Forum Topic

The House of Commons Health Committee published a report last week (18 July) called NHS Charges.There is a BBC report athttp://news.bbc.co.uk/1/hi/health/5187740.stmand the full report of the Committee is athttp://www.publications.parliament.uk/pa/cm200506/cmselect/cmhealth/815/815-i.pdfA lot of it, naturally, is about prescription, dental and optical charges but in the section on non-clinical charges they are generally very critical of the way hospital authorities charge for car parking.The BBC report includes the following quotations from various people, starting with the chair of the committee.Kevin Barron, chair of the committee and Labour MP, said: "The system of NHS charges needs to change, but first we need to know how the charges interact with health. In the short term, parking fees should be reduced - or eliminated altogether - for patients attending hospital regularly. It is unacceptable that people have to pay hundreds of pounds to attend for necessary treatment." Peter Cardy, chief executive of Macmillan Cancer Support, welcomed the parking cost cuts proposals. "Cancer treatment involves a lot of expensive machinery - a hospital parking meter should not be one of them." John Appleby of independent think-tank the King's Fund, said: "It is not the role of the health service to raise money through charges and co-payments. This should be done through general taxation through which the vast majority of healthcare is funded." Michael Summers, from the Patients Association, said there were many people with small incomes who were put off using the NHS by charges. "It is basically wrong to make money out of patients and their families." The BBC report quotes a Department of Health spokeswoman saying, "Trusts should not fleece patients unfairly".  This is a strange use of language.  It suggests there is a way to fleece people fairly!Clearly the government does not like the health committee making criticisms but at least there is now an official published report that can be referred to by anyone wanting to criticise the car-park charging system of the West Mid.

Tom Beaton ● 6886d

What amazes me is the lack of business acumen ECovert are applying to this problem. The car park is always two thirds empty. Without fail, I know because I can watch it from where I live. Recognising that some costs do need to be recouped then I guess a charge is inevitable. But I'd be keen to see some transparency. Last year according to a BBC list The West Mids made over 400K. Now exactly how much does it cost to run a car park?As someone who lives opposite the hospital and who has no off street parking I have to confess to be pretty ticked off when I see people trying to squeeze in to slots that are well beyond their own parking capability. The net result is that I have to date sustained just under £1000 worth of damage to my car. But the real frustration comes from looking out of the window and seeing acres of empty spaces in the car park. I also recognise that for a lot of people paying a penny means they are going to use the surrounding streets but the current usage of the car park space has to be improved, for every bodies sake.Given this overflow parking into the surrounding area is causing stress to everyone including the council. Why don’t the council levy a charge on the hospital for all the car parking slots not being used as result of people using the surrounding area. It would leave the hospital with two options.1) Increase charges to cover the cost of the “unused bay tax”! Until the car park becomes devoid of all vehicles, and becomes a net cost.(this I suspect being the option they would take regardless).2) Reduce charges and increase occupancy. Improving overall parking issue in the surrounding area. And actually increase net cash returns from the current cost base. With a view to running at break even rather than profiteering, I might add!!!!It’s just a thought. Having had our resident permits refused my next cunning plan is to have the one way and the traffic lights at the bottom of Amhurst Gardens made permanent there has been a considerable improvement in the overall parking in the area and the traffic flow out of Amhurst gardens has been vastly improved.Cheers

