Showing posts with label Politics. Show all posts
Showing posts with label Politics. Show all posts

Tuesday, 13 January 2015

Accident and Emergency units struggle to cope as independent hospital commission prepares to hear from the public



Local hospitals are still struggling to meet A&E waiting time targets as a review into deteriorating hospital services is set to begin.
Latest figures show casualty units fell short of the target to see 95 per cent of patients in A&E departments within four hours.
December’s figures continue to show failures to meet the target since the closures of A&Es at Hammersmith and Central Middlesex hospitals in September. Opponents to the changes say too much pressure is now being put on the remaining A&Es, and that this would get far worse if further services were lost, such as those at Charing Cross Hospital.
Hammersmith & Fulham, Ealing, Hounslow and Brent councils set up the commission following the closures and because of NHS plans to effectively scrap the emergency unit at Charing Cross Hospital.
Official NHS figures show the trusts that run St Mary's, Charing Cross, West Middlesex, Ealing and Northwick Park hospitals have all failed to meet A&E waiting time targets in the past three months.
London North West Healthcare NHS Trust which runs Ealing and Northwick Park Hospitals recorded the worst result in the country in the week before Christmas at 53.7 per cent for emergency units treating the most seriously ill patients. Imperial College Healthcare NHS Trust, which runs St Mary’s, Hammersmith and Charing Cross hospitals, also fared badly with 70.2 per cent. West Middlesex University Hospital NHS Trust was not much better at 75.5.
It will add to evidence to be weighed up by an independent commission chaired by leading barrister Michael Mansfield QC and set up by four local councils in North West London who have been deeply concerned by deteriorating local hospital services. The commission starts work this week and will set dates for oral evidence hearings which are planned to start next month.      
Hammersmith & Fulham Council Leader Stephen Cowan said: “These latest figures underline once again the importance of this review.
“The independent review, which is free of vested interests, is vital to assess what local trusts are doing to help ensure a safe and sustainable future for our hospital services. I encourage everyone to have their say at the forthcoming public meetings. The deteriorating state of local A&E services is evidence of just how important this review is for West London.”
In 2013 Michael Mansfield QC chaired the Lewisham People's Commission, an inquiry into the proposals to close services at Lewisham Hospital. He has represented defendants in criminal trials, appeals and inquiries in some of the most controversial legal cases in the country. He represented the family of Jean Charles de Menezes and the families of victims at the Bloody Sunday Inquiry. He chaired an inquiry into the shoot to kill policy in Northern Ireland and has represented many families at inquests, including the Marchioness disaster and the Lockerbie bombing.  He also represents the family of Stephen Lawrence.
He will be joined on the commission by Dr Stephen Hirst, a retired GP from Chiswick with extensive local knowledge and John Lister, researcher on the People's Inquiry into London's NHS in 2012 and Senior Lecturer in Journalism at Coventry University.
Written evidence on the impact of the changes should be submitted by Monday 2 February 2015 to Peter Smith, Clerk to the Commission, at Hammersmith & Fulham Council. Submissions should be addressed to him at Room 39, Hammersmith Town Hall, London W6 9JU or sent by email topeter.smith@lbhf.gov.uk. Later submissions will be forwarded to the Commission but may not be given the same attention as those received by the deadline.
% of patients seen within 4 hours
Week ending 28/12/14
Week ending 21/12/14
Week ending 14/12/14
Week ending  7/12/14
London North West Healthcare NHS Trust (Ealing, Northwick Park)
63.9
53.7
62.6
67.3
West Middlesex University Hospital NHS Trust
78.7
75.5
86.1
83.1
Imperial College Healthcare NHS Trust (St Mary’s, Hammersmith, Charing Cross)
79.3
70.2
72.1
75.7
Chelsea and Westminster Hospital
98.1
96.2
93.5
97.1
% of patients seen within 4 hours
Week  ending 30/11/14
Week ending 23/11/14
Week ending 16/11/14
Week ending 9/11/14
London North West Healthcare NHS Trust (Ealing, Northwick Park)
65.7
70.5
68.7
69.2
West Middlesex University Hospital NHS Trust
80.4
88.4
68.7
69.2
Imperial College Healthcare NHS Trust (St Mary’s, Hammersmith, Charing Cross)
79.2
83.0
77.5
85.8
Chelsea and Westminster Hospital
95.2
94.2
95.7
94.6
% of patients seen within 4 hours
Week ending 02/11/14
Week  ending 26/10/14
Week ending 19/10/14
Week ending 12/10/14
Week of 05/10/14
London North West Healthcare NHS Trust (Ealing, Northwick Park)
74.6
73.3
67.8
78.1
80.5
West Middlesex University Hospital NHS Trust
88.0
87.4
83.7
91.6
90.6
Imperial College Healthcare NHS Trust (St Mary’s, Hammersmith, Charing Cross)
85.4
86.5
82.5
87.9
83.1
Chelsea and Wesminster Hospital
93.8
96.0
95.1
97.0
97.4
Monday January 12, 2015
Check the Hammersmith and Fulham Council website:


