You can help save the urgent care centre at Hammersmith Hospital - but you need to act now

It's where you can get vital NHS treatment for things that aren't life threatening

By

Julia GregoryLocal Democracy Reporter

• 15:27, 5 FEB 2019
  
• There's a chance to have your say before the NHS closes the unit to try to save money (Image: Getty images)
There are plans to close an "underused" out of hours  urgent care centre in Hammersmith .
It's where you can go 24-hours-a-day to be seen urgently if your illness is not life threatening.
And, if you have strong views on that, now is the time to speak up.
Residents are to be asked what they think - there are six weeks to have a say.
The closure is one of several options which will be included in a consultation this month as the cash- strapped Hammersmith and Fulham Clinical Commissioning Group looks to save money.
It estimates that shutting one of  its two urgent care centres which are open overnight from 8pm to 8am, reducing weekend plus GP appointments from one practice to three and cutting 155 extended hours GP appointments a week, could save £1m a year.
It said it had no plans to close the urgent care centre at Charing Cross Hospital, or reduce its hours from 2am to 6am.

So, how under-used is it?

An average of seven patients are seen at the urgent care centre at Hammersmith Hospital on any night.
Of those, an average of only two need emergency or urgent care, according to the CCG.
It said the highest number of people ever turning up between midnight and 8am was 18.
So it's up and down.
But that's still a lot of people.
In 2017/18, nearly 33,000 people visited, with 47,000 patients turning up at Charing Cross, which has seen a maximum of 20 people during the midnight to 8am slot.

Now the consultation begins

The CCG has already talked to Healthwatch about the best way to consult residents about the options.
MD Janet Cree told Hammersmith and Fulham’s health and well-being board that it was not practical to send letters to every patient. That data is not available.
It has already staged a series of pre-consultation events and discussed ways it will stage the formal consultation.
The CCG’s  co-vice chair, Vanessa Andreae, said patients commented at last year’s pre-consultation events that "they were not always aware of what’s available. Having a single location could reduce that complexity".
She added many of the appointments were filled by the practices’ patients.
Ms Cree said: "There is nothing determined until we get that feedback."

Have your say

Councillor Ben Coleman, who is Cabinet member for health and adult social care urged residents to respond.
The Labour politician said:"Our local NHS is under attack from government funding cuts. Almost 50 people attend Hammersmith Hospital's Urgent Care Centre overnight each week and nearly one in three of these requires urgent or emergency treatment.
"This consultation could lead to the service being closed. I urge residents to respond."
The consultation will last six weeks.
https://www.mylondon.news/news/west-london-news/you-can-help-save-urgent-15783299

NEW YEAR - MORE NHS CUTS

Charing Cross Hospital SAVES lives, says Cancer patient...

See the video: Charing Cross Hospital SAVES lives, says Cancer patient...

UK cancer care a national shame, says Macmillan charity

Report finds patients diagnosed too late, abandoned after treatment and denied a dignified death

Cancer patients receive chemotherapy at Harrogate district hospital. Photograph: Christopher Thomond for the Guardian

Cancer care in Britain has been dubbed a national shame, and despite many people with the disease living longer, patients are being denied a dignified death, according to a leading charity.

Too many people are diagnosed too late, are shown a lack of compassion during their care and feel abandoned after treatment, said Ciarán Devane, chief executive of Macmillan Cancer Support.

His damning verdict accompanied the charity's first state of the nation report which condemns UK governments for lagging behind western European countries and others on cancer survival rates.

"Any notions that cancer care in the UK is 'fixed' are rubbished by our findings," said Devane. "While the NHS does amazing things every day, it is a national shame that our cancer survival rates are among the worst in Europe, that patients are being treated with a lack of dignity, or being denied a 'good' death.

"Cancer patients no longer either simply get cured or die. Many live a long time but struggle with serious health problems," said Devane.

"With the number of people living with cancer set to increase, political parties must ask themselves – how will we cope with these growing numbers when we cannot even meet the needs of many people today? … With a UK cancer crisis looming, we must take action now."

Macmillan's report says one in three (32%) people with cancer die within a year of diagnosis, suggesting for many diagnosis is too late, and lambasts lack of information and support for patients and shortages of specialist cancer nurses. It says there is lack of compassion towards some patients when they are at their most vulnerable. Significant numbers of those with cancer "experience long-term physical, emotional, financial and work issues".

Calling for a shift in funds from hospitals to community care, the charity calls for government focus on reducing late diagnosis, priority for patients' experiences alongside clinical matters and to let patients spend their final days in the place of their choosing and with free social care.

Macmillan points to the disparity in patients' wishes on where they want to die, shown in its own online survey in 2010, and where they do die, as recorded for England and Wales in 2012 by the Office for National Statistics. Thus while 73% of those with cancer want to die at home, more than a quarter elsewhere, and less than 1% in hospital, in reality only 30% die at home, 32% elsewhere and 38% in hospital, the report says.

It cites evidence from the British Journal of Cancer that one in four cancers in England are diagnosed via emergency admission to hospital, rather than through screening or GP referral, rising to half all cases of pancreatic and nearly two-thirds of brain or central nervous system cancers.

It also says that there is "a shocking postcode lottery" within the UK over survival rates, treatment and care for those with cancer.

The report also points to research on cancer survival published in the Lancet medical journal three years ago, for colorectal, lung, breast and ovarian cancer in Australia, Canada, Denmark, Norway, Sweden and Britain.

It was persistently lower in Denmark, England, Northern Ireland, and Wales, particularly in the first year after diagnosis and for patients aged 65 years and older.

The proportion of people with lung cancer dying within a year of diagnosis in the UK was 70%, compared with 65% in Denmark, 61% in Norway and 56% in Sweden.

The Department of Health in England said: "We want the UK to be the best place in the world to survive cancer. We have invested £750m over four years to support early diagnosis and improve access to screening and have already seen significant improvements in some cancer survival rates.

"The recent cancer experience survey has shown high levels of satisfaction with the care and compassion shown to patients. However, the NHS always works to improve standards. We are starting a review looking at the issue of choice in end-of-life care."

The Guardian