We move on to PE453, which is on the secure unit in the Greater Glasgow NHS Board area. Father Stephen Dunn is the principal petitioner and would have been available to speak to the petition last week. However, our meeting last week was postponed and he is unable to attend today. He is replaced by Wendy Johnston, who will speak on behalf of the petitioners. Paul Martin, the local MSP, and Fiona McLeod MSP are also here to address the petition.Our usual rules apply. Wendy—you may speak for three minutes and then I will invite questions from members.
Official Report · Committee
New Petitions
Greater Glasgow Health Board (Consultation) (PE453)
Speakers
Choose an MSP to read only their contributions- John McAllion Lab 18
- Paul Martin Lab 13
- Wendy Johnston 12
- Rhoda Grant Lab 4
- Fiona McLeod SNP 3
- Dorothy-Grace Elder SNP 3
- Dr Winnie Ewing SNP 1
The record
54 contributionsGood morning, ladies and gentlemen. I thank you for giving me the opportunity to come along this morning. My name is Wendy Johnston and I am a member of Glasgow North Action Group, which is against the proposed location for the secure unit. I stress that although I am opposed to the proposed location for the unit, both the action group and I have always supported the need for a secure unit in the Greater Glasgow NHS Board area. However, there are good reasons for not siting the unit at the proposed location in Stobhill.I will focus on the way in which the health board has managed the revisit events. In January and July 2001, events were held in partnership with the local community to revisit the issue of where the secure unit should be sited. Those events were carefully planned and designed by a planning group that met regularly with the local community. In July, it was concluded that Stobhill was no longer the favoured option—of the four options, Stobhill was fourth.However, the health board decided to stage yet another three-day event in November and December last year. It did not plan that event with the local community; instead, the event was carefully designed to ensure that the result was fixed. Key decisions, such as the relocation of Parkhead hospital, were made prior to the event in order to ensure that the cards were stacked in favour of Stobhill, despite the fact that completion of a transport study was required. The event was a propaganda exercise. We were dictated to and ignored, even when we knew better than the health board. A video, which was full of misinformation, was produced at a cost of £53,000. The health board's event was not independently chaired, unlike the July event, which was facilitated independently by Professor Alexander. The chairman of the State Hospitals Board for Scotland, Mr Gordon Craig, chaired the re-revisit event.On the final day of the health board's event, all sites were to be scored by the scoring groups. We were herded into single-issue scoring groups—for example, there was a community council group and an MSP group. That plan was carefully designed to ensure that the scoring groups were fixed and that there would be conflict among the group representatives—that is, MSP versus MSP or community representative versus community representative. All the elected politicians, including councillors, MSPs and Glasgow north community representatives objected to that approach and boycotted the event.I would like the committee to consider referring the matter to the Health and Community Care Committee, which should investigate why local MSPs felt that they had to boycott the event in November and December. That committee should also investigate whether the then Greater Glasgow Health Board manipulated or brought forward the decision on Parkhead hospital—when the board was required to await the outcome of a transport study—to ensure that Stobhill was chosen as the site. The Health and Community Care Committee should also investigate why there was no consultation with local MSPs.I would like the Minister for Health and Community Care, Malcolm Chisholm, to investigate the matter and for the Health and Community Care Committee to investigate the handling of the process from start to finish.