Wednesday, 17 December 2014

Hospital inspector says St Mary's is inadequate while praising threatened Charing Cross



A damning independent report by the Care Quality Commission (CQC), has described St Mary’s Hospital’s A&E unit as ‘inadequate’ while praising the threatened A&E unit at Charing Cross Hospital.
The CQC report adds fuel to the fire of Hammersmith & Fulham Council’s campaign against the closure of Charing Cross Hospital’s A&E and against plans to demolish the hospital and replace it with what will be mainly a GP led clinic a fraction of the current hospital’s size. The CQC’s findings add to H&F Council’s concerns that it would be negligent to direct H&F’s patients to St Mary’s ‘inadequate’ facilities.
The CQC, the independent regulator of health and social care services in England, released its report on the state of local hospitals run by Imperial College Healthcare NHS Trust today (December 16) after it inspected St Mary’s in Paddington, Charing Cross,  Hammersmith and Queen Charlotte’s and Chelsea hospitals in September.
The CQC’s ‘inadequate’ rating for St Mary’s A&E was given before the full effects of closing the A&E units at Hammersmith and Central Middlesex hospitals were known. The A&Es at Hammersmith and central Middlesex were closed on September 10.
The report comes after newspapers published an internal memo dated July 15 from Professor Jamil Mamet, who heads the surgery and cancer division of the Imperial College Healthcare NHS Trust. The memo was titled ‘Finances — urgh!’ and told how the Trust’s finances were so weak it may cause the scrapping of the trust’s application for self-governing ‘foundation’ status.
The board of Imperial College Healthcare NHS Trust has now cancelled the public board meeting scheduled for tomorrow (December 17) and is believed to be having a ‘closed session meeting’ to discuss the CQC’s damming report.
Describing the failures at the A&E unit at St Mary’s, the Commission said: “The standards of cleaning and maintenance of some equipment was inadequate. [There are] issues with patient flow because of the A&E department’s physical capacity.
“There was a lack of bed capacity for those who needed admission. We also had some concerns about the leadership in the A&E department.”
In stark contrast, the Commission had this to say about the A&E unit at Charing Cross: “The department was well-designed and operated efficiently and safely [with] a strong culture of learning and improving, both from incidents and from the views of patients.
“Patients we spoke with were very positive about the care and treatment they received. They said staff took the time to listen to them and explain any treatment that was required. There was strong, consistent leadership and staff were proud to be working in the A&E department.”
Reacting to the CQC’s report Cllr Stephen Cowan, Leader of Hammersmith & Fulham Council, said: “This is a damming report which backs our view that closing Charing Cross Hospital’s A&E will put lives at risk. This comes just a few months after it emerged the Trust had serious financial problems and it raises wider questions about the competency of the people arguing for Charing Cross Hospital to become a much smaller urgent care clinic. We are determined to defend Charing Cross and our local NHS and this report demonstrates just why it’s vital we do that.”
The CQC report calls into question staffing levels at St Mary’s, which are now under greater pressure. “Action had been taken to mitigate the risk of inadequate staffing levels but was sometimes impacting on patient care,” the report said.  “Capacity in some areas did not meet demand; this had resulted in a backlog of more than 3,500 patients waiting.”
As result, H&F Council has set up an independent commission with three nearby councils – to be chaired by leading barrister Michael Mansfield QC – to address proposals to reduce local hospital services.
Growing disquiet at the knock-on effect on other hospitals of the closure of emergency services at Central Middlesex and Hammersmith has also resulted in the surprise announcement by NHS England of its own inquiry into how hospital reconfiguration in west London is being handled.

