It's not our job to fix the Welsh government's bad decisions

The NHS in Shropshire is proposing to cut A&E and acute paediatric services in Telford's Princess Royal Hospital to save money.

David Wright, the MP for the Telford constituency, has launched a "Say no to Shrewsbury" campaign calling for cuts to be made at Shrewsbury rather than Telford which has prompted Daniel Kawczynski, the MP for the Shrewsbury & Atcham constituency, to campaign for the cuts to be made at Telford instead. Daniel Kawczynski has even tried to enlist the help of Rhoddri Morgan, the First Minister of Wales, because patients from Mid Wales would be inconvenienced by cuts to the Royal Shrewsbury Hospital.

The suggestion that one hospital can cope with all A&E and acute paediatric referrals is ridiculous in itself but to suggest that they should be centralised in Shrewsbury when Telford has the largest and fastest growing population in the county is unbelievable.

What is best for Shropshire is for the services to stay at both hospitals or for a new hostpial to be built between Shrewsbury and Telford. But if there is a requirement to centralise services then they should be centralised in Telford, not in Shrewsbury.

The problem with this suggestion, though, is that it inconveniences patients from Mid Wales who don't have a local Welsh hospital. The NHS in Shropshire has cited this as a reason to keep services in Shrewsbury and the Daniel Kawczynski MP has also used it as an excuse to keep services at the hospital in his constituency.

And this is the problem with so-called English MPs - they aren't English MPs at all, they are British MPs. On balance, taking into account the interests of patients from Mid Wales, it makes most sense to keep services at Shrewsbury and it is the interests of those Welsh patients that Daniel Kawczynski is taking into account and using as leverage to save services at the Royal Shrewsbury Hospital.

But the people of Shrewsbury & Atcham elected Daniel to represent their interests, not the interests of Welsh people. In Wales they elect Welsh Assembly Members to deal with health as it's a devolved area and it is the Welsh government that has a responsibility to provide adequate health care in Wales, not the British government and not the NHS in Shropshire.

I'm not suggesting for a moment that someone from outside of Shropshire should be refused treatment at any of our Shropshire hospitals but there is a difference between treating someone from another English county, whose health provision is the responsibility of the same government that our own is in Shropshire and treating someone from another country whose health provision is the responsibility of another government - one that, crucially, is funded separately to the English NHS and given more money from the British Treasury to provide services.

This isn't a case of sour grapes or being anti-Welsh, it's simply that the provision of health services to Welsh people is the responsibility of the Welsh government and if services do need to be cut in Shropshire then those cuts should be made in such a way that it provides the least detriment to the people of Shropshire. If it leaves the Welsh with worse health provision then I'm afraid it is up to the Welsh people to petition the Welsh government to invest some of their health budget in building a hospital in Mid Wales.

The Welsh people asked for their own government and they got it. They have to live with the consequences of that decision and one of those consequences is that they can't keep relying on the English to pick up the pieces when their government makes the wrong decision. Not investing in health care in Mid Wales was a bad decision but fixing the consequences of that bad decision is up to the Welsh government, not the NHS in Shropshire.

MP tells of Welsh woe

This article appeared in the Shropshire Star the other day ...

MP tells of Welsh woe

Tory MP Daniel Kawczynski has professed that he loves Wales, but he had plenty of complaints about the principality during a debate in the House of Commons.

The Shrewsbury & Atcham MP questioned Wales’s role in health services in Shropshire, flooding, tuberculosis in cattle, and “unfair and uncompetitive” grants to businesses given by the Welsh Assembly.

“The Welsh Assembly creates huge difficulties for English border towns,” he told MPs.

Mr Kawczynski said the Royal Shrewsbury Hospital was losing £2 million a year as a result of the way the assembly paid for treatment across the border.

“We have patients coming from Wales to the hospital who get life-saving medication to which my constituents in Shrewsbury are not entitled,” he told the Commons.

“I have to fight tooth and nail to secure life-saving treatments for my constituents that people from Wales get automatically in our hospital.

“That causes huge frustration and anger and divides our two communities.”

The Conservative MP said 40,000 cows had to be killed in England last year as a result of bovine TB.

