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09 October 2008 - Health Minister announces review of maternity services

Health Minister Michael McGimpsey today announced plans to review maternity services in the Greater Belfast area.

The Eastern Board will take forward the review which will look at existing capacity and the immediate pressures faced by maternity services in Belfast and the surrounding areas.

The board will work with the Belfast and South Eastern trusts to consider how best to develop inpatient obstetric services and examine how consultant-led services will be appropriately supported by specialist paediatric services.

The minister said: “Our maternity services face a number of challenges. There is an increasing birth rate across Northern Ireland which is particularly evident in the Southern Trust area and in the east of the province. This increased demand means that maternity services must be developed if we are to meet some of the immediate pressures.

“In Belfast, it is clear we need to modernise the existing maternity and children’s hospitals. However, I am faced with very difficult decisions as I only have a capital budget of £3.3 billion, less than half of what is needed to take forward the infrastructure projects that are considered a priority.

“We cannot deliver efficiencies and become a world-class health and social care service in run-down and unsuitable facilities. Our public deserves the very best treatment provided in modern and well-equipped buildings. This is a matter which I will be raising with my Executive colleagues as a matter of urgency.”

Turning to recent investments in maternity services, the Minister said that he recently announced extra £3.5million for Craigavon Area Hospital.

“This investment will help expand maternity services in the area. In addition, I announced an additional 12 midwifery students, dedicated to supporting maternity services in the Southern Trust, and £500,000 to improve maternity services at Daisy Hill hospital.

“Together, these investments will mean that Craigavon Area Hospital will deliver up to 200 additional births on top of the 300 additional births I had announced earlier this year.

“Last October I also opened the new state-of-the-art £13million Maternity Unit at the Ulster Hospital in Dundonald. This new unit is capable of accommodating an extra 1,000 births per year and it is essential that we use all our spare capacity appropriately in the Greater Belfast area to meet the needs of women and their children.”

Referring to maternity services in Lisburn and the proposal by the South Eastern Trust which would see inpatient obstetric services transferred to other hospitals while retaining antenatal and postnatal care at Lagan Valley, the minister said: “I want to make it clear that Lagan Valley Hospital will continue to make a valuable contribution to health service provision to the local community. As part of its review, I have asked the Eastern Board to consider the potential for a midwife-led maternity service for Lisburn.

“The hospital has a bright future ahead. That is why I am investing £3.5million in new operating theatres. This funding underpins the hospital’s role as a key local hospital. It will be a specialist centre for planned surgery for Greater Belfast and continue to provide a wide range of diagnostic and treatment services for local people including important services for women during and after pregnancy.”

Notes to Editors:

1. The birth rate has increased by 6.25% over last four years. The upward trend is expected to continue.
Births in Northern Ireland 2004 - 2007:

Altnagelvin Area Hospital 2,398 2,459 2,485 2,528
Antrim Area Hospital 2,394 2,330 2,495 3,064
Causeway Hospital 1,208 1,126 1,239 1,328
Craigavon Area Hospital 2,966 3,123 3,413 3,670
Daisy Hill Hospital 1,694 1637 1,675 1,797
Downe Hospital 2 4 4 4
Erne Hospital 1,092 1,154 1,268 1,240
Lagan Valley Hospital 1,224 1,154 1,122 1,190
Mater Hospital 1,075 1,082 1,084 1,159
Mid-Ulster Hospital * 637 662 570 -
Royal Jubilee Maternity Hospital 5,018 4998 5,193 5,429
Ulster Hospital 2,523 2,504 2,623 2,908
Other Hospitals 1 4 - 33
Total Number of Hospital Births 22,232 22,237 23,171 24350
Other Places 86 91 101 101
Total Resident births 22,318 22,328 23,272 24,451

*Maternity services were transferred from Mid-Ulster Hospital to Antrim Area Hospital from November 2006

2. Developing Better Services, the Department’s policy for modernising hospitals, envisaged a pattern of nine consultant-led maternity units; that local hospitals would provide antenatal care, ultrasound screening, assessment of complications and postnatal care; and that all mothers to be should be within one hour of the nearest consultant-led maternity unit.

3. In line with Developing Better Services (DBS) it was agreed that midwife-led units within or adjacent to consultant maternity units could be developed. To date this has occurred in Craigavon Area Hospital and the Ulster Hospital.

4. Media enquiries to DHSSPS Press Office on 028 9052 0074, or out of hours contact the Duty Press Officer via pager number 076 9971 5440 and your call will be returned.


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