.
DALESRichardsonHospitalisn’tadvertisedenough.Ifpeopledon’tknowaboutittheywontusethefacilities!!
DALES ShouldmakemoreuseofRichardson'sinBarnardCastle
DALESShuttingdownanunadvertisedandunsupported[e.g.NHS111wasignorant]facilitycertainlysavesthebureaucracy(immediate,quantifiable)money,butatalarger(long-termunquantifiable)socialcost-especiallytousdependentonpublictransport.
DALES Stanhopefarmoreconvenientforthosewithoutowntransportandalsoforchildren
DALES Stanhopeshouldcontinuetobeanoptionduetolimitedpublictransport.111arenotofferingthisoptionroutinelyandsendingpeopleofftoBA.Nowonderit'sunderused.
DALES
Thecurrentservicewasdesignedtofail.ItshouldbestaffedbynormalpracticestaffincludingGPs,offerpre-bookableappointmentsandbepublicisedwithintheGPsurgeries.Darlingtonpracticesofferroutinepre-bookableappointmentsupto9pmandSaturdaysandSundayswithallservicesavailableduringtheworkingweek.Theyalsohavelargeposterswhenyouentertheirbuildingsadvertisingtheservice-wherearethesepostersinTeesdaleorevenacontactnumberonthesurgeryanswerphones?WhyshouldTeesdalehaveasecondrateservicecomparedwiththerestofthecountynevermindthecountryandevenworsethanwehad20yearsagowhentherewasaSaturdaymorningsurgeryintheBarnardCastlePracticeforthosewhowereurgentcasesorwhocouldn'tattendduringtheweek?
DALES
Thedaleshavelosttoomuchalready,itistoofartotraveltoanotherhub.Mostlocalpeoplehaven'tbeenawareoftheoutofhoursdoctorsavailableandeventhe111callhandlershavenotbeenadvisinglocalpeopletheycouldbeenseenloally,youhavetoaskandonlythenareyouoffered.Keeptheserviceasitisandpromoteitproperlysoitisused
DALESTheDL13postcodeisoutwithBishopAucklandbyasmuchas50-60mileroundjourneys,Wolsinghamhasa23mileroundjourneytoBishopAucklandandthedistancesgetfurtherasyoutraveluptheDale,
DALES Regarding111calls
DALESThepostaladdressformyhomeisWolsinghambutshowsupasBishopAucklandinmanyonlineoccasions,thereforeitissafetosaythatthecallcentreswillthinkthatIamBishopAucklandandtrytosendmetoBishopAucklandinsteadofStanhope.
17
DALESInMarch2017aletterwasputoutbytheCCGtosaythattheregoingtobeonly2centresforoutofhourscalls,ThatletterwouldcertainlysowtheseedthatthereisononeoptionforWeardale.
DALES TheaboveitemswillbehugecontributingfactorstothelowtakeupoftheStanhopefacility.
DALESThequestionsNumber4askmetochooseBishopAucklandtimethatcanbetakenasayestotheclosureoftheStanhopeHub
DALES ThehubshouldremainattheRichardsonhospitalandbemarketedbettersopeoplenoandcanaccesstheservice
DALES TheoutofhoursatBarnardCastleshouldstayopenasitisavitalresourceforusmotherswithsmallbabies.Ihaveusedthisserviceseveraltimes
DALES
TheproblemwithmovingalltheseservicestoBishopAucklandHospitalisoneofaccessibility.ThelastbustoBishopAucklandleavesStanhopeat17.00arrivingat17.43.ThefinalbustoreturntoStanhopeleavesBishopAucklandat17.49makingitimpossibletouseoutofhoursservicesatBishopAucklandifneededintheevenings.TherearenobusservicesatallonaSunday.
DALES
ThereasontheStanhopeserviceisnotbeingusedisbecauseitisnotbeingofferedtopeoplewhoring111.MostpeoplearenotawarethatthereisaserviceoutofStanhopesurgeryandthereforedonotaskforit.Iftheydoknowanddoask,theyaresometimesreferred;buteventhecallcentresseemunawarethatStanhopeisavailable.andfrequentlytellpeoplethis.ForpeopleinthedaleitisoftenverydifficulttogettoBishopAuckland.Itisinfuriatingtofindthataservicethatwedesperatelyneedisbeingconsideredforclosure.
DALESTheRichardsonfacilityhaveNEVERbeenproperlyutilisedbecauseveryfewpeopleknowitexists.Shameful.
DALES
TheRichardsonHospitalisanincredibleserviceforthepeopleofBarnardCastleandthesurroundingareas.Itisunderusedbecausewhencalling111theoptiontogototheRichardsonforanappointmentisn’tavailable!EvenwhenexplainingthatIknewitwasasIhadbeenbefore,theysaiditwasnotontheirsystem.Thismeanstravelling30minutesawaytoDarlingtonHospitalAandE,whichsometimesisn’tessentialifthemedicalissuecouldberesolvedbyaprescribingnurse.
DALES
TheruralityoftheDalesrequiressomejoinedupthinkingbytheNHSTrustsetc.Asanexample,theRichardsonHospitalisa)welllovedandsupportedlocallyb)wellmodernisedsomeyearsagoc)vastlyunder-utilisedd)totallyunder-publicisedespeciallybyitsownappointmentsstaff.SimilarlytheBishopAucklandHospitalwasmodernisedatenormousexpensebutisnowunder-utilisedasamatterofNHSTrustpolicy.Sheeralmostlunaticwasteofresource.
DALESTheserviceavailablevia111needstobebettermanagedandpromoted.TheDalesisalargeruralarea,withruralpublictransport.StanhopesurgeryismuchmoreaccessibleformanythenBishopAuckland.
DALES
Theservicesarenotjoinedup.WhywhencallingBarnardCastleSurgerydotheynotmaketheappointmentsfortheserviceatRichardson's?Thentheycouldsignpostpeopletothecorrectserviceandmakeuseofit.AnyoneI'vespokentodoesnotevenknowthereisanoptiontouseRichardson'sHospital.It'sCoDurham'sbestkeptsecretthatservicesareavailablethere!Imyselfamunsurewhatservicesareavailableanditisnotalwayslistedoravailabletochecktheboxforonlineappointments.WeneedourruralservicesanddonotwanttotraveltoBishopAucklandorDarlingtonallthetimeandinvolvestakinglongeroffworktodoso.
DALESThereisaconfusionwithwhatRichardsonHospital'sroleis.Theysay(NHS)ifwedon'tuseit,wewillloseit,whoeveryouspeaktosendsyounottoRichardson'sbutDarlingtonHospital.Getoffyourbum'sandgetitsorted.
DALES Theseclosureswillreduceservices
DALESThisareaoftheDurhamdales,hasahighpercentageofelderlyinthepopulation,&analmostnonexistencepublictransportsystem,pleaseconsiderhowelderly,disabled&motherswithchildrenaresupposedtoaccesstheseservices
18
DALES
Thisisavaluableservicewhichwouldbeusedmoreifpeoplewereawareitexisted.IneededtouseittodayandwasinitiallytoldtogotoBishopAuckland-a40mindrivefromStanhopeandmuchfurtherforpeopleinUpperWeardale.LuckilyIwasawarethatappointmentswereavailableatStanhopeandwasseenimmediately-Iwashomewithinhalfanhour.
DALESThisoutofhoursservicewasusedbymyself,afterphoning111.ThenursepractitionerwasexcellentandreferredmetoA&E,whereIwastreatedandspent5daysinhospital.Didn'tevenknowthisoutofhoursexisted!!!
DALES
TogetanappointmentatStanhopeyouhavetophone111whodirectyousomewhereelse,usuallylessconvenientandsometimestoanoverstretchedA&Ewhereyouhavetowaithours.YoushouldbelesseningtheneedtogotoA&Ewhereasthesecutsaregoingtomakethismorelikely.WeneedgoodLOCALfacilitieswitheasyaccessandnoappointments.
DALES Tosomeextent.Serviceshavebeencuttothebarebones.
DALES Totallylostastowhyyouwanttocloseaservicewhenyouhavenevergivenitachangetodowhatitwasmeanttodobyhidingthefacttherewasaserviceavailableinourarea.
DALESTransportnotgood48hournotice.Letpeopleknowaboutthisservice.Notwidelyknownabout.
DALESTravelisdifficultinruralareaswithpoorornonexistentpublictransport,particularlyintheeveningsandatweekends.
DALES wehaveconcernsthattheclosureofoutofhoursGPserviceswillleadtoincreasedpressureontheA&EatUHNDwhichwillimpactinourparishioners(andmanyothers)
DALESWeliveinanisolatedarea,toofartoDarlingtonforafterhourscare.Don'twanttoclogupAandEthereanyway.
DALES Weliveinthedalesandneedtheservicesbecausepeoplecan'ttraveloutsidetooutofhoursservices
DALES
WeneedtokeeptheappointmentsatRichardson’sgoing.IrecentlyhadanoutofhoursappointmentformypartnerandhadtoaskforRichardson'sasthetelephoneoperatorwasgoingtosendustoDarlington.iftheoperatorsareNOTsendingpeoplethereandlocalsdon'tknowaboutititwon'tbeused.WhynotkeeptheBarnardCastleoneandsendpeopletherefromSt.Helensareas?wehavetoalwaystraveltoBishopforotherthings.
DALES WeneedtokeeptheRichardsonforpeopleintheDalesandforlocalpeoplewhocan'tgohomeafterhospital,andeveningsforworkingpeople
DALESWereallydoneedsomeavailabilityforappointmentsinruralareaswhichdoesnotrequiretraveltoBishopAuckland.
DALES WeardaleneedsasitethatiscloserthanBishopAuckland.Manyresidentswouldhaveathirtymilereturnjourneywhichisnoteasyiftherearetransportissues.
DALES WhatRichardson'shospitalprovidesshouldbeadvertisedmore.
DALES Whenwehaveasupposedoutofhoursserviceherewhywouldwewanttogoelsewhere
DALESWhychangethisnoinvolvementwiththecommunityonthislastminutemeetingwerenoonewasthereinWolsinghamverydisappointedinthis.
DALES Whynotuseourlocalresource,Richardsonhospital.
DALESWhywouldIgotoBishophospitalforanoutofhoursservicewhenIcangotooneinmyhometown.
DALES WithaveryyoungfamilyweusetheoutofhoursatStanhope,movingtobishopwouldbelongerjourneyandlongerwaitingtimes
DALES
YouareplanningtoclosetheoutofhoursserviceatRichardsonHospital.Thisisnotofferedasanoptionwhen111callresultsinrecommendationtoattendoutofhoursservice.Iaskedspecificallyformy88yearoldfatherearlierthisyearandwasadviseditwasnotanoptionontheirlist.Thisneedstobeincludedasanoption-onlythencanyouassesswhetheritisawellusedserviceornot.
19
DALES
YouareseekingtocloseTheRichardsonHospitalbystealth.Bydivertingusersfromit.Byhidingtheservicesitsuppliesandthenstatingthatitsfacilitiesareunderusedbecauseyouhavepreventedtheiruse.YouaretryingtotransfereverythingtoBishopAucklanddespitethedemandfortheserviceatBarnardCastle.YouclaimlackoffundsdespitethefactthatTheRichardsonwasendowedwithfundsforitscontinuance,thesefundsyouappropriatedanddivertedelsewhereintotheN.H.S.
DALES Youdon'tmakeanyreferencetoRichardsonHospital.
DALES AtthemomentIreceivephysiotherapythereforchronicbackpainandarthritisinthehip.ItiseasierformetogotoBarnardCastlethantogotoBishopAuckland.
DALESLotsofUpperTeesdaleresidents,especiallytheelderlyrelyonthesupportofRichardsonHospital.
DALES Itwouldbewrongtoconsiderclosingit.
DALES
Yourconsultationdocumentshowsthatonlyasmallpercentageofpeopleconsiderajourneyoffifteenmilestobe'reasonable'.BarnardCastleisfifteenmilesfromtheoneproposedhubatBishopAucklandandanyonelivingtothewestofBarnardCastlefacesanevenlongerjourney.Foranageingdemographicthiswillmeanrealdifficultyaccessingthesinglehubthatisbeingproposed,especiallyduringtheopeninghoursproposedwhenpublictransportisunreliableornon-existent.
DALESBasingdecisionsonthelowusageoftheRichardsonhospitalwhenitsavailabilityhasbeensopoorlyknownisatravesty.Byeithercockuporconspiracypatientshaveseldombeenofferedanopportunitytouseit.
DALES
Richardsonsisunderusedbecauseitisnotputforwardasanoptionwhenmakingappointments.Howcanyouexpectahospitaltobeviableifpeoplearenottoldwhatitoffersthecommunity?Mostlocalpeoplebelievethatisexactlywhytheunspokendecisiontopurposelyunderusethehospitalhasbeentaken.
DALES 111callersarenotbeinggiventheopportunitytouseRichardsonHospitalservices
DALES IdonotsupportthechangesweneedtheoutofhoursattheRichardsonhospital
DALES ItsnotacceptabletoshutavitallocalresourceinRichardsonsHospitaloutofhoursfacilitywhichisavaluablepointofhealthresourceforalargeruralcommunity.
DALES Iwouldliketokeeptheout-of-hoursserviceattheRichardsonhospital,BarnardCastle.
DALES
Reducingthenumberofhubsisolatesmanymanypatients.Notclearwhatthechangewouldbe.Vague'improving'doesn'ttellmeanythingaboutchangestoBarnardCastle.InfactRichardsonHospitalisnotmentionedatall.Iassumeitwouldbeclosed.Theserviceisonlyunderusedbecauseaccesstoitisnotpublicised.Peoplearejustnotawareofit.Trypublicisingit,offeringittopeople.TheisahugenumberofpeopleinBarnardCastlewhocouldbenefitfromtheservice,especiallyifappointmentscanbemadeinadvance.
DALES 111callersarenotbeinggiventheopportunitytouseRichardsonHospitalservices
DALESAbsolutelynot,thisservicehasneverbeengivenachanceasonlyahandfulofpeoplehavebeenreferredtouseit,meaningtheresultsarenotatrueindicationofitsuse
DALES Closureofoutofhourshubsmakesaccesstoessentialservicesdifficultforpeopleinfulltimeemployment
DALES Itcouldmeannearlya50mileroundtriptoBishopAucklandHospitalforsomepatients
DALES IlivealoneandgettingtoBIshopAucklandlateinthedayisverydifficult.
DALESTheavailabilityofanoutofhoursserviceinStanhopeisnotwidelyknownandthisaccountsinpartforthelowusage
20
DALES
BishopAucklandisaverylongwaytotravelforanybodyintheUpperDale.Busesareinfrequent-thelastbusbackfromBishopAucklandisat16.49-makingajourneytoOOHatBishopAucklandforeveningappointmentsimpossible-onweekdaysandSaturdays-forthoseunabletodrive.Sundaysareimpossibleatanytimeasthereisnobusserviceatall.Evenifthebusservicewasrunningattherequiredtimesthejourneycouldwelltakeabout2hours,withachangeofbusanduptoanhourtowaitatStanhope.Forthosewithcars,drivingsuchadistanceatnightwhenunwell,elderly,orbothcouldbestressfulanddangerousandduringthewintermonths-whenpossible-isoftentreacherous,andtobeavoidedwherepossible.Whatprovisionwouldtherebeforthoseunabletodrivethemselves,toounwell,tooelderly,toofrailtodriveandunabletofindsomeonetoofferthemtransport?AfriendlyneighbourmightwellbeabletosparethetimeforalifttoOOHatStanhope,15/20minsdowntheroad,ataximightbepossible,butatriptoBishopAuckland-apartfromthestressanddiscomfort,isanotherquestionaltogether.
DALES
IwasnotawareoftheoutofhoursinRichardson's.Ithasnotbeenmadepublicenough,thereforepeoplecan'tsupportwhattheydon'tknowabout.Alargeadvertinthemercuryorleafletdistributionpossiblewouldhavehelped.AsmanyupperdaleslikemyselfwouldgotherebeforegoingtoBp.AucklandorDarlingtonforurgentcare.IhaveusedRichardson'sforphysiotherapyandforaudiology.OntheaudiologyinNov2018whenIrangtheDarlingtonnumberIwastoldtherewasnoappointmentsforNovandtheyhadnoDecplanbutImightaswellbookforBpAuckland/DarlingtonastheywerephasingouttheRichardson'sappointmentsastheyonlygoonceaMonth.WhenIfinallygotaDecappointmentlowandbeholdIfoundouttheyarethereeveryweek.Whichbegsthequestion,ISTHEHOSPITALNOTSUPPORTEDASTHEADMINTEAMMAKEISQUITEHARDTOSAYTHELEASTTOGETANAPPOINTMENT.AlsoarethesurgeriessendingpatientstoBp/DarlinsteadorRichardsons.LikealotofNHSproblemsitisalldowntoMISSMANAGERMENT.
DALES
ItisveryimportanttopeoplelivingaroundBarnardCastlethattheRichardsonHospitalisavailableandpeopleareinformedthattheycanhaveappointmentsthere.Wehavealargeproportionofelderlyresidentswhofindtraveldifficult.OutlyingvillagescanbealongwayfromBishopAucklandorDarlington.
DALES
Youhavenotcommunicatedtheimplicationssufficiently.YoumustmakesurethatthewidercommunityisfullyawareofthefacilitiesavailableattheRichardsonHospital.Onlythencanyouproperlyjudgeifthefacilityisbeingusedsufficiently.Thereareover5000peopleinBarnardCastle,allofwhommayrequireOutOfHoursserviceatsometime.Itiswrongtoexpectthemtotravelfarafieldwhenthereisacommunityhospitalabletoprovidethisservicelocally.Thereisahighproportionofelderlypeopleinthetownmostofwhomrelyonpublictransportwhichmakestraveltoadistantsiteevenmoredifficult.LETTHEMKNOWWHATISAVAILABLEINTHETOWN.
DALES
YouhavenotcommunicatedthefacilitiesavailableattheRichardsonHospitalsufficiently.Youmustmakeitwidelyknownandunderstoodandthenallowsufficienttimetoelapsebeforeanyactionistaken.Onlythencanyouproperlyjudgewhethertheserviceisusedsufficientlytojustifyit.
DALESIliveinWearheadandworkinStanhope.Iamluckytohaveaccesstoacarbutmanyofmyneighboursdonot.Wehavenobusserviceafter6pmsomovingtheserviceawayfromStanhopewouldmakeitimpossibleforpeopletoaccess.
DALESUpperweardaleneedstoaccessStanhopesurgeryooh.Ithasahighpopulationofelderlyandfarmersdonothavethetimetotravelover45minutestoBishopAucklandandthenthesamebackagain
21
DALESNo,IfeelthefacilitiesavailableandprovidedattheRichardsonHospitalhavebeenshamefullyunder-publicised.Thishascontributedtotheirbeingconsideredasnotrequired/unused.
DALES Havenotheardtherewouldbechanges.
DALESRuralcommunitiesaregenerallylastinlineforpublicservices.Travellingbypublicserviceatanytimeisdifficult;eveningsandweekends,moreso,ifnotimpossible.Fortheoldandveryyoungcoveratourlocalsurgeryisvital.
