Andy Slaughter, Labour MP for Hammersmith Shadow Minister for Justice House of Commons, London, SW1A 0AA 020

7219 6052 Dr Anne Rainsberry Chief Executive NHS North West London Southside 105 Victoria Street LONDON SW1E 6QT 20 December 2012 Dear Dr Rainsberry, You replied to my email of 10 November on 6 December, but failed to answer the questions I raised therein. You gave no adequate explanation for the delay or the refusal to deal with what are very significant matters that are subject to daily comment in the national press. I attach some recent articles in case you have missed these. Family sues out-of-hours GP provider and nurse over death liability (Guardian 17 December) Harmoni out-of-hours GP service putting patients at risk, say doctors (Guardian 17 December) Former Harmoni clinician warns of 'dangerous' pressure on appointments (Guardian 18 December) Healthcare sell-off makes GPs millions (Guardian 9 November) How GPs are set to make a killing out of NHS reform (Independent 25 March) 38Degrees is using the Whittington case to promote its petition, which has attracted over 50,000 signatures. It is simply not good enough to say members of NHS NWL, the CCG or PCT boards can declare interests in private companies, absent themselves from decisions, and otherwise carry on as normal. As the Chair of the Royal College of General Practitioners has said: it is not about excluding yourself from the room whenever there is a discussion; it is about how it will drive your decision-making overall. The current changes in NHS NWL mean the following: 1. A shift in funding from hospital to primary care. 2. A greater involvement of private companies in the primary care sector. 3. An opportunity for those companies to increase their profits by cutting back on the level of service offered. If senior decision makers in the NHS have financial interests in those companies there will inevitably be conflicts of interest which are fatal to their ability to make independent choices in the interests of patients. However, even the limited information which you should make available is not supplied on the Register of Members interest forms. This is incomplete or absent in many cases. The forms ask for

the scope and value of any interests of CCG chairs and other members of the NWL Cluster. I repeated this request in my email of 10 November, ie for a comprehensive statement of the scope and value of the value of shareholdings in Harmoni and any other relevant companies. You have so far failed to supply this, so I would request that you do by close of business tomorrow. The Guardian article of 9 November, for example, refers to a profit of 2.6 million made by the Hillingdon CCG chair from the sale of Harmoni to Care UK. Could you confirm whether this is the case? Much of the information on the declaration of interest forms is incomplete or needs clarification, as to the scope of the interest being declared or its value or both. The following entries need clarification: Dr Mark Spencer - no scope or value is given concerning the Partnership at Hillcrest Surgery; no scope or value is given regarding the shareholding in SMART nor is there any indication of the scope or value of any business sought with the NHS. Ruth OHare The scope and value of the several interests mentioned is not stated. What is the value of the paid Chair post declared? Tim Spicer What is the nature and value of the part share in the primary care surgery facility declared? What is the scope and value of the research money declared in respect of Richford Gate, and who provides it? Ian Goodman What is the scope and value of the Directorships in Hamoni declared? What effect on this declaration has the recent sale of Harmoni had? What is the scope and value of the shares held in Harmoni? What is the scope and value of the shares held in a) Hillingdon Health? B) Mountwood Surgery? Fiona Butler Scope, value and name of company mentioned in declaration of ownership needs stating. Amol Kelshiker Scope and value of shareholdings in Harrow Health not declared Dr Mohini Parmar - Scope and value of shareholding in Smart Dr Etheldreda Kong Scope and value of shares in Harmoni needs stating; scope and value of holding in the other (illegible on form) company need stating.

I would also like you to send me a copy of the Register of Declaration of Conflicts of Interests, to which you refer in your letter of 6 December. I hope all the above information will be readily forthcoming, as of course it should already be in the public domain: but for the avoidance of doubt, if for any reason you are cannot give the information as requested voluntarily, then I make this request under the provisions of the Freedom of Information Act. Yours sincerely, Andy Slaughter