The Whittington says yes!

No – this isn’t about the A&E – I wish they said yes to that too. No – this is my visit to the Whittington with members of the Haringey Phoenix Group who work with blind and visually impaired people in Haringey.

Have you ever thought about this – you get the results to your tests for cancer – and because it is in print – you can’t read it and have to ask a neighbour to help. Can you imagine how dreadful it must be to have to bring someone else into what is a private matter. Of course – you may be lucky and have a partner or friend who you are happy to see your most intimate correspondence – but there are times when this just isn’t appropriate. Or the letter might be about an appointment – and you don’t get to see it or know about it until too late. And quite frankly – it should be a basic right in a civilised society to receive medical information in a form that is accessible to those who are blind or visually impaired.

Well – actually it is a right – in legislation! The Disability Discrimination Act 1995 and the Equality Duty of 2006 say this should be the case – but the actuality just isn’t happening. Partly this is because patients don’t ask – and partly because hospitals and GPs don’t offer or aren’t set up to deliver.

Hence my visit with the wonderful Haringey Phoenix Group. We met with Kate Slemeck and two other Whittington officials to discuss how we could arrive at a situation where asking wasn’t necessary because the IT system flagged up both that the patient was visually impaired but also what type of communication results, appointments – any communication – should be in. This could be anything from braille, to large print format (different point sizes for different degrees of impairment), audio tapes, etc.  Then automatically – all communication would be in that format. This is part of a campaign by the RNIB to convert the right in law – to the reality on the ground.

Three cheers for the Whittington – who embraced this and said they could see no reason why not – and were prepared to run a pilot. This would be a real breakthrough and the Whittington would be the first hospital to trial and hopefully become a beacon for provision of communication in appropriate format.

Of course – there’s a bit of a way to go – but they were welcoming, said that their IT system could flag this information up as we suggested. The next stage is to get GPs to ensure that this information – that the patient is visually impaired and identify the format required – so that it can be put onto the hospital system. And of course – it needs to be on the GP system – and all blind and visually impaired people need to make sure that the GP does this and so on.

So next step is to get Haringey PCT to write to all the GPs locally asking them to make sure that both on their own system and when they refere patients to the Whittington – it is made clear that this information has to be entered for flagging and so on.

I am assuming that the PCT will be delighted and willing to do so. I cannot imagine any reason why not – and this is the sort of small change that will make a huge difference.

Three cheers for the Whittington!

Conservative reaction to Tory leaflet

Canvassing in Hornsey & Wood Green this last weekend, there was a solitary, sodden Tory leaflet on the pavement. I picked it up and put it in a bin – as political litter gives all of us a bad name. Then yesterday I received this email from a local constituent. This is what she sent to the Conservative candidate for Hornsey & Wood Green in response to that  same leaflet – and she has given me permission to publish it.

Dear Mr Merrin
I have lived in Shepherds Hill for four years and other than receiving one very apathetic communication from your goodselves prior to the last Local Elections, this is the first Conservative newsletter I have had posted through my door! I rather think that you ought to change the title of your newsletter because ‘in touch’ you are not! Ah well, as the General Election is looming, I suppose you had to produce something!

Your comments about Lynne Featherstone in your newsletter are rather unfair – but that’s politics I guess – let’s have a dig! Take it from me, she is much respected by her constituents who find her very proactive and approachable, and issues brought to her and her Lib Dem councillors are resolved quickly. Any issues I have wanted Ms Featherstone to take up for me have been dealt with promptly and resolved. She informs frequently with newsletters and she e-mails her supporters on matters which are of importance to us. I, and others I know in Shepherds Hill, think she is probably the best MP in Parliament.

I have voted Conservative all my life, but this time I will be voting for the Liberal Democrats – I like their thinking and I want Ms Featherstone to retain her seat in Parliament.

Yours sincerely

Carole                                                                                                                                                                                                                     Highgate

 

More car club bays for Highgate after Liberal Democrat success

Residents in Highgate will have more access to car club vehicles, after Haringey Council agreed to adopt Liberal Democrat councillors’ proposals to provide more car club bays for local people.