Wendy Johnston set out the main points in the petition. As a result of previous petitions, events took place in January and July 2001. As Wendy said, they took place in partnership with MSPs and the local community. A reconstructed process was planned to consider whether Stobhill hospital was the appropriate site. The local community successfully completed the process, the result of which was that Stobhill hospital was rated fourth in a list of possible options for the preferred site.The health board was unhappy with that result and, as Wendy Johnston said, decided to revisit the matter again in November and December 2001. We believe that the board carefully designed the process to ensure that Stobhill would be the preferred site. The local community accepts the need for a secure unit and appreciates the responsibilities of GGHB, but the main point is that the selection of the site should be open and fair.Dates for decisions should not be brought forward. Wendy Johnston referred to Parkhead hospital; the decision to relocate that hospital was brought forward to add weight to the Stobhill option. One of the main arguments has been that the secure unit should be placed alongside mental health provision such as the resited Parkhead hospital. However, the decision about Parkhead was not taken for health reasons.The local community is concerned that the board brought forward decisions and did not complete the transport study. There is a legal requirement for transport studies to be carried out when reprovision of a health facility is considered but, on this occasion, a transport study was not completed. The local community's main concern is that a form of corruption is involved. The health board corrupted other decisions to add weight to the decision to site the secure unit at Stobhill.The process in November and December involved scoring groups, which were set up to select the site of the secure unit. MSPs and community representatives from north Glasgow boycotted the event because we were to be placed in singular scoring groups. For example, a group of MSPs was to score different options for the site of the secure unit. We felt that that was an unfair method of selecting a site because the scoring groups should have been made up of representatives of various professions and local interests. Because the method was unfair, the MSPs—many of whom are present—councillors and local community representatives boycotted the event, which I think was on 20 December.Wendy Johnston set out the action that she would like the committee to take.
I want to lend weight to the proposal that the committee should refer the matter to the Health and Community Care Committee, as was done with previous petitions on the subject. If members remember, on the previous occasion on which the committee referred such a petition to the Health and Community Care Committee, Richard Simpson was asked to act as a reporter. That petition was on the consultation process that the health board was conducting. Given the concerns about the subsequent consultation process that the health board went through, it would be appropriate for the Health and Community Care Committee to consider whether the process met the recommendations of the reporter and whether it was a robust consultation or merely a window-dressing exercise that followed the slap on the wrist by the Parliament.
I say for the record—and to put in context the questions from the committee—that Paul Martin wrote to me, as the convener of the committee, to ask me to ask the health board to postpone its final decision on the location of the secure unit until the petition could be heard. My response made it clear that the committee takes a consistent line on petitions that call for the Parliament to intervene in the executive decisions of public bodies in Scotland. Although the Parliament can investigate the framework within which such decisions are usually made, it cannot interfere with the decision-making process in individual cases. Therefore, my letter stated that it was not appropriate for me to accede to Paul Martin's request.The decision to site the secure unit at Stobhill was made on 29 January. Subsequent press reports included a number of quotations to the effect that the Public Petitions Committee was a big disappointment because it did not take action to prevent the siting of the unit at Stobhill. It is important for everybody in Scotland to understand that the committee cannot interfere with decisions that are made by other statutory bodies. The committee must also protect other petitioners, including those who complained about the unnecessary incarceration of inmates at the state hospital in Carstairs, which is a result of the lack of secure units such as the one that is proposed for Stobhill. It is important to understand that the committee cannot intervene in each case.Wendy Johnston made the point that the petition is about whether proper process was followed. The committee can legitimately become involved with that, but we cannot question the decision; we can ensure only that the process, as recommended by the Health and Community Care Committee and the Parliament, is properly applied.
During the meeting, we have heard about a number of examples of abuse of democratic standards. Perhaps we need a sub-committee on the abuse of democratic standards. I declare an interest in the matter: as a Glasgow MSP who works in the north and the east end of Glasgow, I have been on the petitioners' side all along. That stance was not the result of knee-jerk bias. It is obvious that the proposal began with a phoney consultation exercise. After the report of the Health and Community Care Committee, matters appeared to be straightened up, but they slumped in December. The end result is that the health board decided on Stobhill in complete defiance of the public's wish. I have yet to meet one person in Glasgow who thinks that Stobhill is the correct site for the controversial and expensive unit.As Paul Martin pointed out, no one is against such a unit per se, but Stobhill is the wrong site and it is being used to bail out GGHB's plans for Glasgow, which the public has also made clear they do not want.
What is the question?
I want Wendy Johnston to tell me whether she realises that if the matter is passed to the Health and Community Care Committee or another committee, it might not be able to do a full job. Since Dr Richard Simpson reported on the matter, the number of members in the Health and Community Care Committee has been cut from nine to seven, which means that the committee does not have much leeway to appoint reporters. The issue is urgent and important, but there are far too many such issues. Committees desperately wish to pursue important matters, but they are overburdened and often cannot do that. Does Wendy Johnston realise that that is the situation?
