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Remember to keep local OSC informed – Cllrs hit out at temporary changes

TCI comment:

Over the years, we have written about the importance of building and maintaining a good relationship with your local overview and scrutiny, especially when controversial changes have or are proposed to be taken. Temporary changes are no different. In December 2018, Institute Associate Paul Parsons wrote:

Conversations with campaigners and NHS colleagues on announcements of temporary changes all tend to have the same focus: issues of trust and integrity rooted in process transparency, or lack of it.

As councils and health systems across the country begin to work closer together in providing and supporting health and social care, ensuring a good stream of communication between the two bodies need to be a priority.


“We were absolutely furious.” Angry councillors hit out at North Central London (NCL) CCG over the “extraordinary” lack of communication around the temporary closure of children’s A&E at the Royal Free.

The services were shifted to the Whittington Hospital in late September, as part of planning for the Covid-19 second wave across north London.

Health bosses from the Royal Free, the Whittington and NCL said “lessons had been learned” and accepted communication was “late in the day”, but sought to reassure councillors that the impact of the changes on patients was being monitored in real-time.

Royal Free children’s A&E to close on September 25 The service was shuttered and moved to the Whittington Hospital as part of wide-ranging changes in response the pandemic. Camden’s health lead, Cllr Pat Callaghan, said she and her counterparts in four neighbouring north London boroughs had been shocked by the lack of communication from North Central London CCG – which played a key role in making it. The issue was referred to the town hall’s health and adult social care scrutiny committee by watchdog Healthwatch Camden.

Cllr Callaghan said: “We were furious when we heard this, because of the non-consultation. Parents didn’t know, we didn’t know – and I think we should have been some of the first to know.”

Cllr Maria Higson (Con, Hampstead Town) added: “This is extraordinary – in the way this has been communicated not only to the public but also as we understand it to the staff.”

MPs and senior consultants at the Royal Free are among those to have complained to this newspaper about the speed of the changes and concerns that they could be made permanent.

Will Huxter, director of strategy at the CCG, said: “We absolutely acknowledge there’s a lot we need to learn from about how we’ve done this. Our motivation has been to make sure that we are able to offer safe and resilient services for children – both emergency and planned care – at a very difficult time.”

Kate Slemeck and Siobhan Harrington, chief execs at the Royal Free and the Whittington respectively, echoed this.

Ms Slemeck said the decisions had been made as medics found few children came into hospital during the initial phase of the pandemic, while Ms Harrington said there was a “very short window” for the hospitals to carry out the changes.

In response to questions from councillors, Ms Harrington added: “We are keeping a real-time grip on how the services are running, the numbers being seen, and how we manage this very, very closely.”

The issue was referred to the committee by the Healthwatch Camden watchdog. Its director Matthew Parris said: “A&E services for children and young people at the Royal Free were moved and closed down there at short notice. And initially, there was very little communication about the changes. This concerned us, particularly because of the level of awareness of the change. We conducted some informal polling and found that only around one in 10 people knew that the service was no longer available at the Royal Free.”

Mr Parris told the committee his team would be looking to conduct further research about awareness of the changes in the coming months.

Ms Harrington and Ms Slemeck also confirmed the changes would be carefully evaluated, and assured councillors that they and the public would be kept better informed.

Mr Huxter confirmed any permanent changes would be “subject to a full public consultation”.


Article originally appeared on Ham & High.

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