Tuesday, 9 December 2014

NHS


Shortly after I revealed the £120,000 junket to look at  US healthcare for 23 local NHS bosses, Tracy Batten, Chief Executive of struggling Imperial Trust, was forced to withdraw from the NHS-funded trip. An hour after the Standard reported her defence of the jolly during an A&E crisis, she had a change of heart.  Not so her 22 colleagues.  They are back today. They include some of the most senior figures in London’s NHS.

Meanwhile, in the Commons I asked Health Secretary Jeremy Hunt if he would confirm the Guardian story that he was about to u-turn on the plan to  downgrade most A&E departments in England, including Charing Cross – not because of criticism from the College of Emergency Medicine and Care Quality Commission but because it was ‘political suicide’.  Hunt denied the report: closures and demolition would go ahead as planned. 

According to reports, ambulance crews now have to get permission before taking 999 patients to Northwick Park Hospital in Harrow.  When they are diverted to other hospitals that puts further pressure on an already burdened system. Last week I was told two other west London hospitals also had to divert ambulances for a time. With waiting times already the worst in the country this situation is unsustainable and yet the plans for further closures are still going ahead.

Two weeks after I wrote to NHS England demanding a full inquiry into the A&E crisis in west London I have heard nothing.  So I was pleased this week  that four west London boroughs including Hammersmith & Fulham have launched their own independent inquiry, chaired by one of England’s leading QCs Michael Mansfield. 

Saturday, 6 December 2014

The launch of the independent Commission on the future of our A&Es


The launch of the independent Commission on the future of our A&Es is a good time to reflect on the work Hammersmith and Fulham’s Labour council has done to protect the local health service.
A key aspect of the May 2014 election campaign was anger over the previous Conservative administration’s decision to support the effective removal of both A&Es in the borough and the sale of most of the Charing Cross site to developers for conversion into luxury flats.

In the years before the election, dedicated volunteers in the Save our Hospitals campaign leafleted residents, ran street stalls and gathered tens of thousands of residents to raise awareness about the NHS’ dangerous closures plans. In its election manifesto, Hammersmith and Fulham Labour pledged to immediately reverse the Council’s position and to fight for the future of Charing Cross A&E and
the borough’s health service.
The first step Labour took after winning the Council was to establish a Hospitals and Health Unit to coordinate an assertive and informed campaign against the closures. The unit conducts research, submits Freedom of Information requests, tracks the changing positions taken by health bosses and monitors the worrying impacts on A&E waiting times of those closures that have already taken place. It has also supported the other steps set out below.

The new administration met Imperial College Healthcare Trust to notify them of the Council’s firm opposition to the closures and make it clear that this was backed by the overwhelming majority of local residents. More important than these private meetings, however, was the use of the council’s new Policy and Accountability Committee that oversees health issues to publically scrutinise Imperial’s plans. Health bosses were questioned by both councillors and the public, and it soon
became clear that their plans lacked substance, and that Imperial could not explain how West London’s remaining A&Es would cope with closures. They were also unable to explain what facilities would stay in the small area of Charing Cross that wouldn’t be sold to developers, further undermining Conservative claims that the hospital had been “Saved” in 2013.

The Council has also been making its voice heard in important forums outside the council. The renewed opposition to the plans has been put forcefully at meetings held by Imperial Board, the Hammersmith and Fulham Clinical Commissioning Group, HealthWatch and the North West London Joint Scrutiny Board. This has filled a gap left by the complete lack of public debate and scrutiny undertaken by the Imperial Trustees and other health authorities that should be challenging the lack
of planning or consultation into one of the biggest upheavals ever seen to A&E provision in London.
The administration has also written to Jeremy Hunt and the Chief Inspector of Hospitals at the Care Quality Commission to highlight Imperial’s lack of preparation for any A&E closures and its degrading financial position.
A key reason why Charing Cross has been chosen for demolition is the desirable land it sits on.
Imperial has admitted in its business plans that it wants to sell most of the site to address its financial problems and spend on facilities outside of Hammersmith and Fulham. Bosses have evenly recently speculated about turning the main hospital tower block into flats. With a growing population in the Borough and across West London, this is incredibly short-sighted—once the site is lost to the NHS it will be almost impossible to replace. The recognise the importance of the Charing Cross site to the whole community, the new administration has set in train the process of changing the Local Planning Framework. Labour also made clear its opposition to the plans at a recent gathering of the world’s major property developers.
H&F residents and their council cannot fight this battle alone. Across West London there is concern over the NHS’ reckless closure plans. For that reason, the H&F’s administration has joined forces with Brent, Ealing and Hounslow to establish an independent Health Commission, chaired by Michael Mansfield QC. The NHS failed to consult local residents properly on their plans—if they did, they would have seen just how much opposition they faced. The Health Commission will speak to residents and clinicians across the four boroughs and produce an independent view on the future of the area’s A&Es. This will ensure that whichever Government is in charge of the NHS after May 2015 will be presented with detailed, independent facts setting out the impact of West London’s proposed A&E closures.
These efforts have attracted considerable media attention, with highlights including:

