Saturday, 5 October 2013

Three words our local politicians don’t want to hear



Last month, specialist social researchers, TNS BMRB* published the results of a survey in which polling showed that nearly three quarters of the 1217 adults surveyed (72%) think politicians are more interested in furthering their own careers than in doing the right thing for the people of Britain. 60% think they do not represent “people like me”.

This is hardly surprising considering the fiasco that is hospital services for the people of Chislehurst, Petts Wood and Bickley, amongst others.

Way back when, when the Conservatives were last in government, there were fully admitting hospitals (i.e. those that “do everything”) in Sidcup, Orpington and Bromley South. Today, the accident and emergency unit at Orpington is long gone, the whole hospital at Bromley South has gone and the A & E at Queen Mary’s, Sidcup has gone. Three A & Es that have disappeared in recent history.

Of these three closures, the most galling is that of Queen Mary’s. Back in 2007 when Labour were in power, the Chief Executive of Queen Mary’s denied that its A & E was set for closure. In 2010, during the last general election campaign, the Conservative manifesto stated  that if elected they would “...stop the forced closure of A & E and maternity wards...” Once in power they blamed their failure to act on being in a coalition, despite their coalition partners,  the Liberal Democrats also being against the closure.

Before that, the PRUH at Farnborough was largely rebuilt using a Private Finance Initiative scheme which, at £156 million, was amongst the highest value of such hospital schemes. It had been intended that the sale of the Bromley South site would pay for the rebuild but following a change of government the funds went into the Treasury and the PFI scheme was put into place, with finance provided by (and onerous contracts agreed with) United Healthcare (Farnborough Hospital) Ltd, a consortium comprising Barclays Private Equity, Innisfree and Taylor Woodrow. The contract term was 35 years!

Fast forward to 30th September 2013. Queen Mary’s was by then in the hands of South London Healthcare NHS Trust, which comprised Queen Mary’s, the PRUH and Queen Elizabeth in Woolwich. This Trust had been formed in April 2009 under the weight of the PFI debts. However, with debts rising to £207m, the Trust was placed in special measures in June last year. Its final ignominy came five days ago when the Trust was formally dissolved.

And what a mess we have now!

From one Queen Mary’s Hospital Trust we now have Oxleas NHS Foundation Trust running Queen Mary’s with services provided at Queen Mary’s by no fewer than four further Trusts! Question: How many managers does it take to run a hospital? Answer: More than there are doctors and nurses.

And what does Health Secretary, Jeremy Hunt, have to say about all this?

What is in the clinical interests of patients in South East London has been at the heart of my decision making process...”

So at the general election in 2015 when a politician asks you if you think that they represent “people like you”, reply in three words:

“Queen Marys Hospital”.


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