Dorothy Kuya RIP, 1931-2013

EVERY so often there comes along that rare individual who places public service above personal gain or aggrandisement, consequently few people outside their particular circle have heard of them. One such person was Dorothy Kuya, who passed away just before Christmas following a brief illness. For almost all her life, Dorothy acted on the principle that a better world is possible, whether it was in her native Liverpool or in the wider society.

It started early. As a teenager she addressed street corner meetings from a soapbox on behalf of the Communist Party and later on in her travels met redoubtable civil rights activists, including Paul Robeson during his England tour in 1949. Never one to mince her words or suffer fools gladly – a combination of political conviction and Scouse bloody-mindedness – she was a formidable personality. She trained as a teacher but would go on to play a pivotal role in race relations at a time when it was neither fashionable nor straightforward. Over the years she helped bring about a number of key milestones, including the establishment of the International Slavery Museum in Liverpool, which more than anything represented an official acknowledgement of the city’s huge role in the triangular trade and its neglect of its centuries-old black community.

Dorothy was born into that community – Liverpool 8 – and like so many Liverpool-born blacks of her generation, or ‘LBBs’ as they are called, was the product of a union between a local white woman and a West African seaman, in her case a Sierra Leonean. She took her surname, though, from her Nigerian stepfather, another seaman, whom her mother married, and grew up with a brother and sister in what by her own account was a loving family. If Britain possessed a ghetto, then Liverpool 8, an area within walking distance of the docks, fitted that description perfectly. Although many of its families could trace their roots back to the 18th century, so forming what is reckoned to be the oldest black community in Britain, they were treated as foreigners in their own country, condemned to the worst housing and jobs, if there were any, and made to feel unwelcome outside the area’s immediate confines.

As Dorothy once told me, you’d be hard pressed to find a black face in Liverpool city centre, only 20 minutes away by foot. But poor and despised as it was, Liverpool 8 was a lively, close knit community, famed for its various social clubs that represented the many nationalities and cultural groups that lived there. It was this spirit which Dorothy imbibed from childhood and which would propel her onwards and through to old age, even as bulldozers began knocking out the heart of her beloved district 10 years ago.

When Liverpool 8 erupted into riots in 1981, few outside of the city had ever heard of the place that would produce the fiercest and most prolonged of the string of disturbances that swept England that year. In fact, its media designation of ‘Toxteth’, a name not used by locals, was always a source of annoyance for Dorothy. At the time, she was living in London, working as head of race equality for Haringey Council following on from her pioneering role as Liverpool’s first community relations officer, and had been well aware that it would only be a matter of time before Liverpool 8 would ignite, given the notorious level of discrimination its inhabitants were subjected to, not least at the hands of the police.

This is when I first got to know Dorothy, recognising quickly the qualities that made her such a powerful campaigner. I had been up to Liverpool for the first time to report on the riots and was eager to hear her take on them, and to find out more about a community with which I felt an instant kinship, perhaps because, though British born, I felt like a foreigner too. She duly invited me to her small flat near the old Arsenal stadium and was truly a mine of information. I visited her again, this time in Liverpool, where she returned in 1994, living only a stone’s throw from her childhood home. Looking forward to a peaceful retirement amid family and old friends, she instead found herself battling to save her home after the ward she lived in was earmarked for demolition. Ten streets of fine Edwardian houses were eventually knocked down as part of a so-called government regeneration scheme and, were it not for the fight Dorothy helped lead as part of the Granby Residents Association, her own pleasant tree lined street would have gone the same way. As it was, her house was one of the few that remained occupied, as she successfully challenged the council’s attempts to compulsory purchase it. The rest were emptied, boarded up and left to rot while, of the 100 or so shops that once lined the area’s main thoroughfare, Granby St, only six remained. It was nothing less than a ghost town.

In an interview I did with her for Black History 365 magazine (see ‘Ghost Town’ from October 2011 in the strap above), Dorothy described the demolitions as a deliberate policy to disperse the black community.  'What has happened here is a scandal,' she said. 'It is not only decent homes that have been destroyed, it is a whole community.'  She was particularly scathing about the new suburban housing that was put up to replace the demolished homes, saying they were 'pokey and cheaply built' and already looking the worse for wear.  Four streets were eventually saved.  So a victory of sorts, I ventured.  'We may have won the war but many were killed,' replied Dorothy in her characteristically terse fashion. 

