Islington Community Health Council

Community Health Councils were established in England and Wales in 1974 "to represent the interests in the health service of the public in its district" (National Health Service Reorganisation Act, 1973). Often referred to as 'the patient’s voice in the NHS', each Community Health Council (CHC) served the public and patients in its local area by representing their interests to National Health Service (NHS) authorities and by monitoring the provision of health services to their communities.

CHCs were independent statutory bodies with certain legal powers. CHCs were entitled to receive information about local health services, to be consulted about changes to health service provision, and to carry out monitoring visits to NHS facilities. They also had the power to refer decisions about proposed closures of NHS facilities to the Secretary of State for Health. For this reason, CHCs were sometimes known as the ‘watchdogs’ of the NHS. The co-ordinated monitoring of waiting times in Accident and Emergency departments led to ‘Casualty Watch’ which gained national press coverage. Locally, many CHCs represented patients’ views by campaigning for improved quality of care and better access to NHS services, and by responding to local issues such as proposed hospital closures.

Each CHC had around 20 voluntary members from the local area. Half were appointed by the local authority, a third were elected from voluntary bodies and the remainder were appointed by the Secretary of State for Health. Members met every month to six weeks and meetings were usually open to the general public. Guest speakers or guest attendees were often invited, particularly when a specific topic or issue was under discussion.

All CHCs employed a small number of paid office staff and some had shop-front offices, often on the high street, where members of the public could go for advice and information about local NHS services. CHCs published leaflets and guidance on a wide variety of topics from ‘how to find a GP’ to ‘how to make a complaint’.

Within the guiding principles and statutory duties of the legislation, CHCs developed organically in response to the needs of the communities they served and for this reason considerable variation can be found in the records of different CHCs.

Islington Community Health Council was created in September 1974 with the duty to represent the community of Islington and Hornsey to the National Health Service (NHS). The majority of members were appointed from the borough councils of Islington, Haringey (Hornsey) and Barnet and from voluntary bodies. Islington CHC employed three full-time staff. After a brief period operating from Whittington Hospital, its offices were based in Liverpool Road Hospital until 1980 when it moved to Manor Gardens, moving again to Holloway Road in 1994.

Community Health Councils in England were abolished in 2003 as part of the ‘NHS Plan (2000)’. The last meeting of Islington CHC was held in September 2003.