EXCLUSIVE: Call for judicial review over Arrowe Park surgery shake-up

EXCLUSIVE: Call for judicial review over Arrowe Park surgery shake-up EXCLUSIVE: Call for judicial review over Arrowe Park surgery shake-up

PRESSURE is building to reverse a controversial decision transferring vital surgery from Wirral’s main hospital to Chester.

Protestors against the move are hoping to have it declared invalid by seeking High Court permission for a judicial review.

NHS Wirral stirred a hornets’ nest after its board voted to move the centre for vascular services from Arrowe Park to the Countess of Chester Hospital.

The scheme had been mired in controversy since it was announced last July with Wirral councillors and MPs voicing their opposition.

Earlier this week council leader Cllr Phil Davies revealed to the Globe he is to ask Health Secretary Andrew Lansley to intervene.

Councillor Davies said he considered uprooting the “already excellent” vascular services centre from Arrowe Park to the Countess of Chester to be “perverse.”

One of the grounds for seeking a judicial review is if the court believes a public authority’s decision has been irrational.

The legal procedure requires a judge to question whether the decision "makes sense".

The request for review is being made by Merseyside TUC president Alec McFadden.

Mr McFadden is meeting later today with a leading QC to consider details of an application to court.

He has already called for the resignation of NHS Wirral chief executive Kathy Doran, claiming she “flagrantly” ignored the views of Wirral people attending consultation meetings and a petition of more than 2,000 names who signed in protest at the switch to Chester.

Mr McFadden told the Globe: “An emergency meeting of Merseyside TUC will be held next week to consider the proposition we move to call for a judicial review.

“The implications of the vascular services transfer are really frightening, not only for the well-being of Wirral people right now, but also for the future.

“We believe it is the thin end of a wedge which will see many other vital surgical procedures currently available at Arrowe Park Hospital being wound down and sent elsewhere.

“Our fear is an Americanisation of our local health facilities, which ultimately will result in there being one major hospital serving the whole of the region and the rest becoming little more than post-op rest and recovery centres, if they survive at all.”

Birkenhead MP Frank Field has been against the Chester move from the outset.

He said: “I am all in favour of a review.

“I have worked closely with Arrowe Park surgeons and they have been immensely impressive.

“I share their concerns that there will be an increasing number of centralising initiatives stretching over two or more hospital trust areas.

“There is at present no governance as to how these should proceed and we are clearly going to see more ‘centres of excellence’ proposed in the future.”

But Martin McEwan, director of communications and engagement at NHS Wirral, said: “A judicial review would not be something we would support because anything that could put further delay on the process of delivering improved services and a specialist centre to patients would not be welcomed.

“Also, anything that could be an additional drain on the public purse is not welcome.

"A judicial review seems fairly premature given the proposed referral to the Secretary of State.”

Among the region’s changes are the North Merseyside centre for vascular services will be housed at the Royal Liverpool Hospital from September, while the South Merseyside hub – which includes Wirral – will be at Chester from next April.

NHS Wirral says it is expected the shake-up will improve services to patients.

The Arrowe Park vascular unit provides treatment for life-threatening emergencies such as ruptured aneurysms, acute anemia and traumatic injury to blood vessels.

Surgeons, who insist on anonymity due to fear of being sacked, say many of these procedures require recovery in an Intensive Care Unit.

They have calculated Chester will have to spend millions upgrading its ICU to a standard already available at Arrowe Park.

Comments(12)

WirralAl says...
1:21pm Wed 1 Aug 12

"NHS Wirral says it is hoped the shake up will improve service"

If it is not broken don't break it springs to mind. As always the NHS is very good at spending millions for the sake of change.

We have two main hospitals on the Wirral that deliver good service to the people of the Wirral.

Are the NHS going to pay the extra expense for all the Patients+Vistors to travel to Chester.

Stupid idea.

Wirral.Talk says...
7:04pm Wed 1 Aug 12

An hour on the bus from Birkenhead to Chester so no its a terrible idea think of all the old people who will have to try and get there. The NHS just loves wasting money just like Wirral Council.

Ben Beaconsfield says...
8:14pm Wed 1 Aug 12

The judicial review plan by 'MerseysideTUC' seems to be a bit of "three no trumps" to Wirral Council's "two spades" plan to appeal direct to the Secretary of State.

Out of interest, just what exactly is "Merseyside TUC"? The real TUC website lists a North-West organisation, but not a Merseyside one.

Apart from being the self-appointed anti-fascist symbiotic partner to the BNP/EDL, does MTUC have a formal role in the trade union movement or the Labour Party?

I think we should be told. Over to you, Mr McFadden. Your'e not normally camera or newsprint-shy !!

