Public transport is not reliable when staff work shifts as bus timetables are reduced and some staff are having to rely on buses and trains which can add up to 2 hours if not more on to an already busy working day when in some instances a car journey is only 30 minutes for the same destination. Staff are already under pressure to arrive at work on time without having to try and find a parking space. All we ask is that Greater Glasgow and Clyde NHS continue to provide an off site car park for their staff to allow staff to travel to work in the knowledge they will be able to park their car safely and will have a parking space. The staff who already use the current off site car park are happy to walk the 10/15 minutes from the car park to the hospital and would be happy to continue to do this.

My son was diagnosed with Autism around 5 years ago, but not in Sefton. His diagnosis was received through one, locally commissioned NHS Trust, and looking back, the pathway to diagnosis was founded on clear, pre-determined steps that every child in the area followed. This process was well defined and simple, whilst meeting all clinical guidelines; resulting in my son receiving a diagnosis of autism within 6 months of referral. In comparison, my daughter is currently on the Autism Assessment Pathway in Sefton. As a parent, it quickly becomes clear that this process is inefficient, not fit for purpose, and very much based on an ad hoc, undefined approach. Across Sefton, it is well known that the result of this approach, is an average timespan of 4 years to diagnose a school aged child with autism, from the time of referral. Every step on the pathway, requires separate referrals, and it has been evidenced that overall, the waiting times for each appointment, are massively outside clinical guidelines. The results of this are catastrophic for everyone involved: The child who doesn't understand their own difficulties for example, and who is left untreated; the family who desperately need help to support their child and maintain equilibrium in the home; and interestingly, with the current system being so inefficient and time consuming, the financial implications and waste of public funds must be severe! In fact, the consequences of ignoring this cannot be underestimated, with further health issues arising, specifically from the stress and strain placed on children and families who are left powerless. Put simply, this MUST change with immediate effect, and Sefton's Autism Pathway brought in line with clinical guidelines at least. Simple, clearly defined steps, coming from a single referral for assessment, must be identified and put into practice. It is obvious to say, that decisions must now be made, that prioritise the health and wellbeing of children and families across Sefton. However, a clearer, unified pathway, would also bring the additional benefit, of a more cost effective approach that protects public funds.

Ysbyty Gwynedd covers a vast geographical area. The decision to transfer services would put patients in the north west of wales at risk. It is vital that we retain key members of medical and surgical staff , who's skills are invaluable!

Many European countries, with more space than the UK, build parking under squares, hospitals and public buildings, while we do not - preferring to take up valuable space with multi-storey monstrosities. Huge centralised hospitals, with large catchment areas, are becoming the norm, necessitating the use of private transport for a great many, yet there is never enough parking for day patients, staff and visitors.

This puts a strain on the already stretched A&E services not only in Kent but in the entire country. Our large elderly community have been the mainstay of this country over the decades, gave their time and their lives to serve this country and now, when they need help the most, it is embarrassingly unavailable. Not everyone can get to the William Harvey in Ashford which is now our closest A&E department and the waiting times have increased exponentially, especially now with the closure of the Canterbury A&E. As time goes on the infrastructure is constantly changing to meet the needs of an ever increasing demand on traffic which in itself adds to the increased need for A&E to be a permanent feature in the town as it is one of the busiest ports in the world.

people who have cystic fibrosis suffer their whole (short life span ) lifetime, in and out of hospital frequently at more cost to NHS maybe with correct meds and funding their lifetime would be more bearable

Many things we consume in this country contains a carcinogenic, which has resulted in the high rates of cancer etc. in this country, thereby overloading the NHS, killing people and costing this country £millions.

Hospitals are being forced to send vulnerable patients home after surgery due to "bed blocking" but many still need time to recuperate before they are well enough to cope at home, especially those living alone and the aged. My own 83 year old mother benefited from a short stay at Cheadle Hospital after a knee operation. Without that support she would have needed 24 hour care, especially as she suffered from dementia.

This is a main thoroughfare for pedestrians between Winchester University (via West Hill Cemetery), Winchester City Center and the Railway Station. I personally walk there frequently, have impaired vision coupled with delayed reactions, and so find it hard crossing busy roads. It can take up to five minutes to cross sometimes and it is difficult to see in both directions on the hill, and then you have Clifton Terrace traffic to consider. This is a very dangerous crossing point in our city which should have had a green man crossing years ago as there are already drop curbs in place. It isn't JUST a crossing safety issue either. It is well known that we have a SERIOUS air pollution problem in Winchester, where 40 to 50 people a year die from air pollution related illnesses. If the city could be made more accessible to people wanting to get about on foot, in a wheelchair, with pushchairs, mobility scooter or on bicycle, this would help to increase air quality. There are nowhere NEAR ENOUGH places for people to cross Romsey Road safely, with the pavement disappearing on one side for large sections, and it is one of the main air pollution traps of the city. Priority of access to Winchester needs to be turned around so that walking and other low-carbon forms of transport are catered for in the first instance, followed by public transport (buses). Also speed limits MUST be properly enforced, especially with the new homes to be built where the old Police HQ was. This will create massive increases in footfall and greater need for safe crossing points and enforcement of speed limits. I suggest flashing signs to tell drivers to stick to 20 mph. Last year Winchester City Council, in collaboration with WinACC (Winchester Action on Climate Change), launched FeetFirst, their Walking campaign led by Liz Kesler. They have been conducting Walking Audits on different routes to determine areas which need to be made easier, safer and more pleasant for pedestrians and others using low-carbon forms of transport. This includes making sure pavements are maintained, foliage is kept out of the way so it doesn't take up too much room, and adequate signage. The crossing for which I am campaigning was highlighted as a major obstacle to people getting around Winchester on foot. Work has already started to dig up the pavement to see if it is possible to put in the electrics for a crossing. This is promising, but I won't hold my breath as progress has been delayed. Also, it needs to be a crossing that beeps all the time and gives pedestrians a fair amount of time (1 minute) PLEASE SIGN MY PETITION AND HELP MAKE WALKING THE PRIMARY MEANS OF TRANSPORT FOR GETTING AROUND THIS BEAUTIFUL HISTORIC CITY!

