North Devon District Hospital - Decontamination Threat

In NHS hospitals Sterile Supplies departments fulfil a vital function by making sure that surgeons have everything they need during operations, including thoroughly sterilised equipment. Last year the Government falsely claimed (based on distorted interpreatations of relevant information) that these departments weren't meeting the standards of service expected of them.

Of course, you can decide for yourself whether this was deliberate or not, but the New Labour Government's obsession with privatisation seems to override any other consideration. After all, it wouldn't be the first time that they'd eased the path for private healthcare parasites to make good money out of the NHS.

Traditionally, and with good reason, NHS Sterile Supplies Departments are based in hospitals near to where they are needed, operating theatres for example. Now, the Department for Health has plans to replace these services with regional 'super-centres' run by the private sector. In the South West this would be in Taunton.

In April Northern Devon Healthcare Trust board will decide whether to accept the 'in-house' tender from North Devon District Hospital's Sterile Supplies Department or the one from the private sector company in Taunton - Decon Sciences. If the Trust Board accepts the outside tender the contract will be for 20 years. The contract may also include penalty clauses which would hit the Trust with a large amount of money to pay if they decide to pull out of the contract. Even if there are penalty clauses if Decon Sciences don't deliver an acceptable service 20 years is still an enormous commitment, especially if the standard of service isn't up to scratch..

With the existing services, the safety of patients is paramount. In the hands of private companies profit is the main motive, so the danger is always there that the company may cut corners to save money (and so make more money).

The British Orthopaedic Association has expressed its firm opposition to these developments. They are concerned with the threat these changes pose to the quality of care they can give to patients. For surgery, it is essential that sterilised equipment is readily available. If it isn't, there's a danger that the start of an operation will be delayed or unnecessary equipment won't be available if something unexpected happens. Either of these might mean the operation not being as successful as it would normally be. There is also a danger that infection rates might rise.

This isn't just scaremongering. One of these 'super-centres' opened in Birmingham last year. In the 6 months up to September 2007 there were 3,400 decontamination 'clinical incidents'. These included mislabelled, damaged, mixed up and badly packaged instruments. One Birmingham-based consultant pointed out that in one instance they had to open up 7 sets of surgical instruments before they got the properly sterilised ones they needed.

In the case of North Devon, there's an even bigger problem - the hospital is in Barnstaple, the supplier is in Taunton! The danger of greater delays in therefore greatly increased, along with the possibility of the items being contaminated in transit.

As socialists we are particularly concerned about the welfare of the staff at the centre of this storm - through no fault of their own. What protection would they have if Decon got the contract? Well, they get the glorious opportunity to work for Decon Sciences, i.e. move to Taunton or have to commute there. If they decide to stay with North Devon Trust they'll be given other employment, but how suitable or acceptable this might be to them is open to question. Considering there doesn't seem to be any problem with the past standards of service provided by these Sterile Supplies staff, all this must be doubly upsetting and annoying for them.

Whatever the cost might be to keep the existing service at North Devon District Hospital, at least it would mean that the department remained conveniently on-site and under the control of the local Trust. Some other facts also need to be taken into account. What effect would the proposed change have on the welfare of future patients in North Devon needing surgery of some kind? The risk of something going wrong just because instruments aren't properly sterilised or available when needed - is the hospital Trust Board prepared to face the possible consequences? Also, not all of (our!) public money paid to Decon Sciences would just be for services provided - a certain percentage would be given to them just to line the pockets of their shareholders.

Despite pressure from the Government to accept this, these changes aren't inevitable. Plans in Oxford were successfully opposed. Closer to home, the Royal Devon and Exeter Hospital Trust has declined to use the Taunton 'super-centre'. The Northern Devon Healthcare Trust Board isn't going to make its final decision until early April so there's still time to turn back from going down this potentially serious, risky and dangerous path.

UNISON branch officials in North Devon have been working with the hospital's Sterile Supplies staff to fight these plans. But they need more support. You can help by doing one or more of the following -

- Get your trade union branch to send messages of support to Northern Devon UNISON Healthcare branch. Pauline Brennan is the branch secretary. She can be reached at Level 3, North Devon District Hospital, Raleigh Park, Barnstaple, EX31 4JB or by email at northdevonhealth@hotmail.co.uk.

- Express your opposition to these plans by writing to or emailing the local MP Nick Harvey, your councillors, the Hospital Trust Chief Executive (Mrs Jac Kelly, North Devon District Hospital, Raleigh Park, Barnstaple, EX31 4JB) and your own GP.

Also please write to the North Devon Journal and North Devon Gazette.