Thursday, April 20, 2017

May 11th Meeting at 6pm at Ilford Central Library on GP Shortage

The Redbridge GP shortage impacts upon care at King George Hospital. I explain how in a email below to Redbridge Councillors earlier today.



Dear Councillors

I attended the last Redbridge Clinical Commissioning Group board meeting on 30th March to hear Dr Metha, the Chair complain of a shortage of Redbridge GPs impacting upon care at King George Hospital.

This is due to patients turning up at King George Hospital because they cannot get a GP appointment. It was reported by Dr Metha that average GP list size in Redbridge is 2600 whereas some other boroughs it is as low as 1700. The situation seems set to get worse with GPs retiring not being replaced.

There is strong evidence that overcrowded A&E departments lead to worse patient outcomes, including longer stays in hospital and worse mortality rates (1). So we need more GPs in Redbridge as a matter of urgency to ease the pressure on King George A&E.

To discuss what needs to be done to improve the situation I have, after consulting with others, called a meeting at Ilford Library on the 11th May at 6pm just before full council. Redbridge Trades Council is promoting this meeting and I will hope other organisations will support too.

Jas has made a commitment to providing a statement about the issue for the 11th May meeting at cabinet earlier this month. I hope there will be some Councillor representation across the parties at the meeting as there was for a save King George A&E meeting at the library last year.

Should Councillors from the main parties attend I will ask the Recorder if one of their journalists would like to chair the meeting.

I attended a inner London Clinical Commissioning Group meeting yesterday to find this in the board papers (2).

“Workforce - Summary In order to meet the shortfall of supply of GPs in EL, (high retirement rates and a shortage of available new GPs) and to develop a more efficient, patient-centred service, we will need to develop and increase the numbers of practice nurses, physician associates and pharmacists to provide a full multi-disciplinary team (MDT) workforce model. We are currently on target to deliver physician associate training placements in 2017 and a workforce supply in 2019. We have a pharmacist pilot programme in Newham GP practices and will look to expand this across TST in 2017-18.”

It seems rather than replace GPs in East London (EL) with new GPs, the shortfall is to be made up with “practice nurses, physician associates and pharmacists”. On the face of it, this seems an inferior GP service to the current one and it must be a concern that a similar GP downgrade is being planned for Redbridge. Cutting the number of GPs in East London seems bound to make some patients pay for private GP consultations which is likely to reduce the number of NHS GPs available (3).

I am hoping that Redbridge CCG will send a representative to the meeting or make a statement about the GP shortage.

It is puzzling that current regulations seem to stop a single handed GP starting up from scratch in Redbridge in a converted house. Purpose built, multi-disciplinary and multi-partner surgeries may be better than single GP practices, but they are not happening in sufficient numbers to tackle the GP shortage.

I hope representatives from each of the parties will attend, even if the council meeting starting later in the evening means Councillors may not be able to attend for the whole meeting.

The meeting will be broadcast live on facebook.

Regards

Andy



  1. the key quote from the site above is:
There is strong evidence that the symptoms felt in emergency departments led to worse patient outcomes. We know, for example, that patients run a 43 per cent increased risk of death after 10 days if they are admitted through a crowded accident and emergency (A&E) department. (Richardson DB, 2006) Waiting for admission in A&E is also associated with significantly longer hospital length of stay – on average 2.35 days longer where a patient stays in A&E for more than 12 hours. (Liew D, Kennedy M, 2003)
We know that speed of treatment is vital in many conditions. For example, people with the most severe form of pneumonia have less than a one in two chance of surviving. Those chances improve considerably if effective treatment is started early.  However, research suggests that delays of more than four hours in administration of antibiotics to patients coming into hospital with pneumonia can affect 70 per cent of patients on days when an A&E is crowded. (Pine JM et al, 2005)This undoubtedly affects mortality

    1. The quote is from page 49
    2. I cut and paste below some of the ads for private GPs on the net today
      1. Online Private GP Near Me - Caring Doctors Are Waiting Now‎

      Adwww.pushdoctor.co.uk/PrivateHealth/NearMe
      Private Healthcare Providing Referrals, Prescriptions & Fit Notes - Book In Now!
      NHS Commissioned · 24/7 Bookings · Regulated By The CQC · Open Every Day 7am - 10pm
      Adwww.citydoc.org.uk/PrivateGP020 7256 8668
      Same Day Moorgate/Oxford Circus Walk In, Phone or Book Online
      Rapid Blood Results · GP Consult £55 · Immediate Online Booking
      Services: Private Blood Tests, Radiological Imaging, Essential Health Screening…
      Adwww.walkin-clinic.co.uk/Private-GP/City-Of-London020 3411 3809
      Affordable and quality services at times designed to suit working people.
      High Quality Healthcare · Fast Results Turnaround · Earliest Open City Clinic
      Adwww.privatedoctorclinic.com/
      See an experienced, UK trained GP. Same day guaranteed. Make an enquiry now.

