The Whittington's future shape

Iwent to a meeting at the Whittington on Thursday night – held to begin the discussion about future health services with key stakeholders. 

We were all sat at tables and the facilitator got each table to do the usual note taker plus rapporteur on the conversation had at the table. The question posed – was pretty broad – in that it asked what was important to us in taking forward the Whittington.

The threat to the A &E and maternity has gone for now. However, we need to not only be vigilant as the future shape of services at the Whittington, in the community and in primary care, come forward – but remain engaged and watchful about what decisions are taken about health services locally. Hence – it will be very important that local people (whose passion and power combined with a timely general election) saved the Whittington – to take part in these meetings – of which this was just the first.

What was heartening was the thoughtfulness and considered ideas that came forward from each table during the feedback session. The most obvious was that everyone wanted local emergency and health services near to where they lived and easily accessible. But there were a host of suggestions about integrated care, the transition from hospital to home, the need to keep core services to ensure that A&E and maternity were supported, the possibility of looking at what (if any) savings could be made between the three hospitals (UCH, Royal Free and Whittington) working out between them who did what on special services maybe – and really a lot more – including GPs being more involved with the hospital, concerns that private contracts would increase and a recognition that the population that depends on the Whittington has low car ownership, often has English as a second language, needs public transport to access services and so on.

Despite the fact that there will be a real terms increase in the NHS budget (of 1%) the increase in population around hte Whittington and increasing demand for services will rise 6% – so savings will have to be found.

It is crucial that we fight for the services we want.

Catch up

Came back from conference Wednesday night – and went straight off at 6.30 next morning to the Women’s Business Forum being held in Leeds. Heather Jackson, in nine months, had brought together the key women in the region for this forum – an amazing feat.

From a government point of view (I was there to speak on what we are doing about Women on Boards) it was very very interesting. I heard a few speakers before me – one of whom was talking about the woman as purchaser. Any business listening to that speech has to know that to not have women on their board bringing that dimension to the boardroom is hitting their bottom line. And that’s the point – it’s not women for women’s sake – but it is about good business. An executive director from M&S, an academic from Cranfield who had done some amazing research on women in the FTSE and many more – all told from different vantage points – the same story. There were lots of men in attendance – and talking to the Head of Diversity at Barclays Wealth – I was much encouraged about a real feel of a change in attitude. It’s the bottom line!

Friday was firstly a visit to Duke’s Avenue GP practise – who have stepped forward to help me with my quest (pushed by the  brilliant Phoenix Group for the blind and partially sighted) to change their patient IT record to flag up what format their blind and partially sighted patients want to receive information in. This dove-tails with my work with the Whittington Hospital who at their end are keen to take referrals from GPs with this information so they too can flag up on their IT system which format would be suitable. Very heartening!

Followed directly by popping into a coffee morning in Muswell Hill where a local mum had organised the annual McMillan Nurses coffee morning – to raise funds for this fantastic charity and the amazing work they do. There are few of us who are not touched by cancer at some point in our lives. McMillan nurses came to my sister’s house for the last two days of my mother’s life – and they literally were angels.

Surgery all afternoon as usual.

On Saturday I had the pleasure of celebrating the 50th anniversary of the Highgate Counselling Service – a fantastic group who for 50 years have provided counselling for anyone in the community who needs it. Now situated in Tetherdown Halls – there is no charge – so anyone can go regardless of ability to pay. If people can afford it – then a donation is of course very welcome. Most people stumble at some point in their lives and having someone to talk to and to hold us safe at our periods of greatest vulnerability is invaluable.

And on Sunday went to say a few words at the start of the Whittington Hospital 5K charity run. This year it is to raise funds for elderly care at the hospital. There was a huge turn out – and it was a real pleasure to see (as always) how much people love the Whittington. As I have managed to fracture my foot (again) I wasn’t running – but about 450 others were!

Haringey PCT remove out of hours walk in clinic

Harringay online (award-winning local site) alerted me to rumours about the closure of the out of hours walk in facility at the Hornsey Hospital Community Health Centre. A letter arrived at the same time – so here it is in black and white. I have contacted them urgently on this and Cllr David Winskill (health spokesperson for Liberal Democrat council group) is in process of getting a meeting with them.

This is the same sort of shambles as we saw over the proposals they put forward on the Whittington A&E – ill thought out and without consultation. The PCT this time have summarily removed the service – suspended – pending evaluation because it is too expensive to continue whilst the evaluation is going on.

As this service is delivering on one of the promises made in terms of what would be in the new centre to get local people on board – it is totally unacceptable to remove the service – let alone without consultation.

As to cutting costs – well perhaps a few of the high salaried jobs could go in administration instead of a front line service as a first stop. There’s a novel idea!