Independent: Double-Speak from NHS bosses

Evening Standard: Memo which shows financial crisis at Imperial

Daily Mail: A&E unit in London faces axe...after PM promised personally it would stay open

Evening Standard: A&E waiting times at west London hospitals hit a record after closures

BBC: Chelsea and Westminster Hospital told services not good enough

Evening Standard: Top barrister to investigate impact of A&E closures on patient safety
There is still much to do to save our hospitals. Imperial and Jeremy Hunt have not given way, but they now face a broader, more forceful and better informed opposition than ever before.

Vivienne Lukey H&F Councillor, Fulham Reach Ward


Monday, 1 December 2014

Independent commission to review Accident and Emergency closures in west London

L-R: Cllr Julian Bell (leader of Ealing Council), Cllr Steve Curran (leader of Hounslow Council), Cllr Stephen Cowan (leader of H&F Council) and Cllr Muhammed Butt (leader of Brent Council)


An independent commission, chaired by leading barrister, Michael Mansfield QC, is being set up by four local councils in west London, who have been deeply concerned by deteriorating local hospital services.
The closures of hospital A&E services in west London have been followed by lengthening waiting times for residents struggling to get seen at over-burdened neighbouring hospitals. With the expected imminent spike in demand from winter pressures, fears are rising that lives are being put at risk.
Growing disquiet at the knock-on effect on other hospitals, of the closure of emergency services at Central Middlesex and Hammersmith, has also resulted in the surprise announcement by NHS England of its own inquiry into how hospital reconfiguration in west London is being handled. The councils remain concerned about the impact of closing further services at Ealing and Charing Cross hospitals on the remaining emergency services in the region.
Official NHS figures show the trusts that run St Mary's, Charing Cross, West Middlesex, Ealing and Northwick Park hospitals have all failed to meet A&E waiting time targets over recent weeks.
In the three weeks after 19 October, all three hospital trusts dipped below the national target, which says 95% of patients should be seen within 4 hours. Performance at North West London Hospitals Trust, which runs Ealing and Northwick Park hospitals, fell to just 67.8% of patients being seen within 4 hours, the second worst result in the country.
Now, four councils in Hammersmith & Fulham, Ealing, Brent and Hounslow have got together to set up an impartial inquiry to look in depth at the impact local closures are having, and at the implications of further hospital reorganisation proposals, including the planned closure of services at Ealing hospital and Charing Cross hospital in Hammersmith.
As well as reviewing the evidence provided by the NHS to support their reorganisation, the commission will be asking others to contribute evidence. It will also commission further research to fill the gaps in existing evidence.
Councillor Julian Bell, leader of Ealing Council said: "Since plans to change emergency services in our area were first suggested we have felt that our very real concerns have been largely ignored. We have heard lots of spin about what will replace A&E services at Ealing, Charing Cross, Central Middlesex and Hammersmith hospitals but before these changes go any further we need proper answers. Emergency services in this area are already struggling so it makes no sense to cut Ealing’s A&E. By engaging someone of the calibre of Michael Mansfield QC to carry out this independent review we know that the public will get a true picture of what is happening and if the NHS is keeping its word about providing new services before others are closed."
Councillor Muhammed Butt, leader of Brent Council, said: "Our worst fears, about the effects of closing local A&Es before the expansion of Northwick Park was complete, have come true. Brent residents now face the longest A&E waiting times in the country and immediate action needs to be taken to resolve this situation as we are talking about life and death emergency treatment. Further delays to the A&E improvements at Northwick Park will only make the problem worse. We will support the Independent Commission, and will be demanding answers from NHS bosses at our next scrutiny committee. West Londoners deserve the best healthcare and this joint review will be vital in shining a light on what has gone on with these botched A&E closures."
"A&E closures are already putting dangerous additional pressures on other hospitals and will only get worse if services at Charing Cross are also closed," says H&F Council Leader, Councillor Stephen Cowan. "The official figures speak for themselves, but we plan to bring some extra, independent scrutiny to examine what local trusts are doing to our hospital services. An impartial review is needed, free of vested interests, of the real and likely impact of these major hospital re-configurations and the financial reality behind them.
The leader of Hounslow Council, Councillor Steve Curran said: “Ensuring a safe and sustainable future for West Middlesex Hospital remains one of Hounslow Council’s top priorities. We continue to work closely with Hounslow Clinical Commissioning Group and the NHS Trust to make sure local residents receive the best possible care.”
Michael Mansfield QC last year chaired the Lewisham People's Commission, an inquiry into the proposals to close services at Lewisham Hospital. He has represented defendants in criminal trials, appeals and inquiries in some of the most controversial legal cases in the country.  He represented the family of Jean Charles de Menezes and the families of victims at the Bloody Sunday Inquiry.  He chaired an inquiry into the shoot to kill policy in the North of Ireland and has represented many families at inquests, including the Marchioness disaster and the Lockerbie bombing.  He also represents the family of Stephen Lawrence.
He will be joined on the commission by Dr Stephen Hirst, a retired GP from Chiswick with extensive local knowledge and John Lister, researcher on the People's Inquiry into London's NHS in 2012 and Senior Lecturer in Journalism at Coventry University.
% of patients seen within 4 hours
Week of 2 November 2014
Week of 26 October 2014
Week of 19October 2014
Week of 12 October 2014
London North West Healthcare NHS Trust
(Ealing, Northwick Park)
89.9 (All A&Es)
74.6 (Major A&Es)
94.1 (All)
73.3 (Major)
86.6 (All)
67.8 (Major)
91.0 (All)
78.1 (Major)
West Middlesex University Hospital NHS Trust
91.8 (All)
88.0 (Major)
89.5
87.4 (Major)
92.5 (All)
83.7 (Major)
95.6 (All)
91.6 (Major)
Imperial College Healthcare NHS Trust (St Mary’s, Hammersmith, Charing Cross)
93.2 (All)
85.4 (Major)
94.1
86.5 (Major)
92.1 (All)
82.5 (Major)
94.7 (All)
87.9 (Major)

