Deputation from HaNSAH (Haringey Needs St Ann’s Hospital) to Haringey OSC

HaNSAH is a recently formed group who came together- as a result of concerns about the plans to sell off two thirds of the St Ann’s Hospital site when there are so many unmet healthcare needs in Tottenham. We’re campaigning for improved and integrated, healthcare facilities that will meet the needs of people in Haringey now and for the foreseeable future.

In their promotional literature the BEHMHT consistently say that much of the site is surplus to requirements, but have never provided any data to back this up.

We oppose the sell of the NHS land that is currently held in trust for us by BEHMHT until it can be demonstrated through an objective healthcare needs assessment that the planned facilities are fit for purpose, will meet the current and future health needs of residents and that the overall impact of the redevelopment will reduce inequalities in health across the borough

Our group is made of up of local residents and health campaigners, many of us are also members of St Ann’s Community Reference Group (CRG), set up by BEHMHT to tick their community involvement box, but who became disillusioned at the lack of information provided to the CRG while asking us to comment, the lack of focus on healthcare issues and the lack of influence the CRG has had on the redevelopment plans.

Members of the CRG consistently asked for information about the use of health care facilities in the borough to inform the planning process. For example to share information on ill health incidence rates and where people currently had to go to obtain treatment.

No information was provided and in fact BEHMHT said they did not have this information.

This is alarming and unacceptable. How can a decision be taken that the site is surplus to needs if no proper assessment has been made of what those needs are?

Members of the CRG asked for the Director of Public Health (DPH) to come and explain how the JSNA was informing the redevelopment.

We were given her standard presentation on alcohol and obesity in the borough, we agree that these are important issues, but they do not relate to the St Ann’s redevelopment.

We asked for the public health team to undertake a needs assessment focused on the redevelopment. She refused!

We think members of the scrutiny committee should ask the DPH to conduct a needs assessment. With a development of this size and significance for the borough, and the planned disposal of designated healthcare land, the Council has a responsibility to ensure that the healthcare needs of residents will be met. The plans should also take into account the future needs of residents, including the anticipated substantial population increase if plans go ahead for an additional 10,000 homes in Tottenham. We would like to be involved in drawing up the terms of reference for the needs assessment.

The site was historically used for general healthcare and only relatively recently transferred to BEHMHT. If BEHMHT no longer need the whole site there are a range of general healthcare facilities which could be provided locally to improve local provision for residents who currently have to travel outside the borough for treatment, this could include a walk in minor injuries unit for example, which would relieve pressure on over subscribed GP services.


Members of the CRG asked for representatives from the Clinical Commissioning Group (CCG) to come and present their vision for the site, to date no one has come.

In fact in the entire public consultation process a CCG representative was present only once. It is possible that Andrew Wright had ‘discussions’ with the CCG but no detail was ever provided to the CRG.

We request that The Scrutiny Committee ask Andrew Wright to provide a report detailing what discussions have taken place with the CCG about meeting the healthcare needs of residents and increasing provision on the site.

As a result of this failure we’ve done our own research.

We believe the plans presented by AW do not even meet current needs let alone future needs.

We present information on the need for three specific services, though this list could be added to with more research:


  • Mental Health Services
  • Child Health Services
  • Integrated Primary care and Urgent Care Centre


Mental Health Services

18 months ago Andrew Wright asserted that it was in the best interests of Haringey residents that all the mental health inpatient wards were moved to Chase Farm and none would remain at St Ann’s.

That assumption was challenged by service users from the MHSA and was tested twice in internal NHS reviews, both times the reviews found in favour of the service users and the decision to move the wards was changed.

About a year ago BEH MHT decided to close Haringey ward, we were told that it was surplus to requirements. As you will be aware, the CQC reported in August that seclusion rooms were inappropriately being used for patients because there were no beds available, this happened on 29 times in one month.

In their report to you BEHMHT said that in effect this was a ‘blip’, however before the CQC published their report one of our members got an email from one of the trusts directors, who said that ‘our wards are not overcrowded; they are however full and have remained so for quite some time.’

