South London Healthcare Trust administrator Matthew Kershaw recommends trust dissolution and Lewisham Hospital A&E closure

DISSOLUTION of the South London Healthcare NHS Trust and the closure of Lewisham Hospital A&E are two of six recommendations published in a draft report this morning.

Matthew Kershaw was appointed to run the debt-ridden trust after it was plunged into administration in July having ended 2011 with a deficit of £69m.

And today he has recommended the trust is dissolved and other organisations should take over the management and delivery of the NHS services it provides.

He also recommends the Department of Health provides additional funds to the local NHS to cover the excess costs of the private finance initiative buildings at Queen Elizabeth Hospital, Woolwich, and the Princess Royal University Hospital, Farnborough.

A public consultation exercise is now set to take place, starting on Friday (November 2).

The full report is available for download here.

Mr Kershaw recommended:

- Improving "operational efficiency" of trust sites, including cutting the workforce.

- Developing Queen Mary's Hospital into a Bexley Health Campus, providing day case elective surgery, endoscopy and radiotherapy. It would be owned by Oxleas NHS Trust. Dartford and Gravesham NHS Trust would provide case elective surgery on an interim basis.

- Selling off "vacant and poorly utilised premises" around the Queen Mary's site and Bromley estate.

- A £20m to £25m annual payment from the Department for Health to cover the costly PFI costs which funded Queen Elizabeth Hospital and the Pru.

- Closing Lewisham Hospital A&E department with emergency care for south east London provided by King's College Hospital, St Thomas's, Queen Elizabeth and the Pru.

- Either shutting Lewisham Hospital's maternity unit or making it a standalone obstetric-led delivery facility.

- Making Lewisham Hospital an elective centre for non-complex inpatient procedures like hip and knee replacements.

- The sale of Orpington Hospital and Beckenham Beacon.

- Write-off of trust PFI debts - said to make up one-third of the overall deficit.

Organisational changes

As part of Mr Kershaw's recommendations the trust would be broken up with other organisations taking over its services.

- Queen Elizabeth and Lewisham would merge to create a new organisation.

- The Pru could be acquired by King's College Hospital NHS Foundation Trust. An alternative would see a procurement process allowing any NHS  or private sector provider to bid for its services.

 

 

Comments(43)

tumblesocs says...
2:07pm Mon 29 Oct 12

How stupid and dangerous is closing A&E at lewisham hospital,they are building thousands of new homes around the area,so with thousands more people they think its a great idea to close an emergency dept,and let everyone travel miles to the next one. blood on your hands i think .

Margaret Smith says...
2:14pm Mon 29 Oct 12

This is all due to the last Labour Government that instead of Borrowing cheap money to fund Schools and Hospitals, Launched the biggest policy open to abuse in modern times the PFI policy that allowed big business to borrow cheap money to build schools and Hospitals with a clause that the Government would pay the rent and service charges up to 50 years, Leading to Closure of this Trust and other Hospitals and schools across the UK, expecting the same.AS PFI, rips of the Tax payer and puts us all further in debt to service the profits of these big business Concerns who were in bed big time with the last Labour Government. Thank God in Lewisham we have People before Profit to vote for. Who would never allow Business interests and profit to be put before the interests of local people.

Slonik says...
3:07pm Mon 29 Oct 12

The irony is that on the sites of the hospitals they close they build houses for yet more people who sooner or later need hospitals...

Massive amounts of money have and will conitinue to be wasted as a result of a PFI fest embarked upon by the last "government" in typical spend now, pay later style. The key, of course, was to keep the spending off the books so it didn't appear as Govt. debt and Brown could continue to tell us all how prudent he was lol. Well, those of us who didn't already know it, are finding out that their votes were 'bought' and this huge mess is the price of their naivety.

tumblesocs says...
4:13pm Mon 29 Oct 12

where have the comments gone ?

goldenbroomboy says...
4:21pm Mon 29 Oct 12

Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.

Womblingbarnacle says...
4:29pm Mon 29 Oct 12

All political parties are at fault for this.

Labour forced PFI on hospitals, which left them with a 30 year high interest mortgages which they couldn't afford. PFI is where a private company builds and maintains for 30 years a hospital and the trust pays them at a very high cost for repayments transferring money from patient care. This was supported by the tories, and now the lib dems in power.

