I have been a registered psychiatric nurse for more than twenty years. I am gravely concerned regarding the situation unfolding within our communities and mental health services as a whole. Times are difficult and I appreciate the need for financial constraint but fear we have gone too far down this road. Following the suspension of our local psychiatric inpatient unit in 2012 our area has been without sufficient inpatient beds to meet the needs of its community. Consequently people are being placed in intolerably difficult and potentially life threatening situations, as people are discharged prematurely to free up beds, increasing pressure on dwindling community resources. Similarly people are becoming unnecessarily acute symptomatically, prior to admission, necessitating Mental Health Act Assessment, where timely intervention would minimise the need for such measures. Services are at breaking point and I fear a significant rise in untoward and avoidable incidents were sufficient resources in place. The lack of adequate inpatient beds is resulting in many of our most vulnerable being hospitalised in an untimely manner, hundreds of miles away from family, friends and the familiarity of local support and services, exacerbating difficulties arising from already fragmented care and a lack of continuity and seamlessness within service provision. Waiting times for care co-ordination are in excess of 3 months. Something I have never before encountered, leaving people in the community unsupported and without service provision. Timely intervention at the point of referral is critical to recovery, promoting well-being and optimising the efficacy of community based solutions, as alternatives to hospital admission. My purpose in writing to you is as advocate to those I serve. They are amongst the most vulnerable and I fear, increasingly neglected members of society. I respectfully petition you to bring their plight to the attention of government and support my plea to you, to support the urgent need for adequate inpatient beds, per head of the population. Services are in collapse and otherwise avoidable tragedies are going to become common place. In the last two years 1291 acute inpatient beds have been c!osed. Below is a list of individuals within my local authority, who at the time of writing are being accommodated in inpatient wards a great distance away from local facilities. There are 60 such local authorities in England alone: 19 year old hospitalised 85.2 miles away from home. 20 year old hospitalised 83.1 miles away from home. 23 year old hospitalised 48.2 miles away from home. 27 year old hospitalised 75.6 miles away from home. 27 year old hospitalised 76.8 miles away from home. 30 year old hospitalised 105.5 miles away from home. 34 year old hospitalised 222.6miles away from home. 47 year old hospitalised 82.7 miles away from home. 54 year old hospitalised 316.3 miles away from home. 58 year old hospitalised 237.8 miles away from home. 68 year old hospitalised 81.5 miles away from home. 73 year old hospitalised 69 Miles away from home. 93 year old hospitalised 81.2 miles away from home. My greatest fear is these difficulties are not locally based but reflect a national crisis within the provision of services for those in need of acute psychiatric care.

We need our hospital services back. Maternity and paediatric services at Eastbourne District General Hospital (DGH) were downgraded a year ago. The local NHS Trust said it was a temporary measure. Now we are facing a bleak future with these core services likely to be lost forever in Eastbourne. Why? In May 2013, the local NHS Trust centralised consultant-led maternity services for the area at the Conquest Hospital in Hastings leaving only a midwifery unit at the DGH. At the same time it stopped overnight care for children at the Eastbourne hospital. We were assured these changes were temporary for 18 months only. In the meantime, the East Sussex Clinical Commissioning Groups (CCGs), the organisation which commissions NHS services, launched a review of permanent services for maternity, paediatrics and emergency gynaecology in East Sussex. It drew up six options, none of which include a two-site option for consultant- delivered services. Option 6 (selected by the CCGs) will keep consultant-led services for maternity and paediatrics at the Conquest Hospital. So people in Eastbourne will have to travel to Hastings for this care with an average total transfer time of 1 hour 34 minutes from the DGH to the Conquest. This far exceeds acceptable safety limits for many interventions such as emergency Caesarean sections. What is our alternative? Save the DGH launched an alternative proposal for the CCGs to consider alongside its six options. Option 7 keeps consultant-led maternity services, emergency gynaecology and in-patient paediatrics at both hospitals. Our proposal also maintains a level one special care baby unit and a short stay paediatric assessment unit at the DGH and the Conquest. It also goes further by stating that all core services, like emergency general surgery and emergency orthopaedics which have recently been removed, are needed and should be provided at the DGH. Option 7 maintains all of the services that the IRP stated must remain. Why do we need Jeremy Hunt's help? The CCGs made a ruling on permanent changes to services in June and selected Option 6. Then HOSC met on the 28th July and failed to refer the decision back to the Secretary of State. The IRP ruling states that these Consultant-led services must remain in Eastbourne and Hastings and therefore we ask Jeremy Hunt to intervene and enforce the IRP ruling. People living in Eastbourne deserve a hospital in the town that provides them with the care they need. If maternity and paediatrics are permanently downgraded at the DGH, we will have the most disadvantaged town in the UK for the population size. Please support us by signing. We need your help! For more information visit www.savethedgh.org.uk

It is important to retain Safety Critical Conductors on Train Services ran by this franchise as they provide an effective security presence on board for all passengers, they are also there to carry out "emergency protection" of running lines in the event of an incident. Safety Critical Conductors also take on the emergency protection duties of the Train Driver should the driver become incapacitated in the unfortunate event of an incident. Safety Critical Conductors are responsible for the provision of customer service and a punctual train service also. Ensuring a punctual, safe and efficient service for all customers.

