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NHS trust at centre of surgery row to replace chief

An NHS trust at the centre of a row over children's heart surgery will replace its chief executive. Maggie Boyle will leave Leeds Teaching Hospitals NHS Trust next month.

The shake-up in management follows concerns over high mortality figures. Operations were temporarily suspended earlier this year after concerns were raised over death rates at the children's heart unit at Leeds General Infirmary.

It has been a pleasure and a privilege to be chief executive at LTHT over the past six years.

I believe the move to new management arrangements which will see a clinically led, managerially supported structure being established is absolutely the right thing to do and will have enormous benefits for patient focused care delivery.

I would like to wish the senior leaders and all of their staff all best wishes for a successful future.

– Maggie Boyle

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Cipriani left concussed after pub crawl bus collision

Rugby star Danny Cipriani has left hospital with heavy bruising and concussion after running into a bus during a pub crawl with his Sale Shark teammates.

A passing cyclist captured the aftermath of the former England fly-half's collision in Leeds city centre last night:

Read: Danny Cipriani shatters bus window in pub crawl collision

NHS to appeal over heart unit closures

The NHS is to appeal against a High Court ruling over controversial plans to streamline children's heart surgery services across the country.

The move, which is the latest in a long and bitter row over the issue, was condemned as a "disgraceful waste of time and taxpayers' money" by campaign group Save Our Surgery.

It follows a successful challenge against the suggested closure of the unit at Leeds General Infirmary at London's High Court last month, when Mrs Justice Nicola Davies declared the decision-making process "legally flawed".

There is broad consensus - among both clinicians and patient groups - that the NHS needs to concentrate the care of children needing these services into fewer, larger specialist centres, as an integral part of children's heart networks.

NHS England believes that we must deliver this change as quickly as possible on behalf of children and their families.

We now have an opportunity to take stock and assess the best way of achieving our objective in the fastest possible time.

To do this, we need to take account of all the available information, including the recent High Court ruling of 27 March and the report on the issues that is due to be published by the Independent Reconfiguration Panel.

– NHS spokesperson

Ex-heart tsar to play no further part in Leeds heart debate

The Health Secretary Jeremy Hunt said Sir Roger Boyle would play no further part in a review of where children's heart surgery should in future be carried out.

The Health Secretary Jeremy Hunt. Credit: Suzanne Plunkett/PA Wire

The government's former heart tsar sparked controversy last week when he told the BBC he would not send his daughter for treatment at Leeds General Infirmary's child heart surgery unit.

Mr Hunt said that while Sir Roger was still one of the leading heart surgeons his role in the Safe and Sustainable process aimed at centralising children's heart surgery into specialist centres would end.

He said: "He did the right thing in informing Sir Bruce (Keogh, NHS England Medical Director) about his concerns over Leeds mortality data.

"However it is the view of Sir Bruce, with which I fully concur, his comments to the media on April 11 could be seen as pre-judging any future conclusions made by that review and so it is right he plays no further role in its deliberations."

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NHS director: No 'safety problem' at heart centres

There are no indications of a "safety problem" at children's heart surgery centres, NHS England medical director Sir Bruce Keogh said today, following the temporary suspension of operations in Leeds and the publication of mortality rates at the centres. Sir Keogh said:

These findings do not indicate a 'safety' problem in any centre.

However, centres with three-year outcomes approaching the alert threshold may deserve additional scrutiny and monitoring of current performance.

By definition, around half of all units will have more deaths than 'expected'. It is therefore inappropriate to label centres as 'blameworthy' for these deaths, as the analysis does not show a significantly increased mortality rate.

Child heart operations death rates released

Mortality rates for all children's heart surgery centres in England have been released following the temporary suspension of operations in Leeds.

Data released by NHS England shows that none of the country's 10 centres breached thresholds for child heart surgery deaths, but Leeds General Infirmary came "very close" to the "alert" threshold.

Two other centres, Alder Hey Children's Hospital in Liverpool, and Evelina Children's Hospital, part of Guy's & St Thomas' NHS Foundation Trust also came close to the limit, according to the figures, covering the years 2009 to 2012.

Read: Ex-heart tsar's Leeds safety fear

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NHS England: 'immediate safety concerns' at Leeds heart op unit addressed

NHS England has released a statement saying 'immediate safety concerns' at the Leeds Children's Heart Surgery Unit have been addressed.

Following completion of the first stage of the review by an independent clinical team, into paediatric heart surgery in Leeds, NHS England has been given assurances, that the immediate safety concerns raised two weeks ago have been addressed and the unit recommenced surgery on a phased basis earlier this week.

Ends

It is the duty of NHS England first and foremost to protect patients, hence we paused surgery at the unit to allow a review of the data and other concerns raised to take place. I and NHS England cannot allow undue risks when it comes to the safety of children.

NHS England originally raised concerns about Leeds General Infirmary because of preliminary data suggesting high mortality, concerns about staffing levels, whistleblowing information from clinicians, and complaints from patients.

A second stage of the review is underway in which we now need to explore some of the wider issues around how the unit operates as a whole. I hope we will soon be able to give the unit a full clean bill of health beyond this immediate reassurance of safety.

Throughout this process our sole concern has been the safety of patients this is why we paused surgery and after assurances why we allowed surgery to re-start.”

– Mike Bewick, Deputy Medical Director of NHS England

Calls for Boyle to step down from surgery review post

Local MPs in Leeds have called for Sir Roger Boyle to leave his role on the children's heart surgery review:

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Bruce Keogh calls on Roger Boyle to step down from his role on the children's heart surgery review. Health Secretary must now respond.

From @hilarybennmp on Twitter:
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