Allowing a 30% plus population increase in 10 years through immigration and higher birth rates (though maternity units now closing!) has also added much pressure which cannot be afforded and wasn't contemplated by politicians and statisticians. Well done Labour.

mouthalmighty says...
4:32pm Mon 29 Oct 12

Why dosent the government organise a huge cull of all humans In the area. I'd rather die like that, than die trying to get medical help. It's all those moaning ninnies that have caused this. Sueing for this and that. There's no money left for the really sick people. I hope you are proud of yourselves and ya compensation. You make me sick.

shergars ghost says...
4:44pm Mon 29 Oct 12

I wasn't 'plunged into administration', it was deliberately guided into administration by Streater after he closed essential services at Queen Marys' Hospital leaving a highly residential London Borough without an essential A&E or Maternity Unit.
Marvellous that the NHS can find £30M in promoting the Liverpool Care Pathway, yet cannot maintain essential services for the local community - how disgusting...!!!

Jmac49 says...
5:47pm Mon 29 Oct 12

tumblesocs wrote:
How stupid and dangerous is closing A&E at lewisham hospital,they are building thousands of new homes around the area,so with thousands more people they think its a great idea to close an emergency dept,and let everyone travel miles to the next one. blood on your hands i think .
The PFI idea was a Conservative idea created under the Major government!

Notpolitical says...
6:49pm Mon 29 Oct 12

Why does everybody get political? The cons did nothing whilst in opposition same as labour.
This is about people!
Why should Lewisham lose its A&E dept they have nothing to do with the shameful debacle known as south London healthcare, in fact Lewisham decided to withdraw from the group at its inception.
They spent millions on the A&E dept just a few months ago and it is a testament to Lewisham, as is the children's A&E dept and maternity services.
Shame,shame,shame on Mr Kershaw for thinking its ok to deprive Lewisham residents of its A&E to balance the books in the more affluent Bromley borough!
I hope all of you will support your hospital when the consultation process begins,
Start writing to your MP now to tell them what a disgrace this is

Marty1979 says...
7:00pm Mon 29 Oct 12

Notpolitical wrote:
Why does everybody get political? The cons did nothing whilst in opposition same as labour.
This is about people!
Why should Lewisham lose its A&E dept they have nothing to do with the shameful debacle known as south London healthcare, in fact Lewisham decided to withdraw from the group at its inception.
They spent millions on the A&E dept just a few months ago and it is a testament to Lewisham, as is the children's A&E dept and maternity services.
Shame,shame,shame on Mr Kershaw for thinking its ok to deprive Lewisham residents of its A&E to balance the books in the more affluent Bromley borough!
I hope all of you will support your hospital when the consultation process begins,
Start writing to your MP now to tell them what a disgrace this is
I think you've made the best point - some people seem to be making their own "party political" statements, the Tory voters are saying it's the fault of the Labour government - yet the Tories are just as bad

Remember the election promise "the NHS is safe in our hands, no hospital closures etc"

And if the Lib Dems were in power it would be no different

They're all as bad as each other

Donna_T says...
7:53pm Mon 29 Oct 12

Marty1979 who would you suggest then ?

Jmac49 says...
7:54pm Mon 29 Oct 12

Marty1979 wrote:
Notpolitical wrote:
Why does everybody get political? The cons did nothing whilst in opposition same as labour.
This is about people!
Why should Lewisham lose its A&E dept they have nothing to do with the shameful debacle known as south London healthcare, in fact Lewisham decided to withdraw from the group at its inception.
They spent millions on the A&E dept just a few months ago and it is a testament to Lewisham, as is the children's A&E dept and maternity services.
Shame,shame,shame on Mr Kershaw for thinking its ok to deprive Lewisham residents of its A&E to balance the books in the more affluent Bromley borough!
I hope all of you will support your hospital when the consultation process begins,
Start writing to your MP now to tell them what a disgrace this is
I think you've made the best point - some people seem to be making their own "party political" statements, the Tory voters are saying it's the fault of the Labour government - yet the Tories are just as bad

Remember the election promise "the NHS is safe in our hands, no hospital closures etc"

And if the Lib Dems were in power it would be no different

They're all as bad as each other
Its would be so easy to say its not about politics, but its is! Conservatives are the governing party and they going to make these changes whether we like it or not!

