At the end of last year I was shocked to hear of plans to close the Accident and Emergency (A&E) Department at my local hospital, the Whittington in north London. Not only is it a vital service that I have used as a local resident, but I used to work there as a mental health social worker.
It all started when our local MP received a leaked document describing plans to ‘reconfigure’ (i.e. close) the hospital’s A&E Department and replace it with a privately run urgent care centre. A public meeting was hastily organised and attended by three hundred people who angrily heckled the NHS Islington Chief Executive who had come to defend the plans! It was decided there to launch a campaign against the proposals.
An activists’ meeting was held the following week and the small community centre room booked was barely big enough for the 70 plus people who turned up. This included local campaigners, trade unionists, political party activists, hospital workers, community and patients groups and residents. At this stage some political parties had set up their own campaigns, but central to our eventual success was the decision to join these together to form a united cross-party coalition. Another key factor was making clear the link between NHS cuts and privatisation.
We decided to organise a demonstration giving ourselves two months to publicise the proposals and build the campaign. A range of activities were planned including cavalcades, letter writing, leafleting of neighbourhoods and regular stalls with petitions, posters and leaflets at busy locations such as the shopping centre. We were aided by good publicity from the local press but the key was getting out on the streets and talking to countless local people (we eventually collected 16,000 signatures on our petition).
We also developed strong links with local trade union branches which raised the profile of the campaign amongst workers. Though some Whittington hospital trade unionists were involved from the start, we also leafleted the hospital regularly to strengthen links with hospital workers and build their confidence to challenge the proposals from the inside. This eventually led to the biggest union meeting at the hospital in years. Overall momentum was sustained through fortnightly planning meetings to co-ordinate these diverse activities.
Our march, attended by 5,000 people, was a great success and with extensive press and TV coverage proved to be a major turning point. In the run-up to the general election the popularity of the campaign made it a hot local issue that all mainstream political parties wanted to be identified with. To capitalise on this, one week before the general election we organised a ‘Day of Action’ and rally. All sorts of stunts and activities took place including patients attending their GP surgery dressed in Whittington cat costumes and bus workers at a local depot holding a ballot over the A&E proposals. At the lunchtime rally outside the hospital the announcement via a local MP that the New Labour Health Secretary was scrapping the reconfiguration forced his Conservative counterpart to declare his own moratorium on the plans. We celebrated a great victory for what the local newspaper headline called ‘people power’, but our coalition remains vigilant in case the new Government tries to renege on its promise.
For more info about the campaign: http://dwhc.org.uk/
This is the biggest demonstration we have had in Scotland since the Make Poverty History protest in 2005. There were solid trade union contingents from all the major unions on the protest, including from the Unison public sector union, alongside large numbers of students, disability rights activists, pensioners and other campaigners. People were incredibly buoyed by the size of the protest.
As I marched I was witness to anger from some, frustration from others and acknowledged a sense of loss, worry and an inherent desperation from those whose work in the public sector hangs in the balance, along with the support of those most in need in our country. The march may not yet have changed the government’s perspective, however, it made me think about those in history who have fought to change the consciousness of the oppressors. Their fights have been long, their battles painful, but they kept on marching. I am determined to carry those same principles. I march with my head high, my eyes forward and my voice heard, because my actions are for those who are being made voiceless. In my opinion, that is the heart and the true value of social work. I would even go as far to say that is the real vocation of every social worker.
The march, organised by Red Road Residents, the Glasgow Campaign to Welcome Refugees, Positive Action in Housing and the Unity Centre, had two main aims. The first was to remember the Serykh family and call for an immediate end to any further enforced removals of refugee families by the UK Borders Agency. The second was for the immediate return of Stephanie Ovranah and her twin six year old sons, Joshua and Joel, to their friends, neighbours and local church in Glasgow’s Cranhill where they have lived for past five years. The family were detained at Brand Street Reporting Centre without warning last Friday with the children still in their school uniforms. They are currently held in Yarl’s Wood Detention Centre. For more information and to support these campaigns contact
Speaking at the conference Roger Kline of the ASPECT union and author of What If? pointed out that the Centre for Excellence and Outcomes in Children and Young People’s Services trains senior managers to “translate ‘soft outcomes,’ such as happiness, healthiness or well-being, into a solid performance measurement”. Continuous recording of these ‘outcomes’ dramatically changes how we work. For example, while computers could be a tool to improve practice, stress about cumbersome systems and targets means that instead they contribute to an already high level of work related sickness and burn out amongst workers.
