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Politics

Closure of maternity services at Whittington Hospital, North London

31 replies

whittingtonmum · 02/03/2010 07:55

Have you heard of the plans to close maternity and A&E services at the Whittington Hospital in North London?

I am 29 weeks pregnant with my first child and intending to give birth there. So far I have been really pleased with the Whittington.

I just can't imagine the reasoning behind closing maternity and A&E at such a good and busy hospital in such a densely populated area.

What are your views on this?

More info on the planned closures here:dwhc.org.uk/

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ElenorRigby · 30/03/2010 18:46

Erm I work in the NHS and was briefed by a manager at least 8 months back, staff across the NHS would be cut by 10%.
Thats before the evil Tories has a sniff.

Erm Go NuZanuLabour Go!!

whittingtonmum · 30/03/2010 19:26

Slhilly

Could you please provide a reference to the clinical evidence you say you have that smaller units provide worse care.

And is a maternity unit, like the Whittington which looks after roughly 3000 births a year a small unit?

How would UCLH or Royal Free deal with the extra influx of births a year?

And what about the transport situation at UCLH and Royal Free is the Whittington goes? If I can't get to a labour ward in time it won't matter to me that the care I missed out on would have been slightly better. The Whittington care I have so far received is good enough for me (and for the many, many other mums in Haringey I have spoken to)
Do you have any idea how long 5 miles are in North London rush hour traffic ?

What about the fact that the Royal College of Midwives fear that their midwives won't be able to provide the personal care they want to in big "birthing factories" and that staff retention will be an even greater issue than at the moment?

Every single consultant at the Whittington has come out against the closures and has said that it's not in the patients interest. How come that the clinicians themselves are not aware of or chose to dismiss the clinical evidence you refer to?
www.lynnefeatherstone.org/2010/03/whittington-consultants-come-out-against-closure-proposals.htm

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MrsHappy · 30/03/2010 19:39

Whittingtonmum- I think they are hoping that lots of us will go to the North Mid instead, but it is really not the hospital of choice around here even though it doesn't take long to get there when the N Circ is moving. People in my community go to the Whit in general, or UCLH for planned sections - not the N Mid. Reckon a lot of babies will be born stuck in traffic on the way to UCLH if this goes ahead.

slhilly · 30/03/2010 21:07

For evidence, start with this:
www.healthcareforlondon.nhs.uk/assets/Publications/A-Framework-for-Action/maternityand NewbornReport.pdf

Note the recommendation that obstetrics units have 98hr+ per week consultant presence. That requires a reasonably large unit to be viable.

The evidence is clear across lots of healthcare: the higher the throughput for complex procedures (ie what obstetricians are supposed to catch), the better the care. Read what Phil Hammond (MD in Private Eye and the hero who broke the Bristol hearts scandal) has had to say about the appalling intransigence of many clinicians to stop doing procedures where they know that throughput isn't high enough for safety.

I'm a huge fan of personalised care we had our first baby in a birth unit and our second at home. I recognise the risks of depersonalised care in a big obstetrics unit. But I also recognise the risk of unnecessarily poor outcomes where things are going wrong and consultants aren't available. Of course, travel time is an issue as you say but there's no point travelling to the closest hospital if it doesn't have a consultant to hand when you get there. (And incidentally, travel time is important but not overwhelmingly important, else we'd have to build about a gazillion hospitals all over the countryside)

Perhaps I'm out of line, and the Whittington is providing 168 hours of consultant cover for the 3000 births. Do you know? If that is the case, then there is ultimately an issue of whether it's right to spend that much on those births vs say shifting a tranche of births to other locations that already provide the consultant cover and also opening up more standalone birth centres or increasing the size of home birth midwifery teams. The budget is not unlimited, after all.

It's a really good question as to how the Royal Free, UCLH and other hospitals eg N Mids will cope with the extra births. I guess the answer depends on a few things, eg how close to capacity they are at present, what room there is to expand the capacity, how many births can be (and should be) managed in more appropriate settings eg home births etc.

Finally, on staff retention, there are lots of factors that play into staff retention including the size of the organisation (with some preferring the backup available in larger, others preferring the intimacy of smaller) -- but I think there will be other factors higher up the list. For example, Hospital A is renowned for autocratic consultants who treat the midwives like silly girls; Hospital B is known for having instituted true multidisciplinary teams. Unsurprisingly, it's B that has the better retention.

MumNWLondon · 14/04/2010 15:54

news.bbc.co.uk/1/hi/health/8617460.stm

Just saw this now - does this include the Whittington? Has someone spoken to the local Conservative candidate? I guess with the election so close all these things up in the aair.

whittingtonmum · 29/04/2010 20:25

@MumNWLondon

We've spoken to pretty much any politician and look like we've won the campaign to save the Whittington

whittingtonmum.wordpress.com/2010/04/29/whittington-saved-yippeehhh/

we of course need to monitor the situation after the election to make sure they stick to their promises but it's looking very, very positive indeed !

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