While all this was going on, Dorothy was also involved in a great many campaigns, including the establishment of the International Slavery Museum in 1992, the first of its kind in the world.  It was opened by the Queen in 1994 before being expanded and relaunched in 2007, the bicentenary of the abolition of the British slave trade.  As a member of the museum’s board she was also instrumental in developing the annual Slavery Remembrance Day on August 23 that is now a civic event attended by the Lord Mayor of Liverpool, beginning with a ‘walk of remembrance’ through the city centre and ending with a traditional West African libation ceremony at the dockside.  It was clearly the highlight of her calendar, a living monument to the hard fought campaigns waged over the years by the people of Liverpool 8.  It was a time when Dorothy would look at her most relaxed and allow herself to enjoy her role as an honoured grandee. Sharon Grant, wife of the late Tottenham MP Bernie Grant, reminds me how she was an early supporter of the African Reparations Movement, which Bernie set up in the 1990s. (Dorothy had gotten to know Bernie well during her time at Haringey, where she was a member of the Gifford inquiry into the 1985 Tottenham riots.) “A true Liverpudlian at heart, she insisted on meetings being held there and thus introduced many of us to the city,” says Sharon. 'She was responsible for Bernie’s several visits to the city, not least in 1999 to unveil a plaque on the quayside to commemorate the transatlantic slave trade, shortly before his death in 2000.' 

Always keen to lift the lid on Liverpool’s hidden black history, Dorothy conducted heritage trails around the city in her fitter days, and recently was involved in the ongoing scheme to create a memorial to victims of the slave trade in the graveyard of the 18th century St Jame’s Church in Liverpool 8 where many slaves were once buried. But it was the Africa Presence project to promote Liverpool’s African heritage that most captured her imagination in later years, in part because its base is to be the former Ibo Club, which once formed a part of Liverpool 8′s thriving club scene, itself an important part of the area’s history and probably of Dorothy’s as well. Dorothy wanted Africa Presence to be much more than a cultural hub, but a centre of research and scholarship too. To this end, she intended to donate her archive of some 2,000 books to the project once it was up an running.

All her life, Dorothy had come up against people, both black and white, who time and time again would put a spanner in the works, either because they had their own agenda or because they were not up to the task. It became a common subject of conversation whenever we met, such was her exasperation at the slow pace of change or shift in consciousness. In Africa Presence she envisaged an organisation that was completely independent of meddlesome bodies, set up by individuals who, like her good self, were genuinely committed to the common good. For me, Dorothy was like breath of fresh air, such was her passion and, above all, intellectual honesty. Despite her frustration, she took the long view of change and remained fundamentally an optimist. 

The race relations industry that arose after the disturbances of the 1980s co-opted many militants from the black struggle and gave them fat salaries and fancy titles.  Very quickly, they began sounding less and less radical in their smart suits.  Not so Dorothy, who remained true to her principles but found herself eclipsed, in terms of public recognition, by a whole army of careerists. I doubt if this bothered her much, though. People were often taken aback by her seeming abruptness, as I was at first, but this was her stage persona more than anything else. In private she was a warm and generous person, who appreciated down to earth decency in people, whatever their political stripes. As a campaigner, she was second to none, and the gap she leaves in her home city will be very hard to fill indeed.

From Silvia Wilson (Nelson, Lancs) Homes under Threat (HUT)

Health Education threatened to pull out trainee doctors at Tameside Hospital!

ALTHOUGH senior management at Tameside Hospital have been dropping like flies since publication of the Sir Bruce Keogh (NHS Medical Director) report in July, the Chairman of the Board, Paul Connellan, remains in his post despite calls for him to go. He recently told a local newspaper that he was “in for the long-haul.”

The report led to the resignations of the Chief Executive, Christine Green, Medical Director, Tariq Mahmood and David Wilkinson, the Director of Human Resources. An interim Chief Executive, Karen James and Medical Director, Brendan Ryan, were brought in by the regulator ‘Monitor’ to take over.

The Annual Members’ Meeting of Tameside Hospital, which took place on 18 September, was the first members meeting since the hospital was put into ‘Special Measures’ following publication of the report.

In his ‘Welcome and Introductions’, Connellan tried to accentuate the positive by stressing that more patients “than ever come to us both for non-elective and elective surgery.” According to the Chairman, the number of patients being referred to the hospital by GP’s, is on the increase. Seemingly, the hospital had made £9m of savings which we are led to believe, doesn’t affect patient care at the hospital. On another up-beat note, we were told the hospital now had 18,000 members and 48 of the hospital’s staff had received an “NHS hero award.” While acknowledging that the Keogh report had been hard for people working at the hospital he stressed that “staff had come through it.” He expressed his thanks to all the staff across the hospital and “Karen and Brendan” who he’d, asked for assistance.

The new Director of Nursing, John Goodenough, told the meting that monthly performance reports had been introduced by the hospital to ensure that things were kept on track and to highlight when remedial action was necessary. When asked by Milton Pena, a consultant orthopaedic surgeon, about ‘appalling nursing/patient staffing ratios’ at the hospital and what he was doing about it, he told the meeting that they were aiming at one qualified nurse for every eight patients and one supernumerary nurse per ward in addition to a minimum of two qualified nurses on each ward. Asked by a member of the public about improvements in infection control, he replied: “We still have a long way to go on infection control, but we’re improving.”

Karen James, the interim C.E.O. talked about the need for change and improvement and the dedication of staff. How it was necessary to learn from the past but also to “move forward”. “Moving forward”, seems to be the latest buzz word among management types and Ms. James talks a lot about it. She talked about the ‘listening event’ that the hospital have launched and how they’d already had a lot of positive feedback from stakeholders. She ended her speech by saying: “I look forward to going forward.”

