Lost beds in Derbyshire could mean that people are sent home to recover from illnesses rather than being kept under observation. Let’s make sure that our NHS doctors can make decisions they think are best for patients. Our NHS is already being starved of funds. The percentage of Government spending on healthcare in 2015-16 was 6.6%. It used to be close to 10%. We are now spending about the same as Slovenia and Iceland and behind Greece and Belgium. While there is a need to join-up care in Derbyshire this is being done in the context of £22 billions cuts in the NHS and may well result in loss of nearly a third of hospital beds in Derbyshire. How can we afford to lose more beds? This continued degradation of the NHS will foster the call for further break-up of the NHS and selling off to the private sector. Created on behalf of the Derbyshire NHS SOS Campaign

This winter the Royal Free is not providing night-time cover for the mental health liaison service between 9pm and 8am, which it has provided over the last 2 years. This will have devastating effects for some of the most vulnerable people in London over Christmas. The Camden and Islington Foundation Trust has lobbied to get the funding and is very disappointed that it has not been given. They have identified the following risks this winter: • Service users attending the Royal Free Hospital with mental health needs or on Section 136 of the Mental Health Act between 9pm and 8am may experience long waits to see a mental health professional. • Waits to be assessed by a mental health professional may be even longer for those service users who are not residents of Camden and Islington. • The quality of experience for service users will deteriorate if they are subject to long waits for assessment. The below named service user groups are asking Camden and Barnett commissioners and the Royal Free NHS Foundation Trust to pay for this vital service: Camden Borough User Group (CBUG) Islington Borough User Group (IBUG) Nubian User Forum (NUF) Women's Strategy Group Recovery College Camden Frontline Rehabilitation and Recovery Side by side network Substance Misuse Division Care Quality Review Group Personality Disorder Service

Many people in the UK are dying unnecessarily because of a shortage of organ donations available under the current system that requires individuals to register as organ donors. A year ago Wales introduced an 'opt-out' system that assumed a willingness to donate unless one specifically registered an objection in advance. The system still allows for the family to be consulted prior to donation. Since the introduction of the new law in 2015, 160 organ transplants have been undertaken, 39 of which were from 'deemed consent' donors; that's 39 people who's lives have been saved or majorly improved in Wales alone. The Welsh Government hopes to achieve a figure of 25% over time. (International Medical Press, 05 December 2016.) The British Medical Association (BMA) have advocated such a system since 1999 as the best option regarding obtaining consent and passed a resolution on the 22nd of June 2016 to urge doctors to lobby their respective governments to adopt a system similar to that in Wales. (International Medical Press, 23 June 2016.) It's clear from the results in Wales in just one year , that such a system nationwide would save hundreds of lives by making life-saving organs more readily available.

Mental health services are inadequately funded, understaffed and stretched to breaking point. Your Way have long been day services in the area, now they are being restructured to offer 1 to 1 support, in the community. 1 to 1 support is being undertaken by various other organisations. Your Way are the main day services and have started to turn existing service users away and not encouraging new service users. Continuing down this route will increase dependency on mental health services, increase risk of suicides, increased hospital admissions and fail the needs of the community.

These proposals are untried and not deliverable. The downgrading of acute services at the Horton General will have devastating consequences on Banbury and the surrounding area. This will also increase pressure on neighbouring hospitals who are already under pressure with the increased demand.

Taylor Unit was opened in 1994, for the people of wigan Bolton salford and leigh. It is a dedicated neurological rehabilitation unit, offering exceptional care.

999 Demand is rising fast. In 2005 Ambulance Services received around 5 million calls. In 2015 they received over 9 million. Health and Social Care Information Centre (HSCIC) statistics show that the number of Qualified Ambulance Staff on the frontline only increased by 283 over the same period. It is recorded that there were 17417 Qualified Ambulance Staff in 2005 and 17700 in 2015 over a period where demand increased by over 4 million calls per year. The government correctly states that there are over 2000 more Paramedics in the NHS now than in 2010 but many of these staff were already counted in the Qualified Ambulance Staff bracket, having previously been Emergency Medical Technicians. Also, many newly qualified Paramedics simply fill vacant positions created by Paramedics who are leaving the service at a rate of around 1000 per year. Paramedics who are leaving the service often cite the stress and pressure associated with the high demand as a contributory factor to their decision to leave. Staff often work long shifts (10 or 12 hours) without rest breaks or with only a short rest break taken after hours of back to back jobs. On most shifts there are already calls waiting when ambulance crews become available again after an emergency call. They often work longer than their contracted hours due to calls that take them over their finishing time. A growing number of people are calling 999 with conditions which could be more appropriately managed in the Primary Care setting, such as their GP Surgery. Patients are reporting difficulties with arranging routine appointments because of the pressure on other areas of the NHS. Historically, these patients have been transported to A+E like any other 999 case even though they do not necessarily have an acute medical problem which requires emergency treatment. Now the focus is on taking healthcare to the patient in order to reduce unnecessary A+E attendances. Over the last decade, ambulance staff have taken on extra skills, responsibilities and autonomy in order to assist them with recognising, treating and referring these patients to the most appropriate alternative care pathways rather than using A+E by default. Entrance into the profession is now via higher education, with student Paramedics attaining degree level qualifications. Some Paramedics have also undertaken further education and training in order to work in more advanced roles, such as Critical Care or Urgent Care Practitioners. This might mean they are able to provide more advanced care in an emergency, prescribe antibiotics for minor ailments or suture minor injuries without the patient needing to attend A+E. All but one of our Ambulance Services have reportedly failed to hit government imposed response time targets recently. Because of the high demand, the government are changing response time targets so that Ambulance Services now have longer to assess calls which are not deemed immediately life threatening and longer to respond to them. Conditions such as Chest Pain and Difficulty in Breathing, which used to have an 8 minute response time, may now have a 19 minute response time in order for the Ambulance Services to identify and allocate the most appropriate resources rather than focussing solely on the response time. A number of media outlets have also reported that ambulances are often unable to respond to emergencies due to the length of time they are queuing to handover patients at A+E departments. Hospital handover and ambulance turnaround times are strictly monitored and partnership systems have been implemented to try and speed up the process. Despite these changes and initiatives, statistics show that our Ambulance Services are still struggling to keep up with demand and staff are feeling the pressure. Are our Ambulance Services in a position to take up the strain of other areas of the NHS without further investment? Ambulance Services are doing their best to innovate and make the best use of the resources at their disposal. More funding would allow Ambulance Services to increase the number of staff and resources, try new initiatives in order to meet the high demand, reduce the burden on already over crowded A+E departments, relieve the pressure on ambulance staff who are trying to keep up with demand, improve patient satisfaction and could ultimately save lives. If you agree that the government should provide more funding for our Ambulance Services, please sign the petition.