I am sorry. I am not clear what the question is.
If the matter is passed to the Health and Community Care Committee, there is no guarantee that it will consider thoroughly what has happened because it is short of members. John McAllion and I are members of that committee. I advise you that it will be difficult to find the time to deal with the matter. How will your campaign proceed from now?
The facts speak for themselves. So much mismanagement and misinformation—I will not use the word "lies"—have amassed that we need an inquiry into the matter.
I should point out that it is a bit unfair to ask the petitioner to respond to the Health and Community Care Committee's problems. That is a matter for the committee to sort out.
I want to play devil's advocate for a moment. We receive many petitions about the siting of various things. It could be said that you are saying "Not in my back yard" to the siting of the unit. What do people in Glasgow feel about the issue and where would they prefer the unit to be sited? How does the community as a whole feel?
Feelings are running high in the community that the secure unit will be a threat to Stobhill hospital. Over the years, the hospital has been the subject of various closures—the maternity unit for example. I point out that I did not come to the issue with the view "Not in my back yard"; rather, I have spoken to various patients and families and represent their point of view. They feel as strongly as I do. I know that people will say that there is an urgent need for this type of unit and that they would rather it was there, but the location is wrong. Most of the families and patients—never mind people in the area—to whom I have spoken agree. I even have letters that state that fact.
Does the greater community in Glasgow have a preferred location?
It is not really fair for us to choose a location. When we took part in the first revisit, the health board made it clear that it would only confirm or refute the decision that Stobhill was the correct location; we could not choose another location. Like me, most of the people who signed the petition have no background in dealing with such matters; they have had to carry out all their own research and work. Information has kept amassing that the decision is definitely wrong. The feeling in the local area is strong on that point.
Does that feeling extend to the whole of Glasgow or is it confined to the local area?
I cannot really speak for other areas, as I have not been involved with any. I know that people from Parkhead attended the re-revisit event that the health board held in relation to the Belvidere site. However, the health board has made it clear from day one that it has firmly decided that Stobhill will be the site; it is not interested in listening to the persuasive and reasonable arguments about why Stobhill should not be the site. I firmly believe that the health board's mind is totally closed on the issue. It has made the decision and does not like being questioned about it.
So no other sites have been put forward in a way that allows people—
The health board suggested other sites, but many of them are laughable. I do not know whether committee members are familiar with Glasgow dental hospital; such a suggestion is just a waste of time. The health board suggested Lenzie hospital, Drumchapel hospital and others that I cannot remember—I have a list of them somewhere. The health board suggested them simply to make the picture look an awful lot bigger. As far as I am concerned, the suggestions were not viable at all. I say that from my perspective; the health board is supposed to have all the expertise, but that does not come across at all.
I have mentioned the fiercely technical exercise in which the community took part in January and August 2001. That exercise considered a wide range of sites throughout Glasgow—
There were eight options, were there not?
Yes.
Were there still eight options in November?
There were about 32 options, but we came down to two—
Three.
Sorry, we came down to three options: Belvidere, Lennox Castle and Stobhill.
I want to be clear about this. Our information was that there were eight options at the early stage. You said that Stobhill came fourth out of eight options.
Yes. The event that the community and elected members were involved in planning took place in January and August 2001. The exercise considered eight options throughout the city; there was also a status quo option to do nothing. As I said, the community became involved in a fiercely technical weighting exercise. I will not bore the committee with the details, but essentially the community had to score a number of factors about the Stobhill site. Not only that, but the community, elected members—including myself—and other community representatives queried the process. For example, we would ask why a certain factor had been given a score of 95. Following that event, the Stobhill site was ranked fourth.
Was there consensus about that position?
Yes, but the health board was concerned that the event had not been designed properly. On the other hand, the community believes that the health board felt that way because it did not get the outcome that it wanted. The concern is that the event in November and December was orchestrated to ensure the result that the health board favoured.
Will you explain how dividing people by profession—into groups of politicians and community activists, for example—would fix the result?
The issue relates to my sitting with Frank McAveety, for example, who is the MSP for the Belvidere side.
Conflict arises.