Haringey Council has taken up Liberal Democrat Councillor Neil WiIliams’ calls for improvements to the initial scheme, set up last year, which failed to include the densely populated Miltons area of Highgate, east of Archway Road, and the north of Highgate, near the Kenwood Estate.

Haringey Council is now proposing that four more car club bays will be installed – two near the Kenwood Estate and two in the Miltons area. The new bays in Highgate are part of an expansion of the car club scheme, which will provide an additional 39 spaces.

Cllr Neil Williams (Highgate ward) comments:

“I am glad that Haringey Council has recognised our calls to make it easier for local Highgate residents to use the car club scheme.

“It hasn’t been long since my colleague Cllr Rachel Allison led the campaign, successfully, for the introduction of a car club scheme in Highgate. Now we have a scheme that is thriving and expanding.”

Lynne Featherstone MP adds:

“Car clubs are vital in the continuing fight to reduce our carbon footprints. Well done to Highgate councillors, for helping to get better access for local residents.”

Locations of the new Car Club bays:

  1. Sheldon Avenue N6 4NJ: two car club parking bays near Kenwood Estate.
  2. Tudor Close N6 5PR: two car club parking bays in Homes for Haringey car park.

Nightmare at Christmas

Local traders and residents in this area of Highgate won a bid for funding for a Christmas tree to brighten up a little patch of land in this very heavily trafficky corner between Archway Road and Muswell Hill Road. You can read the sad tale here in the Evening Standard. The picture shows my Liberal Democrat colleagues standing by a very pathetic looking Christmas Tree – a tree that actually cost £150 but which, by the time Haringey Council had erected it, cost £1500. The local residents and my LibDem councillor colleagues are pretty cross – to put it mildly.

This tale of Christmas Tree woe stands as a metaphor for Haringey Council – they do things really badly and it costs the earth.

But as it’s the season of good will………………………

Hundreds of local residents back Liberal Democrat campaign for safe crossing on North Hill

North Hill petition: Cllr Rachel Allison, Lynne Featherstone MP and local resident Jenny BouchamiHighgate Liberal Democrats and MP Lynne Featherstone have this week sent in a petition to Haringey Council signed by over 400 local residents backing a campaign to improve safety at a dangerous pedestrian crossing.

The campaign to get a pedestrian traffic light on the North Hill crossing, located next to the Highgate Group practice and close to the Mary Feilding’s Guild, has been running since the spring, and has proven exceptionally successful. Almost one in 20 Highgate residents have signed the petition.

Lynne Featherstone MP comments:

“It’s fantastic that the campaign has picked up such speed and has got the backing of over 400 local residents.

“Now the council will have to sit up and take notice- and do something to deal with this clearly dangerous crossing on one of Highgate’s busiest roads, right next to the old people’s home and the only GP practice in Highgate.”

Highgate Councillor Rachel Allison adds:

“Some of Highgate’s most vulnerable residents use the crossing on a daily basis. It should not be too much to ask for to them to feel safe crossing this road- and I certainly hope Haringey Council will agree!”

Adjournment Debate on Whittington A & E

Jeremy Corbyn – MP for Islington North – managed to get an adjournment debate last night on the future of the Whittington – and he very kindly let me speak. For him and I, the most affected constituencies, we are joining forces to ensure that NHS health bosses get the message loud and clear BEFORE decisions are made – that local people are madder than hell at even the suggestion of closure or reduction.

Interestingly, and I will look at Hansard later today, the Minister seemed pretty ticked off with the North London sector and the PCTs and the way they have gone about this. So – hopefully – between an ear-wigging from the minister and the wrath of the local people and MPs we will frighten them off.

They now speak in whispers about how nothing is decided and they are just looking at options. Don’t be fooled – it is quite clear to me that was an option they were considering and without a public rumpus – they would have continued sweetly on that path!

Whittington – it just gets worse………..

Rumours are emerging that the planned merger of the Whittington and Royal Free Hospitals will not be enough to satisfy NHS bosses and that there may instead be a forced marriage between the Whittington, Royal Free and UCLH Hospitals.

