Feb 04 2012

Temporary closure of Central Middlesex Hospital A&E – NHS Report

North West London NHS Trust have provided a report to Harrow’s Health and Social Care Scrutiny Sub-Committee which makes interesting reading:

The North West London Hospitals NHS Trust has received the Safety Review Report for Central Middlesex Hospital A&E Department carried out by a team of independent clinicians on behalf of NHS North West London, following the temporary overnight closure of the department from 14 November 2011.

The report points to a preferred recommendation of maintaining the status quo of overnight closure of the CMH department until a point when sufficient staff can be recruited to assure a robust, safe service at all times.

Patients arriving overnight at Central Middlesex Hospital will continue to be seen in the GPled Urgent Care Centre, which is open 24 hours a day, seven days a week next to A&E. The centre can treat patients with most minor injuries and illnesses and is supported by an onsite medical team from the hospital.

There needs to be an increase in theatre capacity at Northwick Park…

So, to recap, not enough people were using A&E at Central Middlesex Hospital, so it’s now closed overnight. A&E cases are transferred (presumably by the same mechanism they arrived at the hospital in the first place) to Northwick Park, some seven miles via the A40, or about four and half otherwise, but about a 15 minute journey, according to Google Maps.

Space and staffing inadequacies in A&E and the Urgent Care Centre at Northwick Park will require an investment plan if the Trust is to resolve current issues and then fulfil the role of being the major emergency facility in North West London.

Have a read of the full document yourself, and see if you can work out what might happen in the next 5-10 years.

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