Territorial disputes could occur. A normal option appraisal exercise would involve a mixture of MSPs, health professionals, community councillors and others. The acute services review used such a mixture.
Did the acute services review follow normal practice?
Yes. For example, Dorothy-Grace Elder and I—and others—were involved in discussions about the acute services review. We would have welcomed mixed groups to discuss the unit. We made that proposal several times, but it was dismissed, because it was felt that if community groups and MSPs were mixed, they would not reach consensus.
So the boycott related to how the groups were constituted.
Yes. The concern was that having a group of MSPs would put one MSP against another and would not allow people to benefit from the expertise of health professionals, for example, and community representatives. An option appraisal exercise is intended to facilitate sharing of expertise among the groups that are involved. That arrangement was dismissed, because the concern was that if I sat in the same room as a general practitioner or a health professional from the primary care trust, for example, we would not reach consensus, so it was thought best to place me in a group with my fellow MSPs.
The information that we have received from the health board is that no MSPs or MPs expressed an interest in the scoring exercise.
Wendy Johnston is interested in that matter. We said that we would participate in the event if the scoring groups were established in a way that would allow fair interrogation through the option appraisal exercise. We showed an interest and were anxious to participate if we would have a genuine opportunity to share our views with health professionals. We did not say that we were not interested in participating. I am sure that Fiona McLeod and Dorothy-Grace Elder will confirm that.
It is important to put it on the record that the health board's saying that MSPs and others did not show an interest is an inappropriate use of language. I told the health board that it was inappropriate for me to join a scoring group of MSPs only, for the reasons that Paul Martin has given.
So MSPs were not uninterested in scoring per se; they did not support the way of scoring that the board proposed.
The proposal was inappropriate.
In the first revisit, which involved events in January and July 2001, the mix worked well. The health board could be made to listen to reasonable arguments, because there was a wealth of experience from representatives of the health board such as psychiatric doctors, local community representatives such as MSPs, members of families with an involvement in mental health and people who live in the area and who knew about the local transport. If I were left in a room with only representatives of other action groups or of community councils, there would not be the same wealth of experience, so people would not end up saying, "Wait a minute—I never thought of that."A few scores were changed, but the health board said that it was unhappy and had a number of issues. The health board helped to establish the agenda at 10 planning group meetings. If it had problems with the arrangements, that was the time to bring them up and say, "I'm sorry—the health board thinks that the operation should be run differently." We had an independent facilitator, Mr Alan Alexander, and the system worked well. If the health board had obtained the outcome that it wanted, it would have been a different story—the health board would have said that the system had worked well. The issue is that the health board did not obtain the outcome that it desired.
Do you have any final comments?
An inquiry should be started before more funds are mismanaged.
You are free to stay and listen to the discussion of what we will do with the petition. Thank you for your evidence. Interruption. I am sorry; Winnie Ewing has a question.
Was siting the unit outside greater Glasgow ever considered?
I do not think that that was on the agenda.
It has long been accepted that a secure unit requires to be built. Health board professionals repeatedly mention Glasgow, but we are talking about greater Glasgow, which has an area that is wider than Glasgow's boundary. Glasgow has a population of about 450,000 to 500,000, but the health board covers a population of about 850,000. A larger population and area must be considered in relation to the territorial issues.
There are other secure units and prisons in the area, so the "Not in my back yard" attitude does not apply.
Thanks again.The recommendation is that the committee should initially write to the health board to ask it to comment formally on the issues that the petitioners have raised. That is important, because the serious suggestion has been made that the health board tried to manipulate the consultation process to obtain the result that it desired. It is only fair to the health board that we obtain its response before we decide whether to refer the petition formally to the Health and Community Care Committee. We will send the petition to the committee for information while we await the health board's reply. Is that agreed?Members indicated agreement.
When we receive the health board's response, it will be open to us to refer the petition to the Health and Community Care Committee formally and to ask it to consider further the more general issues that the petition highlights, in the context of the initial recommendations that it made in response to the Stobhill petition—PE48—on which Dr Simpson reported.I thank the witnesses for their evidence. We will keep them informed of the petition's progress.
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