DALES
Thereisnoadvantagetobegainedbymakingthesechanges.AssomeonewhohasrecentlybeenhospitalisedandreceivedvaluablecarefromthenursepractitionerslocallyIcanstatethatincreasingthetravellingdistancefromthedalesbyafurther20milesmakesnoeconomicorclinicalsense.
DALES
Weareinanareaofruralisolationwithpoortransport.Localservicesarebadlyneeded.HighqualitycareisdeliveredatStanhope,noneedtotravelfurther.Are111activelycompostingpatientstoStanhopeoraretheybeingsiphonedofftoBishoptomanipulatenumbers.
DALES Itisimperativethatlocalpeopledonothavetotravelfartogethelp
DALES ButifitinvolvesclosingoutofhoursservicesattheRichardsoninBarnardCastlethenI'magainstit.
DALES TravellingtoBishopAucklandfromtheUpperDaleisexcessive
DALES
WhenIused111atthesuggestionofthemessageontheGPanswerphoneIwasgivenanappointmentwithapracicenurseataBishopAucklandGPpractice.Iattendeeatacostof£49fortaxisanditwasworthittomeatthetime.Iwaspleasedthatmyproblemwasveryablyresolved;particularlyasithappenedduringtheeveningbeforeofabankholidayweekend.SometimelaterIfoundoutIcouldhavehadthesameserviceatRichardsonswhichisonly2milesawayandwouldhavebeenmoresuitableasIam75,registeredpartiallysightedandhavemobilityissues.Myquestionis:WhywasInotsentthere?WhydoestheGPmessagenotsuggestit?(Iwouldreallyliketoknow-perhapssomeonecantellme?)
DALESIncreasinglypatientsneedtotravelfurtherforhealthcare.Thisisabarriertothosewhodonotdrive.Itisincreasinglydifficultforthemorevunerablemembersofoursocietytoaccesshealthcare.
DALESMidUpperTeesdaleneedsaccesstoalocalcentre.It'sanisolatedareawithpoorbusservicesandalargenumberofolderpeople-itisnotsatisfactory.Youhavenotindicatedbelowtheoptionwewouldsupport.
DALES Forpeoplewithouttransporttaxiswouldbecostly.AndthenextchopwouldbeRichardson.
DALES Richardson'satBarnardCastleisagoodfacilityandshouldbeputtofulluse.
DALESInBarnardCastleNHS111hasrarelytoldenquirersthatthereisanoutofhoursprovisionforsomeconditions/needsattheRichardsonHospital.
DALES WeneedRichardsonHospital.Ifitisunderuseditisbecausewedon'tknowit'savailable.BishopAucklandistoofarforthoseinUpperTeesdale.
DALES
Ibelieveyourconclusionsthatservicesinthisareaareunderusedisnotcorrect,andthatyoumayhavefailedtotakeintoaccounttheincreasedjourneysyourproposedchangeswillrequirepeoplelivinginBarnardCastleandDurhamDalesareatomaketoaccessservicesiftheyareonlyavailableinBishopAuckland.
22
EASINGTON
bishopAucklandisinaccessiblebypublictransportfromBarnardCastleintheevenings.Thereareonly5busesonaSaturday.AnyonewithoutprivatetransportwouldrequireNHSarrangedtransport.ItisawidelyheldviewthatevenwhenaserviceisavailableinBarneythatpatientsintheareaaredirectedtoBishopAuckland.
EASINGTON
(pg4Proposal)"TheSCENARIOS1,2,3&5werenottakenforwardastheydonotmeetthecriteria"etc.isaCIRCULARargumentasthe'APPRAISALCRITERIA"(pg6)havebeendesignedtoeliminatetheactualalternativesandseemheavilybiasedtothedesireofthestaffandcommissionerswhobydefaulthaveavestedinterestinthechangeproposed.TheyarenotfocusedontheneedsorwishesofthePATIENTS!ArealconsultationallowsforALLoptionstobeconsideredanddoesnotPRE-JUDGEtheoutcomebyonlyputtingforwardoneproposal.Thequestionsbelow4-6againarebasedonOPTION4alreadybeingchosenandresponses.Iamthereforemissingoutthesetickboxes!SurveywillnotallowmetodothatsoIamputtingDon'tknow
EASINGTON Seetheabovecomments
EASINGTONCompleteandutterdisgrace.Alltheservicesarewell-used,notunderusedasyouhavestated.
EASINGTONEasingtonisaverydeprivedarea.Theamountofchangesanddisruptionstopatientsisforevergrowing.TheemphasisistocallpatientsownGPsfirst-however,whendoingthis,nopracticehasenoughcapacitytoaccommodatetheirpatientsinatimelymanner.
EASINGTON Haven'tthoughtaboutelderlyandbusservicesfromEasingtonpeoplewithdisabilitiesandmentalhealthneeds
EASINGTONHowwillgoingfrom210hoursaweekto56hoursaweekimprovepatientaccess.ThisisacompletedowngradeofservicesandintheEasingtonlocalitywithsignificantneedsyouareproposingtocompletelyremovetheservice.
EASINGTON YouarecreatingasituationwherepatientsunabletoaccesslocalserviceswillattendA&Ebydefault.
EASINGTON Youareresponsibleforcreatingacompletelyincomprehensiblesystemwherepatientsdon'tknowwhattodo.
EASINGTON EverytimeyouproposeachangeyouneverexplainitinthewidecontextoftheNHS.
EASINGTONWhyisyourpreferredchoiceatweekend10am-2pm,don'tstealtheextrahour,runtheservice9am-2pmor10am-3pm
EASINGTON
Ican'tgetaGPappointmentforanywhereupto2weeksunderthecurrentappointmentsystemsonoideahowthesamenumberofGPscancovermoreappointmenttimes.Mostoftheproblemsstartedwiththenewbookonthedaysystem,withappointmentsoftengonebythetimeyougetthroughanditcantakedaysofringingfirstthingtogetholdofsomethingwhichisoftennotidealbutbythispointindesperationyouacceptanything.Thisisinfuriatingwhenyouworkfulltimeandstartworkbeforethedoctorsopen.Thenewbookyourownappointmentonlinedoesn'tworkeitherasIliketospeaktoahumantoknowIambookingsomethingwiththecorrectlytrainedstaffandnotwastinganappointment.Thishashappenedmanytimeswhentakingtheonlyavailableappointment,turnupandfindthepersonisn'tabletohelpsoyouleaveuntreatedandhavingtogothroughthewholeprocessagainofgettinganappointment.IamregisteredwithhealthworksatEasingtonbutoutofafamilyof4wehaveonlybeenabletoget2appointmentsatthissiteinnearlyayear,astherejustdoesn'tseemtobethestaffingcoverandeverythinghasbeencentralised.ThishasmeantIcan'tevengetsimplequestionsaboutreferralsorprescriptionsansweredwithouthavingtogothroughadifferentGPpracticewithinthegroup.
EASINGTON
Ihavebeenwithhealthworkssince2012andforthefirstfewyearsalwayshighlyrecommendedthepractice;alwaysbeingabletogetappointmentswhenneededbothwithinafewdaysorinadvanceandneverwaitinglongerthananhourforthewalkinserviceswhenattendingwithoutanappointment.Sincethechangesoverrecentyearsreducinghours,changingthewalkinhoursandaccess,appointmentsystemsandcombiningpracticesIfinditreallyhardtorecommendthepractice(otherthanthereceptionstaffandregularnursesthatareamazingattheirjobs).IputtheblameforthisatthefeetoftheWilliamBrowngroupandthetrust'sincharge.
23
EASINGTON
EASINGTON
Thishasmeantweoftenturntothe111serviceashealthissuestaketoolongtoresolve,can'tberesolvedbyapharmacistortoldbyapharmacisttogetaGPappointment(whicharen’teasytoobtain).unfortunately,nowwehaveproblemswiththisserviceaswellsinceourEasingtonhubhadservicetimesreduced,andbothEasingtonandPeterleehubschangingtoappointmentonlywithneitheracceptinganyonewalkinginfromthestreet.Ihaveoftenrung111(atleast5occasionsIcanrecall)tobetoldtheclosethubisHartlepoolandmy2hubsaren'tonthescreenordon'thaveanyavailableappointments.IhavehadtofighttobeprovidedwithanappointmentatPeterleewhichisdisgustingwhenthereisacenteronlya10minwalkawayatEasington.Idon'tuseEasingtonwalkin,notbecauseIdon’twanttobutbecauseyoursystemphysicallypreventsme.ThelatestoccasionIhadtakenmyteenagesonwithaminorfootinjurytothegoatEasingtonat9:00amtobetoldtherewerenoavailableappointmentsacrossanyofthe3sitesforthegroup.Wecouldn'taccessthewalkinaswewouldhavetoring111foranappointment.Whichwepromptlydidtobetoldby111staffEasingtonwasn'tonscreenandwecouldonlygotoPeterleeandthefirstavailableappointmentwasn'tuntilafter12:00.Whatfrustratedusis,havingturnedup5minesbeforetheappointmenttimeatPeterleewalkinwehadtothenwait40minespasttheappointmenttimejusttobetriaged.Whyhaveappointmentsiftheycan'tbeadheredtoandifbeingseenisbasedonneedsassessmentandpatientpriority(asitshouldbe)thenanappointmentsystemcanneverworksoWHYisitbeingused??????Idon'tmindsittingforextendedperiodsoftimeinthewalkincenterifI'mtriagedpromptly(within30-45mines)andhappilyunderstandanywaitingtimeisbasedonpatientneeds.However,underthecurrentsystemyoufeellike111arethetriageandandyouhavehadyourappointmenttimegiventoreflectyourtreatmentneed,sowhenyoustillhavetobetriagedandwaitalongtimepastyourappointmenttimeitcausestempersandcoolheadstofrayleavingyoualittleangryatthesystem.Ifeelsorryfortheonthegroundstaffthatthenhavetodealwiththefalloutfromthiswhiledoinganalreadydifficultjob.
EASINGTON Idisagreewithchangesasitishardtogetappointments.
EASINGTON Ifeelmoretimeisrequiredtoallowpeopletogetusedtoexistingservices.
EASINGTONIhadoccasiontocall111alittlewhileago,andwasrequestedtotravelabout20mileslateatnight,Ifeelweshouldhaveapermanent,localservice
EASINGTONIthinkPeterleeshouldbeclosednow.EveryonegoestotheurgentcareinHartlepoolnowsincethewalkinclosedatPeterlee.
EASINGTON MakeHartlepoolbiggerandgivethemthemoneytogetmorestaff.
EASINGTON It'sawonderfulservice
EASINGTON Ithinktheseemergencyhubsshouldbeopenlonger.
EASINGTON IwouldpreferthehubtoremainopeninSeaham
EASINGTONIftheserviceisrelocatedmanypeopleoflowersocioeconomicgroup/elderlymaynotaffordorbeabletoaccessthisservice.ThiswouldresultincallingouttheirGPofwhichwouldincreasepressuretoanalreadypressurisedservicetostartwith.
EASINGTON Ifeelthatthisservicewouldbefurtherenhancedandappointmentutilisedifhomevisitsweretobeincluded.
EASINGTON Insteadofreducingservices,advertisetheserviceavailability
EASINGTON Therehasbeenthatmanychangesoverrecentyearsthatpeopledonotknowwhattodo.
EASINGTON Leaveitasis
EASINGTONNoserviceinSeahamashavingtogotoPeterleenotacceptableastransportbasicallystopsat6pmfromSeahamHarbourtoPeterlee.
EASINGTON Notifitmeanshardertogetcare,healthworkshasbeenagoodplacetoaccessformyarea.
EASINGTON OldpeopleandmotherswithchildrenwouldhavetroubletravellingyouPeterleeisSeahamclosedlotoffamiliesdoneownacar.
24
EASINGTON Oldpeopleandparentswithyoungchildrenwillsufferthemostbecauseofthedistancetotravelandlocalstaffknowtheirpatientstoo.
EASINGTONPeopleneedtohaveaccesstotheirownsurgeryifmobilityispoorandtheyhavenotransport.
EASINGTONRemovinganalternativetoGPonweekdaysinSeahamwillincreaseattendanceatSunderlandA&E-SeahamareapeopledonotseethemselveslinkedtoPeterlee.TransporttoSunderlandismucheasier.
EASINGTONSavingmoneyisimportantbutthesystemhasnotbeenutilisedproperlyandhaschangedbeforepeoplecouldgetusedtothesystem.Takebusloadsofpeoplefromovercrowdedhospitalstounusedwalkincentres-thiswouldwork.Yoursystemsdonotwork.
EASINGTONSeahampeopleneedaccesstotreatmentwithouthavingtotravelmanymiles-and,ifforcedtotravel,wouldgotoSunderlandhospitalwhichwillputpressureonA+E.BusestoPeterleearehourly.NoneonSundays.
EASINGTON TheonlychangesIwouldsupportisachangebacktotheoldsystemofwalkininPeterlee.
EASINGTONThereisnoneedtowastemoremoneybyopeningorchangingcentresthatdon'twork.WhenyouclosedPeterleeurgentcarecentreitallwentdownhill.,
EASINGTONLuckilynorthteesandHartlepoolopenedtheirurgentcarecentresandtheyareexcellent.Efficient.Verycaringstaff.Youcanjustwalkin.Pleasedon'twasteanymoremoney
EASINGTON
ThereisverylittlebywayofoutofhoursservicesinEastDurhamareacurrentlyfollowingchangeslastyear.Transportisanissue.Peoplearetravellingcrossbordertoaccesswalkinservices.HowwillthesechangespreventmoreaccesstoA&E.?WhathappensifSunderlandstartsareviewandremovestypicalwalkinservicesincreasedimpact.WhyarethetwocentresPeterleeandSeahamproposingtorunatthesameoperatinghours,surelyhavingdifferenttimeswillhelpincreaseaccessandhavenodifferentimpacttocost.WhyisEasingtonbeingremovedcompletelyithadahigherfloorratethanSeaham,andahigherfloorrateallroundbeforechangesin2017.
EASINGTONTryingtogetanappointmentismadedifficultandsamedayappointmentareencouragedifyousuccessfulandifyouworkyouhavetowaitupto4weeks.Costcuttingexerciseswillnothelpdisadvantagedcommunities.
EASINGTON Weneedeveryserviceastravellingisreallydifficult.
EASINGTON Weneedmorehoursratherthanless.
EASINGTONYouareproposingtoclose2centresandreducehoursinthethird.Thiswilllimitpeoplesaccess.Whereareallthepatientsgoinginsteadofthe2hubs?YouwillhavemoreattendingbackatA&Eputtingfurtherpressureonthem.
EASINGTON
Ifhubapptsweremoreaccessibletheywouldbebusierandletstressona&eandgpsurgeriesorpeoplegoingwithoutcareorprescriptionsifmoreaccessibleIthinkEasingtonhubisreallygoodandwouldbeashameshoulditclose
EASINGTON
Idonotagreewiththeproposedchangesfrom3primarycaresitestooneasIconstantlyhavetotheoneinSeahamduetolackofavailabilityofsamedayGPappointmentsformyselfandmychildren.IdonotfeelthiswouldbemanageableifIhadtotravelfurthertoPeterlee.Weneedtheprimarycaresitetostayopen.inSeahamwhereIlive.
EASINGTON Misleadingtosaythisisanimprovement.Overall30%cutinservice.
EASINGTON
Notatall.Asamamof2schoolagechildrenandanotherontheway,appointmentsinpeterleewouldbeatleasta40minuteroundtripjustfortravelandonlyhavingappointmentsafter12wouldmakethisimpossiblewithotherchildrentopickupfromschool.Idriveanditshardenough,formumswithoutacarthisisjustridiculous
25
EASINGTON
ThereisalargepopulationinSeahamandMurtonwithonegpsurgeryclosingandanothervillagebeingbuiltsoon.Peterleeisalongwaytotravelandelderleypeopleorthosewithchildrenwillsuffermost.Weekendhours/shortenedhoursareunacceptable.Notselectingpreferredhoursastheyarebothtooshort.
EASINGTONiftheoriginalchangeshadbeenclearerorhadbeenreiteratedtothepublicaspeopleforget,thenusagewouldbemuchgreaterandmoreappropriate.andmanypatientsdon'tunderstandtheappointmentsprocedure.
EASINGTON SeahamisasignificantsizeandaccesstoawalkintobeonlythroughatPeterleeseemsalittlefartotravelwhenpeopleareworriedandperhapshaveapoorlychildtoconsider.
EASINGTON IknowthatthereisspaceaSeahamforthestafftousesowhydotheyneedtobemoved
SEDGEFIELD Needmorenotless
SEDGEFIELDTwoofourGPpracticesareduetoclosesowewillneedthecurrentextendedhoursservicemorethanbefore.
SEDGEFIELD Thecurrenthubsarenotusedenoughastheyarenotwellknownabout
SEDGEFIELD
Sincethissurveywasinstigated,therehasbeenachangeofcircumstanceinthisarea.TheimminentclosureofthesurgeriesinTrimdonVillageandFishburnwillimpactonrequirementsatSedgefield.Perhapstheseproposalsshouldbeputinabeyanceforaperiodoftime(e.g.twelvemonths)andafurtherreviewundertakenwhentheeffectisknown.
SEDGEFIELD Youcantgetanappointmentwithin2weekssometimesasitisnowalsothereareelderlypeoplerelyonthedoctorsbeinginwalkingdistance
SEDGEFIELD IamunabletosupporttheproposalasI'munclearhowitisdifferenttowhatwehavenow.
SEDGEFIELD Havingusedtheemergencysystemduringtheearlyhoursofthemorninglamnotsurethatthereisenoughstretchwithinthenewtimestocoverallemergencies
SEDGEFIELD Itisdisgracefulthatyouaremarketingthisconsultationas'ImprovingAccessto7dayAccess'whenitisactuallyremovingaserviceinSedgefield
SEDGEFIELDIthinkmanagementinCCGliveonadifferentplanet.SedgefieldcannotprovideaserviceduringnormalhoursbecauseofalackofGPsandyettheccgisplanningtoextendhoursusingGPHubs.Getreal!
Q5.Wouldtheproposedchangesforyourareastillallowyouaccesstobookedandsamedayevening/weekendappointments?Comments
DALES AtwohourroundtriptoseeaGPisnotacceptableespeciallyifIamunwellorincapableofdriving.
DALES Becauseifyoudon'tringthesurgeryat8amyoucan'tgetanappointment.
DALES BishopAucklandisunacceptable
DALES BusesstoprunningearlyeveningandnoneonSundays.
DALES ButinBishopAuckland
DALESDoesthismeaninotherhospitals?IfsotheanswerwouldbeNO.IfattheRichardsonorBishopAucklandHospital,theanswerwouldbeYES.
DALES Extratravelisabigproblem.
DALESThisproposalwillbackfirebecausesomepatientswillsimplyattempttocallanAmbulanceduetotheextratraveldistance.Notwell-thought-out.
DALES
Givenwecan'tgetthatinTeesdalenowduetotheconvolutedsysteminwhichNHS111memberscan'taccesstheservicesomethingiswhollywrongwiththeserviceandleadsmanytobelievethisisaplantoshutallservices,selloffthehospitaloncethePFIcontractisupandonlyprovideminimalserviceinaconurbationoutsideoftheregion.
DALES IcangenerallyaccessthisthroughmyGP.
26
DALES IcouldaccessthisbecauseIownacar.IfIdidnotownacarIwouldnotbeabletoaccessthis.
