WLMHT seems to want to turn itself into a Foundation Trust. Cynics will argue that WLMHT wants this status so it can earn revenue from offering mental health services to non-NHS patients i.e. to private patients. Cynics might also argue that WLMHT does not have adequate human and facility resources to provide a resilient service to NHS patients, never mind adding non-NHS patients to the workload. I have met some very talented, caring and hard working WLMHT staff. My suspicion and concern is that there are just not enough of them to deal with \u00a0today\u2019s workload. – never mind tomorrow\u2019s.<\/span><\/p>\n <\/p>\n
Is Jeremy Hunt Attempting to Micromanage the NHS?<\/b><\/p>\n
<\/p>\n
Jeremy thinks that GPs should proactively monitor and manage the care of the frail and elderly when they are in hospital, at home and in care homes. This surely is cloud cuckoo land. He also thinks that all A&E staff should have to have flu jabs. More flexible work hours for carers is another of his big ideas. Not enough on site consultants in A&E departments overnight is another one of his top gripes.<\/span><\/p>\n <\/p>\n
And he also wants to breed NHS super managers by spending \u00a310 million on sending them to Harvard Business School. Clearly world ranked London Business School is just not up to it as far as Hunt is concerned. He\u2019ll also top up these selected managers\u2019 two month jollies in Massachusetts with a stint at the convicted criminal monopoly maintainer Microsoft. Oh dear\u2026 <\/span><\/p>\n <\/p>\n
However, if you thought Government ministers were appointed to propose policy, think again with Mr Hunt. With regard to NHS nurses covering their faces (with burkas, for example) he is ducking the issue and passing the buck onto the GMC. Just 17 hospitals in England have banned front line staff wearing the veil. Balancing the issues of effective service delivery, hygiene and religious beliefs and practices can\u2019t be easy \u2013 but that\u2019s why Hunt gets paid the big bucks to fashion policy, not to do a Pontius Pilate on it.<\/span><\/p>\n <\/p>\n
Pocket Money for Ealing Hospital Won\u2019t Shore Up A&E this Winter<\/b><\/p>\n
<\/p>\n
And he\u2019s dipping into the NHS petty cash to the tune of \u00a355 million to attempt to stave off winter time A&E collapses in Ealing and West Middlesex Hospitals and in eight other London hospitals. So, yet again the Government\/NHS takes money away from funding local healthcare services and with the other hand gives some of it back. And just how can that money-at-short-notice be spent? Probably on hiring private sector nurses, doctors, consultants and healthcare service suppliers on very expensive short term contracts.<\/span><\/p>\n <\/p>\n
But we won\u2019t get much extra help at Ealing Hospital according to the Ealing Gazette. The extra cash for Ealing is only \u00a33 million \u2013 much less than the NHS paid McKinsey & Company management consultants to come up with the \u2018Shaping A Healthier Future\u2019 plan which will destroy Ealing Hospital. The Gazette also quoted an August 2013 report sizing Ealing Hospital\u2019s A&E staff count at 76 \u2013 way below its full complement of 106 staff. According to a BBC5 FOI request A&E understaffing is on average 10% – so Ealing Hospital A&E staffing is worse than most. <\/span><\/p>\n <\/p>\n
However at the Ealing Hospital Trust Board Meeting on 26 September the HR Director assured Ealing Trades Council Save Our NHS Campaign observers that there were no problems in recruiting staff to Ealing Hospital. Campaigners also raised issues of patient safety, merger, service and equipment removal and lack of community engagement. Active Chief Executive David McVittie \u00a0agreed to meet the campaigners at a separate meeting to answer all of our questions.<\/span><\/p>\n <\/p>\n
Ealing Council Reject or Ignore Any Assistance Offered by Local Activist Groups and Expert Clinicians in Fight to Save Ealing Hospital<\/b><\/p>\n
<\/p>\n
Just what is it about Ealing Council that seemingly makes it unable to work in collaboration with local activists, NHS experts and concerned and knowledgeable clinicians? <\/span><\/p>\n <\/p>\n
I have read over 10 excellent Independent Review Panel submissions written by activists, NHS experts and clinicians. On 31 August 2013 Ealing TUC Save Our Hospitals group sent many of these IRP submissions to the Ealing Council Cabinet Healthcare portfolio holder, Councillor Patricia Walker. Not so much as an acknowledgement has yet been forthcoming.<\/span><\/p>\n <\/p>\n
A local clinician has compiled some very compelling treatment inequality data \u2013 for which he is an acknowledged practising expert. \u00a0However hard he tries, Ealing Council\u2019s in-house and external experts do not even want to discuss this \u2018new\u2019 avenue of approach to save Ealing Hospital.<\/span><\/p>\n <\/p>\n
ECCG\u2019s Dr Parmar is Again a No Show as 100+ Turn Up to Hear and Question Her at Ealing Town Hall <\/b><\/p>\n