Rod McCord of the Tameside Hospital Action Group (THAG), pointed out that in his view, listening wasn’t an event but ought to be continuous. He asked Ms. James if this was how she envisaged it. He explained that every year the Care Quality Commission (CQC), had said that the failure to communicate in hospitals was a recurring problem. Patients needed protection in hospital and they needed advocates, somebody who knew them. He told the meeting that families should have the automatic right to be present in hospital when consultants visited a patient.

Responding to his question, Ms. James said that she totally agreed that listening should be continuous exercise but while patients had rights, the hospital had to take the wishes of the patients into account.

In a question from the floor, Paul Broadhurst, asked about a report from the Deanery that had threatened to withdraw trainee doctors from the hospital because of concerns over patient’s safety and the inadequate training of junior doctors.

Interim Medical Director, Brendan Ryan, confirmed that Health Education North West, which oversees the training of post-graduate medical students, had threatened to withdraw trainee doctors form the hospital but that he’d asked the Dean to give the hospital a “fighting chance”. He told the meeting that he’d agreed that there concerns were valid particularly about the coverage for junior doctors at weekends. Coverage had now improved and there had been listening events with the junior doctors who were speaking to them. He felt that the hospital was best judged not by its problems but how it responded to them. He told the meeting that the Dean hadn’t carried out her threat to withdraw trainee doctors in August but added:

“They’re still telling us things we don’t like to hear but we’re listening and working with colleagues to put things right. We’re not out of the woods yet! I’m reasonably confident as we keep going forward, we can make a convincing case.”

Speaking from the floor, Rod McCord told the meeting that nobody should have been surprised at the findings of the Keogh report. THAG had been complaining about these things for years – unreliable clinical audits, poor care, bad practice, lack of clinical governance. There had been instances of patients who had been left festering in their own faeces and urine which was not the fault of nurses, but a lack of nurses. The problems at the hospital were visceral. A trust Board that was uniformed and unable to hold non-executive board members to account. Governors who had inadequate understanding of what was required of them and who couldn’t hold the former Chief Executive (Christine Green) to account. He told the meeting:

“In my life I have never heard anything more feeble as that.” He added that the hospitals action plan was barely adequate to meet the enormity of the challenges ahead and that one of the aims of the ‘Charter for Change’ (compiled by THAG and the ‘Campaign for Change’) was to empower patients and their families and the nursing staff at the hospital. Addressing the Chairman, Mr. McCord asked: “Is that aim shared by you as Chair, the Board, and the Council of Governors”?

Responding to his question, Paul Connellan said that the Keogh report had identified potential things that can go wrong or non-events. That the hospital was under extensive scrutiny by the regulator and that the board had not a chance to talk about the ‘Charter for Change’ but that they hoped to embody much of it in various other documents. However, he didn’t want staff to have to work throughout a multiple tick box, check box. He concluded by saying that the hospital would be holding regular press conferences for people to ask about the progress that was being made.

Although the hospital has recently launched a ‘listening event’ since being put into ‘special measures’, to obtain feedback, it was rather obvious that apart from Milton Pena, nobody from the hospital staff, the Board or the Council of Members, asked a single question or offered any criticism whatsoever, throughout the duration of the meeting. However, having attended four of these highly staged managed annual events, this is not unusual. The Keogh report revealed that hospital staff are apprehensive about speaking out. Had it not been for the awkward squad who turn up for this annual event on a regular basis, one can safely say, that no questions would get asked. Needless to say, there was no mention of the former Chief Executive, Christine Green, who appears to have been flushed down the collective memory hole. 

To what extent the Chairman values feedback from the public is open to question. Before the meeting started, a rather anxious and agitated Mr. Connellan was seen objecting to the document the ‘Charter for Change’ being distributed inside the annual members’ meeting and was heard to say to Rod McCord:

 “This should be done outside the meeting. This is not an official document, this is a members meeting; you’re not allowed to pretend this is a hospital document.”

As it is clear from reading the document who the authors are, it is less clear, why Connellan should think it was being presented as a hospital document. It looked quite farcical to see one of his minions scurrying around the lecture room collecting the document so staff couldn’t read it.

Turning to Milton Pena, who for over a decade has fought a courageous, committed and determined campaign, to improve patient care at the hospital, Connellan was heard to say:

“I’m not accountable to you, as I know you would like me to be. I’m accountable to the Board and its members.” Mr. Pena told Connellan: “You’re accountable to everybody.”

Just how long Mr. Connellan keeps his job, remains to be seen. But judging from a recent report in the Manchester Evening News, Connellan and the Board could all be getting the chop very soon if they fail to make the required progress. Two years ago, when he was appointed Chairman, he vowed to both improve the image of the hospital and to get to the bottom of the hospitals high death rate. He has failed miserably on both counts.