James Kirkby ● 6886d

Hi Everybody, The following is a document announcing the changes to the Hospital Parking Fees :-Changes to parking at WMUH Between December 2005 and the end of January 2006, the West Middlesex University Hospital NHS Trust issued a consultation to consider issues associated with visitor parking. As a result of the information collected during the consultation, a number of changes are being implemented to ensure equitable and appropriate parking arrangements. Some of these will have immediate effect, others will be introduced in the future. The changes to be introduced are:· A new concessionary scheme for patients attending West Mid for long-term treatment (10 consecutive days or more) or for the main carer who is visiting a patient whose stay is longer than 10 consecutive days. A reduced charge of £1.50 per day will be introduced after 10 consecutive days.  The scheme will start from 1st June, further details are available from the ward manager. · A reduction in the general parking tariff for those staying for long periods of time. The charge for a stay over 8 hours has now been reduced from £11.90 to £8.00.  Short stay charges have also been frozen. · From 1st June, disabled badge holders will now be required to pay the same charges as other users. Those on income support; income based jobseekers allowance; pension credit; guarantee credit; working tax credit and/or child tax credit may be entitled to reimbursement through the hospital travel cost scheme. Further information can be found at main reception. · A full and thorough review will take place during May 2006, of all disabled parking facilities at the Trust, with attention being given to accessibility and safety.  In the interim improvements are being made to pay machines and exit barriers.· A number of traffic calming measures have been introduced to increase safety, for example electronic speed warning signs and speed humps.· The WMUH travel scheme promotes the use of alternative methods of transport. WMUH works closely with local transport providers to improve public transport links. There are facilities for staff and visitors who wish to cycle to work in the form of additional secure bike shelters, staff are also actively encouraged to car share.  We have also made improvements to the bus shelters and installed an additional stop near to the therapies and mental health buildings.  In common with most NHS hospitals in the London area, West Mid has a charging system which funds investment in the car park including lighting and security and support for staff travelling in other ways, for example cycling schemes. Unlike most NHS hospitals in the London area, West Mid has ample parking capacity for both staff and visitors.  We will continue to limit the impact West Mid associated parking has on the local residential roads through dialogue with local resident associations and where appropriate the local authority and police.West Mid remains committed to ensuring that there are adequate travel and parking arrangements at the Trust. We acknowledge the responsibility to our staff, patients and visitors to ensure fair and adequate parking arrangements and we will continue to listen to the views of staff, patients and visitors and improve parking and travel arrangements, as appropriate.Gail WannellChief Executive

Ina Chureetur ● 6959d

Hello Ina,I think we are all finding that it is difficult to see the wood for the trees in this anomaly.  I would like to ask you a question, it is a genuine point that I don’t understand, but I expect that I will get flamed :-)You (and many erudite posters to tw8) have been upset by the parking charges.  Very briefly there has been a reference to telephones, televisions etc., but essentially it has been confined to the parking.I don’t understand why you object to paying for the parking, but you don’t object to the cost of the treatment, the administrators, the cleaners, the gardening, the heating, the stationery, the other areas of facilities management etc., etc., etc.I would guess that the majority of items are taken from you in income tax, council tax, vat, and other invisible stealth taxes.BUT THE PARKING!!!  Nobody goes to a hospital for fun.  Either we are ill or a relative/loved one is ill.To ask us to find change at such a time is moronic at best.  Parking under these circumstances should be free at the point of delivery.  Problem solved apart from two tiny niggles………...1. If the hospital car parks were free everybody would use them and it would be difficult to find a way to prevent that.  Of course it would be difficult; if it were easy we wouldn’t need so may highly paid administrators in hospitals earning six figure salaries.2. Hospital car parks do have a capital cost and need money each year to kill the weeds, replace the tarmac, repaint the yellow lines etc.So just add the necessary amount to income tax, council tax – wherever! It doesn’t matter, does it?It’s never going to happen.Unfortunately 68% of voters will vote for the party that appears to offer the lower level of taxation. “Hi Dave, sorry i had misunderstood……”Me too :-)  I thought Justin was missing the point that the West Mid. is often to be found under the “Hammersmith group” but I think the problem was that the BBC et. al. only jumped on the hospitals where the parking generated more than £ one million; in fact the Macmillan telephone audit was carried out on all 292 hospitals across the UK with cancer centres and cancer units.

David Johnson ● 6998d

Charges are parking madBy Estelle MaraisA woman fed up with being left out of pocket on every trip to West Middlesex hospital, Isleworth, has started a petition to get parking fees reduced on the site.Isleworth resident Ina Chureetur began the campaign after she and a friend coughed up a total fee of £20 in just a one-day trip to West Mid with their children who regularly have to visit the hospital.The single mother of three has enlisted Brentford and Isleworth MP Ann Keen's support in her petition to have the fees reduced.Miss Chureetur 32, said: "I am totally disgusted by the cost of hospital parking, it's far too high."People shouldn't have to be charged for parking because they are sick, it's a financial strain and it's like rubbing salt into their wounds."In one day, parking at West Mid has cost myself and my friend £20 we are feeding the parking meters instead of our children."The current minimum charge for parking at West Middlesex hospital is £1.20 and allows the user to stay for up to one hour.According to the hospital the cost for car parking on the premises relates to ongoing maintenance, security and management of these facilities.It is also used to ensure dedicated emergency, essential user, staff and disabled spaces are effectively controlled and available when required.The hospital spokeman said it is carrying out an ongoing review of parking Anyone interested in taking part in the petition should sign the online form at www.ipetitons.com in the campaigns section under hospitalparkingsaltinwounds' or contact Miss Chureetur

