How significant is "significant"?

Chris Appleby gives a commitment that no "significant" changes will be made without consulting users of the health service. What comprises significant?

I write on behalf of Bury Pensioners' Association which, despite having fought to save Florence Nightingale Hospital, had to demand inclusion in the consultation regarding the later closure of Bury General Hospital. Once more we failed, but I do remember that one of the original 24 options on this occasion was the closure of all the hospitals other than North Manchester General. Fortunately this was rejected but talk of changes now makes me think that aspects of this option might be being reconsidered.

As representatives of the people who use and need the NHS more than anyone I demand of the hospital Trust that we are informed of any consultation on these changes. Any correspondence could be sent to myself at 54 Rectory Green, Prestwich M25 1BG.

On the question of the threat to A&E at Fairfield and the need for an improved access road, Chris Appleby states that he would need more information from the council before the Trust could direct much-needed funds towards paying for a feasibility report.

Besides an independent report already confirming the need, there is the vast experience of both regular users of the road and, crucially, the paramedics. This is a matter of life and death where emergencies are concerned, and nothing could be more important for the Trust to spend its money (or should I say our money) on than good, safe access.

The desperate need for proper access to Fairfield has been demonstrated over and over again and among many vociferous pleas, none has been louder or stronger than that of Bury Pensioners' Association. Our views have not changed but we would be glad to be included in any discussions to hear what better alternatives the Pennine Acute NHS Trust might have in the interest of saving lives.

JIM HOMEWOOD,

chairman,

Bury Pensioners' Association.