Monday 7 December 2015

Mansfield slams NW London hospital plans: Brent Patient Voice responds with proposals and asks 'Why is the NHS silent?'




 From Brent Patient Voice
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Brent Patient Voice welcomes the findings of the Mansfield Report. BPV Chair, Robin Sharp, said: “We are pleased that Mansfield endorses the extensive evidence that we and many other independent people submitted. Why has the NHS greeted it with silence?”  

The Report of the Independent Healthcare Commission for North West London under Michael Mansfield QC was published on 2nd December. It brings no comfort for the NHS chiefs in our area – and none for patients either.

The Report says that the Shaping a Healthier Future programme is “deeply flawed”. Launching the Report Michael Mansfield said that the planned reforms provide “no realistic prospect of achieving good quality accessible healthcare for all and any further implementation is likely to exacerbate a deteriorating situation.”

The Commission calls for the programme to be halted, for the decisions to close the A&E Department at Central Middlesex Hospital and the Maternity Unit at Ealing Hospital to be reversed, for the increasing size of the population in NW London to be properly established and factored into future planning, for the so-called “Implementation Business Case” to be published and for there to be a new public consultation on the plans which they believe to have changed significantly. They suggest that the local authorities should consider seeking judicial review if the NHS press ahead with the programme in current circumstances.

However we are deeply disappointed that neither the eminence of Michael Mansfield nor the extent of public concern revealed by the evidence have moved the NHS authorities responsible for Shaping a Healthier Future to be sensibly open about the current state of the programme or its likely costs.
Commenting further, Robin Sharp said “Our fundamental criticism of the whole initiative is that the NHS in NW London has broken its promise in the consultation document that out of hospital services will be in place before changes are made to hospital-based services. Two A&Es and one Maternity unit have closed. Where are the openings to take their place?”

In order to be constructive we propose:

·      That the NHS should publish an intelligible version of the Implementation Business Plan for Shaping as it now stands, with outline costs, as is normal for any major public project;

·      That full consideration of the future of Central Middlesex Hospital be resumed, including the option of restoring its acute status with a fully-functioning A&E, bearing in mind the inadequacy of a stand-alone Urgent Care Centre there and the continuing intolerable situation at Northwick Park;

·      That Council officers be instructed to work with GLA statisticians to provide reliable estimates of the size of the current Brent population and growth rates, taking account of births, deaths, net migration and planned major developments;

·      That in collaboration with all partners Brent CGG produce a clear account of their Out of Hospital Strategy, including the role of the new GP networks, to restore confidence in this vital missing element of the Shaping programme;

·      That full and meaningful patient consultation and involvement should be integral to all future consideration of these proposals.
Brent Patient Voice  5th December 2015


Visit the Brent Patient Voice website HERE

Oakington Primary School academisation meeting tonight

A meeting to discuss Oakington Manor Primary School's proposed conversion to academy statius will be held thos evening.

The meeting is at Tokyngton Community Centre, St Michael's Avenue, Wembley, HA9 6SA at 6.15pm

Saturday 5 December 2015

Officers recommend approval for Wembley French School swimming pool

Officers are recommending that Brent Planning Committee at their December 16th meeting grant permission for the private French School, now housed in the former Brent (and Wembley) Town Hall, to build a swimmng pool at the front of the site on Forty Lane. This is presently a grassed area with around 18 trees,  including two memorial trees.

The swimming pool building will be lowered by creating a basement and thus not conceal the frontage of the listed town hall building.

It is proposed that two memorial trees will be planted in Chalkhill Park to make up for the loss, and other replacement trees planted in the school grounds. Green space will be lost but the new swimming pool building will have a green roof.

The new build will also affect the current bus stop serving the 83, 182, 206, 245 and 297 buses. The stop will be relocated but the precise site will have to be negotiated with TfL.