“It is such a shame that there is not more co-operation between our parliament here in London and the Welsh Assembly over the issue, which transcends our borders,” he said.

“There should be far more co-operation in dealing with such major issues.”

Mr Kawczynski said flooding caused “tremendous misery” along the length of the River Severn with Shrewsbury flooding repeatedly.

“The way to resolve the problem is not to have little barriers in each town, but to have a wet washland scheme across the border in Wales,” he said.

“This would flood a large piece of agricultural land, which would become a marsh in the summer, encouraging wildlife, and a lake in winter.”

The Conservative MP said it was unacceptable that a Government minister had intervened to block the idea.

By London Editor John Hipwood

The Shropshire branch of the CEP has been plugging away at all five of the county's MPs, including Daniel. He is nominally supportive of some form of better representation for England and, having sat on a devolution committee, is quite aware of the discrimination England faces.

Co-incidently, I received an email from the Shrewsbury and Telford Hospital NHS Trust which covers the Princess Royal Hospital in Telford, the Royal Shrewsbury Hospital in Shrewsbury and the Robert Jones & Agnes Hunt in Oswestry. Prompted by an announcement by the Welsh Government that Welsh patients would be entitled to a new kidney cancer wonder-drug free of charge on the NHS, I had asked them ...

Will Welsh patients treated in the RSH also get these drugs paid for by the Welsh Assembly? Will it be possible for an English and Welsh patient being treated at the RSH for the same thing and for the English patient to be refused the drugs that the Welsh patient will be getting?

The reply was long-winded but, in a nutshell, the answer was "yes". The question is, what does Daniel propose to do about it? The Tory policy of English Pauses for English Clauses won't resolve the issue, only an English Parliament will by putting English health priorities in the hands of politicians elected to represent English interests.

Click the icon below to view a copy of the letter from the NHS Trust.

CEP rally - 18th October at Shrewsbury

The Shropshire branch of the CEP is holding a rally on Saturday the 18th of October in Shrewsbury.

We'll be meeting somewhere central - probably Pride Hill or near the hideous Market Hall - at around 10am and hand out leaflets.

The theme of the rally will be the NHS.  Just over the border in Wales they have free prescriptions and free hospital parking.  The Welsh government doesn't even pay the going rate for their treatment in English hospitals, costing the hospitals in Shrewsbury, Oswestry & Telford over £1m per year in lost revenues.  In Scotland they will all be entitled to free prescriptions from April next year and in Northern Ireland prescriptions will be only £3 next year and free for all from 2010.

Please get in touch for more details.

English hospitals refuse to treat Welsh

A row has erupted over Welsh patients being treated in English hospitals thanks to North Bristol NHS Trust.

Back in July 2006 Oswestry Hospital threatened to stop accepting Welsh patients because Powys Local Health Board wasn't paying its bills. An agreement was reached to prevent it happening at Oswestry but now North Bristol is having the same problem only this time the situation hasn't been resolved amicably and Welsh patients are no longer being admitted to their hospitals.

The Western Mail (a Welsh newspaper) suggests that the "row over NHS access is frankly ridiculous" and that North Bristol should continue to treat Welsh patients that they're not being paid to treat despite having a statutory obligation to ensure that they remain financially viable. The example of Shrewsbury & Telford NHS Trust continuing to treat Welsh patients despite an annual cost of £2m to do so is cited as an example: "If it can be made to work in Mid Wales and Telford and Shrewsbury, North Bristol NHS Trust needs to provide a pretty compelling case as to why it can’t work there".

What happened in Shropshire clearly wasn't a one-off but the question now has to be how many times this has happened in the past and whether this is going to keep on happening in the future. The English taxpayer already subsidises the superior Welsh health service, English hospitals treat Welsh patients at a reduced cost to their Local Health Board and now it looks like English hospitals are treating Welsh patients for free because Welsh Local Health Boards aren't paying their bills.

I have phoned the reporter who wrote this story and explained that it's not fair that English NHS Trusts should be expected to make concessions when the English already subsidise the Welsh NHS and when English hospitals are providing services to Welsh patients at reduced prices. She said she hadn't thought about it in that way and agreed that it wasn't fair and that she would do some more investigation into cross-border health services.