reasonable75 says...
8:07pm Mon 29 Oct 12

Margaret Smith wrote:
This is all due to the last Labour Government that instead of Borrowing cheap money to fund Schools and Hospitals, Launched the biggest policy open to abuse in modern times the PFI policy that allowed big business to borrow cheap money to build schools and Hospitals with a clause that the Government would pay the rent and service charges up to 50 years, Leading to Closure of this Trust and other Hospitals and schools across the UK, expecting the same.AS PFI, rips of the Tax payer and puts us all further in debt to service the profits of these big business Concerns who were in bed big time with the last Labour Government. Thank God in Lewisham we have People before Profit to vote for. Who would never allow Business interests and profit to be put before the interests of local people.
As had been pointed out, PFI was a policy from John Major's (conservative) government - although the Labour government did nothing to change it

Downhamlad says...
8:11pm Mon 29 Oct 12

Donna_T wrote:
Marty1979 who would you suggest then ?
Yeah Marty like Donna sez Id like to see you do better

Come on then whats your great idea

Womblingbarnacle says...
10:37pm Mon 29 Oct 12

Jmac49 wrote:
Womblingbarnacle wrote:
All political parties are at fault for this.

Labour forced PFI on hospitals, which left them with a 30 year high interest mortgages which they couldn't afford. PFI is where a private company builds and maintains for 30 years a hospital and the trust pays them at a very high cost for repayments transferring money from patient care. This was supported by the tories, and now the lib dems in power.

Allowing a 30% plus population increase in 10 years through immigration and higher birth rates (though maternity units now closing!) has also added much pressure which cannot be afforded and wasn't contemplated by politicians and statisticians. Well done Labour.
The PFI idea was a Conservative one under the Major government!
The Tories started it in the 90s, but Labour embraced it and expanded it hugely after '97. Queen Elizabeth hospital PFI was instigated in the late 90s TWO YEARS after labour were elected. Gordon Brown was a big advocate of it across all of govt. How anyone can be partisan about it is beyond me. The most cursory knowledge and reading shows all three main political parties are culpable.

As for those saying this isn't political, of course it is. Just who do you think made the rules and forced it through causing this bankruptcy?

Notpolitical says...
12:43am Tue 30 Oct 12

Jmac49 wrote:
Marty1979 wrote:
Notpolitical wrote:
Why does everybody get political? The cons did nothing whilst in opposition same as labour.
This is about people!
Why should Lewisham lose its A&E dept they have nothing to do with the shameful debacle known as south London healthcare, in fact Lewisham decided to withdraw from the group at its inception.
They spent millions on the A&E dept just a few months ago and it is a testament to Lewisham, as is the children's A&E dept and maternity services.
Shame,shame,shame on Mr Kershaw for thinking its ok to deprive Lewisham residents of its A&E to balance the books in the more affluent Bromley borough!
I hope all of you will support your hospital when the consultation process begins,
Start writing to your MP now to tell them what a disgrace this is
I think you've made the best point - some people seem to be making their own "party political" statements, the Tory voters are saying it's the fault of the Labour government - yet the Tories are just as bad

Remember the election promise "the NHS is safe in our hands, no hospital closures etc"

And if the Lib Dems were in power it would be no different

They're all as bad as each other
Its would be so easy to say its not about politics, but its is! Conservatives are the governing party and they going to make these changes whether we like it or not!
The point I was making is that the old blue and red brigade all jump in and blame each other when they are all guilty!
The second point was why should Lewisham be penalised for not getting involved in SLHT, what right does Mr Kershaw have to involve Lewisham in his rescue plan of SLHT?

jelly00001 says...
7:14am Tue 30 Oct 12

Firstly welcome to the real world, in many parts of the country people have to travel miles to A&E services. If you read the actual report which probably many of you haven't it recommends turning Lewisham into an emergency care unit which will provide 24 care for people who don't require hospital admission. Of the 350+ patients that it sees an a daily basis around 280 don't require admission. So far those requiring treatment you'd expect them to be seen much quicker!

Secondly whilst PFI was a Tory baby, I didn't see Labour reversing the trend in its administration in fact it actively encouraged them and was was them that legislated the unsustainable providers regimen!

I suggest you all read the full report for yourselves rather than relying on misleading reports by both local and national press. Whilst I'm not sure about parts of the reports there is a lot of good strong recommendations for future services.

jelly00001 says...
7:19am Tue 30 Oct 12

goldenbroomboy wrote:
Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!

goldenbroomboy says...
8:34am Tue 30 Oct 12

jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.

Jmac49 says...
9:14am Tue 30 Oct 12

goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.

jelly00001 says...
9:47am Tue 30 Oct 12

Jmac49 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.
Why would I be going to Kings, if you had bothered to read the report, the plan is that follow up care will be managed locally so as I live nowhere near Kings I doubt that that would happen!