The JSNA states that Haringey has the third highest referrals for acute care in London. BEHMHT have reduced the number of beds from 50 down to a planned 36 in the new development.

The RCP recommendation is that wards should be operating at 85% capacity, its obvious that in Haringey we are well over 100%. We understand that BEHMHT frequently have to use private mental health beds because there are insufficient beds at St Ann’s.

Please ask Andrew Wright whether BEHMHT have met the CCG to discuss future capacity and what calculations they have done to ensure that the new wards meet the current and future needs?

Andrew Wright might tell you that they are working with the CCG to develop community and primary care mental health services, the JSNA says that 43% of acute admissions are people who are not registered with a GP and that most of them live on the east of the borough,

ask Andrew Wright how will improved primary care services help these people?

This is an issue of capacity it is also an issue of racial equality. The JSNA tells us People from BME communities are disproportionately represented in acute admissions. Failing to plan for these people would be unlawful discrimination

When questioned by the CRG about meeting future needs, BEHMHT said there is room for development in the future, he said they could always build upwards as the buildings were relatively low rise and there was green space around them.

But the inpatient wards are new build, they need to get it right first time! They can’t add another floor in a couple of years time, this would cause massive disruption…
As to the suggestion that they could build on the green space on the site, this would be counter productive and deprive patients of the well known therapeutic value of such spaces.

Child Health Services

If we were really thinking about future needs we would be thinking about our children’s health.

The Marmot indicator for child development in Haringey by the age of 5 is ‘significantly worse than the rest of England’, a year ago Haringey was the worst in England.

The SCR published following the death of Peter Connelly criticised local services it said:


  • agencies were acting in isolation from one another without effective co-ordination,
  • that there was poor gathering, recording and sharing of information


At this OSC in July last year Phil Watson and Dr Tony Wheeler from Whittington Health Child Health Services talked to you about the opportunities the redevelopment could provide for integrated child health services.

You said BEHMHT should consider the integration of the child development centre with CAMHS. Please ask Andrew Wright where and when BEHMHT considered this integration

In the ill fated Whittington Health Estates Strategy there was a proposal for an integrated child health service on the site, bringing together child health, child mental health and child protection services under one roof.

The proposal is led by clinicians and meets identified needs…

We wrote to Cllr Ann Walters about it she said, ‘In principal integrated services bring additional benefits to both users and the providers of services and I would therefore be in favour of the proposal .  But the devil is in the detail and in these times finance is the biggest hurdle.  There will need to be a lot of discussions before we have any clear idea what might be possible to co-locate and integrate on the site.’

We back to her asking what discussions had taken place and what the outcome was, to date we have had no response. If the issue is a current lack of finance, the site should not be sold off as this will prevent improved services when more money is available.

We ask members of the scrutiny committee to ask Cllr Waters what discussions have taken place and what the outcome was.

The issue is not really money it is the vision of integrated services. Services that work together with the welfare of the child at the centre

Integrated Primary care and Urgent Care Centre

At the first community involvement workshops there was a lot of support for an A&E department or Urgent Treatment Centre / minor injuries unit at St Ann’s.

We think there is a good case for an Urgent Treatment Centre on site given that there is currently no provision in the borough.

In March this year the Adult and Health Scrutiny committee heard a presentation on unscheduled care.

It was reported that in 2012 there were 10,212 residents contacted out of hours services.  Of these 8,366 patients had a face to face appointment at a site. Of the 8,366 the following shows which bases Haringey residents visited:

5,306 at the Laurels
2,527 at the Whittington
259 at St Pancras
274 at Homerton

An Urgent Treatment Centre would take the pressure off local GPs in the area, and off the Whittington  and N  MIddx’s A&E departments., it would also mean residents did not have to travel so far to obtain treatment.


Last year the OSC asked a question about the integration of primary care services on the site, especially the Laurels. What was the outcome?



Before any decisions are taken on the future of the site it is vital that the Council and residents know the details below:


  • What is the vision?
  • Where are the integrated services?
  • Where are the care pathways?
  • How will patients benefit from this redevelopment?
  • Will it reduce inequalities in health?



