KHOODEELAAR! TOLD YOU SO! that the Crossrail scam-agenda-touting Tower Hamlets Council was lying about Whitechapel..

1415 [1405]

Hrs GMT London Tuesday 28 April 2009: KHOODEELAAR! TOLD YOU SO!


That 'in' Tower Hamlets, described by Rupert Mudoch-ed Times in 2008, as 'the most deprived borough' in the country, is NOT 'benefiting' the local people.. That NO publicly paid for service installed in the area called 'Tower Hamlets London borough' [in whatever permutation] is good enough.. That ALL publicly-paid for ‘services’ are doing persistent disservice to the ordinary people. This starts with the ‘local’ Tower Hamlets Council. The controlling g clique remains in place, no matter what the appearances are of ‘change’. ...There is no change for the better... And the gory facts of daily denial and the daily lying by the controlling clique on and in the ‘London Borough of Tower Hamlets Council’ are suppressed by the corruptly ‘edited’ Archant-owned and controlled ‘East London Aparthedier’, the monopoly ‘local’ ‘newspaper’ that is supposed to be ‘engaged in a campaign to retain commercial independence from the Council over the in-house propaganda title the East End Lies’. This is a claim most recently asserted by its alleged editor malcolm Starbrook in a feeble piece of idiocy pegged to a pathetic lobby of the OFT.....The East London Aparthedier is as responsible for the state of poor services in the ‘East End’ borough as the Council itself. As indeed is the local Hospital. The ‘main’ Whitechapel Hospital.. Oops! The frighteningly ‘up-market named’ ROYAL London ! OOOPS! There is nothing royal about the mistreatment and no treatment that are routinely meted out to local people by that outfit of the sinking NHS... the high rise building that has just gone up will not hide, will not be able to hide the centuries old 'tradition' [now, there is a 'comfy' 'familiar' word!] of disservice to local people that is FACT..... No wonder that the allegedly joint investigation allegedly run by COMPUTER WEEKLY and the Lon don GUARDIAN media group has found appalling evidence of negligence and lack of basic care about patients’ rights and needs at the Whitechapel Hospital... But then they would, only tokenistically... nether the Guardian nor Computer Weekly would tell the truth if we told them. Even if we made the facts so universally objectively verifiable that no known test could find anything lacking in the veracity of our evidence... For the Guardian is a lying medium. And any association that Computer Weekly might have with the Guardian would be affected by the agenda of the poisonous, racist, crusader-linked and crusader-prompted lies that the Guardian runs against ordinary people and against universal truth.... That is why the Guardian has perniciously concealed and covered up the facts about the wastefulness of CROSSRAIL.. That is why for years the lying Guardian has colluded with the Big business tout ken Livingstone in Livingstone’s tout role as a peddler for CROSSRAIL... The line that the Guardian’s ‘transport’ ‘writer’ Dan Milmo has confessed, is MAINLY about linking Canary Wharf to Heathrow... a line that is NOT aimed to bring any objectively definable benefits to ordinary people in the East End Borough of Tower Hamlets... Yet the corrupt clique in time in post and in control of the ‘local’ Tower Hamlets Council BARGAINED for a Crossrail station at Whitechapel.... Without that role, there would have been no reference to ANY need for a Whitechapel station for Crossrail.. Thus the ALIGNMENT would have been VERY different. Or significantly different...But the local Tower Hamlets ‘Council’ controlling clique via its relevant [temporal] stooges and touts retailed the lie that Crossrail was ‘vital’, that it would bring ‘benefits to the Borough’. What benefits? What unheard of benefits? Only if they in fact intended there to be inconceivable benefits, in the sense of untrue, unfounded, unreal and unrealisable ones!!!! Only in their most callous and insane fantasies would they see any benefits in the ordinary sense.... Yet the lying clique said that a Whitechapel station for Crossrail was VITAL because there would be TRILLIONS of medical students coming to study at the Whitechapel Hospital ‘medical school’! They must have meant that the EXISTING Whitechapel station, which is linked to both the Metropolitan Lines and the District Lines, will REPEL anyone carrying an ID as a Jacqui Smith-ed medical student..A special Jacqui Smith ID they all medical student zombies would be required to wear in the fantasy trip to Whitechapel Hospital Medical School! And any sign of any such zombie would trigger instant mechanical and physical repulsion action by the EXISTING District Line and Metropolitan line tube trains and their allied systems.... The kind of ‘evidence that the joint investigation by Computer Weekly and the Guardian has uncovered...... The truth is that Tower Hamlets Council is more closely linked with the Whitechapel Hospital operation of Big Business agenda than either the Guardian or any comparable ‘mainstream’ media will ever know. Or admit to knowing even if they were shown the evidence .... The only guarantee that local people will benefit from the due services is if local people campaign for local delivery - real, true, genuine, at all times - of locals services... As KHOODEELAAR! has been doing for the past 5 years and 4 moths... Tower Hamlets Council’s Crossrail agenda-touting controlling clique is too compromised, too corruptly-installed by its links with the vested interests at the helm at the Whitechapel Hospital AGENDA....It would not notice anything wrong if even more disturbing evidence of wrongdoing, violations, breaches were uncovered about what the Whitechapel Hospital agenda-promoting force has been actually doing against the rights, against the needs and against the preferences of local people....


