Left hand and right hand out of sync again – this time on community hospitals

.…. The NHS chief executive will outline new models of care amid warnings of critical shortages of family doctors and fears that the NHS could not cope with a bad winter.  Mr Stevens will suggest that GP practices could open in hospitals, especially in urban areas, where doctors are spread too thinly between a number of traditional local practices.  In other areas, family doctors could band together to run expanded community hospitals, employing hospital consultants and other staff and offering extra services, such as scans, outpatient chemotherapy and dialysis.

The plan follows indications earlier this year that Mr Stevens wants to see a bigger role for “cottage”, community and local district general hospitals.

He will say that there will be no national blueprint, but that towns, cities and rural communities should find models which work for their populations, and ensure services work around the patient.

http://www.telegraph.co.uk/health/healthnews/11137640/Hospitals-to-set-up-GP-practices-and-keep-the-old-out-of-AandE.html

Oh no, not again

Here we have a photo of MP Hugo Swire recently opening a “parish field” at Clyst Honiton:

image1

But what is that to the right of his shoulder in the picture? It looks like a large plastic hand just about to thump him on his rear!   Maybe it’s an old Eton ritual like the Eton Ball Game.  Still, at least he has his comfort blanket if the worst happens.

Now we know how it feels to be an EDDC Cabinet member!

“The feeling of power has been found to have a similar effect on the brain to cocaine. It increases the levels of testosterone and its by-product 3-androstanediol in both men and women. This in turn leads to raised levels of dopamine, the brain’s reward system called the nucleus accumbens, which can be very addictive.

Like cocaine, scientists now believe power can lead to too much dopamine causing more negative effects such as arrogance and impatience.

http://www.dailymail.co.uk/sciencetech/article-2778336/Power-REALLY-does-head-Giving-people-taste-authority-corrupt-honest-members-group.html

Housing Minister says second homes not a problem and councils have plenty of money

http://www.westernmorningnews.co.uk/Second-homes-little-impact-prices-claims-housing/story-23033038-detail/story.html

Today Manchester, tomorrow “Greater Exeter” or “Devon wide”? Maybe Councillor Potter is right and there will be no district councils soon

The Greater Manchester Combined Authority – made up of a consortium of 10 local authorities is going back to the drawing board and attempting to draw up a Regional Spatial Strategy – i.e. a Mega-Local-Plan. Those long in the tooth (i.e. who remember local government more than 4 years ago) will recall that this used to be the way things were done for infrastructure and investment wit the (not-much-missed-because-it-wasn’t-very-good) South West Regional Development Agency SWRDA with their Spatial Strategy for the whole of Devon. They were replaced by Local Enterprise Partnership – but they, too, seem to be fading away gradually as we hear less of them and their funding.

http://www.agma.gov.uk/what_we_do/manchester-family-centre-of-excellence/index.html

(what an odd URL!)

So, maybe this is the way things are going – fewer and fewer small authorities and more and more amalgamation as Councillor Potter predicted at Newton Poppleford earlier this week.

But where does that leave EDDC? They fought Devon-wide unitisation so, so hard a few years ago – spending at least a quarter of a million pounds of our council tax on persuading us not to go down that route and saying how bad it was for us. Then, as soon as the new government came in, they cancelled unitisation saying it was not a good idea. Now amalgamation seems to be the new theory and it’s all ok now.

There must be some really hard head-scratching going on at present at EDDC as they see the possibiity of losing control! Though there are many who think they lost control some time ago ….

… and wouldn’t the Skypark HQ make a lovely Devon HQ so that Exeter and DCC could sell off their current offices for housing ….. unless it goes to Plymouth, of course! Why not: it’s on the far edge of the area and only as far (relatively speaking) from Exeter in Devon-wide terms as Axminster is from Skypark in EDDC terms!

Hugo Swire stars in “Private Eye” as a supporter of the controversial Transatlantic Trade and Invesment Partnership which some see as a stealthy privatisation of the National Health Service

Our MP is a very enthusiastic proponent of TTIP – the Transatlantic Trade and Investment Partnership. Sounds good – but for an alternative view see here:

http://defendournhsyork.wordpress.com/ttip-information/what-is-ttip/

This is what Private Eye has to say about his involvement:

Swires Crossed P Eye 001

For those unable to enlarge the image, the crucial quotes are:

Swire conceded there were concerns … “that regulatory standards will be lowered, or that investment protection provisions could lead to a dismantling of the NHS” but then argued that this would not be the case … however, Private Eye continues: “In fact he willfully misses the point. The danger is that the TTIP will undermine the NHS as a supplier of health services, rather than cut access to it. By making NHS services an investment class, TTIP can cut NHS hospitals out from running the health service, replacing them with centres run by US Healthcare corporations – including HCA International, aka the Hospital Corporation of America, which already runs many NHS services.

Pays your money, takes your choice!

Exmouth seafront traders: EDDC still will not tell them whether they have a future

http://www.exeterexpressandecho.co.uk/Traders-8216-dark-8217-Exmouth-seafront-revamp/story-23026054-detail/story.html

Ring any bells?

Another chalk and cheese IT partnership

Plymouth City Council is now joining its IT services with the NHS Devon-wide groupings.

Originally they had planned to join up with EDDC and Teignbridge (not sure about Exeter)

Question: why did Plymouth pull out of the council-wide partnership and
Question: what synergy is there between council and NHS IT systems (given the national health service IT fiasco in the last few years.

Can all these partnerships REALLY save money?

http://www.westernmorningnews.co.uk/City-council-NHS-set-new-private-company/story-23026190-detail/story.html

What happens when shared and “partnership” IT services go wrong

Recall EDDC, Exeter and Teignbridge are about to share IT services. Although they currently do not have a public/private partnership in mind it could happen but the pitfalls ennumerated here could happen to any joint arrangement where “transparency” becomes an issue:

Click to access 2014%20Sept%2025%20-%20Item%207%20Lessons%20Learnt%20report.pdf

Feniton: another test of EDDC enforcement

http://www.exeterexpressandecho.co.uk/Feniton-faces-8220-real-threat-8221-flooding/story-23025763-detail/story.html

Wain Homes appears not to care.

MPs want secret probes of iffy expenses to “protect their reputations”

Where majority party MPs lead, EDDC’s majority party usually follows:

‘To introduce measures which undermine transparency is foolish and perverse at a time when we are looking for increased transparency,’ he added.
‘This means that MPs will be able to string out the thing for as long as they like rather than everyone knowing there is an issue to be investigated.
‘This is a retrograde step when you consider that it was a lack of transparency which led to the expenses scandal in the first place.’

http://www.dailymail.co.uk/news/article-2773899/Parliamentary-probes-MPs-suspected-fiddling-expenses-held-SECRET-controversial-new-plans.html

Oh, wait: the MPs are following EDDC on this one – EDDZc got in first with Browngate and the East Devon Business Forum where deathly silence prevails.

It will be interesting to see what they do with Browngate 2 – where the disgraced ex-councillor will make much more money than it costs for a duckhouse if things go his way – again!