33. Sussex and East Surrey
What concerns have been raised about your STP?
Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.
The STP contains very little detail of the exact changes that will be put in place to eliminate the deficit in the area.
The STP document acknowledges that there is a 3% shortfall in acute beds which needs to be rectified before the plans to enhance community services have been put in place to reduce the demand on hospital services.
Some form of hospital reorganisation is planned.
Stroke care could be merged into a "hyper acute stroke unit" in Brighton after an 18 bed ward in Crawley and the stroke ward at the Princess Royal were closed.
The STP states that £112 million in social care efficiencies have been identified.
Changes to who delivers your care
The STP contains plans to implement new models of care, including Accountable Care Organisations and Multispeciality Community Providers.
Extra cost-savings needed
This area contains some high-spending CCGs that NHS England has targeted with suggestions for additional cost-saving measures to ensure they remain within their 'control totals' (or budget) for 2017/18; this is part of what is known as the Capped Expenditure Programme (CEP). As a result:
Patients at risk of a heart attack could be denied vital tests and potentially life-saving operations under plans to make £55m of budget cuts.
Senior NHS sources in this area have disclosed that they are also being forced to "think the unthinkable" and consider proposals to:
- Ration knee arthroscopy operations, cataract removals and tonsillectomies
- Introduce “lifestyle rationing” so that patients who are obese and smoke will have to lose weight and stop smoking before they can have, for example, a knee replacement to treat their arthritis
- Shut beds or even whole wards in community hospitals
- Restrict patients’ access to hearing aids and IVF treatment
For more information, see below.
Campaigners are concerned over the affect that £530 million worth of spending cuts will have on services and believe that there will be widespread cuts to services.