West London Boroughs Face NHS Budget Crisis
Lack 
        of Funding Could Close Hammersmith Hospital A&E
        
        Concerns are being raised that increased deficits in local health service 
        funding could lead to the closure of casualty units and a further deterioration 
        in the availability of GPs.
 Hammersmith 
        and Fulham's Health and Social Services Scrutiny Panel, who met to discuss 
        the long-term future of local healthcare, were informed of the alarming 
        shortage of funding for local health trusts and services and were warned 
        that the situation is reaching crisis point. The report stated "the 
        overall position for Ealing, Hammersmith and Fulham and Hounslow health 
        economies is very unsatisfactory with widespread deficits and undiminished 
        demand".
        
        Hammersmith Hospitals NHS Trust has experienced a continued increase in 
        demand and has used all its reserves to cover an accumulated deficit. 
        A report presented to the Panel acknowledged "The projected deficit 
        will be between £6-7 millions even with the further cost reduction 
        measures. Although there will be an increase of 9.1% (£16 millions) 
        for 2003/04, more than 70% of the additional funding is needed for inflation 
        costs and virtually all of the remaining funding would be needed to repay 
        the £3.2 millions deficit incurred in 2002/3. This leaves virtually 
        nothing to pay for the additional activity reported in our hospitals and 
        the costs of meeting new targets, in particular access targets and the 
        requirements of mental health national framework". 
If the funding 
        crisis continues, Hammersmith Hospital's accident and emergency department 
        could be closed.
        
        Tony Arbour, London Assembly Member for Hounslow issued a press release 
        highlighting the continued financial pressures on the Hounslow Primary 
        Care Trust as the Primary Care Trust Board report another deficit of £ 
        4.7 million for 2003/4. Mr Arbour also pointed out that Hounslow already 
        has a serious GP shortage with an estimated 36% of residents unable to 
        see their GP within two days. �The financial situation is so serious that 
        the Trust has actually stated in its �Delivery Plan� that the financial 
        situation means the PCT is not even able to fund the current underlying 
        deficit.� 
Mr Arbour will write to the Secretary of State for Health asking for him to urgently review the funding for Hounslow as a priority for a Borough with serious challenges on health issues.
September 24, 2003