Ina Chureetur ● 7055d

Hi All, I have some corrections to make that i misunderstood at the meeting. The main car park charges would remain as they are, plus the annual inflationary increase in April 2006. (rounded up and rounded down to the nearest 10p but overall circa 2.7%)The consultation document does discuss the problem of long stay  patients, the cost of parking for the near relatives and regular attendance to the clinics.there would be a strong possibility that they would introduce a concessionary scheme for this type of visitor and that the daily charge would probably be around £1.50.I did highlight all the problems that were mentioned on this thread from the issue of what the residents in the surrounding area have to endure due to the high costs, the finacial hardship caused to the majority of people that are poor,the problems of parents who have children/babies in the hospital etc.We did not take minutes at the meeting. With this i am disappointed ,as Matt and I have taken the time and effort to bring to light the views of the general public and the problems that are caused by the cost of the parking. If all the opinions are not going to be considered then what was the point of the meeting? The consultation paper had been created before the meeting,therefore public opinion and issues would not be taken into consideration.Here is the consultation paper.West Middlesex University Hospital r1T:J.1NHSTrustProposal to change parking arrangements at West MiddlesexUniversity Hospital NHS TrustThis consultation paper is part of the Trust's ongoing review of car parkingarrangements on the hospital premises. It invites your comments and views on the proposals, which aim to ensure the arrangements are fair to all users whilst making appropriate use of public money.Basis for the reviewThe Trust has developed a Travel Plan, which aims to facilitate effective access to the hospital site by patients, staff and visitors whilst endeavouring tominimise the impact of this travel on the environment. The plan also aims to ensure continued investment in a range of travel options and, where necessary, investment in improved facilities including CCTVor better lightingfor all users. The plan has been in operation for 12 months and these proposals aim to develop the Plan further by ensuring that charges for parkingare fair to all our users.It is important that we acknowledge that there is a cost to the NHS in providing car parking facilities. The costs relate to ongoing maintenance, security and management of these facilities. We also have to ensure dedicated emergency, essential user, staff and disabled spaces are effectively controlled and available when required. Unlike many London hospitals the Trust is fortunate to have ample public car parking which is closely located to the hospital building and includes dedicated disabled bays at suitablelocations.Currently, parking for disabled badge holders is free but the cost of this is met through increased parking charges for all other users, who in many cases are no more able to afford to pay for parking than disabled users. Also, there is no provision for reduced parking charges for patients attending regularly for outpatient appointments or for carers/relatives of patients who are in hospitalfor long periods.Why do the current arrangements need to change?. The current charging scheme is inequitable as the general car parking charges are inflated to cover the cost of free disabled parking.. The trust does not currently offer concessionary rates for patients attending frequently or relatives of long stay patients. This is causing finacial hardship to some patients and their families.. There is a potential cost of policing free parking for disabled users which could lead to further increases in charges for other usersThe Trust cannot divert money away from clinical services to subsidise users or pay for the upkeep of car parks.The Trust relies on parking income to subsidies the cost of our facilities. Although we cannot afford to jeopardise this income stream neither do we wish to abuse it through excessive parking charges...OptionsThree options are being considered:1. Continued ample free parking for disabled badge holders and the introduction of concessionary rates for regular users. This would lead to a further increase in car parking charges for general users,substantially above the rate of inflation.2. Limited additional provision of free but time restricted (short stay)parking for disabled badge holders outside the main car parks with charges for disabled badge holders within the main car parks in line with general parking charges. In addition the introduction of concessionary rates for frequent patients and relatives whoregularly visit long stay patients (over 2 weeks). This would lead toan inflationary increase only in charges.3. Introduce charges for disabled badge holders in line with general parking charges and a concessionary rate for patients who have to attend the hospital on a frequent (i.e. daily outpatient treatment for a sustained period of time) and relatives who regularly visit long stay patients (over 2 weeks).Note: there is no legal requirement to provide free or reduced parking facilities for disabled badge holders.Comments on these proposalsIf you have any comments on the above proposals, please send them toCorporate Affairs, West Middlesex University Hospital NHS Trust,Twickenham Road, Isleworth, Middlesex, TW3 2HP or email tocorporate.affairs@wmuh.nhs.uk. Closing date for comments is 27'h January2006.Background on current charges and their implicationsThe new hospital building was opened in 2003. In July 2004 the new car parks were opened and disabled badge holders were required to pay for their parking at general tariff rates. In response to public concern, the Trust & thecompany that manages the car parks, Ecovert, agreed to continue with free disabled parking in the short term while the system was reviewed. For the next 7 months this was at an additional cost to the hospital.In February 2005, an above inflation increase to the general parking charges was introduced to contribute to cost of free parking for disabled badgeholders. However, the true cost to the NHS of free disabled parking is still in excess of £24k per annum which is unsustainable in the long term.In addition to this, the Trust has become aware that a number of visitors have suffered financial hardship as a result of parking charges incurred by relativesregularly visiting long stay patients. The Trust is keen to find a solution to alleviate the difficulties of this group of visitors. 

