The Government led Mid and South Essex Sustainability and Transformation Partnership (STP - formerly known as Success Regime) are 'selling' their scheme to the public by stating that separation of emergency and planned (elective) care alongside the centralisation of emergency care facilities, will relieve the burden on the three hospitals in this area, thus improving patient outcomes and relieve the current bed shortages, financial and recruitment crisis facing Southend, Basildon and Broomfield ( Mid Essex) hospitals. The bottom line is that this is a financially driven scheme and they need to slash the £400-500 million estimated financial deficit by 2020/21. The health of our local population is being sacrificed in the name of savings in an already highly underfunded NHS which is in crisis. If the Mid and South Essex STP plans are allowed to progress, annually over 5400 patients from the Southend Hospital catchment area alone will have their planned and emergency care re-located to either Basildon or Broomfield hospitals. There are a huge number of concerns that many of their preferred pathways for re-locating and centralising planned and emergency care specialities are detrimental to patient outcomes and will enforce a 'postcode lottery' for NHS services for our local, ever expanding population. The STP had to shelve their dangerous scheme in July 2017 for the A&E downgrades and blanket re-direction of 999 ambulances from Southend and Broomfield Hospital to a 'super A&E' at Basildon, following exposure that the 'on the floor clinicians' were NOT behind the plans and there was the mass public pressure, led by our campaigns. We acknowledge that there are certain conditions such as complex trauma and neurological issues which do indeed benefit patient outcome by transfer to specialist centres and those pathways are already in place. We stand by the opinions of the 'on the floor' clinicians working at our local hospital. We are all for any modernisation of health services IF there is a CLEAR, CLINICALLY EVIDENCE BASED CASE FOR CHANGE supported by adequately staffed community health services, early GP access and increased provision of social care beds and home support to assist discharging patients. There is however little independent clinical rationale for their proposals and the STP to date have not provided any detail about how they will transfer these vast numbers of acutely ill patients between the three hospitals, other than claim they will provide an 'in house transfer team' so they do not increase the pressure on the already understaffed and over-burdened East of England Ambulance Service. We say - by who? With what staff? At what cost to life? With emergency general surgery to name just one example, being moved from Southend to Broomfield - we feel it's a long and busy journey from Southend when you are in an ambulance desperately in need of an operation. If we are honest, we do not think the STP leads have ANY intention of such provision for a large, complex and expensive internal transfer service and the long term goal is to return to the downgrading of both Southend and Broomfield A&Es, redirecting most of the 999 emergencies to Basildon or Broomfield according to their medical or surgical pre-hospital diagnosis. Then there's the HUMAN factor - that many of our loved ones won't be in our LOCAL hospital at their time of crisis, where we can pop to see them (emotional well-being and support from family plays a huge role in patient improvement) or how do we get there 'in time' if we get 'the call' to come quickly. The Mid and South Essex STP are on a Government led timeframe to achieve massive financial savings and the whole STP proposals are built on mass improvement in primary care services (access to GPs, mental health practitioners, community nurses, physios, specialist children's practitioners etc) in the community via 'Locality HUBS' which allegedly will PREVENT many unnecessary hospital admissions. There is also a huge focus on 'self care' and the increased use of web-based apps for self-diagnosis and treatment. Currently and historically, there is a huge GP crisis in South Essex and a significant drop in the numbers of nursing and allied health professional applicants plus unfilled vacancies across the whole of the healthcare sector. Hubs may be located at increased distance from resident's homes than their current GP facility therefore causing issues of accessibility for many patient groups. Then there's the issue of actual investment in the creation of these 'locality hubs' and that these will take YEARS to actually significantly reduce the hospital admission rate in an area with an increasingly elderly population group and massively growing commercial and residential infrastructure. Despite all this, the Mid and South Essex STP still feel it is your best interests to completely re-structure acute hospital services and 'centralise' emergency care for acutely unwell medical and surgical patients in our town. We believe that they must not alter our acute hospital services if there is not the community care resources proven to be in place first. There has been no mention in the STP for provision of community social care beds for those patients discharged from hospital, yet still requiring further care or rehabilitation before they can safely go home. Investment in this would reduce the 'exit block' from our A&E, provide timely discharges back to the community and prevent cancelled operations, as there would once more be the availability of inpatient beds. These simple measures would alleviate much of the pressure on our local hospital without the need to re-locate essential and life-saving services. Our NHS is in crisis and we refuse to become collateral damage in the name of cuts. For further details of all of the concerns, please follow the SaveSouthendNHS page https://www.facebook.com/SaveSouthendNHS/ Twitter @NHSunited.

It is both necessary and vital to the well being and safe delivery of babies. It is extremely busy and well used facility with lovely caring staff. Women will now be forced to travel twice the distance to give birth. The only Hospital in Cardiff cant cope with demand and since closing a delivery ward in Royal Glamorgan women are being turned away due to no space. The skeleton staff left are overworked and having to cope without necessary resources. If this unit closes it puts the welfare of women and babies at risk, causes more stress, makes families travel further and puts remaining hospitals under more pressure.

The Act makes it illegal to sleep rough and/or beg. Whilst I do not wish anybody to have to sleep rough or beg, the people who are forced to do so should not be persecuted in any fashion, let alone from a legal stance. The Act was written at a time when wealth defined whether you were a criminal or not, thus segregating the poor from the rich, as a wealthy person would never find themselves in that position. The Vagrancy Act is out of date common law and needs to be vanquished so that Councillors cannot try and force Police to enforce such legislation when they are on a power trip, such as in the case of https://news.sky.com/story/outrage-as-council-leader-asks-police-to-clear-homeless-before-royal-wedding-11194599

We love living in Gateshead's best kept secret... Birtley! But the streets and pavements of our little town have now gone beyond what is an acceptable level for public health. There are increasing amounts of litter but more worryingly, dog waste. People with buggies are finding it impossible to steer away from unwanted 'deposits' and in the summer when children wear sandals it's nothing short of dangerous. When I asked the local council what could be done I was told cuts to local authority budgets meant a street cleaning service can no longer be provided in the Birtley area. We love living in Birtley - great schools, a bustling high street and amazing people, but the cleanliness of the streets is now unacceptable. As residents, many of us are vigilant and make sure any litter is picked up. But more needs to be done! Will you join me in signing and sharing this petition, as well as doing what we can when we see litter, to make Birtley better?

