Extra NHS health cuts consultation in Honiton 21 December 18.00-20.30

Wednesday 21st December 18.00 – 20.30 at the Mackarness Hall, High Street Honiton EX14 1PG

The full list is at:

http://www.newdevonccg.nhs.uk/involve/whats-on—-/100405

Corbyn finds his voice on NHS and Social Care

Vox Political blog:

“Theresa May consolidated her position as the UK’s most pathetic excuse for a prime minister yet, with a crushing defeat at the Dispatch Box under the questioning of Labour leader Jeremy Corbyn.

(Wasn’t he supposed to be the inept one?)

Mr Corbyn made strong points and supported them with solid facts. Mrs May provided no answers and seemed utterly lost.

Mr Corbyn began: “The government’s sustainability and transformation plans for the National Health Service hide £22 billion of cuts from our service, according to research by the BMA. That risks ‘starving services of resources and patients of vital care’. That comes from Dr Mark Porter of the BMA. When he calls this process a mess, where is he wrong?”

Mrs May ventured this reply: “The National Health Service is indeed looking for savings within the NHS which will be reinvested in the NHS. It is this government which is providing not just the £8 billion which the NHS requested, but £10 billion of extra funding… and sustainability and transformation plans are being developed at local level, in the interests of local people, by local clinicians.”

Oh really?

“It’s very strange the prime minister should say that,” mused Mr Corbyn. “Because the Health Select Committee… says it is actually £4.5 billion, not £10 billion. There’s quite a big difference there.”

So she was being economical with the truth about the amount of money being put into the NHS – and, by the way, is that NHS England or the health service across the whole of the UK? Mrs May doesn’t seem clear about that and the UK Statistics Authority certainly seems confused.

Mr Corbyn continued: “Part of the reason for the strain on our National Health Service is that more than one million people are not receiving the social care that they need. As a result of this there has been an increase in emergency admissions for older patients. What action will the prime minister take to stop the neglect of older people, which ends up forcing them to take A&E admissions when they should be cared for at home or in a care home?”

Mrs May: “The government has introduced the Better Care Fund… the Social Care Precept for local authorities, and we’re encouraging the working together of the health service and local authorities, to deal with precisely the issues he’s raised on social care and bed-blocking,” Mrs May blustered, unaware of the hammer-blow that would shatter her protestations very shortly.

She blundered on: “But I will just say this to the Right Honourable gentleman: Er, we’ve introduced the Better Care Fund and the Social Care Precept. Let’s just look at what Labour did in their 13 years. They said they’d deal with social care in the 97 manifesto, introduced a Royal Commission in 1999, a Green Paper in 2005, the Wanless Review in 2006, said they’d sort it in the CSR of 2007, and another Green Paper in 2009. Thirteen years and they did nothing.”

Here comes the hammer: “As the prime minister well knows, health spending trebled under the last Labour government – and the levels of satisfaction with the National Health Service were at their highest ever in 2010. This government’s choice was to cut social care by £4.6 billion in the last Parliament, at the same time as they found the space, shall we say, to cut billions in corporate taxation bills. That means it’s affecting patients leaving hospital as well. In the last four years, the number of patients unable to be transferred from hospital due to the lack of adequate social care has increased by one-third.”

So it doesn’t matter what Theresa May says her government has introduced; the service it provides is much, much worse than that offered under the last Labour government. That is unquestionable.

Mr Corbyn pressed on: “Will the prime minister ensure her government guarantees all of our elderly people the dignity they deserve?”

“I recognise the importance of caring for elderly people and providing them with the dignity they deserve,” said the prime minister, immediately prior to evading the question completely, going back over her previous assertion and changing the subject (which, as we all know, is a false argument).

“He says this government has done nothing on social care. I repeat, this government has introduced the Social Care Precept, that is being used by my local authorities and by his local authority, and we’ve also introduced the Better Care Fund.” That’s the recapitulation of what she had already said.

Let’s look at that Social Care Precept. It allows local authorities to increase council tax by up to two per cent in order to fund adult social care, meaning that this service has now become a postcode lottery.

Oh, and the Social Care Precept was announced at the same time the Conservative Government said the local government central grant is to be cut by more than half, from £11.5bn in 2015/16 to £5.4bn in 2019/20, a drop of 56 per cent. Meanwhile, councils were expected to increase self-financed expenditure (from revenue and business rates) by 13.1 per cent over the same period, making council services another postcode lottery.