Dear Ms. Featherstone

Re: Walk in centre at Hornsey Central Neighbourhood Health Centre 

I am writing to inform you about NHS Haringey’s plans for the provision of the 8 – 8 GP led health service at Hornsey Central Neighbourhood Health Centre.

NHS Haringey commissioned the pilot walk in service in April 2010 for people who required medical attention outside of normal GP practice hours; at weekends and also during normal hours but without having to make an appointment. 

It was always our intention to review the service after completion of the pilot phase to see how it complemented the other ways of accessing care, including NHS Direct, our out of hours services and extended GP opening hours. We recognized that we would need to establish whether the walk-in service was the best way of providing urgent unscheduled care and was not duplicating other GP extended hours services or being used as an alternative to General Practice appointments.

The pilot was due to finish on 31st July 2010; however, we extended it for another month and will now suspend the pilot from 1st September 2010 .This is to ensure we have sufficient time to put in place effective communication plans.

We recognize that this temporarily removes a service that has been of value to many patients.  Under ordinary circumstances the preferred option would have been to continue the pilot whilst completing our evaluation.  However, due to a rise in the payment required for the GP out of hours service this is no longer an option for the PCT. 

We have put in place a communications plan to inform the public that the service is no longer available, and signposting them to the other ways that people obtain medical advice and treatment.  These are:

NHS Direct:  0845 46 47

Out of hours service:  020-7388 5800

Seeking advice from your local pharmacist

Accident and emergency centres at The Whittington and the North Middlesex

 I would also like to stress that NHS Haringey is committed to ensuring that Hornsey Central Neighbourhood Health Centre is a key community asset for the provision of Primary and Community Care services in the area.  Services that are already provided at the centre include: GP Services provided by the QMP for their registered patients during normal opening hours and some extended hours, physiotherapy, foot health; speech and language therapy; midwifery and health visiting; counseling; sexual health clinics; minor surgery;  dermatology outpatient clinics and diabetes outpatient clinics. We are working very closely with the Whittington Hospital to provide new clinical services including gynecology and obstetric outpatients. .

Once the pilot has been evaluated we look forward to updating you on future arrangements at Hornsey Central Neighbourhood Health Centre.

Yours sincerely

Tracey Baldwin

Whoosh!

Here is my column – published in the Ham & High on Thursday:

It seems only a moment since the election of May 6 ushered in the new government – the Coalition. This ‘new’ political title which was strange only a few weeks ago has now passed into the lexicon of daily political life. The Coalition this and the Coalition that.

The ‘Five Days that Changed Britain’ documentary by Nick Robinson (BBC political supremo) told the story of the negotiations – who said what to whom and when. But once that electrifying and uncertain period was concluded – and the Coalition was born – in one mad dash to the summer recess a new entity has been in play.

Listening to ‘phone ins on the subject – it would seem that the vast majority of people are giving the coalition a chance. It’s the same for me. That journey – from realising that the country had not given any party an absolute majority to recognising that a coalition was the only real way forward – to the agreement with the Conservatives – was undoubtedly a political roller coaster to beat anything I had ever been part of in my time in politics.

And a new entity it is – and giving new headaches to the old, traditional ways of opposing and reporting too. Neither the media nor Labour knows what to do with this new phenomenon. The media is obsessed with tensions and splits – but it is a no brainer that there are differences between the Conservatives and Liberal Democrats. And Labour’s scream of anger and entitlement is unimaginative and predictable. Given Labour spent their thirteen years of government blaming the Tories for everything wrong in this country – they seem strangely unwilling to acknowledge any contribution to the state we are in.

But old politics always looked backwards and I want to look forwards. One of the most liberating and energising parts of this new Coalition is that the future is far more open than ever before. The possibilities – as we come out of the recession – for growth nationally, as communities and as individuals is tremendous. The old and very tired, restrictive and stultifying era of Labour’s iron grip on everything is over.

There were some very good things that happened under Labour – Sure Start being one and the reduction in waiting lists for hospital treatment another. But there were also very bad things that Labour did – the Iraq war and detention without charge to name but two and closer to home – seriously underfunding Haringey schools and trying to close the Whittington A&E.

But more insidious than the obvious – the encroachment of control from Whitehall was disabling us. The former government issued thousands upon thousands of pages of bureaucratic instructions to teachers for example – inhibiting teachers from doing what they do best – teaching. Endless tick boxes for social workers to the point where filling in forms took the place of use of their critical faculties and their professional capability. We were going around in ever-decreasing circles with less and less freedom and more and more conformity. The loss of local and individual power was tangible. I saw it every week in my advice surgeries.

It’s very, very difficult to get that balance right – the balance between state intervention and freedom – between helping and enfeebling.

