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- Voting of the Joint Sub Committee of Huddersfield Central, South Huddersfield and Calderdale PCTs on the 22nd of March 2006
Background
In October 2005 the three Calderdale and Huddersfield Primary Care Trusts (PCTs) launched the Looking to the Future consultation. The Looking to the Future project was set up to look at how local health services could meet the challenges of the next 10 years and beyond.
The consultation set out proposals for changes to children’s, women’s and surgical services. It also outlined what changes need to be made to improve access to diagnostics, services for older people and services for people with long term conditions.
At the same time, consultation also took place on local mental health and learning disability services.
The decisions
RESOLUTIONS APPROVED ON WEDNESDAY 22 MARCH 2006 BY A JOINT COMMITTEE OF CALDERDALE AND HUDDERSFIELD PRIMARY CARE TRUST BOARDS
1. The joint committee resolves that the Calderdale, Huddersfield Central and South Huddersfield Primary Care Trusts work with primary and secondary care colleagues to develop a broader range of services in the community. Thereby providing improved access to appropriate care closer to people’s homes by shifting resources from secondary to primary care.
2. The joint committee resolves that, in regards to the services currently located at St Luke’s hospital, Huddersfield, provided by the South West Yorkshire Mental Health Trust and the Calderdale and Huddersfield NHS Trust:
- Inpatient services for working age adults and older people with acute mental health problems are relocated to the Huddersfield Royal Infirmary site.
- Inpatient services currently provided at the Castle Hill and New Haven Units, for people needing low secure care are relocated to the Fieldhead Hospital site in Wakefield.
- Those mental health services that can be appropriately provided in a community setting are relocated into the community.
- Those general health services that need to be provided within an acute hospital setting are relocated to the Huddersfield Royal or Acre Mill site.
- Those general health services that can be appropriately provided in a community setting are relocated into the community along with their underpinning resources.
When all service relocations have been completed, NHS services will cease to be provided on the St Luke’s site and that Calderdale and Huddersfield NHS Trust will dispose of the site.
3. The joint committee resolves that the Calderdale and Huddersfield NHS Trust will continue to provide the broadest range of safe, high quality and sustainable local hospital services from two hospital sites, including two fully functioning A&E departments.
4. In order to provide safe, high quality and sustainable inpatient services that ensure the best use of resources, and build on the provision of paediatric inpatient care, neonatal intensive care agreed in 2000, the joint committee resolves that:
- Planned inpatient orthopaedic and planned inpatient general surgery, including breast surgery, and all in patient gynaecology will be provided at the Calderdale Royal Hospital.
- All emergency inpatient orthopaedics and emergency general surgery, complex planned surgery and emergency paediatric surgery will be provided at the Huddersfield Royal Infirmary.
- A 24 hour paediatric assessment and observation unit able to accommodate children requiring a short term stay will be provided at Huddersfield Royal Infirmary.
- All inpatient obstetrics and services for babies needing special care will be provided at Calderdale Royal Hospital.
5. The joint committee resolves to retain a midwife led unit at the Calderdale Royal Hospital and develop a clear transition plan to include:
- A full obstetric service at both Huddersfield Royal Infirmary and Calderdale Royal Hospital for a minimum of 12 months while establishing a midwife led unit at HRI.
- Once established the midwife led unit will run alongside the Huddersfield obstetric unit for a maximum period of six months during which training protocols are developed and confidence established.
- Increase the provision of community midwifery.
6. The joint committee resolves that, the Calderdale, Huddersfield Central and South Huddersfield Primary Care Trusts will work with partners within Calderdale and Kirklees to improve access and transport links to support the service changes to mitigate any detrimental effects on service users as a result of these service changes.