Merger between Whiston, St Helens and Warrington Hospitals suggested to solve PFI crisis (From St Helens Star)
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Merger between Whiston, St Helens and Warrington Hospitals suggested to solve PFI crisis
9:21am Thursday 30th August 2012 in News By Andrew Kilmurray, News editor
Merger between Whiston, St Helens and Warrington Hospitals suggested to solve PFI crisis
LABOUR politicians and unions will fiercely oppose any proposals to solve an NHS funding crisis by merging Whiston and St Helens hospitals with neighbouring Warrington.
Renewed fears over the future of local healthcare caused by immense financial pressures emerged at an open board meeting of St Helens and Knowsley Teaching Hospitals NHS Trust yesterday.
Funding has still not been released by the Government to plug a budget black hole in the £42m annual repayment bill for the private finance initiative that funded the £350m hospitals’ construction.
If the crisis is not resolved it would make it impossible for hospital chiefs to confidently draw up budgets to balance the books in future years.
The current shortfall, which stands at £20m a year, would severely jeopardise its plans to achieve foundation status, which the Government has said all NHS hospital trusts must achieve by 2014.
Trust chairman, Les Howell, revealed the financial insecurity had led NHS bosses in the North of England to commission experts from Imperial College Health Care to review how St Helens and Knowsley could confidently become a foundation hospital.
Among the report’s conclusions, which suggested the board is “unclear about its strategy” were that: “The financial challenge is considerable and the Trust will find it increasingly difficult to be authorised as an FT in its current form.
However, the report adds: “There is a 21st century facility which is being paid for by the state in an area of high social deprivation and the use of the facility must be maximised.”
The review, which followed a two day visit to the hospitals in March, adds that the chief executive of Warrington Hospital would be keen to discuss in more detail about working more closely with Whiston and St Helens Hospitals, “including the concept of a merger”.
The authors’ recommend the board explores collaborating or merging with other hospitals, changing management structures or changing the services it offers.
Present in the public gallery at the meeting were local politicians and union representatives, who led a campaign last year after fears the PFI funding crisis would lead to the hospitals, which boast world class facilities, being transferred to the private sector.
Marie Rimmer, the leader of the council, argued that “obstacle after obstacle” was been placed in front of the hospitals as they tried to find a solution.
She said: “We will do everything we can to save our hospitals for our community.”
The Department of Health said last month that a small number of trusts, including St Helens and Knowsley, could have access to further financial support for PFIs providing they pass four key tests to prove they are clinically and financially viable for the future.
These are: The problems they face should be exceptional and beyond those faced by other organisations.
They must be able to show that the problems they face are historic and that they have a clear plan to manage their resources in the future.
They must show that they are delivering high levels of annual productivity savings.
They must deliver clinically viable, high quality services, including delivering low waiting times and other performance measures.
Comments(42)
frankly
says...
10:29am Thu 30 Aug 12
pitbullboxing
says...
11:32am Thu 30 Aug 12
papyt
says...
12:05pm Thu 30 Aug 12
pitbullboxing
says...
12:12pm Thu 30 Aug 12
frankly
says...
12:19pm Thu 30 Aug 12
frankly
says...
12:21pm Thu 30 Aug 12
Bill Bradbury
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12:37pm Thu 30 Aug 12
pitbullboxing wrote:Game, set and match to you. As I have written many times not "New Labour" but "Old Tory". They just carried on many Tory policies especially PFI brought in by Kenneth Clark to keep public spending off the books, forgetting from wherever this money came somebody would want it back-with interest!
Wasn't it New Labour that used PFI to build the hospitals? I know PFI was a Tory scheme - but Labour were in power and surely didn't have to use a tory scheme?
With Iraq, not one of our better judgements but at least we got two new Hospitals and some schools, who are also finding pay-back time a bit of a problem. Still it gives the tories the excuse to privatise as they are doing with School Academies.
mikeperry109
says...
1:17pm Thu 30 Aug 12
To pay for this disastrous PFI policy that New Labour forced on the NHS, scores of staff at Pinderfields have been sacked, while others are being downgraded and given pay cuts – with nurses forced to do cleaning!
It is unacceptable to have a National Health Service that is free at the point of delivery, but cannot deliver effective treatment due to vital money being siphoned off for private profit.
mikeperry109
says...
1:21pm Thu 30 Aug 12
Bill Bradbury wrote:See my comment below, Bill. This is part of a letter that I submitted over two weeks ago but for some reason has not been printed. If people want more information on the PFI debacle and other such scams, buy Private Eye.