As part of the deal the Lycee will provide some community access to the pool which will be managed externally by a facilities company:
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  • The swimming pool will be open during the week for use by local schools for four half day sessions
  • Community use of the swimming pool and studio facilities is anticipated to be before school use on weekdays, between 7 and 9am, and after school, between 7 and 9.30pm
  • Community access for swimming lessons is anticipated on two early evening sessions per week, as well as weekend mornings. General community access to the pool facilities is expected on weekend afternoons and during holiday periods. However, the opening times for the facilities during these periods are yet to be defined.  
Details





Butt: Brent Council being forced to cut to 'the muscle or even the bone'

Brent Council released the following statement on the 2016-17 budget yesterday.
 
Brent Council is having to cope with a halving of central government funding. We are working hard to keep the negative impact on the services you value the most to a minimum by squeezing the most out of every last penny of taxpayers' money. However these tough times are forcing us to face some difficult choices.

Cllr Muhammed Butt, Brent Council Leader, said:

"The recent spending review handed local authorities the most severe cuts of any government department. This comes on top of five years of progressively harder funding settlements since 2010. During this time our main core government funding has already been reduced by over £80m and there will be further significant reductions in the years to come.

"After taking account of these revenues falling by more than a half over the next four years, and the money we generate ourselves, overall funding is expected to fall by another quarter in the next four years. As a result, we are working harder and harder every year to balance our budget without cutting into the services and facilities that Brent residents value the most. All the while we have tried to recognise that local people have been facing hard times too, which is why we've frozen Council Tax levels for the last six years.

"The proposals we're publishing today try to squeeze the very last penny out of the money we have to spend on services, by being more efficient and modern in our approach, driving down costs, and maximising income from our commercial assets. We are doing our best to keep the negative impacts on front line services to an absolute minimum but there will be significant changes given the budget position."

"It's time to face the fact - the easier savings can each only be achieved once, and when the following year brings the need to cut more money, our options become narrower. We can only sell our buildings and consolidate onto one site once to save money. We can only create digital channels to save money over more expensive face to face ways of working once. We can only cut out any element of waste once to save cash. After cutting the fat year after year, sooner or later you get down to the muscle or even the bone."

"I agree with Lord Porter, Conservative Chair of the Local Government Association, who said just recently:

"It is wrong that the services our local communities rely on will face deeper cuts than the rest of the public sector yet again, and for local taxpayers to be left to pick up the bill for new government policies without any additional funding.

"Even if councils stopped filling in potholes, maintaining parks, closed all children's centres, libraries, museums, leisure centres and turned off every street light, they will not have saved enough money to plug the financial black hole they face by 2020."

"I'm confident that we're not in the position in Brent of having to make cuts like that - not yet at least. But it really is getting harder and harder every year, and there are years of this to come. It is just as well that the people of Brent are so strong, united and resilient, as we are really being tested."

Have your say

We have arranged five public consultation meetings to discuss the budget with local people, and will be arranging two additional budget specific public meetings in January. These five Brent Connects meetings are:

All meetings above start at 7pm.

Friday 4 December 2015

Traffic safety measures installed at Asda/Forty Lane in Wembley


The Yellow Box has now been installed at the junction of Asda slip road/Forty Lane/King's Drive following concerns over pedestrian at the crossing.

Pedestrian lights and a yellow box have also been installed further along Forty Lane at The Paddocks junction which should ensure a safer crossing from the bus stop outside the French School (formerly Brent Town Hall) and the Chalkhill Estate.

Wednesday 2 December 2015

Serious scrutiny requires review of how Brent works with residents on regeneration

This is the full version of Pete Firmin's presentation to Brent Scrutiny Committee tonight. Not all of it was delivered due to the time limit on presentations.