  • Members of The scrutiny committee should should ask the DPH to conduct a needs assessment. With a development of this size and significance for the borough, and the planned disposal of designated healthcare land, the Council has a responsibility to ensure that the healthcare needs of residents will be met. The plans should also take into account the future needs of residents,


  • Members of The scrutiny committee should ask Andrew Wright to provide a report detailing what discussions have taken place with the CCG about meeting the healthcare needs of residents and increasing provision on the site.


  • Please ask Andrew Wright whether BEHMHT have met the CCG to discuss future capacity and what calculations they have done to ensure that the new wards meet the current and future needs?


  • Last year you said BEHMHT should consider the integration of the child development centre with CAMHS. Please ask Andrew Wright where and when BEHMHT considered this integration and what the outcome was.


  • Please ask Cllr Waters what discussions have taken place about the integration of local authority children’s services on the site and what the outcome was.


  • Last year you asked a question about the integration of primary care services on the site, especially the Laurels. What was the outcome?

The HSCB (2012) introduced a duty for LAs, CCGs and HWBs to demonstrate how the JSNA has been used in planning and commissioning services

We are asking for the LA and CCG to abide by the law and ensure residents healthcare needs are met.


Haringey Needs St Ann’s Hospital


October 2013

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REINSTATE THE NHS! – PUBLIC MEETING – Wednesday 10th July 2013

Public Meeting


Find out –
What is happening to our NHS?
What can be done to limit the damage done by the Health & Social Care Act?

7.00 – 9.00pm, Wednesday 10th July 2013
Hornsey Parish Church,
Cranley Gardens, N10 3AH

Busses: W7 144, W3

Dr Ron Singer
President of the Medical Practitioners Union,
ex GP and active member of Keep Our NHS Public.
Ron will explain what is happening.

Discussion as to what can be done with contributions from other local campaigns defending health services.

Following the restructuring at Whittington Hospital by Unipart (a failed car parts company) the board focuses upon its Foundation Trust status application, for which a large part of its site, staff and beds will be sacrificed.
The only Hospital in Haringey is St Ann’s, managed by Barnet, Enfield and Haringey Mental Health Trust,  is threatened by the sale of land for housing development on the site, leaving just a fraction of the site for Healthcare services. Local people are fighting to protect much needed frontline services and support staff.

Join & support Keep Our NHS Public (KONP)
Keep Our NHS Public, Unit 12-13, Springfield House, 5 Tyssen Street, London, E8 2LY

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It is Time for a New St Ann’s Hospital Campaign!


Photo: Tony Guy

Plans to redevelop St Ann’s, Haringey’s only hospital, are developing rapidly. Despite promises that we would be getting state of the art health facilities we’re being presented with the same services on a smaller site. This is unacceptable. St Ann’s is in an area with significant health inequalities. We demand health services that are designed to meet our needs now and for our children’s children in the future. We can’t stand by and see the loss of a valuable community asset so the local NHS can ‘balance its books’, we need to take action now.

What do you need? What do you think should be provided on the site? What can improve the health of local people and reduce health inequalities in the borough?

Come to the first campaign meeting:

7pm, Tuesday 11th June,

Chestnut Community Centre,

280 St Ann’s Rd,

N15 5BN

Buses: 67 and 341

Background to the campaign:

Haringey’s last hospital is under threat. Plans to redevelop the St Ann’s Hospital site have been rumbling on since 2006. Now, as the managers of the site, Barnet Enfield and Haringey Mental Health Trust (BEHMHT) are preparing their application to get Foundation Trust Status in 2014 the redevelopment plans have been developing rapidly. To get Foundation Trust status – which is another step towards the marketisation and privatisation of the NHS – BEHMHT needs to ‘balance its books’. They claim the site is underutilised, has poor facilities and is costing them £7.5m a year to maintain. They say the only way they can afford to provide the healthcare facilities we need is to sell off two thirds of the site to property developers. We say we already pay for universal healthcare out of our taxes, we demand healthcare facilities that meet the needs of local people now and for the foreseeable future. We don’t see the site as a liability – it is an asset that needs protecting.