The NHS is prided on being free at the point of delivery, in Northern Ireland we deliver our health service under the banner of the NHS and the ethos of free at the point of delivery should never be changed. GP's deal with up to 90% of face to face contact of patients within the NHS, their contribution cannot be measured with a contact fee. As potential patients we have already received directions not to attend A&E's and to first consider vising a GP, GP waiting lists are in the extreme and practices are already struggling to meet the demand placed on them on top of having to cover unfilled doctor posts in Hospitals as well as their own general Practice. Some GP surgeries are beginning to to look like our crowed A&E waiting rooms with patients queuing up for appoints in the mornings due to the limited capacity of GP practices. Growing waiting lists for outpatient and day case procedures are leading to more patients visiting their GP to ensure that their illness has not got worse while waiting for treatment. In a recent poll by doctors in the British Medical Association, BMA, doctors overwhelmingly voted not to introduce a GP charge at its 2014 annual GP conference in York. "Dr Laurence Buckman, a GP from London, added the idea was "unethical, dangerous and disingenuous". Dr Chaand Nagpaul said general practice was becoming "conveyor belt medicine". "Add to this the sheer volume of phone calls, visits, repeat prescriptions, results, reports and hospital correspondence and we have an unmanageable, exhausting and unsustainable workload that puts safety and quality at risk,"

We believe that this is a necessary course of action in order to attract investment and economic benefit back to Hereford. The state of Herefordshire also discourages potential investors and tourism alike from visiting the County, this is potentially an economic disaster for Hereford.

North West Ambulance Service NHS Trust is the largest ambulance service in the country covering 5,400 square miles and serving a population of more than seven million people. It is already extremely challenging for an ambulance service to provide excellent response and clinical care in a timely manner. As part of a cost improvement plan the Trust Board and Management is proposing to reduce day and night time cover across the whole of the North West. This action without doubt will have a detrimental impact on patient care and safety as a reduction in resources will mean that patients may have to wait longer than they do now on some occasions. It will affect residents from Carlisle to Crewe. The proposed cuts in resources will mean that Ambulances that cover outlying rural towns and villages will be pulled into urban areas to respond to 999 calls. The public everywhere will have a lower level of service whether they live in large urban areas, towns or villages. The North West Ambulance Service is a unique service with its mixture of large urban cities and vast rural areas. The North West should not suffer any detriment in the provision of patient care provided by the Ambulance Service just because of its size. We are campaigning to keep the Ambulance resources that we currently provide for our patients within the North West. To make these cuts will have an impact on patients and could ultimately cost lives. Please support our campaign

In 2004 the government changed the funding formula for GP surgeries and didn't take account of the fact that in deprived areas people have higher health needs. Many practices would have gone bankrupt, so they introduced something called the 'minimum practice income guarantee' (MPIG) to stop practices falling below their previous level of income. Now the government is taking away the MPIG and many practices are threatened with bankruptcy again. Good quality surgeries (who spend the most, employing more staff to provide the best possible service to patients) will be the first to go. This will open the door for more GP surgeries run by large private firms on the cheap. The government is targeting poor areas to push it's agenda of increasing privatisation of the health service.

http://www.theguardian.com/society/2014/may/16/child-protection-privatised

Your Choice Barnet, that provides services for adults with learning and physical disabilities. Your Choice Barnet Ltd (YCB) began operating as a Local Authority Trading Company (LATC) in February 2012 and 100% owned by Barnet Council. In February 2013 a year after its creation Your Choice Barnet, was in serious financial difficulties and as a result, it looked to make savings by cutting staff terms and conditions and reduce staffing levels in some of the social care settings. It also received a £1 million bail out from Barnet Homes requiring a 6% interest repayment. A significant number of loyal hard working care staff were made redundant last year as a result of this cut which has led to an increase in agency staff delivering services. In January 2014, Your Choice Barnet were still in a financial crisis and stated they needed to cut the staff bill by a further £400,000. It is obvious to everyone that the ongoing attack on the terms & conditions of care staff will ultimately lead to: • fewer stimulating activities in a safe environment for adults with disabilities in Barnet. • fewer staff to work with adults with vulnerable disabilities in Barnet. • less supervision of, training and support for remaining skilled staff. • loss of professional staff and lower morale and motivation among remaining staff. • negative impact on staff health and well-being, with a knock-on impact on service quality. Both the Francis Inquiry into Mid Staffordshire NHS Foundation Trust and the Winterbourne View abuse scandal highlighted the shocking results of employing unskilled and unsupervised staff. I note in a recent article http://www.conservativehome.com/localgovernment/2014/03/maude-praises-the-barnet-formula.html you have been extolling the virtues of mass outsourcing “Our approach is already paying dividends, by allowing us to cut Council Tax bills to all residents next year.” Surely you must concede that instead of making a gesture of funding a tax cut, which will save a Band D taxpayer all of 26p a week; the money would have been better spent on ensuring safe and quality services for adults with disabilities. In another article http://www.hamhigh.co.uk/news/barnet_can_make_future_council_tax_cuts_due_to_one_barnet_outsourcing_says_westminster_finance_chief_1_3429038 you are quoted as saying: “We’ve made enough savings via the One Barnet programme so that we can meet our budget and distribute the money saved, back to the community.” In which case why are you not ensuring the savings you are referring to are redirected to Your Choice Barnet?