Ina Chureetur ● 7079d

Hi all, today Matt Harmer and myself attended a meeting with Jane Brennan of the NHS trust and Mike Gennery of EcovertFM, to discuss the high cost of the hospital parking and the financial problems it can cause for regular patients and visitors, as well as the effect it has on the residents in the surrounding area of the hospital. Both companies were aware of some of these concerns, and hopefully I was able to highlight specific financial problems caused to parents visiting babies/children in either S.C.B.U or starlight, patients that must return throughout the day for multiple treatment, as well as visitors of long-term patients. The parking arrangements were already under review and our public opinion has been noted on this issue. We have also discussed extending the time of the 10 minute drop off zone but unfortunately this cannot be done as the hospital is already having difficulties with people whom far out stay this time, this area is also required for emergency access e.g. a fire engine, and quickly becomes clogged with cars. They have assured us that the Gas Guzzler is really a very nice man and that he has an extremely difficult job because he receives a lot of abuse throughout the day. They shall ask him to be more sympathetic to the needs of patients and visitors. If you are picking up a parent with their child, waiting for an elderly patient to come to your car or need to register your granny then you can inform the security at the front desk…but please don’t take the Mickey!!!! Ha! Ha! P.S. Debbie gets on well with the gas guzzler and says he is really nice!The changes to the parking arrangements shall be seen in April this year, in which we hope that concessions shall be made to those who need them the most. With a reduction in the parking fees we hope this will greatly reduce the strain on the residents in the surrounding area of the hospital, as well as the financial strain on the majority of the public who struggle to afford them.I thank Jane Brennan and Mike Gennery for taking the time to listen to all the areas of concern regarding the issue of the parking arrangements and making Matt and I feel very welcome. I would also like to thank Matt for taking the time to accompany me on this mission (me and my big mouth!) and for his input and advice. Thank you all on the forum for your opinions good and bad and fingers crossed we can see an overall better change to this problem.All the bestIna.xxx

Ina Chureetur ● 7081d

This is the list of associations to which this paper has been sent:-Syon Park LtdRichard PailthorpeEstate OfficeSyon HouseSyon ParkBrentford TW8 8JGSarah EscottBrentford Waterside ForumNB Edinburgh CastleHam WharfThe HamBrentfordTW8 8EXThe Isleworth SocietyThe Old Isleworth Four Road Residents AssnRosemary CoomberMay Villa20 Byfield RoadIsleworth TW7 7AFMr R. MaryanEnfield Road Residents’ Grou[57 Enfield RoajdBrentfordMiddxTW8 9PAMrs J. WorboysIsleworth and Hounslow CharityClerk’s OfficeTolson LodgeNorth StreetIsleworthTW7 6BYMr C. RichardsChairmanThe Butts Society16 The ButtsBrentfordMiddxTW8 8BLMr J. StorrarAvenue Road Residents Group20 Avenue RoadBrentfordMiddxTW8 9NSMrs J. CatterallLionel Road Residents’ Assn39 Lionel RoadBrentfordMiddxMrs Sheila O’Reilly14 Thistleworth CloseOsterleyIsleworthMiddxTW7 4QQMr A. CliffordNorthumberland Estate Residents Assn59 Roxborough AvenueIsleworthMiddxTW7 5HQMr K. KnightSt. John’s Residents Assn24 Mill Plat AvenueIsleworthTW7 6RDMrs M. LardenLittle Warkworth Residents Assn4 Mill PlatIsleworthTW7 6DYMs V. SandersBrentford Community CouncilC/o Brentford Community Resource Centre281 High StreetBrent;fordTW8 ONEMrs M. Kirk8 St. Albans AvenueHanworthMiddxTW13 6RJBasil MannChairman147 Syon LaneIsleworthTW7 5PZSue RathboneB.C.C.MailboxBrent Community Residential CentreAlexandra HouseBrentfordTW8Peter DownesChairman31 Brantwood AvenueTW7 78EXMrs M. BrownSt. Johns Residents Association12 Granger RoadIsleworthMiddxTW12 6PQSundialMs Lynne Reeves14 Algar RoadIsleworthMiddlesexTW7 7AH