DALESIdidnotevenknowtheRichardsonHospitaloperatesoneveningsandweekendssonowonderitisunderusedandisnotagooduseoffinances.
DALES I'veheardseveralpeoplecomplainthatpatientsarenotabletoaccesstheserviceattheRichardson,withNHS111callcentrehavingsentthemelsewhere!
DALES IdonotunderstandthisquestionthereforeIcannotanswerq6either.
DALES
Idon'tknowwhatyoumeanby'still'.Alltheevidencelocallyisthatwehavenotbeenabletoaccessourlocalservicebecausethesystemyouhavesetupdoesnotworkproperly.Idon'tseewhyIshouldthinkthesystemwouldworkanybetterinBishop-butinanycase,issuessuchastransportwillbeahugeproblemforourcommunityinaccessingservicesatBishop.
DALESIhavenotseenanyextrainformationaboutthisonyourwebsitesodon'tknowwhatyouintendorsuggest.
DALES IpresumeitwouldbutonlyiftraveltoBishopAucklandwaspossible.
DALES Ipresumethiswoulddependonthedemandatthelocalsurgery,andattheBAhub.
DALES Iwasn'tawareIhadaccesstothemnow.
DALESIWISHTOUSETHERICHARDSONWHICHISALREADYSOMEDISTANCEFROMME.IDONOTWISHTOTRAVELEVENFURTHERBECAUSEYOUARETRYINGTOCLOSEIT.ISPEAKASAUSEROFITSSERVICES.
DALES Iwouldhavetotakeallmychildrenwithmeonthebus.
DALES IfIhadtorelyonpublictransporttheanswerwouldmostlikelybeno
DALES It'salongwaytoBishopAucklandandtherearenobusesrunningonaSunday.
DALES It'sveryhardtoevengetanappointmentatdoctorsbuteventotraveltobishopisbeenmisleadandforhavingtheStanhopehubwhonewaboutthisnotustheresidents.
DALESLackofinformationonhowwebookappointmentsneedtobeaddressed.BettertransportforolderpeoplewholiveInupperTeasdalewhohavehadtogiveupdriving(nobusservice)
DALES Lackofpublictransport
DALES Maybedifficultsometimes.
DALESMembersofmyfamilycannotdriveandwouldthereforebeunabletoreachBishopAucklandinsteadofBarnardCastle
DALES
MostpeopleIknowdon'tworkinbishopeithertravelbypublictransportlikemyselftoworkorcarsomepeopledon'tfinishworkuntilafter8pmandandyoucouldtakeillorhurtyourselfonwayhomefromworkneedtoseesomeonethatdayinsteadyousomehowgottogettoDarlingtonorDurhamandmaynotbeabletobecauseoftimesofpublictransportnoteveryonecandrive.It'sliketimeofmeetingsthepeoplewhoworkcan'tgettothembecausetheyeitherduringdaywhenatworkorifyoufindoneoneveningittofarawayfortravelingbypublictransportafteryoubeentoworkyouprobablywouldn'tmakemeetingduetotimesagain.
DALES MuchmorefeasibleifatRichardson's.Ihavenotransport.
DALES NotransportonaSunday
DALES Nopenotransportlinksfromthedales
DALES Notsurewhatthisquestionisasking.
DALES OnlyifIwasabletodriveandthenatureofmyproblemdidnotprecludemefromdriving.
DALES Probablynotasappointmentsarenoteasytogetanywayirrespectiveofemergencysituations.
DALES Probablynot.AnywherewestoftheA68isnotgivenreasonableconsiderationforserviceprovision.
DALES RidiculouscutsaffectingtheruralcommunitiesAGAIN
27
DALES
StanhopeandBarnardCastleneedtobehubswherepeoplecanseeaDOCTORatweekendswhentheyjudgetheyneedto,preferablywithoutappointment.Itisdifficultenoughtogettherebypublictransport,letalonebeingsenttoBishopAuckland,whereevenyour12till8pmoptionistoolittle.MoreregularweekdaydoctorappointmentsalsoneedtobeavailableinWeardale,especiallyatSt.JohnsChapelwhichdoesn'tseemtohavedoctorsinattendanceasmuchasayearago,withthewaitingtimetogetanonemergencyappointmentoften3weekswhichisunacceptable,asisthemtryingtosendpeopleelsewhereforemergencyappointmentswhendoctorsareworkinglessatSt.Johns.
DALES Theoptionsprovidedarenotpreferredoptions-theyarehighlyrestrictedanddonotreflectwhenpeoplemayneedservices.
DALES TheproblemwithhavingtogotoBishopisthatitisthewrongdirectionandsoit'snotstraightforwardtogetthereandfitinappointmentsaroundotheraspectsoflife.
DALESTheproposedchangeswouldstoptheeveningandweekendappointmentsinmyarea,StanhopesurgeryTherewouldbenolocalprovision,thenearestavailablewouldbeBishopAucklandhospital,around14milesawayifabletoaccesstransport.
DALESThequestioniscompletelyirrelevantbecauseIwanttousetheRichardsonsiteandnottheBishopAucklandsitethatI'mconstantlydirectedtooby111
DALESThisisnotwhatIthought.IpresumedthatthissitewastodowiththeclosureoftheRichardsonhospital,BarnardCastle.Therefore,BishopAucklandisoutofthequestionasfarasIamconcerned.Idonothaveacarandthereforedonotdrive.
DALES ThiswouldbeunlikelyastherewillbeagreaterburdenplaceonthestaffandresourcesatBishopAuckland.
DALES Unabletotravelasfarasbishopparticularinbadweather
DALES UnlessonehadaccesstoprivatetransportaccessingtheserviceatBishopAucklandwouldbevirtuallyimpossibleintheeveningsandweekends,particularlyduringthewintermonths.
DALES Wecan'treallysaythisassurlyitwoulddependondemand.Andclosingone
DALES Arewouldincreasethedemandontheonlyonelocation.
DALES
WehavetransportandmyhusbandandIbothdrive,soaccesswouldbeavailableforusifnotsoconvenient.However,busservicesintheDalearefairlybasicandevenwhereinplacestillpresentproblemsforthosewithill-health/disabilitiesandparentswithyoungchildren.
DALESWhathasQ4Q5regardingBishopAucklandhavetodowiththeoutofhoursatRichardsonhospitalBarnardCastle.
DALES
WhenIseekanappointmentitisforsomethingsignificantandthenIrequiretoseeadoctor.MinorailmentsIcandealwithmyself.ThenursesatourGPpracticecanneitherprescribenorrefer.Aswellasscoringouturgentcareyouneedtodosomethingaboutgeneralpracticeinitsentirety.LasttimeIneededadoctor'sappointmentIwaited23days,andthiswastoseeANYdoctorinthepractice.unacceptable!!
DALESWhyhaveyouonlyaskedaboutourpreferencesfortheBishopsite?ItsprettyobviousyouhavealreadywrittenofftheRichardson.That'swherewewanttheservice,notatBishop.
DALES WoulddependifIhavetransport
DALESDiminutionofservices.Transportationanddistancetotravelforfrail,elderly,familieswithyoungchildrenwillallbemoredifficult
DALES yourquestionsareloadedwearenotbotheredaboutBishopwewanttheoutofhoursatBarnardCastle
DALESYourquestionsarebiasedandrelatetoBishopAucklandonly.WhatabouttheinvaluableresourceofRichardsonsHospitalanditsoutofhoursaccess.
DALES Iwouldneedtotravelatleast30minutesbycaroroveranhourbybustogettoanappointmentwiththreechildren.Myelderlyfathercouldnotgetthereatall.
28
DALES TransportlinkstoandfromBishopAucklandintheeveningsandSundaysarelimitedornon-existent
DALES I'massumingso-ifaccessedthroughdialling111.
DALES
Yourproposedchangesarenotacceptableinmybook.EventheBishopAucklandpreferredopeningtimesarealaugh,IcouldnotdeleteafterIhadselected,onlychangefromonetotheotherorelseIwouldhavenotselectedanytime.Howcanyouselectatimetoneedoutofhrscaresurelyitshouldbecovered24hrs.ThisiswhytheA&Edepartmentsinhospitalsaresostretchedaspeoplearegoingtherewhenadoctorssurgeryoroutofhourscouldtakethepressureoff.Thereagainmanagementofthenursingstaff,alongwiththesenewlyformednursepractitionerswouldgoalongwaytosolvingalotofproblems.
DALESNear60mileroundtripforaGPappointmentisnotfinanciallyaccessibleformanypeople.Itwillmeanthatresidentswillputoffseekinghelpuntiltheirissueisacuteandthenitwillrequirescarceambulanceresourcestobeused.
DALESThisquestionnaireisadisgrace,biasedandunprofessional.ItfailstomentiontheRichardsonhospitalinBarnardcastle.
DALES NotatStanhopesite
DALES BishopAucklandisalongwayfromWeardaleinanemergency.
DALESThepointhereisthatgeographicalchangeswouldadverselyaffectaccesstothesefacilitiesandreduceavailability.
DALES Don'tknowwhat'sproposedasthereisnoobviouslinktotheproposals!HoweverifitinvolvesclosingoutofhoursservicesattheRichardsoninBarnardCastlethenImagainstit.
DALES Whydoesn't111allowforlocalpeopletoaccessoutofhoursservicesatRichardons?
DALES
InremoteWeardaleandTeesdale,weneedaLOCALoutofhoursservice,preferably9amto1pm,atleast,onSaturdays,SundaysandBankHolidaysatSTANHOPE(andBarnardCastle)withaccesstobeDOCTOR,plusa24hourunit7daysaweekwithDoctorandXRayfacilitiesatBishopAucklandHospital.PeopleshouldbeabletoTURNUPandwait.Itisobviousthatasatpresentyouhavetobookvia111toattend,theyare(eitherdeliberately,tomakethemunviable,orbecauseoperatorsmaybeunawareofthem)notsendingpeopletoStanhopeandBarnardCastle.
DALES Thisdependsonhowwelltheappointmentsystemismanaged
DALES NotifIhadnomeansofselftransport.Iflocalalwayssomeonecouldavailthemselves.
DALESPleaseuseRichardson's-muchmoreconvenientforBarnardCastleresidentsandsurroundingruralareas.
DALES Lackandpoorfrequencyofbusesforreturnjourneyafter5pm.
DALES
GenerallyIcandrivemyselftoGPappointments.But,asasinglepersonlivingalone,travellingtoBishopAucklandmaybedifficultifIamnotwellenoughtodrivemyself.14mileseachwayisalottoaskfriendstohelpwith,andpublictransportisverysparseandnotalwaysappropriateifoneisunwell.
EASINGTON Alreadycan't
EASINGTON Anemergencymayoccur
EASINGTON Becauseit'sdifficulttogetanappointment.
EASINGTONbutnotaseasytoaccessespeciallyiffeelingtooilltogetabus.Taxisveryhardtogetatschooltimes.Lotsofpeoplehavenocar.
29
EASINGTON IcannevergetanappointmentatPeterlee.
EASINGTON Idon'tdrive.WouldhavetotraveltoPeterlee.Notappropriate.
EASINGTONIfanelderlyorvulnerablepersoniswithoutasupportnetworkandhasadebilitatingillnessorsuddeninjury,accesstoasurgeryinanothertowncouldhaveseriousconsequences.
EASINGTON Ifatwork,Icanquicklypopouttoanappointment,IwillnotbeabletodothatifitmovestoPeterlee.
EASINGTON IfsurgeryforweekendappointmentsatthetimeIhavestatedwouldbegreat.
EASINGTON
IfthisisfortheGPserviceandaslongasthisisnottheonlywaytobookappointmentsrestrictingwhatcanbebookedinadvanceweatherthatbeforthefollowingdayor2weeksinadvance.Ifitrelatestothewalk-inservice,thenyoushouldhavetheoptiontogobacktotheoldsystemandbeableto"walkin"andbeseenwithouttheneedforanappointment.AndkeepingtheEasingtonsiteopenforwalkinpatients.
EASINGTON It'salladisgrace.Whydon'tyoucloseeverythingdownnow,asthatisyourrealaim.
EASINGTON Mostofmyfamilyworkshifts,yourtimesarenotsuitable.
EASINGTON Noteasyaccessforeveningappointments,asIwouldneedtotravelfromSeahamtoPeterlee.
EASINGTON Noteasyaccessforeveningappointments,asIwouldneedtotravelfromSeahamtoPeterlee.
EASINGTON Notreallyclearwhatisgoingtohappen.
EASINGTON Onlyifyouhaveaccesstoprivatetransport.
EASINGTON Outofhourservicesarenotworkerfriendlyenough.
EASINGTON Restrictedhours-notabletoaccessappointments.
EASINGTON Seahamresidentsneedaconstantavailableservice.
EASINGTONSomepracticesarenotusingtheserviceforfearofbeingpunished.Patientsarebeingadvisedtocontact111directly.Alsodueto111telephonetriagesystem,somepatientsfeelsit'seasierandquickertoattendalocalwalk-incentreatHartlepooland/orHoughton.
EASINGTON LocalRadioandpostercampaignsareadvertisingGPappointmentsoneveningandweekendswheninactualfactitisaNurseLedservicewithGPsupportifrequired...
EASINGTONTheNHSCONSTITUTIONSTATES:-4.ThepatientwillbeattheheartofeverythingtheNHSdoes
EASINGTON
Itshouldsupportindividualstopromoteandmanagetheirownhealth.NHSservicesmustreflect,andshouldbecoordinatedaroundandtailoredto,theneedsandpreferencesofpatients,theirfamiliesandtheircarers.Aspartofthis,theNHSwillensurethatinlinewiththeArmedForcesCovenant,thoseinthearmedforces,reservists,theirfamiliesandveteransarenotdisadvantagedinaccessinghealthservicesintheareatheyreside.Patients,withtheirfamiliesandcarers,whereappropriate,willbeinvolvedinandconsultedonalldecisionsabouttheircareandtreatment.TheNHSwillactivelyencouragefeedbackfromthepublic,patientsandstaff,welcomeitanduseittoimproveitsservices.
EASINGTONIbelievethissurveyandtheassociated"IMPROVING7DAYACCESS"havenotmetthestatedintentionoftheNHSConstitutionitem4andfurtheramendedconsultationshouldtakeplacea.s.a.p.involvingALLPATIENTS
EASINGTONThesechangeswillmakenodifferencetomeasIhaveanexcellentGPsurgerywhereIalwaysreceivesamedayaccess,oriftherearenoappointments,atelephoneconsultationwhichoneachoccasionledtotheGPaskingmetoattendthesurgeryattheendoftheday.
EASINGTON
Outofhours,ifIamunabletowaitinguntilthemorningortheMonday,theserviceIwouldrequirewouldbeA&E.TheissuelocallyisthedifficultiestogetaGPappointmentsatsomesurgeries,andIamappalledthatfriendsandrelativesatcertainsurgerieshavetowaitinexcessofaweekforanappointment(thisiswhypeoplehavetoaccessUrgentCareServices-fixtheGPpracticesfirst)
30
EASINGTON
Untilitwasrolledoutandtrieditsdifficulttosay.Currentlysamedayorweekendappointmentsareonlyavailableforemergenciesonafirstcomefirstservedbasis.Thephonelinesareoftengridlockedwithinsecondsofopeningmeaningallappointmentslotsaregonebytimeanyoneanswersothertimesyourforcedtouseanemergencyappointmentifthere'saonetotwoweekwaitforappointments.Thelossofthewalkincentresisputtingunnecessarystrainontheseservices.
EASINGTON Whychangewhatworks?
EASINGTON Wouldbemoredifficult-accessissues.
EASINGTON Wouldbeunabletoattendeveningsorweekendsasdependonpublictransportwhichstopsat6pminmyarea.
EASINGTONTomyknowledgemostpatientsseenareaccessingvia111.IamatalosstoknowwhyGPsurgeriescannotofferprebookedappointmentsaoutofhourswiththeservice.
EASINGTON Apparentlytheywillbutiamnotsosureitwillwork.
EASINGTON Notattimesandlocationthatwouldsuit
EASINGTON itsnotveryclearintheproposals
EASINGTONIdonotdrive,gettingabustoPeterleefrommyarea(stationroad)isdifficult,therearenodirectbusesclosetome,it'salongwalkeitherupordowntobusstop,addtomedical/weather/timefactors8amappointmentswouldbeimpossible
EASINGTON Ireadtheconsultationpagebutthiswasn'tcleartome.
EASINGTON PlushowwouldpeoplewithouttransportationgettoPeterleerememberthatthesepeoplearepoorlyotherwisetheywouldn'tbeusingtheservice.
SEDGEFIELDWhyisSedgefieldnotaweekdayhubbothofthesuggestedhubsarewestofthedistrict,SedgefieldwouldcoverSedgefieldandsurroundingareasincludingFerryhilltheTrimdonsandsurroundinghamlets
SEDGEFIELDIwouldprefertogiveadefiniteanswerbut,unfortunately,amnot"aufait"withpublictransportavailability,etc.
SEDGEFIELD Ihonestlydonotknow.
SEDGEFIELD Manyareafterthesetimes
Q7.Isthereanythingwehavemissedornotconsidered?
DALES ActuallygettingtotherealcauseandgettingmorefundingandmoreGPSinsteadofsayingcannolongerdothisasnotsafeornostaff!
DALES ArewetalkingaboutTheDalesserviceorjustBishop,it'sconfusing?
DALES Asabove...
DALESOutofHoursservicesimpactonotherNHSservices.ByremovingtheseserviceswillthatimpacttheambulanceservicesorA&Edepts.
DALES Whatwaspatientawarenessoftheseserviceslike?
DALES BetterpublicityofwhatRichardsonhospitalservicesoffertopeople.
DALES BettercommunicationstartingfromthedoctorssurgerytellinglocalpeopleaboutwhatservicesRichardsonhospitalcanofferlocalpeople.
DALES
Betterservicesnearertowherewelive.Inaplacewecangettobypublictransport.Theoptionsaboveareirrelevantasthereisnowaybettertransportisgoingtomaterialiseinthecurrentfinancialclimate,sotheservicesneedtobeasclosetopeopleaspossible.Allthepeoplenotjusturbandwellers.
31
DALES BishopAucklandisalovelyhospitalasisRichardson'sinBarnardcastleservicesshouldbeincreasedandawarenessraisedaboutwhichservicesareavailable
DALES BishopAucklandsiteneedtobemaintained,wecoveralargearea,
DALES CONSULTIONWHEREWASITNOTFORTHERESIDENTOFWEARDALE....
DALESDemandmoremoneyfromthegovernmentsothatyouareabletoprovideproperlyresourcedvitalservicestoruralcommunities.
DALES DistanceismostimportantforusinMiddletoninTeesdale.Also,transportisanissue.
DALES Don'tclosetheWeardalepracticesurgeryandgetitrunningsmootherwithmorefulltimeGPs.Withmoreavailabilityforappointments
DALES
HavingaclearerstrategyfortherelationshipbetweenordinarydaytimeappointmentsattheSurgeryandoutofhours,e.g.enablingmorepeopleinworktoaccessoutofhoursthanslottingthemintothedaytime.Thiswouldhavebeenhugelybeneficialforme,andforproductivitygenerally.