The Lewisham board submitted a bid to the special administrator knowing full well that they may lose their A&E if their bid was accepted. They also took part in an exercise earlier this year looking at the future of services across South London and at that point it was identified that their A&E may close!

goldenbroomboy says...
9:59am Tue 30 Oct 12

jelly00001 wrote:
Jmac49 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.
Why would I be going to Kings, if you had bothered to read the report, the plan is that follow up care will be managed locally so as I live nowhere near Kings I doubt that that would happen! The Lewisham board submitted a bid to the special administrator knowing full well that they may lose their A&E if their bid was accepted. They also took part in an exercise earlier this year looking at the future of services across South London and at that point it was identified that their A&E may close!
And suppose there is no room "locally"? Presumably you are one of those types who thinks that "local" to Lewisham is anywhere east of Heathrow & west of Sevenoaks?

Quite frankly I am not concerned with the Lewisham board, unlike you I am concerned with Lewisham patients. Patients who need services are not usually bothered about boardroom discussions & point scoring.

jelly00001 says...
10:42am Tue 30 Oct 12

goldenbroomboy wrote:
jelly00001 wrote:
Jmac49 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.
Why would I be going to Kings, if you had bothered to read the report, the plan is that follow up care will be managed locally so as I live nowhere near Kings I doubt that that would happen! The Lewisham board submitted a bid to the special administrator knowing full well that they may lose their A&E if their bid was accepted. They also took part in an exercise earlier this year looking at the future of services across South London and at that point it was identified that their A&E may close!
And suppose there is no room "locally"? Presumably you are one of those types who thinks that "local" to Lewisham is anywhere east of Heathrow & west of Sevenoaks?

Quite frankly I am not concerned with the Lewisham board, unlike you I am concerned with Lewisham patients. Patients who need services are not usually bothered about boardroom discussions & point scoring.
No I'm not actually, I just happen to realise that the NHS is not a bottomless pit when it comes to funding. I'm not in favour of the private sector running the NHS either. If we all want and should have the right to a decent standard of healthcare in South London, I accept that things need to change.

Personally I think emergency care centres are the way forward waiting times are significantly reduced for those who don't require admission and A&E doesn't get clogged up with people with ailments such as twisted ankles!

Jmac49 says...
11:28am Tue 30 Oct 12

jelly00001 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
Jmac49 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.
Why would I be going to Kings, if you had bothered to read the report, the plan is that follow up care will be managed locally so as I live nowhere near Kings I doubt that that would happen! The Lewisham board submitted a bid to the special administrator knowing full well that they may lose their A&E if their bid was accepted. They also took part in an exercise earlier this year looking at the future of services across South London and at that point it was identified that their A&E may close!
And suppose there is no room "locally"? Presumably you are one of those types who thinks that "local" to Lewisham is anywhere east of Heathrow & west of Sevenoaks?

Quite frankly I am not concerned with the Lewisham board, unlike you I am concerned with Lewisham patients. Patients who need services are not usually bothered about boardroom discussions & point scoring.
No I'm not actually, I just happen to realise that the NHS is not a bottomless pit when it comes to funding. I'm not in favour of the private sector running the NHS either. If we all want and should have the right to a decent standard of healthcare in South London, I accept that things need to change.

Personally I think emergency care centres are the way forward waiting times are significantly reduced for those who don't require admission and A&E doesn't get clogged up with people with ailments such as twisted ankles!
Exactly so why are they proposing to closing the Beckenham Urgent Care Centre?

jelly00001 says...
12:07pm Tue 30 Oct 12

Probably because the majority of the hospital is empty and still cost millions to run. When I was there 4 people were waiting for phlebotomy and 3 at the clinic I went to and UCC was empty. surely you can see that it doesn't make any sense to fully staff Beckenham Beacon for a handful of patients. It hasn't been said yet whether what was the PCT will take over the UCC. But whatever people think in sure these proposals will happen!

Jmac49 says...
12:32pm Tue 30 Oct 12

jelly00001 wrote:
Probably because the majority of the hospital is empty and still cost millions to run. When I was there 4 people were waiting for phlebotomy and 3 at the clinic I went to and UCC was empty. surely you can see that it doesn't make any sense to fully staff Beckenham Beacon for a handful of patients. It hasn't been said yet whether what was the PCT will take over the UCC. But whatever people think in sure these proposals will happen!
Well I work there and if you forget the 80 patients that are x-rayed at Beckenham everyday and the hundreds of blood tests that are taken everyday, yeah nothing goes on at Beckenham!