Ina Chureetur ● 7092d

Hi all, I wrote a letter to EcouvertFm regarding the hospital parking Fees and was pleased that they replied.I am going to paste their reply and would like peoples opinion on it.Dear Ms Chureetur, Thank you for your e-mail dated 13th December 2005 reference car parking at West Middlesex University Hospital.  I attach, for your consideration,  a consultation paper that has now been distributed to all  interested parties and in particular the Residents Association.I hope this is sufficient information at this time but as  you can see the subject is of car parking at the hospital is under review. We would welcome further comments you may have.Kind Regards Ecovert FM Proposal to change parking arrangements at West Middlesex University Hospital NHS TrustThis consultation paper is part of the Trust’s ongoing review of car parking arrangements on the hospital premises.  It invites your comments and views on the proposals, which aim to ensure the arrangements are fair to all users whilst making appropriate use of public money.Basis for the review The Trust has developed a Travel Plan, which aims to facilitate effective access to the hospital site by patients, staff and visitors whilst endeavouring to minimise the impact of this travel on the environment.  The plan also aims to ensure continued investment in a range of travel options and, where necessary, investment in improved facilities including CCTV or better lighting for all users.  The plan has been in operation for 12 months and these proposals aim to develop the Plan further by ensuring that charges for parking are fair to all our users.It is important that we acknowledge that there is a cost to the NHS in providing car parking facilities.  The costs relate to ongoing maintenance, security and management of these facilities.  We also have to ensure dedicated emergency, essential user, staff and disabled spaces are effectively controlled and available when required. Unlike many London hospitals the Trust is fortunate to have ample public car parking which is closely located to the hospital building and includes dedicated disabled bays at suitable locations.    Currently, parking for disabled badge holders is free but the cost of this is met through increased parking charges for all other users, who in many cases are no more able to afford to pay for parking than disabled users.  Also, there is no provision for reduced parking charges for patients attending regularly for outpatient appointments or for carers/relatives of patients who are in hospital for long periods. Why do the current arrangements need to change? § The current charging scheme is inequitable as the general car parking charges are inflated to cover the cost of free disabled parking. § The Trust does not currently offer concessionary rates for patients attending frequently or relatives of long stay patients.  This is causing financial hardship to some patients and their families. § There is a potential cost of policing free parking for disabled users which could lead to further increases in charges for other users § The Trust cannot divert money away from clinical services to subsidise users or pay for the up  keep of car parks. § The Trust relies on parking income to subsidies the cost of our facilities. Although we cannot afford to jeopardise this income stream neither do we wish to abuse it through excessive parking charges.    Options  Three options are being considered: 1. Continued ample free parking for disabled badge holders and the introduction of concessionary rates for regular users.  This would lead to a further increase in car parking charges for general users, substantially above the rate of inflation. 2. Limited additional provision of free but time restricted (short stay) parking for disabled badge holders outside the main car parks with charges for disabled badge holders within the main car parks in line with general parking charges.  In addition the introduction of concessionary rates for frequent patients and relatives who regularly visit long stay patients (over 2 weeks).  This would lead to an inflationary increase only in charges. 3. Introduce charges for disabled badge holders in line with general parking charges and a concessionary rate for patients who have to attend the hospital on a frequent (i.e. daily outpatient treatment for a sustained period of time) and relatives who regularly visit long stay patients (over 2 weeks). Note: there is no legal requirement to provide free or reduced parking facilities for disabled badge holders. Comments on these proposals If you have any comments on the above proposals, please send them to Corporate Affairs, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex, TW3 2HP or email to corporate.affairs@wmuh.nhs.uk.  Closing date for comments is 27th January 2006. Background on current charges and their implications The new hospital building was opened in 2003.  In July 2004 the new car parks were opened and disabled badge holders were required to pay for their parking at general tariff rates.  In response to public concern, the Trust & the company that manages the car parks, Ecovert, agreed to continue with free disabled parking in the short term while the system was reviewed.  For the next 7 months this was at an additional cost to the hospital.In February 2005, an above inflation increase to the general parking charges was introduced to contribute to cost of free parking for disabled badge holders.  However, the true cost to the NHS of free disabled parking is still in excess of £24k per annum which is unsustainable in the long term. In addition to this, the Trust has become aware that a number of visitors have suffered financial hardship as a result of parking charges incurred by relatives regularly visiting long stay patients.  The Trust is keen to find a solution to alleviate the difficulties of this group of visitors.

