“On 3rd November our States Assembly approved The Jersey Care Model Report & Proposition P.114/2020. The following is our review of the possible reductions in facilities and care that may occur in Our New Hospital as a result.”
29th November 2020
Our Government has approved two Propositions this month that will affect our Island’s health care and finances for decades to come.
On the 3rd November, the States Assembly passed the Jersey Care Model which will radically change how health care is delivered in our Island. The Model is untested, without parallel or peer review and reliant on very questionable financial projections.
The first three years of the Model will be financed by a £44 million raid on the Health Insurance Fund which has been established for the long-term care of Islanders. There is no plan for replenishing the Fund.
On the 16th November, the public was given another "fait accompli" when the States Assembly approved Overdale as the site for the new hospital at a projected cost of £804.5 million. There was no choice of where the new hospital should be built and no debate to compare the costs of building on alternative sites such as St Saviours Hospital or Warwick Farm. Both sites should have been included in the decision-making process which would have enabled the Assembly to make an informed decision on the best location for building the new hospital at the lowest cost.
HOW ARE THESE PROJECTS GOING TO BE PAID FOR?
Incredibly, the States assembly passed the new hospital development project of £804.5 million without a debate or even a discussion on what the final plans would look like. The question that needs to be asked is why has the government voted by 37 votes to 5 to pass the biggest capital project in the Island’s history without knowing its true cost or debating any of the known issues?
The Jersey Care Model is an open-ended expenditure without a formulated business plan. As both projects move forward, one of the most concerning elements is the lack of financial transparency and accountability that has plagued these projects from the start and shows no sign of abating. The financial impact of these projects on the taxpaying public of Jersey in years to come will be enormous.
SO WHERE DO WE GO FROM HERE?
Friends of Our New Hospital have reviewed and expressed serious concerns with the new hospital project and the Jersey Care Model. As a campaign group, we will continue to scrutinize these projects as they progress including the financial impact on the taxpayers of Jersey who will be footing the bill for their development.
The Government is hoping to decide how to fund the hospital project by mid-2021. They will then try to gain planning permission so they can start building in the Spring of 2022. If all goes to plan the new hospital could be completed in late 2025.
As 2021 approaches , Friends of our New Hospital will continue to actively monitor and scrutinize government plans along with the financial structure it intends to use to fund our new hospital. Independent public scrutiny is necessary to assist in delivering our new hospital on time and within budget. Something the states have failed to deliver over the past nine years.
*All the figures below are taken from the Jersey Care Model Report & Proposition P.114/2020.
Reduced Unscheduled Care:
Reduced ED attendances by 10%
Reduced ED attendances for other reasons age 65+ by 18%
Divert some remaining ED activity to a new UCC. 65% of remaining ED attendances go to the UCC, taken from non-urgent and standard activity
Reduced Scheduled Secondary Care
Reduced hospital admission rates by 17%
Reduced mental health average length of stay to Getting It Right First Time (GIRFT) target of 34.6 days
Reduced bed days by 27%
Reduced length of stay for stranded patients (>7 days) by the equivalent of up to 25 beds Reduced bed days by 65% for patients over 60 age with a length of stay of more than 7 days (excluding mental health)
Reduced Outpatient Appointments
Reduced physiotherapy outpatients 100% reduction in physiotherapy outpatient activity
Reduced Trauma and Orthopaedics outpatient’s activity by 23%
Reduced ENT outpatients Reduce ENT outpatient activity by 12%
Reduced Ophthalmology outpatients’ activity by 7%
Reduced Gastroenterology referrals activity by 20%
Reduced Gynaecology outpatients’ activity by 32%
Move Community Dental Service outpatients to community dental Practices
Reduced Community Dental Service outpatient activity by 90%, all in age under 12
Reduced Outpatient Follow-up Appointments
Reduced Dermatology follow-up appointments by 12%
Reduced Cardiology follow-up appointments by 32%
Reduced Neurology follow-up appointments by 30%
Reduced General Medicine follow-up appointments by 35%
Reduced Thoracic Medicine follow-up appointments by 50%
Move Podiatry Education outpatients to the community
Reduced Podiatry Education outpatients by 100% (50% of total Podiatry outpatients)
Reduced Social Care
Reduced care home placements to England 3rd quartile
Reduced residential care placements by 50%
Reduced care home placements to England 3rd quartile
Reduced residential care placements by 46%
These reductions in service will fundamentally alter the New Hospital.
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