Local Elections 2006

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  • Why the NHS is on the ballot paper. Overview and scrutiny committee's (OSCs) of local authorities can demand NHS chief executives appear before them and set their own agendas of what they want to examine, as well as being consulted on major NHS changes. As such they can have a big impact on reconfigurations, and parties could campaign in local elections on the claim that their party was the one standing up most strongly for their local hospital. All this explains why many councillors are making the NHS a bigger issue at elections than ever before. For example in Kirklees three Save Huddersfield NHS candidates could hold the balance of power on the council if elected. The trio have been leading the campaign against plans to move services from their local hospital to Halifax. Tens of thousands of people have signed petitions and attended demonstrations. Service changes at the hospital have recently been accepted by the trust but the group is seeking a judicial review, and Kirklees council OSC has also expressed reservations, referring changes to maternity services to the health secretary. In West Sussex, Conservative county council leader Henry Smith says the loss of services at Crawley Hospital has had a big impact on local politics, and recent job losses announced by Surrey and Sussex Healthcare trust are uppermost in residents' minds. The East Sussex committee, which covers an area where the health service has struggled in recent years, has a high profile and a reputation for tough questioning. In Rochdale the OSC supported a proposed restructuring of services, which has been attacked as a downgrading of local services. Local Liberal Democrat MP Paul Rowen has steadfastly opposed changes and his party sees it as a major issue in the local elections. OSCs look set to become the forums on which public concern about local service redesigns are vocalised. Summary by Keep our NHS Public of  Health Service Journal 4 May 2006
  • Volatile voters get a glimpse of the post-Blair landscape. A Save Huddersfield NHS candidate was elected in the West Yorkshire borough of Kirklees in last week's local elections. Summary by Keep our NHS Public of  Observer 7 May 2006
  • Shock sinks in over BNP councillors. Residents have blamed job cuts at the University Hospital of North Staffordshire for the surprise success of the BNP in the recent local council elections. Summary by Keep our NHS Public of  Stoke Sentinel 9 May 2006
  • Local protests bring in votes. Local opposition to NHS reorganisations provided the catalyst for single-issue party candidates standing in last week's local elections. GP Dr Jacqueline Gunsell was elected to Kirklees council on the Save Huddersfield Health Campaign ticket. She was one of three candidates standing in protest at plans to move services from their local hospital in Halifax. She won with 2,176 votes, a majority of 700 over the second placed Liberal Democrats. The Save Chase Farm Hospital Party won two seats on Conservative-controlled Enfield council. It fielded nine candidates who are opposed to proposals to close the hospital's accident emergency service as part of a wider reconfiguration. A total of 12,456 people voted for the party whose policy is opposition to the closure of A& E and to any changes to existing women and children's services. The Independent Kidderminster Hospital and Health Concern Group gained one new seat on Wyre Forest council and is now the second largest party after the Conservatives. Summary by Keep our NHS Public of  Health Service Journal 11 May 2006
  • Blair's market madness wrecking the NHS. The Socialist says: "The deprived areas of Langwith, Creswell and Normanton in Derby are guinea pigs in Labour's plan to privatise primary health care… [UnitedHealth Europe] has little interest in Langwith and probably won't make much money there. For them the big prize is a head start in bidding for control of the budgets that pay for hospital treatments… 130 angry people were at the Keep Our NHS Public meeting in Langwith where speaker John Lister welcomed health campaigner and Socialist Party member Jackie Grunsell's victory in the Huddersfield council election. Along with victories for health campaigners in Kidderminster, he said: 'When people get a choice they're voting strongly for candidates that support the NHS.' In a passionate defence of the NHS founding principles, that treatment should be available to all no matter where they lived or how much money they had, local GP Dr. Elizabeth Barrett, said, 'To dismember the NHS limb by limb is an act of social vandalism.'" Summary by Keep our NHS Public of  Socialist 18 May 2006