I’m the chair of Alpha, Gorefield and Canterbury tenants and Residents Association on the South Kilburn Estate behind Kilburn Park tube station.
We welcome the opportunity to raise our concerns about many aspects of the South Kilburn regeneration. While we thought it rather late in the day, we were pleased when the previous chair of Scrutiny, Dan Filson said there would be a task force set up to look at the issues involved and that residents would have substantial input into that.
He contacted us mentioning many issues which should be looked at, including:
how the decanting process has gone so far, and 
what lessons can Brent (and maybe other authorities too) learn from the project and apply in future schemes. 
whether the properties should have had greater internal usable space  
the disruption during building works  
the amount and nature of external social amenities like play space, open space, doctor surgeries, primary school facilities, community hall facilities or general circulation  
In addition, one of our Kilburn Councillors, Rita Conneelly, suggested to himand us additional issues:
What was delivered and was it the best we could have ?
Whether choosing Catalyst and Willmott Dixon was best for this phase of the development and whether Scrutiny feels Catalyst and Willmott Dixon have breached significantly enough of their contract for Scrutiny to recommend they not be used in future commissions (remembering that Willmott Dixon failed to remain enrolled in the Considerate Constructers scheme, failed to manage their site and minimise impact on residents and failed to deliver the project any where near on time; for example).
What concerns were raised by residents when the regeneration plans were first publicised- and how have these borne out- and most importantly, still not been resolved in cases (e.g. pressures on parking and community cohesion)
Who has been chosen for future phases and how have we insured we will not have the above problems with them?
whether perfectly good blocks which could have provided good homes into the future with a good refurbishment program were sacrificed so that developers could build private flats on prime land? Whilst the blocks in most disrepair have been left until later phases of the programme leaving many families and children in substandard housing for years unnecessarily. 
The report in front of you says under 6.0:
However it is also considered timely to refresh the Master-plan. Therefore, inconjunction with Planning colleagues it is proposed to consult local residentsand tenants on a revised and refreshed master-plan and accompanying SPD.
Brent will appoint master-plan architects, Cost Consultants and also engagewith the local community in regard to proposals. These proposals will considermatters such as, infrastructure, density, mix and range of accommodation, phasing and also the possibility of incorporating additional sites into the Master plan area.
But it is not just a matter of appointing expensive consultants anddrawing up new plans. They should not be drawn up without critical appraisal with real input from residents. That’s why we hope you will press ahead urgently with the task force which Dan Filson proposed.
Missing from the report in front of you is virtually any mention of problems with the regeneration of South Kilburn. There is just  a passing mention to `slippage’ under 5.0 `Current position’.
Of particular concern for us is that there is no mention of the Kilburn Park Catalyst/Wilmott Dixon development. Yet this is not complete even though it is already over a year late. And there are still several important aspects to deal with, such as the recent discovery that not enough refuse storage was planned to cope with both the new and existing residents. While Brent and Catalyst are arguing over whose fault this is, we are the ones suffering with frequently overfull storage bins.
This is just the latest of the relentless problems we have had with a building site next to us. I’ve given you each a copy of the summary we drew up on April so you can see the scale of the problem at least.
While the last 2 paragraphs in the report highlight contractors working with local residents, our experience on the ground has been the opposite.
For instance, under `Green Space’  (page 3) the report says “there is also a communal garden space, provided as part of the CatalystDevelopment, which will also be available to local residents.” Has it been forgotten that this space is only communal because we had a very long and sometimes bitter row with catalyst who were insistent that it would be only for the residents of the new blocks?
We have wider concerns than just the way in which developers impact on those neighbouring their sites, and have attempted to raise them.
The other document I’ve passed you is a resolution passed by our Tenants and Residents association annual general meeting in July of last year. The issues there fall into 3 categories – the attitude of Wilmott Dixon/Catalyst towards us, but also issues around planning – such as the closeness of new blocks to existing ones, which we raised at the planning stage, and have become more obviously dreadful with construction, and our concerns about what regeneration has meant for South Kilburn in general. We have attempted to get these at least addressed by the lead member for regeneration, but despite frequent requests (and promises by her) she has not engaged with us in the 15 months since it was sent to her.
One small example of the issues which have not been addressed – regeneration has significantly increased the population of South Kilburn. The proposed new  `health centre’ has been given much publicity by the Council, yet this is the bringing together 3 existing GP practices. It is not an increased in GP facilities for an increased population.
The section of the report under 5.0 headed “Salusbury Road Car Park Site” reads as if the siting of the vent shaft is settled (in favour of Canterbury Works). It isn’t and won’t be at least until after Parliament has heard the several petitions residents have submitted against the shaft being sited next to a primary school and in the middle of a residential area. Quite honestly. people in the area are shocked that neither HS2 or Brent even attempted to engage with us while arguing for the site to be changed, even though the opposition of school parents, governors and local residents was known to Council officers.B
Which brings me to my final point - the Council has not ensured that developers listen to and respect residents . Indeed Brent Council itself has declined to enforce its own standards with developers and has failed to seriously consult and involve residents in decision-making. For instance, the report says under `Sports provision’ (4.3) that Land was provided for the construction of a new sports hall facility. Built by Westminster City Council, primarily for the, expanded, St. Augustine’s Secondary School. The Council secured reduced rates for South Kilburn residents as part of the deal”. I checked with other members of our TRA before coming here and no-one can recall having seen this advertised anywhere. At the same ti8nme, we have been arguing for years that residents should have use of the Multi Use games Area attached to St Mary’s school in South Kilburn, which was partly funded by the Council and we are still unable to achieve this. Similarly the Council has said residents were consulted about what should go in the new urban park on Albert Road( where HS2’s lorries will incidentally be passing for years). None of us can remember seeing a consultation.
If you want serious scrutiny and a serious appraisal of how regeneration has gone so far, you could start by arguing for serious change in how Brent works with, involves and respects local residents. A proper task force which looks at the problems and pitfalls would be a useful start to that.