Jmac49 says...
12:33pm Tue 30 Oct 12

Please get your facts right before making sweeping statements

mouthalmighty says...
5:30pm Tue 30 Oct 12

The loss if any cottage hospital will be felt by thousands.cespecudll
y by those who have to visit daily, weekly of other frequent times. The loss of local A & E is also traumatic. I drive do it expensive but easier to get to alternative sites. But what about those who can't drive or choose not to. How do they get to A&E? The ambulance service us going to be inundated. Oh no. Sorry. They are being cut too.

Oldchap says...
8:16pm Tue 30 Oct 12

My wife is on warfarin & needs to have regular blood tests

Currently she is able to go to Orpington, then on to work. If Orpington closes she may be able to go to the PRU, but I imagine the delays will be even longer due to increases numbers

If she had to go to Kings (bear in mind it is unlikely they would do tests before 7am) it would mean taking time off work. Plus greatly increase travel costs

There will be many people in the Beckenham area with similar problems

Marty1979 says...
8:27pm Tue 30 Oct 12

jelly00001 wrote:
Jmac49 wrote:
goldenbroomboy wrote:
jelly00001 wrote:
goldenbroomboy wrote: Both Beckenham, and Orpington will be sold. And the Tories claimed the NHS is safe in their hands.
Having just been seen in outpatients at Beckenham Beacon, all I can say what a waste of money keeping it open! There were only 2 people ahead of me and still they were running 30 minutes late! Whilst waiting I had to endure the the HCA standing gossiping to someone else, I didn't see her move once!!
That is a matter for hospital administration, not Matthew Kershaw. Perhaps the people in front of you needed longer than five minuites with the doctor-it has been known to happen in GP surgeries as well. But don't worry, the hospital will be closed soon & the HCA will be signing on the dole whilst you are stuck on a train or in a traffic jam trying to get to Denmark Hill.
Oh and you won't be able to park at King's, so don't wish away Beckenham too quickly, it provides an excellent local service.
Why would I be going to Kings, if you had bothered to read the report, the plan is that follow up care will be managed locally so as I live nowhere near Kings I doubt that that would happen!

The Lewisham board submitted a bid to the special administrator knowing full well that they may lose their A&E if their bid was accepted. They also took part in an exercise earlier this year looking at the future of services across South London and at that point it was identified that their A&E may close!
Why would you be going to Kings? Well perhaps you will be lucky enough never to be ill - but most heart surgery in this area is now done at Kings

You would need to visit a specialist, then attend for the operation, then outpatients for follow up. Not so many years ago this would have been done at Bromley or Lewisham



It is the major trauma centre so if you are unfortunate enough to have an accident you would be taken to Kings and if kept in hospital your friends & family would need to travel there to visit

Slonik says...
9:51am Wed 31 Oct 12

reasonable75 wrote:
Margaret Smith wrote:
This is all due to the last Labour Government that instead of Borrowing cheap money to fund Schools and Hospitals, Launched the biggest policy open to abuse in modern times the PFI policy that allowed big business to borrow cheap money to build schools and Hospitals with a clause that the Government would pay the rent and service charges up to 50 years, Leading to Closure of this Trust and other Hospitals and schools across the UK, expecting the same.AS PFI, rips of the Tax payer and puts us all further in debt to service the profits of these big business Concerns who were in bed big time with the last Labour Government. Thank God in Lewisham we have People before Profit to vote for. Who would never allow Business interests and profit to be put before the interests of local people.
As had been pointed out, PFI was a policy from John Major's (conservative) government - although the Labour government did nothing to change it
As I've said, the concept was a Tory one but, not only did Labour do nothing about it, they actually put in place almost all the PFI schemes which exist today.
There is no doubt that PFI isn't the only thing wrong with the NHS but it is a massive drain on much needed resources and should never have been deemed an acceptable means by which to build schools, hospitals etc. It was a political con trick to keep capital spending and govt. debt off the books and this is the result!

jelly00001 says...
9:52am Wed 31 Oct 12

If you read the report in full, you would see that the plan is for follow ups to be done locally. In other areas of the country follow up clinics are even held at GP's surgeries.
A close friend is on warfarin, she does home testing, phones through her results, the nurse practitioner advises her on her dosage and she attends clinic on a 3 monthly basis. As more things are becoming community bases maybe things like this will become more common. Lets face it who wants to hang round clinics for ages particularly phebotomy were its a first come, first served basis!