<\/p>\n
Seniors Action Group Ealing organised an event on 11 September 2013 to discuss changes in our health services. 100+ turned up to quiz Ealing Clinical Commissioning Group (ECCG) Chair Dr Mohini Parmar but she failed to show up – much like she failed to turn up at organised public events in 2012 on 26 September and on 11 October.<\/span><\/p>\n <\/p>\n
Ursula Gallagher, Borough Director NHS, Ealing filled in. She boldly announced that she did not know much about the current healthcare situation in Ealing as she had been away from Ealing for a year. We also had a weak presentation about the toothless Healthwatch Ealing body.<\/span><\/p>\n <\/p>\n
Dr Kaur, Interim Director Public Health, Ealing spoke about stroke and heart attack care service improvements brought about by centralisation of care. Impressive – but these attacks are only 3% of the A&E inflow. So it\u2019s somewhat irrelevant to the audience\u2019s main issue which was Ealing Hospital decimation of A&E, Maternity and Paediatrics.<\/span><\/p>\n <\/p>\n
The quality of the event came from the angry patients and carers in the audience. Questions there were many, but factual answers there were few. The NHS representative was clearly not aware of NHS\u2019s Dr Mark Spencer\u2019s public statements of demolition and home building plans on the Ealing Hospital site.<\/span><\/p>\n <\/p>\n
There was real emotion and anger from the floor concerning the proposed closure of the successful and well liked Clayponds Hospital.<\/span><\/p>\n <\/p>\n
I asked for details on how many of the 79 Ealing GP surgeries had signed up to provide mental health primary care services. I asked how many of the 207 GPs in Ealing had received mental health primary care training this summer as promised to us in July. The ever smiling Ms Gallagher supplied no answers.<\/span><\/p>\n <\/p>\n
ECCG Refuses to Answer Questions<\/b><\/p>\n
<\/p>\n
On 12 August 2013 I sent the letter detailed below to the Chair of ECCG. Over six weeks later and no answer has been forthcoming:<\/span><\/p>\n <\/p>\n
\u201cDear Dr Parmar,<\/span><\/p>\nBelated thanks for your letter to me dated 11 March 2013. I have enclosed a copy of your letter.<\/span><\/p>\n <\/p>\n
\n- In 2.in your reply the fact that ECCG\/NHS England allows Governing Body members to have shares in Harmoni\/Care UK and in other private healthcare suppliers is deplorable. Still with 70 MPs and 120 Peers in the House of Lords having direct or indirect financial interests in the private healthcare industry I suppose you are in good (bad) company.<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- In 3. in your letter you say that \u2018the majority of Ealing GPs supported clinical change\u2019. Where is the evidence for this? How many of the 208 Ealing GPs voted for the SAHF proposals?<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- In 4. you talk about \u2018an Out of Hospital Strategy\u2019 that we have shared with you\u2019. I am really not aware that you have shared that with me. Please resend it to me.<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- I note that ECCG has now been a statutory organisation responsible for commissioning some 60% of NHS healthcare in Ealing for over three months. I have attended one ECCG Governing Body (GB) meeting and studied the documentation provided at this and other GB meetings. For the absolute lay people these documents are mostly unintelligible. This is unhelpful and does nothing to promote understanding and transparency with regards to the activities and performance of ECCG. Might I suggest that ECCG creates and maintains a glossary of the many acronyms used in the reports. Also the average person in the street cannot understand terms like \u2018underspend\u2019, \u2018overspend\u2019, \u2018adverse\u2019, \u2018favourable\u2019, up arrows, down arrows and horizontal arrows. Graphs are fine but \u00a0when it\u2019s not obvious what downward travel or upward travel actually means then no universal \u2018communication\u2019 is taking place.<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- Can you explain what the \u00a377,000 budget is for \u2018Chair and Lay Members\u2019. Is it fees and expenses? In which case what fees and expenses?<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- How can \u2018Shaping A Healthier Future\u2019 be \u2018making progress\u2019 when four of the hospitals being proposed for downsizing are subject to IRP examination and Ealing Council is pursuing a Judicial Review of the SAHF process and proposals.?<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- In an age of financial austerity how can the ECCG possibly justify an annual spend of \u00a3105,000 on \u2018Communications and Public Relations\u2019? To rub salt into the wound Month 3 figures show an overspend\/deficit of \u00a310,000.<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- Which clinical contracts were transferred to ECCG under Section 300-302 of the Health & Social Care Act 2012?<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- Which services are coming to an end over the next six months? What process does ECCG intend to follow to re-commission these service?<\/span><\/li>\n<\/ol>\n