This was always on the cards but nobody listened every time I spoke against PFI-no such thing a free lunch. This is "pay-back time", so we are going to be into some interesting arm wrestling between Warriington, St.Helens and Whiston. Tories always had Privatisation on the cards so should we be surprised?
Hospitals are not the only area finding paying back what is owed difficult under PFI arrangements.
mikeperry109
says...
1:23pm Thu 30 Aug 12
pitbullboxing wrote:See my comment below, pitbull - part of a letter I sent to the Star a couple of weeks ago.
Wasn't it New Labour that used PFI to build the hospitals? I know PFI was a Tory scheme - but Labour were in power and surely didn't have to use a tory scheme?
mikeperry109
says...
1:25pm Thu 30 Aug 12
frankly wrote:The Tories did not create this mess - New Labour did. Read my comment which is part of a letter I sent to the Star a couple of weeks ago but has not as yet been printed.
Tories pinched my daughters school milk as well....toerags the lot of them
Sankey
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1:39pm Thu 30 Aug 12
mikeperry109
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1:48pm Thu 30 Aug 12
Sankey wrote:I have submitted an updated version, Sankey. However, neither Watts, Woodward or Rimmer have the honour to resign.
Looking forward to seeing your letter Mike. Just read your post above that is truly shocking. Trying not to be political about this but the more stones we unturn about the new labour years the more horrifying it gets. I really hope for my own and my family’s sake they don’t merge the hospitals but if they do Watts and Woodward’s positions will simply be untenable and they must both resign. They (or the government they both served in) led us into this fiasco and PR exercises showing then in the star against the merger are hypocrisy of the highest order and they should not be allowed to survive it.
Bill Bradbury
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1:52pm Thu 30 Aug 12
However if "WorstGroup" were allowed to renege on contracts they took out and could not afford, perhaps the hospitals should do also?
mikeperry109
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1:57pm Thu 30 Aug 12
Bill Bradbury wrote:I created a Facebook page called "Ditch PFI and save our hospitals from Privatisation". Have a look at it sometime, Bill. Cannot expect the Tories to renege, as it is their friends and supporeters who are creaming off the profit!
Mike I am a regular subscriber to the "Eye" where we read from the onset of PFI the scams which were being perpretrated which we eventually read years later in the national Press-inflated bids which should have cost half the price.
However if "WorstGroup" were allowed to renege on contracts they took out and could not afford, perhaps the hospitals should do also?
anthonywilson
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3:24pm Thu 30 Aug 12
Bill Bradbury
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5:11pm Thu 30 Aug 12
mikeperry109
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5:31pm Thu 30 Aug 12
anthonywilson wrote:You speak a lot of sense, Anthony. You are clearly not a politician. I have been accused of banging on about PFI for the last 2 years - they even tried to shut me up at the public meeting regarding the hospital privatization scare last year.
The PFI programme has been a complete disaster from start to finish. Far too much money was levered in through PFI contracts at the same time to build a series of hospitals and schools. One of the things which has always puzzled me is the decision which was made to rebuilt three Hospitals St Helens, Whiston and Newton. Would it not have been much more cost effective to have built just one new hospital for the area on one site and brought all the services together?
Seems that I was right after all - and I take no pleasure from that, because people are losing their jobs and patient care will eventually suffer.
papyt
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5:42pm Thu 30 Aug 12
Sankey
says...
5:57pm Thu 30 Aug 12
pitbullboxing
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10:11pm Thu 30 Aug 12
Bill Bradbury
says...
9:14am Fri 31 Aug 12
pitbullboxing wrote:Quite right, pitbull, as it is quite predictable that each community will fight to keep their own hospital. In no way can the investment in St.Helens Hospital can be written off and that goes for Whiston which has many wards empty.
No point playing the blame game now - we need to figure out the best way to stop the merger for every-bodies sake.
The residents of Warrington would wish to keep their "own" hospital but due to its age it looks vulnerable and a move up to Whiston or St.Helens is on the cards. At least if that happened Warrington will feel for the first time what it is like to miss out on investment a town often held up to compare with St.Helens.
Sankey
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10:11am Fri 31 Aug 12
BillMitch
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10:37am Fri 31 Aug 12
anthonywilson wrote:Could you imagine the outcry from local politicians of ALL parties had the site for the one hospital been Whiston and not St Helens? Regardless of cost or patient care local politicians constantly told us St Helens MUST have its own hospital. Even when the St Helens Walk in centre opened we had one local politician banging on about the 'closure' of the accident and emergency dept at St Helens hospital for years. What we need is to get the politicians out of the NHS- at least at local level , because they only ever use these issues to serve their interests and not the interests of patients.We now have two state of the art hospitals within 5 miles of each other , that's fantastic and I have used both hospitals and the care is first class. We need to get away from emotion and start thinking practical.