Was it wise of Theresa May to draw attention to this monumental increase in unfairness across the UK?

The Better Care Fund is a pooled budget, initially £5.3 billion, announced in the June 2013 Spending Round and intended to save £1 billion by keeping patients out of hospital. As the number of patients who could not be transferred from hospital due to inadequate social care has increased by one-third in the last four years, it is clear that the Better Care Fund has failed.

In fact, the Chartered Institute of Public Finance and Accountancy and the Healthcare Financial Managers Association surveyed the plans for saving money through integration financed by the BCF in December 2015 and concluded that 80 per cent were likely to fail and that many were hampering progress, “giving integration a bad name”.

Mrs May continued: “But if he talks about support for elderly people I would remind him: Which government is it that has put the triple-lock in place for pensioners, that ensured the largest increase in pensions for elderly people?” And that’s the change-of-subject. Mr Corbyn was not discussing increases in pensions for senior citizens who may be perfectly healthy.

Our verdict can only be that, even though Mr Corbyn didn’t actually say the Conservatives have done “nothing” on social care, the result of their efforts is in fact worse. His response – “The precept is a drop in the ocean compared to what’s necessary for social care” – is mild, in that context.

Moving on to specifics, Mr Corbyn said: “I’m sure the whole House will have been appalled by the revelations in the BBC Panorama this week, showing older people systematically mistreated. The Care Quality Commission’s assessment is that care homes run by the Morleigh Group require improvement and has issued warning notices. The commission goes on to say that the owner has allowed services to deteriorate further, and has ‘utterly neglected the duty of care to the residents of these homes’. What action is her government going to take to protect the residents of those homes?”

Look at this stuttered, barely-intelligible response:

“The- the- Right Honourable gentleman mentioned-raises the issue of the quality of care that is provided in homes and the way that elderly people are treated. I’m sure everybody is appalled when we see examples of poor and uh, uh terrible treatment that is given to elderly and vulnerable people in care homes.

“What we do about it is ensure that we have the CQC which is able to step in, which takes action, which has powers to make sure that nobody-nobody in the chain of responsibility is immune from legal accountability. But we know that there’s more that can be done, and that’s why the CQC is looking into ways in which it can improve its processes, increase its efficiency.

“The, er, my-my honourable friend Minister for Community Health and Care is going to be writing to the CQC shortly, to look at how we can improve, to see what they do. It’s the CQC that deals with these issues. Is there more we can do? Yes, and we’re doing it.”

In other words, her government is taking no action at all.

Oh, and the CQC? It deliberately suppressed an internal review that meant it was found unfit for purpose in 2013. Are we sure we want to trust this organisation now?

“Yesterday, the government proposed that patients may have to show passports or other ID to access non-emergency healthcare,” said Mr Corbyn. “Has the government considered the impact of this on elderly people?

“The last census showed that nine-and-a-half million people in this country don’t have passports. Rather than distracting people with divisive and impractical policies, could the prime minister provide the NHS and social care with the money that it needs, to care for the people who need the support?”

Mrs May’s response was very silly indeed: “Over the course of this Parliament, the government will be spending half a trillion pounds on the National Health Service.”

And it is clearly not enough! How much goes into the pockets of private health bosses?

“The Right Honourable gentleman asks about a process to ensure that people who are receiving NHS treatment are entitled to receive NHS treatment. For many years there has been a concern about health tourism, about people turning up in the UK, accessing health services, and not paying for them.”

No, there hasn’t!

Dive, dive, dive Hugo …

Oral Answers to Questions – Foreign and Commonwealth Office: Topical
Questions (22 Nov 2016)

https://www.theyworkforyou.com/debates/?id=2016-11-22a.747.2&s=speaker%3A11265#g751.0

Hugo Swire: All countries of the EU, with the exception of the United
Kingdom, have resumed direct flights to Sharm el-Sheikh, which are so
vital to the Egyptian economy. What more do the Egyptian Government
have to do to persuade the Government to resume direct flights?

London council threatens legal challenge over health service cuts

“Hammersmith & Fulham Council has threatened legal action over proposals contained in the North West London Sustainability and Transformation Plan (STP).