DALES Howarepeoplesupposedtoaccesstheseserviceswithouttransport
DALESIbelievethatyouarecompletelymissingtheaimoftheNHS,whichistoprovideadecentlevelofaccessiblehealthcaretoall.
DALES
IdonotunderstandwhytheRichardsonHospitaloutofhoursserviceisbeingproposedtobecutwhenitappearsthatthereisnotanycomparableinformationavailablewithwhichtocompareitwithotherlocal'out-of-hours'services.ComparableinformationwouldonlybeavailableitwouldseemifBishopAucklandserviceswerenotpromotedeitherwhichofcoursewouldberatherirresponsible!
DALES
ImovedtoBarnardCastleinMayfromLincolnshireandifitwasnotforthearticlesintheTeesdaleMercuryIwouldnothavebeenawarethattherewasan'outofhours'serviceavailableonlyafewminuteswalkaway.OnvisitstotheGPalmostoppositetotheRichardson,Ihavenotedthatthe'outofhours'serviceisbeingadvertisedasbeingbasedatBishopAucklandover12milesaway.Likemanyothersitseems,whocareaboutwishingtokeeptheserviceattheRichardson,IwouldliketoknowwhytheservicesattheRichardsonarenotbeingpromoted?Isitadeliberateploytounderusetheservicesothatitcanbeclosed?
DALES
IgenuinelyfeelthatifyoulookhardatPostCodeDL13youwillseethat90%isincrediblyruralandthejourneysinwinterwillbehardafter4pmondarknightsandverycoldconditions,wheremostofthejourneyswillbeonunlitroadsandofteninnearfreezingconditions.
DALESIsuspectthepostcode/addressofpotentialserviceusersintheWeardalegivestheimpressionBishopAucklandisanearbyhospital,andit'snot.ThereforeappointmentshavenotbeengiventotheWeardaleservice,buttoBishopAucklandinstead.
DALES
IthinkthepointbeingmissedisthefactthatBishopAucklandcanbealongtrekforsomepeopleintheDaleswithsomejourneystakingatleastanhour!BarnardCastleandsurroundingruralvillagesneedsomewhereclosertohomeforOutofhoursGPservices.RichardsonHospitalisidealandthemostconvenientforall.
DALESI'dliketoseetheME/CFSclinicheldatRichardson'sasIhaveanoptionofSedgefieldCommunityHospitalorChesterleStreetbothareabout1hourdriveeachwayandforsomeonewithCFS/Mea2hourtripistoofar!
DALESIfpeoplewereabletoseetheiractualGPthiswouldnotbeneeded.WeneedtolookathowwewillrecruitGPs,nottakeawaytheservice.
DALES
ThereismuchconfusionregardingthecrossoverofthisservicewithGPsandwhata&eis/usedtobe.IlivenexttothehospitalatbishopandworkwithinitandIdon'tactuallyknowwhatthedealiswiththeurgentcarefacilityorminorinjuriesorwhateveryoucallednow!Iknowtocall111butdonotunderstandwhyweneedsomanydifferentcareoffers,surelythisisovercomplicating?!
32
DALES
IftheStanhopeoptioniscloseddown,howaretheelderlyfolkandmumswithsmallchildreninStanhope,FrosterlyandWolsinghamandothervillageswhodonothavecars,supposedtogettoBishopAucklandiftheyarepoorly?AbustriptoStanhopeistenor15minutes,whereastoBishopAucklandyou'relookingat20minutesminimum.
DALES Ifwearejusttryingtoget7dayaccesswhynotopenGPsurgeriesforlongerhours-(lessGPsinnormalworkinghours)
DALES Weneedtobeveryclearabouttheaimofthe7dayaccess-isittoallowworkingpeoplegreateraccessorisitforurgentappointments(whichisurgentcare)
DALES IfyoutoldpeopleaboutclinicsinRichardsontheywouldusethem.Ifyouringforanappointmentyouarenottoldyoucouldbeseenthere-onlyBishopAuckland.
DALESItdoesnotappearthattheissueofpeoplegettingtoasurgery15milesawayhasbeenconsideredatall.Especiallyiftheylivealonearesickandhavenoaccesstotransport.
DALESItwouldappearthattheconsultationisbasedonflaweddata.Noaccountseemstohavebeentakenoftheincreasingageofthedalespopulation.NoaccountseemstohavebeentakenofthedearthofpublictransportavailabletoaccessaserviceatBishopAuckland
DALES It'sunderusedbecausepeoplearen'tmadeawareofthefactthattheycangototheirowndoctorssurgeryfortheseappointments.Theyaresentelsewhere.
DALES JustbecauseouraddresscontainsBishopAucklanddoesnotmeanitiscloseby-pleaseconsiderourrurallocationandthepoorpublictransportprovision.
DALES LeaveRichardson'sopen-stopsideliningpatientstoBishopAuckland.IfwearetoldclinicsareatRichardson'swecan'tusethem.
DALES No
DALES NoA&EatbishopAucklandanymoreandwardsclosing
DALES Darlingtoncan'tcopewithextraworkloadandweardalelosingoutAgaintotheboffinsintheirofficesandmoneypinching
DALES Notconsideringupperdalesandneeds,whereisthepersoncentresapproachhere.
DALES Olderdisabledpeopleandtransportationproblems
DALES PeopleinBarnardCastlewhodon'thaveadoctor'ssurgeryonweekendsorevenings
DALES Peopleliving20+minutesfromBishopAucklandandvehicle/parkingcosts
DALESPeopleneedlocalservicesondemandasandwhenrequired-demandisunpredictablebutlocalserviceisessentialsincepublictransportiseithernotavailableorisnotsuitable.
DALES ProperlyinformingthepublicthattheRichardsonhospitalwasavailableandallowingpeopletouseit.
DALESPublicisingtheexistingsystembetter(notjustintheGPsurgery),perhapsusinglocalsocialmediachannelssuchasWeardaleNoticeboardonFacebook,mightbeworthatry.Manypeopleseemgenuinelyunawareofthecurrentservice.
DALES
RichardsonisusedtoallowpeopletoleaveourA&Ebedsfreeformoreurgentneedsandpeoplearealarmedattherapidreductioninbedsherenow.NoteveryoneknowswhatservicesareattheRichardsonandmaybeyoushouldhaveinfoatthedoctorsinleafletformpeoplecanpickup.IfwearetoreducethepressureonA&Eweallmusttrytohelp
DALES Seeabove
DALES Seeabovecomments-thecurrentservicewasdesignedtofail.
DALES Seeallabove.
DALES Seeanswertoan5above.
DALES
seeanswertoquestion3.Also,whenIwenttoRichardsonHospitaloutofhoursinNovemberandthenhadtogotheBishopAucklandforthedissolvableparacetamol,Icontractedavomitingbugandconjunctivitisfromhavingtodotoomuchtoobtainmedicalhelpandallthecontactwithotherpeople.
33
DALESServicesattheRichardsonhospitalhavebeensystematicallyrundownoverthelastfewyears.Manylocalpeopledidn'tknowabouttheoutofhoursappointmentsand111don'tseemtoknowthehospitalexists.
DALES It'sdifficultforpeoplelivinginupperTeesdaletogettoBishopAuckland.
DALESWhentheemphasisisontreatingpeopleclosertohome(thestep-downwardatbishopisunderthreatandonewardattheRichardsonclosedsomeyearsago)itcan'tberighttomoveservicesfurtheraway.
DALES Stoptryingtocloseourhospital.
DALESTheclosureofoutofhoursGPserviceswillleadtoincreasedpressureontheA&EatUHNDwhichwillimpactinourparishioners(andmanyothers)
DALES TheDalesisaruralcommunity,therearemanyolderresidentsthatrelyonpublictransport.Publictransportisnotasfrequenthereasinthetowns.
DALES Thedistancessomeillpeoplearebeingaskedtotravelisvast.Inthewinteradifficultsituationcanbecomeimpossiblewhenitcomestoruraltravel.
DALESTheopinionsofresidentswithanattitudeofa'dealalreadydone',irrelevantitwillbedetrimentaltothehealthofallthoselivinginaruralareawithlittleornopublictransportservice.
DALESThepeopleofBarnardCastleandDistricthaveanaffinitywiththeirhospitalandwon'tbehappyifwelostit.ItwasbuiltandlefttothepeopleofTeesdaleandweDON'Twanttoloseit.
DALESTheRichardsonisunderusedbecauseitisnotpublicised.WhenIhadtophone111lastyearformysonIwastoldtogotoBishopAucklandorDarlington.IdidnotknowIcouldhavegonetoTheRichardson5minuteswalkfrommyhouse.
DALESThewintermonthsinWeardaleifthereissnowcreatesbadtravellingconditionsandtheA689roadtoHarperleyroundaboutisanogoinsnowyconditionsasvehiclesgetstuck.Thismustbetakenintoconsideration
DALES
TherearemultipleareasoftheDaleswhicharecompletelyinaccessiblebypublictransportwhichmakesthisproposalveryproblematic.Inaddition,ifpeoplearetryingtogetappointmentsintheevenings/weekendsbecausetheyhaveworkcommitments,it'snogoodhavingtheappointmentsavailablebutinanunhelpfulplacewhichismassivelyoutoftheway.
DALES Thereisnothinginthisapproachabouttheuseof(not)moderntechnology.CanwenotyetgetNHSservicestocomprehendSkype(orcamtocam)consultations?
DALES Thisisatickboxexerciseandnotaconsultation.
DALES Toomuchjudgmenthasbeenplacedonpastdemand,butthiscannotberelieduponbecausethe111servicehavenotgivenBarnardCastleasanoption.
DALES Transportforparentswithyoungchildren.
DALES Traveltimesagainifcomingonpublictransport
DALES
Whataboutadropinhealthcentreonaweekend,wherepeoplewhoworklonghourscanhaveaccesstothehealthcaretheymayneed?Wealsoliveinanareathatreliesontourism,howdoweexplaintothemthattheymayhavetogoaminimumof30minutestothenearesthealthcentrethatisopenonaweekend.
DALES
Whatwouldworkbetterisallowingpeopletoturnupandwait,from10amto2pmSaturday,SundayandBankHolidaysatStanhopeandBarnardCastletobeabletoseeaDOCTOR,plusa24hourUrgentCarecentre,includingdoctor,nurseandXRayfacility,attheunderusedBishopAucklandhospital,toencouragepeopletogolocallytotakepressureoffDurhamandDarlingtonAccidentandEmergencyunitswhichcannotcope.
DALES What'smissingisanyconsiderationofthefutureofRichardsonHospital,avitalfacilityforTeesdale
DALES Whensomeoneisfeelingillandorhasapotentiallylifethreateningproblemaroundjourneyofaminimumdistanceof30mileswouldseemtomeunreasonable.
34
DALES
yes-distancesomepeoplewillhavetotraveltoacentrallocation-asanexerciseyouattempttogetfromRookhopeorWearheadtoBishopAucklandonaSundaywithoutaccesstoyourowntransport-notonlyisthedistancetoofarorinappropriatebutitisactuallyimpossible!!
DALES
Yes-obviouslythereis,becauseyouareproposingsomethingthatisnotsuitableforruralTeesdale.Itseemstomethatyousetupasystem,butdidnotcheckitwasworkingeffectively.Thenyouhavejustlookedattheoverallfigures,withoutreferencetomessagesyouhavebeengettingfromresidentsandpatientshere.TheCCGreallydoesneedtolookatthewayitoperates-thereisjustnoconnectionwiththepeopleyouaresupposedtobeprovidingservicesfor.
DALES Yes,stopmessingthingsaroundandextendhoursnotcutthem
DALESYesIwouldliketomakeitclearthat111donotandneverhave,tomyknowledgeuseorsuggestthatthereisaserviceavailableintheDales.
DALES TheGPShavenevermadethisclear
DALES yesoutlyingruralareasandupdalesuffersagainwithlackofservices111
DALESYesquestion4isforBishopAucklandandNOTRichardson'sthiswoulddependonyourlocaldoctoropeningtimes.
DALES Yes,tellingusaboutserviceswehaveavailableinourareasowecanuseit.
DALES Thegreysuitsshouldbepaidaccordingtothesuccessofwhattheydoandthisisatotalballs-up.
DALES Nilpoint.
DALESGreysuitsshouldhavetoprovethemselvesintheirownbusinesstobefinanciallyastuteandcapableofplanningforthefutureastheNHSlocallyseemstolimpfromblundertoexpensiveblunder.
DALES Yes,youhavenotconsideredthepeopleyouaremeanttobeserving,thoseruralpatientsandinparticularthefrailandelderlyandthosewithnotransport
DALES Yes.Itwouldappearthat-almostpurposefully-theCCGisavoidingopinioncriticisingtheproposedchange.
DALESYouhavenotpublishedtheconsultationproperlyandpoorcommunicationastowhatwasavailableandwhatchangesyouwanttomake.Notlisteningtolocalpeople
DALES Youhaveover-riddentheviewsofpeopleintheBarnardCastlearea
DALES YouhaveprobablymissedallCoDurhamwestoftheA68
DALESProperlyinformingthepublicthattheRichardsonhospitalwasavailableandallowingpeopletouseit.
DALES
AgainRichardsonHospitalisnotmentionedeither,itsservices(notadvertisedanywhere),the111serviceoritsoneward;themajorhospitalstelluswhenphonedthatRichardsonisclosed.Onceweinsistitisopen,suddenlywearereferredthere!Whatisgoingon?TheonewardremainingwasfulloverXmas;lastyearafriendwasdischarged2daysbeforehewasduetobeasthewardwasfull-hediedthenextday.The2ndwardshouldnothavebeenclosed-weareanever-increasingagingpopulation,twowardsarerequiredtostopbedblockinginDarlingtonetc.
DALESYes,useRichardsonsmore.Wedeserveaservicethatisdesignedforthepeoplenotamoneysavingstuntpurportingtomakelifebetterforus.Wearenotstupid!
DALES Betterknowledgeofgeographicalareasinvolvedbythosedevelopingtheproposals
DALES youhavenotconsideredtheRichardsonHospital
35
DALES
AsacancersuffererundergoingChemotherapy,Ihavehadconcernsaboutmydevelopinginfections/rapidandconcerningtemperaturechanges.TothisendIhavespentsomeconsiderabletimeattheDarlingtonMemorialambulatoryward(a50mileroundtrip)usuallyhavingtobeaccompanied(&driven)bymywife.Ononeoccasion,havingcalled111,IwasdirectedtotheRichardson'soutofhoursservice(a10mileroundtrip).Perhapsunsurprisingly,theproximityandaccesstothenearerestablishmentleftme,asapatientinafarbetterstatethanhavingtospendmuchmoretimeonanothertriptoamoreremotelocation.
DALES Asabove
DALES BarnardCastlehubnotadvertisedatall-andnowonderitisunderused.Notmanypeopleknowaboutit.Shouldbepublicisedbetter!!
DALES
DidyouconsiderthesizeofTeesdale.Itis,afterall,thelargestareainCountyDurham-doesn'titspopulationdeserveequalaccesstooutofhoursservices?
DALES
DONOTBRUSHTHISUNDERTHETABLE.TICKINGABOXTOSAYTHATYOUHAVECONSULTEDISNOTGOODENOUGH.YOUMUSTBESURETHATEVERYONEISAWAREOFTHESERVICEAVAILABLEATTHRRICHARDSONANDALLOWSUFFICIENTTIMETOPROVETHEUSAGEISORISNOTENOUGHTOJUSTIFYTHESERVICE.
DALES
IhavelivedinthenextstreettoRichardsonHospitalfortwentyoneyearsandregularlyattendtheanticoagulantclinicthereIneverknewtherewasanoutofhoursservicethere!Iwouldsayuntilwereadaboutitinthelocalpaperthat90%ofotherlocalpeopledidn'teither.
DALES
Ithinkitcouldhavebeenmorepersonableanddirect,thereisnothingeveninthisaboutBarnardCastleandthatistheproblem,peopledonotknowwehavetheout-of-hoursservicehereandwhileitmaynotbefullyutilised,Iseethatasbeingtwo-fold-onereasonisthat111donotsendpeoplethereandtheotheristhatpeoplesimplydonotknowitexists.
DALES IfitinvolvesclosingoutofhoursservicesattheRichardsoninBarnardCastlethenI'magainstit.
DALES IncludeRichardsonsHospitalBarnardCastleinthequestionnaire
DALES
ItisvitalthattheoutofhoursserviceattheRichardsonHospitalinBarnardCastleremainsinplace,asitservesaverylargeruralarea.Itisamuch-neededserviceforeveryoninthisarea,especiallytheresidentswholiveinUpperTeesdale,whowouldhavefartoobigadistancetotravel,itwouldbeserious.
DALES KEEPTHERICHARDSONHOSPITALOPENATBARNARDCASTLEISAMUST
DALES Patientsthatliveinruralareas
DALES Peoplearenotawarethatservicesareavailable
DALES PleasekeepRichardsonopen,weneedthisinourcommunity
DALES questionsdonotmentionRichardson'sHospital
DALES RichardsonHospitaloutofhoursserviceisvitalandunderpublicised/notreadilyavailable.
DALES Richardsonoptions
DALES Thefactthatwhencalling111,weareoftennotofferedappointmentsatStanhope,makingitappearlessneeded.Thisisnotthecase
DALES
ThelocalGPpracticehasnotbeendirectingenquiriestotheRichardsonHospital.whynot?Thisshouldbecorrectimmediatelyandmonitoredtoensuredthatitisworkingcorrectly.Similarlythe111servicearenotawareandshouldbe.Simpleimprovementswouldincreasepublicawarenessofwhatislocallyavailableandmustbeactionedbeforeanyotherdecisionismade.
36
DALES TheRichardsonhospitalserviceinbarnardcastleneedstoremainopen.Itisnotknownthisserviceisavailableandneedstobepublicisedwhichwouldthenseeit'suseskyrocket.
DALESTheRichardsonisgenerallyoverlookedinoverallplanningandpeopleareunawarethattheycanhaveappointmentsthere.
DALESTheservicehasnotbeenmadepublicsufficiently.LotsofpeopledidnotknowthisserviceexistedatStanhopesurgery.PeopleinWeardalehavetoldmewhentheydial111,theyarereferredtoBishopAucklandinsteadofStanhope.Thisshouldnothavehappened.
DALES
TofurtherreducefacilitiesatthealreadyunderutilisedRichardsonHospitalwouldbefolly.TheRichardsonshouldbeusedforPrimaryandsomeSecondarycarefacilities.IhavealreadypennedcommentstotransferBarnardCastleSurgeryfromVictoriaRoadtotheRichardsonwhichwouldfullyutilisethesiteandproduceeconomiesofscale.ThelandatVictoriaRoadcouldthenbesoldforaffordablehousing.Transferringorclosingfacilitiesisneithersensiblenorjustifiablewhenlocalservicesaredesperatelyneeded.
DALESYesleaveitasitisforatleast5years,butletthepublicknowwhatservicesexistsforeverybodyandhowtogoaboutaccessingthem
DALES
YoucouldconsiderpromotingthecurrentOOHserviceatStanhopemorefully,insteadofroutinelydirectingpatientstoBishopAuckland.111calloperators(Iknow,Iwasone)areofteninstructedtodirectpatientstoservicesfurtherafieldinthefullknowledgethataperfectlysuitableappointmentcouldbemademuchclosertohome,withintherequiredtime-frame.ConcentratingonmakingasuccessoftheserviceatStanhope,intheinterestsofthemanypatientslivingintheUpperDaleshouldbemadeapriority.