The PFI programme has been a complete disaster from start to finish. Far too much money was levered in through PFI contracts at the same time to build a series of hospitals and schools. One of the things which has always puzzled me is the decision which was made to rebuilt three Hospitals St Helens, Whiston and Newton. Would it not have been much more cost effective to have built just one new hospital for the area on one site and brought all the services together?
mikeperry109
says...
12:21pm Fri 31 Aug 12
BillMitch wrote:The problem is, Bill, that the hospitals were built with private finance so that the debt would not appear as government debt. The repayments are extortionate, and had the money been borrowed in the normal way we could have built twice as many hospitals. It is no good having state of the art hospitals if funding is taken away for private profit and they cannot deliver a full service.
anthonywilson wrote:Could you imagine the outcry from local politicians of ALL parties had the site for the one hospital been Whiston and not St Helens? Regardless of cost or patient care local politicians constantly told us St Helens MUST have its own hospital. Even when the St Helens Walk in centre opened we had one local politician banging on about the 'closure' of the accident and emergency dept at St Helens hospital for years. What we need is to get the politicians out of the NHS- at least at local level , because they only ever use these issues to serve their interests and not the interests of patients.We now have two state of the art hospitals within 5 miles of each other , that's fantastic and I have used both hospitals and the care is first class. We need to get away from emotion and start thinking practical.
The PFI programme has been a complete disaster from start to finish. Far too much money was levered in through PFI contracts at the same time to build a series of hospitals and schools. One of the things which has always puzzled me is the decision which was made to rebuilt three Hospitals St Helens, Whiston and Newton. Would it not have been much more cost effective to have built just one new hospital for the area on one site and brought all the services together?
Bill Bradbury
says...
4:23pm Fri 31 Aug 12
So as Pittbull writes who to blame is not the way forward but it is down to us all to give support for the fight regardless of our political persuasion.
My only wry smile, as many of us are agreed over the PFI debacle, is in the Star Headline "Hands off OUR hospital" er--(as Private Eye always writes) whoever put up the cash might say "Actually it's ours!?" until somebody pays them what is owed, then it can be YOURS! Perhaps as tax payers it's ours anyway. Just an observation to muddy the waters!!
anthonywilson
says...
4:36pm Fri 31 Aug 12
BillMitch wrote:No doubt the politicians of all parties would have kicked up a fuss about it Bill and considering St Helens Hospital did have an A and E department of its own many years ago any loss of service on the doorstep makes people angry. The reality is though that politicians whilst supposedly representing people's interests also look after thier own interests too in terms of the ballot box. Whilst it would have been a somewhat difficult political decision to make for most local politicians the reality is we now have three hospitals saddled with debt for years to come making extortionate repayments of tax payers money that should have been going on better health care and other things or getting the national debt down. If the politicians had more nous and said that one new hospital rather than three will ensure costs get kept down but will also ensure much improved health care facilities on one site rather than construction costs and heavy repayment PFI bills from three hospitals thats what they should have proposed and implemented. There has been a scandalous waste of money here and a complete lack of forthought. Another idea lacking long term thinking was to built the Millennium Centre/NHS walk in centre and then more recently build the Lowe House Medical Centre. Again why is there simply no long term thinking when one larger building would have been better with all health care services on one site thereby saving construction costs. In fact an ideal place for it could have been St Thomas Square. As Mike has said though the real problem has been the PFI contracts themselves with the astronomical repayments. Indeed if the money had been borrowed in the normal way more hospitals could have been built if required. One politician who wouldn't necessarily be complaining if only one hospital had been built is Shaun Woodward as he is now the MP for St Helens South and Whiston since the last boundary changes.
anthonywilson wrote:Could you imagine the outcry from local politicians of ALL parties had the site for the one hospital been Whiston and not St Helens? Regardless of cost or patient care local politicians constantly told us St Helens MUST have its own hospital. Even when the St Helens Walk in centre opened we had one local politician banging on about the 'closure' of the accident and emergency dept at St Helens hospital for years. What we need is to get the politicians out of the NHS- at least at local level , because they only ever use these issues to serve their interests and not the interests of patients.We now have two state of the art hospitals within 5 miles of each other , that's fantastic and I have used both hospitals and the care is first class. We need to get away from emotion and start thinking practical.
The PFI programme has been a complete disaster from start to finish. Far too much money was levered in through PFI contracts at the same time to build a series of hospitals and schools. One of the things which has always puzzled me is the decision which was made to rebuilt three Hospitals St Helens, Whiston and Newton. Would it not have been much more cost effective to have built just one new hospital for the area on one site and brought all the services together?