Meet the man who is taking over our schools

The situation at Sudbury Primary school LINK where the local authority has limited powers of intervention because the school converted to academy status in 2012, reveals, whatever the outcome of the independent investigation, problems of democratic accountability for academies and free schools.

With all non-faith Brent secondary schools now academies, Oakington Manor and Furness  primarydiscussing academisation, and the Brent Schools Partnership holding meetings for headteachers and chairs of governors in January 2016 on academy conversion, this is clearly a crucial issue.



So let's introduce you to Martin Post, who is responsible for academies and free schools, in Brent. Never heard of him? Well, he is the ex Headmaster of Watford Grammar School for Boys, and has rather a lot on his plate. He is the Regional School Commissioner for South-Central England and North West London and was appointed in 2014. He bridges the gap between academies and free schools and the Secretary of State for Education. This is the original announcement:
From September 2014, 8 regional schools commissioners will be responsible for taking important decisions about the academies in their area. The commissioners will make decisions on applications from schools wanting to become academies and organisations wanting to sponsor an academy.
They will also be responsible for taking action when an academy is underperforming.

The commissioners will not be involved with academies that are performing well or with local authority-maintained schools. (MF latter no longer the case as you will see below)

Each commissioner will be supported by a board of 5 or 6 outstanding academy headteachers, who will be elected by other academy headteachers in the region.
From being in charge of one boys' school Post is now responsible for academies and free schools in the following areas:
  • Barnet
  • Bedford
  • Bracknell Forest
  • Brent
  • Buckinghamshire
  • Camden
  • Central Bedfordshire
  • City of London
  • Ealing
  • Enfield
  • Hammersmith and Fulham
  • Harrow
  • Hertfordshire
  • Hillingdon
  • Hounslow
  • Islington
  • Kensington and Chelsea
  • Luton
  • Milton Keynes
  • Northamptonshire
  • Oxfordshire
  • Reading
  • Slough
  • West Berkshire
  • Westminster
  • Windsor and Maidenhead
  • Wokingham
Keeping tabs on all those schools is clearly a formidable task and it is hard to see how Sudbury Primary will come to the top of Post's in-tray.  Undaunted Post will be adding to their number under draft guidance for RSCs and local authorities  for schools 'causing concern':


