Thursday, 31 October 2013

Gardiner: Councils must be allowed to build new schools


I wrote to Barry Gardiner, Labour MP for Brent North, recently, asking him to support the campaign for local authorities to be restored the right to build new schools to deal with the school places shortage.

This is his response:

Thank you for contacting me recently regarding school places and the related campaign by the NUT.

I share your concern and that of many parents, teachers and headteachers about the growing crisis in school places. Indeed, the number of primary schools with more than 800 places (so-called 'titan; schools) has trebled since 2010 and the number of infants in classes of 30 or more has doubled in the past year.

Recent figures from the National Audit Office (NAO) has also found that 256,000 new school places need to be provided by 2014/15 to meet increased demand and the Local Government Association (LGA) has also warned that 1,000 of the 2,277 local school planning districts will be  over capacity by 2015/16. Here in Brent there are currently 3.2% more children than school places which could rise to a 10.3% shortfall in 2016/17.

Providing a proper, high quality place for every child is one of the foremost duties for any Government and it is clear that responsibility for this growing crisis in school places rests squarely with the current Government.

Firstly, the Government has prioritised its Free School programme, which has often delivered new places in areas where there is not shortages. I firmly believe that in the current economic climate funding for new school places should be prioritised for areas where there is a genuine need and it cannot be right that millions of pounds have been spent opening free schools with a surplus of places.

The Government have also failed to provide a fair deal for capital spending in education, with the cut to education capital being greater than that of all other Government departments.

The Government have also refused to give Local Authorities the power to set up schools to respond to shortages. I believe that allowing local authorities this power could be a practical solution to ease the pressure on places and I know that many parents and organisations, including the NUT, are calling for urgent action to address this. I also believe it is important to look at how local communities could be given a bigger say when new schools are being created and how a local accountability framework for schools could be strengthened.



The Government should also ensure that there is a qualified teacher in every classroom.

I can assure you that I will continue to press the Government to address this growing crisis in school places and ensure that new schools are created in areas where they are most needed.


Barry Gardiner: Central Middlesex A&E closure 'devastating'

This is the exchange between Barry Gardiner, MP for Brent North and Jeremy Hunt following the latter's announcement of the closure of Central Middlesex A&E in Parliament yesterday:


Barry Gardiner (Brent North, Labour)

This decision is devastating for my constituents. The Secretary of State will know that in the last winter period, Northwick Park hospital and Central Middlesex hospital, which comprise the North West London Hospitals Trust, were the worst-performing hospitals when it came to meeting A and E targets not only in London, but in the country. The trust scored 81.03%. That is an appalling record. What he has done today, by announcing the almost immediate closure of Central Middlesex, can only make that much worse. The College of Emergency Medicine has said that his reconfigured hospitals should have at least 16 consultants in their emergency departments, but his decision will give them 10—and that is not for major trauma centres. Will he elaborate on what he will do to bring the number of consultants up to the level required by the college?

Jeremy Hunt (South West Surrey, Conservative)
Has the hon. Gentleman, who is so against these proposals, not noticed the proposals for more emergency care doctors, more critical care doctors and more psychiatric liaison support for A and E departments, which will reduce pressure on A and Es and mean that people admitted through A and Es for emergency care will not have a 10% higher chance of mortality if they are admitted at weekends? His constituents will be among the first to benefit from that. I would caution him, therefore, against saying that this is devastating for his constituents. We were reminded in Prime Minister’s questions earlier of how Labour suffered from predicting massive job losses, when in fact there was an increase in jobs. This announcement is good news for the hon. Gentleman’s constituents, and he should welcome it

Chalkhill: A Growing community


The day after media publicity about the health benefits of gardening it was good to spend yesterday helping out with other volunteers on the Chalkhill allotments.

We were clearing the raised beds for the new season and topping them up with compost. There were problems with growing last year because there was no water source on the allotment that runs alongside the Metropolitan railway line.

That should be resolved shortly after an agreement between Metropolitan Housing and the Well London project on Chalkhill to install a water supply.  Anyone interested in  growing healthy local food and improving their own health through the exercise involved in gardening should look out for publicity regarding bagging one of the plots.