Sankey
says...
6:08pm Fri 31 Aug 12
Bill Bradbury wrote:Marie is well known for being formidable and has a reputation as being very aggressive. A sure sign of an individual’s insecurity. I don't doubt also Dave Watts fights tooth and nail. But there is more to effective governance than that Bill using sound judgement for one. And that’s where both of these fall down they have no experience of anything other than politics 70’s union conflict and the class war. I would remind you this is 2012 not 1972. The results Bill speak for themselves this mess with local health care and the general economic state of St Helens just to name two. Time after time these two have shown poor judgement for many many years. They are only in place because they are in the Labour seat. No problem with Labour but its time they stood aside and let someone else have a go at the Labour ticket which in St Helens is a job for life. What is it about new blood that frightens you so much Bill? They would be hard pushed to do a worse job than those two.
The "regulars" on this site know my support of Marie and Dave and I can assure you despite some always being critical of them, they will be fighting tooth & nail to keep what we have and find a solution. I have seen both in action behind the scenes in contact with Government Officials fighting for funding. Marie is a formidable advocate despite some of your comments.
So as Pittbull writes who to blame is not the way forward but it is down to us all to give support for the fight regardless of our political persuasion.
My only wry smile, as many of us are agreed over the PFI debacle, is in the Star Headline "Hands off OUR hospital" er--(as Private Eye always writes) whoever put up the cash might say "Actually it's ours!?" until somebody pays them what is owed, then it can be YOURS! Perhaps as tax payers it's ours anyway. Just an observation to muddy the waters!!
Bill Bradbury
says...
8:54am Sat 1 Sep 12
At our next election in 4 years time I would be over the moon if we could get 10 younger people putting up for office for I know my colleageus all would resign (except 2 who are younger) and we would support the new team. That is my wish.
As to Marie and Dave both have been democratically elected and nominated and supported by the group and knowing many of the Cllrs. well I am sure if they had no confidence in either we would be seeing a change, which you would say for the better. So until that day arrives there is little you and I can do rather than some shouting yah-boo from the sidelines.
Papyt for MP and Sankey for leader-now there is a thought!! The day that Mike gets welcomed back to the fold-pigs will fly. I am not afraid of a Labour party of all views to the right or to the left. I tend to be more to the left plus some Tory converts???
Sankey
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11:12am Sat 1 Sep 12
PM
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12:22pm Sat 1 Sep 12
papyt
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1:25pm Sat 1 Sep 12
Sumner
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5:25pm Sat 1 Sep 12
I'm working in Afghanistan at the moment and I have thoroughly enjoyed reading the well-informed
debate and friendly banter. It's been a breath of fresh air for me, I'm glad Politics is still alive and kicking in St Helens and the argument for fresh blood in the Council and Parliament is a valid one.
mikeperry109
says...
5:45pm Sat 1 Sep 12
Sumner wrote:Nice to hear from you, Sumner. What we need is a coalition of all socialist parties - but will that ever happen. I have been arguing against PFI for years.
Being a Socialist thinker I could never vote for any of the three major parties and will NOT contemplate New Labour at all. Those New Labour Party members and the then Cabinet officials sold their souls for pieces of silver.
I'm working in Afghanistan at the moment and I have thoroughly enjoyed reading the well-informed
debate and friendly banter. It's been a breath of fresh air for me, I'm glad Politics is still alive and kicking in St Helens and the argument for fresh blood in the Council and Parliament is a valid one.
alltaxnoletoffs
says...
1:03am Mon 3 Sep 12
mikeperry109
says...
1:53pm Mon 3 Sep 12
times.co.uk/sto/news
/uk_news/National/ar
ticle1117005.ece#com
ment-review. Basically, it highlights the scandal of Guernsey-based investment firms buying up PFI contracts and avoiding tax on the profits it makes. The following paragraphs sums it up this stain on the last government - "The Queen Elizabeth has been beset by scandals over hygiene standards but its maintenance and cleaning contracts with Meridian Hospital, were signed in 1998, along with the PFI deal, and cannot be broken. The trust has been been crippled by PFI bills of £61m a year.
Frank Fitzpatrick saw his parents contract serious infections there and believes PFI has failed to provide adequate standards. His mother, Kathleen, was treated in 2003 and 2004 and suffered problems, including being sent home with a needle in her arm, before being readmitted and contracting clostridium difficile. The family won an apology, but she died soon after. His father, Edward, died of septicemia three years later and Fitzpatrick said he also suffered poor care.