As the Coalition agreement forges ahead – yes of course – I have concerns that babies must not be thrown out with bathwater. I am still a Liberal Democrat and we are working with the Conservatives to an agreement. We are not joined at the hip! The pending spending review looms over us. The Big Society is undoubtedly a better idea than the nanny state – but the line between public service provision and what can be added by the Big Society is a critical one. The Coalition, in our haste to free ourselves from inappropriate shackles, must be mindful of this.

What sustains me and us – is the good that we can do. We will get the ‘pupil premium’ – money going into our schools following children from underprivileged backgrounds (e.g. those with special needs or eligible for free school meals) – that will help every school in Haringey. The tax threshold is raised and will go higher every year until no one pays any tax on their first £10,000 on earnings – taking the low paid out of tax altogether. The earnings link to pensions will come into force. The prison system will be renovated to be effective – not vindictive. Id cards are all but gone. The counter terrorism review will address control orders and detention without charge.

One of the best things about the coalition is the fact of politicians from different parties working together. People certainly seem to like that. I like it too.

MP takes fight for accessible health information for Haringey’s blind and partially sighted to GPs

Stepping up her fight to improve access for blind and partially sighted people to information from local health services, Lynne Featherstone MP has this week written to all local GPs urging them to provide details of their services in Braille and audio formats.

This latest initiative follows a successful drive in February by the Hornsey and Wood Green MP to get the local Whittington Hospital to agree to produce information about their services in formats accessible to blind and partially sighted people. But to ensure the whole local healthcare system offers accessible formats, as required under law, and for the information to be included in referrals to the hospital, GPs need to follow suit too.

Lynne Featherstone MP comments:

“It’s great that the Whittington is continuing to extend the service of providing health information in accessible formats, but for the local health system to be fully accessible, GPs need to do the same.

“That’s why I am calling on them to act now to provide details of their services in Braille and audio formats. We all have the right to keep health information private, and I will continue fighting to make sure that is the reality for blind and partially sighted people locally too.”

Whittington A & E revisited

As I said at the rally to celebrate saving the Whittington A& E – we have to keep this in focus and remain eternally vigilant. The coalition government called a halt to the reconfiguration process (hurrah) virtually as soon as we were in Government but we need to be on the ball.

To this end I met with the Minister, Simon Burns (hospital finance and performance) yesterday to make sure we all know what’s happening. The Minister had brought in all the key players from the Chair of GP commissioning to Rachel Tyndall (who chaired the review and was key at the public meeting I organised during the campaign to save the A&E).

Ok – so the key things are that – phew – the review has started! The Minister assured me (and Cllrs Winskill and Butcher who accompanied me) that unlike under the last government who claimed closing the A&E was a local decision (whereas we know it had nothing to do with local peoples’ wishes) this time it would be genuinely local as the Government edict imposed that as a duty on the North London Sector Review panel. And there are clear lines of accountability.

For the first time I heard with my own ears North London Sector admit that there had been faults in the previous process – which is a start – given the continual denial of all the issues local people raised. The litany was clear: accessibility (no one can get to the Royal Free), the out of hours GP services to take the non-A&E cases that currently go to A&E don’t exist; the Royal Free couldn’t cope with an extra 35,000 people (even if they could get there) and so on and so on, no clinical evidence, etc – all the very good cases local people made.

Watch this space – and if you hear anything too – let me know immediately! 

 

The “right decision” for residents say Liberal Democrats as the Whittington is saved

Whittington Hospital celebrationIn response to the announcement by the government that the Whittington Accident and Emergency department will not face closure, Lynne Featherstone, Liberal Democrat candidate for Hornsey and Wood Green comments:

“This is fantastic news, and such a brilliant testament to the fact that the power of local people and our campaign has worked!

“This is the right decision for local residents. I have been fighting tooth and nail together with my Liberal Democrat colleagues and local residents to keep our vital health services open since the disastrous plans were leaked to me last October.

“I am ecstatic that we have been successful in forcing faceless health bureaucrats to back down.

“Nick Clegg has given cast iron guarantees that he will not close the Whittington, and I will certainly be holding Labour to their last minute promise – and make sure this is not just a hollow election pledge.

“Thanks so much to all local residents, campaigners and activists who have given so much to help save the Whittington.”

Robert Gorrie, Leader of Haringey Liberal Democrats adds:

“Local residents have forced the Labour Government to listen to them, but let’s not forget that it was a Labour government that let the faceless bureaucrats put these plans on the table in the first place.

“The plans to change health services in north London are still ongoing – NHS London need to come clean on what the remaining plans will mean for people in Haringey.”

Whittington saved – for now!

Went to speak at the rally outside the Whittington Hospital. Hurrah! It’s saved – for now. But we must remain vigilant. Norman Lamb, Liberal Democrat Shadow Secretary of State for health came down too to speak.

