Whittington A & E under threat

I will literally fight them tooth and nail if they try and close or even reduce our emergency A & E services at the Whittington – which they (NHS London and the Government) clearly wish to do.

If you read the four options on the first letter sent out by Rachel Tyndall, CEO for North London Central NHS which was sent to all relevant  hospital CEOs and Medical Directors but not dated, you can see how stark and clear the message is about the future of A & E at the Whittington:

From the letter:

This provided 4 possible models for North Central London, namely:

 a)      Barnet and North Middlesex designated Major Acutes, Royal Free designated a major acute with specialist services, UCLH designated a specialist provider, Whittington designated a local hospital but with no emergency take and Chase Farm congruent with the BEH clinical strategy

 b)      Barnet and North Middlesex designated Major Acutes, UCLH designated a major acute with specialist services, Royal Free designated a specialist provider, Whittington designated a local hospital but with no emergency take and Chase Farm congruent with the BEH clinical strategy

 c)       designated a Major Acute, UCLH and Royal Free designated major acutes with specialist services, North  designated a local hospital with an A&E and medical take, Whittington designated a local hospital but with no emergency take and Chase Farm congruent with the BEH clinical strategy

 d)      North Middlesex designated a Major Acute, UCLH and Royal Free designated major acutes with specialist services, Barnet designated a local hospital with an A&E and medical take, Whittington designated a local hospital but with no emergency take and Chase Farm congruent with the BEH clinical strategy

As you can see – all four options kill off A & E at the Whittington. The position put out by Rachel Tyndall in her letter was crystal clear – that the Whittington would loose its A&E, and therefore its ITU, and acute medical and surgical services.

This position now, rather abruptly, appears to have changed with a hasty and strange press statement put out on 13th November to the effect that the letter had “led to some confusion”. No it hadn’t – it was perfectly clear – no emergency service at the Whittington. 

So – whilst they try and back-peddle to offset any mounting campaign to save our vital A & E at the Whittington – let me just make quite clear that I do not trust the Trust. They want to close our A &E. They don’t appear to understand that the 240 people a day who attend A & E are in great need and moreover could not make it to the Royal Free where the proposed services would have gone. The transport and access to the Royal Free for local people here in the West of Haringey is too dreadful for words. Moreover – local people want, need, deserve and have paid for an A & E here at the Whittington.

When will this dreadful Government and these dreadful, NHS beaurocrats, who seem only to rearrange and restructure, begin to understand what people want and need from their local health services.

Merging some services between the Whittington and the Royal Free is one thing – denying local people a local, 24 hour A & E and the services to go with it is another.

The consultation NHS North London claim to have done was a sham – a couple of weeks in August basically – hardly exhaustive given the dramatic nature of the proposed changes.

They may draw in their claws for now – but the letter makes quite clear where NHS and the Government want to go with their plans. No amount of weasel words will be able to deny their direction of travel.

The battle lines are drawn!

TfL, Haringey PCT and me

Lynne Featherstone, Cllr Martin Newton and London Assembly Member, Caroline PidgeonFinally I managed to get Transport for London (TfL), Haringey PCT and me together in the same place to discuss the need for local people to be able to access services at the new Community Health Centre at Hornsey Hospital.

We have this wonderful new facility – which we all hope is going to be filled with services that local people will access – making life much easier for all. Fly in the ointment is that despite this being raised as a key issue at every public meeting (and all the private ones I have had with TfL or the PCT) nothing has been planned or 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 – or more accurately bus links that would enable them to access the new centre – when referred there from wherever they live in Highgate, Crouch End, Muswell Hill, Fortis Green and Alexandra.

When the original hospital closed – they took away the W2 – but as it stood as of Friday – there were no plans for any new services at all. For the years of planning and campaigning that everyone has been involved in – it was always going to be needed – so imagine my shock – when at this meeting, which I had convened, TfL said they had no idea that there were services being (and much more to be) provided that would bring people from all over the West of Hornsey & Wood Green to the new Centre when they were referred on by their GP etc. TfL seemed to have thought that all that was happening was that the two GP practises 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?

I don’t know what the hell has been going on – but I will be writing to the Chair of Haringey PCT, Haringey Council and Peter Hendy (Commissioner of Transport in London) to bring this smartly to their attention.

Coming out of this ‘discovery’ the agreement was that TfL would now, in its new informed position, take away the issue and look at it. Haringey PCT would provide them with the report from the early transport study they commissioned (unbelievable that they hadn’t provided it already), their green travel plan (can’t imagine what that is if it doesn’t beg the question of public transport access). The PCT would provide some mapping – showing where GP surgeries are and where patients live – and therefore the gaps in public transport access to link into a route that serves the site.

