WELCOME to Public Meeting at the Stalybridge Civic Centre organised by: Keep our NHS public ( KONP )

Milton Peña Worked in NHS from 1974 to October 2014 Consultant Orthopaedic Surgeon for 24 years [ 7 years at Rochdale and 17 years at Tameside ] Speciality training in London at St Mary’s Hospital and Greater Manchester at Manchester Royal Infirmary, Salford Royal and the Children’s Hospital and Wrightington Hospital

43p drug that prevents spread of breast cancer denied to thousands Daily Telegraph 22/Sept/16

The NHS The United Kingdom's National Health Service was founded in 1948 the year I was born. It has been a wonderful institution that has been deprived of adequate funding for decades. In spite of the underfunding, abysmal planning and mismanagement it has managed to provide good an many times excellent care to a majority of its users.

NHS IN CRISIS Stricken A&E patients told 'go home unless you're dying' as hospital is hit by seven-hour delays NHS winter crisis fears as nine out of 10 hospitals report dangerous shortage of nurses Furious patient walks onto BBC radio show still wearing HOSPITAL GOWN to vent anger over cancelled operation

NHS has fewer beds per head than Romania The UK has less than 300 beds per 100,000 population In the Irish Republic it's about 500; In Belgium it's over 650; In France it's over 700; In Germany it's over 800; In Austria it's over 700 In Romania it's over 600.

BED CRISIS AFFECTING NHS HOSPITALS FROM 1987 TO 2014 THERE HAS BEEN A FIFTY ONE PERCENT REDUCCION OF BEDS ACRROSS THE NHS Learning and disability 95% Mental illness 67% Geriatric 64% Maternity 51% Acute 25%

Daily Telegraph 20/ June /2016 Doctors at British Medical Association (BMA)’s annual meeting said patients were being harmed by cuts which have left Britain with far fewer beds than almost every country in Europe. Consultants said bed shortages meant they could only do only a third of the operations they were able to carry out in the 1960s.

'Patients are being harmed because they are being sent home as there are no beds available‘ (Dr Michael Hardingham, an ear, nose and throat surgeon, from Cheltenham)

What will happen to Tameside Hospital bed capacity? When I arrived to Tameside Hospital in 1997, it had more than 600 beds for inpatients Currently it has 449 inpatient beds.

SEPTEMBER 2013 Tameside Foundation Trust was declared financially unsustainable by Monitor in the wake of the resignation of CEO after the Keogh Review MONITOR appointed PricewaterhouseCoopers (PwC) to sort out the Trust finances (Note: Monitor perversely has been renamed ‘NHS Improvement’)

PricewaterhouseCoopers Report 25/9/15 Prepared for Monitor Final_CPT_report.pdf CPT: Contingency Planning Team Cost £0.6m [ In reality probably £1m ] PwC accompanying letter: ‘We accept no liability (including Negligence) to anyone else in connection with this report.

PwC CPT ‘new and exciting model of care’ Five Locality Care Community Teams [LCCTs] A new Urgent Integrated Care Service[UICS] Tameside Hospital as an Elective Surgical Centre with an A&E as part of the UICS, maternity services and a reduced inpatient bed capacity

Who were the members of the CPT ? in particular: Questions regarding PwC Tameside Hospital’s Contingency Planning Team report Who were the members of the CPT ? in particular: From PwC From Management at Tameside Hospital From the medical staff at Tameside Hospital From the nursing staff at Tameside Hospital The General Practitioners from the five localities From Clinical Commissioning Group From Tameside Metropolitan Borough From organisations representing members of the Public

Final_CPT_report.pdf ‘The redesign of services has been done in a way that balances financial benefits for the system and the need for a clinically sustainably model. In doing so, consideration has been given to Trust’s existing PFI obligations, the experience and skills of exiting staff across the economy and importantly the need of the population.’

Current Tameside Hospital bed capacity 449 general and acute beds [to be cut to 203] ( 246 less beds ) 41 day care beds [ to increase to 71] 29 maternity beds [to increase to 33]

Tameside & Glossop Population 250,000 A Tameside Hospital with 203 beds for Acute care will mean that there will be only: 80 beds per 100,000

EXPERIMENT NOT BASED IN EVIDENCE Such a massive reduction in bed capacity will lead to a drastic deterioration to quality of care of patients in Tameside and Glossop. Safety, effectiveness and patient experience: the 3 elements of quality of care will be significantly affected.

Call to protest against the bed cuts at Tameside Hospital I call to the people of Tameside and Glossop to write to their MPs requesting that the planned bed cuts be rejected. Integration of Care do not have to incorporate such massive bed cuts. The creation of community teams is not a bad idea in the future, but it must be financed NOT at the cost of amputating more than 50% of the beds.

Thank you all for coming For more information regarding what is happening to the NHS: www.keepournhspublic.com Health - NHA Party 38 degrees. Health HAVE A GOOD EVENING !