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Harringay, Haringey - So Good they Spelt it Twice!

St Ann's Hospital: Will Ed Miliband step in to shore his promise to protect the NHS ?

Will Haringey Council resist the Sell off of St Ann's Health infrastructure ? and show a stand for Labour to protect Haringey's NHS Services. A delay on planning could activate a priority to negotiate emergency talks to gain investment in Health for the East of Haringey, (meeting with the Secretary of State and the NHS,) surely an election issue when there is huge disparity between health provision between the east and west of the borough. Who will grab the nettle, the issue will not go away, and could damage election prospects for a Labour Mayor will it be Adonis, Abbott, Khan Lammy or Tessa Jowell. Would Ed Miliband reverse the tables, if he was elected as Prime Minister?

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No, we just need to ship out the unhealthy (and poor) people and ship in some fit young people happy to live in small apartments and with no real need for infrastructure unrelated to earning their slave wages.

My main objection is that it's all being kept VERY quiet and that our elected representatives do not appear to be attending meetings on it. I appreciate that we need to build more houses but then won't we need more hospitals?

One objection is that the Friern Barnet site was sold off, without any benefit filtering down, now St Ann's is up for sale, with no consideration for St Ann's as a Health Employment site, take a trip to Caulfeild Hospital Melbourne, and you will be shocked at the difference in investment. Our schools are oversubscribed, only providing statutory needs without any plans for new local schools, Heartlands will become inaccessible, after a thousand homes are built, which are homes that are needed, but it's like being an IT firm in Shoreditch without Broadband, impact needs to be anticipated, and it's more expensive to retrofit.

Health care considerations for the borough:

Plans & projections for growing need for Dimentia care facilities for an ageing population to be addressed.

No Joint strategic needs assessment has been made.

What is the deficit our NHS Trust faces.

GP access is poor for current population in the East of Haringey

We need provision of Integrated children's services

The need for Expanded mental health facilities.

Stop fragmentation of the NHS

Reduce pressure on mental health trust

Desperate for Investment not subsidy by the Government in our NHS.

Here's a few other considerations:
healthcare providers at St Ann's Hospital:
Whittington Health (Community Health Services) -
Audiology
Foot Health
Sexual Health
Child Development
Community Dentistry
Community Physiotherapy
Seating & Mobility service (Wheelchair Clinic)
Inpatient stroke and non stroke rehabilitation (Chestnut ward)
Improving Access to Psychological Therapies (“Talking Therapies”, in partnership with
Barnet Enfield and Haringey Mental Health Trust)
Moorfields Eye Hospital - www.moorfields.nhs.uk
Outpatients
Day surgery unit
North Middlesex Hospital - www.northmid.nhs.uk
X-ray
Sickle Cell & Thalassaemia Service

North London Breast Screening Service

Mobile breast screening service
London Ambulance Service -
Matthew, St Ann's provides specialist services for all of haringey not just the east.
Thanks Liza,Yes it does.

If StAnns is seriously under review, why don't they grasp the nettle and build a proper bloody hospital? At least an A&E and some kind of convalescent unit, so those who get shipped out of the borough for surgery or treatment (ie everybody) can recover closer to home. This is the only London borough without its own hospital. How has this been allowed to continue?  And with 10000 new dwellings - ie about 30000 more people - being shoehorned in, they must drastically increase provision.

Absolutely,

Have you ever had to go by public transport to North Middlesex on a weekend to receive urgent care? I have. There isn't enough provision for urgent care in the borough. Or, of course, the authorities could actually do a review and projection of needs -- which hasn't been done, as Matthew has pointed out.

If you are so familiar with and supportive of the policy "reforms" in the NHS, then I am guessing that you are in favour of the privatization of services that is driving many of the closures, more so than any review of community needs. But perhaps I am wrong?

I spent most of my life in the American health care system and worked on attempts in the 1990s to get a cost-efficient single-payer system in the US. I was the editor of a book last year, NHS SOS, a dissection of the privatization of health services in the UK (many pushed by American healthcare providers looking to find new markets and profits). People become reliant on A&Es when they do not have access to primary care. In the US, that happened (and still happens) because people cannot afford health insurance or the fees for GP visits. In the UK, it happens because surgeries are oversubscribed and for the most part are unavailable to patients overnight and at the weekend.

I am all in favor of more investment in primary care and community services, but that is not what is currently happening in the NHS. And *access* to health care is part of delivering health care. Having no urgent care or emergency care unit in the borough does not serve patients who need critical attention outside of office hours or in a life-threatening situation. There is nothing the NHS could have done to avoid my need for urgent care--accidents happen.

The JSNA to which you linked is a basic demographic assessment of population and health risks. There is no analysis of how health care is delivered or should be delivered to the population; the ratio of GPs to residents; the subscription levels or wait times at local surgeries; the usage of urgent care and emergency care facilities by residents and travel times associated with them; etc. That's the sort of analysis that I would expect from the council before a health facility's physical plant is reduced and significant new housing built in its place. The new housing proposed at St. Ann's is only a fraction of the influx scheduled for the borough over the next decade. This is my concern.

Just for the record, the OED and Chambers both prefer Z for -ize (-ise) endings. I'm glad we've got that important matter at the forefront.

I don't see how increasing the provision of urgent care and emergency care increases the burden on emergency care staff or centres; plus, I want an increase in the provision of GPs. Recruitment of staff is an issue, but the goal should be providing health care to individuals. If there is more access to GPs and walk-in centres and urgent care centres, then A&Es will be used less frequently. If NHS Choices is sending me to an A&E for treatment that I know full well could have been handled in a different facility (though possibly not in my GP's surgery, even if I'd been injured during weekday office hours), the problem is not with patient use, but with provision of care.

As to the JSNA: why then did you link to the JSNA when the subject of this thread is the fate of the St. Ann's physical plant and the uneven provision of healthcare services between the east and west of the borough? 

I did not make that suggestion, and I believe Matthew would agree that the JSNA that has been conducted--provided at your link--does not answer the questions about the healthcare infrastructure in this area or in the borough at large.

The direction of travel in the NHS is to reduce the inreasing reliance on A & E services, and to promote the role of primary care and community services.

If that is the case, then there's going to be a problem in this area.

Getting a GP appointment has suddenly become a lot harder than it once was, and few surgeries are accepting new patients. It's even worse in other parts of the borough, have you not seen the articles on GP availability in Tott. Hale - and the effect on timing of diagnoses? I also wonder what immediate effect this will have on the population, as I can tell you now, obtaining birth control is a lot more of a faff than it used to be (SORRY IF TMI)

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