From an early stage it was evident that BEHMHT’s finances were driving the agenda, not the needs of local people. They proposed moving the mental health inpatient wards from St Ann’s to Chase Farm Hospital in Enfield. Mental Health Campaigners pointed out that this would lead to the isolation of people with mental health problems as friends and carers would have to travel miles to visit their loved ones. The plans were challenged in two internal NHS reviews. Both concluded that the campaigners were right and BEHMHT were wrong. They had to change their plans and include new wards in the redevelopment plans. If BEHMHT got this wrong how can we trust the rest of their plans?

In 2011 BEHMHT set up a Community Reference Group (CRG) to ‘involve’ local people and patients in the redevelopment plans. We were encouraged to do some ‘blue sky thinking’. We said we wanted a fully functioning District General Hospital with an A&E department. They said this was unaffordable but never produced any evidence to justify the claim. The group has been meeting for nearly two years now and we have never been allowed to discuss health care needs. We’re beginning to think that the group is just a convenient way for BEHMHT to tick their ‘community involvement’ box while they continue with their plans to sell off the site and leave us with inadequate facilities. We demand an independent healthcare needs assessment. We want to know what the community needs now and in the future, we can talk about how its going to paid for later. We don’t agree that the site is a liability, we think it’s a community asset that needs to be protected. How can BEHMHT claim that the site is ‘surplus to requirements’ without the evidence of a healthcare needs assessment and a thorough exploration of alternative options that could improve the health of local people?

The local community are already articulating their needs. Mental Heath Campaigners have argued that the current facilities are stigmatising and inadequate. In addition to the inpatient wards we need comprehensive primary care, outpatient facilities and ‘recovery houses’ on site – places where the focus is on the prevention of acute episodes and the transition between services is a smooth one, not the traumatic experience it can be now. The government has said that mental health should have the same priority as physical health, we demand that this pledge is put into action on the St Ann’s site.

If BEHMHT and the new GP commissioners of NHS services, Haringey Clinical Commissioning Group (HCCG) really cared about our health in the future they would pay more attention to the welfare of our children. Haringey has one of the worst records for child development by the age of 5 in the country. This is unacceptable. We must ensure that everything possible is done to avoid tragedies like Victoria Climbie and Baby P ever happening again. Child Development Services on the St Ann’s site are currently provided by Whittington Health. They propose a new Child Development Centre on the site, one that brings together Health, Local Authority and Mental Health services, integrated to focus on the needs of the child irrespective of organisational boundaries. Local Councillors have expressed support for integrated services, but what has happened? Nothing! We demand the best possible children’s services, nothing less is acceptable.

Hospitals can be significant drivers in local regeneration. In addition to the health services they can be a place that provides jobs and training for local people and attract other services and community facilities. We want a hospital that is the pride of our community, not just a collection of disparate services shoved into the corner of the site so that BEHMHT can offload its ‘liability’.

These are just some of the proposals that we know of. What do you need? What do you think should be provided on the site? What can improve the health of local people and reduce health inequalities in the borough?

Come along to the meeting on the 11th June, 7pm at Chestnut Community Centre, N15 5BN and work with us so that we can turn the redevelopment plans into something we can all be proud to support.

Get involved with CCG decision making, tell them about St Ann’s:

Find out about the state of our health:

Read about the history of St Ann’s Hospital:

Read about the 2006 St Ann’s campaign:

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The Spirit of ’45 – Haringey Screening – Wednesday 8th May

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Stop the Whittington Sell Off Demonstration – 16th March 2013

Help plan the next steps in the campaign – come to the next planning meeting Monday 25 March at 7pm, Archway Methodist Hal, N19 3TD

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A message from Haringey 38 Degrees…

Haringey 38 Degrees CCG Campaign a Success!

Haringey 38 Degrees campaigners have persuaded Haringey Clinical Commissioning Group (CCG) to take vital steps to protect local NHS services from privatisation. On Thursday last week Haringey CCG made public their draft constitution, it included the 38 Degrees amendments on procurement and commissioning virtually word for word (1). The amendments mean the CCG has to consider whether it is ‘necessary, desirable or appropriate’ to invite competition when purchasing.