The proposed changes will mean Basildon Hospital will become the only local 'specialist centre' for some stroke, heart and respiratory care. This means that many patients in Southend or Chelmsford will be transferred to Basildon for treatment. Public transport links are very poor between Chelmsford and Basildon (and even worse from further north in the county), and many people will find it very difficult, or impossible, to visit relatives and friends there. But such support networks are vital to patients in recovery. Additionally, Basildon Hospital has not been able to cope in recent years, and has often been on black alert. How will it cope with the extra demand? The STP has opened a public consultation into these proposed changes. Please sign the petition to let them know we think the planned changes compromise patient safety and recovery. There needs to be stroke, heart and respiratory care across the county - not just in Basildon. These proposals are part of Sustainability & Transformation Plans. These are the means by which the government is delivering huge cuts to our local health services. If you want to read more about the changes to our area you can here: file:///Users/jess/Downloads/NHS-Mid-and-South-Essex_Your-Care-in-the-Best-Place_Summary-Document.pdf https://midessexccg.nhs.uk/about-us/mid-and-south-essex-stp-joint-committee/committee-papers/november-2017-1/2703-full-part-i-papers-29-11-17/file

Residents in Newtongrange and Mayfield were promised that community facilities would be retained. We call upon Midlothian Council to honour this commitment.

We at 38 Degrees St Ives Branch, and the Cornwall Cancer Team, find the proposals without merit. Many cancer patients will have to travel much further for treatment every day for a number of weeks. This will be detrimental to their recovery and it is doubtful that all sick patients will even undertake such a venture and may instead opt for a more detrimental treatment or even no formal treatment at all. More people will die as a result. The travelling regime of a potentially two hundred miles plus journey for treatment every day (a 6-hour minimum round trip per day from W Cornwall) over 6-7 weeks will not aid recovery. Also travel costs reimbursement schemes and assisted travel have been severely cut. Public transport is not an option across much of Cornwall and is expensive for someone on benefits or pension. This is unjust. We have over 500,000 residents and the proposed regional centres are for half a million plus, so this shouldn't be an issue in any case. Such a plan also ignores the distinctive demographics and geography of Cornwall and that RCHT in Truro already provides (and paid for) equipment and expertise, which will consequently be under utilised. We have a good, modern facility here in Cornwall which needs to be used to capacity, not under utilised due to a centralising cutting exercise because we fall a little below the numbers threshold - we have unique geographic, demographic and economic constraints in Cornwall which mean we need our own facility left intact.

There is a young 8 year old boy called Jack who was admitted to Alder Hey Children's Hospital on the 25th October 2017, SEVEN WEEKS AGO. Jack lives with autism and has mental health issues; extreme low self-esteem, suicidal. Jack has recently had a severe mental breakdown - hence the stay at Alder Hey Hospital. Jack was assessed as a tier 4 and has been waiting in hospital for a bed to come available in a children’s unit, for SEVEN WEEKS. Jack or his family have been offered no support from CAMHS in the past seven weeks. This is the reason why; Jack has been assessed by the Tier 4 team(in-patient CAMHS unit) and is waiting on an inpatient bed becoming available. This means they cannot work with Jack in his current environment (Alder hey hospital) only once allocated a bed within a unit, So, Jack does not fit the CRITERIA for tier 3 support (community), and can not access the tier 4 support until he is an inpatient in their unit. It is imperative that NHS England fund more beds in children's mental health units to prevent this level of waiting time and the dangerous gap that exists between accessible support in a crisis.

This is a necessity for parents and kids who use it. It allows parents to work, look after younger and/or disabled siblings, and helps kids interact with other kids outside their regular daily surroundings. Closing these clubs would be detrimental to our children and have a massive negative effect on social economic development. This will also put costs up for families having to seek other means of childcare.

Fife's Education Service is proposing to cut all instrumental tuition in schools except for those pupils taking SQA Music. This will decimate music for Fife's children and young people. Learning any instrument will become an exclusive activity, reserved for those who can find a private teacher. Only these pupils will have the option of taking SQA Music at high school. Pursuing further study in music, at school or college, will be closed off to children whose parents cannot afford years of private tuition. Starved of upcoming players, school and youth orchestras and bands will struggle to survive and become increasingly elitest.

Bath NHS are proposing to stop funding male vasectomies and female sterilisations in Bath and North East Somerset (BANES) in all but exceptional cases. This will force people to have to pay if they want these contraceptive services. Privatising access to vasectomy and female sterilisation services will affect the most vulnerable members of our community. We should all be free to choose the most appropriate method of contraception, and that decision should not be limited by ability to pay. Real poverty is back in Britain and unplanned pregnancies impact hardest on the most vulnerable. Help us to keep comprehensive contraception available to all on the NHS.

The markets create important revenue for the already struggling town centres. Many people travel specifically to Knaresborough and Ripon to shop at the markets, and whilst they’re there, they also patronise the other local businesses, most of whom will say that Wednesday (Thursday in Ripon) is their busiest day. We are lucky in our towns to have a traditional communities where we can shop for everything such as meat, bread and vegetables locally. This is a rare experience in the modern world, and one to be treasured, especially as it promotes local community and ecological trading.