When It Happens Panel Get involved: send your photos, videos, news & views by texting 'OXFORD NEWS' to 80360 or email
Report reveals why Horton Hospital ops were scrapped
A CRITICAL report has finally been published into why emergency abdominal surgery was scrapped at the Horton General Hospital in Banbury.
It reveals that the number of patients suffering serious complications with gall bladder surgery at the hospital was higher than it should have been.
The report was requested by Oxford University Hospitals NHS Trust (OUHT) in April 2012 after concerns were raised by a Banbury GP in July 2011. As a result it moved emergency ab-dominal surgery from the Horton to the John Radcliffe in January, increasing pressure on the Oxford hospital.
To help cope, the trust had to make an extra 18 beds available and employ about 25 extra nursing staff at the Headington hospital.
The report was completed in December, but the trust only made a redacted version public yesterday. Banbury MP Sir Tony Baldry said: “I am genuinely disappointed that it has taken so long for this report to be published and it is published immediately after a bank holiday.
“We are all going to be particularly interested to discover the views of local GPs as to their views on the report and whether the report does or does not reflect concerns of theirs.”
The Horton previously conducted approximately 200 gall bladder procedures each year, compared to about 500 to 600 at the John Radcliffe.
The Oxford Mail requested the number of operations at the John Radcliffe before and after the changes, but was told this was not available last night Chris Ringwood, Banbury resident and member of Oxfordshire watchdog Patients Voice, said: “I think it stinks.
“It is probably a two-hour round trip to Oxford at best – and then you have got the waiting time.
“There is an atmosphere of distrust within Banbury towards OUHT.”
The report, by the Royal College of Surgeons (RCS), looked at 284 elective keyhole operations, 22 emergency keyhole operations and 22 open operations between January 2010 and September 2011.
It found: l Serious complications in 3.35 per cent of operations, rising to 16 in emergency cases. It should be two per cent overall.
l Patients having acute keyhole surgery had to undergo more open surgery in 29 per cent of cases.
It should be 10 per cent.
l The five surgeons performed between 28 and 43 gall bladder operations a year. They should do 40 or more.
OUHT began making changes in December, including reducing the number of on-call emergency consultants at the Horton from five to three and stopping all emergency abdominal operations at the Horton.
Elective abdominal operations continue to be carried out at the Banbury hospital.
Prof Edward Baker, medical director of OUHT, said: “Because of the level of public interest in services at the Horton, and in the interests of transparency, we are publishing the report with redactions to protect patient and staff confidentiality.”
- Have you been affected by the changes, or had gall bladder surgery at the Horton or the John Radcliffe? Call the Oxford Mail on 01865 425445 or email news@ oxfordmail.co.uk
THE report’s recommendations include:
- Continue all acute gall bladder procedures at the John Radcliffe
- Consider reducing the number of surgeons carrying out keyhole gall bladder operations
- Ensure there are regular minuted general surgery morbidity and mortality meetings at the Horton
- Take steps to ensure there is a hand-on approach from all consultants
- Ensure that regular data is captured and reported to measure performance
- Recommendations carried out:
- Keyhole gall bladder patients to Oxford and opened new beds
- A clear procedure for transfers from Horton to Oxford has been agreed
- The trust has improved team working by ensuring all consultant surgeons now work across at least two sites
- The trust has reduced the number of surgeons performing keyhole gall bladder surgery so each will have a caseload of about 50 a year
Comments are closed on this article.