Accident and Emergency

A specialist A&E Hospital at the Moor Farm roundabout in Cramlington is being proposed by the Northumberland & North Tyneside Health Trust (NNTHT). The formal consultation is running through till next month.

Their argument is that for serious ‘blue light’ emergencies, a concentration of specialist care is better for patients that having that care spread across three (local) general hospitals. The general hospitals will still offer ‘walk-in’ A&E care, and patients will normally decanted out to these more local hospitals after 2-3 days, but the specialist hospital will have consultants available 14 hours a day, seven days a week.

Newcastle Hospitals Trust (NHT) points out that their new regional trauma centre and other specialist hospitals are only eight minutes away (by ‘blue light’ ambulance) from the proposed site, and there is a risk of duplication of function.

NNTHT need a catchment area of 0.5million pop to provide enough accidents and emergencies to make their new hospital viable both financial and in providing sufficient professional challenge for the concentration of consultants. That’s why North Tyneside was added onto Northumberland in the first place. And that explains the choice of location, which is a population-weighted mean – it’s the place that’s nearest most people. So – as usual, sparsely populated north and far west Northumberland miss out.

I’m concerned about transport access: Moor Farm roundabout is already one of the most congested points on the Northumberland road network and walking, cycling and public transport access is poor. As far as I can tell, there has been no assessment of traffic impact, and the Trust has only just thought about talking to the Highways Agency. Even disregarding the need for car-free access, there’s a serious risk that ‘blue light’ ambulances will get snarled up in congestion of the hospital’s own making.

Then – there’s the standard climate change question: I’ll (generously?) assume they’ll go for a low carbon operation, but will they design and build to cope with the inevitable climate changes that will occur within the 50-60 year planned lifetime of the building?

As usual – watch this space….

New Specialist Emergency Care Hospital

Northumbria Healthcare NHS Foundation Trust is developing a plan to build a new £75M Specialist Emergency Care Hospital 'close to the A19 and A1 on the Northumberland and North Tyneside border' (would this be Seaton Burn?).

It is planned that the new centre will have 210 beds, a Critical Care unit, operating theatres, blood sciences, radiology including MRI and CT scanners, maternity and a full range of support and ancillary facilities.

See www.northumbria.nhs.uk

There’s a series of public meetings about this – the Morpeth one is 25th Feb 2.30pm - 3.30pm Morpeth Cottage Hospital, tel 0191 2031296 for more info

It may well be a good scheme, but an immediate concern the springs to my mind is about access by non-car users. NHS has lots of fine words about sustainability, carbon reduction and reducing car dependency, but does it put them into action:
i) how does this location relate to the NHS vision: "NHS organisations are exemplar in leading the population-wide shift to more active and low carbon travel such as public transport, cycling and walking”
ii) would the hospital comply with the NHS Carbon Reduction Strategy for England (January 2009), Section 3 'low carbon travel, transport and access' (all five Key Actions).
iii) and of course, the location must be approved by the NHS Sustainable Development Unit