A report into PFI by the NHS in 2007 found that the fixed costs for the Queen Elizabeth were twice as high, as a proportion of income, as for non-PFI organisations such as Guy’s and St Thomas’ hospital.
The Queen Elizabeth PFI project is now owned by three funds — Semperian PPP Investment Partners, Innisfree and John Laing Infrastructure Fund (JLIF).
HICL Infrastructure, one of the biggest PFI operators, has a similar set-up. One of its projects is Queen Alexandra hospital in Portsmouth, which pays £45m a year in debt repayments and charges. It has cut 700 jobs and closed beds because of financial problems. HICL’s Guernsey accounts to March 31 this year reveal a tax bill of only £100,000 last year".
Can we ever forgive New Labour for this shambles - I think not!
Bill Bradbury
says...
4:16pm Mon 3 Sep 12
alltaxnoletoffs wrote:I just don't know what to make of this comment attributing remarks about us watching our local heros embrace it.
Just joined & fascinated to see the Star regular letterwriters dominating the postings on the website and still refusing to recognise anything of merit in opposing views. How anyone who warned of the dangers of PFI but watched their local heroes embrace it and then wallow in the glory of what it produced can now defend & support them as they "fight" to keep what was such a glaring & therefore reckless hostage to the future. Personally, I would hang my head in shame & SHUT UP.
I just wondered where this poster was when I sat in meeting after meeting when PFI was mentioned and I was virtually told to "shut up" as what we are witnesssing now were just scare stories by me.
I had letters to the Star many years ago warning about everything that Mike has referred to in his letter on the Times on Sunday, the waste, the future costs, who will pay and I was made to feel like the local pariah or Jeremiah. As we both mentioned above "Private Eye" was exposing such waste long before the National press got hold of the stories. In fact I recall one hospital authority turning down PFI as it could build 3 hospitals for what PFI was offering. We are still not going to Shut up and now we are looking at some schools with PFI budgets they cannot afford.
Labour just carried on Tory policy and everyone went along with it as we all got new schools and hospitals.
As Pittbull suggested the blame culture will solve nothing and some of us get no satisfaction out of saying we told you so. Like I wrote there will be a lot of arguments over which hosptal remains open but it will provide the perfect excuse for Cameron and his cronies to put the whole shebang into Private hands.
Mike, Sankey, papyt, the usual contributers to this site and I won't be hanging our heads in shame neither will we shut up but get into the damage limitation fight.
Sankey
says...
5:23pm Mon 3 Sep 12
pitbullboxing
says...
6:24pm Mon 3 Sep 12
WhistonJon
says...
7:56pm Mon 3 Sep 12
mikeperry109
says...
4:15pm Tue 4 Sep 12
Bill Bradbury wrote:Well said, Bill. If people like ourselves keep quiet, then we are well and truly finished - the career politicians would be delighted.
alltaxnoletoffs wrote:I just don't know what to make of this comment attributing remarks about us watching our local heros embrace it.
Just joined & fascinated to see the Star regular letterwriters dominating the postings on the website and still refusing to recognise anything of merit in opposing views. How anyone who warned of the dangers of PFI but watched their local heroes embrace it and then wallow in the glory of what it produced can now defend & support them as they "fight" to keep what was such a glaring & therefore reckless hostage to the future. Personally, I would hang my head in shame & SHUT UP.
I just wondered where this poster was when I sat in meeting after meeting when PFI was mentioned and I was virtually told to "shut up" as what we are witnesssing now were just scare stories by me.
I had letters to the Star many years ago warning about everything that Mike has referred to in his letter on the Times on Sunday, the waste, the future costs, who will pay and I was made to feel like the local pariah or Jeremiah. As we both mentioned above "Private Eye" was exposing such waste long before the National press got hold of the stories. In fact I recall one hospital authority turning down PFI as it could build 3 hospitals for what PFI was offering. We are still not going to Shut up and now we are looking at some schools with PFI budgets they cannot afford.
Labour just carried on Tory policy and everyone went along with it as we all got new schools and hospitals.
As Pittbull suggested the blame culture will solve nothing and some of us get no satisfaction out of saying we told you so. Like I wrote there will be a lot of arguments over which hosptal remains open but it will provide the perfect excuse for Cameron and his cronies to put the whole shebang into Private hands.
Mike, Sankey, papyt, the usual contributers to this site and I won't be hanging our heads in shame neither will we shut up but get into the damage limitation fight.
Socialist Labour Party meeting in Liverpool tonight. Haven't attended a political meeting since we met at the Town Hall last year - and they tried to shut me up once again.
Bill Bradbury says...
9:35am Thu 30 Aug 12
Hospitals are not the only area finding paying back what is owed difficult under PFI arrangements.