Lanarkshire Health Trust - Monklands To Lose Its Accident and Emergency Print E-mail
By Kenny McGuigan   
Tuesday, 29 August 2006
It came as no surprise when Lewis MacDonald, the Deputy Health Minister at the Scottish Parliament, effectively rubber-stamped the "prefered option" of Lanarkshire Health Board Trust and announced the closure of the Casualty Unit at Monklands Hospital on August 22nd.
The decision shows the "consultation exercise" over 6 weeks and costing £50,000 of public money was, as we pointed out at the time, a complete sham. The truth is that the horror of PFI played a most crucial part in this latest despicable decision with regard to a hard-won political reform. It is a decision that will cost lives. The district served by Monklands Hospital is one of the most deprived in Britain. Deaths due to heart disease are almost 3 times the national average, while car-ownership is 47%. It was a cruel blow to local campaigners. 50,000 signed a petition urging the Trust to think again and thousands took part in public meetings, organised and run by a PR company at a cost of £50,000. These meetings were unanimous in their opposition to the Trust's determination to close Monklands. In the summer, thousands of locals marched in the 2 main towns served by the hospital. Such was the controversy that the 2 MP's John Reid and Tom Clarke, and MSP's Karen Whitfield and Elaine Smith added their voices to the condemnation. A grassroots campaign, organised by North Lanarkshire Trades Council under the banner "Lanarkshire Health United" was completely frozen out by the media, as the professional politicians ran a narrow, parochial campaign which has now backfired on them.
The Trust openly admit that private money had a bearing on their decision. 2 of the 3 hospitls in Lanarkshire are PFI run, Monklands being the exception. According to a report in The Herald, Aug 22nd, the Trust were aware that under PFI contracts, the other 2 hospitals could claim their fees even if they provided no services. This means, quite simply, that Monklands, an NHS hospital, held no financial returns for the profiteers.  It is a shocking state of affairs, and right in John Reid's own backyard. In fact, the Trust was mauled last year by government auditors for "financial mismanagement" and currently runs a £20 million debt. The feigned shock expressed by Reid should fool no-one. As Health Secretary, he presided over the introduction of Foundation Hospitals in England and Wales.
The fall-out from this explosive turn of events, especially invloving Labour heavyweights like Reid (Home Secretary) and Clarke (biggest majority of any MP in Britain) shows that when you introduce market practices and allow the money-grubbers to run desperately needed services, then he who pays the piper calls the tune.