Tranmere_older says...
10:22am Thu 2 Aug 12

Despite the above report this was not a Wirral decision but one for the whole of the NHS in Cheshire, Warrington and Wirral. ALL of the senior surgeons and other clinicians locally, regionally and nationally agree that one specialist vascular centre for the whole sub region is the right choice to improve quality, safety and survival rates for patients from this very complex specialist surgery. The problem is that one high tech specialist centre with the best of the best working there can't be in three places at once. The Warrington surgeons and their patients want it to be in Warrington, the Chester surgeons and their patients want it to be in Chester and the Wirral surgeons and their patients unsurprisingly want it to be in Wirral. All of the politicans whether councillors or MPs want to support their own constituents so of course they support their local choice. Someone has to decide for the whole south Mersey area - remember all the docs - all of them - agree that survival rates will improve if there is a single specialist centre. So the board for the whole area took the decision to base it at the Countess of Chester in the middle of the sub region. You can't please everyone and services will get better - there is a load of evidence to support that improvement. Please don't go with the conspiracy theorists that there is some nasty hidden motive of cost cutting or empire building. These high tech specialist centres are being developed all over England because our complex vascular services - although mostly good - could be a lot better and our survival rates are well below the best in Europe (who do have access to these types of specialist centres). If every proposal to improve services in this way gets a hissy fit from local politicans and the TUC - the changes we need just won't happen. We should support this change.

Ben Beaconsfield says...
10:28am Thu 2 Aug 12

I would like to think - naively, perhaps - that local councillors and MP's make decisions that are best for their constituents rather than meekly follow their constituents' prejudices, imagined or otherwise.

As far as hissy fits from the TUC are concerned - I'm still waiting for a response to my above posting, asking just what official role 'Merseyside TUC' plays within the Labour movement.

Tranmere_older says...
11:50am Thu 2 Aug 12

I didn't use the word prejudice and wouldn't describe people's reasonable desire to have a local service as prejudice but we do - all of us - have some strange ways of thinking about health and convenience. Most of us think nothing about getting up at five in the morning to travel forty miles to catch a plane from Manchester on holiday but moan if we have to travel half that distance for a life-saving operation. We don't think too much about the complex stuff which informs the decisions like these but reduce it to slogans - unless of course it happens to be something that was placed in regional centres of excellence some years ago. We don't mind taking our children to Alder Hey, ourselves to Broad Green for a heart op - we give thanks that such super specialist centres exist with their international quality care. We cannot sustain this dog in a manger attitude - demanding that every intervention has to be done everywhere irrespective of the practicalities.

Ben Beaconsfield says...
1:21pm Thu 2 Aug 12

I used the word 'prejudice' in the loosest possible sense as meaning making a judgement without being in possession of all the facts, rather than in any disparaging way (I thought my 'imagined or otherwise' covered this).

Positive thinker says...
4:17pm Thu 2 Aug 12

Phil Davies,Alec McFadden are good at talking out of there BACKSIDES

LocaLGovwatcher says...
10:59am Fri 3 Aug 12

I believe this decision was made by the PCT in line with the Coalition's NHS Reforms. The PCT Board consists of 17 members of which only one is medically qualified. A bit under qualified to make this decision in my humble view.

hugo2008 says...
6:49pm Mon 6 Aug 12

Ben Beaconsfield: Far be it for me to point out some double standards here, but as you always seem to champion the so called "New Labour Party" are they not the ones in Wirral who have for over a decade or more brought Wirral Council into the utter disgrace and depths of depravity with lies, deceit, misinformation, corruption, and secrecy, plus even to this day still withhold information and reports that should be in the open arena of public access.

If the National Labour Party had any credibility they would banish best part of the so called Labour Party Councillors we have at present.
And I speak as a life long supporter of labour party democratic socialism in its finest form.

And to be perfectly honest the Conservative Party Councillors are only very marginally less to blame than the others.
As for the Liberal Party they are not worth a mention for their disgraceful support of either of the other two for years.

Ben Beaconsfield says...
7:05pm Mon 6 Aug 12

hugo2008 - For the record, I have NEVER championed "New Labour", and those who know me will be in a heap on the floor at the very thought of it!!

I am on record from my very early postings on the Globe website as condemning 'New' Labour for turning its back on working class Labour voters and pretty well excluding them from the political process of which they are entitled to be a part.

I have also regularly bemoaned the fact that working class Tories seem to have been equally abandoned by Team Cameron.

I have no comment on the Lib Dems - none worth printing, anyway.....

hugo2008 says...
8:36pm Mon 6 Aug 12

The present policy of messing about with the NHS, including the building of Hospitals, Polyclinics, Super Surgeries, Schools, Fire Stations, and other civic buildings, all with the Private Finance Initiative, system is a legacy inherited from Tony Blair and so called "New Labour".

This PFI is designed to make private investers, developers, vast ammounts of profit for generations to come.

Of course David Cameron and his lot loved all this and have now proceeded to accelerate the whole process with gusto.

The vast amounts of cash poured into the NHS and Local Councils by Tony Blair and co, only served to increase the vast management and bureaucracy wage bill to the point of being totally unsustainable in the future, hence the present Cameron Conservative programme to privatise as much as possible, knowing the tax payer will eventually pick up the bill.

The likes of Martin McEwan and Cathy Doran should be removed from the NHS as soon as possible, before they privatises any further and totally destroy the NHS.

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