1. Schools that have been judged inadequate by Ofsted – An academy order will be issued for all such schools, requiring them to become sponsored academies. To minimise delays and ensure swift action, there will be a new duty on governing bodies and local authorities to facilitate academy conversion. The process for schools judged as inadequate by Ofsted is described in more detail in Chapter 2 of this guidance.
2. Schools that are coasting – Schools which fall within our definition of coasting will become eligible for intervention. Where a coasting school does not have a sufficient plan and the necessary capacity to bring about improvement, the RSC will use the powers of the Secretary of State to intervene. In many cases this intervention will be to ensure that the school receives the support and challenge it needs, but where necessary the RSC will be able to convert the school into an academy with the support of a sponsor. The process for schools falling within the coasting definition is described in more detail in Chapter 3 of this guidance.
3. Schools that have failed to comply with a warning notice – Local authorities and RSCs, acting on behalf of the Secretary of State, have powers to give warning notices to schools where they have concerns about unacceptable performance (e.g. below floor standards, or a sudden fall in performance), a breakdown in leadership and governance, or the safety of pupils or staff may be being threatened. Where a school does not comply with a warning notice it will become eligible for intervention. The warning notice process is described in more detail in Chapter 4 of this guidance.
In other words the RSCs will be extending their powers into the local authority maintained sector even though there is no clear evidence that academisation improves performance. Meanwhile academies and free schools will operate under a different framework:

·       RSCs will scrutinise academies’ performance and will require academies to take particular action or face termination of their funding agreement where they are in breach of it and such action is necessary.
We have to remember of course that the RSC, Martin Post, will be advised by a board of academy headteachers and is charged with converting schools to academies. Will objectivity be an issue?

As Brent Council has committed itself to work with academies and free schools to provide the additional secondary school places it claims are needed, it appears that the local authority will be losing any influence over secondary schools. Parents and staff will have to look to the remote RSC who is not democratically elected or accountable, for any redress when things go wrong.

In fact the LA becomes subservient to the RSC  regarding local authority schools designated as 'causing concern' under the wider DfE definition of schools 'eligible for intervention':
Where the school is the subject of an academy order because it is eligible for intervention, the governing body and the local authority will be under a duty to work towards the school’s successful conversion into an academy by taking all reasonable steps towards that end. RSCs can also use the Secretary of State’s power to give the governing body or local authority a direction, or directions, to take specified steps for this purpose. If the RSC has identified a sponsor to run the school, and has notified the school of this, then the governing body and the local authority must take all reasonable steps to facilitate that sponsor taking responsibility for the school.In other words LAs and governing bodies have to hand over their schools to academy sponsors.
Meanwhile the RSC will also be working with free schools. The neutral sounding New Schools Networking (actually an agency for promoting free schools and therefore the privatisation of education) is advertising a meeting with Martin Post that will take place on January 29th:


Join NSN and free schools near you for a networking event with Martin Post the new Regional Schools Commissioner for North West London and South Central.
This event offers a chance to meet other free schools which are open or due to open, share experiences with them and hear from the Regional Schools Commissioner about his role and how it will affect your school. 
If you would like to attend please email open@newschoolsnetwork.org
Please note this event is for free schools in this region only. 
- See more at: http://www.newschoolsnetwork.org/academy-resource-hub/events-and-opportunities/rsc-free-school-networking-event-north-west-london-and#sthash.DqhgSQdb.dpuf
Join NSN and free schools near you for a networking event with Martin Post the new Regional Schools Commissioner for North West London and South Central.
This event offers a chance to meet other free schools which are open or due to open, share experiences with them and hear from the Regional Schools Commissioner about his role and how it will affect your school. 
If you would like to attend please email open@newschoolsnetwork.org
Please note this event is for free schools in this region only. 
- See more at: http://www.newschoolsnetwork.org/academy-resource-hub/events-and-opportunities/rsc-free-school-networking-event-north-west-london-and#sthash.DqhgSQdb.dpuf

·       Join NSN and free schools near you for a networking event with Martin Post the new Regional Schools Commissioner for North West London and South Central.

·       This event offers a chance to meet other free schools which are open or due to open, share experiences with them and hear from the Regional Schools Commissioner about his role and how it will affect your school. 

·       If you would like to attend please email open@newschoolsnetwork.org

·       Please note this event is for free schools in this region only. 

There has been little publicity about these proposals and it is important that they become a matter for public debate.


Mansfied Report report says Shaping a Healthier Future programme threaten fundamental principles of the NHS and provide “no realistic prospect of achieving good quality accessible healthcare for all.”