Friday, 21 November 2014

Bill to Save the NHS


Earlier today I spoke and voted for my colleague Clive Efford’s Bill to reverse the Coalition’s privatisation of the NHS.  Fearing they could not get enough Government MPs to vote it down, Tories and Lib Dems stayed away, but almost every Labour MP attended rather than spending Friday on constituency business and so the Bill passed its first hurdle by 241 votes to 18. Over 500 constituents have written to me in support of Clive’s Bill so far, thanks in large part to 38 degrees excellent campaign.

I am one of ten MPs sponsoring the Bill, which means my name appears on the face of it.

Bill.jpeg


Clive’s speech was one of the best I’ve heard in the Commons, and I got my own opportunity to raise the dire situation in west London.  Since the closure of Hammersmith and Central Middlesex we have been transformed into the worst performing part of the NHS.

"I am very pleased that my name appears on the Bill as one of its supporters because nowhere is it more apparent than in west London what the Tories mean for the NHS. Two A and E departments closed, and within weeks up to a third of patients were not seen within four hours at A and E. Does my hon. Friend agree that unless we get rid of all this Tory legislation, the NHS will not survive?"

You can read the rest of my interventions and the full debate here. 



Earlier in the week I spoke on the NHS crisis in a public debate at the Commons with Clare Gerada, former head of the Royal College of GPs and GLA member  for Ealing Dr Onkar Sahota.  The hospital closures in west London are fast becoming the number one example of Government NHS failure.



Andy Slaughter, MP for Hammersmith

Tuesday, 18 November 2014

A&Es in crisis following closures.

One month ago Hammersmith and Central Middlesex A&E departments closed,
on the instructions of the Coalition Government. Already performance levels for A&Es has fallen off a cliff in west London.




