CAN WE AFFORD TO CLOSE ANY MORE A&E DEPARTMENTS?

EVIDENCE FROM NORTH WEST LONDON.  By Dr Gurjinder Singh Sandhu
 
 
In this readable and alarming piece of work Dr Sandhu talks about the impact of cuts on North West London so far and the risks faced by even more.  He covers the fact that cuts are concentrated in the most deprived areas, the crisis in social care, the increasing population and proportion of elderly.
 
“Despite a sharp deterioration in A&E performance in North West London following the closures already made, the STP envisages closing the A&E at Ealing hospital by 2021 and closing the A&E at Charing Cross Hospital at some point after that. The STP also proposes to consolidate acute services from nine onto five sites in North West London….”
 
“In this respect North West London is further down the STP pathway than any other region in England and there are important lessons to learn….”
 
“Since the closure of Emergency Departments in North West London in
September 2014, each successive winter has seen deterioration in Type 1 A&E
Performance”
 
“Patients trapped in acute hospital beds due to shortages of social care provision
have an important impact on hospital capacity, patient flow and the ability of staff to
admit new patients, including emergency patients, further compounding the A&E
crisis.”
 
Dr Gurjinder Singh Sandhu is a Consultant Physician who currently works in Acute Medicine and is developing an interest in health inequalities in elderly care medicine. Dr Sandhu is an active member of Ealing Save Our NHS.