The Southland Times

So that’s all right then?

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Not to quibble, but may we suggest to the Southern District Health Board there’s a difference between an assurance and a promise? The board has issued what it sees as an assurance to expectant mothers concerned about the proposed closure of Lumsden Maternity Centre.

A final decision is a tad overdue and Lisa Gestro, the board’s executive director strategy primary and community directorat­e (itself a title so stamina-taxing it scarcely suggests operationa­l efficiency) says expectant mothers ‘‘should feel assured’’ that a safe and effective model of primary care will be in place to support them whatever decision is made.

Well, no, see, we disagree. No doubt that’s the intention, so the mothers should feel they have been issued a promise.

But an assurance is a declaratio­n tending to inspire full confidence.

There’s also a nicely apt meaning: ‘‘protected against discontinu­ance or change’’. Pretty sure nobody’s feeling that. What we need to do is proportion our belief to the evidence.

One piece of which is the soothing statement from Health Minister David Clark that he has ‘‘heard the strongly held views by the Southland community about the centre’’.

So much so that the minister clearly isn’t much interested in hearing any more, in spite of the entreaties from the Lumsden Maternity directors to have an actual meeting with him.

The decision, if not necessaril­y the buck, rests with the health board as it firms up its thinking on a proposed new primary maternity system of care which, as things stand, would have Lumsden no longer offering birthing or postnatal inpatient care for mother and babies. Just antenatal and postnatal care

Gestro has acknowledg­ed that a decision initially due in May has taken longer than had been hoped and ‘‘for some, this has created uncertaint­y’’.

Yes, there certainly is a certain uncertaint­y.

Apparently we’ve collective­ly shown ‘‘patience and understand­ing’’ which is perhaps inadverten­tly nice of us because we could have sworn that what we’re feeling is impatient and, when it comes to the justificat­ions for a downgrade, uncomprehe­nding.

No change to the configurat­ion of services across the district is going to move pregnant women who come under Lumsden’s wide catchment any physically closer to Southland Hospital in Invercargi­ll.

Nor will it change the number of cases of medical emergency, or weather-androad conditions that can problemati­cally present themselves to an extent that has people not just rhetorical­ly citing, but actually fearing, the potential for roadside births. Optimism that operationa­l improvemen­ts will make the extra travelling distance no biggie, in terms of safety and distress, is not high in the community.

It’s possible that the health board will come up with a scheme that has people slapping their foreheads and saying of course, yes, we hadn’t thought of that.

Also possible that the detailed scrutiny of the proposal leads to a decision to retain Lumsden’s birthing and inpatient facilities after all.

But in the meantime the concern that financiall­y pressured health boards are making cuts due to purely financial imperative­s haven’t disappeare­d in a puff of reassuranc­e. Far from it.

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