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Many staff would not be comfortable sending their own relatives to hospitals in NW London (particularly Ealing Hospital).Ealing Hospital comes bottom in staff survey on places to work and to receive treatment in a report is a report higlighted by the BBC News last night about the need to change hospital care in North West London (see Diagram 6 Staff Survey) in "Shaping a healthier future for North West London" (http://www.northwestlondon.nhs.uk/shapingahealthierfuture/) published last week (February 1st 2012).In section four it was emphasized that:4. Hospitals in particular need to change …While the NHS will continue to focus on keeping people healthy and treating them, where possible, in the community or their own homes, there will always be the need to treat some patients in hospitals.In NW London, however, the NHS is struggling to deliver consistent, high quality hospital care:· Patient experience is generally poor across NW London hospitals· Many staff would not be comfortable sending their own relatives to hospitals in NW London· There is marked variation in the quality of acute hospital services in NW LondonElsewhere in the report:There are some excellent specialist centres and networks already benefitting patients and carers in NW London. However, there are other areas of clinical practice which would also benefit by being centralised in a few centres of excellence, such as specialist laparoscopic or keyhole surgery. Laparoscopic surgery is associated with faster recovery times and can improve patient outcomes, yet at Ealing Hospital only a third of surgeons providing emergency care are able to perform laparoscopic surgery.

Jerzy Kremm ● 5172d

I don't really recognise this characterisation of Ealing Hospital from my own treatment and that of my family over the past 30 years. A few trips to A&E, septicaemia, smashed toe, and a chronic, recurrent knee injury have all been dealt with extremely faultlessly. OK that is a very small and anecdotal sample, but over the same period Hammersmith managed to damn near kill my wife and first baby, and St Richards in Chichester (beautiful place, hopelessly overstretched nursing staff) managed to destroy what mobility my mum still had before discharging her with undiagnosed pneumonia. She nearly died that night, and was dead within weeks.Northwick Park has a terrible local reputation, too. It's already overburdened. Although to be fair they were OK when my wife was taken there after a road accident.It seems to me that the NHS has systemic management problems, and I do so agree about the disastrous effect of PFI on budgeting, but the clinical and nursing staff are usually the least of the problems. I suspect, with utter certainty, that whatever hospitals get closed, combined, revamped, this will not fundamentally change, because the very people charged with implementing change are the core of the problem - the endless interlocking tiers of management, whose primary concern is their own careers. It is egregious, and probably devious to close the only hospital for miles, in the middle of a congested 300,000 catchment area. It simply won't work, and the capital costs of replacing EH will be prohibitive. EH either gets fixed and run better, or there effectively won't be any NHS for many local people. Which, it's hard not to conclude, is the whole idea.

Tony Sleep ● 5192d

Good Question. However, based on my own experiences over the past eighteen years, and the experiences of my friends and relatives I cannot just say nothing. My advice to anyone whothinks about going to Ealing Hospital is "don't". If theycannot find your records over multiple visits what chance isthere that competance is to be found in the more importantclinical areas?In spite of a long history of poor performance I have yet to see one of our precious MPs (Conservative or Labour)say that things must be improved in Ealing Hospital and our so-called councillors are more interested in saving Lime trees rather than people!On a subtext the provision of good local healthcare, eduction and law and order services is at best questionable in Ealing. The forever empty and unattended local ward police stations, the policepeople who never stop cyclists on pavements, and then there is the University formerly known as TVU (Thames Valley University) which is the third worst in the country. Then look at the closure of the local mental health daycare centre and the local daycare centre for the disabled which has been compounded by the closure of respite care beds for the disabled.Then add the low-grade partisan slanging matches that are evident at full council meetings between the various politicians and the obsession with building car parks and now refurbishing Southall pavements in a time of economic crisis and what is one meant to think?Labour or Conservative it doesn't matter.Then there are the new council offices to be built in Southall and in Acton...I could go on.Will.

