Barry Gardiner calls for Hydrotherapy Pool closure to be paused, release of documentation regarding the decision and review of decision in consultation with service users

 

A patient and physiotherapist in an Australian hydrotherapy pool

 

Barry Gardiner MP for Brent West is due to meet Pippa Nightingale, CEO of London North West University Healthcare Trust after her decision to close the Northwick Park Hydrotherapy Pool has resulted in a collective complaint by staff and uproar among patients.

 

In her response to a letter from Barry Gardiner the CEO merely repeated what was in the Trust's reluctantly issued press release.

 

This is the exchange:

 

Dear Ms Nightingale,

I hope this letter finds you well. 

 

I write on behalf of multiple constituents who have contacted me in relation to the impending closure of the hydrotherapy pool at Northwick Park Hospital. I understand this is due to happen at the end of this month, so I would be grateful if you could please treat this issue as a matter of urgency. 

 

I understand that service users were not consulted on the decision to close the pool, nor were they formally notified of the closure in good time. I understand that instead, patients were abruptly informed by reception staff that they could not book any sessions beyond the end of this month. 

 

I understand that the hydrotherapy service provides life-changing treatment to many service users who suffer various limiting and painful conditions. I am told by my constituents of its immeasurable benefits, including one constituent who depends on local access to hydrotherapy to maintain her employment, and in turn her independence and mental wellbeing. 

 

I understand that patients already self-fund their sessions at the pool and they therefore feel that costs currently incurred by the Trust are minimal. I share their concerns that on the other hand, closing the pool will cause deterioration in the patients’ conditions and decrease their independence, resulting in far greater costs for the NHS and social care in the long term. 

 

I am sure you have not come to this decision lightly. However, I would be grateful if you could please: 

 

1.Urgently pause the decision to close the hydrotherapy pool;
2. Release documentation in relation to how the Trust came to this decision;

3. Review the decision in consultation with service users.

 

If there is no way the closure can be avoided, I would be grateful if this could at least be delayed and for the Trust to assist with referring patients to suitable alternatives. 

 

Thank you for your attention to this matter. I look forward to your response. 

 

Yours sincerely,

Barry Gardiner

 

Dear Barry, 

 

Thank you for your letter of 22 July regarding concerns about the closure of the hydrotherapy pool at Northwick Park Hospital. 

 

I can confirm that the hydrotherapy pool will close on 30 August this year. This is one month later than originally planned to allow more time for engagement with service users, and I hope that this provides you with some additional reassurance around the work we are doing in this area, as you ask in your letter. 

 

We are engaging with our Patient and Carer Participation Group about the pool closure and will take into consideration any concerns that are raised through that forum. While this discussion will not impact upon the decision, it may affect the way in which we manage or communicate the change. 

 

As part of communicating with the pool’s users, we are providing information about all alternative local providers of hydrotherapy. This includes the nearby Royal National Orthopaedic Hospital which has a much larger facility with accessible steps and a hoist. We are therefore assured that all those who use the service will have suitable alternative options.

 

As you note, closing the pool is not a decision we have taken lightly. I would like to reassure you that the decision follows completion of a full quality and equality impact assessment. 

 

We fully recognise that the pool is a popular resource, especially among fee-paying users, who make up most of its users. However, hydrotherapy is not usually provided in acute hospitals, and the new NHS 10-year plan makes a clear distinction between services that should be provided in acute hospitals and those best provided by community services. 

 

You will also be aware of the changes to the NHS financial regime this year, including the funding cap on elective activity. It is now therefore essential to focus all our resources on providing care to acutely unwell patients, and not the funding of community services. This means concentrating efforts on faster diagnosis, expanding surgical and outpatient services, and providing effective ward care so patients can be discharged promptly and treated equitably. 

 

Despite fee-paying users, upkeep and maintenance means the pool has operated at a financial loss to the Trust. If we continued providing this community service, it would reduce the number of appointments we can provide for our acutely unwell patients, resulting in longer waits for essential care. 

 

I appreciate there are aspects around the balance between acute care and community services that you may wish to discuss further. If so, I would be very pleased to arrange a meeting. 

 

Yours sincerely,

 

Pippa Nightingale

Chiel Executive

 

Why we cannot let Gove get rid of our teaching assistants and instead should celebrate them

The role of Teaching Assistant (TA) has been transformed over the last decade or so. The role has been extended and professionalised from the old days of washing up the paints and tacky backing work cards.

Now TAs are involved in teaching 1:1 and in small groups, often through 'Intervention Programmes' for phonics, literacy and maths. Others may carry out speech therapy and physiotherapy with pupils after being trained by the professionals who no longer deliver the programmes themselves. Some act as mentors or counsellors to pupils experiencing problems.

TAs take part in education and training and qualifications such as NVQ :Level 3 or equivalent are required. A recent phenomenon has been graduates taking on the role in order to gain some experience in teaching before undertaking a post-graduate training course.

What they have in common is low pay and usually a 'term-time only'  contract. The cliché 'overworked and underpaid' really does apply: along with 'undervalued'. As spending cuts bite and schools look for 'savings' TAs are more easily dispensed with than teachers and Government questioning of their effectiveness doesn't help.

A further strength, often overlooked but one that I valued as a primary headteacher, is that they are usually part of the local community, know the families out of school as well as in school, and are the public face of the school on the street when often, particularly in cities, teachers live some distance away and commute to work.