Plans have been drawn up in secret for yet another top-down re-organisation of our NHS. Called Sustainability and Transformation Plans (STPs), their main aim is to reduce NHS spending by around £22 billion by 2020-21 across England. In the Hampshire and Isle of Wight area alone (HIOW), which includes Southampton, £1 billion of savings, must be made over the next 5 years. These plans represent the second radical, top-down reorganisation of our NHS in 4 years. Local planners have been forbidden to conduct consultations on the whole plan for the area. So there will only be piecemeal consultations where particular problems arise. Although the plans contain some good ideas for integrating health and social care, the financial reductions required will limit how these can be achieved. Earlier drafts of the STP, and published discussions amongst NHS Managers, show that the STP is based on some really worrying assumptions: e.g. that 3 out of the 6 acute hospitals in HIOW will be unsustainable in the next 5 years, or that 30% of GP practices will be unsustainable by 2020/21. Local people are entitled to know how these judgements were made, and to have their say on the plans. This petition is organised by: Southampton Keep Our NHS Public. (SKONP).

The regional Sustainability and Transformation Plan (STP) is a largely hidden, high-level plan to hurriedly bring about the integration of health and social care, with a central role given to private providers. It is motivated more by hope than any real understanding of need and with no consultation with professionals and the public. - From the extreme level of “savings” outlined in both the STP and the part of the plan focused on mid-Sussex & East Surrey it is clear that the key objective is to reduce costs regardless of consequence. - In illustration of this, the amount our region (STP footprint 33) is being asked to save by 2020/21 is a staggering £653 million. - “Savings” already specified in the STP report include £112m on social care - £47.4m to be saved by encouraging GPs not to refer people to hospital - These plans nationally will put the final nail in the coffin of a comprehensive NHS and locally will have an irrevocably damaging impact on the health of city residents. - Local authorities round England are now protesting about STP and refusing to sign up. One local authority has initiated legal action. As citizens of Brighton & Hove we ask that the HOSC, with its role of overseeing and scrutinising our local health services, act urgently. We urge you as our elected representatives to: - Pass a motion of opposition to STP - Set up a review panel to call witnesses to account for all aspects of the STP and the Place-based Delivery Plan so an informed decision can be made by the whole council. - Initiate a full public consultation on the final detailed plan before any decisions are made to ratify it 1. https://www.coastalwestsussexccg.nhs.uk/building-first-class-health-and-care-system-for-sussex-and-east-surrey 2. Google 'Central Sussex and East Surrey Place-based Delivery Plan' for the PDF figures, page 16 3. For more general information and a detailed STP flyer- http://defendthenhssussex.weebly.com/

To adhere to certain lifestyles and certain intolerances that are current, there should be an alternative in order to avoid any illness or inconvenience.

Plans to ban obese patients or smokers in North Yorkshire from getting NHS care are being drawn up. NHS bosses have tried this before, but after a public outcry, they backed down. We need to tell them a final time that these plans are unfair and cruel. Obesity and smoking are often symptoms of stress, long term physical and mental illness, trauma, bereavement, loss of job, financial stress and many other factors. Inflammation in the brain compounding, even causing depression, anxiety and other symptoms which make it impossible to assert healthy behaviours for many, depending on the severity of the illness. Medications used to treat illness also often cause the side effect of obesity. The move from the Vale of York CCG is heartless, poorly researched and in my opinion cruel punishment which will inevitably cause a painful death. I think these NHS bosses are unfit for purpose to even consider it, so we need to tell them to stop the plans. They would be better charged to work on prevention rather than a 'cure' which is only geared towards cutting costs by targeting the most vulnerable. The NHS is not a business, contrary to proposals. We and our forefathers pay and have worked for it. It is Governmental duty to administer what is the best, overall, health system in the world according to global studies. All these points are well documented in multiple vigorous research studies, found by a simple search on some of the keywords.

This change means Broomfield hospital would become a minor injuries walk-in centre, which makes a mockery of government claims to establish a 24/7 NHS. We all know a family member or a friend who could need urgent care and has to get to an A&E very quickly. Without a local A&E department people would have to travel up to an hour to get to an A&E, if someone is in a critical condition that time could be the difference. Health bosses are playing with the lives of the people of mid-Essex. We have already had a great response to this petition which shows that the people of Chelmsford are overwhelmingly opposed to this change. Our local hospital needs everybody. And we need a campaign to keep Broomfield A&E