This raises interesting questions, because UCLH is a Foundation Trust. I believe this may mean that the proposed ‘merger’ will be nothing of the sort, but will instead be a take-over by UCLH of the other two hospitals – a wonderful Xmas present for UCLH, which has been dreaming of this for years…. This disaster just goes on and on….”

Meanwhile, lots of denials by NHS bosses about intentions to close or reduce A&E departments at the Whittington and North Mid.

Having now been in elected politics for over ten years – one thing I am sure of – when there are budget cuts demanded and letters showing closure sent out and then denied – is that the sooner and the louder that local people let their views be known the better!

Otherwise – heaven forfend – we could find that none of the options that come to public consultation next September contain anything that bears any relationship to what local people actually want!

Whittington and North Mid petitions – huge response!

I sent out an email to my email list to inform local people (hard copy will follow more widely) of the threat to close or reduce services at the Whittington A & E and about the threat to the North Middlesex A & E too. Both contain petitions for people to sign up to: The Whittington petition is here and the North Mid petition is at http://bit.ly/northmid.

The responses are pouring in. In the first 24 hours, since yesterday afternoon, 745 people have already signed the Whittington petition and 89 the North Mid.

It is already quite clear that local people don’t want to lose their local A & E nor see it reduced. That is why it is so important that local peoples’ views are heard loud and clear NOW. Otherwise when the Health Authority ‘options’ finally come to public consultation – we may find that there are no options that keep the Whittington A & E open and that in reality the decisions have actually been made. That goes for the North Mid too.

I support improved clinical outcomes, obviously, and there are lots of health services that may be better provided by one or other hospital. But A & E is one of the services that needs to be local and 24 hours – that’s the point.

As one constituent wrote to me who works at one of the hospitals (not the Whittington) ‘there is no more logic to an   A & E unit at University College Hospital than the others.  Medical staff will adapt to what is decided.  UCH and RFH could easily become even more specialist than they already are and would flourish without an A & E.  The Whittington on the contrary exists to provide a local and emergency service and is at risk of having its lifeblood sucked away’.

Couldn’t have put it better myself!

Cock-up, conspiracy or incompetence?

Lynne Featherstone, Cllr Martin Newton and London Assembly Member, Caroline PidgeonHere’s my latest column for the Muswell Hill Flyer and Highgate Handbook:

Finally I managed to get Transport for London (TfL), Haringey Primary Care Trust (part of the NHS) and me together in the same place to bang heads together about the need for better bus links to the new Community Health Centre on the old Hornsey Central Hospital site.

We have this wonderful new facility but, despite the transport issues being raised as a key issue at every public and private meeting (literally for years) by many people, nothing has been properly planned, delivered – or even promised for the future.

And of course now the new Health Centre is here – and operational – but not a new bus in sight. Loads of people joined in my campaign for a new bus to enable them to access the new centre when referred there from wherever they live in Highgate, Crouch End, Muswell Hill, Fortis Green or Alexandra wards by their own GP.

Imagine my shock when TfL said they had no idea that there were services were already being provided (with lots more to come) which would bring people from all over the west of Hornsey & Wood Green to the new facility. TfL seemed to be under the illusion that the only thing happening was that two GP practices had moved in and only they would need transport.

To be honest – I couldn’t believe it!

Given the promises on transport, the supposed discussions on transport – to be sitting there listening to the two key agencies basically saying that there was such a gap in communication that TfL didn’t know that there was an ongoing and expanding need for access to the site from provision of new services on the site was truly shocking.

From this ‘discovery’ TfL have now agreed to take away the issue and look at it properly. At least they now both seem to understand there is a problem with providing a major new health facility with no extra transport provision.

I have been contacted by many local people on the back of our campaign giving examples of problems they have encountered. One example is a team who have already moved into the new facility and whose clients will commonly have reduced mobility – albeit still very capable of getting on a bus if it can deliver them near to the health centre – are concerned about how their patients will get to them.

Another example is that of one local health worker who has contact with people with very differing needs in the borough who wrote to me to say that a number of people she is in contact with through her work have mentioned their concerns about the lack of usable transport links to the new site.

