When news happens text pix and video to 80360. Start your message with BE then leave a space.
UPDATE: Hospital merger blocked by Competition Commission
THE Competition Commission has announced this morning that there is not enough evidence that the proposed merger between The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust and Poole Hospital NHS Foundation Trust would result in overall benefits for patients.
The CC said it had therefore decided to prohibit the merger.
The trusts have now issued statements reacting to the decison, which can be read in full below.
In a summary of its final report, the CC has confirmed its provisional finding that the merger would “damage patients’ interests by eliminating competition and choice across a wide range of elective specialties, together accounting for about a third of the clinical revenues of each hospital”.
Since its provisional decision, it said it had considered whether the merger would provide specific benefits for patients which would outweigh the harm from the loss of competition and choice.
It said in this context the hospitals said that the merger would allow them to reconfigure A&E, with one hospital providing a full service and the other a minor injuries unit; to build a new maternity hospital; to set up a ‘hub and spoke’ arrangement for specialised haematology services; and to provide better consultant cover in cardiology at Poole.
The CC said it looked in detail at these proposals, taking full account of advice from Monitor to the Office of Fair Trading and the views of local commissioners.
It concluded that there had been insufficient analysis of the reconfiguration of A&E, in particular of the balance between the benefit of concentrating expertise on one site and the harm to patients who lived near the minor unit; that there was significant doubt that the maternity hospital would be built, given the pressure on NHS finances over the next few years; that there was similar doubt about the reconfiguration of haematology, given that it was seen as less important by the hospitals and the commissioner; and that it was not clear that the hospitals had to merge to bring about the proposed changes in cardiology.
Roger Witcomb, chairman of RBCH/PH Inquiry Group and CC chairman, said: “We’ve been acutely aware of the pressures facing NHS hospitals. However, while the broad aims of the merger are desirable ones, there simply isn’t enough detail in the hospitals’ plans for us to conclude that any of the claimed benefits are likely to materialise.
“As recent history in the sector shows, a merger isn’t automatically a good thing for patients and it is our job to examine any proposed merger carefully. The OFT, CC and Monitor will today publish a short document explaining how the three authorities review hospital mergers with the interests of patients as their primary concern, and we expect and hope that this will ensure that the process in future will be much shorter.”
This is the first merger between two NHS foundation trusts to be examined by the CC and it follows the enactment of the Health and Social Care Act 2012, which confirmed the OFT’s and CC’s roles in assessing the competition aspects of mergers involving foundation trusts. Foundation trusts are independent organizations which have a significant degree of autonomy in managing their affairs.
The trusts both provide a wide range of hospital and community-based services to patients in the wider Dorset area.
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust has 601 beds on two sites. Poole Hospital NHS Foundation Trust has 623 beds, across three sites.
The full final report will be published shortly, the CC said.
A joint statement from Poole Hospital NHS Foundation Trust and The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust said:
“We are deeply disappointed with the Competition Commission’s decision to prohibit the proposed merger.
"This is despite the efforts we have made to explain the clinical and financial benefits and the support we have received from Dorset CCG and the NHS England Wessex Local Area Team.
"We believe a merger would have been the best option to ensure we continue to provide high-quality hospital services to local people.
“The benefits of merger, which included increased access to consultant care and new patient facilities, will now be much more difficult to deliver, which is disappointing for both our patients and staff.
“We recognise that the Competition Commission has a statutory role to perform and specific criteria which it must use to assess benefits, but we believe that the outcome of the process is fundamentally wrong.
“The assessment of the merger was always weighted to put competition ahead of benefits to patients, and we do not believe the NHS is best served in this way.
“The two trusts have worked extremely effectively together over the last two years and we will continue to explore areas where we can work in partnership. However, this will not be to the scale we had hoped.
“We would like to thank all of our staff and health partners for their support. Staff across the three hospitals have contributed to the merger process and have also worked extremely hard to ensure we continued to provide high-quality services to our patients throughout the process.
“A great deal of work has been carried out on identifying efficiencies and organisational development as part of the merger process which will not be lost.
"The two trusts will now take some of this work forward, either individually or in partnership.
“The future for the NHS remains challenging and, like all acute hospitals, we still need to identify significant efficiency savings.
"Both trusts already have lower costs than the average UK hospital and have made considerable savings over recent years.
"It will be much more difficult to make further savings as individual organisations, but we now need to explore alternative options and work closely with our commissioners as we look to the future.”
Tony Spotswood, Chief Executive of The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, said:
“The priority and focus for our staff is to deliver high quality services for our patients.
"We have recently launched our Quality Strategy which sets out how we will ensure the continued safety of our patients, a good hospital experience and clinical effectiveness.
"This will guide all future decision making, from the Board of Directors to the clinical leaders and doctors on our wards.
“We have a strong track record for continuing to develop services and facilities while also meeting the efficiency challenges faced by the NHS.
"We continue to invest in developments at Christchurch Hospital, a new cancer and blood disorder and women’s health unit and a new midwifery led unit.
"Alongside this is our continual achievement in providing low waiting times, low levels of infection and high levels of patient satisfaction.
"Continuing to learn and improve the experience for patients is a key part of our quality work.
“Working with our health partners will be essential to ensure as a community we can provide the best services for local people.
"Over the next few months the Board will be developing its plans for 2014/15.”
Chris Bown, Chief Executive of Poole Hospital NHS Foundation Trust, said:
“Poole Hospital’s focus will, as always, remain on providing safe, high-quality care.
“The hospital faces considerable financial pressure without merger but our board of directors is absolutely committed to sustaining services and maintaining the high standards of care that we are renowned for.
“In common with many other NHS hospitals, we must make substantial further savings in the future.
"The situation at Poole is made particularly challenging because of our case mix, which includes a high percentage of emergency care, and the way in which that type of care is now funded.
“We will be working closely with our commissioners and Monitor, the foundation trust regulator, over the coming months to look at how we can make further efficiencies and meet the financial challenges ahead.
"We will also work with our partners across the community to ensure the local population continues to benefit from the highest standards of clinical care.”
- Hospitals merger bid ‘likely to be rejected’ chief tells staff in letter
- Hospitals merger "could shut Poole A&E" claims MP
- Benefits of Bournemouth and Poole hospitals merger outweigh concerns about choice, say trusts
- Report on Bournemouth and Poole hospital merger delayed
- Merger block fears for Bournemouth and Poole Hospital
- A bitter pill: Commission blocks Bournemouth and Poole hospital merger - on day NHS chief warns centralisation is vital for future of services
- RBH and Poole hospital 'must prove benefits' of merger says Competition Commission
- Poole hospital close? Ridiculous, says chief executive
Comments are closed on this article.