It is now the worst performing part of the NHS. In some weeks Imperial NHS Trust which runs Charing Cross and St Mary’s Paddington is seeing barely more than 80% of patients within four hours against an expected 95%. Northwick Park, which is in a state of meltdown according to clinicians there, has fallen as low as 66%.


But Chelsea & Westminster, Ealing and West Middlesex are also all struggling to cope.

The only surprise here is that that the Government seem surprised! They certainly do not know how to cope as winter approaches. Today the advice from the Medical Director was – don’t go to A&E, visit the chemist!

This is, of course, exactly what was predicted by the Save our Hospitals campaign, but perhaps even they thought the crash would take months rather than just four weeks.

There is concern about waiting times but also concern about standards, as the Care Quality Commission Report into Chelsea & Westminster showed last month.

So where do we go now? The Tory-led Government and Imperial have to admit that their programme of hospital closures for west London – the biggest in NHS history - will not work. The demolition of Charing Cross and loss of emergency services and 90% of inpatient beds should not go ahead.

We need an independent report into the capacity of North West London NHS. And we need proper public consultation, so that the voices of the people who use and pay for our NHS are finally listened to.

Save our Hospitals have started a new petition, asking that there is a moratorium on closures and hospital reorganisation in West London until proper evidence is provided to support reorganisation, and the public is properly consulted on any changes. I urge you to sign it.

My experience of the past two and a half years since the closures were announced persuades me that ‘Shaping a Healthier Future’ is not about modernising the NHS or making it more efficient, but is simply a way to cut funding and prepare the NHS for privatisation.

So I will be sponsoring my colleague Clive Efford’s Bill to reverse the Government’s privatisation agenda in the Commons next Friday. You can sign the petition to support Clive’s Bill here.


Saying thank you to a wonderful doctor

With all the bad news about the NHS, it was great to be reminded about why we are so passionate to protect it.

Last week we said goodbye to Dr Deirdre Gallagher who is retiring from Park Medical Centre in Goldhawk Road after 20 years as a local GP – and my GP.

Deirdre is a legend in the local NHS, but I don’t think even she expected the response from her patients of all ages and backgrounds. Hundreds queued for up to three hours to say their goodbyes and thank her for the excellent care she has provided during her years in the Borough.

It was an incredibly moving evening and reminded everyone there why we are prepared to fight to save the NHS which continues to define the fair and compassionate society that we built after the second world war.

Andy Slaughter MP for Hammersmith 




Thursday, 30 October 2014

Report raises yet more doubt about emergency unit closure plan


A damning report on the quality of healthcare at Chelsea and Westminster Hospital has raised major concerns about whether its A&E could cope if emergency facilities at Charing Cross close.
An inspection report by the Care Quality Commission (CQC) rated Chelsea and Westminster's A&E as 'requiring improvement' while also concluding that some of the medical staffing levels 'did not meet national recommended standards' at the Fulham Road hospital.
The inspectors noted concerns from staff that the A&E unit was struggling to cope because of the closure of Hammersmith Hospital and Central Middlesex A&E in September.
And if Charing Cross Hospital was to close, experts predict 40 extra cases a day would also have to shift to the already overwhelmed Chelsea and Westminster Hospital.
H&F Council leader Cllr Stephen Cowan said that the report raised yet more doubt about the wisdom of closing A&E at Charing Cross.
He said: "Chelsea and Westminster is clearly struggling to cope with its current case load, so how on earth will it cope with an extra 40 cases per day if Charing Cross A&E closes? This shows how ill-thought out the current proposals are.
"Across London and across the country we are seeing A&Es struggling to cope with existing demand. It is total madness to think about further closures."
The CQC said that the Chelsea and Westminster Hospital NHS Foundation Trust requires improvement in four out of five areas.
It said that, while the overall standard of patient care at A&E was 'good', the service was under increasing pressure because of rising attendances which was causing delays in assessment and treatment. It noted that waiting time at A&E exceeded the four-hour national standard.
Staff told inspectors that morale at A&E was 'low' with insufficient levels of engagement with management.
Overall the CQC rated the Trust as requiring improvement when it comes to the safety, effectiveness, responsiveness and management of services.
Cllr Cowan said that he will be immediately writing to the Secretary of State with his concerns and added: "We should be focused on improving A&E services, not taking them away.
"We will continue to do everything in our power to block the removal of emergency services at Charing Cross."

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