Brent Council to separate Children's and Adult's Social Care



In March this year I spoke to the Brent Council General Purposes Committee about the proposed restructuring of departments and in particular voiced concern about  the proposal to put Children's Social Care and Adult Social Care along with Education and Health  under one Director. LINK  It would create a department where there was a risk of high profile failures regarding vulnerable adults and children. In the wake of tragedies involving the death of children and adults it was essential to have clear lines of responsibility on safeguarding.

The General Purposes Committee on November 7th will receive a report recommending separating the roles:
It was agreed that during August and September, Gatenby Sanderson (recuitment agency) would continue in their search for suitable candidates for the post of Strategic Director, Education, Health and Social Care. However, this has not proved successful. Many candidates considered the role too large and though a couple of experienced candidates were interested, we could not match their expectations in terms of salary. Director posts involving children’s social care are perceived as high risk in local government and remain the most difficult job to fill. As Ofsted’s recent Annual Report on social care indicates, there is considerable volatility in leadership and ‘one in three local authorities has had a change in their director of children’s services last year alone’. (Ofsted, 2013)

The General Purposes Committee is asked to agree to the revised structure as follows:
a. deletion of the posts of Strategic Direcor, Governance and Corporate Services and Strategic Director Education, Health and Social Care
b. deletion of the posts of Strategic Director, Adult Social Care
c. establishment of the new post of Strategic Director, Adults
d. establishment of new post of Strategic Director, Children and Young People
I welcome this move as establishing clearer and more manageable responsibilities and thus establishing a more robust safeguarding of vulnerable children and adults.

Wednesday, 30 October 2013

Harlesden Incinerator: A community's plea to Ealing Council


Butt: Central Middlesx A&E closure puts residents at risk

Responding to the Health Secretary Jeremy Hunt’s announcement earlier today that Central Middlesex Hospital’s Accident and Emergency department is to be closed, the Leader of Brent Council Muhammed Butt said:
Central Middlesex Hospital provides vital emergency services for some of the most vulnerable people in our borough. Mr Hunt’s reckless and politically-motivated decision to close this busy and well-used A&E unit will put chronically sick, mentally ill and elderly Brent residents at risk.

The Coalition has not produced any evidence to suggest that more out of hospital services will result in better care for local people, or to reassure residents that Northwick Park and Ealing Hospitals will be able to plug the gap it intends to create in our local health service.

Brent Council objected to the Government’s savage plan in the strongest possible terms in a submission made directly to the Independent Reconfiguration Panel on NHS service change, and I will continue to campaign against this decision.

Central Middlesex A&E closure announcement makes People's Inquiry even more important


Jeremy Hunt's announcement today that Central Middlesex Accident and Emergency ward is to be closed will come as a bitter disappointment to Brent health campaigners, particularly after the euphoria which greeted the Lewisham Hospital campaign's court victory yesterday.

Hunt's decision shows that that the Tories have absolutely no understanding of the needs of an area such as Harlesden/Stonebridge and the social and health inequalities that make an easily accessible local facility so important.

Campaigners will be considering next steps along with those fighting for Hammermith hospital but meanwhile after the announcement  it is even more  important that as many people as possible submit evidence to the People's Inquiry into the London Health Service. Details LINK and attend the local meeting of the Inquiry which will be held. Send your views using this LINK
  • Friday Nov 8: 2pm-7pm, Ealing Town Hall, New Broadway, Ealing, W5 2BY. View map:
This is the trenchant evidence to the Inquiry submitted by Harlesden resident Sarah Cox:
I am a 76 year-old retired early years teacher. I worked for more than 30 years in Brent schools and have lived for more than 40 years in Harlesden. I am also an outpatient at Central Middlesex Hospital.



As such, I was extremely concerned about the likely effect of the changes enshrined in the Shaping a Healthier Future consultation and also about the consultation itself.



I followed the consultation carefully, read the documents and attended meetings called by NHS NW London and public meetings organised by local health campaigns. Overall, the consultation was more like a public relations exercise. Its questionnaire was designed to reach a desired conclusion rather than to look at the real health needs of the vast area it covers.



I am very concerned about accountability. NHS NW London made the decision to go ahead with the changes, but went out of existence before the process of introducing them had even begun. Who will be accountable if they turn out, as many of us believe they will, to result in damaging cuts to our health services, rather than improvements?