The local authority described the STP put forward by NHS bodies as “flawed”, saying the report still had “the demolition of Charing Cross Hospital, and the sale of much of its site, as a key part of their scheme”. The council said it had “totally rejected this plan”.

Hammersmith & Fulham is to host a public meeting next week (29 November) at Hammersmith Town Hall.

Cllr Stephen Cowan, the council’s leader, said: “For the last two years, this council has been fighting alongside residents to save Charing Cross Hospital from proposals to demolish it and replace it with an Urgent Care Clinic that would be just 13% the size of the original hospital.

“We commissioned a public inquiry led by Michael Mansfield QC that has provided a strong evidence base for why the proposals are wrong, and have this week started official proceedings to stop NHS bosses closing our hospital. If they don’t listen, we will go to court.

“But now more than ever, we need all our residents to demonstrate the strength of local support to save our hospital.”

http://localgovernmentlawyer.co.uk/index.php?option=com_content&view=article&id=29190%3Acouncil-threatens-legal-action-over-sustainability-and-transformation-plan&catid=174&Itemid=99

Beggars belief! Local Tories implicitly defend local bed cuts then put out a press release saying the total opposite!

EDDC Tories have released the following statement and press release below.

The wording of this statement seems to imply to Owl that our local Tories are 100% behind the cutting of beds and the closure of our community hospitals. Note that it takes no account of the warning bells from the King’s Fund (plans are vague, poorly costed and badly evidenced) and the UK Statistics Agency (the NHS is underfunded) – it simply offers knee-jerk pandering to a CCG shown to be not fit for purpose and (much as usual in Devon these days) with people at the top with glaring conflicts of interest.

THE STATEMENT

We have decided as a group to issue this statement on the proposed bed closures throughout Devon which we will continue to oppose in their current form. Those wishing to cause mischief are doing a great disservice to our residents as they do not offer a sustainable solution to the endemic problems the NHS faces and tinkering with the process is no solution to the root and branch reform needed. The process is being piloted in Devon and Sir Hugo Swire and Neil Parish, our MPs, are continuing the fight in Westminster as do I as the South West Board Member for the District Councils Network nationally and as a Member of Devon County Council’s Health and Wellbeing Scrutiny Committee.”

Readers will recall that Councillor Leader Diviani voted against DCC Councillor Claire Wright’s motion to “stop the clock” on the closure of Honiton hospital until its viability had been reassessed and rechecked. Councillor Leader Diviani and his fellow Tories can hardly claim to be defending our services – indeed they seem anxious for the process to be concluded as quickly as possible, including the closure of Honiton hospital.

They also state that our MPs are “fighting for us” when their voting records, lack of speeches on our behalf and watering down of a parliamentary motion shows that they are doing nothing of the sort.

To all those vulnerable people out there who will suffer from these cuts: use your vote much more wisely in council by-elections, elections and general elections.

Now, compare what they say in the paragraph above to the press release sent out below. REMEMBER, when they say THEY – they mean their own party!

THE PRESS RELEASE

STARTS

Conservatives call for second opinion on Devon NHS funding crisis treatment
ENSURE THAT BED-CUT ‘CURE’ DOESN’T DAMAGE PATIENTS

East Devon Conservatives are deeply worried about proposals from the NEW* Devon Clinical Commissioning Group to restructure hospital care in the North, East and West of the county in a bid to plug a £400 million budget shortfall over the next three years.

They believe the hospital bed closures proposed by the Devon health provider as the cure for a funding crisis may be the wrong treatment – and could have harmful side-effects for patients.

So the 37 Conservative members of East Devon District Council are sending a collective response to the CCG’s current consultation in the hope of persuading the NHS commissioning group to change its approach to tackling the immediate £100m funding gap, expected to rise to £400m by 2020.

The Conservative councillors are advising the CCG that it would be dangerous to move from a system of mostly inpatient treatment to care at home until a robust structure is in place to provide the alternative cover. Taking this step without the necessary resources in place and with no vital transition budget to call upon, could put patients at risk, they say.

Dangerous

Having studied the CCG’s report, Conservative group members were unimpressed with the strength of the argument in favour of bed closures and home care, especially because the CCG has not been able to provide accurate and meaningful financial detail or convincing trial evidence to back up its proposed Community Care Package.

They also wonder if the massive funding gap could not be closed by greater attention to efficiency savings.