Ina Chureetur ● 7093d

Oh Jessamy I wish I lived in your world. 2 months ago I lost one of my closest friends to a very aggressive cancer- she was 36, hardly drank, had never smoked and was slim and healthy. She died only 6 weeks after her diagnosis. I wish she was the exception, but the truth is I could name a further dozen accquaintances of mine who have either got cancer or have suffered it and been treated- all are aged below 37. None of them are heavy drinkers, overweight, exercise-shy or smokers.I sincerely hope that you remain in good health and can afford to be so smug about things, but after my experiences I wouldn't put money on it. Who knows when we might need to attend hospital ourselves? In my line of work I have managed car parks as part of the facilities management of a building- that's why I felt a need to point out that this costs money and it's fair that users pay. I have had bad experiences with people who did not feel they should have to pay as they needed to drive to work due to no train availability/sick mother/the school run- delete as applicable. However, I object to anyone making money from a captive audience, as appears to be the case with Debbie and Ina's expensive charges. Bernadette's suggestion sounds the most sensible to me- a simple nominal charge to cover maintenance.Again, I wish I lived in your world (including the Manolos) but Ina has raised a very valid discussion here which needs sensible debate not personal criticisms thrown at anyone who disagrees with you.

Caroline Riddell ● 7123d

I agree with Bernadette.I also think that there should be some understanding of why people want to use a car park and what is needed to allow us easy access.  The car park machines print entrance and exit times on the tickets so can supply the times people spend at the hospital, which is another important factor in looking at the whole car parking issue.Fearful at being clamped in the drop off/pick up zone when picking up my elderly neighbour from having numerous tests, I took my husband to get her from the unit the tests had been run at whilst I sat in the driver’s seat.  Within a couple of minutes a man pulled up in what looked like a huge gas-guzzling-open-backed-truck and started waving at me.  He was trying to get me to move on - and started to argue over the time I had been parked.  He stopped short of calling me a liar when I said he should go and check his CCTV tape of my arrival and that I genuinely was waiting for a pick up.  I asked about the other cars parked on the front none of which had a driver inside - and was told they were taxi's.  Wasn't I, in effect a taxi?  My neighbour could have used hospital transport for both her journeys – but it was far more sensible for her to have a lift from somebody she knew.He did suggest I go into the car park and pay, which I said I wasn't going to do.  The next time this happened I rang ahead to say I was coming but would be on my own and was told to leave a note on the dash board and it would be okay.  My neighbour could not have walked without severe discomfort to the car park and would only need a wheel chair if she was required to be wheeled to the entrance at a trot to satisfy Gas Guzzlers stop watch.  This may be a strange way of writing this, but it demonstrates the fear of being clamped which pervades the whole visit at a time when the last thing on your mind should be car parking and fees and fines.I agree that the car parking should fund the ongoing maintenance of the car park – and it may be that when Matt gets his figures that the fees are so high, because of high maintenance charges – in which case gas guzzler could walk as he wanted my neighbour to do.  It was completely absurd that he was driving around the front area of the hospital and that there are so many car park attendants employed for such a small car park.On a previous discussion I suggested that there should be a half hour charge to allow for drop offs and pick ups which is a small amount and encourages people to leave the car park quickly, and not hang around after doing just that.As far as people staying with a relative, there should be a way of contacting the parking office from a ward and getting them to clear a car for a long term stay without the relative having to leave the side of the person they are supporting and without the dreadful charges Ina and Debbie have experienced.  I find it absurd that a temporary disability badge cannot be issued to people having long term care or needs.  It isn’t as if it would be difficult to gain a medical opinion!