DALESYourquestionsareignoringtheneedsofpeoplewhoareelderly,disabled,childrenandanyonewithouttheirowntransport
DALES
ThequestionsfocusonBishopAuckland.FacilitiesatRichardsonHospitalshouldcontinuetobeavailableandmadewidelyknown.Whilstitis15milesfromtheretoBishopforpeoplefurtheruptheDaletheyalreadyhave15milesormoretotraveltoBarnardCastleandbusservicesareinfrequentespeciallyatweekends.
DALES Patientswishesasexpressedinthepreviousconsultation.
DALES
BishopAucklandhospitalisnoteasilyaccessibleviapublictransportfromDurhamDales.Patienttransporthastobepre-bookedandisnotavailableonaweekend.Ifapatientneedsmedicalcare,especiallytheelderlyneedtobeseenclosetohomeandnothavetheadditionalconcernsassociatedwithtransporttoamoredistantlocation
DALES YesthefactthatresidentsofMidUpperTeesdalevaluegreatlytheRichardsonHospitalandtheservicesitoffers.
DALES KeepRichardsonasanalternativeandceasePFI.
DALESYes,whyisRichardson'satBarnardCastlenotbeingused.Whatahugewasteofmoneyforavaluableresource.
DALES NHS111notofferingRichardson'soutofhoursclinics.
37
DALES
IamfortunatethatIhavenothadtousetheseservicesmyselfinthepastto2years,andmyelderlyparentsdiedbeforethen.ButIamawareoftheexperienceoffriendsintheBarnardCastlearea,thatthe111callhandlersareunawareofthefacilitiesattheRichardsonHospitalandhavethereforedirectedpatientstoBishopAuckland.ThiswillhavethereforereducedtheusagefiguresforBarnardCastle,andthereforeincreasedtheBishopAucklandfigures.IsuspectthesamemaybetrueforthoselivinginStanhopearea.Iwonderiftheutilisationratesforeachhub,whichyoushowinthediagramsonpage2oftheConsultationbrochure,representthenumbersofpatientsseen,orthenumbersofpatientsseenasaproportionofthelocalpopulation?Wholenumberusagewillalwaysbehigherintheareasofhigherpopulation.AsalargegeographicareawithalowdensitypopulationthepeopleofDurhamDalesfeelatadisadvantagewhenitcomestoservicesofallsorts,andespeciallywhenitcomestomedicalservices.
EASINGTON Abilitytobookonline
EASINGTON
Asapatient,in2012andtheproceedingfewyearsthehealthworksatEasingtonbothfromtheGPandwalkinexperienceworkedwell.Ineverhadtogotoanyotherpracticewithinthegroup,rarelyrangthethenversionof111number.Wefeltwellprovidedbyourservices.Itwouldbegoodifyoucouldspeaktothestaffmanywhomstillworkthereandfindoutwhyitwasworkingbackthen,rollbackthechangesthatinmyexperiencehaveworsenednotimprovedtheserviceprovision,andgobacktotheservicethatusedtobeprovidedandprovidedwell.Unliketheshambolicexperiencethatiscurrentlyprovidedwhichfromexperienceisnowworseningsincetrust'shavechangedandserviceprocurementchanges,nowmeaningahugechangeinwhereyoucangetadditionalcare.
EASINGTON
WiththingslikeachooseandbooksystemthatmeansmydaughtercanonlybeseenbyasinglephysioatHartlepool(someonewhopreviouslydismissedusanddischargedherandIhavehadissueswithanddon'twanttobeseenby)orwecanchoosetogotoYorkorHarrogateasridiculousalternatives.Ifearourwalk-inserviceswillendupthesamefirstEasingtonischangedthenSeahamorPeterleeandbeforelongwehavetotravelsillydistancestoreceiveurgentcare.
EASINGTON Availabilityforthepoortoaccessphoneanddigitalservices.
EASINGTONBrandnewbuildinginSeahamwithallthefacilitiesyetthey'rewantingtomovetoanotherOKssitewherepeoplecanhardlygetto.
EASINGTONChangesarebeingmadetoservicesthatwerenotcommunicatedproperlybackin2017whenyoufirstchangedthem.Peopledon’tknowwhatorhowtoaccess
EASINGTON Communications-PatientsinformationonNHS111.
EASINGTON Deprivedarea.Lowincome.Manypeopledon’thavetransportormoneyforbusfares.
EASINGTONEasingtonhasmorefootfallandofferedarangeifservicesasitisbusierthanothercentresurelyitmakessensetokeepitthewayitisIhaveusedthisservice.Manytimesandbeenreferredtohospitalitsavedmylife
EASINGTON Houghtonwalk-inandSunderlandA+EquickertoaccessfromPeterlee.
EASINGTON IfeeltherehasneverbeenanydeterminationbyyouandNHStomakeahubatBarneywork.
EASINGTON IthinkSeahamneedstohaveanoutofsurgerylikePeterlee.
EASINGTON InmostGPsurgeriesyoucan'tgetappointmentsforweeksanddayreleaseappointmentsaregoingwithin10minutesofthemopening.HowarepeoplegoingtoseeaGP?
EASINGTON IncreaseddemandonGPpracticesinSeaham/MurtontocoverpatientswhopreviouslywenttoPCS.Populationincreasesinnext5years.
EASINGTONIt'svirtuallyimpossibletogetanappointmentatthedrssurgerywhenyouneedone.Cuttingservicesisn'tgoingtoenablepeopletogetthehelptheyneed.
38
EASINGTON Maintainingafull(8am-8pm)weekdayserviceatPeterleeandSeaham.
EASINGTON ThatareducedweekdayserviceatPeterleeonly,willtakeitneartocapacityandlimitaccesstosuitableappointments.
EASINGTON Needmorehours.Justbeabletowalk-in,notphone.
EASINGTON Nothing,youarefailingthegeneralpublictofillinthesurveyastheanswersstatedarelies.
EASINGTON Parentswithnewbornchildren.
EASINGTON Peoplewhosufferwithsevereanxietyfindithardenoughtoaccessserviceswithoutwantingtotravelfurther.
EASINGTON PeoplewilluseA&Eastheirfirstoptionwhichputsgreaterpressureonhospitals.
EASINGTONPeoplesneedsarenotfullyconsideredandtargetsarethemainfocus.Thefiguresarefarfrombeenatruereflection.
EASINGTON Soundslikeitisacostcuttingexercise
EASINGTON
ThepatientsoftheEasingtonareacomprisesomeofthemostdeprivedforhealthissuesinthecountry-CQCratings1and2andassuchshouldratethemostattentiontoprovidinghealthservicesasclosetotheirhomesaspossible.Theoriginalsystemofprovidingoutofhourscareinvolved"WalkinCentres"atvariouslocationsandprovedinmyviewverypopularHowevernosoonerwerewegettingusedtothatsystemwhenitchangedagainandoutofhourswasbeingprovidedathubs.OnceagainbeforethepatientsgetusedtothatsystemtheDDESccgproposeanotherchange,whichonceagainwillbepoorlycommunicatedwiththegeneralpopulationandsopublicconsultationsarepoorlyattended-thisisbecauseNO-ONEknewtheywereon-e.g.recentmeetingatEasingtoncollieryof5people.DeprivationalsomeanspatientswillNOThavetheirowntransportandwillnotbeabletogettothere-organisedhubs!
EASINGTON Transportserviceverypoor.Wouldbeextremelydifficulttogetpublictransport.
EASINGTON Wecouldconsidermoredoctorsandmedicalstaff.
EASINGTON Whatdothecurrentlyworkerssay?Whattheybeenaskedtheyadviceastheyarecurrentlythepeopletreatingpatients?
EASINGTON Yes,seeoverleaf
EASINGTONYes;motherswithchildrenindoublebuggypushchairswouldfinditdifficulttogettoPeterleebypublictransport;noteveryonedrives,andnoteveryonehasaccesstofriends/familywithtransportatthedropofahat.
EASINGTON elderlypeoplewhofeeluncomfortablegoingtoplacestheydon'tknow.
EASINGTON YouhavenotconsideredtheeffectonpatientsinSeahamandEasingtonwhocannotgetanappointment.
EASINGTON Youshouldn'thaveclosedthewalkincentreatPeterleebutyoudidandit'stoolatenow.
EASINGTON Youmightaswellcloseitaltogetherandsavemoney
EASINGTON Hubsitesarenotveryaccessible
EASINGTON
IdonotliveintheareabutworkasanANPatPeterlee.Theusageleveldoesnottallywithmyexperienceandmyfeelingisthattheservicehasbeenmuchmoreusedintherecentmonths,probablyasaresultofthepublicbecomingmoreawareofitsavailability.Daily,patientsstatetheyareunabletogetGPappointments.Iftheserviceweretorunat95-100%capacityIbelievethiswouldraisesignificantsafetyissues:constantfacetofaceconsultationswithoutchangeofactivityrapidlyleadstodecliningqualityofpatientinteractionandpossibledeterioratingconcentration.Theclinicalenvironmentneedsmaintenance,keepingcorrectstocklevels,cleanandtidyworkspace,checkingemergencyequipment,mandatorytraining,clinicalreflectionandsupervision,ensuringknowledgeisuptodatereguidelinesandplanningeducationandtraining.
39
EASINGTON
Idontthinkanyconsiderationforpatientshasbeengivenatall.Wehavearighttoalocalcentrethatiseasytoaccess.Idontthinka20minutedriveisconsideredreasonableatallandevenlesssoforpeoplewithnocar.WhenmychildissickIwanttobeabletogetthemtothedrsquicklyandeasilyandneedalocalcentresoIamstillabletofitanappointmentaroundcollectinganotherchildfromschool.WithababyonthewayIwouldnotbehappyhavingtotraveltopeterleeforeveryappointment.Ithinkthiswouldbeevenharderfortheelderly.Andwhatwouldhappenforrepeatprescriptions?Icurrentlyhavetogotwiceamonthformydaughter,travelingtopeterleetoputinaprescriptionisnogood
EASINGTON Pleasereadallabovecommentsagain.
EASINGTON Travellingimplications,peoplewhodonotdrive,medicalfactors,inabilitytotravelalone,
EASINGTON UnabletotraveltoPeterleefromSeahamduetomoneyissues
EASINGTON Whenaretheuser'sneedslookedatfirstandnotthecommisioninggroups?
EASINGTONWhycan'tthingsstayastheyarewhatisgoingtohappentotheSt.Johnbuildingitisnousedtofullcapacitynowwhatawasteoftaxpayersmoney
EASINGTON HowarepeopleunwellmeanttotravelfromSeahamtoPeterleeduringtheweek!
EASINGTON Theelderlywithouttransport
SEDGEFIELDabilitytodialtheGPsurgeryandbookratherthanhavetoring111aftercallingGP.Abilitytobooksaya12noonslotat8amontheSaturday.CanIbookaslotlikeIbookaGPslotatmyownpractice?
SEDGEFIELD enoughsupportservicetoanswercalls
SEDGEFIELDI'mvirtuallyhouseboundI'mluckyIhaveapartnerwithacarifIdidn'tI'dhavenomeanstogettoanyothersurgeryapartfrommysurgeryTrimdonvillage
SEDGEFIELD PleaseseecommentatQ3.
SEDGEFIELD PublicityforconsultationeventshasbeenpoorhavespokentomanywhohavemissedinmyareaanddonothaveITskillsorequipmenttofillinsurvey
SEDGEFIELD Theextendedhoursoptionhasbeenpoorlyadvertised.Someresidentsarenotawareofit.
SEDGEFIELD
Yes!!Whereareallthe'new'peoplegoingtogo?Thereare3newbuildingsitesinSedgefield/Fishburn-newhomesatTrimdonandtheSedgefieldonealreadyrunsatlease30minslateonappointments.Whataboutalltheoldagebungalows-howwillthesepeoplegettoothersurgeriesinthewinterwhenTrimdonfrequentlyendsupsnowedin?
SEDGEFIELD ThelackofGPs!Theoverworkingofstaff-whileyousitonyourbacksidesdrinkingteaandsmokingcigars
Q8.Anyothercommentsregardingthisconsultation?DALES Ahomevisitmightactuallybecheaperthansendingambulances.Phonetriageneedstobe
better.DALES ambulanceservicewillbeusedwhennotneeded
DALES anyreductioninLOCALservicewillonlyincreasedemandsonA&Eservices.Anyserviceshouldbeaccessbydirectcontact(walkin)NOTmediatedthroughacallcentre(111)
DALES
Approximately12monthsagoIhadaheartattack,followingthisIhaveonafewoccasionsneededtousemyGPsurgery.IhaveneverbeentoldtherewereappointmentsavailableoutofhoursandononeoccasionendedupinDurhamhospitalwhichwastotallyunnecessaryhadIhadaccesstoaGP.IwasrefusedanappointmentandtoldIwouldbephonedback.Itdidn'thappen.IhavebeenseriouslyunhappywiththeresourcesIhavehadaccesstosotheideaoftakingbackaresourcewewerenevertoldwehadinthefirstplacebeggarsbelief.
40
DALES Asabove-noconfidenceinthosewhoseemtojustifytheirjobsbyarevolvingdoorofpermanentchangewithlittleornofeelingfromwhereIamofanyimprovement.
DALES Asabove,
DALESBarnardCastleandsurroundingvillageshavealotofelderlypatientsanditisdifficultfortravelespeciallytoBishopAucklandandespeciallyinthewintermonths.
DALES
Barnardcastledoctorsdon'tmakethepublicawareoftheservicesatRichardson.Theyjustsendupsayingnoappointmentslefttodayringbacktomorrow.IfpeopleweretoldabouttheservicesavailabletoRichardsonhospital,thenwewoulduseit.Howcanyougetatruereflectionofpeoplenotusingaservicesiftheydon'tknowaboutitinthefirstplace?
DALES
Beingthatweareunabletodrive,closureoftheRichardsonoutofhoursservicewouldbeabiglosstous.Wehaveuseditafewtimeswithourchildren,andthey'vebeenfantastic,infactwithouryoungesttheyprobablysavedherlifeat1yroldasshewasatahighriskofsepsisbuttheysentusstraighttohospitalandafteraweekstayallwasok.Thiswas10.30amonSaturday,assheseemedfinewewouldhaveprobablywaitedtillMondaymorningfordoctorstoopeniftheRichardson'swasn'ttherewhichcouldhavemeantamuchlongerhospitalstay.Wehavetakenoursonwithtonsillitisandthefactwe'vebeenseenonweekendhadmeanthehasgotbettermuchquickerthanhewouldifwe'dhadtoofwaitedforGP.We'vehadtotakehimbothlastChristmasandthisChristmastimewhenagainGPSwasclosed.
DALES
BishopAucklandisalongtripforpeopleintheWeardale.Especiallypeoplewithoutaccesstoacar.Whichwillbemanypeopleinouragingpopulation.Busserviceisalsopoorinourarea.Moresointheweekends.Giveitagoyourself.It'sabeautifultrip,butlongandstressfulifyou'reinneedofmedicalattention.
DALESClosingtheRichardsonoutofhoursservicewouldhaveanegativeimpactonthepeopleofBarnardCastleandsurroundingareas.Forthisservicetobeusedproperlyitshouldbeadvertisedandofferedvia111.
DALES
Constantchangeslikethisonecostmoneyagainandagain.WhilstIunderstandthefundingrestrictionswithintheNHSconstantchangestoservicesmustimpactelsewhere.TheseconstantchangesalsoreducetrustintheCCGsasthechangestoservicesoccursofrequentlyitdoesmakepeoplewonderifyouknowwhatyou'redoing.
DALES Dalesneedsthisservicebecauseofthedistanceinvolvedgoinganywhereelse.Letpeopleknowaboutbeingabletousetheirownsurgeryandtheywilluseit.
DALES Doesn'tmatterwhatwesayyou'vealreadydecidedandthesequestionsjustproveyouwanttheoutcomeyouwantfromit.
DALESGetoutofyournicewarmurbanofficesandcomeandseewherewelive,howfarwecurrentlyhavetotravelalongwindingcountrylanesandthenseehowyouwouldfeelbeingevenfurtherawayfromhelp.
DALES
IattendedtheweekendsurgeryatStanhopeoncewithmydaughterandthecarewasoutstanding.Shewassufferingfrommigrainesandhadbeenhavingaperiodforover180days.Thenursewesawgavehermedsforthemigraineandsortedoutbloodtestsforanaemiaandadviceaboutstoppingthepillshewastaking.Sherestoredourconfidenceandmademydaughterfeelwellagain.
DALESIcannotunderstandwhyevenonhereIambeingaskedabouttheBishopAucklandServiceandnotStanhope.Thisisridiculous.
DALES Icanunderstandcentralisingmajormedicalfacilities,butPrimaryCareshouldbejustthat-local,accessibleandfast.
DALESIdidnottickanyofQ4&Q6becauseIdonotwanttosupporttheideaofthe111serviceinTeesdalebeingcut.HoweverIwouldsupportbookableappointmentattheRichardsonHospitaltohelpthosewhoworkoutoftheDale.
DALESYouroptionofbettertransportwilljustnothappen-youhavepromisedthisbeforeanditdidnotmaterialise.Itisvastlyexpensiveandlogisticallydifficult-thebestoptionbyfaristomaintaintheserviceintheDale.
41
DALES
IfeelverystronglythatthereasonthisandmanyotherservicesavailableatRichardsonHospitalareseenasunderusedisnotbecausethereisnodemandfortheservicesbutbecausepeoplearere-directedtosomewhereelseandarenotgiventheoptionofattendingRichardson's.
DALES
Ifeelwewastetimeonduplicationwhendifferentmedicalstaffdealwiththeelderlyandthereisnotconsistentcareoronepersontakingresponsibility.IhavehadexperiencethisyearwithanelderlyneighbourandwhenassistingwithmedicalneedsononeaccessionIhavehadtorelayhersymptomsmanytimestomanymedicalstaffwhichwastedvaluableNHSresource.e.g.GP,A&Enurse,A&Edoctor,wardstaff......IftheelderlywereallocatedaconsistentGPitmaysavemultiplecalls
DALES
Ihavestumbledacrossthisconsultationverylateintheday.Itwasnotwelladvertised,particularlytohouseboundpatients,likemyself,whoaremostinneedofhealthcare.Eventheavailabilityofout-of-hoursprimarycareservicesseemstobesomethingofasecret.I'mneverreallysureatanytimewhatisavailabletome.
DALES
Ineededanurgentdentiston2ndJanuaryandrangRichardson'snumberonthewebsitetobetoldIhadcomethroughtothewrongdepartment.Igotacallbackbutalreadyhadanappointmentelsewherebythen.MypointisIknowtheyhaveadentaldepartmentatRichardson'sbutnotwhatservicetheyprovide,whenortowhom!Thisgoesforalltheservicesthere!
DALES Ithinktheproposalsneedalotofthoughtbeforedecisionsaremade.
DALES Ithinkyouwillhavealreadydecidedwhatyouaregoingtodoandthisisapaperexercisetofeigncompliance.
