Deserves better: maternity outcomes for black women are ‘unacceptable’ according to the government
MPs from across south London have written to Sajid Javid, the Health Secretary, with a letter critical of plans for St Helier Hospital’s maternity services to be downgraded and moved to a new site in Belmont.
Sarah Jones, MP for Croydon Central, is among the signatories.
The letter follows Black Maternal Health Awareness Week – a week-long campaign highlighting what the government itself has described as “unacceptable” disparities in maternal outcomes for black women.
Epsom and St Helier Hospitals are set to be downgraded with all acute services moving to Belmont. St Helier would lose its A&E, maternity services, children’s beds, critical care and 62 per cent of beds.
The proposals would cost £511million but a recent report in the Health Service Journal indicated that the budget could be slashed by 20 per cent. Improving St Helier Hospital on its current site is estimated to cost £430million, with a higher return on investment.
In their joint letter, the south London MPs argue that these proposals would move maternity services further away from the areas with the highest number of BAME women, exacerbating these issues.
The letter states, “We believe that a loss of maternity services at St Helier will exacerbate the appalling health inequalities disproportionately facing pregnant BAME women in our constituencies.
“With two maternity services reduced to one, the reality of these proposals for many women is that their maternity services will be moved further away.
Siobhain McDonagh MP: questioning government’s St Helier decision
“If a pregnant woman needs to get to hospital as quickly as possible, the extra travel time for mother and baby will put them at increased risk. We are further concerned at the impact of these proposals on continuity of care if a woman gives birth at one hospital but receives antenatal and postnatal care elsewhere.”
Research shows that black women are more than four times more likely than white women to die during pregnancy or in the six weeks after giving birth.
Of the 66 areas with the highest proportion of BAME residents in the catchment impacted by the proposed downgrade of St Helier and Epsom hospitals, just one is nearest to the proposed new services in Belmont. Meanwhile, 64 of the 66 are nearest to St Helier.
Siobhain McDonagh, the MP for Mitcham and Morden, said, “This Black Maternal Health Awareness Week, the government described the disparities that exist between black and white women in pregnancy and childbirth experiences as ‘unacceptable’.
“Why then are they giving a green light to proposals in south London to downgrade two hospitals and exacerbate these issues by moving maternity services further away?
“Our letter calls loud and clear for the Health Secretary to urgently reconsider these dangerous plans.”
Read more: Tories choose NHS’s birthday to sound death knell for St Helier
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A multiple-choice response to the question…….
“Why then are they giving a green light to proposals in south London to downgrade two hospitals and exacerbate these issues by moving maternity services further away?
Because……..
Option (choose as many as are applicable)
A : they have an honest but deluded belief that this would save significant money.
B : they have not looked at a map to see (Belmont) the proposed location of the
new hospital relative to the population centres where most people live in SW London
and NE Surrey
C : they have not checked out a bus map or “travel times and routes by car and
public transport” to realise that Belmont is hard and slow to access by the majority.
D : they have not checked out the benefits and disbenefits for women from a BAME
background
E : they have not worked out the true impact on St George’s and other hospitals
E : because they know it is a rotten idea but hope to get lots of money by flogging off the
site of St Helier.
Is there a list of the 13? I’m curious to know if the other 2 Croydon MPs are among them (although I think I can guess the answer).
We have reported all the Croydon and Sutton MPs who signed the letter, Chris.