UK Youth launch a blog

Typing is still slow – so will reproduce extract from press release from someone else:

UK Youth, the leading national youth charity supporting 750,000 young people, is today launching a blog which introduces an open forum to discuss youth issues in education and learning by non-formal methods. We want to hear your ideas on non-formal learning and other concerns regarding young people. We hope this blog will create an opportunity to unite our work with those who care about the future of young people and want a say in the direction of youth policy.

We are always looking for new voices, fresh arguments, and innovative ideas. Please feel free to comment on upcoming discussions on this blog and if you would like to contribute please don’t hesitate to contact our blog team.

The site is http://blogukyouth.wordpress.com/

My unexpected hospital visit

Blogging has been sparse the last few days due to unforeseen circumstances – basically fell over on Wednesday morning.

I wish it was exciting – but as my daughter kindly said – it was really just ‘old lady’ stuff. I don’t really know what happened – but road contacted face! Contrary to the view that people take no notice – three women came to help me (thank you!).

One pointed out that my face was bleeding. Once I established that it was just a scrape down centre of nose – I then realised that my hand was not right. So time for a bit of secret shopper at A & E at the Whittington. Some time later – x-rayed, put in splint and told to return for more x-rays next week – I went home to sleep.

Mental health consultation update

Following up the issue in my earlier post, I met with the Chief Exec and the Chair of Haringey Mental Health Trust this morning to discuss some of the issues raised from my advice surgeries, from my meetings with service users and organisations, from colleagues and from local people’s responses to my request for personal experiences of mental health services in Haringey.

The Trust closes its consultation next Monday on keeping permanently closed an acute ward that was flooded – permanently reducing inpatient bed capacity. The plan is to move people appropriately out of inpatient care into the community, supported by appropriate support to maintain patient safely in a stable and home setting.

An early question on the survey asks people whether they agree with the principle of looking after people in their own home as opposed to being kept in not the nicest of environments in an inpatient mental health ward. I would think that the majority of people will agree with this in principle – but it is the practicalities that are crucial and can sink the idea.

So of course we would all like to be fluffy, cuddly, let people live in their own homes – but there are a lot of buts. Buts such as …

But only if we never hear that someone couldn’t be admitted in an emergency or just prior to a crisis incident because there were no beds available. I can’t see how this can be the case if beds are reduced. The Chair and CEO said that Haringey had a high bed capacity compared to other boroughs. Users of the service tell me otherwise, talking of occasions where a patient would be sent home early because there was no capacity or where a crisis admission did not take place for between four days and four weeks because of shortage of space. Surely that does not suggest that capacity is adequate?

But only if we can be assured that care in the community is not just code for abandonment or poor support. Again, people who use the service have given me lots of instances where the home treatment team fell short. For example – the team will come once a day to ensure proper medication is taken. However, my service user describes the team as coming and when the door isn’t answered – going away without even contacting the housing manager to be let in and check what’s happened to the person. The Trust says that this is serious and shouldn’t happen – but the problem is the gap between what should happen and what does happen.

But what about the possible costs and fallout for neighbours, the police and the council if things go wrong? When the Trust says that it is cheaper to keep people in the community rather than the high costs of inpatient care – doubt whether they are counting in the cost to everyone else who is left to deal with the fall out when the care in the community fails. And the fallout isn’t just about finances when things go wrong.

There are many tales of gaps fallen through in the community care net as it is now. So how can the Trust guarantee that the care will be good enough to support even more people than before? The Chair says that the money not spent on inpatients will mean that the expenditure in the community will be enough to ensure good care. Easy promise to make, but will it stack up in reality?

There is also a belief gap in Haringey. In Haringey we do not have confidence in inspection regimes, tick-box procedures and management speak. We had all that only too recently with Baby P. How on earth can we get to a point of trust with the Trust?

There are loads more issues (lack of communication, lack of planning on transfer, 24 hour emergency line not working properly and on and on) and so will post my official response to the consultation when have finished it as it will contain more detail.

Both the Chair and the CEO wanted me to know that whilst some areas definitely need improving – they are very good at some things and have just won the commission for cognitive therapy for London. Indeed, I visited their Star Wards project when they won one of those. And given the dreadful years the Mental Health Trust had under the previous chair and management, these two have an awful lot to achieve and I am sure are trying very hard to bring about change in what is quite a stuck environment – not easy.

So – my consultation response will still focus heavily on the problems currently being experienced in terms of crisis admission with current bed capacity – and on the already stretched and reportedly unreliable care in the community. Without addressing these issues – I don’t see how the Trust can proceed.

Sheer madness

Here’s my latest Ham & High column:

A woman came to see me recently to tell me of the appalling state of Haringey’s mental health services. Her husband is bi-polar and sometimes suicidal. From time to time he has to be admitted to the acute ward at St Ann’s – our local mental health facility.