DALES
IusedtheRichardsonoutofhoursserviceinNovember2018.TheNursePractitionerwasinstructingtheambulancedriveraboutkidneytestsetc.thathewouldhavetocarryoutonthreehomevisits.Ifyouhavenotrainingorexperienceofsomethingtherisksareheightenedanditismorelikelythatincompletecareisgivenmakingitmorelikelythatahospitalvisitwillberequired.IalsobelievethataNursePractitionerisnotallowedtoissueprescriptionsandwouldneedtocontactadoctorifrequired.Iunderstandthattheyhavealimitedstoreofmedicinesthattheycandispense.Thisdoesnotsoundlikeareceiptforacompleteoutcomeespeciallyifyouareallergictosomemedicines.Thedoctor'sbookofmedicinesdoesnottellthemwhatthenon-activeingredientsare.TheonlywayIcandealwiththisistogotothepharmacistandlookattheinformationonandinthemedicineitself.Thisishopeless.
DALESIthasbeencleverlymismanagedtodeterdalesfolksfromusingtheRichardsonhospital.FrompersonalexperiencewewerenotofferedthisfacilitybutencouragedtouseBishopAucklandwhentherewasanursesittinginBarnardCastlewaitingforpatients.
DALES Itisashamethatyouarebeingputinthispositiontostreamlinevitalresourcestotheruralcommunities.
DALES
Itishopedthatthisisagenuineconsultationandnotjustatickboxexerciseassomeotherproposed'consultations'havebeen,e.g.Rothbury.InmyopiniontheprocessshouldbehalteduntilproperdataisavailableaboutattendanceatBarnardCastle.Nowthatpeopleknowthattheserviceisavailableandcanchallengethe111operatorsitmaywellbethatyoufindthatitisawell-usedservice.
DALES
Ifailtoseewhatbearingthefollowingquestionshaveonthisconsultationandwillnotprovideananswer:ethnicgroup;religion;sexuality;genderreassignment.Thisissupposedtobeabouttheprovisionofoutofhourshealthcare,thesequestionsareirrelevantinthiscontext.
DALESItisunreasonabletoexpectpeopletotravelinexcessof12mileswhentheyfeelunwell.ThepeopleofWeardaleneedlocalGPSurgeries.
DALES It'sawhitewash,norealchoice.
DALES It'snotbeenpublicisedenough
DALES Justasmentionedpreviously.Doesn'tmatteranywayyou'lldoasyouwant.You'reonlyhaving'consultations'totickthebox.
42
DALES KeepBarnardCastleoutofhoursopen
DALES Keepthepeopleinformedonwhatishappeningbeforeithappens
DALES Leaveitasitis
DALES Wehavelostenoughlocalservicesandweardaleagainbearingthebrunt
DALES NonofthisworksunlessthereiscontinuitytoseethesameGPifpossible,especiallyforolderpatients
DALES
PatientsintheDaleslocality,especiallyintheupperreachesofWeardaleandTeesdalearebeingpenalisedonceagainfornotbeingvocalandrespectingthehealthservice.TheappointmentsatStanhopeHealthCentreonweekdayeveningsandweekends8-1areunderusedbecausetheyarenotpromoted.111callhandlerstendnottoofferthemeventhoughinmanycasestheyarefarmoresuitableandhandy.Whetherthisisthroughignoranceorwhetheritisaconcertedefforttomaketheservicelookunderusedsothatitcanbeclosedisopentoquestion.
DALES Pleasedon'tshuteitherweneedboth
DALES Pleasedon'tshutRichardsoninBarnardCastle!
DALES Pleaseseeabove?
DALESIfthisserviceisremovedarethereanyplanstoaddmore/otherservicestotheHospitalsothatthebuildingisusedefficientlyforNHSservicesforthebenefitofthegrowinglocalcommunity?
DALES PleasetakenotewhatwethepeoplehavearighttothislegacyandIamsurewewillfighttoothandnailtokeepit.
DALESPleasethinkaboutalltheoptionsopenandourareaaswehavesufferedinmanyways.StoppingthisservicewillalsobeapartofthetrustclosingRichardson'swhichisdesperatelyneedfortheelderlyanddisabledInThearea...
DALES Promoteitbetterandpeoplewilluseit.
DALES Ifservicesarecutpeoplewillhavetotravelsofaritwouldbeunreal.
DALESTheDales(notBishop)isamuchneededservice.It'swaytofartohavetotraveltoBishopAucklandfromWeardaleasthepublictransporttodosoisinfrequentenoughtobeaviableoption.
DALESThehospitalshouldbeafullyoperationalincludingallservices.It'simportanttogetmoreservicesthanreducethemforagrowingarea.
DALES
theRichardsonprovidesdiagnosis,screening,hospice,cardiology/midwifery/audiology/ophthalmology/physiotherapy/urology/rheumatology/dermatologyoutpatients,pulmonaryrehab/continuanceclinic/retinaleyescreening/contraceptionclinic/speechlanguageclinic/anti-coagulation/lymphedemanurse/dentalclinic/podiatry.SOWHEREISITUNDERUSED!
DALESTheruralareasarebeingabandonedasusual.Iunderstandthelogicoftheproposalbuttheredoesn'tseemtohavebeenanyattempttounderstand*why*thoseappointmentse.g.inStanhopewerenottakenup.
DALESTheStanhopeserviceneedstostay.Itcouldbereducedinthesummerwhenpeoplearelesslikelytobeill,butinthewinterthisserviceisverynecessary.Justbecauseitisunderuseddoesnotmeanitisn'tneeded.
DALESTheworlddoesn'tcentrearoundDarlingtonandDurhamweneedeveningnightfullweekendcoverinbishopgosurgeriesarealreadystretchedtofarduetogrowingpopulation.
DALESThereisanhourlybusservicetoBishopAucklandandtravellingfromupperWeardaletakesanhour.NobusserviceonaSunday.Remember,peoplewhoneedtoaccessthisserviceareunwell.Thisjourneyisunacceptable.
DALESThisconsultationisonlyfocusedontheclosureoftheservicesandtheoperatinghoursofitsreplacement.Ithasnotconsideredmorecreativeoptionsforoutofhoursservices.
DALES Thisisahopelessquestionnaire-asaremanyfromtheNHS.youarejuststackingthecardstogetthebestanswerforyou
43
DALES
Thisisaverybadlyconstructedsurveywhichdoesn'tallowallsensibleoptionstobechosen,butpresumablysoyougettheoptionsyouwant.WhatisreallyneededisforStanhopeandBarnardCastlelocalhubstobeavailablewithturnupandwaitaccesstoDOCTORS6pmto8pmweekdaysandatleast10amtil2pmweekendsandbankholidays.ThenBishopAucklandtoberestoredasa24hourUrgentCarecentrewherepeoplecanturnuptoseeadoctoranytime,withanursetoassistandaccesstoXrayfacilities.ThiswilltakesomepressureoffDarlingtonandDurhamAccidentandEmergencyunitswhichareunabletocope.
DALES Thisisnoconsultation.Ifitwasyouwouldhavegivenareasonableamountofpublicityandtimeforresponse.Thisisnothingmorethanaboxtickingexercise.
DALES ThisisnosolutiontoDalesresidentswhoeitherhavenocar/donotdriveorhavetorelyonasporadicbusservice
DALES Howaboutamobileservice,orevenonebasedaroundtheDales?
DALESThistickbox(socalled)consultationisnotwhatIexpected.DrStewartFindlaysaid'Wehavesomereallypositiveideasabouthowwecanimprovetheserviceandwantmoretimeforconversationtocontinue'
DALES This'consultation'isnotaconversation.
DALESTotakeanotherserviceawayfromthedaleswillbeaheavyblowtothosewhoarealreadysufferingfromscaledbackservices.ThegeographyoftheareaandpublictransportlinkshasnotbeentakenItoconsideration
DALESUrgentcare-IliveinBarnardCastlewithayoungfamily.Thelast3timeswe'veneededurgentcare,wehaveonlybeenreferredtotheRichardsonhospitalonce.Theothertimesweweretolditdidn'texist!
DALES BishopAucklandisatrekwithatinybaby!
DALES It'sdisappointingnottobeabletouselocalservices!
DALES
VeryoftenpeopleinTeesdalearenotdirectedtotheHubinBarnardCastle.Itwouldseemthat111don'tknowaboutthisHub.Iappreciatethatthe111servicedirectspeopletothebestplacehavingansweredallthequestionsbutinsomecasesTheBCHubwouldbeappropriate.
DALESWeneedmorelocalservicesindalesnotreducedmedicalservices,bemindfulalsooftransportdifficulties.
DALES WHATCONSULTATIONTHEREWASNONEWEDIDN'TKNOWABOUTTHIS
DALES WherearethequestionsonBarnardCastleoutofhoursservices.
DALES
Whileyouareatleastallowingpeopletocommentitdoesappearratherstronglythatyouhavealreadydecidedwhatyouintendtodo.Listeningtopeoplewithnointentionofchangingyourplansislikelytocausemoreupset.Itmightbebettertoputforwardtwoorthreeoptionsandaskforpeople'spreferencesandcommentsifyouaregenuinelytryingtochangethingsinpartnershipwiththepublic.
DALES WhyisRichardsonomittedasifitdoesnotexist????
DALESWhyisthissitebeingadvertisedforustohaveourdayabouttheRichardsonHospitalbutisaskingabouttimesandoptionsforBishopAuckland?OnceagaintheRichardsonisbeingsidelined!!!
DALESWhywhenahugesumofmoneywasspentonthisresourceisitbeingsidelined.Itmakessensetousewhatwehavelocally,otherwiseitbecomesawhiteelephant.
DALES YesyouhaveagreedtomeetmeinJanuarytodiscusshowtobettercommunicatewithWeardale.
DALESYetagainresourcesarebeingcutforpeoplewholiveinaruralcommunitywherepeoplehavelivedalltheirlives,resultinginanagingpopulationthatisnotbeingcaredfor.
DALES Youneedtomakesurethatpeoplelivingoutofthemaintownsstillreceiveaproperservice.
DALES DonotcloseRichardsoncommunityhospital
44
DALES IamopposedtoclosureiftheRichardsonoutofhoursserviceinbarnardcastle.Thisservicehasnotbeenadvertisedandthereforefulltimeworkersdonotknowofitsavailability.
DALES IfeeltheNHSshouldkeeptheRichardsonhospitalanduseittoitsfullpotential
DALES
IhavehadtoanswerthequestionsregardingBishopAuckland,whyaretherenoquestionsregardingRichardson'sHospital,isthisanotherwayofsayingnotenoughpeoplewantedtheservicekeptonwhentheresultsofthissurveyaredoneaswhenIfirstlookedatthesurvey2weeksagoIdidn'tfillitinasitonlymentionsBishopAuckland,anothersnubtoRichardson'sHospital!!!
DALES IknowfinancialpressuresareenormousonNHStrusts.Healthcareisaboutpeople.
DALES
IliveinBarnardCastle.Ihavethreeyoungchildren,oneofwhomhasaseriousheartcondition.ClosingthehubandRichardsonHospitalwouldmeanhavingtotravel30-40minutesforanoohappointment.ThefacilityisalreadyhereinBarnardCastle.Tosayitisunderusedisareflectionofthemanagementofservice,howitispublicisedandmadeavailabletopatients,NOTwhetherpatientswantorneedtouseit.MostpeopleinthetownaresenttoBishopcompletelyunawareoftheservicehere.Thisisanunecessary,longjourneyforanunwellchildoradult.IfmycarisnothereIwouldneedtowalk20minutesthengeta45minutebusthereandback.Thisisunacceptablewhenwehavethefacilityhere.Ionlyfoundoutabouttheserviceafewmonthsago,whyisthis???Improvethewaypatientsaretriaged.Offertheservicetopatients,publiciseit,pleasedonotclosethisinvaluableservicethroughaperceivedlackofuse.ThereisnowayresidentsofthedalesarechoosingtotraveltobishopinsteadofgoingtoRichardsoninBarnardCastle.Theyaresimplynotofferedtheoption.Addressthisissueanditwillmostcertainlybeused.
DALESIliveinStanhopeandBIshopAucklandislongwaypeoplelivingfurtheruptheValleymustfinditverydifficult.
DALES IthinkIhavesaiditallwhatabouttheRichardsonHospitalinBarnardCastle
DALESIwouldappreciatethatwhenthefinaldecisionistaken,itismadeonlyafterallaspectshavebeenfullytakenintoaccount.
DALES
Ifoneisingoodhealththenthinkingabouttheavailabilityoftheoutofhoursserviceisnotapriority,butwhenneedarisesitmeans,inthepatientorcarer'seyes,thatisanemergencyandworryingabouthowonecangettoBishopAucklandaddsgreatlytothedistress.(Idonotknowhowthisconundrumcanberesolved!)
DALES Improveexistingfacilities,forexampleadvertisingtheRichardsonhubinBarnardCastle.Itwouldbeusedifpeopleknewaboutit!
DALESMorepublicityisneededtomakepeopleawareoftheGPhubinStanhope.111oftendonotknowthisisavailable.ClosingtheStanhopehubandmovingittoBishopislikelytobeofdetrimenttothosewhoareunabletotravel,frail,havesmallchildrenetc.
DALESPleasekeeptheout-of-hoursserviceinBarnardCastle,thiscoversahugeareaanditisreallyhardtotravellongdistanceswithapoorlychild!
DALESPleasethinkgoodandhardbeforeyoufinallycloseRichardson'sHospital(WhichIthinkiswherethisisallleading)asthisbuildingIbelievebutstandcorrectedifwrongwaslefttothetownforuseasahospitalforthetownandsurroundingarea.
DALES Seeabove
45
DALES
Seeabove.Weknowthatonceit'sgonethere'llbenogettingitback.Failingtofullypromoteaservice,failuretomakeitsexistenceknowntothosewhocouldbenefitfromit,thenthreateningtoremoveitbecauseit'sdeemedunnecessaryasit'snotbeingfullyutilisedjustseemswrongoneverylevel.AnOOHserviceatStanhope,onethatpatientsareactuallyreferredto,isverymuchneededandwouldhaveamassiveimpactonthewellbeingofthosepeoplelivingatStanhopeandfurtheruptheDale.TherewouldbearealnegativeimpactifweareleftwithnoalternativeotherthanBishopAuckland.
DALES
Stopbeingblinkered.Whenpatientsringinforanoutofhoursappointment,whyarepeoplenottoldabouttheRichardsonHospitalbeinganoption,evenwhenaskedthepersonwhoanswersthephoneisnotawareitsavailable.PeoplecannotaccesstheRichardsonHospitaloutofhoursifitsnotevenanoptionavailablenow.Oristhattheplantoallowyoutocloseit?
DALES ThefacttheRichardsoninbarnardcastleisnotpublicisedistheonlyreasonitwillnotbeused.Thischangingwouldbeamassivebenefittoourarea
DALES TheneedsofDurhamDalescontinuestobeoverlookedandresidentsbeingdisadvantaged
DALES Thereisnoobviouslinktowhattheproposalsactuallyare.HoweverifitinvolvesclosingoutofhoursservicesattheRichardsoninBarnardCastlethenI'magainstit.
DALESThispostshouldbeputonfacebookeverydaysopeoplehavetheopportunitytoseeit.It'sjustbychanceIhaveseenit.Or,publishitinTheNorthernEchowhichisthelocalnewspaper.
DALESVerypoorlyadvertisedandseemsthatovertheChristmasperiodisastrangetimetoengagewithlocalresidents.I'msurethedecisionhasalreadybeenmadebutatleasttryandmakeitlookasifyoucareaboutourviews!
DALES WHYDOESNOBODYCONSIDERTHEDALESANDJUSTTALKABOUT'DARLINGTON''BISHOPAUCKLAND'ETC?WELIVEHEREANDWELOVEOURLITTLELOCALHOPSITAL
DALES WhyisthemainquestionhereaboutBishopAuckland,Stanhopenotanoption?
DALES Whywasitextended?
DALES
WithreferencetotheaboveIhavebeenlobbyingtosaveward6inBishopAucklandHospital.RethisconsultationnoreferencewasmadedirectlytoRichardsonHospital.ThepeopleofBarnardCastleandsurroundingareafeelattheverybestletdownandattheworstliedto.Itisveryhardtoaccessthesiteforthisdocumentandindeedcompletelyimpossibleforpeoplewithoutgoodtechnicalskills.
DALES YOUSHOULDHAVEGOTTHEIDEABYNOW!
DALES
Thewholesystemneedstobemoretransparentsoallmembersofthepublicknowwhattodoifasituationarisesinwhichtheyneedmedicalassistance.NHS111doesnotdemonstrateappropriatelocalknowledgeandthereforeislimitedabilitytoprovidesuitableoptionstothoseinneed
DALES AsthisconsultationdoesnotincludetheRichardsonHospitalwearenotactuallyabletogiveourpreferences.Ibelieveithasbeendesignedso.
DALES You'llgoyourownwayanyway.
DALES Whenwasconsultationoriginallydone?Residentsnotawareinruralareas.
DALES 111needsalotofwork
DALES Toomanyhubsarebeingclosed.TheremoteruralareasofTeesdale.
DALESIfindsomeoftheQ9.questionsoffensive,andreallywonderwhethertheyarenecessaryatall!
EASINGTONDuetocontinuouschangestosystems,patientsareconfusedaboutwhatisavailableandwhen.Tryandplanaservicewhichissustainableandgivepatientstrustandfaiththatpeopleknowwhattheyaredoing!
EASINGTON Facetofaceconsultationisbetter.
46
EASINGTON
Idon'tbelieveithasbeenveryclearontheimplicationsofwhatmayhappentospecificcentres,orservicesasaresultofthisconsultation.MayIlosemywalkinservicesatEasingtonalltogether???WillIhavetostartandtraveltoSeaham????IcertainlyfeelthatIwouldbewillingtohavedifferentservicesoroptionsifitmeansIcanstillbeseenatEasington.EasingtonhavemadepatientsawarebutasInowcan'tgetseeninthatpractice,IfoundoutaboutthepublicmeetingstoolateandwasunabletoattendIfI'dbeenableIwouldhavemaybefeltmoreinformedandbeenabletoanswerthisquestionnairemoreappropriately.I’mdisappointedtheywerenotmorewidelypublicisedinotherpracticesorthethroughthelocalschoolsetcasthosethatdon'tregularlyattendtheGPorcan'tforhealthreasonsmayhavefoundthemselvesinthesamepositionasme.
EASINGTON
IfeellivinginSeahamontheborderofDurhamandTyneandWearhasalwaysbeenadisadvantageforaccessinghealthcare.Servicesarealwayslocatedinotherareasandwearetheoneswhoaremadetotravel,incaseithasgoneunnoticedSeahamiscontinuingtoexpandallofthetimesurelythisshouldbeconsideredwhenallocatingservices.
EASINGTON Ifoundsomeoftheinformationinthisbookletmisleading.
EASINGTON IhaveonlybeenabletofeedintothesurveyasIhaveaconsultationdocument-whereistheconsultationproposalsforpeopletoreadbeforebeingaskedtocompetethissurvey.
EASINGTONIthinktheSeahamsiteisidealandveryeasytogetto.ItwouldbedifficulttogettoothersiteswhenIdon'tdrive
EASINGTON Ifyouclose2hubsandreducehoursatthirdthenyou'relimitingtimeswithmorepatients.Youalsodon'tgivemuchroomtoanswerquestions.