  • How Middle England turned into a nation of reconfiguration rebels. A wave of protests has swept across the country over the past few months, bringing thousands on to the streets. It has been sparked by increasing public anger over cuts, closures and service changes in the NHS that has erupted on a huge scale. Geoff Martin, head of campaigns at the pressure group Health Emergency, says there has been 'nothing like it since the poll tax'. The level of public anger seems to have taken the Department of Health by surprise. Public anger over NHS 'cuts' has seen 10,000 marching in Worthing, 7,000 in Haywards Heath and another 5,000 in Hastings, Sussex. Banbury in Oxfordshire has seen a protest by 5,000 people, with a similar number on the streets of Surrey commuter town Epsom. The wave of anger is something quite new in these places: none is known as a hotbed of militancy. In Huntingdon, police put a limit of 300 on the number of demonstrators, but 1,000 turned out anyway. The protest has taken in a 3,000-strong gathering in Nottingham, a march of 4,000 in Ludlow and - most remarkable of all - a demonstration of 27,000 people in sparsely populated Cornwall. It is not the easiest time to be an NHS manager. Elsewhere, the protesters have taken their grievances to the ballot box, with hospital campaigners elected to local councils in Kirklees and the London borough of Enfield. In the wake of Dr Taylor's 2001 election win in Kidderminster, the government introduced measures aimed at making reconfigurations more acceptable to the public - and less dangerous politically. The independent reconfiguration panel was set up to advise on contested changes, and new guidance, Keeping the NHS Local: a new direction of travel, specified that options for change must be developed 'with people, not for them' right from the outset, 'before minds are made up'. But somewhere along the line, the smooth new mechanisms seem to have broken down, and the public unrest shows no sign of abating. Lee Billingham, chair of Worthing Keep Our NHS Public, says: 'Kidderminster at that time was a fairly isolated example. The difference now is it's a national attack, with up to 60 accident and emergencies going.' The situation is different for other reasons, too. This time the banners have been raised against a background of widespread public concern at the effects of NHS deficits. Billingham agrees that public anger over the NHS is increasingly generalised, linking reconfiguration, financial deficits and 'broader issues: the market and privatisation'. He describes Worthing as 'Middle England'. But 10,000 people marched through the town in August to protest at moves to downgrade its hospital, while 6,000 people linked hands in a human chain around the buildings last month. 'As far as I know there's never been a demonstration of that size in Worthing, ever. Nothing on that scale.' And in Worthing at least, managers have not succeeded in persuading the public of their arguments. A rally at the end of the August protest was 'the angriest public meeting I've ever seen', he says. 'The chief executive of the SHA and her assistant came to address it. They were barracked and heckled - they were visibly shaken. I don't think they were expecting how angry people would be. They said it was OK, it was modernisation, there would be services in the community - and people were laughing. They were in fits of laughter.' The Kidderminster effect still haunts Labour, leading government members to join their opposition counterparts on the NHS protests. Chief whip Jacqui Smith, a former health minister, recently helped deliver a 16,000-strong petition in favour of retaining maternity services in Redditch. In north London's Enfield public anger over moves to remove A& E and other services from Chase Farm Hospital has made the political situation more complicated than ever. Enfield councillor Kate Wilkinson is one of two Save Chase Farm candidates elected in May, when nine health campaigners picked up 12,500 votes between them. She says there have been attempts to close the hospital's A& E under both Labour and Conservative governments, but the entire council has unanimously rejected all four options for reconfiguration now under discussion in a pre-consultation engagement phase. 'None retains a fully functioning A& E or women's and children's services staying at our hospital,' Wilkinson explains. 'It really is incredible. Everyone's up in arms. We are planning another large protest in December - the anniversary of the one last year [with 5,000 people].'  Summary by Keep our NHS Public of Health Service Journal 23 November 2006

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Sheila Porter-Williams
Campaign for Health Service Democracy
Green Haven, Halfway Lane
Dunchurch
Rugby, Warwickshire CV22 6RD
sheilaCHSD@porter-williams.freeserve.co.uk