Jmac49 says...
9:57am Wed 31 Oct 12

Ok so where is x-ray going to be performed with both Beckenham and Orpington closing its x-ray departments?

Jmac49 says...
9:59am Wed 31 Oct 12

So one minute you say Beckenham phebotomy is empty and now you don't want to hang around? I thought Beckenham was empty all of the time?

Jackytalks says...
10:35am Thu 1 Nov 12

If everyone in this country paid for the services they received Health Care, Benefits etc we would all be better off and everyone would receive fair treatment. But no its being given away to people who have not contributed and take as much as they can get for free and I've got to keep working to support them. People also use A&E for non urgent problems they should be sent away

Threadworm says...
12:18pm Thu 1 Nov 12

Kershaw is no better than the others supposedly put in place of trust. Look at streather jumping from the sinking ship just before it sunk, dont tell us HE DIDNT KNOW and Roger smith so called medical director and gynacologist, he couldnt direct an orchestra and was reported to GMC so many times for bullying and generally making life hell for staff. Its all a condem farce pretending to go through the motions , they never intended to even try.

18 million i think was spent recently renovating Lewisham A.E how can they possibly close it when Q.E can not cope with the amount of people coming in.......... a clear cut investigation is needed relating to past worms that have SO FAR got away with so much resulting in the downfall of this trust..

Virtual-Monster says...
3:02pm Thu 1 Nov 12

Providing comprehensive, effective health care should not be constrained by cost.

We supposedly live in one of the most developed countries in the world yet our health care system is being measured and controlled simply by cost! There is something VERY wrong with that!

One may even think that this is a Tory plan to thin out the population in lower income areas.

goldenbroomboy says...
10:26am Fri 2 Nov 12

Virtual-Monster wrote:
Providing comprehensive, effective health care should not be constrained by cost. We supposedly live in one of the most developed countries in the world yet our health care system is being measured and controlled simply by cost! There is something VERY wrong with that! One may even think that this is a Tory plan to thin out the population in lower income areas.
Shirley Porter tried that in Westminster in the eighties, anybody remember the "asbestos homes"?

jelly00001 says...
10:09pm Fri 2 Nov 12

Jmac49 wrote:
So one minute you say Beckenham phebotomy is empty and now you don't want to hang around? I thought Beckenham was empty all of the time?
I wasn't referring to Beckenham, I was referring to the fact at QE, the wait for blood tests is ridiculous! Put them back in Gp's surgeries as they do in other areas! You book an appoinent and get seen at that time! Saves going miles for a blood test. Have spoken to other people and what I experiencd is the norm at Beckenham!

goldenbroomboy says...
10:58am Sat 3 Nov 12

jelly00001 wrote:
Jmac49 wrote: So one minute you say Beckenham phebotomy is empty and now you don't want to hang around? I thought Beckenham was empty all of the time?
I wasn't referring to Beckenham, I was referring to the fact at QE, the wait for blood tests is ridiculous! Put them back in Gp's surgeries as they do in other areas! You book an appoinent and get seen at that time! Saves going miles for a blood test. Have spoken to other people and what I experiencd is the norm at Beckenham!
Which is precisely why my family go to Orpington and/or Beckenham for our blood tests rather than wait a long time at PRU.

So you want extra delays in getting appointments with your GP because of the extra work they will take on with blood tests? I think that most "other people" would disagree with you.

Jmac49 says...
11:09am Sat 3 Nov 12

At last some sense, hospital closures will increase waiting times! Where are the 100+ a day x-ray patients from Beckenham and Orpington going to go.? They can't go to their GP!

Marty1979 says...
9:17am Sun 4 Nov 12

jelly00001 wrote:
Jmac49 wrote:
So one minute you say Beckenham phebotomy is empty and now you don't want to hang around? I thought Beckenham was empty all of the time?
I wasn't referring to Beckenham, I was referring to the fact at QE, the wait for blood tests is ridiculous! Put them back in Gp's surgeries as they do in other areas! You book an appoinent and get seen at that time! Saves going miles for a blood test. Have spoken to other people and what I experiencd is the norm at Beckenham!
But you referred to Beckenham, now you say you weren't

So which hospital was half empty?

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