William J Malmet ● 5194d

I agree with you too particularly about the elderly, although I think the problem is nationwide and also has a lot to do with the way we live, treat our elderly and the expectation for the health service to fix everything for us.One of the biggest problems with hospitals must be that they are places that the users do not choose to visit - so there is not enough feedback- as here would be at a leisure centre for instance. Everybody wants and needs to move on after their often traumatic experience has ended rather than trying to improve the situation for others or the next time. With so many employees it is harder for users' views to be heard and acted upon.  Feedback should not have to always be or be seen as an official complaint.Recently I have been horrified at the way that people are dumped out of hospital when they are quite clearly not fit and ready to leave, with poor or no liaison with relatives, and other authorities.We all know that the complete well-being someone is important. Yet with more and better care in hospital many people would be fit and able to leave hospital quicker. The bed-blocker scenario is a vicious circle - lack of attention to food and eating as part of getting well, lack of cleanliness leading to infections, physiotherapy and attention to drug changes and side effects etc all prolong the stay in hospital.The Patients Medication Card has been wrongly filled in for my elderly relatives on several occasions and the drugs have not been discussed with them prior to discharge. Only because we checked this have we avoided serious problems.  Also the follow-up was not organised properly and we have had to chase up referrals to District Nurses/Community only to find that there is not enough liaison (DN left 5 years ago etc.) Everybody while in hospital needs a friend, another voice. If you are unlucky enough to be taking drugs which give side effects of nausea or confusion your well-being is certainly compromised as there seems to be a sink or swim attitude.  Many drugs take time to get used to - time which nobody wants to spend in hospital and time which hospitals do not want to give you.I should clarify that my elderly relatives have not used Ealing hospital.   

Philippa Bond ● 5208d

I like many people dread the battle with my GP (or indeed with ambulance)over trying to be taken to somewhere else other than Ealing Hospital. Many old people in the borough regard it as "somewhere where you go to die" and my encounters with it over the past twenty years can only be regarded as life-threatening and very frightening.Ealing Hospital is badly run, poorly resourced, and has poor quality staff. Clinicians who I know say it should be closed down but are too scared to say anything because they are part of the NHS system, or they fear not receiving proper support from it should they need it. I personally know of two people who died from non-treatment related infections contracted in the hospital when they went in for a) a routine minor operation, and b) cancer treatment.What we have to realise that the "tower block" that is Ealing Hospital should be allowed to go the same way as the twoer blocks of the South Acton Estate and the Green Man estate - a mistaken experiment. We used to have two small hospital, the King Edward Memorial Hospital in Acton and the King George V Hospital near Walpole Park.With the return to thinking about local polyclinics smaller local hospitals with better transport connections may be a good idea.The question and campaign in my mind is not the closure of Ealing Hospital, it is how we can get a new (and better run) hospital in the centre of Ealing (helping to re-vitalise Ealing through this). Two sites come to mind with excellent transport connections and locations: the Bollo Lane Industrial Estate in Acton (near Acton Town tube), and the seven acre Ascott Allotments (poorly managed and dreadfully underutilised) site near St Mary's Church in South Ealing (South Ealing Tube and two bus routes).In the mean time let us let a sick institution die quietly (it is not uncommon to merge failing companies with good companies to save what can be saved from the failing company so the Trust mergers are very sensible).In the mean-time I think that politicians should listen to what the consumers of Ealing Hospital want, and not be swayed by thousands of "public sector" and "health service employee connected" signatures on a petition. It is better that 100 people lose their jobs than one person dies.Will.

William J Malmet ● 5210d

The difficulty in all this is that unless a patient has a decidedly bad experience – and I doubt that out of all the thousands of people who get treatment at Ealing that figure would be significant – how does one assess that a patient at Ealing comes out of a period of treatment any worse than if he went to Charing Cross.Very few of us have access to enhanced knowledge and so how is one to know that a successful operation on say a hip replacement or a heart bypass or a hernia etc could have been better if he had been to Charing Cross (which incidentally itself has a somewhat uncertain future).So have we really the ammunition to dumb down Ealing? And perhaps it is slowly getting better. Also what was missing in that Choose Ealing document in my first post that we really need in Ealing.I don’t think from an Outpatient viewpoint that the hospital is unclean. Also you may be aware that MRSA and C-Difficile incidents at Ealing have fallen significantly.I really do feel that the rapidly growing population in West London demands that Ealing should continue. The population is growing faster than in almost all other Outer London Boroughs. To me it is quite wrong that an increase of about 35,000 people in just Ealing over about 35 years warrants closing this building. Can you imagine how much more pressure will be put on other hospitals? Can you imagine how much more difficult it will be to get to another hospital after taking into account the increasing number of vehicles on the road.So let us try to support keeping the hospital and in time perhaps we shall see an expansion of services. Management is bad from time to time. But they cannot be dreadful for ever.

George Knox ● 5220d