The victory comes after a couple of months of persistent pressure and lobbying. We first met as a group in early November last year. The turnout at the meeting was a good indication of the strength of feeling in Haringey, over 30 people turned up despite the limited meeting space so we had to be given a larger room. We learnt that 2252 Haringey residents had signed the 38 Degrees petition. We decided that a group of us would present the petition to the chair of the CCG as soon they would agree to meet us, this turned out to be the first week of January. The meeting went well, the CCG Chair, Chief Officer and Lay Representative attended, they told us that as a membership organisation the CCG needed to consult their members, the local GPs, and consult their lawyers before making any amendments to the constitution. They said they had to comply with EU competition legislation, we were able to tell them that they had been produced by public law lawyers and had already been adopted by Hackney CCG. They said they would let us know what the outcome was by the end of February.

When they wrote to us following the meeting they were a bit vague about consulting with the GPs, it turned out that they had finished the consultation with GPs in December, we felt we had been misled at the meeting. It was difficult to get information out of them so we decided to attend the meeting of CCG board at the end of January and table formal questions about the consultation process. We did a call out to people who attended the initial meeting to support those asking the questions, again the response was fantastic with over 30 people attending, they had to search the building for more chairs as the 6 they had provided clearly wasn’t enough. The meeting wasn’t handled well, we were given written answers to our questions that were then read out aloud, we were not allowed to ask questions to clarify the answers we had just been given, the atmosphere became a little fraught! Those of us there decided we needed to meet again to keep up the pressure on the CCG board. We wrote to the GPs, we contacted the local press, we contacted local counsellors on the Overview and Scrutiny Committee, we contacted our local MP, we planned a public meeting.

We were supported in our campaign by Defend Haringey Health Services. They had done a lot of work last year trying to get the CCG to sign up to a pledge to resist the top down imposition of Any Qualified Provider (AQP)(2). They had connections to other local anti-cuts and anti-privatisation groups which helped build support for the amendments.

The constitution is still in draft form and will be formally adopted at the next meeting of the CCG board on the 14th March, the meeting is at the West Green learning Centre at 1.30pm. We’ll be encouraging everybody involved in the campaign to attend to witness the CCG taking this bold step.

We are planning to go ahead with our public meeting, we’ve invited a representative of the CCG to talk about the constitution and their Patient and Public Engagement Strategy. We want to have an impact on the way health services are commissioned and provided in Haringey in the future, the adoption of the 38 Degrees commissioning amendments by the CCG is a good start! The recent news about the coalition trying to sneak through the Section 75 legislations that will force CCGs to put contracts out to tender means that it is necessary to keep campaigning (3).

Our public meeting is on 5th March 2013 at 7.30pm at Wood Green Christian Centre, 4 Lymington Avenue, Wood Green N22 6JR. We have speakers from Keep Our NHS Public, the Save Lewisham Hospital Campaign and hopefully a representative from Haringey CCG, please come along and show your support for a public NHS.

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At a meeting of the management of the Whittington Hospital on the 23rd January it was revealed that they plan to sell off a significant part of the site and make huge cuts to jobs and services. The proposals include

  • Buildings north of the service road, by the old entrance to the A and E. All will be demolished except the listed building(s) which will be sold
  • Staff accommodation which is now included in the above plan, will be demolished and the land sold off
  • 570 staff  jobs to go – administrative and nursing
  • Reduction of beds from over 300 to 177
  • Capping of births to 4,000
  • Reduction of specialist treatments at the Hospital

The management say we don’t need hospital care. They say that care in the community is better. We say we need BOTH.

No to the sell-off and no to the cuts!

There will be a public meeting on the 12th February, 7.30pm,  Archway Methodist Hall, Archway Close (in Archway Roundabout)

Speakers include
Local MPs – Jeremy Corbyn, David Lammy, Frank Dobson, Emily Thornberry
Candy Udwin – London Keep Our NHS Public
Catherine West – Leader of Islington council
Owen Jones – Author and Journalist
Speaker from Save Lewisham Hospital Campaign
Shirley Franklin – Chair of DWHC

For more information:

Shirley Franklin will also be speaking at a ‘Unite the Resistance’ Meeting at Park View School, West Green Road N15 3QR on the 26th February. The meeting starts at 7.30pm.