[To be continued]



Risk Management
Hundreds of patients lost in NPfIT systems
Author:Tony CollinsPosted: 07:51 28 Apr 2009

A group of London hospitals has lost track of patients who have missed treatment under the Government's 18-week wait target, after problems with pioneering NHS IT systems.

The difficulties are the most serious of any major implementation under the NHS's National Programme for IT [NPfIT].

Computer Weekly and The Guardian, in a joint investigation, have learned that details of hundreds of patient appointments have lain hidden or unrecorded in systems which were installed as part of the NPfIT.

When the appointments were discovered, patients had already missed their treatment within the Government's target wait time. The Government's promise is that "everyone who chooses to be treated within 18 weeks, and for whom it is clinically relevant, will be treated in that timeframe".

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Now the group of London hospitals - which are run by Barts and The London NHS Trust and include the world-famous St Bartholomew's Hospital in Smithfield - have stopped issuing reports on the number of patients who have not been treated within 18 weeks, although these reports are required by the Government.

Data too unreliable

The Department of Health and officials in London have said the data in the trust's Care Records Service system is too unreliable.

Staff at Barts, in trying to meet the 18-weeks target, have been facing a backlog of more than 2,000 patients.

Separately the trust has apologised to 447 patients who waited more than 13 weeks to see a specialist. Patients at Barts have also waited longer than the four-hour wait target for A&E and for inpatient treatment within 26 weeks.

Rollout resumes as problems worsen

Despite the problems the NPfIT minister Ben Bradshaw has announced that the roll-out of the Care Records Service - the system at the heart of the problems at Barts - is to resume rolling out.

The rollout stopped last year because of the severity of problems at London hospitals.

Plans and timetables are now being prepared for BT to install the Cerner Millennium Care Records Service at Kingston, Bristol, Bath, and at various hospitals in the London area.

Health officials in London have told Computer Weekly that improvements to implementations are being made in the light of past mistakes.

But they gave the same assurance after each troubled go live of the Care Records Service at the Nuffield Orthopaedic Centre, Weston, Milton Keynes, and Barnet and Chase Farm. Despite the assurances, the problems have become more serious.

Barts still breaching targets

Barts has directed patients on its backlog to other hospitals including independent treatment centres. It has also set up additional clinics. But the hospital concedes that it is still breaching Government targets.

The problems at Barts are not with 18 and 13-week targets alone. Tower Hamlets Primary Care Trust says its chief executive has written to the head of Barts and The London to "raise our serious concerns" about the non-availability of "data relating to maternity care."

The Government target is for women to see a midwife or maternity healthcare professional within 12 weeks of pregnancy. But Tower Hamlets says. "We have now initiated the process of collecting data manually, as the Care Records Service system at Barts and The London is unable to produce the reports required."

Another government target is for patients to wait no more than 26 weeks for treatment as an inpatient. Tower Hamlets says the latest data shows that Barts has "far exceeded the number of allowable breaches".

PCT's formal warning to Barts

The PCT has "issued a Warning Notice to BLT [Barts and The London Trust] in line with the performance process in the acute contract".

Various official investigations are underway, including a "Serious Untoward Incident" inquiry because the details of hundreds of Barts' patients who needed appointments and treatment were left undiscovered in the systems.

Patients could be harmed by delays

Some doctors believe that the decision of officials and ministers to resume the go-live of the Care Records Service in London and parts of England is a triumph of politics over the safety and welfare of patients.

Tower Hamlets Primary Care Trust says a breach of waiting time targets at Barts "may have an impact on clinical outcomes".

Katherine Murphy, Director of the Patients Association, said: "Cancelled and delayed operations can have a huge effect on patients. The hospitals have stated that the patients have not come to any clinical harm, but that doesn't mean patients aren't being forced to wait whilst in pain or discomfort."

Several primary care trusts in London, which pay for patients to be treated at Barts, report breaches in Government waiting time targets because of the Care Records Service problems at Barts. "Unfortunately Barts and The London's performance in this area [meeting national targets] has impacted on our PCT partners," says Barts.

Some NHS officials say the problems with go-live of the Cerner Care Records Service are not because of the software but because of the unreliability of data and the way the system is implemented.

Clinical concerns at Royal Free

The Royal Free, whose Chief Executive Andrew Way has defended the decision to resume the rollout of the Care Records Service, said: "It's important to separate out the administrative processes that may or may not be adequate and effective at Barts and the London from the introduction of Care Records Service".

