Defending the NHS in Brent - May a Month of Action

The 'thinking space' on NHS 'reforms' (privatisation) has provided an opportunity for local campaigning organisations to call a public meeting to enable local people to hear the views of GP, health workers, service users and MPs on the proposals.

Brent Trades Union Council, Brent Fightback and the Campaign to Defend Brent's Health Services have combined to organise 'Defend Our Health Service' to be held on Thursday May 12th at Willesden Green Library, 95 High Road, NW10 2SF.

The following extract from a blog by Russell Razzaque on the Independent website LINK sets out the reality of the reforms:

Working within the NHS today, I have witnessed first hand the sheer confusion and, in some quarters, borderline panic, that has ensued as a result of the governments recent announcements. PCTs were established as the purchasers in the system. These are massive strategic planning decisions that involve many billions of pounds. Overnight, the government plan to remove all of them, and hand the totality of their powers over to GPs. They have not described how GPs – with no training in accounting or management – can take up this role. They have not provided guidance as to how GPs might pool together to achieve this. As the so called “GP consortia” can be as large or as small as anyone chooses, a chaotic bout of “run around” has ensued with GPs trying to partner up with each other across boroughs and local boundaries, unsure which way to go.

The PCTs have already started to dismantle and in London, staff with no future are haemorrhaging in droves, leaving a skeletal operation alone to determine the allocation of billions worth of spending. The Chair of The Royal College of GPs has described the proposed changes as the end of the NHS as we know it. The BMA, the Royal College of Nursing and several of the specialist medical Royal Colleges have spoken out against it. Calls to phase it in and start with a series of gradually building pilots have fallen on deaf ears. No one is sure how it will work or how adversely it will effect patient care. The very people who will be tasked with implementing such rapid change are already utterly perplexed by it. That is because they are supposed to be. It is an engineered shock. All the while, waiting in the wings, with a metaphorical defibrillator, will be the private sector. The large American insurance based corporations are eyeing the soon to explode UK healthcare market with salivating mouths. The vacuum that is being created, is being created for them. They will be hired to do the commissioning by and instead of GPs who are, through no fault of their own, clearly untrained and unable to do it. And it won’t be long thereafter before these same private organisations start hiring themselves as providers instead of NHS Trusts, many of which will ultimately go bust.

The government are, in fact, proposing to rig the market in their favour by requiring every single contract to go for competitive tendering. This means that, even if there is a high performing Trust with which the local population is happy, they will still have to submit themselves for retendering to the commissioners on a regular basis who will then be legally obliged to consider private sector organisations as part of the process. Subjecting hospitals to the instability of a retendering process could be disastrous. I have seen it happen myself. Staff numbers will fluctuate wildly as doctors and nurses, unsure if their organisation will survive, start moving between providers – just as they do in, say, the banking sector. This will potentially destroy continuity of care, as well as in-patient and emergency service provision which relies on regular staff numbers round the clock. A hospital shutting down as a result of losing a bid to a private sector provider, who has undercut their costs as a way of breaking into the UK market – rather than failing to provide an adequate service – could be a potentially dangerous event resulting in the collapse of secondary health care provision for the entire local area. This is why unfettered free markets are a bad idea for health care, and why the US experience has led to a hard fought reversal away from marketization. This is also why, if they were asked to vote for it, the public never would. In fact, in the last election they clearly did not. The Conservative manifesto, with its “no major reorganisations” commitment gave exactly the opposite impression. The only way such drastic privatisation can ever be achieved is through a short sharp shock to the system. Nick Boles, the pro Cameron Conservative MP, laid it out starkly, “’Chaotic’ in our vocabulary is a good thing.” Friedman would be proud. As he himself said, “only a crisis – actual or perceived – produces real change”. This is clearly not chaos by incompetence. It is chaos by design.

Brent Fightback will be conducting a public survey about the proposals in Wembley in early May and are organising a contingent to take part in the 'March to Save the NHS' which takes place on Tuesday May 17th (Assemble 4.30pm at University College Hospital, Gower Street, WC1 to march to the Department of Health, Whitehall.

Further information on Keep Our NHS Public

Cuts we can and can't afford

Brent Allotment Revolt - savour the speeches and oppose Coalition's threat to allotments

In an earlier blog LINK I reported on the extremely lively Allotments Forum where allottees took Cllr Powney to task over allotment rent increases and other issues.  The meeting was notable for its wide range of contributions ranging from dry detailed legal challenge to passionate speeches about the plight of pensioners.

The full flavour of the meeting can now be savoured through reading the official notes of the meeting HERE

Meanwhile the Coalition Government is threatened the future of allotments. Its 'Review of Statutory Duties' aimed at removing duties which are seen as a 'burden' on local authorities inccludes the duty to provide sufficient allotments for people who want them in an area. This would not only threaten future allotments, but present ones, and could make allotments susceptible for closure and redevelopment for housing.

A campaign is developing against these proposals. Follow this LINK to go to the National Society of Allotment and Leisure Gardeners for further information and links to the response form. Deadline is April 25th 2011.  Chris Wells has suggested responses to questions 6 and 9 HERE

Primary School Temporary Classes - My full statement

The Wembley and Willesden Observer today publishes a short quote from me about the provision of temporary classes in Brent primary schools as a result of the shortage in school places. The quote was part of a longer statement which puts the issue into context. I reproduce the original full statement below. Only the last paragraph was published:

Brent Council is still running to stand still on the issue of providing additional primary school places - and even then not quite succeeding.  A long-term strategy involving a review of provision and demand across the borough seems just as far away as when I suggested it several years ago. The Council's capacity to devise such a strategy, including a consideration of the educational implications, is now limited by the staffing cuts it has had to make and the redundancies of many experienced senior personnel.