Under New Labour this ethos was insidiously undermined. Funding was linked increasingly to targeted groups of ‘dubious and demonised’ youth and the illusory imposition of prescribed behavioural outcomes – the very antithesis of the youth work process. Under the Coalition the assault has escalated. The very existence of provision in the service of young people is under threat. Across the country local authorities are abandoning wholesale their commitment to youth work, hiding behind the notion of ‘commissioning’ to the lowest bidder from the private or Third Sector. Or they are shifting the reduced resources available into Early Intervention programmes aimed at ‘problematic’ families, whereby youth workers without negotiation or agreed in-service training become quasi-social workers with identified case-loads.
It’s worth reminding ourselves of the scale of the march. The demonstration started at 11am and people were still leaving the Embankment at 3pm! Estimating numbers is never easy, but 500,000 is not excessive. My transport dropped me at Hyde Park and I had to walk the route to join the demo. I met the march at Trafalgar Square – with the Unison block leading the way. I waited at the square to see if I would recognise anyone to march with (some hope!) two hours later the Unison block was still filtering past.
The day emphasised something that SWAN has been saying for some time: service users and workers together, in joint action and in common cause, can defeat the cuts onslaught.
After a period of destitution, Sulaiman claimed asylum in the UK, and was placed in foster care in Greater Manchester. He lived with his foster family for over a year, attending Stockport College. However, a social worker conducted a ‘Merton-compliant’ age assessment and incorrectly claimed that Sulaiman was over 18. (He was 15, as was later, eventually found by the UKBA) As a result, Sulaiman was taken away from his foster family. Appallingly, Sulaiman was never consulted over this; he was simply moved from the foster home to live alone without legal or emotional support.
The Comprehensive Spending Review brought a 23% real terms reduction to Home Office spending over the next four years. The Home Office has confirmed that cuts to support for asylum seekers are disproportionately greater than to other Departmental areas. These cuts have been handed on to Local Authorities by the UKBA through changes in the grant structure for funding care services.
The austerity measures however need to be seen in a wider historical context. What “disability” is and how it impacts upon people with impairments’ lives is still being contested. Disabled people are an easy target because the dominant views associated with defining “disability” within society has socially constructed them as being ‘dependent’ and unable to fully participate within society due solely to their impairments. This view, supported through negative and pejorative stereotyping, distorts who we are and the causes of the disabling barriers we face. Inappropriate and misleading labels such as “the disabled” or “vulnerable adults or children” reinforce prejudices and discrimination.
Continuing proof of that international interest in the ideas and activities of SWAN came in the form of an official invitation to organise three symposia at the International Association of Schools of Social Work’s (IASSW) biennial conference in Hong Kong in June 2010. The themes of our symposia were Neoliberalism and Social Work, Social Work, War and Resistance and Towards a Social Work of Resistance. Each of these attracted around 70/80 people and involved speakers from a wide range of countries including South Africa, Nigeria, Belgium, the USA, Greece and the UK. In addition, as the conference was taking place only weeks after the Israeli army’s attack on the Gaza Freedom Flotilla, an additional SWAN meeting was organised to denounce their illegal actions and to demand an end to the blockade of Gaza. More than 60 people attended and listened to speakers from Israel, Lebanon and Greece, followed by an excellent discussion. On the following day, a motion calling for an end to the blockade was also passed (by 94 votes to 1) at the IASSW AGM, a significant breakthrough since while the organisation has spoken out on a wide range of international issues in the past, it has been largely silent on the issue of Palestine.
Six pilot SWP schemes were due to be in place by the end 2009 — although one of these was put on hold as the local authority felt there were too many financial risks. The intention was a three-year period to test the various SWP models and, depending on the outcome, the preferred model would be pushed out across England and Wales from 2012 onwards.