An open letter to Dr Helen Herrity, Chair of Shropshire CCG and Dr Michael Innes, Chair of Telford and Wrekin CCG
Dear Dr Herritty and Dr Innes
We are writing this open letter on behalf of the Shropshire Defend Our NHS campaign.
On the question of two A&E departments in Shropshire, we know we disagree. We believe that there is a need for two centres to cover this large geographical area; you believe that only one is needed. That is not the focus of this letter.
The national review of urgent and emergency care makes a distinction between ‘Emergency Centres’ and ‘Major Emergency Centres’. These – like Urgent Care Centres – will not be commissioned by local CCGs, but by much more remote bodies called Strategic Urgent Care Networks1. Each of these will cover ‘a wide geographical area’, according to initial information from NHS England. We regret that these crucial decisions on urgent and emergency care will no longer be made locally, and we believe that this sharply reduces accountability to NHS users. We are of course aware of the planned changes to urgent and emergency care nationally: that many of the patients currently seen at A&E departments will visit Urgent Care Centres instead, while the two different levels of Emergency Centres will see the most seriously ill people, those with potentially life threatening conditions2.
From information given by Caron Morton to the Future Fit meeting in Welshpool on 9th June, we understand that there will not be a Major Emergency Centre in Shropshire. Caron indicated to the meeting that the Major Emergency Centre would be at the North Staffordshire Hospital at Stoke-on-Trent. This has been confirmed elsewhere.