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Suffolk: Patient safety could be compromised by budget cuts at mental health trust

09:23 12 February 2013

Aidan Thomas, Chief Executive of the Norfolk and Suffolk mental health trust at Mariner House in Ipswich, warned of serious financial difficulties if it does not overhaul its services

Aidan Thomas, Chief Executive of the Norfolk and Suffolk mental health trust at Mariner House in Ipswich, warned of serious financial difficulties if it does not overhaul its services

A HEALTH boss last night warned Suffolk’s mental health trust faces “serious” financial difficulties if it does not overhaul its services.

Facing questions about plans to slash the budget chief executive Aidan Thomas insisted patient safety and quality of care was the priority for Norfolk and Suffolk NHS Foundation Trust (NSFT).

But senior figures from the Royal College of Nursing were the latest to claim the proposals were “incompatible” with maintaining current service levels.

Others said that plans to increase workloads on consultants would hit patient safety, and invoked the failing Mid Staffordshire NHS Foundation Trust as a cautionary example.

Speaking at County Hall in Norwich at a meeting of the Norfolk and Suffolk joint scrutiny committee on the radical redesign of mental health services, which could see up to 500 clinical staff jobs being cut, Mr Thomas said: “If we don’t implement this plan the trust will end up in serious financial difficulties: I can say that categorically. There are no two ways about it.”

Councillors questioned Mr Thomas about the plans, and raised concerns at the lack of fine detail or costings in the proposals, which have already been further updated from the version presented to the committee.

Consultant psychiatrists Dr Chris Jones and Dr Marlies Jansen, who wrote letters to be considered by the committee, delivered the most outspoken in their criticism of the plans.

“The process is clearly not about improving quality – this is clearly about cutting costs,” said Dr Jones, chairman of the Local Negotiating Committee. “This is designing down to meet a budget.

“A one-third reduction means the remaining two-thirds of people are going to have an increase in caseload of 50pc.

“There’s no way I or my colleagues can see 50pc more people and continue providing the same level and quality of service. The rest is window dressing.”

Dr Jansen said the plans would result in a doubling of her caseload of 481 patients, and that stretching resources so thinly was “not safe”.

“In cases like Mid Staffs, it’s easy to see someone’s in a soiled bed. The risk for our patients is they are at home, isolated, with no one to see them.”

Mike Kavanagh, Royal College of Nursing officer in Norfolk and Suffolk, said services were of a high standard but safety was no guarantee of quality of delivery.

“To reduce funding over four years is incompatible with maintaining a comprehensive and proactive health service.”

Mr Thomas told councillors that staff had researched cost-saving measures at other trusts and that “almost everything we are proposing is already in place somewhere else in the country”.

He acknowledged there was “a degree of anxiety” among staff, but said he had received as many responses in favour of reform as he had against.

“The staff really care, about the service and about the patients we look after. But even those areas where people are most concerned there’s a general acceptance that the trust has to do something,” he said.

Speaking after the meeting, he added: “Yes, we will see cuts which will affect services. But with a planned approach we can control the impact of that and, by remodelling them, we can improve some services.

“If we were to do nothing we would end up with wholesale piece-meal, salami-slicing of the budget.”

Mr Thomas insisted the trust had done its “level best” to inform the public about the proposed measures, adding: “I’m concerned that we keep services safe. That has to be first priority of the trust, and the trust and the board are putting measures in place to do that.”

The next meeting of the committee will take place on March 12 in Ipswich.

3 comments

  • Of course, the self-serving management could sack some of the 807 bureaucrats, all of whom are keeping their jobs, instead of sacking 500 front-line staff, couldn't they? But no, productivity improvements come from cutting beds, doctors and nurses, not paper-pushers, don't they? Now there is some scrutiny, the detailed plans have few details - not even job descriptions; the clinically-led changes are not clinically supported; the radical redesign is a massive budget cut; the not financially-driven improvements are desperate cuts. What a farce! Read the documents submitted to the scrutiny committee - there are links in the agenda on the Norfolk County Council website. The two papers from the psychiatrists are compelling, evidence-based and focus on patients. The submission from Norfolk & Suffolk NHS Foundation Trust is devoid of facts, full of management-speak which says nothings and badly written - and most of the cuts are round numbers - i.e. 33% cut of this, 40% cut of that, back-of-a-fag-packet-style rather than need or evidence-based. Bottom line is how does 20% efficiency savings lead to all the clipboard huggers keeping their jobs while more than one-third of front-line doctors and senior nurses lose their jobs?

    Report this comment

    Adrian

    Tuesday, February 12, 2013

  • What Mr Thomas really means is that, unless he gets more funding, his pay, perks, pensions and vast golden goodbye could be put at risk.

    Report this comment

    Roger Baker

    Tuesday, February 12, 2013

  • Why doesn't Mr Thomas take a substantial pay cut instead of cutting services to vulnerable patients, who are by and large, out in the community on their own. Some services you just cannot "cut" on the front line. Mental illness can be just as life threatening as a "physical" medical emergency. Why not drop a few highly paid pen pushers instead. As for this government? By the time they've completed their 'term' we'll have no NHS left!

    Report this comment

    angela scrivener

    Tuesday, February 12, 2013

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