There never was a case for closure. No proper analysis. No community facilities available to take the 35,000 people who could be treated outside of an A&E. No room at the Royal Free for the 45,000 who would still need A&E. No rigorous analysis of cost benefits. No rigorous analysis of travel. It was the worst presented case for change – ever!

And it happened because unelected, undemocratic quangos executing Labour Government instructions think we are just nothing. They make paper solutions that just don’t fit real peoples’ lives. Same as when Labour closed our local sub-post offices. They don’t seem to understand that public services should be based on our needs, our wants -not their charts and graphs.

Let’s hope Liberal Democrats are the ones who will take our health services forward – that way we would know that never again would we have to be dictated to and have the very fabric of our lives threatened by faceless bureaucrats.

Thank you to all the people – who are the stars of this success. Let power flow back to local people and let’s listen to the  doctors and nurses who know so much about what makes our health service work!

Ham & High hustings

It was the Ham & High, Hornsey & Wood Green hustings last night.

Streets must have been empty of Labour activists – as they were all in the hall! I recognised most of them. Planted questions and prepared answers – very Gordon Brown.

Labour activists in the hall didn’t seem that interested in the Whittington A&E, nor fair funding for our schools or fairness in the tax system – they appeared interested in one thing – whether LibDems would prop up a Cameron Government. Nick Clegg has made it quite clear that our four key pledges on fair taxes, fair funding for our schools, green jobs and clean, reformed politics are what matters and that we have to wait to see what the people say on May 6. It is not for politicians to decide – but the country. He also said he would work with anyone – even the man in the moon – to delivery our fairness agenda.

By the third time of asking another chap jumped up – same question. Same answer – obviously!  This was Steve Hart, Chair of the Hornsey & Wood Green Labour party – not that he mentioned that!

Still as I say – great to see such a large number of Labour activists tied up in the hall and not out campaigning.

Judging by the line Labour were taking in the Ham & High this morning – Labour are clinging to a desperate hope that they can scare people into voting Labour.

Vote LibDem – get LibDem – I say!

Thank you for the opportunity of a lifetime

Here’s my latest column for the Ham & High:

I never imagined when I was at Highgate Primary School, playing kiss chase in Highgate Woods, going to Muswell Hill Youth Club, being dropped at my aunt’s net curtaining shop in Wood Green High Road to play in the back whilst my mother went to work – or even later – when I was getting married at Haringey Civic Centre – that I would become the MP for Hornsey & Wood Green.

It makes travelling around the area rather strange now, because it’s not just my home but also my place of work and even if ‘off duty’ I see the signs of work all around – such as the 603 bus route I spent many years campaigning for with residents, the re-opened police station front counter, the double yellow lines to make a junction safer, the council flat that needed nagging to get repaired, the green space saved from over-development and so on.

It has been a great pleasure – and a privilege – to have had the opportunity to move on from being a councillor and a London Assembly member to having the platform of Parliament from which to help and run those campaigns.

I make it 28,000 plus people that have got in touch and I’ve helped over the years. Across them have been all manners of issues and questions and problems and challenges. There have also been some repeated themes. Often when people come to me it’s because they are angry – angry at how the government or the council has let them down, ignored them or forced an unwelcome decision on them.

From the war in Iraq, being complicit in torture, closing our vital local Post Offices and giving our schools less funding than over the border in Hackney through to the threats to the Whittington’s A&E – Labour have not understood how important are our principles and how vital the fabric of our life.

Even after all the campaigning to save the Whittington’s A&E, we still have the comments from Labour Health Secretary Andy Burnham only last week which led the Daily Express to report that, “Labour believes closing maternity units and A&E departments at local hospitals is the “right thing to do” to improve NHS care.”

With all our campaigning we may have frightened the government into saying nice words about the Whittington A&E at the moment, but with that attitude from right at the top in the NHS, what chances the future for the A&E under Labour? Lib Dem leader Nick Clegg has stated unequivocally that he will not let London North Central NHS close the Whittington A&E – making him the only Party Leader to do so.

On the Whittington, as on many other issues, there is still much to be done. I know some people are cynical about politicians who only pop up just before an election, suddenly declaring their commitment to an area and making promises for the future.

Well in my case – you can judge me not just on my promises for the future, but my record too. If you take a look at my website,www.LynneFeatherstone.org, you can read my blog and news releases from over the years – in and out of election time! – with more details about many of the issues the 28,000 have raised, the questions I’ve asked in Parliament and the campaigns I’ve led or helped with.

I’m not standing for re-election promising that I’ll start doing things for our community; I’m standing for re-election because I want to continue winning victories for our community.

It has been an absolute privilege and a pleasure to serve the people of Hornsey & Wood Green. I remember the night in May 2005 when I was elected to Parliament pledging in my acceptance speech to be the hardest working MP this constituency had ever seen. And I hope that people feel that I have delivered on that pledge.