Despite closing some time ago for refurbishment, East Barnet Health Centre has reopened and reestablished it's surgery. This however hasn't seen the reopening of the baby clinic, meaning that local parents /carers are left without the access to monitor their children's health closely and seekany advice or guidance they may need. The nearest open clinic is at Vale Drive Health Centre in High Barnet, meaning several of us find it difficult and are unable to travel to an already busy clinic. The health visitors say that they hope the clinic will reopen soon, however we hope to assist and show that the clinic being reopened is of importance to us within the local area. Our children are denied the chance to easily access the checks these clinics provide and parents / carers cannot access any information or advice they may need as easily as they should be able to. We miss out the chance to have our children weighed, measured, get advice on weining , breast feeding and so on. It is not always possible or realistic to travel and use the already over used clinic on a Monday at Vale Drive. Please please sign and share to show this clinic is needed and important to us local users.

Regarding the current public consultation on the proposed closure of 4 community hospitals (Paignton, Dartmouth, Ashburton/Buckfastleigh and Bovey Tracey) by the S Devon & Torbay Clinical Commissioning Group and their replacement with more care at home and in local care homes. The consultation questionnaire makes it clear that the changes proposed by CCG are a cost-saving exercise and not led by a pursuit of clinical excellence and the best interest of patients. Sale of the hospital sites for development will undoubtedly produce a quick, one-off financial gain but our concern is that any funding freed up for more community and home-based care will be less high-profile and therefore easier to target in future rounds of cuts... We recall the 'care in the community' initiative many years ago that led to the closure of specialised mental health units - since then there has been a gradual erosion of out-patient mental health services, until now, here in Devon, we have no long-term services for people with chronic mental health problems remaining - just 'acute' services which only provide short-term support - after this patients are on their own to sink or swim. Is this to be the future for our elderly and chronically ill too? The suggestion is that that many services currently provided by the highly professional staff at community hospitals could be provided by private care homes instead, at lower cost and that this would help 'stimulate the care home market'. This is privatisation of the NHS 'by the back door', which we believe is politically-motivated. Presumably these cost-savings could be achieved because private care homes have lower rates of pay, few medically trained staff and little in the way of long-term job security. Unfortunately, despite these savings, or perhaps because of them, the care-home sector in this country is in a state of crisis and is, in our opinion, in no fit state to take on more responsibility for the care of our chronically sick and elderly. We do not think that it is an appropriate use of tax-payers money to 'stimulate' profits for this sector and those that benefit from these, at the expense of our hospitals and their patients. In addition, this 'race-to-the-bottom' - the cost-saving privatisation of the NHS and other public sector services - is extremely short-sighted in our view. It does not take into account the long-term effects on individuals and the community of the loss of decently paid, secure local jobs. These are already few and far between here and the loss of decent, long-term employment in our communities is a surely a major contributing factor to increasing physical and emotional ill-health... Finally, we object strongly to the form of the consultation questionnaire provided on paper and online at www.communityconsultation.co.uk consultation feedback mechanism promoted by the CCG. We were shocked by the manipulative design of this form and felt that the respondent is being co-erced into answering in such a way as would support the CCG's proposals. We feel that the questions are leading and loaded and the structure of the form constrains and restricts free expression and doesn't encourage or support the communication of the thoughts and opinions of the respondent. We therefore consider it not fit for purpose and thereby challenge the validity of any results obtained from this during the consultation process. We expect the health service and the local CCG to champion the case for maintaining the standards necessary for good quality patient care and to elicit the public's opinions and thoughts about such an important issue, not to try and coax us into accepting a reduction in provision. We would not dispute that we need better care for chronically ill and older people locally and at home, but this should surely be in addition to, not at the expense of, the wonderful, caring and professional service that we already receive from our hospitals - within our communities and close to the support of family and friends.

The Save Rothbury Hospital Campaign believe that the suspension of in-patient services at Rothbury is having significant adverse consequences for our local population. We want to protect this precious and valuable resource. We ask the NHSCCG and NHS Foundation Trust to think with their hearts - not with their wallets. The immediate effects the sudden closure are: 1. Patients are not being admitted to a low tech facility close to home. This will cause a higher rate of acute admissions to the new Cramlington hospital. 2. Patients are unable to return to a low tech facility for rehabilitation, and discharge planning, close to home after an acute admission elsewhere. 3. Most crucially of all - we are left with no facility to provide end of life care for patients close to home, if circumstances, including patient choice, mean they cannot be cared for in their own homes. The people who are suffering (and will continue to suffer) as a result of this heartless decision are our frail and vulnerable residents of Rothbury and Coquetdale. We refuse to allow this to happen - we care about all of our people.