She says the ward is enough to make you want to kill yourself. It is a ward with psychotic and highly disturbed patients. If you or I were placed in such a ward – we would be frightened – as was my constituent’s partner. He was so frightened he could not sleep at all due to the noise and disturbances from the other patients throughout the night – and of course these conditions hardly assist recovery or state of mind.

And when he’s at home and there are troubles – the theoretically 24-hour help is often on answerphone – and when not, she has even been advised just to give her husband warm milk! What a contrast with Camden, where – if you need help – a psychiatric nurse will come to your house to deal with the situation – and perhaps remove the need for admission to hospital.

To add insult to injury – with so many vulnerable people who need so much help – the Mental Health Trust is now proposing to reduce the number of acute beds at St Ann’s Hospital for those who do need admission. It may be unsuitable for some admissions – but it is all we have and we need a place of safety for those who are in acute crisis.

I am meeting with the Chair and Chief Executive and will point out how for many people, these beds are often the last resort. Acute wards are, even in St Ann’s, a place where a severely ill person is surrounded by professional nurses and doctors – even though the circumstances are clearly not ideal.

Haringey residents come to my advice surgeries to tell me how they have not been able to get their loved partner / child / parent admitted into an acute ward – despite obvious need. Of course each case has its own particular circumstances, but from questions I have asked in Parliament, it is clear that there are more people to each bed in Haringey than for almost any other area in London – and that’s before the proposed closures.

The Trust claims that people in acute need can be dealt with adequately in the community. I do welcome more support in the community, but in moments of crisis there must be the option for a higher degree of care and supervision.

And unless the care in the community is exemplary, then reducing beds in the in-patient facility we have seems mad. We should be investing in making the acute wards better – not reducing beds. My own angst is that the Trust is in such a state it is making these reductions for cost purposes rather than meeting the needs of those with mental health issues in Haringey.

The Trust is currently consulting on the issue – so now is the time for us to have our say. I am keen to hear your views, particularly if you have any direct experience of our local mental health services, so I can feed them into the consultation. You can write to me at lynne@lynnefeatherstone.org or House of Commons, London, SW1A 0AA. Please indicate whether you wish for your views to be treated confidentially or if you are happy for me to share them with the Trust.

The consultation deadline is the 23rd March, so please make sure that I get your views before then. If you want to find out a bit more about the consultation, have a look at the Trust’s website.

Also, my Liberal Democrat colleague Councillor Ron Aitken is chairing a scrutiny review at Haringey Council on the proposals – two public meetings are planned . The first was on Monday 2nd March but the next is on Wednesday 25th March at 6pm at Haringey Civic Centre. Please do come along and share your views.

All too often mental health is treated as the Cinderella service of the NHS and rarely gets the prominence or the resources it needs and deserves. I am determined that this should not be the case in our Borough.

How the Equality and Human Rights Commission is failing women

How many pieces of silver did Peter Mandelson give the Equality and Human Rights Commission to come out in the media this morning basically saying that equality was too expensive during a recession?

Nicola Brewer (Chief Exec of the EHRC) was quoted in The Guardian this morning saying that this was no time to make companies carry out and publish pay audits that would demonstrate the disparity in men and women’s wages.

Mandelson has been sending smoke signals through the trade and right wing press for some weeks now – vilifying any part of the Equalities Bill which might be a cost. But the scandal of women’s pay (compared to men) – even now, 30 years after the Equal Pay Act – is something that this Government said it would address in the Bill.

Ms Harman keeps assuring me in Parliament that they are committed to equality but that pay audits must be voluntary not mandatory. Well – we saw how effective voluntary codes were in banking!

Clearly from these weasly words from the EHRC the Government wants to be able to point at their statement as referred credibility for backing away from any commitment to real equality. The EHRC should be ashamed of themselves. They are meant to fight for equality – not be lackies for Labour’s failed commitments.

Ironically, to mark International Women’s Day, we had a debate in the chamber on ‘Support for Women (Economic Downturn)’ – the gist of which was that women are particularly vulnerable in a recession as they usually have less financial resilience and are already much disadvantaged through things like unequal pay etc. As I said in the debate, “The needs of those who face discrimination do not stop where the needs of British businesses begin.”

But clearly Mandelson, Harman and the EHRC are going to let us eat cake!

Rokesly School and traffic safety

Don’t understand why Haringey Council is not taking urgent action to improve safety around Rokesley School. The history of incidents, accidents and near misses etc is pretty poor.

There is no zebra crossing for children – only a brave lollypop lady; poor or no signing in most directions; no traffic calming or flashing slow down signs; and poor road markings.

Rokesley – for those who don’t know it – is the widest of three roads that come off Middle Lane. Traffic therefore uses it as a rat run – as you get stuck quite badly in the other two. Buses also zoom down Rokesely. On Saturday – when I met lots of the parents outside the school – one careered past at what must have been about 40mph. We all saw it!