At least they now both seem to understand there is a problem with providing a major new health facility with no transport provision. TfL kept saying it was well served by buses already – but then given they seem to have only been looking at the W7 trundling regularly in both directions between Crouch End, Park Road (where the health centre is) and Muswell Hill – they clearly haven’t even thought about other links at all.

I had been contacted by many local people on the back of our campaign to improve bus links to Hornsey. I can give you a couple of the examples from groups who have also backed this campaign which illustrate the point pretty clearly  I think. One local organisation who have moved into the new facility already 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. They are concerned about how their patients will get to them. Also another professional who has contact with people with very differing needs in the borough writes to me 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. They were told by the Chair at the Mobility Forum that this wasn’t a pressing problem as there were only two GP practises present on the site.

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

On a better note – Haringey PCT thought that any transport provision to get to services, for example, that had previously been provided by the Whittington that might in future be provided by the Health Centre, if NHS transport had been used to transport people to their hospital appointment – that same provision should hopefully be switched to the new facility. They will pursue that.

But then, to add insult to injury – and despite the consultation on moving the critical bus stop on Muswell Hill only just having finished – TfL now say that they can’t see where to accommodate the move onto the flat of the Broadway or the roundabout. They say it’s up to Haringey Council to decide if they want to do something up at the roundabout. It’s so easy (and much cheaper) for TfL to say ‘not me gov’ – over to the Council or over to the PCT. And of course – in turn I have no doubt that the PCT and Haringey Council will say that it is TfL. So round and round that goes – with no one taking responsibility for ensuring that people can access the one bus that does go to the hospital direct from Muswell Hill – but which because it is sited on a steep, steep hill – is a hazard for those who are mobility impaired, mothers with buggies, wheelchair users and the older resident. To be continued…….

This week's other bits…………

Liberal Democrat Opposition Day Debates:
The Liberal Democrat opposition day debates were both ones that Labour should have supported. Labour failed to do so on both votes.

The first was on Equitable Life – and I am sure that every MP in the House has had heartbreaking letters from people who have lost their life savings through Equitable Life and are fed up waiting for the always promised, never delivered compensation.

The second motion was asking Parliament to sign up to the 10:10 campaign. Lots of individual MPs (including me) and councils have already signed up to reduce their carbon emissions by 10% by the end of the year 2010. The motion was asking the House itself to sign up, all Government departments and Public Sector Bodies. Given the Labour Government (and the Minister) were so fulsome in their praise for the 10:10 campaign – I am still at a loss as to why they failed to support the motion. They refused to sign us up to the 10:10 campaign. Shame on them. Blimey – even the Tories supported this one.

Women’s Questions
I asked the Minister what the Government was doing about removing the barriers to employing women that had been highlighted in the Equality and Human Rights Commission statement that women’s maternity rights etc were putting employers off. The Minister said she didn’t accept that was the case!

Book on Baby Peter
Met with an author/film maker who is doing the background research on a potential book about Baby Peter. Having received literally thousands of emails during the height of the Baby Peter coverage from people all over the country – including many professionals from relevant fields – who all had such knowledge and contribution, I am very pleased that someone serious is going to do a serious book on this. Whilst Panorama and other documentaries have all tried very hard – it really is not possible to address the complexities of this subject in entertainment format – so am very happy to help.

Meeting with Peter Lewis, Director Children’s Services, Haringey
Following neatly on, had organised a meeting with Peter Lewis to touch base on progress in terms of child protection in Haringey. When I first met Peter after he was appointed following the furore over child protection in Haringey – he told me that it would take him three years to turn Haringey’s Children’s Services around. The first inspection of how he and the department were doing decided things were improving but not fast enough. I hadn’t seen him for about six months – and I thought that some of the measures that Peter has brought in subsequent to that inspection to provide rigour in supervising (human rigour not tick box rigour) sounded like they would be effective. I also thought that his action to address the issue of recruiting social workers to Haringey (much needed – as unfilled posts and many agency workers currently) by bringing in social workers from the States and recruiting from big equivalent cities like New York showed initiative.

On education I brought Peter up to date with the Liberal Democrat campaign for Fair Funding (as our children get £1000 less per head than kids in Hackney or Islington) because we pay inner London staff salaries (high) and only receive outer London per pupil funding (low). Given that Haringey schools showed up recently as having a very high level of deficits in their budgets (one of the worst in the country) not surprisingly given that £1000 differential – the pressure has to be kept up to make the Government give us our fair share.

