Demonstration against Ottery and Axminster hospital closures

Claire Wright’s blog:

There will be a placard demonstration at

12.30pm on Thursday 16 July,

outside Newcourt Community Centre, Exeter – map here – https://www.google.co.uk/maps/place/Newcourt+Community+Centre/@50.701755,-3.474879,15z/data=!4m2!3m1!1s0x0:0xd9a1e2f62015b734

The Northern, Eastern and Western Devon Clinical Commissioning Group will meet at 1pm and will take a decision on whether to shut all the beds at Ottery and Axminster Hospitals, moving them to other local hospitals, as well as closing minor injuries units at Axminster, Ottery, Seaton and Sidmouth.

We are not allowed to speak during the meeting, although questions can be submitted in writing to staceyavery@nhs.net

For more see – http://www.claire-wright.org/index.php/post/the_last_battle._d_day_for_ottery_hospital_please_attend_this_meeting

This is our LAST CHANCE to be heard. Please come. And bring your friends. I would be grateful if you would drop me a line at claire@claire-wright.org if you plan on coming. Thanks very much.

http://www.claire-wright.org/index.php/post/demonstration_planned_for_last_battle_to_save_east_devon_hospital_beds_and

CPRE Report on Rural Housing

A living countryside: Responding to the challenges of providing affordable rural housing

http://www.cpre.org.uk/resources/housing-and-planning/housing/item/download/4156

What is the legal status of the East Devon/Exeter/Teignbridge partnership?

It seems that the grouping of East Devon, Exeter and Teignbridge cannot call itself a combined authority, since this research briefing:

Click to access SN06649.pdf

says:

Currently, a combined authority cannot include only part of a county council (or other council) area. The Government has consulted on a change to this requirement, and issued a draft Legislative Reform Order in March 2015. ”

It goes on to say:

“To establish a combined authority, a local authority or authorities must carry out a ‘governance review’ which may recommend the establishment of a combined authority for their area, or including their area. They must publish a “scheme” for the creation of a combined authority. Publication of the scheme requires the consent of the local authority areas included in the scheme.

The Secretary of State must consult the authorities that would be covered by the combined authority, and must be satisfied that the establishment of a combined authority will contribute to economic development and transport policy in the area in question.1 There is also a requirement that:

(4) In making the order, the Secretary of State must have regard to the need—

(a) to reflect the identities and interests of local communities, and (b) to secure effective and convenient local government.2

Authorities may also be removed from the combined authority, or the combined authority may be abolished, again by statutory instrument. There is no power for public bodies other than local authorities to join a combined authority. ”

and then says:

The 2009 Act provides that combined authorities may not include only part of a local authority within their area. Thus, they cannot include part but not all of a county council area. This is a potential obstacle for some of the current combined authority areas, as the Local Enterprise Partnerships (LEPs) associated with them cover wider ‘functional economic areas’. To circumvent this issue, the concept of ‘associate membership’ has been created. Hence the Sheffield City Region combined authority includes a number of district councils from north Derbyshire and Nottinghamshire as ‘associate members’.

…The Government issued a consultation in April 2014 on removing both these prohibitions on combined authorities via a Legislative Reform Order,6 and a subsequent consultation in December 2014. On 27 March 2015, a draft Order and explanatory note were published.7 The draft Order would remove both prohibitions noted above: on areas which are not geographically contiguous forming combined authorities, and on combined authorities including only part of a county council area. The Secretary of State would still have to be satisfied that the area of the proposed combined authority was a functional economic area, and s/he would be required to take into account the possible effects of establishing a combined authority on adjoining areas.8

Does anyone remember East Devon, Exeter and Teignbridge jumping through these hoops? If they did not are they allowed to combine and what is the legal status of such a combination? Especially its effect on adjoining authorities?

Was YOUR cataract or hernia operation unnecessary? NHS supremo thinks so. And die at home to save the NHS more money

“As many as one in seven hospital procedures are unnecessary, leading to “profligate” waste in the health service, a senior NHS official has said. …

… 500 million a year could be saved by reducing the use of “low value” treatments and procedures such as cataract and hernia operations and tonsillectomies. Currently the NHS carries out more than 300,000 cataract operations a year at a cost of just over a quarter of a billion pounds a year, 79,000 hernia repairs at £147 million a year, and 52,000 tonsillectomies at £63 million. …

… £36 million a year could be saved if the NHS stopped over-treating patients dying of terminal illnesses such as cancer in hospitals. It would be better, and cheaper, for dying patients to receive expert palliative care outside of the hospital environment …”

http://www.telegraph.co.uk/news/health/news/11733871/One-in-seven-treatments-not-necessary-warns-NHS-chief.html

So, if you can’t read or drive because of your cataracts, you can’t work because you have a hernia or you can’t die at home because there are no palliative nurses available – tough up!

IF some operations do not result in improvements, surely we should be training doctors to make better decisions with more care, not blaming them. Does anyone really think doctors offer these operations just to waste money?