There is a dreadful bend in the Rokesley Avenue and it is dangerous to cross – particularly for children.

Over the years several cars have been hit by other cars, buses and fire engines. One resident’s car was written off and destroyed a resident’s wall – only moments after children went inside the house.

There have been several accidents with children knocked down – one only last year where a young Rokesley schoolboy had to be taken to hospital. And many, many near misses – which of course – Haringey don’t count! Only two weeks ago there was a serious accidents and a woman driver had to be cut from her car.

So – I am asking for a meeting with senior officers about the situation – as Haringey Council has said it will do nothing other than yellow lines on corners and replaced paving. Not adequate.

I began by saying I am surprised as safety round schools is a stated priority nationally, regionally and locally! So – why won’t Haringey Council take action?

Lap dancing in Crouch End

Met on Saturday with the local campaigners from Crouch End who are motivated to take up arms against the application for a ‘gentlemen’s club’ (i.e. lap dancing) at the Music Palace – and after listening to them I don’t blame them.

As a liberal I don’t knee-jerk against the varying tastes and occupations of folk – unless they do harm to others. On this one I have to agree that the potential for harm, nuisance, noise and detrimental impact is high. Plonking such an establishment in a local buzzing busy high street means that it is not ‘out of the way’, it can’t be avoided and women, young girls and children will have to pass it – no choice. Whether or not is is true that men will emerge in a roused state – who knows – but if they do then that could have potential for danger and even if they don’t – women feel vulnerable in the near vicinity.

As to specific worries – well in the immediate area we have Hornsey School for Girls, Action for Kids (charity for vulnerable young people with learning disabilities), Rokesly Junior and Infants School and the YMCA. But even without these particularly vulnerable groups – there are issues for anyone made uncomfortable or concerned or even frightened to walk past. People shouldn’t have to feel intimidated or worried on their own high street.

There is a Bill (am finding out the details) on the licensing of lap-dancing clubs about to go through Parliament where it is widely rumoured that instead of only requiring a normal license – same as clubs and pubs – lap dancing clubs will become for the first time ‘sex encounter establishments’ which would require a different sort of license – same as the sex industry places. I expect that is why there is a shifty on to get licensed before the change in the law – so as the local MP I will be seeking to make any changes in the Bill retrospective too.

The campaigners want me to try and ensure there is a grandfather clause – so that it is not only new lap dancing clubs in the future that have to be licensed for sexual encounter – but that those already in existence (as this one will be if it gets its license) will have to apply for the new type of license which is much stricter on a number of fronts.

So – anyone interested in joining the campaign should contact me, stating you give me permission for me to pass on your name and email address to Alison Lillystone, who is leading the campaign group.

Ismail Dogan – how the mental health services failed

I have set up an urgent meeting with the mental health trust following the publication of an independent investigation into the dreadful case of a paranoid schizophrenic who killed one and seriously injured four others in 2004.

The report by NHS London into the care provided to Ismail Dogan shows gross failings – both in community mental health care and an inability on the part of the Trust to make sure lessons were learnt.

It is another appalling tale of inadequacy and incompetence and worse in Haringey. Baby P was failed by Haringey Council and Haringey Primary Care Trust (PCT), and here we have the third of the trilogy – the Mental Health Trust.

In fact, in this case it looks like the cover-up, the secrecy and the closing ranks were even worse. The internal investigation into the tragedy was not even circulated to staff and middle managers across the Barnet, Enfield & Haringey Mental Health Trust, or Haringey PCT, so that pepole could learn from the incident and avoid it happening again.

The report also shows that Mr Dogan’s Psychiatric Nurse amended his notes after the incident to make out his care to be more comprehensive than it actually was. The community mental health team, who managed Mr Dogan’s care in the community, was also shown to have failed providing ongoing care, which was a direct contributor to the 2004 incident.

On top of hiding the internal investigation report it is equally worrying that the Trust’s community health team was not up to scratch in 2004. Particularly so as we are currently being asked in a consultation at the moment our views on the proposed closure of an acute mental health ward at St Ann’s in favour of care in the community. This would be an absolute disaster in my view – given the state of the care currently

Fighting the fly-posting blight

The closure of shops around Haringey as the recession bits has also seen a burst of fly-posting, blighting our high streets.

Our councillors in Crouch End have been particularly active on the issue – meeting with police and council enforcement officials, as you can read in the story on my website.

If you spot any fly-posting, you can report it on 020 8489 1000.

Only 1 in 50 Haringey residents facing repossession to get help from government scheme

Labour’s attempt to support struggling home owners through the ‘Mortgage Rescue Scheme’ will only help two percent of Haringey home owners threatened by repossession according to figures I’d dug up with my colleagues.

The idea to go in and directly help home owners on the brink of repossession is a good one, but looking at the hard numbers, this seems like another Labour PR stunt with little real substance.

You can read more about the story on my website.