Access to Work isn't a benefit and doesn't incur a cost to government - in fact it brings money into the treasury, yet Deaf and disabled people are having their support allowance capped or cuts made (meaning they can no longer afford to use qualified interpreters or the support they need). This places jobs at risk and has already resulted in job losses and demotions. People currently in work are potentially being forced out of work and onto benefits, which goes against everything the government is telling us they are trying to achieve. Deaf and disabled people bring a vast amount of skill and talent to our workforce that we can't afford to lose. We want to ensure that full support is provided, and people are enabled to gain, maintain and progress in their chosen careers. Personal choice and control needs to be handed back to the experts on Deaf and disabled access needs in the workplace - the individual Deaf and disabled people who use the scheme We want to ensure Deaf and disabled people are not subjected to a glass ceiling due to lack of support.

Boris Johnson wanted to cut £45 million over two years from the fire service. To save £28.8 million in 2014, on 9 January 2014 he decimated the London Fire Brigade, closing Belsize, Bow, Clerkenwell, Downham, Kingsland, Knightsbridge, Silvertown, Southwark, Westminster and Woolwich Fire Stations. As part of this austerity drive, he also cut 552 firefighter positions, 14 fire engines and 2 FRUs. Westminster for example has lost its 109 year old fire station - and now uses Lambeth’s instead, over the river. Is it fair that Lambeth taxpayers fund a service used by Westminster? And that world heritage sites, like Westminster Abbey, Buckingham Palace, the Houses of Parliament and Westminster Cathedral as well as tourists and taxpayers are left without emergency protection, with only two bridges into Westminster from Lambeth? Five of the ten closed by the Mayor are Grade 2 listed buildings. And a 6th is just behind Harrods. Others, like Kingsland and Silvertown, are located in areas where property values are rising dramatically (due to to projects like Crossrail and the Mayor's Royal Albert Docks development). This is not about saving money, as the Mayor has found public money to fund vanity projects such as the 'not so public' Garden Bridge (£60 million in public money), the Emirates Air Line and the Barclays Bike Scheme. Closing and selling these fire stations is like selling the family silver to gain a one-off windfall. Southwark Fire Station alone was valued at £10 million in 2010. Once they are sold into private ownership, taxpayers will never be able to get them back. We won’t be able to afford them. And we can’t afford to lose them either. Boris Johnson stated that fire incidence is down (which is disputable). Firefighters do more than fight fires. Recent events like the gas explosion in Marylebone remind us of that. They educate us (and save lives as a result). They assess risks in our homes (for free).They are the ones who will cut you out of your car when you have a road traffic accident. They are our first response when terrorists attack as was the case in 7/7 in 2005. They rush in to the underground or train stations when smoke is pouring out. They have an arson investigation unit. They do voluntary work within the community. They train locally and have local knowledge, like learning where the disabled live or knowing their way around housing estates; all this local knowledge has been dispersed through the closures. Response times have increased and insurance premiums with them due to the reduced fire coverage. All to save the price of a few cups of coffee. An annual increase of £5 on council tax would have prevented the closures. Our communities will be poorer and more vulnerable if we lose these fire stations forever. Please do not let that happen. Please sign and share the petition. And let the Mayor know that what he is doing is dangerous...

Under the new qualifier, if you can walk from your vehicle to the other side of the road, you probably won't qualify for Higher Mobility Allowance! My Motability vehicle is my contact with the outside world. I can't use public transport, and would therefore be dependent on the goodwill of others. Many thousands are in this position, and would be trapped in their homes or deprived of the allowance under the current legislation. I have a degenerative condition of the spine. As things currently stand I would not qualify for the higher mobility allowance because it is deemed that by walking 20 metres you have sufficient mobility and therefore do not qualify. This is obviously not true. My condition means that it can be difficult to walk those distances. But under the rules as they stand I would not qualify. This will have a huge impact on my life, my wife and children. I was eligible for an adapted car, but under these news rules it may be that I don't qualify. There are countless people like me, facing losing mobility assistance and becoming prisoners in their own homes. The government must rethink this rule change.