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Otley Town Council

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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

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