EASINGTON It'sacompletedisgrace.Thereisnowayyouaskedgenuinepeopleforthissurveyasitisalllies.
EASINGTON LeaveSeahamopen.
EASINGTONLocaltransportonbusesstopsat6.15pmandisscarceonSundays.Taxisarebeyondmostpeople'sbudgets.ALLneedequalaccesstotreatment.
EASINGTON Morepublicitythroughlocalcommunitywouldbebeneficial.
EASINGTON MyareahasalotofpeoplewhowouldfindithardtotraveltoPeterleeorSeaham
EASINGTON
Mymajorconcernisthenumberofnewbuildsplannedforthearea(Seaham)plusaGardenVillageof1500homeswithpossibly5/6000residentsthatcoulddrainalreadystressedservices.Iwasforcedtotakeaninjuredfamilymembertohospitalbycarafterwaitinginvainforanambulance
EASINGTON Nexttimedon'tmakeushavetobookaseat.STOPSpeoplecoming.
EASINGTON Raiseawarenessofservice
EASINGTON Peopledonotknowhowtoaccess
EASINGTON Stopwastingmoneychangingthingsthatdon'tneedchanging
EASINGTON
TheconsultationseemsveryrushedwithonlyafewweeksbeingallowedforthepublicinputandyetfromtheDDESccgwebsitedocuments-17b-GBiC-18-78b-Engagement-evidencelog-January-to-March-2018.xlsxitwouldappearsomeconsultingwithotherstakeholdershastakenplaceovermanymonths.
EASINGTON IonlybecameawareofthisprocessbyaccidentasIsearchedthewebforanothermatter.
EASINGTON ThebookletandONLINEsurveywerealsowellhiddenontheDDESccgwebsitewhichismuchimprovedfrom2yearsagowhenIlastaccessedit
EASINGTON
Theseconsultationsarealwaysfeelpre-determinedandarelittlemorethanatickboxexerciseforadecisionthathasalreadybeenmade.IftheCCGismeanttobeexpertsonpatientcareandpatientservices,designaservicethatworks,explainwhyitwillworkandimplementit,ratherthanwastingmoneyonpointlessconsultations
EASINGTON Thiswillputmorepressureonthealreadyoverworkedambulanceservice.
47
EASINGTONWehaveaNEW,UNUSEDdownstairsatSeaham,itshouldbeused,whycan'tthatbeacentralhub?Ithasx-rayfacilities.noteverythinghastogotoPeterlee,Seahamcoversalargearea,andinthefutureisgoingtogetevenbiggerwhentheybuildSeahamVillage.
EASINGTON Weneedalocalserviceforpeoplewhenthegosurgeriesareclosedorfull
EASINGTON WeneedthiskeptinSeaham.Wehavealotofelderlyvulnerablepeopleaswellasyoungchildren.Noteveryonehastransport
EASINGTON Weightedtoclosecentrespriortoremarks/opinionsgiven.
EASINGTON WouldlongersurgeryhourswithGPstakingturnstocovernotbeanoption?Nothingworsethanbeingunabletogetanappointmentwithadoctoronthedayyouareill.
EASINGTON
Thisconsultationwashidden.IfIdidnothaveadoctor'sappointmenttodayIwouldhaveknownnothingaboutit.Haveyounotconsideredyouraudience?ByronPlaceinSeahamoveraweekwouldhavegivenpeopleagreaterchancetolookattheoptionsandairtheirviews
EASINGTON 111needsalotofwork
EASINGTON
Gettingadoctor'sappointmentcanoftenbedifficult,sometimesIhavehadtowaitaweektoseemydoctorformyselformydaughter,webothhavemedicalproblems,Ihavetoaccompanyheratalltimes.Iamcurrentlyunderaneurologist,cardiologist,Ihavehypertension,arthritis,COPD,carpaltunnel,hyperparathyroidism,Iamafulltimecarerformydaughterwhoisregistereddisabledandhasnumerouscomplexmentalhealthissues,travellingtoPeterleeisaworryingoptionforus.
EASINGTON
IfeelthatthisdoesnottakeintoconsiderationmanypeoplewholiveintheseahamlocalityandhavetousetheprimarycareserviceduetoappointmentswithGPsalreadybeingbookedup.Thiswillseverelyimpactonmanypeoplewhodonothavetransport.AndmeansIwillhavetowaitlongertoseeaGPinmyownpractice.
EASINGTON
Istronglydisagree.Ifgpappointmentsweremoreaccessibleandkepttojustnonemergencyandthewalkincentreswereusedforsamedayastheywereoriginallywithdropinandtriagesystemithinkallcentreswouldbebusy..recentlyicouldn'tevenspeaktoanyon111.Allservicesareunderstaffed.
EASINGTONThenhsdonotcareaboutpatientsanymoreallaboutmoneyandstatisticsdisgracefulsituationinSeahamifprimarycarecentrecloseswhatawasteandnewSeahammedicalcentretobeinasmallcrampedhorriblebuildinglikegoingbacktothe60sshocking
EASINGTON
ThephysicalenvironmentatPeterleewouldstruggletosupportmorecliniciansandpatients.Thereisonlyonetoiletforbothstaffandpatientswhichhasnodisabledaccessorbabychangingfacilities.Therearenosluicefacilitiesfordisposalofhumanbodywasteandmaterial.Thereisonlyonephoneline.ThereareGPrecruitmentissuesintheNE.AworkforceofexperiencedANPshavepotentialtoprovideexcellentvalueformoneyinappropriateprovisionofprimarycareandIamdisappointedthattherehasnotbeenmoreconsultationwiththeactualserviceaspartofthearea'swholeprimarycareprovision.CertainlyIthinkthereishugescopetodevelophomevisitingandprebookableappointmentsthatcanbemadeviathepatientsownGPratherthandirectingthemvia111.Wecouldworkinconjunctionwithsurgeriesandseeappropriatepatients.Myconcernisthatthisservicewillbecomea'gapfiller'forprimarycare.Theproblemsidentifiedintheconsultationrestaffskillsandretentionwilljustbecomemoreofaproblem.Moststaffwishtodevelopclinicallyandprovideimprovedservicestotheirpatients.
EASINGTON
youhavn'tadvertisedthisconsultationverywellasnoteveryonehasaccesstotheinternet.Ipickeduptheleafletinthepeterleelibrarybuthavn'tseenthemanywhereelse.soitsnotoutthereinthepublicdomainsothereforenotamaximumopinionoftheresidentsoftheareas.
48
EASINGTON Thischangeonlybenefitspeoplefrompeterlee
EASINGTON
HiJudithsadlyIonlyjustfoundthise-mailinthejunkfolderofmyi-mac27”,whichiambusybringingbackonlineafteraterminalillnessofthehard-drivethatrequiredanApplereplacementHDD.IampleasedthatddesccghaveextendedtheirperiodofsurveybutgiventheverypoorlinkingwiththegeneralpublicinthepastIamlessthanhopefulitistrulylisteningtothepublic.IamChrisBoydborninEasingtonin1952,myparentsBill(William)andBarbarahadservedinWW2asWirelessOperatorswithBomberCommandnearYork.NewlymarriedandstartingafamilytheymovedtoPETERLEEforalargerhouse.Theycontinuedwiththefamilydoctors-Porteosetc.basedinEasingtonCollieryandwelcomedthenewlyqualifiedBill(William)Brown,aschoolfriendofmyfathers,asanadditionalG.P.withinwhatlaterbecameepmg(easingtonandpeterleemedicalgroup)InfactDr.WilliamBrown’sfirst“Delivery”wasmyeldersisterBarbara-whowasinthesameclassasthesonDr.DerekBrown.Sincethenepmg-nowINTRAHEALTHhavehandledallmyfamily’smedicalneeds,frommygrandfatherthroughtomyown3children-bornatLittlethorpeMaternityunit-formerlyanisolationhospital.Iwouldliketosaythingsmedicalhavealwaysimprovedbutsadlytheyhavenot.G.P’snolongerdo“homevisits”-IwellrememberDr.BillBrownbeingcalledbymymotherforher17yearoldson-ME-bedboundandwhentheDr.sawmeatthetopofthestairssaid"youaregoingtohospital”-Ihadappendiscytusandneededanurgentoperation-thegoodolddays.WhentheGP’sdecidedtheywouldnolongercover“outofhours”careanexcellentsystemusingWalkinCentresbeganonlytobechangedseveraltimesoverthelastfewyears.ThecurrentsystemofoutofhoursappointmentsatGP“Hubs”isVirtuallyunheardofbythegeneralpublic-IonlyheardofitattherecentSeahampublicconsultationmeetingwhenIwassatadjacenttotheClinicalLeadDr.forthisEasingtonconstituencyarea.AsithappenedacoupleofdayslatermymotherinlawJoanRaineofSeahamneededanoutofhoursreferral-111wascalledandafter25minutesanappointmentbookedwithherG.P.practicethefollowingday.Onthefollowingmorningthatpracticephonedhertodowngradetheappointmenttoanursepractitioner.IntheendJoandaughters,bothlifetimenursestookhertotheEyeInfirmaryED-Clearlythisnewsystemwastestimeandresourcesanddoesnotwork.Assomeonewithseveral“Chronicconditions”likediabetes,highbloodpressure,psoriaticarthritisetc.Ifallintothecategoryofpatientswhoneedtobekeepactive,engagedandlookingafterthemselves-notneedingtocall111OR999.IhaveattendedtheHealthworksgymforseveralyearsnowbothbeforeandaftermyStrokein2015tokeepfitandactiveaspartof“GetActive,-FitworksattheHEALTHWORKSgymwithintheoldwaterworksbuildingatEasingtonColliery.Thiswasalsothesiteofoneoftheprevious“WalkinCentres”withinEasington,whichfromahealthpointofviewisVERYNEEDYasshowsuponallthehealthinformatics.Thegymhours,especiallyfor“FitFamilies”hasbeencut,withoutexplanation,andtheDr’sweekendopeningreducedtoNursePractitionerTriage.Thisisdespitethe“CONSULTATION”notyethavingbeencompleted.IasalocalNHSpatient,someonewishingtoworkwithandnotagainstmylocalG.P’sandfinallyastheONLYelectedrepresentativeonalocalNHSFT-Iamtherecentlyre-electedpublicgovernoronCDDNHSFTfortheEasingtonarea-wouldliketovoicemyowndeepconcernsthatddesccgareactinginawaythatseemstoalienatelocalpatientsandmakethemfeelthattheirvoicedoesnotmatterwhenitcomestooutofhourscare.
SEDGEFIELDIdidn’tevenknowaboutthelasttwoconsultations,hasthisbeendoneinprivateorjustbeenpoorlypublicised?Ididn'tknowabouttheconsultationortheactualserviceuntilafriendsharedaposttodayonFacebook.
SEDGEFIELD Improvepublicknowledgeofhubs
SEDGEFIELD Keepthesurgeriesopenandupgradethefacilitiesinthem-haveGPSstationedinthemfulltimesotheyknowtheirpatientsandwhattheircomplexmedicalissuescanbe.
SEDGEFIELD Nightmaregettingbusestogetyouthereforanappointmentlotsofwaitingaroundandifit'sformydaughterwhois4it'sevenworse
SEDGEFIELD PleaseseecommentatQ3.
49
SEDGEFIELD
publishlocalpharmacieswhoareopenatthesametimesothatIknowwheretotakeaprescription.Understandingofhealthstaffaccesstomyrecordssothattheydon'tprescribethingswhichI'mallergictoorareabletoseeotherissuesthatIhavee.g.ifI'mdeafanunabletousetelephoneappointment.
SEDGEFIELD
CCGisatotalwasteofpublic,moneywithmanagementreceivingobcenewagesfordoingverylittlework.Youaresooutoftouchwithreality,itreallyisquitefrightening.Youractionshaveproved,timeandtimeagainthatpatientcareisthelowestpriority.Youonlycareaboutmakingsavings,whilepayingyourselveshugelyinflatedsalaries.Youonlyhavetolookatthecarparkwithallthflashcars,toknowhowoverpaidyoulotare.
DON’TKNOWComments
Q2.Doyouunderstandwhyweareproposingthechangesinyourlocality?Comments
DALESNotatall.Notenoughinformationhasbeengivenastowhatcurrentlyexistsandwhatchangesaretobemade.
DALES Noidea
DALES Despitewellmeaningwordstheoveralldriverforchangeislackofadequatefundingfromcentralgovernment.
DALES Notsurewhythisischanginginmyarea
DALES Yes,tomaximisecapacity.Makebestuseofresources.
DALES Ididn’tevenknowyouhadintroducedany‘extended'servicetobeginwith.
DALES
Iambed-boundandcan'tgettotheSurgeryanditnowseemsvirtuallyimpossibletogetaGPtomakeahomevisitinmyarea.TheserviceissodisjointedthatIevengottoseetheConsultant(somewhattohissurprise!)beforehavingmyCTScan.AtthatpointIhadstillnotseenaGP.
DALESAlthoughfromopinionexpressedatthemeetingtheStanhopehallhasbeensetuptofail.DalespatientshavehadtoasktoattendthereratherthanBishop
DALES Feelitisdrivenbycostcuttingratherthantoimproveservices.
DALES HavingreceivednoinformationabouttheproposedchangesIamunabletomakeanycommentsatthisstage.Woulditbepossibleforyoutosendmedetailsoftheproposals?
DALESIdon’tfeelthatthispropositionhasbeenwidelyadvertised.Ihaveonlyseenthisbychanceadsomethoughtfulpersonhassharedonsocialmedia.Aletterwouldhavebeenappreciated.
DALES Iunderstandtheneedforimprovementandbetteruseofmoney.However,weliveinaruralareasoservicesmustbeaccessibleforeveryone.
DALES I'mnewtothearea,needmoreinformation.
DALES Noideawhat'sgoingon.Justguessingthey'retryingtocloseouronlyhospital,Richardson.
DALES Nopreviousknowledgeofproposals
DALES Weneedtheseservicesasweliveinaruralareathereistoomuchtravellinglongdistancestootherhospitalsforclinicstreatmentandother.
DALES FalseeconomyIreckon.
DALES Yesservicehasbeenunderusedpeoplebeendirectedtootherhubs
DALES
thedifficultyinstaffingmedicalcentresduetoshortageofmedicalstaff,ithasbeenreportedthatsomeoftheareasaredeprivedduetothesocialandeconomiceffectsofthelossesofhistoricalemploymentiecoalminingwhichtheseareasreliedupontheeffectsthistypeofsocialupheavalhavebeenreportedbyRowntreeEt.al
50
DALES ThereisnosupportablereasongivenforclosingtheBarnardCastleservice.
DALES IassumetohelpwiththedemandonnormalGPappointments.Thetriagethingisdifficultifyouworkandcannotacceptcallsatwork.
DALES Itsaystoreadtheconsultationinformation,butdoesn'tsaywhereitistoread.
DALESReducedmoneyduetocentralgovernmentfundingcutbackandgeneralreducingoffinancialaidtothehealthservicesinEngland.ReductioninstaffingduetofinancialproblemandBrexit.
DALES Iunderstandtoapointbutnotfully.
EASINGTONIdon'tknowwhatchangesyou'reproposing-itdoesn'tsayonthelinkfollowedviaTwitteroronhere...
EASINGTON Idon’tunderstand
EASINGTON Lackofdoctors
EASINGTON Notsurewhatthisentails
EASINGTONThereisn'tenoughinformationonthewebsitefromwhatIcansee.Alotofthenearbymeetinghavebeenheldduringthedaywhenpeopleareworking
EASINGTONUnderutilisationofstaffandmedicalstaff,howeverthewholeappointmentssystemisanightmareforpatientsatoursurgery.
EASINGTONIhavereadreadthepreviouspage"workingtogetherforexcellenthealthforthelocalcommunities"butIamunsurewhatchangesaregoingtobemade.
SEDGEFIELD ButhowdowecontactthesepracticesasIliveinFerryhill.DoIringmydoctorstobeputthroughorwilltherebeacentralswitchboardtoring?
SEDGEFIELDIhaven'theardoftheseHubs,it'sallnewtomewhichmakesmewonderifthisiswhytheyareunderused,asIhaveaskedatleast10peopleiftheyoftheserviceandallsaidNO.WhereDoyougettheinformationontheHubsregardingwheretheyareandtimesetc?.
SEDGEFIELDIfextendedhoursappointmentsaren'tbeingtakenupmaybethepublicdon'tknowofthatserviceornotenoughpeoplerequirethem.
SEDGEFIELD Neverheardofitbeforecan'tgetdoctorsappointmentweekendoreveninggottofightforappointment
SEDGEFIELD Thechangeswouldeffectpeoplewhoworklongshiftsandareunabletogettoalocation
SEDGEFIELD Whatchanges?
Q3.Doyousupportthechangesinyourlocality?Comments
DALES Notsurewhattheimpactofchangeswillbe.
DALESItwilldependuponcriteriausedforDUCTandhavingsufficientcapacityatBishop.Financialissues&costforpatientsisanissueespeciallyifonlowincomeanduniversalcreditetc.
DALES Don'thaveenoughinformation.
DALES OnlyknowthereissomethingtodowiththeRichardsonatBarnardCastle.
DALESSeeabove.Iflocalpeopledon'tknowwhatexistslocally,thenhowcanwesupport/notsupportchanges.Itwouldbeliketryingtofillinaformblindfoldedinadarkroom.Impossibletodoitaccurately.
DALES IamconcernedabouthowpeoplefromthetopofWeardalewillaccessservicesasitisa60mroundtriptoBishopAuckland
DALES Aspermylast
DALES Feelitisdrivenbycostcuttingratherthantoimproveservices.
51
DALES Goingtobeanotherservicedifficulttoaccessnotransportweekend,
DALESIamnewtotheareaandwhilstIcanunderstandtheneedforchangesIamnotsurethattheproposalsaretherightwayforward.
DALES Idon'tsupportclosingouronlyhospital,RichardsonBarnardCastle.There'snotransportlinktoanyotherhospital.
DALESIsupportchangesthatwillprovideabetterserviceforall.SomeoftheservicesseemtohavebeencutinallbuttheBishopAucklandarea,manydisabledandelderlypeoplecannoteasilygettoBishopAuckland-especiallyoutofhours.
DALES Notifitmeansthatourhospitalwilleventuallyclosedownorthatwehavetotravelfurtherfortreatmentorclinic,rehabappointments
DALES Notsureasalreadyhavinglotsofproblemsgettingadoctor’sappointment.evenwhennoturgentunabletogetappointmentatstationviewmedicalcentre
DALESRuralareasneedaccessperhapsmoreimportantlythanurbanareas.Transportcostsareinevitablyhigherinruralareas.Peopleonlowincomesinparticularwillsufferlossofaccess.
DALES Theywillbesituatedsofarawaythattheywillprobablybeirrelevant!
DALEShavingbeenemployedinNHSandsufferedtherigorsofthemanymissjudgedchangethattookplaceinthelatterpartoftheC20andthefailureofsomeofthoseventuresthatcostthesystemdearly
DALESOnlypeoplewhoworkoraregenuinelyunabletoattendnormalsurgeryapptsshouldbeallowedtoattendtheweekendoutofhoursappointments.AtpresenttheseapptsseemtobetakenupwithpeoplewhojustwanttoseeaDranddonotwanttowait.