Meeting with new CEO at Whittington Hospital
First meeting with the new CEO of Whittington, Rob Larkman. This was a basically get to know you type meeting, setting out from my point of view the various key interests I have on behalf of local people. It was also about the funding problems coming down the track at our health services, the impact of the new Community Health Centre at the Hornsey Hospital site and in terms of the Whittington itself – my priority – which is making sure that patients are treated well – not just clinically – but as people.

The aspect which people raise with me about their hospital stays – when there are complaints – is always about how they were treated in human terms by the staff. Obviously – the vast majority of the staff are absolutely fabulous – and there are more people praising the Whittington and their treatment than are critical. But – those who do get badly handled – need their local hospital to take such issues really seriously. I have found that the Whittington has been very responsive in the past to any individual complaints I have taken to them – and now I want the new CEO to take over the last CEO’s promise to me – that patient treatment would be a priority.

I look forward to a good and constructive working relationship.

Local Democracy Week – Alexandra Park School

Lynne Featherstone at Alexandra Park SchoolIf I ruled the world I would ………….. that’s the challenge I have set local children in Hornsey & Wood Green schools to tell me in 200 words for Local Democracy Week.

I launched my mini-writing competition today at Alexandra Park School – where the amazing Jo (Citizenship teacher extraordinaire) had agreed to set up to undertake this project with the Citizenship and the English classes working together. So today I was attending the Citizenship class where Jo was brainstorming with the children to get them involved and engaged in beginning to think what sort of things might need changing or what worried them – and then – how that might be changed.

The first round of ideas were just brilliant – from the young girl who wanted to make life better for young carers, to world peace and beyond. I’m not going to go through the list – but suffice to say – that it is completely fascinating to to listen to the ideas they had about what worried them – and recognise where the input came from. Some clearly came from school work, much from television and newscasts  – but Jo was really clever – and as well as those sort of universal issues tried to move them onto a more personal level of what worried or concerned them in their own lives.

So I am greatly looking forward to reading all the submissions when they come in. I always feel very uplifted when I come out of a school visit like that.

Colourful Radio

When Henryy Bonsu (Colourful Radio) said, on air, that I had something about me of the Helen Mirren – I could have kissed him. I tried, thereafter, to intimate that we were probably twins separated at birth………..

Henry’s assertion was based on my Russian ancestry as we were talking identity issues and I was saying that we all have multiple identities. Take me – I’m partly of Russian descent, single mother, ex-designer, current politician, short – from Haringey, Hornsey & Wood Green, Highgate, London, England, Britain and Europe – and I could use any of those to identify me. Apparently Ms Mirren has Russian blood too.

Colourful Radio were doing a half hour interview between me and three of them – Henry Bonsu, Juju and Toby Kell-Ogg. It was fun – and it wasn’t the usual formal, sound-bite interview – it was (I thought) a lively discussion ranging over MPs’ expenses (but in a debate way – not an all MPs are scum of the earth way), about equalities and the appalling differential in pay which is at its greatest disparity when we compare white men with ethnic minority women.

I was able to give an airing to our LibDem policy on ‘no name employment’ (where applicants use something like their National Insurance number rather than their name on job applications to remove subliminal discard at first sift). 

We discussed education – and Toby thought my parents had paid for my education – so set him straight – as ironically my mother really didn’t believe in education, would never have dreamed of paying for it and would have had me working in her shop from the age of fifteen if she could. It was my Headmistress, Ruby Jobson at Highgate Primary, who called my  mother in to school and told her that she had to allow me to sit for a scholarship for South Hampstead High School. In those days one third of the girls were on scholarships. Nowadays I believe it is mostly private – but I may be wrong.

First time I’ve been to Colourful – fantastic to have a proper conversation – so hope they invite me back some day.

What developers do in Highgate

Stomped around three developments in Highgate with the top team from Haringey planning department earlier today. After weeks of correspondence and rows – today’s walkabout perhaps clarified a few things – but not anything that should make anyone feel happy. For it would seem that unless a developer adds another floor / administers monstrous harm in terms of impact on neighbours – there is very little that Haringey can do that will deal with developers who given an inch take a mile.

Having looked at one development in Sheldon Avenue which looms large over its neighbours – the height the house has been built to is definitely not the height that they expected from the planning permission – or width or depth for that matter. On close examination – and with use of a scale – you might just detect that the proposed house would be higher but the earlier streetscapes show that the proposed house has the same height of eaves as the next door neighbour. I don’t know – but it seems that Haringey didn’t intervene when first called to see the increase in footprint, then didn’t act on other bits and pieces notified to them and now say that the ‘harmful impact’ isn’t great enough to win any appeal that the developer would make if they enforced.