Hammersmith and Fulham Council have issued this release on the Mansfied Report

One of the country’s biggest hospital shake-ups is deeply flawed, likely to exacerbate a deteriorating situation, a threat to the fundamental principles of a universal NHS and should be halted immediately, according to a landmark report from the Independent Healthcare Commission chaired by Michael Mansfield QC.

NHS North West London’s Shaping a Healthier Future (SaHF) programme has already seen the hugely controversial closures of two A&E departments, at Hammersmith and Central Middlesex hospitals and the closure of Ealing maternity unit. Further downgrading of Ealing hospital is planned, along with the closure and sale of the majority of Charing Cross hospital site.

The Independent Commission also uncovered shocking details of spiralling management and consultancy costs. At the same time, a crisis is developing in emergency services, with GP services clearly failing to meet demand across the region, contributing to a crisis in A&E performance.
Independent Healthcare Commission Chair Michael Mansfield QC said:
“The findings of the Independent Healthcare Commission for North West London are stark - the reforms, both proposed and implemented thus far, are deeply flawed. There is no realistic prospect of achieving good quality accessible healthcare for all, and any further implementation is likely to exacerbate a deteriorating situation.
“Our recommendations are equally stark. It is the view of the Commission that the Shaping a Healthier Future programme should be halted immediately, and that the affected councils should consider a legal challenge if it is taken forward in the current circumstances.”

“At the very core of any decent civil society is the imperative to ensure that the individuals and communities who make up that society have sustainable access to good quality healthcare. The response from North West London NHS, flowing top down from central government, has singularly failed to deliver on this imperative, with all indications pointing to a further deterioration in the future.

“It is crystal clear that the impact of fragmentation through privatisation is slowly eroding what was a National Health Service, a development that ran like a thread through much of the evidence given at our public hearings. In so many ways, the catalogue of failings, missed opportunities and profligacy we have seen in North West London act as a microcosm of a wider malaise across the English NHS. As such, though this report focuses on the NHS in North West London, it should act as a warning call to the top of government.”
Leader of Hammersmith & Fulham Council Cllr Stephen Cowan said:
“People across west London have been horrified to see their treasured NHS deteriorating so quickly – and so unnecessarily. They have protested, sent in petitions and begged local health chiefs to stop this madness, and are furious that local NHS bosses have ignored them for so long. My council colleagues shared this anger, commissioning the Independent Healthcare Commission, and in doing so keeping our pledge to fight for local health services.

“Today’s report from Michael Mansfield QC is a watershed moment. Rigorous, thorough, detailed and rightly independent, the review provides indisputable evidence that these changes to local health services are badly planned, hugely costly and causing life-threatening failures in local healthcare. The only sane decision is to put a halt to them right now.”
The reports key recommendations are:
  • The Shaping a Healthier Future programme must be halted immediately
  • North West London local authorities should consider their options for launching a legal challenge if a decision is taken to press ahead with the programme in the current circumstances.
  • The report’s key findings are:
  • Cutbacks are being targeted on the most deprived communities
  • The public consultation was inadequate and flawed
  • The escalating cost of the programme (£1bn) does not represent value for money and is a waste of precious public resources
  • There is no business plan to show the reconfiguration is affordable or deliverable
  • NHS facilities have been closed without adequate alternative provision being put in place
  • The plans seriously underestimate the increasing size of the population in North West London and fail to address the increasing need for services
In today’s landmark commission report, Michael Mansfield QC also recommends that:
  • Ealing and Charing Cross hospitals must retain full ‘blue light’ A&E services for the foreseeable future
  • The decision to close Ealing maternity unit should be reversed with immediate effect
  • The A&E department at Central Middlesex Hospital should be re-opened
  • The National Audit Office should undertake a review of the value for money of the programme
  • A new public consultation is needed as the proposals have changed significantly
  • Substantial investment should be made in GP and out-of-hospital services, which are clearly overwhelmed and inconsistent.
Read the Independent Healthcare Commission for North West London's final report» (pdf 819KB)