This site is intended for health professionals only

At the heart of general practice since 1960

pulse june2020 80x101px
Read the latest issue online

GPs go forth

GP commissioners to keep A&E open after defeating Hunt in court

An A&E department that was at the centre of a judicial review determining how much influence the Government has over local GP commissioners will remain open, the CCG has confirmed.

NHS Lewisham CCG has said that it will recommend that all accident and emergency departments in the borough stay open after a review of the hospital departments, including at Lewisham Hospital.

In a letter to Lewisham and Greenwich NHS Trust, the CCG said: ‘Our work to date suggests that investment in community and primary care services will help us avoid a further increase in A&E activity and hospital admissions, but will not significantly reduce it … For the avoidance of doubt, we expect the Lewisham A&E Department to remain as an emergency care facility operating 24 hours a day.’

There have been doubts over the future of Lewisham’s A&Es since at least 2013, after Health secretary Jeremy Hunt decided to keep Lewisham A&E but at a reduced size.

The fate of the A&E department at Lewisham Hospital has been seen as a test of whether local commissioners will have the power to change local services.

In the judicial review judgement in 2013, Justice Silber said that the decision of the secretary of state to close Lewisham Hopsital’s A&E must be ‘quashed’ as he had acted outside his powers.

The Save Lewisham Hospital (SLH) group, led by local GP Dr Louise Irvine, challenged Mr Hunt’s decision to replace Lewisham Hospital A&E with an urgent care centre, which was based on a recommendation by a ‘trust special administrator’ looking into financial problems at the nearby South London Healthcare Trust.

Readers' comments (8)

  • Vinci Ho

    So Agent Hunt carrying the FOV220,000 virus was acting outside his powers . What does that mean then, hence breaking the law??
    In any accountable government , what should this minister do to at least save his 'honourable gentleman' title, huh???

    Unsuitable or offensive? Report this comment

  • 'he had acted outside his powers.'

    And if I do?
    Job secure?
    Morally feel able to stay in job?

    Unsuitable or offensive? Report this comment

  • who ever went against hunt/government is screwed as they will send O'brien to find you and ask you in room 101 what is 2 plus 2 and the answer better be ...correct

    Unsuitable or offensive? Report this comment

  • GP registrar: 2:21 am- The fear of the unknown is our greatest enemy. It's sometimes better to be shot in the head once than having to go down on your knees to NHSE or the Government and having to live with the ignominy.
    I think that fear is part of the reason that we as GPs have failed to stand up for our rights. Not to mention here the two-faced representatives we have always chosen to voice our opinions and our reliance on the BMAs,GPC and the RCGP.
    O'brien coming to my surgery now?

    Unsuitable or offensive? Report this comment

  • The point I am trying to make is that NHS is worth fighting for even in the present mess.

    Unsuitable or offensive? Report this comment

  • NHS is screwed. accept it and move on.

    Unsuitable or offensive? Report this comment

  • Sanjeev Juneja | GP Partner13 Oct 2015 9:05am

    The logic of war seems to be if the belligerent can fight, he will fight.
    That leaders will not surrender until surrender is academic.
    How is a national leader to explain the sacrifice of so much for nothing?
    Well, relax I can explain, I don't want to die!

    but realistically regarding the NHS and todays World

    I've... seen things people wouldn't believe. Coomaradrie among doctors nurses staff managers fighting fire on fire off the shoulder of each other ; I watched c-beams glitter in the dark near the Tannhäuser Gate... All those... moments... will be lost, in time, like tears... in... rain. Time... to die

    Things have changed Sanjeev there is only the future now and its time to let go as opposed to Goodbye

    I quote from a learned colleague

    There is a difference between saying goodbye and letting go. Goodbye is not permanent. You can meet years later as old friends and share what happened in your life. You can smile and laugh about all the nonsense that you both went through. However, letting go is being okay with never seeing this person ever again…being okay with never knowing how their life turned out…being okay with fifty or more years of silence… being okay with running into that person at a grocery store and having them not acknowledge your presence. This is the part of life that doesn’t sit well with me and never will. It tears my heart in pieces, robs me of gratitude, drains me of anything positive and eats at the faith that holds on. It goes against kindness

    Unsuitable or offensive? Report this comment

  • Thanks Colleague. There is wisdom in what you say- the brain accepts your reasoning, the heart won't - and that is the problem.
    Walking away is just too easy.

    Unsuitable or offensive? Report this comment

Have your say