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Dunfermline hospice future in doubt

Gary Fitzpatrick • Published 3 Jun 2011 08:16 Print Comments 5 Comments

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FEARS have been raised over the future of the hospice ward at Dunfermline's Queen Margaret Hospital after a proposal to cut £322,000 from its budget this year.

The savings suggestion for the hospital's palliative care ward 16 raised alarm bells for elected members of the NHS Fife Board at its meeting on Tuesday.

John Winton, from Rosyth, said afterwards, "It was always part of the 'Right for Fife' programme that there would be palliative wards at both sides of Fife.

"If someone is dying in hospital, families can have round-the-clock access and it's important that the ward is in the area where they live so that people from the Dunfermline area don't have to go through to Kirkcaldy.

"I know savings will have to be made but there are some things you can't put a price on."

Mr Winton had been prepared to vote against the budget but was given assurances that any decision would have to be made by a committee and would go back to the board.

The proposal would come before the operations division committee of which Mr Winton is a member.

Board member Anne McGovern, of High Valleyfield, former leader of Fife Council, was another who voiced concerns about ward 16.

The issue arose during a discussion at the finance and resource committee - held before the board meeting - over the "2011/12 efficiency savings plan Top 40 schemes by value".

This was later re-titled at the request of members, with "schemes" being replaced by "options".

The saving of £322,561 in 2011/12 was to come from the "redesign of palliative care in the operational division based on evidence of a lower occupancy rate".

The budget was passed unanimously and chair Professor Jim McGoldrick said it was a "historic moment" as it has been the first under the new system of partially elected boards.

He welcomed the fact that new members had "not been backward at coming forward with things that concerned them".

The financial background to the meeting was that there had been a 1.06 per cent rise in funding from last year but that because of the rising cost of drugs, increasing VAT and National Insurance and an ageing population, savings of just over three per cent had to be found.

Professor McGoldrick said, "We are facing a very difficult financial climate. While the NHS has been protected within overall Government spending, the financial pressures on us mean some very tough decisions are needed.

"Balancing the books in 2011/12 will not be easy: the status quo for most services is not an option.

"We need to drive out savings wherever we can find them. But the decisions confirmed today make clear our determination to use the money given to us wisely, to protect services as we make the change needed for the future - and to do so in partnership with our staff whose hard work and commitment maintains the NHS we all use."

A statement from NHS Fife added, "As in previous years, higher savings will be expected from support services in order to minimise the impact on frontline services.

"Overall, the board intends to make the savings it needs without jeopardising patient services and patient care."

New investment includes the opening of two wards at Lynebank Hospital.

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