Tagged: vulnerable patients

MP raises fears over planned mental health service changes

A North East MP has entered the row over proposed changes to mental health services that will see scores of jobs lost in the North East.

Wansbeck MP Ian Lavery says vulnerable patients and their families are left feeling abandoned by plans to alter the way that important services are delivered in the region.

Controversial plans have been made by Northumberland, Tyne and Wear NHS Foundation Trust to close mental health wards, relocate service and develop new units.

Mr Lavery said: “I have met with a number of my constituents who use the services and they feel that they are being abandoned by the mental health trust.

“It really concerns me the planned changes that have been made. We cannot sit back and say that everything is fine because the reality is that it is not. These changes will put real and increased strain on patients and their families.

“We cannot get rid of such critical services. It would appear that these changes are being made to cut costs with patients not being the main focus.”

Under the proposals, as many as 169 frontline NHS posts will be axed and more than 90 beds reduced as more care is delivered in the community.

Each year since 2010, the trust has been required to make savings of approximately £12m while meeting the same levels of demand.

Health chiefs are adamant that the proposals will significantly improve patient care while delivering cost savings to ensure services remain viable in the long-term.

James Duncan, acting chief executive of Northumberland, Tyne and Wear NHS Foundation Trust said: “We have listened very carefully to the feedback we have received from service users, carers and our partners in recent years so that we can play our part in providing the best modern mental health services for local people, designed around their needs.

“Building on this, we have embarked on a challenging transformation programme to ensure that our services continue to be high quality, are easier to access and provide the best value for money.

“It is important to remember that the vast majority of people who use our services are supported in the community, with only about 3% needing to spend time in hospital. Alongside changes to inpatient services, we have also seen significant improvements in mental health services locally.”

Staff at the health trust have undergone a consultation process and a number of public engagement events have taken place to discuss the proposals.

It is expected that all the changes will be in place within the next two to three years.

Source –  Newcastle Journal   05 May 2014

Fears for mental health patients as 150 jobs go at North East health trust

Fears have been expressed for some of the region’s most vulnerable patients after it emerged more than 150 frontline NHS posts will be cut.

As many as 169 posts at Northumberland, Tyne and Wear NHS Foundation Trust will be lost under radical plans to change the way that care is delivered to mental health patients.

Nurses are set to be the worst hit, though a total of 867 employees will be affected as staff may be required to change their place of work or undergo different shift patterns.

Plans put forward for consultation will see wards close, services relocated and the development of new units as the trust aims to reduce costs by 20% over a five-year period.

Health chiefs have insisted that the changes will significantly improve patient services, but staff and unions have raised fears over employees’ safety and future staffing levels.

Glenn Turp, regional director for the Royal College of Nursing, said: “Trust management have told us that although they are endeavouring to redeploy all of the staff who are affected by the restructuring, they can not give guarantees that all staff will be redeployed, and as a consequence they have issued ‘advance notice of redundancy forms’ affecting around 170 staff.

“The fact remains that local NHS employers are in the invidious position of having to make huge cost savings that are not deliverable without having a negative impact on patient care, frontline staffing and inpatient activity.”

Thirteen new schemes will be introduced across the region covering all aspects of mental health, including older people’s services, psychiatric intensive care and male high dependency.

Community services will be enhanced so that fewer people will require hospital admission.

It is believed that more than 90 beds will be reduced and new ways of accessing treatment introduced for those with psychosis, non-psychosis, cognitive disorders and learning disability.

A mental health nurse, who has asked not to be named, said: “A number of challenging patients who used to be managed within the hospital setting are now going to have to be cared for in the community.

“Without significant additional investment in community services and staff, this will put significant pressure on both the patients themselves, and their families who will be increasingly relied upon to provide support when NHS staff are not available.

“For those patients who do not have a supportive family network, this may put both their health and safety at risk.

“The public should be concerned about the scale and the nature of this restructuring, because it looks as if community care is being delivered on the cheap. That has implications for everyone.”

The trust is currently working with staff on the proposals and a number of public consultation events have taken place. It is expected that the changes will come into force within the next two to three years.

A spokesperson for Northumberland, Tyne and Wear NHS Foundation Trust said: “Service users, carers, the voluntary sector and our commissioners and local authorities have been involved for many months in developing our plans for mental health services across Northumberland, Tyne and Wear.

“The vast majority of our services are provided in the community with only 3% of our patients ever needing to go to hospital, yet we spend more than 50% of our resources for services on our inpatient beds.

“Our aim is to improve quality in both our inpatient and community services whilst at the same time meeting the cost savings required of us.

“In terms of our inpatient beds, the trust currently has over 650 beds and as an example, in the last three weeks we have used in the order of 470 beds each day.”

Source – Newcastle Journal  23 April 2014