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BEHIND<br />
CLOSED<br />
DOORS<br />
Domestic Abuse Charity forced to CLOSE ITS DOORS<br />
Behind Closed Doors is preparing to enter Exit Strategy on 1st December 2009,<br />
with a view to cease operating on 28th February 2010. This will leave West and<br />
North West Leeds without a comprehensive outreach service and recovery<br />
programme for women.<br />
Despite relentless efforts to secure funds to sustain and further develop service<br />
delivery, the current economic climate appears to be taking its toll.<br />
Government efforts to support Third Sector organisations through financial<br />
hardship have been made available to small charities with a relatively low<br />
income or large charities with a much higher income. Behind Closed Doors is a<br />
medium-sized charity and therefore it falls through the net and cannot access<br />
any of this funding.<br />
Safer Leeds has provided Behind Closed Doors with small amounts of funding<br />
from under spend in the past. Whilst this money has bought the organisation time<br />
to secure additional funds in times of crisis and has therefore been invaluable, it<br />
has never been either a regular or guaranteed source of income. There has never<br />
been a continuous commitment to supporting the service and without this it has<br />
been difficult to ensure sustainability for the organisation.<br />
Behind Closed Doors recognises the need for sustainability of the organisation. As<br />
such, Behind Closed Doors is in the process of establishing a social enterprise,<br />
recycling and distributing furniture for the benefit of the wider community. The<br />
profit from this would be gift aided into the Behind Closed Doors Charity to<br />
support service delivery. This would support BCD to be more independent in that<br />
it would be less reliant on trust and public sector funding. A commitment of even<br />
short term funding would support continuation of the service until the trading<br />
arm has been successfully established.<br />
Behind Closed Doors has provided outreach support to 500 women over the past<br />
year and is concerned about the gap in service provision that will be created by<br />
the loss of its service delivery.<br />
We need your support!<br />
Please contact Louise Tyne or Orlaith Mooney on 0845 673 0008<br />
PO Box 275 LS19 9BN<br />
❅❅❅❅❅❅❅❅❅❅❅❅❅❅❅❅<br />
24 th <strong>Otley</strong> Victorian Fayre<br />
I take great pleasure in inviting you to the 24th <strong>Otley</strong> Victorian Fayre which will<br />
be held on Friday the 11th December 2009.<br />
It has been my job, this year, to chair the committee of 8 dedicated people who<br />
work tirelessly to organise an event that has become such an integral part of<br />
<strong>Otley</strong>’s Christmas celebrations. I would like to officially thank all my fellow<br />
committee members for their commitment and hard work. I am pleased to<br />
report that the recent newspaper articles have been successful and have brought<br />
6 new members into the group.<br />
Last year we were hit by dreadful weather but it did not stop the thousands of<br />
people, young and not so young, who took part in this wonderful event. As in<br />
previous years, during the day, the 2009 Fayre will feature local school children<br />
singing carols at various venues throughout the town. The exact locations can be<br />
found in our programme which will be on sale at a number of outlets in the town.<br />
Many of our shops and businesses will join in with the festivities by dressing<br />
themselves and their windows using a Victorian theme.<br />
This year’s charity will be at the Buttercross throughout the day and evening.<br />
Henshaws is a society for blind people and is based in Harrogate although it<br />
covers the whole of Yorkshire. They run a variety of services offering advice,<br />
support, housing and education to families affected by visual impairment.<br />
The Fayre, which runs from 6 – 9pm will include over 80 stalls offering a variety<br />
of lovely things to buy, win or eat; street entertainment including ,donkey rides,<br />
steam engines, Morris dancers, stilt walkers, a ride on train, traditional fair<br />
ground rides, Santa’s grotto and much more.<br />
Come and join us …. I guarantee you will have a great time !<br />
Steph Lee – Chair <strong>Otley</strong> Victorian Fayre 2009<br />
Wharfedale Hospital<br />
Missed Appointments<br />
You may recall from<br />
previous articles about<br />
Wharfedale Hospital that<br />
the hospital treats about<br />
11,000 patients every<br />
month. However, a little<br />
published fact related to this is the number of missed<br />
appointments that occur.<br />
These are referred to as DNAs – Did Not Attend. Careful<br />
analysis of these missed appointments is undertaken to try<br />
to ascertain the cause. Obviously it is appreciated that<br />
circumstances arise which prevent a patient from attending<br />
their appointment, however it is very disappointing to note<br />
that many patients do not advise the hospital when this<br />
happens.<br />
• The rate of DNAs at our hospital is about 7% in<br />
outpatient clinics that is approximately 260 patients per<br />
month who fail to attend for their appointment. Just<br />
consider the time associated with the booking of an<br />
appointment, the administration, paperwork and the<br />
nursing and medical staff; there is probably at least 1 1 /2<br />
hours taken up with each appointment. This means over<br />
390 hours of lost clinical time per month. This equates to<br />
10 full time staff.<br />
• Not only this but the appointment slot is then<br />
unavailable for another patient.<br />
• There is also the duplication of all the work associated<br />
with a replacement appointment.<br />
Of more importance to you or me though is that this<br />
resource is denied to other patients who may be desperately<br />
waiting for medical attention.<br />
Sadly there are patients who are “repeat offenders”. These<br />
patients are referred back to their GP’s and in the worst<br />
cases, no further appointments will be made for them until<br />
there has been an explanation of why this keeps happening.<br />
When a notional figure of an average £100 is used to cost<br />
these lost appointments, you can quickly see that in the<br />
case of our hospital, over £312,000 is lost per year from<br />
missed appointments.<br />
Having said this Wharfedale has a better record than other<br />
parts of the Leeds Teaching Hospital Trust but it is still a<br />
problem.<br />
DNAs are always going to occur with any service provider &<br />
it is frustrating when professional teams & other patients<br />
are affected. It is important to identify any particular<br />
cause that can be corrected to relieve the problem. In the<br />
case of Wharfedale the average DNAs have been reasonably<br />
stable at about 6% although recently this has started to<br />
push up to over 7%.<br />
Wharfedale Hospital also experiences about 35<br />
cancellations per month on the day of appointment. This is<br />
not seen to be such a major issue as in most cases it is the<br />
patient’s condition or emergencies that give rise to a<br />
cancellation.<br />
The trend of DNAs at our hospital however is increasing.<br />
Looking at average consolidated figures could mask the very<br />
high incidence that occurs in certain clinics. This situation is<br />
monitored carefully so that any remedial work can be done in<br />
these specific areas to help correct the adverse trend.<br />
So if you can’t make a hospital appointment, please<br />
advise the hospital as early as possible to give the<br />
opportunity for another patient to fill the slot. I am sure<br />
none of us wants to be known as a “persistent offender.”<br />
Laurence Wood/Pat Clark