Report to the People
14th June 2004

Anger is Right and Justified – But Not Enough on its Own

The perception of the Health Board’s controversial Clinical Strategy is that it’s a done deal; that we can’t influence the debate.  This is reinforced by the fact some have already accepted defeat and are more interested in who they can hang when the worst comes to pass.

As someone born and bred in Greenock, I understand that reaction, but I don’t accept it’s correct.  I understand that, in a community like ours which has had to undergo significant forced change, we fiercely protect what we hold dear.  But I don’t accept that these plans cannot be challenged.

The Clinical Strategy will have weaknesses which can and must be exposed.  In the coming weeks and months, we need to muster the support, knowledge and expertise to do this.

In terms of support, the Telegraph is to be congratulated for articulating the strength of local feeling on the issue.  Its swift action ensures that the Health Board can be in no doubt over the real anger we feel at these ill-conceived plans.

This is essential, but, on its own, not enough.

We also need to back up our passion with precision.  In other words, engage the health bosses on their own terms, challenging their arguments and the assumptions on which they rely with cold, hard facts.

And it is to begin framing our counterarguments that I have been speaking to academics, to consultants and the many others who deliver our health services locally.

Trying to get what you could loosely term the “health establishment” – and I don’t hesitate to include the Executive’s Health Department in this – to recognise that the problems the NHS faces have deep, intertwined roots and cannot be solved with a bit of pruning here and there might seem an impossible task, not worth pursuing.  (As the low attendance at last month’s public meeting organised by the Parliament’s Health Committee on the issue may show.)

But I believe that, after years of making the arguments and warning what could happen if action wasn’t taken, more people are now coming round to my way of thinking on NHS workforce planning.  Indeed, it was a small consolation last week to see no less than the BMA and Sir John Temple themselves finally coming out and publicly acknowledging the vital importance of the issue.  Better late than never, I suppose.

The arguments and debate ahead of us might well be protracted and complex, but my bottom line isn’t: There shall be an Inverclyde Royal Hospital.

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