Sarah Felstead ● 7123d

I don't think I have ever read such tripe!  I don't disagree with the principle of only having children when you can afford them but who knows what the future will bring.  No one plans to have children with special needs and I'm not sure you can budget for them in advance.  In these days of rampant divorce how many couples could afford children when they had them only to discover they couldn't afford them once one partner or the other decides to divorce?  There are many reasons why children can become a financial burden, people lose jobs, partners, etc.  Life can throw all sorts of obstacles at people and whilst you may be full of yourself today you may have a rude awakening tomorrow.What a stupid statement it is also to say anyone who can afford a car can afford the parking.  Many people run cars for many different reasons and frequently can ill afford the running costs.  It is not everyone that can afford a car for a status symbol or for pure luxury.In my humble un-PC opinion, hospital parking charges should be nominal not cash cows for whoever it is that is reaping the benefit.  Ealing hospital is crawling with parking attendants who, as I said in an earlier posting, wanted to ticket my newphew whilst he was trying to deliver his mother into A&E whilst she was in the throws of a heart attack.  He had already driven round the car park several times looking for a space but in the end had no choice but to drive her to the door.  The behaviour of the warden was totally unreasonable in the circumstances.  Just to upset even more people with my views, I personally believe that if the National Health were to treat only those that had contributed to it, we would all be a lot better off and car parking would still be free. When the NHS was created in 1948/9 we did not have a country full of people from everywhere on the planet and most people worked.  It was also a generation of people who did not rush to the doctor every time they sneezed.  The NHS was a wonderful invention that has over time become abused by people who think a trip to the doctor or to A & E is almost a social event and many of those people have never contributed anything at all to the NHS.  I consider myself fortunate to be, as far as I know, healthy but I do spend a lot of time at the dentist and whenever I am there all I ever hear is the receptionist asking the patient "do you pay for your treatment" and all I ever hear in an assortment of accents is "No".  I almost believe I am the only patient they have that does pay.  I was born in Chiswick, I have worked so far for 39 years, raised 3 children single handed without state aid and I have to pay for everything but the country is full of people from somewhere else who do not.

Bernadette Paul ● 7123d

Jessy – so you intended to insult or take the mickey about me ‘being foreign’?  Mind if I decide to take it personally?I am not sure why it should upset you so – the way anyone writes on a forum or in real life has snob value if you are going to discount it just because your preconceived ideas show a person has no value if they cant read or write to degree level, or in the way you subjectively choose.  There are different styles of writing which can be applied to different situations, and a forum is open to any a person chooses.If your argument finds the subject of foreigners – then I am unsure what you mean by a foreigner.  If you wish to divert the argument to the thousands of holiday tourists who arrive here for care on the National Health and depart without paying then the only thing I can contribute to this is the Man who presented himself at A&E when we were there once.  He had a bullet in his leg which had been there for several months – whilst he travelled across the world to this Country to claim asylum (so the story was being told at the reception desk was going). We next saw him a few weeks later with the leg amputated.I imagine that your travel to hospital arrangements might be fulfilled as a number of these holiday tourists will probably not go out buy and Tax a car before travelling to the hospital, but instead dial 999.I can also contribute the story I read of the hundreds of women who present themselves to London hospitals in labour, with no links to this Country and apparently no way of funding their hospital care, so the NHS picks up the tab.Probably better if you want to divert onto these sorts of areas, Jessie, to start another thread rather than pinch Ina’s.  As Jean Caroline and Lynn have already said what a good debate it is and a touching local issue - even if it means you aren’t getting your own way.Have a nice day.

Sarah Felstead ● 7123d

Some interesting information from the report into hospital parking charges by Macmillan:One hidden cost of NHS treatment that has been steadily growing in recent years is parking charges. Hospitals have been allowed to charge for parking on hospital premises since they ceased to be Crown properties in the 1980s. Over the years more and more hospitals have introduced car park charges and those charges have steadily been ratcheted up – effectively a stealth tax. Whereas charges may have been initially introduced to manage hospital traffic and ration scarce parking spaces, today parking charges have become an important source of revenue for hospital trusts in England. One hospital trust source told the Health Service Journal that their hospital trust raised more than £250,000 a year from parking charges: ‘Charging is a big money-maker for trusts. In the last five or six years, trusts have cottoned on to the revenue potential of charging for car parks and turned it into a tax on health.’In a parliamentary written answer in 2002 then health minister David Lammy said that ‘The National Health Service trusts can charge for car parking in order to raise additional income to improve the health service using income generation powers’.There is no national regulation of hospital parking charges in any of the UK nations. In a parliamentary written answer given in April 2003, then health minister John Hutton clarified the policy in England, saying ‘It is a matter for individual hospitals to decide whether or not to charge for car parking and the cost of such charges in the light of local circumstances’.Department of Health guidance on parking charges published in 1996 advised hospitals to consider concessions but did not specify which groups of patients should be eligible.Very little research has been conducted into the extent of parking charges in UK hospitals. A 1992 survey by the Greater London Association of Community Health Councils found parking to be inadequate at 29 of the 46 hospitals surveyed and a wide range of parking prices.Patient Environment Action Team (PEAT) inspections have consistently found that, whilst dirty wards have hit the headlines, patients are more concerned about parking conveniently and finding their way about the hospital.A 2004 Action for Sick Children study found that parking charges at 67 UK hospital trusts surveyed ranged from 50p an hour to £2.50 an hour; that the average charge for a 24-hour stay was £8.50; and that only a third of the hospitals surveyed offered concessions to parents of sick children.Three-quarters of hospitals in the UK now charge for parking. Charges are most widespread in England, where 92% of hospitals charge.

