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My notes from last night's meeting (not definitive):-• The Trust maintains that there was no need for consultation as services are being TRANSFERRED to newly refurbished wards in Charing Cross Hospital.However, other hospitals, i.e. St. Mary's(no refurbished wards) will have to take cases, as C.Cross will not have the capacity to take all cases which would have gone to Ravenscourt Park• The Trust sees the minimum waiting time for elective surgery of 6 months as the target it should work to – therefore a wait of 5 and half months for a knee replacement is acceptable, no matter how painful for the patient• The Trust has taken RPH on a long lease and will have to pay ca. £5m (?) per annum for the next 10 (?) years, whether the hospital is used or not.• The building is a Listed Building and its use is restricted to that of a hospital• Councillor Rory Vaughan raised several vital points:-  what was the Business Case for taking on the RPH ?-  what did the Business Case say re. the number of patients who would be treated versus capacity at RPH ?-  was RPH taken on just  to clear a waiting list backlog?-  if so, why did the Trust enter into such a long lease?• Apparently, McKinsey were commissioned by the Trust or local SHA at some stage to evaluate the need to re-open RPH.  The PIF was not allowed to see McKinsey’s report – FoI Act was quoted• Several people at the meeting raised fears about MRSA – RPH was a pioneer in preventing MRSA entering the hospital, including swabbing patients before admission.  Charing Cross has a poor record on hospital acquired infections and promises regarding isolation of the new wards were not believed.The meeting agreed that the PIF should oppose the closure of Ravenscourt Park Hospital on the grounds of lack of consultation.

Catherine Mowat ● 6845d

BBC News web-site, 29th Aug.06Ravenscourt Park Hospital in west London was a private hospital that was leased to the NHS in 2002 in a drive to cut waiting times. The hospital helped cut waiting times by up to two thirds but was often only half full and operated at a £12m loss.  Hammersmith Hospitals NHS Trust said the decision to move services was made to save public money.  Services are to be transferred to Charing Cross Hospital, just over a mile away, along with most of the 200 staff. BBC London political editor Tim Donovan said the hospital needed to treat 12,000 patients a year to break even, but has been treating 5,000 - creating a loss which could not be justified. The NHS Trust said demand had dried up because other hospitals have improved their own services to patients.  "If we don't move the service and cover the costs then the problem with it will be is that the hospital will lose money," says Derek Smith, chief executive of Hammersmith Hospital's Trust.  If it continues to lose money then the rest of the NHS has to pay for it."  The trust said it was a tough decision, taken after "detailed financial and predicted patient analysis". But John Lister, of campaign group London Health Emergency, said the Ravenscourt Park had fallen victim to government policy.  He said while private treatment centres were centrally funded, hospitals which send patients to NHS centres have to pay from their own budgets. And a new "payment by results" system means hospitals are paid according to the number of patients they treat, meaning they are less likely to transfer them elsewhere. Mr Lister told BBC News: "The government has set up completely contradictory lines of policy.  These units are extremely popular with patients but their [viability] has been made almost impossible by government policy." There are 10 years left on the lease which means taxpayers will have to pay £40m for an empty building unless some other medical use - a condition of the covenant - can be found for the building. The trust has said that where possible, staff will be transferred to the expanded orthopaedic services at Charing Cross - or offered other jobs in local hospitals. ++++Govt. policy has undermined this hospital - outsourcing simple operations to private health companies and/or not allowing one Trust to send their patients to the hospital of another Trust.

Catherine Mowat ● 6874d