(Hopefully at least one of these questions is useful.)
Figures and stuff taken from my 2012-11-21 notes at the Greenwich TSA meeting. Might be flawed. Please double-check before quoting!
Also please fork, expand, notate, go wild.
- What's the geographical distribution of the 5000 expected births? How would that distribute to the remaining 4 units?
- How much of the £17M saving would be needed to bring the other 4 units up to capacity for handling the extra births?
- If Lewisham loses A&E but keeps Maternity, how much does that save (asked 2012-11-21 but no figures provided)?
- Following on from 3, how many births might Lewisham need to refer to remote A&E based on current Maternity->A&E transfers?
- If it loses Maternity, does anything happen to the Low Birth Weight and Breastfeeding programmes?
- How were new travel times to the various A&Es calculated? Has the TSA used any "live traffic data" sources such as Waze, Nokia, Google, etc.?
- Is there peer-reviewed research that shows 24/7 consultants do provide the claimed improvement in healthcare ("save extra 100 lives a year")?
- Similarly, where do the "senior consultant should be present 18 hours a day" figures come from?
- How much will creating the new "Planned Care" centre at UHL cost? What benefit does that bring over using the money to keep A&E/Maternity?
- How is it calculated that Lewisham will be £3M in debt by 2016?
- Video claims that "operational efficiencies" and "carefully managing resources" can save SLHT £35M by 2015/16 - then why not £3M for Lewisham?
- Does closing Lewisham A&E impact the distribution and number of SELondon ambulances? (can't see why it would but you never know...)