      Thursday, April 13, 2017

      Barking and Dagenham Trades Council support Autumn meeting

      I attended the Barking and Dagenham Trades Council meeting earlier this evening and am delighted to report they have decided to support an Autumn march from Queens Hospital to Redbridge Town Hall as part of our campaign to keep open King George A&E.

      Friday, April 7, 2017

      Next Save King George A&E March to be from Queens Hospital to Redbridge Town Hall

      Below is Cllr Athwal's excellent letter to Mr Hunt seeking a meeting to say why King George A&E should stay open.

      Redbridge is the first council to seek a meeting with Mr Hunt. It is important that other North East London Councils come on board as well. The more allies a campaign has, the better the prospects for success.

      Last night, Redbridge Trades Council decided to support a march from Queens Hospital to Redbridge Town Hall for a rally this autumn as part of an effort to get Havering Council to write to Mr Hunt too.

      I will be writing to local senior politicians for a date convenient for them and will report later with a date for the march and rally.










      Monday, March 20, 2017

      18th March Save King George A&E Rally Report and video link

      Thank you to all the speakers and everyone who came.

      Click on the link below for the video

      Video of meeting

      The Recorder write up is at Recorder

      We filled the Town Hall




      If Mr Hunt refuses to meet with Cllr Athwal and other senior politicians and agree to review the closure plan then our campaign will have to continue.

      I am grateful to everyone who contributed to the collection for the Town Hall Hire and Banner. The costs were more than covered with the surplus given to the BHRUT charity.

      Thursday, March 16, 2017

      Wednesday, March 15, 2017

      Any help towards funding the cost of Town Hall & Banner for the 18th March Rally much appreciated

      Thanks to everyone who has already contributed towards the cost of the Town Hall hire on the 18th and the banner. There is still £828 to find to cover our costs if you help with a donation, no matter how small, please go to https://www.justgiving.com/crowdfunding/andy-walker-1



      Friday, March 10, 2017

      Thursday, March 9, 2017

      Come to photoshoot tomorrow 2:15pm Friday 10th March outside Ilford Town Hall

      Cllr Jas Athwal, Keith Prince AM, Wes Streeting MP will be promoting the 18th March Save King George A&E rally at a photo shoot outside Ilford Town Hall tomorrow under the banner below which was delivered earlier to the Town Hall. If you could come along and support them it would be much appreciated.

      Wednesday, March 8, 2017

      Save King George Hospital A&E Planning meeting Friday 10th March Midday Ilford Town Hall

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall 

      Saturday, March 4, 2017

      Beds re-opened at King George Hospital, but Queens beds cut

      BHRUT, the management board for King George and Queens Hospitals deserve to be congratulated for re-opening beds closed at King George Hospital. In December 2016 there were 272 acute beds at King George Hospital making a total, with Queens 634  beds, of 906 beds.

      In January 2017, the numbers at King George had risen to 299, an increase of 27 beds, but Queens had been cut to 604, making an overall net loss of 3 beds when compared with December 2016, and a total of 903 beds.

      The final photo shows that at May 2015 the two hospitals had a total of 938 beds, 293 at King George and 645 at Queens.

      This is a loss of 35 bed from May 2015 to January 2017, along with the associated medical staff. Both hospitals continue to miss key safety benchmarks such as the 95% 4 hour A&E waiting time

      The trend for acute resources at our hospitals is going down, when what we need are more beds, doctors and nurses to cope with our growing population.








      Friday, March 3, 2017

      Shahida Chaudhry joins speakers on 18th March Rally at Redbridge Town Hall

      Delighted to report that our second faith speaker,  Shahida Chaudhry of the Al Huda Institute Chadwell Heath, has confirmed for the 18th March.