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Defend Haringey’s NHS

Come and Help us Defend Haringey’s NHS at West Green Learning Centre this Thursday, 24 January 2013, at 1.30pm.

We need your help to convince the Clinical Commissioning Group that they should sign up to better rules on Haringeys health services.

38 degrees with support from Defend Haringey Health Services presented a petition of 2252 Haringey residents calling on local doctors to be more open and listen to the public about their health. It was handed in on 7/1/13 to the Clinical Commissioning Group (CCG), the group of mainly GPs who will be running Haringey?s health services from April.

38 Degrees and Defend Haringey Health Services put forward suggested 38 Degree amendments to the Clinical Commissioning Group?s constitution. A constitution sounds dry but it sets out how they propose to run health in Haringey.

These proposed changes aim to maximise consultation with local communities, ensures that health providers are not chosen purely on cost and increases transparency in the decisions the CCG takes about local health services. They have been legally checked as sound by eminent lawyers. They have already been accepted in their constitution by the Hackney CCG.

Haringey CCG say blandly they will consider them, but at a recent meeting Enfield CCG positively embraced them. There is no reason why Haringey can not do the same!

There’s a public meeting of the Haringey Clinical Commissioning Group on 24 January at 1.30 pm at the West Green Learning Centre. Members of Defend Haringey Health Services and 38 Degrees will be seeking the CCG?s commitment to adopting these crucial proposed amendments.

So far we have people from DHHS,38 Degrees, Friends of Belmont School and a pensioners group attending.

Come and have your say about Haringey?s Health Services!

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Haringey’s CCGonstitution



As you may be aware Haringey Clinical Commissioning Group (CCG) will be responsible for commissioning health services from 1/4/13 (Commissioning is planning health care and buying services from hospitals and community providers). To be authorised to do this the CCG have to set out a constitution which is approved by the National Commissioning Board (NCB).

Wendy Savage of Keep Our NHS Public (KONP) wrote to the Chairs of all the CCGs in England, including Haringey, on 4/12/12 warning of the risks and potential disasters ahead for Shadow CCGs . KONP  and Defend Haringey Health Services believe that government plans will force CCGs to ration patient care and deny treatments opening them up to legal action from patients. And, more worryingly, commissioning will force the CCG to place local NHS contracts with private companies where money that should be spent on patient care will end up as profits for shareholders.

38 Degrees have produced a constitution that they believe offers some protection to a public NHS. Locally 38 Degrees are campaigning separately to persuade them to adopt theirs. They are meeting the CCG to discuss this on 7/1/13.

We decided that we would write to all the CCG members making them aware of the KONP  letter. We are urging them to read  it and the summary, hold public meetings, and explain and discuss the risks with the public, before making a decision over the constitution that may lead to privatisation of the much loved NHS in Haringey.

We recommended in the letter that they accept either  the 38 Degrees model constitution, which is designed to be acceptable to the NCB, or that they submit a constitution that prohibits procurement through competitive markets. If you want to keep Haringey’s health services public ask your GP to support changes to the constitution.

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Public Meeting 9th October 2012 – The First Cuts are Happening!

Defend Haringey Health Services – Public Meeting

7.00pm, 9th October 2012

Wood Green Christian Centre, 24 Lymington Avenue, N22 6JA (off Wood Green High Road)

The First Cuts are Happening

The Whittington is being restructured by Unipart (a failed car parts company), and a large part of St Ann’s is to be sold off for housing. This will mean cuts in frontline services and support staff

There needs to be co-ordinated action to ensure we, the residents and patients of Haringey, are properly involved in the discussion, planning, and implementation of any change that will affect the services we receive.

Hear speakers explain the reality of the cuts as they are happening now.

Dr Ron Singer Ex Local GP – Edmonton

Other activists from local campaigns

Help plan the next steps in our campaign



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