I was pleased to see officers' acknowledge that in the case of a possible expansion of the Capital City Academy into primary provision the impact on nearby Donnington Primary School would need to be considered. This was a principle  they failed to acknowledge in the proposals for primary provision at Preston Manor.

However I am concerned at possible future actions outlined in the Executive document which include: 

more all-through schools providing for children from 4-19 years, we need an informed public debate about the advantages and disadvantages of such schools; 

the possible expansion of primary schools into 5 forms of entry giving a primary school of more than 1,000 5-11 year olds. I think these are far too large and that young children need a smaller, 'family' style environment in which to feel safe and happy;

and an increase in class sizes above 30 in the junior phase (7-11). The maximum class size of 30 has been hard fought for and still compares poorly with the much smaller class sizes in the private sector. 

There is a real danger that in the absence of a 'champion' for the values of primary education within the Council,  that expansion will be just a matter of cramming increasing numbers into any available space, ignoring the impact on the quality of teaching and learning and children's vital first experience of school.

Martin Francis
Brent Green Party spokesperson on children and families

What would YOU do with £20,000 for your ward?

The Kingsbury and Kenton Area Consultative Forum meets on Tuesday 26th April at 7.00pm at Kingsbury High School, Princes Avenue NW9 9JR. For part of the evening the meeting will break into small ward-based groups to discuss priorities for ward working for the coming year, including priorities for spending the £20,000 budget for each ward. (This forum covers Barnhill, Fryent, Kenton and Queensbury wards.) Residents can put forward their views about what the priorities should be for their  ward. All residents, community groups and businesses in the area are welcome.

Down Wembley Way Everything is Free and Easy - even if it costs £100m

The latest edition of Wembleyway (and the last - the paper edition is a victim of council cuts) has a lead story lauding, Soviet Weekly style, the new Civic Centre. The paper claims, "The building is affordable and has the backing of all Brent's political parties...."   Regular readers will know that Brent Green Party opposed the plans from the beginning but Wembleyway is correct in that Labour, Liberal Democrats and Conservatives all approved the plans under the last administration.  However Labour raised concerns about the affordability of the project during the General Election campaign, only to revert to support once elected, while Cllr Reg Colwill for the Conservatives in the ITN interview BELOW says he can't see what is wrong with Brent Town Hall and that improvements could have been made to it at a fraction of the cost of the new Civic Centre.  Paul Lorber for the Lib Dems has already called for the Civic Centre mega library to be scaled back.

Meanwhile the council continues to insist that the new Civic Centre is cost-neutral with '...no burden on Brent's council tax payers. The cost will be met with efficiency savings and savings achieved by moving out of more than twelve existing buildings."   The project costs £100,000,000 which Brent Council will borrow and they claim the new building will save them £4,000,000 a year. So we will get our money back in 25 years time. A bargain!

Don't Blame the Workers!

As Brent Council moves into the second phase of redundancies many of the remaining local government workers are finding themselves taking on additional work.  This is not just the work of those who have been made redundant as a result of cuts but also extra work  caused by the increased needs of Brent residents hit by cuts and the recession.

I recently received an e-mail from a Brent employee sent from their office at 7.30pm. Increased work demands result in longer (often unpaid) hours, increased stress and eventually increased sickness.  As a result so-called 'efficiency savings' actually result in inefficiency.This is exacerbated by the fact that many senior staff have taken redundancy leaving less experienced colleagues to deal with complex issues. The result is errors, delays and even loss of some funding in the case of the temporary primary school expansion programme. The setting of final school budgets for the current financial year have been delayed as firm figures are not yet available from the Council and it is likely that schools will not be able to submit their final figures, approved by governing bodies, until June. This may cause cash flow problems in some schools.

The central education services provided by the Council, which are 'bought-in' by schools, have had their workforces cut but the schools are being charged more. Many schools are looking to buy them from elsewhere on the basis that this offer is poor value for money (they have a statutory duty to look for 'best value') but information on Council service level agreements and precise costings were received so late in the budget making process that there has not been time to do this effectively. Other schools have reduced the number of services they buy-in, while some have wanted to support the local authority and decided to buy-in for this year and review the situation in 2012.

As different departments seek to meet savings targets and manage workload boundaries become more strictly policed, and disputes arise about which department is responsible for a particular area. Disputes involving say the clearing of rubbish from a vicinity arise as the Parks Department, Streetcare and Brent Housing Partnership all claim it is not their responsibility.  At a broader level there are likely to be disputes between the Council and Health over funding of particular areas of special needs such as speech therapy.

Inaccuracies, delays and lack of response are all likely to irritate the general public and infuriate them at times. Rather than blame the poor workers who are trying to hold things together against the odds we should put the blame firmly where it belongs: the Coalition for reducing local government funding and front-loading the cuts and the Labour Party and Labour councils for not putting up more of a fight.

The Wall Street Journal sums up Brent's library closures and the Civic Centre

When they write the history books, the councilmen and bureaucrats who chose to close a library rather than postpone some self-aggrandizing boondoggle won't make the cut, even if, for now, they are making the headlines.

See what the kids of College Green Nursery think LINK