Lynn Clark ● 7124d

Bernadette said “The NHS are denying certain treatments to "obese" patients.  Also there are certain doctors unwilling to treat smokers The elderly are also now getting a raw deal as there are too many of them and it's hardly worth treating them because the state would actually prefer them to die”I think doctors are right to deny treatment to the heavy smoker/drinker and the obese.  People should take responsibility for their own health.I would prefer the NHS spend the money on the elderly who often suffer in silence as they grew up in a culture of “not bothering the doctor”.  I sat in a waiting room at Ealing Hospital next to a woman with a severely asthmatic small child.  The mother kept taking the child out with her to the doorway so she could chain smoke!  I have very little sympathy for the “undeserving” poor.  Why do people keep having more children when they can’t afford to support one? It is a very irresponsible thing to do.  Contraception is freely available on the NHS!  I would not have children unless I was in a position to support them myself.Bernadette also said “As far as car parking is concerned, it used to be free but that was in the days when fewer people had cars”  The same principle applies to the NHS, dentists etc.  The NHS cannot cope with the huge demand. They are doing the best they can, but the UK is becoming like a third world country.  Lynn, regarding your comment about the amount you pay in NI contributions (which we all pay) – your lifetime contributions would probably not cover one hip replacement operation.

Jessamy Sanbello ● 7124d

"Nothing is free, somebody has to pay..."I pay hundreds, yes hundreds of pounds a year into the NHS via my NI contributions.  In addition to that I pay thousands of pounds a year in tax from my earnings plus Council Tax & VAT.Therefore, I am already paying dearly for the NHS & have done so for the whole of my working life, as does my husband & as did my parents & grandparents.  You say land costs money - we have all paid for that land; you say that maintaining it costs money - we are paying to have it maintained & we are paying the wages of those who maintain it.  We are already paying for everything the NHS does.You are right, I have the choice to drive my car or not.  If I am having to get my child or a relative, such as my grandmother, to hospital quickly then I will drive to get them there as quickly and comfortably as possible.  I think it is responsible that I am using own transport/petrol (at my own expense) & not tying up an emergency service vehicle that somebody else may need & at great expense to the taxpayer.  On that basis alone, one would think that it would be made as easy as possible for people to drive to the hospital (without the added stress of finding the right change for parking & having to keep topping it up)."...and I think it's fair that the people actually using a facility should pay."As I have already said, nobody choses to be sick & nobody choses to have to attend hospital - it isn't a frivolous choice that we can avoid if we want to."Market forces and all that!"Enough said!

Lynn Clark ● 7127d

National Health Service - What National Health Service?  I am old enough to remember when there was a National Health Service and when everything was "free" i.e. dentist, prescriptions, parking!  What pray is free now?I lost a crown just before Christmas last this has caused me to attend my "National Health Dentist" on several occasions throughout this year.  I ended up losing the whole tooth in any event but not until it had cost me something like £300.  I have just spent another £145 on trying to save the tooth next to it and a total of £19.50 (3 separate prescriptions for antibiotics)The NHS are denying certain treatments to "obsese" patients.  Also there are certain doctors unwilling to treat smokers (event though the tax revenue from cigarettes is more per annum than the total spent on the NHS).  The elderly are also now getting a raw deal as there are too many of them and it's hardly worth treating them because the state would actually prefer them to die and thereby save their pensions.I actually find the whole situation confusing.  The nanny state which now governs us want us to stop eating, drinking, smoking, as all these things are bad for our health and may kill us which would suggest they want us to live forever.  At the same time 2 of the above raise huge amounts of revenue for the said state, where do they propose getting this revenue if we all do as we are told and stop smoking and drinking.  Then we are told we are all living too long (presumably in spite of eating, drinking and smoking) and in spite of the fact that we may have paid NI contributions for 50 years there is no money for a decent pension system.As far as car parking is concerned, it used to be free but that was in the days when fewer people had cars and before some bright spark recognised the potential for raking in even more revenue.

Bernadette Paul ● 7127d