      Mike Gapes MP will be speaking at the 18th March Rally

      Delighted to report that Mike Gapes MP will be speaking at Redbridge town hall save King George A&E rally  on 18th March at 3pm.

      Thursday, March 2, 2017

      Rev Janet Buchan joins speakers on 18th March Rally at Redbridge Town Hall

      Delighted to report that the Rev Janet Buchan of St Paul's Church Goodmayes has joined the list of speakers on the 18th March at Redbridge Town Hall.

      Hope to announce other faith speakers shortly.

      It would be great to have the Redbridge political and faith communities coming together as one on the 18th March to say King George A&E must stay open.


      Wednesday, March 1, 2017

      Save King George Hospital A&E Planning meeting Friday 3rd March Midday Ilford Town Hall

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall 

      Wednesday, February 22, 2017

      Save King George Hospital A&E Canvassing Session outside Ilford Town Hall Saturday 25th February

      Come and join me and other campaigners outside Ilford Town Hall this Saturday from 11am to 1pm.

      We will distributing flyers for 18th March meeting

      Would like to go on past 1pm let me know if you have a an hour to spare this Saturday on 07956 263088

      Andy

      Save King George Hospital A&E Planning meeting Friday 24th February Midday Ilford Town Hall

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall

      Tuesday, February 21, 2017

      Bill Howe will be missed

      I am sad to report that Bill Howe has recently died. Bill was a great campaigner, not only for the Save King George A&E campaign, but other local causes too.

      His contribution to the campaign to keep open our A&E will be missed.

      Below is a photo from September 2013 when Bill organised a deputation to the council on King George Hospital. Bill is standing at the back and in the middle of the picture.




      Wednesday, February 15, 2017

      Save King George Hospital A&E Planning meeting Friday 17th February Midday Ilford Town Hall


      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall

      Friday, February 10, 2017

      Please register if you attending on the 18th March Save King George Rally and March

      After a planning meeting today at the Town Hall we encouraging those going on the March to register at

      https://www.facebook.com/SaveKingGeorgeHospital/

      The organisers are under an obligation to prepare as best they can and by registering it helps us plan the number of stewards and first aiders on the day.


      Wednesday, February 8, 2017

      Save King George Hospital A&E Planning meeting Friday 10th February Midday Ilford Town Hall

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall

      Friday, February 3, 2017

      Statement by Cllr Jas Athwal & Keith Prince AM in support of 18th March Rally and march

      "It is unfair that King George Hospital A&E is being planned to close in 2019. Since the closure plan was passed in 2011 the population of North East London has grown and is set to grow further still. Other parts of the country such as Durham and Luton have been given more resources to improve their A&E departments, we are only asking that resources not be taken away from our area.

      When the King George A&E closure plan was passed in 2011 we were given a guarantee that King George A&E would not close until Queens was of a high standard. This is not the case.

      A good turn out on the 18th March is vital, if we can match the 6000 that turned out to help Grantham's A&E we might get on the TV news and broadcast to thousands our request to meet Mr Hunt, the Secretary of State for Health to review the closure decision" 


      Luton A&E at http://www.telegraph.co.uk/news/2017/01/14/ae-needs-total-system-overhaul-cope-says-hospital-revolutionised

      Durham A&E at http://www.bbc.co.uk/news/uk-england-tyne-38501974 

      Wednesday, February 1, 2017

      Save King George Hospital A&E Planning meeting Friday 3rd February Midday Ilford Town Hall


      All welcome with time to work for our hospital.

      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall

      Wednesday, January 18, 2017

      Save King George Hospital A&E Planning meeting Friday 20th January Midday Ilford Town Hall followed by canvassing session at 1pm

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall

      Wednesday, January 11, 2017

      Save King George Hospital A&E Planning meeting Friday 13th January Midday Ilford Town Hall followed by canvassing session at 1pm

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march.

      4) Any other business

      5) Date of next meeting

      Regards



      Andy Walker 07956 263088

      There will be a canvassing session at 1pm outside the Town Hall



      Tuesday, January 3, 2017

      Save King George Hospital A&E Planning meeting Friday 6th January Midday Ilford Town Hall

      All welcome with time to work for our hospital.


      Agenda

      1) Apologies

      2) Minutes and Matters arising

      3) Planning for 18th March  2017 Rally and march. 

      4) Any other business

      5) Date of next meeting

      Regards

      Andy Walker 07956 263088