I don’t know what on earth has been going on – but you can bet my language to both the Chair of Haringey PCT and Peter Hendy (Commissioner of Transport in London) will be pretty strong as I bring this smartly to their attention.

Clearly this is a mess – and I just hope that both Haringey PCT and TfL sort it out now they have acknowledged that they haven’t even been looking at the right problem.

The Whittington is not safe in their hands

I was shocked by the leaked letter (see my earlier post) that showed the Whittington would lose it’s A & E department under all four options being put forward for the reorganisation of health services in what is called London North Central (LNC) Sector of the Strategic Health Authority (Islington, Camden, Barnet, Enfield and Haringey).

I had not been reassured by the hasty press release by LNC saying that the first letter had been confusing and re-issuing a version which changed the Whittington’s fate to being designated a ‘local hospital’ in the options rather than mentioning A& E at all.

‘Local Hospital’ if you look up its meaning on the Department of Health website means that A& E would be reduced to effectively ‘urgent care’ for between 8 and 16 hours per day with no emergency surgery on site. Given the level of need locally – the idea of people having to travel to the Royal Free which has appalling public transport access – does not seem to be designed with local people in mind at all.

Moreover, Haringey which doesn’t actually have a hospital, relies on both the Whittington and The North Middlesex for A & E – and the North Middlesex’ A & E is also under threat in one of the current four options.
Anyway – today I had urgent meetings with both LNC (Stephen Conroy) and the Chief Exec of the Whittington (Rob Larkman) – separately. In terms of LNC – Mr Conroy was very keen to emphasise that nothing was final, that options were still being discussed and drawn up, that no decisions had been taken – and that the options (whatever they ended up as) would go to the Review Panel in December and pre-consultation in January. To avoid the elections – the public consultation on the options would be in September 2010. So if the letter hadn’t been leaked – local people would not have had any say before the election.

The proposals are all around what should be provided where and which of UCH, The Royal Free, Barnet, North Midds, The Whittington and Chase Farm would become ‘major acute’ hospitals and which local.
When I pushed for assurance that the 24 hour A & E service at the Whittington would not be terminated – Mr Conroy could not and would not give that assurance.

I also asked him what autonomy and status the Whittington Board had in all of this. From his answer it is quite clear that whilst the Whittington Board’s opinions are important, they are considered ‘organisationally loyal’ and when looking at the bigger picture of service needs in the ‘sector’ it would be the LCN who would take the decisions.

We also pushed (I was accompanied by Cllr Nigel Scott, LibDem local health spokesperson and Ed Butcher, my Head of Office) for openness and transparency about the processes. We are concerned that by the time there is a wide public consultation (as I said – after the election) – the basic decisions will have been made. That first letter stating that the Whittington would have no A & E even though withdrawn – has left its mark – and I can’t help thinking that where there’s smoke….

It has also been pointed out to me that the Whittington sits on top value land – and that letting the hospital wither on the vine of ever reducing services might at some point enable land sales to a cash-strapped Strategic Health Authority – I hope not!

At the subsequent meeting at the Whittington Hospital, Rob Larkman (CEO) said that they had been shocked too by the letter stating that A & E would not be provided in any of the options and that it was his challenge on that letter that had forced LCN to put out the second letter.

In fact I think the Whittington Board may, to an extent, be an ally of local people in the fight to retain A & E and maternity and obstetrics. The Chair of the Board was also in attendance at this meeting and he said that the Board also fought for what the local community wanted and needed.

So to me, the crucial issues are not the labels that LNC may wish to give their new configurations of major acute, acute, local and so on – the key is still keeping important services like 24 hour A & E and maternity and obstetrics local at the Whittington – whatever the configuration.

I made it quite clear that I would, apart from keeping in close contact with what is happening, make sure that local people are kept informed about what is going on and about what I regard as a real threat to both the 24 hour A & E and the continued provision of maternity and obstetrics at the Whittington – and that I would be campaigning along with my Liberal Democrat colleagues in Haringey and Islington for what local people want and need.