Now Unison and the website TeacherRoar have launched a campaign to celebrate the contribution of TAs and, based on my experience in schools and the many wonderful TAs that I have seen in action, one that I am pleased to back. @TeacherROAR has been tweeting TA celebratory stories which will culminate in a Day of Celebration of TAs on Friday November 29th.  Further information can be found on the Unison website HERE and on the TeacherROAR blog HERE

I am grateful to TeacherROAR and Sarah who normally blogs HERE for permission to reproduce an account of her mornig's work as a Teaching Assistant.  Here it is: 

I received an email yesterday from my union. I am a member of Unison and the email was to tell me about a day - 29th November 2013 - a day to celebrate Teaching Assistants. Now why would they be wanting to do that? Why celebrate Teaching Assistants? Well, the reason is because if the UK Government has its way there might not be any Teaching Assistants in schools in the future.

Unison is fighting to save Teaching Assistants. The Government has decided that Teachers can do the job of Teaching Assistants. We are an expensive luxury.

So, let me tell you a little bit about my day and you can decide whether I am an expensive luxury and whether my Teachers can do my duties instead.

I am paid, as are my colleagues, from 8.50 am. I actually arrive each day at 8.25 am and start to prepare for my day. I help my Teacher welcome the Year 1 children and look after any of them who are upset or wobbly that day. I am there for any parent who wants to chat. If a parent needs to chat to my Teacher, I take the children in so they don't have to stand in the cold.

I have organised a rota for myself, (in my own time,) so that I can fit in all the children who need extra help. Working from information collated by my Teacher I have organised the children so that all of of them can reach their potential. By 8.50 I have started 1 to 1 work on phonics, handwriting, reading, number work.At 9.05 I bring out my 2nd group for 15 minutes, catching up on phonics, High Frequency Words. During this time the Teacher has taken Register and is into the Phonics session.

All the time I am listening to the lesson in the classroom, ready to go in if needed, because there are children who have Special Needs and I might be needed to sit with them. In Year 1 children very rarely have been statemented yet so there is no funding for 1 to 1 support. Therefore the General T.A (me) has to be there for them.

By 9.15 the Literacy Lesson starts and I either sit on the carpet with particular children to support them or spend time writing up my interventions so far that morning ( because I have to provide evidence of the work done with the children). Then I start checking reading books. I either change them or initial that the record has been checked. When the children go to their tables to work I go with them. I know which table because I have spent time (my own time) reading the Teacher's detailed plans, emailed to me each week.

Most of the time I work with the children who find school tricky. The Teacher and I alternate daily with the groups so that she spends time with all the children. There are children who find it so hard to sit still, concentrate, form letters. I am there to encourage, push, support, explain.

It's amazing the number of ways you can find to explain a single thing! And it's amazing how many children find the simplest thing (to you and me) impossible to grasp. If I or the Teacher wasn't sitting with them they would not know what to do, how to start. One of my greatest skills is patience. To find yet another way to explain something, but to do it with kindness and humour is what I love to do. And at the same time as I am helping this child there are another 5 on the table who need me too.

Of course the Teacher could sit with them ... but what about the other 25 five year olds?

By 10 am its time for Assembly and I keep a group back to read with. I read with every child in the class at least once a week, assessing their skills and giving them tips and encouragement as we go along. Whether that child gets lots of support at home and loves to read or receives minimum support and finds reading hard, hard, hard -  I find the way to help them achieve their best, help them enjoy reading. The joy of seeing a child move up a level or get excited about a book is just wonderful.

After break (10 minutes) I read the story while the Teacher reads with another group (they try to read with every child once a week too).

Then it's Maths and the same sort of support as I have given in Literacy. My last group goes out with me at 11.50 for a quick recap on numbers - formation, number lines, counting. Then at 12 it's time for home ...

But we don't go home do we? Most T.As in my school stay and get the jobs done that they couldn't do in the morning...like changing reading books, putting up displays, changing the role play area, filing ... It's a rare day that I go home before 12.35 and some days I stay until 1pm, an hour over my paid time. Obviously this is up to me. It's my choice that I stay, but then that's the sort of people T.As tend to be. We don't do our job for the money, we do it because we love it, love the children.

An ordinary morning is what I have described above. I haven't told you about my playground duties, my chats with children whose parents are breaking up, whose granny has died, who have seen their dad beating up their mum... I haven't told you about the chats with parents who are worried or don't "get" phonics. I haven't mentioned helping children who have wet themselves or been sick everywhere or had a massive nose bleed.

Of course the Teacher could do all these things too. She gets into work at 7.30 and stops for lunch at 12.55 ( 15 minutes break ... soooo lazy!!) then works through until 5.30 when she goes home sorts life out for her own children and then carries on with school work. The thing is though that if she did my job, the things I do, then when would she actually be teaching? Or maybe we should just forget about all the small groups I take out, forget about reading with the children?

There are Teaching Assistants in my school who work 1 to 1 with children who are autistic or have long term illness, children with behavioural problems who, if left to their own devices could be dangerous both to themselves and other children. Without their T.As these children would be lost. As it is, their parents have to fight for help. How could they access education without the care and 1 to 1 support of a Teaching Assistant? T.As deliver physiotherapy programmes, Speech and Language interventions, administer medication...

Teaching Assistants are the unsung backbone of the education system. We work for just over minimum wage and we work because we choose to give our best for the children in our care. In my school the T.As are hard working, intelligent (many are Graduates) and very caring. Often it is the T.A who has the time to sit and listen to a child, who picks up on the underlying problems a child faces. We are part of a team, with our Teachers, trying to create an environment where children can learn and enjoy learning.

Teachers work incredibly hard already. If we were not there to do the things we do then I really hate to think what would happen to the children who need us. Teachers cannot physically do their own jobs and ours. It's impossible. I despair at the short sightedness of the UK Government and their plans.

If you have a child in school then please celebrate how fortunate they are, not only to have Teachers who work their socks off, but also Teaching Assistants who do their best to support, care and guide. It has been a long time since all we did was wash up paint pots.

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