The Royal Free's board has been told that there are clinical concerns about the Care Records Service although the technology is now more stable. Difficulties with the Care Records Service at Barnet and Chase Farm have been reported as "ongoing" by the board this year, although the system there went live nearly two years ago, in the summer of 2007.

There are reports in Australia, the US and the Middle East of difficulties with similar technology.

Barts and LPfIT official respond

Helen Avery, a spokeswoman for the London Programme for IT, said: "The health and safety of patients is of paramount importance in any decision the London Acute Programme Board makes on behalf of the NHS

"There are always challenges with early adopters of complex IT solutionsThe approach being taken at the other trusts that are currently planning to implement Cerner Millennium has been informed from the lessons learnt from the improvement programmes at the live sites and enables more localisation and tailoring of the system as well as close working between clinicians and solution experts."

A spokesman for Barts and the London NHS Trust said: "Barts and The London has some of the best quality clinical care in the country. There are, however, some weaknesses in our information management and administration systems, which we are addressing through a comprehensive improvement programme Until this is complete, we have agreed with the Department of Health, NHS London and Tower Hamlets Primary Care Trust that our performance will not be reported. As soon as we have validated our data, we will resume our monthly reports in the usual way."

It added that no patient has come to clinical harm. It is awaiting the results of a Serious Untoward Incident investigation into the "root cause of the waiting list reporting concerns and why management systems did not alert the organisation to it sooner".

London trusts in chaos as NHS IT system 'loses' waiting lists - The Guardian

Lessons from troubled go-live at Nuffield Orthopaedic Centre


RELATED TAGS
care records care trust cerner millennium hamlets primary nhs trust primary care records service serious untoward tower hamlets untoward incident

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KHOODEELAAR! TOLD YOU SO! For 5 yrs 4 months. Now EVEN the ex-Ed of Crassrail-peddling E Standard says so too. SCRAP Crossrail!

1220 [1158] Hrs GMT London Tuesday 28 April 2009:

KHOODEELAAR! has been telling you so for more than 5 years now! Crossrail is crass! Now EVEN a CRASS role playing, Crassrail-peddling nostandards EVENING STANDARD editor, Simon Jenkins, says so as well! If Boris Johnson is not bonkers, he will pay heed to Simon jenkins. We know that Boris is too biased/prejudiced/ill-advised/narrow-minded/racist to say he would listen to Khoodeelaar! So let him say he ‘could’ and therefore he would listen to Simon Jenkins instead....

.We shall be publishing some of the thousands of items we have written and published saying the same thing for 5 years and 4 months... SCRAP wasteful, DIVERSIONARY Crossrail now... [To be continued]



HEADLINES:
Three cleared of aiding 7/7 bombers..... Travel warning as swine flu hits UK..... Flu could hit 40% of UK population..... Mother detained over sons' deaths..... PM defends expenses plan 'progress'..... Stabbing death: Four men questioned..... Fresh appeal to clear bomber's name..... UK work hours opt-out to continue..... Unions' anger over rail job losses..... Collins suggests a Camilla makeover.....

Make do and mend: Engineering work on the Waterloo and City line. The Underground is teetering on the brink of insolvency
Crossrail will eat money. Kill it, Boris, and save the bankrupt Tube instead
Simon Jenkins
28.04.09
Kill Crossrail. Kill it now. Offer it up as London's gift to public sector sanity, while there is still time to avoid millions of pounds climbing into billions on a project that London does not need. What London needs is a fully working, modernised Tube. So kill Crossrail to save the Tube.

Crossrail, with a completely new rail tunnel from Paddington to Liverpool Street, has few friends. It has been stopped and restarted too many times to count over the past quarter-century. When Gordon Brown said in 2007 that "it will definitely proceed", sceptics sensed the cold hand of death grip its throat.

When Whitehall set out a tripartite funding package for the line in 2008, the caveats and qualifications grew in number. In an interview in February the transport minister, Lord Adonis, warned the world that, if Londoners do not raise their two-thirds share, "the Mayor understands that Crossrail will collapse ... ".

Mention Crossrail to Boris Johnson and his normally open, cheerful visage changes to that of a parent just told his kids are on drugs. He starts to shake. When reminded that he once said Crossrail was "one of those times you have to say, get in that hole and keep digging" the look becomes a rictus.

At a farewell dinner at City Hall earlier this month, the outgoing head of Transport for London, Tim O'Toole, hinted at his known private view that Crossrail is capital madness. He pleaded with his colleagues to fight instead for the existing Tube, now teetering on the brink of insolvency. TfL executives know that continuing with Crossrail will eat money and distract management for a decade.

It would yield nothing but bad news stories, while severely disrupting traffic in central London just when it will be recovering from the water mains chaos. Test drilling is already upheaving St Giles.