Although I will concentrate on the likely effects of changes to the area in which I live, I believe that all the changes will have knock-on effects on neighbouring areas and I am strongly opposed to the whole package. My husband was referred from Central Middlesex Hospital where he was diagnosed with laryngeal cancer, to Charing X where he was expertly treated. The co operation between the two hospitals was exemplary. Cuts to any of the hospitals will increase the strain on the others and on the ambulance service.



I believe that the case for fewer specialist hospitals further apart has been made for stroke, heart attacks and some serious injuries and services have been developed in line with that. Ambulance crews know the best place to take such patients and expert paramedics are able to stabilise them before transporting them to the best hospital. However, I do not believe that the extrapolation to other conditions such as serious asthma attacks, is justified. The surgeons want a concentration of expensive high-tech facilities in fewer, larger hospitals. What they ignore is the vital importance to patients' recovery of being in a setting that is accessible to friends and relatives. There has been a great deal of publicity recently about poor standards of care on understaffed wards. The best insurance against inadequate care is the vigilance of patients' families.



In fact, although we are told that the plans are based on clinical evidence, they are really based on a desire to cut costs. It the plans go through, nearly 1,000 beds and 3,994 clinical jobs will go from hospitals in NW London, saving £1billion over three years. The remaining hospitals will not be able to cope, the ambulance service will not be able to cope, the 111 service is already inadequate and yet we are told that it is crucial to the success of providing alternative services in the community. 



One of the declared aims of the Shaping a Healthier Future strategy was to reduce health inequalities, but moving health provision away from the areas of greatest deprivation and lowest life expectancy, will in fact increase health inequalities.



As a resident of Harlesden Ward and having worked on the Stonebridge Estate, I am most concerned with the loss of services at Central Middlesex Hospital and the impact on the people of Harlesden, Stonebridge and the surrounding area. The Brent Joint Strategic Needs Assessment and in particular the Harlesden Locality Profile (accessible through the Brent Council website www.brent.gov.uk) shows that Harlesden and Stonebridge wards are among the 10% of most deprived wards in the country. They have high levels of unemployment and of long term disease and disability. They also have a higher than average birth rate, and a larger than average percentage of young children and large families and higher rates of teenage pregnancy. Yet the maternity and paediatric services have been taken away.



Areas of poverty and poor housing like these have, it is widely recognised, higher levels of respiratory disease and mental health problems among other health problems. The government welfare cuts will increase these problems.



If health inequalities are to be overcome, health services should be provided where the need is greatest. If access to health services is difficult, people living in poverty and facing many other problems are less likely to seek help and relatively minor problems can become more serious.



Some of the reasons why it is wrong to close A & E departments at CMH and Ealing (these arguments apply to other hospitals in areas of deprivation):



·        A & E services are the first port of call for patients with mental illnesses and they are likely to find it harder to travel further for help.



·        When patients attend A & E, other problems e.g. cancer are often detected and can be treated before they become more serious.



·       There is no simple public transport link from the Harlesden or Stonebridge areas nor from Central Middlesex Hospital to Northwick Park and cabs are far too expensive for people dependent on benefits, so people who are taken ill or have an accident themselves or whose children are taken ill or have an accident will be forced to call an ambulance adding to the pressure on the ambulance service.



·       Transport difficulties not only affect patients, they make it hard for family and friends to visit patients. Support and care from family and friends are important for helping patients to recover. Negotiations with TfL even on the simple extension of the 18 bus route to Northwick Park Hospital have been unsuccessful, so patients and their families and friends from the area around CMH will continue to find access to Northwick Park extremely difficult.
Northwick Park is already struggling to meet targets and ambulances are being diverted back to CMH from there and from St Mary's. If all the proposed closures go through, how will Northwick Park cope with the added burden on A & E maternity, paediatric services, surgery and intensive care?

How will the ambulance service cope with the extra demand? It’s struggling already.

Has there been consultation with the Fire Service about the effect of the proposed changes? 
Schools were not consulted by the Shaping a Healthier Future team, yet during the school day, thousands of children become their responsibility and if any are taken seriously ill or have accidents, school staff will have to go with them to an A & E department further away.  