DALES WhileunderstandingthatthereviewshowstheserviceisunderuseditwouldbefoolishnottostatethevalueofhavingthisserviceinBarnardCastle.
DALES Notsure,BarnardCastleismuchnearerandthehospitalshouldbeused.
EASINGTON AretheygoingtomeanalossofservicesinEasingtonhealthworks
EASINGTON Idon’treallyunderstand
EASINGTON Ithinkit'sadisgrace.
EASINGTONNeedstobeamoreefficientsystembutitisdifficulttogetanappointmentanyway.ReducingservicesisnotagoodsuggestionasfarasIcansee.
EASINGTON Notclearinwhatthechangesare.Iknowthatthehubsarenotbeingusedbutdon'tknowwhatyouareoffering.
EASINGTON OpeningSeahamandPeterleeatsametimeonweekendmakesnosense.NeedtounderstandintentionsofSunderlandandimpactonSeaham.ImpactonA+E
EASINGTONThereisn'tenoughinformationonthewebsitefromwhatIcansee.Alotofthenearbymeetinghavebeenheldduringthedaywhenpeopleareworking
EASINGTON Wasn'tawareoftheoperationsofthehubsoverthelastyear.
EASINGTON Whychange?Weneedmore,notless!
EASINGTON
IamoneoftheGPsworkingatthePeterleePrimaryCareService,coveringeveryotherweekend.Iwishedtoexpressmyconcernatthepossiblereductioninthehours;Ibelievetheproposedtimesare10-14.00hrs.Frommyexperience,theservicehasbecomeincreasinglybusy,anditisnotuncommonforANPstohaveafullledgerfrom08.00-12.30,withextrasaddedon.Ontopofthisthereistherequirementtotriageforvisitsandadvice.IhaveworkedwiththeservicesinceitsinceptioninApril17andhaveseenaverycommittedgroupofANPsgrowinconfidenceandabilitybyregularexposuretolargevolumesofpatients,supportedbyanonsiteGP.Ithinkthattheservicehoursonaweekendneedtoexpandratherthancontract.WhileIamnotsayingitneedstobean08.00-20.00hrsservice,IhavediscussedwithRebeccaDuncansononmanyoccasionsextendingthehoursfrom08.00-16.00,tosmooththecaseflow.Additionallyitfeelsliketheserviceactuallystartstogetreallybusyfrom12.00onwards.Ifeelthatreducinghourswouldalsobea
52
disincentivetoagroupofhardworkingnurses.Thetimeatworkandremunerationhastobesufficienttojustifythedisruptiontoonesotheractivities,commitmentsandfamilytime.
SEDGEFIELD
IactuallyliveTrimdonvillageoursurgeryisunderthreatasitisournearestoutofhoursisPeterleecommunityhospitalthisconcernsmelotIneededtousethisservicecoupleofweeksagobutIcouldn'tgetliftarrangedthereforecouldn'tbetreatedwedesperatelyneedsomethingcloser
SEDGEFIELDIfindtheproposalstobeconfusing,whatexactlyareweabletoinfluence?Itwould'vebeengoodtohaveasayonthelocationofthehubs,itseemstomethatwecanonlycommentontheopeningtimes?whatisthepointofthat?
SEDGEFIELD Insufficientdetailbeingprovidedsomakesitdifficulttocommentfurther
SEDGEFIELD Notabletocommentasdon'tknowwherethelocalityis.
SEDGEFIELD Whatchangesdoyoumean?
SEDGEFIELD UntilIknowthechangesIcannotcomment
Q5.Wouldtheproposedchangesforyourareastillallowyouaccesstobookedandsamedayevening/weekendappointments?Comments
DALES
There'snotransportlinkfrommyvillage,Mickleton,BDCastle.toanyhospitalotherthanRichardson.Withmyheartcondition,Ihavetobegmybusyworking,daughtertotakemeinacar.Toattendan8amappointment,shehastodrivethrough,rushhoursandschoolrunstotaling2hours.Theroadsarecomplicated.
DALES canteasilygetappointmentatmomentalthoughhavehadnoinformationofwhattodoifmydoctorshasnoappointments
DALES GPsurgeriesshouldbeopenweekendsandoneveningspatientscanoftenworkshiftsandcannotgettimeofffordaytimeappointments.
DALES AtBishopAucklandhospital.
DALESDependsonifIcouldgetthere.Busesdon'truntoowellonaneveningandweekendfromupthedale.GettingsomeonetotakemetotheRichardsonhospitalisonething,buttotrailtoBishopisabigask.
DALES Donotknowwhattheproposedchangesare!
DALES Icurrentlyhavemyowntransportbutthiscouldbelistanytime,thenmyanswermaychange.
DALESInthepastIhavetriedtogetasamedayappointmentbuthavebeentoldtophonebackthenextday.Idonotalwaysneedtoseeadoctorbutwouldlikeadviceoverthephoneorbyemail.
DALES Theopeninghoursseemtobeveryshort!Whatareyousupposedtodoafter8pmweekdaysandformostoftheweekendillnessdoesn'thavetimeboundaries!
DALES Transport?
DALES Willdependoncapacitymanagementandmonitoring.
DALES bewarehowthechangesaremade
DALESDon,tunderstandthequestion.Outofhoursservicesarethereforminoremergenciessobookinginadvanceunlikelytoberelevant.
DALES Perhapsalternativehours5pm-9.30pm
DALESItisdifficulttogetanywherewithoutacar(fromMiddletoninTeesside)andIdonothaveone.Richardson'satBarnardCastlewouldbemyfirstchoice.
EASINGTON Asbeforedon'tknowwhatthechangesare.
EASINGTON Cuts,cuts,cuts.
53
EASINGTON Highlyunlikely.
EASINGTON IfitisEasingtonorPeterlee
EASINGTON Itisextremelydifficulttobookanappointmentnow.Thiswillnotimprovethesituationinanyway.
EASINGTON Thereisn'tenoughinformationonthewebsitefromwhatIcansee.Alotofthenearbymeetinghavebeenheldduringthedaywhenpeopleareworking
EASINGTON Thisquestiondoesn'tmakesense!
EASINGTON Toolimitedatweekend.
EASINGTON Yes,thatwouldbealittlebetter.
EASINGTONWeekendopeningtimesneedtobe24/7.NopointinmorningsorafternoonsPeterleewalkinturnyouawayandHarris'salwaysrammedbusy
EASINGTON
Weekendopentimescouldbeextendedasthemajorityofpeopleareunwelloutofhours.AsthenearestA+EfortheEasingtonareaisa20minutejourneyitwouldbebettertousethelocalwalkinasaninitialpointofcall.IflocalGPSurgeriesreopenedonaSaturdaymorningforemergencyappointmentsbookedthrough111thentheopeningtimesforbothPeterleeandSeahamsitescouldbeinaafternoonandpeoplewouldnotneedtouseaccidentandemergencydepartmentsunlesstherewasanemergencysituation.
SEDGEFIELDDuetoworkcommitmentsit'snotalwayseasytogetappointmentsaroundworkinghourshoweverItwoulddependontheurgencyofseeingaDrastowhethersomeoneispreparedtowait.Maybethisissomethingthatcouldbeaskedwhenringingin
SEDGEFIELDIdon'tknowifthecurrentorfuturehubappointmentsareoverandabovetheregularserviceprovidedatmypracticewhichisahuboriftheyarepartof,thereforeimpactingonavailableslotsforregisteredpatients
SEDGEFIELD Iwork40milesfromhome7:30-6soitwouldhelpme
SEDGEFIELD It'squitedifficulttogetsamedayappointments,orsoitseems,atpresentandIcan'tseethatchangingmuch.
SEDGEFIELD ThesearenotmydoctorssothenIwouldsayno
SEDGEFIELDIamretiredsoanytimeissuitableforme.TheproblemformewouldbetavellingasIdon'tdrive
Q7.Isthereanythingwehavemissedornotconsidered?
DALES WinterweatherconditionsifyouneedtotraveltoBishopAuckland.
DALES ThosewholivenearertoadifferentCCGandmayfinditeasiertoaccesstheirservices.Weshouldbeinformedofthisalternativeprovisionandbeabletouseitifrequired.
DALES Couldanursenotbebasedjustforrepeatprescription.
DALES Patients?
DALES Againneedtothinkaboutcommunicationwiththepractices.Alsohowtheytellpatientsabouttheseservices.
DALESHaveyouconsidered,ATALL,promotingtheoutofhoursservicesyouofferattheRichardsonHospitalatBarnardCastle?Andlettingthe111staff,knowingthatitexists???
DALESIneedtobeabletobookappointmentsinadvancenotjustontheday.ThisisnotpossibleatCrook.Ifsomethingisworryingmeitmaynotbeurgentbutneedsattentionataconvenienttime.
DALES Peoplewhocannotunderstandthenewrules
54
DALES Provisionofaweeklysurgeryinruralarease.g.communitycentre,forcertainconditionse.g.diabetes,sothemoreisolateddonothavetotraveltoBishopAuckland
DALES Tellingusthebasicinfowouldbeastart.
DALESHowaboutthecommunityconsultationswehadatMiddletonvillagehallandothersaleshallswhentheyweretryingtorestricttheambulanceserviceupthesales.
DALES Transportforisolatedpatientsiskeytothisproposal.
DALES VisitingexistingPFIunitsforhostingtheOOHservices.
DALES
ThereisnomentionoftheRichardsoninBarnardCastle,whichiscrucialforthoseofuswithoutcarsorfamilytodriveus.IfillonewouldnotwanttohavetotravelanyfurtherthanhometownevenifIdidhaveacarandfeltwellenoughtodrive.Itrustthoseproposingthisareawareofthelimitationsofthelocalbusservices.
DALESAsummaryofproposedchangeswouldbeusefulforpeopletoreadagainpriortocompletionofsurveytaggedonthefrontofthispagetoensurepeopleknowexactlywhattheyarerespondingto.
DALES Publictransportwhichisalmostnilandambulancesoftentaketimetocome.
DALES Can'tgettoBishopAuckland-Ihavenotransportandbusesareeverytwohours.
EASINGTONAsaboveIstilldon'tknowwhatyou'reproposingsohowdoIknowifyou'vemissedanythingetc.?
EASINGTON Futureplanningconsiderationsintermsofhousebuilding.
EASINGTON Ihavenocarsorelyonbustransport
EASINGTON MorehousingbeingbuiltmeansmoreGPs,notless.
EASINGTON Tellingmewhatthechangesare
EASINGTON Tellingpeoplewhat'savailable.
EASINGTON Thethousandsofextraresidentsproposedtobelivingintheareaoverthenextfewyearswillhavetobecateredfor.
EASINGTONWastingmoneyonbuildingthesehubs,onlyforthemtonotbeusedtotheirfullpotential.Peoplehavingtotraveltootherhubsbecausethefacilitiesarenotopen,veryannoying
EASINGTONWhatwillhappentotheminorinjuriesunitatPeterlee.AmIstillabletoaccessthisserviceandamIstillabletoattendhereafter8pmweekdays?
EASINGTON Willtherebethestafftoaccommodate
EASINGTON Yes-explainoratleastconsiderhowyoucanimprovethebookingofappointments.Yourpresentsystemisnotgoodenough.
EASINGTONYouneedtoconsiderthosewhowork.Currentlythesystemrunningforrequestingrepeatscriptsisbetween10:30-13:00pm,attimewhilstatworkthisisn'tpossible.
EASINGTON PeoplewantthewalkincentrebackinpeterleeanditneedsX-rayaswell
SEDGEFIELD IsitnotpossibletokeepsomeappointmentsavailableforpeoplewhoworkandfindithardtogetintoseeGPatsuitabletimes
SEDGEFIELD Peoplewhowork7-6MondaytoFriday.
SEDGEFIELD Peoplewithnotransportforelderlyordisabledlikemyselfpeoplewithsevereailments
SEDGEFIELDPossiblyoffercallbackservices,asoftenatalkwithaDrforadviceisoftenallthat'sneeded.Whichcouldresultinabetterserviceforall,allowingthemwhoneedtobecheckedoutinpersonavailableappointments.
SEDGEFIELDWhatconsiderationhasbeengiventoensurecontinuityofcareforthosepatientsandfamilieslivingwithterminaldiseaseandendoflifecare,outofhoursforcrisissituation
SEDGEFIELDWhatifsomeoneneedsanurgentappointment,buthasnotransport...andtheyhavetowaitforabus..whichwouldn'tgetthemtosurgeryontime.Orthey'retooilltogoouttowaitforabus
55
SEDGEFIELD Can'sthnkofanythingbutfeelIneedmorefacts
Q8.Anyothercommentsregardingthisconsultation?
DALES
Getsomeproperpublicityontheservicesofferedlocally.Forexample,socialmedia,localtelevision,localradio,doctorssurgeries,clubsaroundthearea-sportscentre,theHub,localschools,Retirementhomes.Theamountofpeoplewhoarewithoutameansoftransportinthisareaishuge,thepublictransportisminimal,sotoclosetheRichardsonoutofhoursserviceseemsridiculousandahalfcockedideadecidedbypeoplewhoaren'tevenfromthearea.
DALESIlikemanyothersareextremelyangryaboutthis,abouthavingservicescutonceagainonourmedicalfrontline.
DALES Iliketheideaofmulti-disciplinaryteams.
DALESIwouldvaluethisserviceasIworkfulltimemeaningitisverydifficulttogainanappointmentwhenrequired.InadditiontothisItraveltoworkwhenphonelinesatGPsurgeryopenmeaningThereareneveranyappointmentsleftbythetimeIamabletoring.
DALES Stronglyfeelcurrentsystemdoesnotcaterforworkers
DALES Lots.Pleasecalluson01833640603.
DALES MyhusbandandIcannotaccessserviceswhenweareworkingduringtheweekbecauseofthenatureofourjobs,
DALES
PersonallyIdonotagreewithnotbeingabletomakeappointmentsandhavingtoringat8aminthemorning.Whydowepaytaxesandprescriptionchargeswhenwecan'tevenseeaDr.InsteadofpenalisingthosewhoneedtoseeDrregularly,highlightthetimewastersandofferthemtelephoneconsultations.Don'tpunishthosewhoneedtoseeaDronaregularbasis
DALES Presentationwasunprofessional,wrongslidesforourarea,discussionstiltedandagendasnotfollowed.Hadtoremindpresenterwehadnotfinishedagenda.
DALES
Therearenotenoughconsultationeventsinthisarea.BishopAucklandrugbyclubisnoteasytogettoandthereisnototheroptionforthosethatareworkingorunabletoattendatthistime.Eventsinlargeshopsorcommunitybuildingsatvarioustimeswouldreachmoreofthepeopleaffectedbythesechanges.
DALESVenueforBishopnotaccessibleforpeople-nopublictransportnear(busstationlongwalkforpatientswithmobilityissues).Thiscanaffectwhocangiveviews.
DALES Yetagain,youseemtobeplanningtocutprovisionandserviceswithnobenefittopatients
DALESWhyistheRichardsonnotincludedintheoptions,itexists,itisnecessaryanditisinatownwhichissubjecttomuchnewhousingdevelopmentandalsohasanolderdemographic,somorepotentialpatients.
DALESTherearemanypeoplewhodonothaveacomputersotoreachawidernumberofpeople.Whydoyouneedtoknowthe[EQUALITY]questions-willsomebeexcludedfrombeingtreated.
DALES WhatabouttheRichardsonHospitalatBarnardCastle.
EASINGTON Appearstobepurelyacostcuttingexercisewithnobenefittopatients.
EASINGTONAsaboveIbelievetheseresidentswillhaveamassiveimpactonalreadyveryoverstretchedservices
EASINGTON Iknowthatthehubsarenotbeingused.I'mveryunclearwhatyouareproposing.
EASINGTON Istronglybelievethatyoushouldbeabletobookappointmentsinadvanceasitisdifficulttogetappointmentstosuitworkinglife.
EASINGTON I'dliketoseetheappointmentssystemmoreaccessiblefor9-5pmworkers.
EASINGTON It'shardenoughtogetseensincethepurposebuiltoutofhourscentrewasclosed.
56
EASINGTON Meetingsduringthedaydonothelp,haven'tseenanythingaboutthesemeetingapartfromFacebook.Seemslikethelesspeoplewhoknowaboutitthebetter
EASINGTON WhyisutilisationatSeahamsolowaspopulationonaparwithPeterlee.
EASINGTON Worstthingtodowasclosethewalkincenter.HardenoughtogetappointmentwithGP.
EASINGTONYoushouldhaveleftitasitwas.Noweveryoneconfusedanddoesn'tknowwheretogoIfyouring111youareonthephonesagesandtheyjustsendanambulanceProperwasteofmoney
EASINGTON It'salltoocomplicatedfortheelderlywhofindusingthisformofcommunicationontheinternetchallenging.
EASINGTON Consultationsshouldbemorewidelypublicisedoveralongerperiodoftime.
SEDGEFIELD
currentlyifanolderpersonover60+theonlywaytogetanappointmentwiththesurgerystaffistogetupearlyandgoandstandinaqueueuntilthedoorsofthesurgeryopenat8.30andthisistheonlywayapersoncangetanappointment,unfortunatelyifyougotoanysurgeryatbetween8and8.30youwillseethatthequeueconsistsofelderlyfolkswhoeitherdonothaveaccesstoacomputer(togoonline)orliveontheirownanddonothavefamilyclosebythatcangoonlineforthemandIfeelthatthisisreallyashametohaveoldpeopleoutinallkindsofweathertostandforhalfanhourtomakeanappointment.Tryingtotelephoneasurgeryisawasteoftime,asthephonesarenotmanneduntil8.30andthentheyareengageduntilwellafter9.30sometimeslaterbywhichtimeallthesamedayappointmentsaretakenandtheydonotmakefutureappointments.Ittookme5weekstofinallygetanappointmentandthenthatwaswithaHCAsoIdon'tbothergoingatallnow.Iselfmedicateandgotothesurgeryonceayearforacheckup.Iamover80nobodyappearstobeinterestedintheelderlyinthisdayandageunfortunately.
SEDGEFIELD Finepeoplewhodonotattendappointments.Someone’sgottobeafirst.
SEDGEFIELD
Iwasnotawareofcurrentprovisionofweekdayandweekendservices.TomethoseactuallyaretheonlytimeIcangettodoctors.Please,makethebookingsystemsuchthatordinaryworkingpersonalsogetstoseeadoctor,notonlythosethathavenojoborareretired.
SEDGEFIELD Myfearisanalreadystretchedservicewillgetpoorerthroughtheweek.
SEDGEFIELD NotreallysurehowthiswillworkasIdon'tliveinanyofthetowns
SEDGEFIELD Ourfamilylovethetalkbeforeyouwalkcampaign.However,it'sonlybeenseenintosurgeries,shouldithaveawidercirculation,toincreaseimpact?
SEDGEFIELD Pleasethinkaboutpeopleandtheircircumstances
SEDGEFIELDReQ6.Iwouldliketoseehomevisitsfortheelderly,lessmobile&thosewithchronicmedicalconditionstobemoreeasilyaccessible.WithregardstotransportIfindthe'SUPPORT'volunteerdriversprovideavaluableservice.
SEDGEFIELD Howdohouseboundpeoplefindoutabouttheconsultationespeciallyiftheydonothaveaccesstotheinternet?
Related Documents