<\/p>\n
\n- Is ECCG considering alternatives to competition, including:<\/span><\/li>\n<\/ol>\n
<\/p>\n
+ \u00a0a \u2018single tender action\u2019 on the basis that there is only one provider \u2018capable\u2019 of delivering the service<\/span><\/p>\n+ adjusting an existing contract with a provider<\/span><\/p>\n <\/p>\n
Yours sincerely,<\/span><\/p>\nEric Leach\u201d<\/span><\/p>\n <\/p>\n
Dr Spencer, Now a NHS England Big Wig, Attacks Resident<\/b> \u2018Inaccuracies\u2019 on Ealing Gazette\u2019s Letter Page<\/b><\/p>\n
<\/p>\n
Here\u2019s my reply:<\/span><\/p>\n <\/p>\n
Dear Sir\/Madam,<\/span><\/p>\n <\/p>\n
\u201cDr Spencer was the medical architect of the \u2018Shaping A Healthier Future\u2019 (SAHF) plan. He no longer works locally as he recently became Associate Medical Director for Service Design and Quality, NHS England. The SAHF plan, which cost \u00a37 million, will eliminate A&E, Maternity and Paediatrics at Ealing Hospital. His 13 September 2013 letter published by you attacks my 6 September published letter on the basis of \u2018inaccuracies\u2019. Oh dear\u2026.<\/span><\/p>\n <\/p>\n
Why is it that Dr Spencer appears to be the lone voice praising SAHF on these pages? No local residents, consultants, nurses, GPs or surgeons seem moved to write in support of SAHF. Five Ealing residents have recently graced these pages with SAHF criticisms. <\/span><\/p>\n <\/p>\n
Dr Spencer has himself said at public meetings that there will be closure and demolition on the Ealing Hospital site.<\/span><\/p>\n <\/p>\n
Engagement by local stakeholders during the formative stage of plan making is what was and is needed. This did not happen with SAHF. I have interviewed attendees at two if the early NHS NW London SAHF gatherings at Lords and at Wembley. Ealing residents at these meetings offered to work with the SAHF zealots to produce a plan. One of them suggested that scientific rigour required running a small pilot. He even offered to give up huge amounts of time to help SAHF. All his and every other Ealing residents\u2019 views and suggestions at these meetings were completely ignored. This is not community engagement. It\u2019s not even public consultation. It\u2019s sales and marketing!<\/span><\/p>\n <\/p>\n
Dr Spencer writes he is proposing to \u2018move Ealing Hospital A&E\u2019 not to destroy it. Trying to fit Ealing Hospital into Hounslow (West Middlesex Hospital) or into Harrow (Northwick Park Hospital) or into Hillingdon Hospital does indeed destroy local A&E services in Ealing. One wonders whether Dr Spencer passed his Geography O Level or indeed whether he possesses and can interpret a map of West London.<\/span><\/p>\n <\/p>\n
Yours, in sickness and in health,<\/span><\/p>\nEric Leach\u201d<\/span><\/p>\n <\/p>\n
Nurse\/Patient Ratios At Dangerous Levels<\/b><\/p>\n
<\/p>\n
3,000 nurses surveyed by King\u2019s College London revealed that in 43% of hospital wards nurses had more than eight patients to care for. A series of studies have shown that in wards with this nurse\/patient ratio there was an increased risk of patients dying in hospital.<\/span><\/p>\n <\/p>\n
NHS Trusts are desperately trying to recruit more nurses especially abroad as there are no spare indigenous nurses. Nurses from Spain, Portugal and Ireland are being wooed abroad to try and get them to come here and fill up some of the hole left by 5,000 nurses who have lost their jobs since 2010.<\/span><\/p>\n <\/p>\n
The Chartered Institute of Personnel Development recently noted, however, that recruiting more nurses won\u2019t be sufficient if poor management leads to high levels of stress, absence and staff turnover. A lack of investment in training and development is needed along with better use of qualitative anecdotal data from staff.<\/span><\/p>\n <\/p>\n
NHS Salary Differentials Dominated by 13% Rise in Senior<\/b> Managers\u2019 Pay Since 2009 <\/b><\/p>\n
<\/p>\n
\u00a0The Health and Social Care Information Centre (HSCIC) has announced that the average full time NHS worker was paid on average \u00a329,543 this year. Senior NHS managers were paid on average \u00a375,759 this year. Other average salaries were nurses \u00a330,619, doctors \u00a358,813 and hospital consultants \u00a387,584.<\/span><\/p>\n <\/p>\n
The Guardian has also revealed that a total of 291 NHS staff employed by NHS England earn over \u00a3100,000 per year. 62% of these very highly paid individuals are managers. NHS England employs a staggering 6,115 staff to run the NHS. NHS England, an unelected body, has replaced a Government Secretary of State as the body responsible for the day-to-day running of hospital trusts and clinical commissioning groups. It has an annual budget of \u00a396 billion.<\/span><\/p>\n <\/p>\n