Game, set and match to developer. Albeit they have issued a formal warning and are going to ask this particularly developer to come in for a ‘chat’. That might help for future – but not for the current situation there.

We, Cllr Rachel Alison and myself, will be asking for a range of actions to be taken – one of which will be to ask that Haringey get height specifications on proper drawings. Any decent architect would put on their drawing – do not scale off of this. I am not sure whether there is any liability on Haringey or not – but we will be enquiring further. Otherwise – I can’t see what there is to stop any developer expanding on plans regardless of planning permission. Of course, the officers are right in that the developer can always apply retrospectively for permission – but I think the harm is done because local residents expect Haringey to have a duty of care to ensure that what gets permission is that which gets built – and nothing more!

Liberal Democrats ask Haringey Council to 'spend a penny'

Local Liberal Democrats are lobbying Haringey Council to make full use of the Community Toilet Scheme in order to tackle the inadequate facilities within the borough and help out local businesses.

The Community Toilet scheme uses access to toilet facilities in local businesses, shops and restaurants. Local traders in return receive a fee from Haringey Council.

Last week Highgate councillor, Rachel Allison, and Lynne Featherstone MP met with a local pub owner who is keen to join the scheme but has yet to get a decision from Haringey Council.

Tom Helliwell from the Woodman Public House, Highgate, comments:

“The Community Toilet Scheme would be beneficial for local traders like me as we don’t want to turn people away, but we can’t continue to provide this service for free. We’re right by the tube station and get hundreds of people using our facilities every day. We need support from Haringey Council, but we’ve heard nothing.”

Cllr Rachel Allison (Highgate) adds:

“Local residents, especially parents with small children and the elderly, are fed up navigating the unpleasant gauntlet of the limited, shabby and unclean public toilets that are presently available.

“Hollow pledges by Haringey Council to ‘look’ at taking this forward in the next year, as well exploring the possibility of reopening closed sites at Tottenham High Road, have just not materialised.

“Businesses are keen to participate and it could increase trade. Residents want it. Richmond, Camden and Waltham Forest can do it. Why can’t Haringey?”

Lynne Featherstone MP adds:

“Under current plans residents would be made to wait with crossed legs for a further nine months for the simple convenience of being able to use a clean toilet – it is not acceptable.”

Highgate residents to have their say on parking controls

Highgate’s Liberal Democrat councillors have welcomed long awaited moves to consult local residents on an extension of parking controls in the area – but have asked Haringey Council to ensure that residents’ views are heeded on the details of the scheme.

Haringey Council is about to consult on the extension of the Highgate station controlled parking zone (CPZ) into the Kenwood area. Liberal Democrats say that residents in streets such as Denewood Road and Stormont Road have endured parking misery since the introduction of controls in the adjacent parks of Highgate, and say that action is long overdue.

Liberal Democrat councillor Neil Williams says that following recent parking problems in Crouch End, the consultation needs to make absolutely clear the impact of displacement parking on the streets concerned, if the CPZ gets the go-ahead. However, areas should not be included if that is still their wish.

The Liberal Democrats also want the private roads, View Road, and part of Denewood Road, to be kept fully informed on how the plans are unfolding.

Highgate Liberal Democrat councillor Neil Williams comments:

“Putting these plans before local residents is long overdue. Highgate residents in Stormont Road and Denewood Road in particular, have been experiencing parking misery in the past year. It’s important that as many people as possible respond to the consultation, so Haringey Council can get the exact details right for local residents.”

Lynne Featherstone MP, adds:

“We do not want a repeat of the parking chaos we have seen in Crouch End. We need a consultation that listens to local residents views.”

The streets to be consulted are:
Bishopswood Road
Denewood Road (between Broadlands Road and Stormont Road)
Gaskell Road
Hampstead Lane (between the eastern arm of Bishopswood Road and Compton Avenue)
Kenwood Road
Sheldon Avenue
Storey Road
Stormont Road
Yeatman Road

Petition to improve safety on North Hill, Highgate

Lynne Featherstone crossing North Hill with Highgate councillors Bob Hare and Rachel Allison plus local pensionersHighgate’s three councilors (Rachel Allison, Bob Hare and Neil Williams) are campaigning to improve safety for pedestrians wanting to cross North Hill near Church Road.

Pensioners from the Mary Fielding Guild joined them and myself for a photo op to highlight the problems and launch the campaign a few days back and we’ve now got an online petition too – I hope you’ll sign it to help the campaign.

As Rachel put it, “At present there is little time for pedestrians to cross safely. This is a route to school and directly opposite a popular doctor’s surgery. It’s clear we need a proper pedestrian crossing.”