Crossrail is no longer a railway that makes sense. Back in the Eighties it was way behind the Jubilee line and the then (and now) top priority, a new northeast/southwest line from Hackney to Chelsea and beyond. Lines were needed to fill the Tube-less no-man's-lands of Greenwich and Chelsea/Fulham.

It took Margaret Thatcher to force through the Jubilee line to help the Reichman brothers build Canary Wharf. Chelsea/Hackney has no such power backers.

This project's only real friends have been in the City, eager to fend off the "threat" from Docklands and garner the bulk of the 900,000 extra office jobs predicted for London a decade ago. Nobody expects that need now. The Central line's parallel capacity can easily be increased by station improvements and better management.

Crossrail's backers have duly fallen back on that catch-all for any extravagant project, "urban regeneration". But that involves taking the line far out to the east, at further cost. For all the efforts of consultants to prove otherwise, this line is neither profitable nor a priority for economic renewal.

Boris Johnson now has a golden chance. He knows the capital must tighten its belt somehow - especially after he failed to curb the gargantuan appetite of the Olympics (costing more than half the £16billion total for Crossrail).

Johnson has already had to end his predecessor's costly fantasies, the Thames Gateway bridge, the Cross-river tram and the Dagenham light railway extension.

The Government has offered £5.6billion to the Crossrail budget. The rest must come from a raised London business rate (£3.5billion), borrowing against so-called train access charges (£2.3billion) and £2.7billion from TfL, this time borrowing against future fares.

Given the recent history of Tube finances, these figures are wholly unreal. TfL is close to technical bankruptcy. Borrowing against future revenue is mad, especially when it has already been assigned to meet Crossrail's running costs. Has London learned nothing about dodgy accounting from the past five years of such projects?

Meanwhile the City Corporation is offering a meagre £200million, on top of which is budgeted £150million from City businesses and, once upon a time, £230million from the airports authority, BAA. Lord Adonis claims this amounts to a further £750million, which is inconceivable. The truth is that Crossrail is another financial pig in a poke.

The Government has already poured £2billion in extra guilt money into the Tube to finance its public-private partnership (PPP), the sunk cost of this now largely aborted scheme. No minister or official has ever taken responsibility for it - indeed the official, Shriti Vadera, has been rewarded with both a peerage and a ministry.

In addition, the Government has pledged a huge £39billion to TfL over the next decade, a sum higher than anything conceived during nationalisation. This, it says, will have to embrace the completion of the PPP scheme and Crossrail. But the latter is not formally ring-fenced.

This is the Mayor's great opportunity. He has a £1.4billion hole in his transport budget already and must somehow fund £3billion of debt left over from the Treasury's collapsed Metronet infrastructure company.

Adonis said last November that there was no way he would plug this hole, despite it being one of the Government's own creation. He could hardly have given a more direct indication of his willingness to see Crossrail crash.

Johnson could now argue that the £5.6billion for Crossrail be switched to other Tube projects, such as resignalling the Bakerloo and Piccadilly lines and replacing Metropolitan line stock, projects that may anyway have to be postponed to meet the cost of Crossrail. Cancelling the latter would relieve the Tube budget of a tidal wave of uncertain costs now advancing down the track.

This would enable Johnson to declare himself the saviour of London's Underground railway, after a decade of mismanagement and financial chaos.

By liberating himself from Crossrail and demanding that London be allowed to keep its transport grant, he could begin to reconstruct TfL's finances and meet its voracious appetite for new signals, stations and rolling stock. He could declare a clean slate.

Johnson need not fear the Government on this: if ministers wanted Crossrail they would have paid for it. He need not fear the City.

He can use the recession as an excuse to put this white elephant to sleep while garnering the popularity of restoring London's transport system to sanity. But first he must kill Crossrail.

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Here's a sample of the latest views published. You can click view all to read all views that readers have sent in.
Simon Jenkins is absolutely right, Crossrail is a white elephant already, is not needed and does not create the missing transport links that London actually needs. Nobody commenting here has actually given a good, sound reason for it to continue, only the usual nefarious rubbish about regeneration which is wholly unevidenced and which does not stand up to the most basic scrutiny.

Boris should kill off Crossrail now and spend the money on the Tube which desperately needs it.

- Matt, London, UK

Stuff Crossrail, i want a Cross Bridge. Trying to get across the river in east London is a nightmare.
A new Thames Gateway bridge is a MUST.

- Mr S.Port, London

Crossrail is vital to London, the South East, the whole UK.£36 billion in benefits to the GDP, 14,000 jobs created, many more other jobs also created as a result to service this great project.

Yes, of course invest in the existing Tube network but as well as Crossrail not at its expense.

Regeneration, modernisation and investment are a damn sight better that stagnation.

- Luke, London


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