The Guardian yet again quotes HSCIC telling us that \u00a0in 2012 700 GPs earned more than \u00a3200,00\/year, with 160 earning over \u00a3250,000\/year. These figures include income from the NHS and from private practice. Interestingly enough the number of high earning GPs has gone down somewhat compared to 2011. The BMA is saying that falling pay, increased bureaucracy and growing workloads are all contributing to GP shortages. The average salary in the UK in 2012 was \u00a326,500 (ONS).<\/span><\/p>\n <\/p>\n
706 GP Surgeries in England \u2018Need to Make Major<\/b> Improvements\u2019<\/b><\/p>\n
<\/p>\n
So says Professor Steve Field the NHS\u2019s first Chief Inspector of Primary Care. He says that too many of the 7,607 GP surgeries in England are not responsive enough to patients\u2019 needs. He\u2019s going to push for seven days a week GP services. Clare Gerada of the Royal College of General Practitioners \u00a0was quick to respond to Field\u2019s plans. She branded them as \u2018unrealistic\u2019. GPs get just 10% of the total NHS budget and an additional 10,000 more GPs are needed now to cope with current workloads. She wants NHS bosses to employ more carrot and less stick when dealing with GPs<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"Why Do I Care? Staying alive and maintaining our health are major priorities for all of us. I guess being safe, having a roof over our heads and food in our bellies must also rank highly. If for no other reason than the survival of the human race, good education for all our children […]<\/p>\n","protected":false},"author":2,"featured_media":1243,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[],"tags":[],"class_list":["post-1251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png","uagb_featured_image_src":{"full":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",1024,512,false],"thumbnail":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2-150x150.png",150,150,true],"medium":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2-300x150.png",300,150,true],"medium_large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2-768x384.png",640,320,true],"large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2-1024x512.png",640,320,true],"1536x1536":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",1024,512,false],"2048x2048":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",1024,512,false],"td_0x420":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",840,420,false],"td_80x60":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",80,40,false],"td_100x75":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",100,50,false],"td_180x135":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",180,90,false],"td_238x178":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",238,119,false],"td_265x198":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",265,133,false],"td_300x160":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",300,150,false],"td_300x194":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",300,150,false],"td_300x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",300,150,false],"td_341x220":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",341,171,false],"td_341x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",341,171,false],"td_511x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",511,256,false],"td_537x360":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",537,269,false],"td_640x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",640,320,false],"td_640x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",640,320,false],"td_681x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",681,341,false],"td_681x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",681,341,false],"td_741x486":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",741,371,false],"td_1021x580":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",1021,511,false],"mailpoet_newsletter_max":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2013\/06\/Traveling-in-London-2.png",1024,512,false]},"uagb_author_info":{"display_name":"Eric Leach","author_link":"https:\/\/ealingsaveournhs.org.uk\/?author=2"},"uagb_comment_info":0,"uagb_excerpt":"Why Do I Care? Staying alive and maintaining our health are major priorities for all of us. I guess being safe, having a roof over our heads and food in our bellies must also rank highly. If for no other reason than the survival of the human race, good education for all our children…","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1251"}],"version-history":[{"count":1,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1251\/revisions"}],"predecessor-version":[{"id":1252,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1251\/revisions\/1252"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/media\/1243"}],"wp:attachment":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}