Astonishingly, no risk assessment carried out on NW London NHS proposals

The NW London NHS proposals for far reaching changes in health provision have not been subject to a risk assessment despite them involving the closure of four Accident and Emergency facilities, including that at Central Middlesex Hospital, and the down-grading of several hospitals in the area.  The proposals affect 700,000 people.

The revelation was made at the August 2nd meeting of the NW London NHS Joint Overview and Scrutiny Committee on which Cllr Sandra Kabir is Brent's representative. Risk registers are a standard method of assessing the risks on a High, Medium or Low traffic light system, establishing the nature of the risk and who is affected, and the strategies for reducing that risk.  Brent Council has such a scheme in its Corporate Risk Register LINK

Instead the authors of the Shaping a Healthier Future proposals proposed that the risk assessment would only be made AFTER the consultation and when the proposals have been approved. This means that councillors and the general public will have no way of assessing the severity of the risk posed to residents,  which clearly could  be a matter of life or death, during the consultation period. In effect they will be making a response without knowledge of the potential impact of the proposals on people's health and well-being.

The committee was clearly concerned and agreed to 'revisit' the issue at a later meeting.Cllr Lucy Ivimy (Conservative, Hammersmith and Fulham) wrote to a concerned member of the public who attended the meeting:

I agree with you about the lack of a risk register and as you say, for the NHS to produce one only after the decision has been taken is extraordinary. The committee will be looking further into various aspects of risk. I am personally concerned that the full impact of the proposed changes has not been made clear in this consultation process.

A further critical issue was the consultation document's claim that the proposed changes were based on 'tried or tested ways of delivering healthcare' that it claims already work in many parts of NW London and the rest of the county (p20). The two expert witnesses heard by the committee were less sure. Asked about whether the structure worked in other parts of Europe Professor Welbourn admitted, 'there is no evidence the  system will work'. Asked whether it would be possible to deliver the necessary community services involved in the changes, Dr Honeyman said, 'no one knows, no one has ever been here before'.

These revelations show that we are being sold a pig in a poke and it is imperative that the proposals are subject to robust scrutiny at the appropriate committees at the  NW London NHS and local council level. They confirm the need for a broad-based campaign against the changes..

Brent Executive agrees free schools, academies and privatisation

Brent Executive took a few more strides along the privatisation road this evening.

They agreed to look for free school and academy partners in order to meet the demand for school places and approved school expansions increasing the size of some primary schols to more than 1,000 pupils. Although Cllr Arnold, lead member for children and families, said that this was an 'educational approach'  I fear for young children in such large institutions - particularly those on the autistic spectrum. Andy Donald's report did not mention the Gwenneth Rickus Building, currently the Centre for Staff Development Centre, in Brentfield Road. This was formerly part of Sladebrook High School and will become redundant when the Civic Centre opens next year.  It  may be put on the market along with Brent Town Hall - or perhaps it is ear-marked as a potential free school?

 The Executive  agreed to set up Brent Meanwhile Partnership (see previous blog LINK) which gives further powers to Andy Donald, Director of Regeneration and Major Projects - although Cllr Crane did not mention this in his very brief report which did not do justice to the wider repercussions of the policy..Donald will be delegated  to set up a London wide organisation as well as a local one and will be Brent's representative.

The public are not allowed to see how much of their money the council is going to pay to out-source the facilities management of the Council's entire property portfolio to Europa Facilities Services Ltd in a contact that will run from November until June 30th. Andy Donald's report outlines TUPE procedures for existing staff and says that the contractor has agreed to a staged voluntary redundancy process which he 'believes is acceptable to the GMB'. The staff concerned are older than the council average and have a higher proportion of ethnic minorities.

Following delays in setting up a new management agreement for the Brent Housing Partnership (BHP) the  Executive  agreed to delegate authority ot the Director of Regeneration and Major Projects (Andy Donald - of course)  in consultation with the Director of Legal and Procurement any  subsequent amendments between now and March 2013.

Chalkhill Park taking shape

The much delayed and keenly awaited new Chalkhill Park is beginning to take shape at last.  Many local residents had given up on ever seeing it completed with rumours that it was going to be used to build flats flying around the estate.

It is expected to be finished by November but final completion will be subject to planting conditions for trees and shrubs in the Autumn.

Meanwhile consultations are due to take place with local residents on the public art to be installed in the park.

Procurement errors lead to school expansion delays

Modular building from Elliott's website

As Brent Council Executive is set to discuss further school expansions this evening, it has become clear that current expansions at Mitchell Brook, Fryent and Barham primary schools will not be completed by the forecast date.

The delay appears to have been caused by problems in the preparation of the original bid documents according to the report by Richard Barrett, Assistant Director of  Regeneration and Major Projects, that recommends Andy Donald, awards the contract.  Normally contracts of this value require approval by the Executive but they delegated this authority to Andy Donald, Director of Regeneration and Major Projects at their April 2012 meeting.

On receipt of bids and initial evaluation, it was determined that there were some areas of ambiguity in the Council’s bid documents which had led the different bidders to interpret the Council’s requirements in different ways. As a result, the decision was taken to retender the pricing element only to ensure that all the prices were submitted for exactly the same requirements. Unfortunately when these further tenders were received and clarified, all of the bids were unsuitable, either because of being too high or because or qualifications to the requirement to accept the Council’s contractual terms. This led to a further process of further process of clarifying contractual terms around design risk and giving the opportunity to reprice.

The contract will be awarded to Elliott Group Ltd  with a value of £3.1m for Barham Primary, £4.4m for Fryent Primary and £2.7m for Mitchell Brook Primary. All with a start date of August 22nd.  Because of the time constraints it was decided to use a modular steel framed building system for all three schools which themselves vary greatly in their architecture. 

Barrett argues that despite the delay the timings will still allow for pupils to start in September 2013. However this assumes that all goes according to plan, which has not always been the case with the expansion programme.  Even a July 2013 completion date is challenging for schools in terms of setting up new classrooms with the potential for that work having to be carried out during the summer holiday.