Out of hospital care

Of course it is always best to keep people out of hospital if appropriate alternative care and treatment can be provided in the community and of course we need more preventive services. We are promised all sorts of out of hospital care to take the place of the lost hospital services, but will the resources really be there? There is already a shortage of trained, skilled community health workers, health visitors, midwives and specialist nurses as well as GPs. Will the CCGs really be able to train and pay for those we need when they are facing constant budget cuts? Successful treatment and care for patients out of hospital demands integration with decent social care services, but the swingeing cuts to Local Authority budgets mean that social care services are at best barely adequate and unlikely to aid recovery and recuperation for patients who have been treated out of hospital or discharged early from hospital.

Getting information about the CCG’s commissioning decisions before they are made is extremely difficult. There are massive documents with quantities of acronymic alphabet soup and a hierarchy of meetings, some useful, most completely opaque to the interested patient or campaigner and suddenly, before you know it, another service has been outsourced and privatised.



However often we are assured that the changes to the NHS are clinically driven, it seems clear that the real drivers are financial the transformation of the NHS into a cash cow for the private sector so that even if it remains free at the point of use for patients, it will be run for profit.


Sarah Cox

Tuesday, 29 October 2013

Forced academies: Victory and victims

Parents at Snaresbrook Primary in the London Borough of Redbridge were celebrating tonight after the Department for Education decided not to intervene in their school.  After being judged 'Inadequate' and put in Special Measures the school faced being forced to become an academy, a fate that has befallen Salusbury Primary School in Brent and is being challenged by parent campaigners at Gladstone Park Primary.

Unlike Salusbury and Gladstone Park, Snaresbrook and its parents had been strongly backed by Redbridge Council.

A DfE spokesperson said:
Our policy remains unchanged - we cannot stand by when a school is judged inadequate and believe that becoming an academy with the support of a strong sponsor is the best way to ensure rapid and sustained improvement.

Snaresbrook Primary School does not have a history of underperformance and has made significant progress after being judged to require special measures by Ofsted in June. We therefore do not plan to intervene to convert Snaresbrook to an academy.

However, being judged inadequate by Ofsted is extremely serious and we will continue to monitor the school’s progress in coming out of special measures.
Gladstone Park Primary too did not have a history of under performance and previously had a 'Good' Ofsted rating. Its results are still above the national average at Key Stage 1 and Key stage 2.  However despite passionate requests from parents Brent Council did not get behind their campaign or make strong representations to the DfE. Governors are currently consulting on an academy sponsor.

Meanwhile Roke Primary School (now Harris Primary Academy) parents are facing the consequences of the Croydon school being taken over by the Harris Academy chain in September.

Inside Croydon LINK reports than 1 to 1 SEN support has been removed in a move that some parents interpret as an attempt to reduce the number of SEN pupils in the school.  Children and parents were in tears after the news.

In a further move showing disregard for parents and pupils, the management  closed the Bourne Children’s Centre, which ran toddler and parents’ groups.  The building into a storeroom, causing a marked decrease in provision of service for families with children at the school.

Parents also accuse the academy managers of manipulating pupils attainment data in order to create the impression that the new academy is out-performing expectations. Parents report that pupils previously said to be exceeding levels in face to face meetings with teachers are now categorised as below expectations, enabling the school to claim vast improvement at the end of the year.

Inside Croydon reports:
Harris has provided each child with targets for the next half term, yet many parents said these had already been achieved in the last academic year when the school was still Roke Primary. The headteacher sent a letter telling parents that “previous levels you have been given may vary slightly to the levels recorded on this report”.
A spokeswoman for the Roke parents’ group told Inside Croydon:
We predict that results will now show remarkable improvement during the first year of the Harris academy and be used as a false benchmark of their success in turning our school around, as well as legitimising contentious forced academy policy.

Academy status and the new management have had to apologise for mistakes in homework which appeared to be cut and pasted from American websites and for unzipping 5 year old girls' dresses to check that what they wore beneath met the new school uniform requirements.

The Snaresbrook victory, along with the news from Lewisham, should reinforce campaigners' determination to fight for our public services. Let's hope Brent Labour will get behind them.