"Our campaign saved our maternity hospital"

Stroud:

"Our campaign saved our maternity hospital"

Save Stroud maternity banner - demo in June"IF WE hadn’t fought it, it would have gone through", MANDY ROBOTHAM,
local midwife and head of the Stroud Maternity Matters campaign, told
the socialist. "They intended to close the maternity hospital, but we
and the public forced them to change their minds."

Chris Moore

The campaign forced Gloucestershire’s Primary Care Trusts (PCTs) to
reverse their proposal to close Stroud’s 53-year-old maternity hospital.
Their hard work mobilised mass support against the cuts: 4,000 people
marched through Stroud; a train took 600 NHS campaigners to lobby
parliament; local lobbies, petitions and social events put pressure on
the PCT business managers.

Mandy explained: "We got organised quickly with a clear plan which we
kept reviewing and we kept fighting. Each (PCT) board member had a
(campaign) ‘marker’, whose job it was to get to him or her. We also
engaged the media locally and nationally through phone calls and
emails."

The pressure paid dividends. Both cuts and campaign were rarely out
of the local press, and Stroud Maternity hospital featured in the
national press. Mandy feels the campaign had a national impact on the
debate about midwife-led units. "If this trust concedes that it can’t
close a successful midwife-led unit because it goes against government
policy, that sets a precedent for other threatened units."

At present 15-20 units, about a third nationally, could face closure.
"We offer low risk, home-like setting with good postnatal care. But NHS
financiers see us as a luxury service and a soft target.

We know we’re a necessity that costs the NHS less in the future. The
NHS was designed to be about quality care but now it appears to be about
breaking even or making a profit."

Mandy says: "We’ve had a success but we have to be vigilant to
protect what we’ve won." This comes from hard experience, Mandy was
involved in the first campaign to save the baby unit in 1998.

A few months ago, Gloucestershire PCTs announced £40 million of NHS
cuts. Campaigns like Stroud’s stopped some of these, but they still
propose £24 million cuts.

Huge rallies forced a re-think but Dilke hospital in the Forest of
Dean is still dependent on a business plan by local business people,
politicians, health campaigners and professionals being accepted. This
would be a type of ‘Social Enterprise,’ but it could mean the hospital
coming out of the NHS and being run as a ‘non-profit’ business. It would
make it a prime target for takeover by a private company.

Labour wants to further open up the NHS to business competition. The
recent cuts were announced when PCTs were told to balance their budgets
to prepare for a change in their role. They will no longer directly
provide services but will tender out contracts. Press adverts indicated
that up to 80% of contracts would go to the private sector.