And they are counselling the commissioning group not to adopt a “one-size-fits-all” approach to tackling the area’s financial ills, bearing in mind the differing demographics and age profiles of each local authority area in Devon, especially remote rural communities. Patient vulnerability and loneliness must also be addressed.

The CCG appears to favour a new model of care that has been subject to limited testing, with little hard evidence that it improves the service to patients.

The Conservative group are not convinced by the scant evidence provided after their requests for more detail and are nervous of the CCG’s reliance on a notional target of county hospital beds, regardless of variations in proven need.

Blunt instrument

They want to know more about the 80 clinicians the CCG claims to be in support of the new model. And they are sceptical of a ‘blunt instrument’ approach to treatment, especially when many elderly patients have dementia in addition to multiple clinical problems.

Finally, the Conservative members contest that many areas in East Devon appear to have a reducing stock of nursing and residential home beds. This only aggravates the situation, because these beds are often required in the short or long-term for patients stuck in hospital.

Phil Twiss, Conservative Group Secretary, said: “Some people want to boycott this consultation process – but that won’t help anyone. We believe constructive feedback is the best way.

“We all agree that bed-blocking is a serious issue and we also accept that the clinical commissioning group need to save money. The question is how should they go about it so as to deliver results without making the situation worse.

“We feel that they have the solution the wrong way round. They want to move to a care-in-the-home model at a time when the resources just aren’t there to support that model. It might be the right approach in theory, but it will only work in practice if the social care infrastructure is robust enough to take the strain – and it is not.

Panic measures

“We’re not convinced that the new model has delivered the right standard of success in trial areas and we don’t believe it can be rolled out across other parts of the county until the necessary support structure is in place. And we should not be moving to a new model as a panic measure to solve a funding shortfall that could be tackled by other means.

“For example, a lot of money can be wasted on high-cost agency staff who appear to be a short-term emergency man-power fix but all too often are relied upon as part of the workforce establishment.

“We don’t know whether the budget shortfall was perhaps caused by wasteful practices that are still in place, and so we don’t know whether the CCG could find alternative ways to save money. What we do know is that their current proposals are unconvincing and ill-advised”.

East Devon Conservatives will be responding to the CCG consultation with their views and will be calling on the commissioning group to think again.

ENDS

SO, are they for cuts or against them? A dangerous business deciding which bit is truth and which bit is post-truth!

NHS underfunded? No, just wonderful say Tory MPs

Blog comment reposted verbatim:

How ironic – on the same day that the UKSA says the figures are wrong and misleading the HoC Tory majority debates NHS funding and makes a formal statement.

In yesterdays NHS funding debate neither Neil Pariah nor Hugo Swine said anything. See

https://www.theyworkforyou.com/debates/?id=2016-11-22a.820.0&s=speaker%3A25120

But there was a vote about what the HoC wanted to say about the funding crisis. The original text was:

That this House notes with concern that the deficit in the budgets of NHS trusts and foundation trusts in England at the end of the 2015–16 financial year was £2.45 billion; further notes that members of the Health Committee wrote to the Chancellor of the Exchequer about their concerns that Government assertions on NHS funding were incorrect and risked giving a false impression; and calls on the Government to use the Autumn Statement to address the underfunding of the NHS and guarantee sustainable financing of the NHS.

However the Conservatives voted to change this to:

That this House welcomes the Government’s investment, on the back of a strong economy, of significant additional funding and resources each year for the NHS during the 2015 Parliament; notes that this settlement was frontloaded at the specific request of the NHS in NHS England’s own plan to deliver an improved and more sustainable service, the Five Year Forward View; and further notes that the NHS will receive a real terms increase in funding in each year of the Spending Review period, while the Labour Party’s Manifesto at the last election committed to only an extra £2.5 billion a year by 2020, far less than the NHS requested.

And both Neil Pariah and Hugo Swine voted for the revised text, turning a call for increased funding into a sycophantic statement about how wonderful the Government is funding the NHS.

So next time either of our MPs say how concerned they are about the NHS and how they will fight for extra funding (like Hugo Swire said in Pulman’s only yesterday) you should consider carefully whether they are really fighting for extra funding or simply paying lip service (or as we commoners might say “lying”) in order to keep your votes.

And now the UK Statistics Agency criticises NHS funding figures

“The UK Statistics Authority looked into the prime minister’s repeated use of the £10bn claim after Labour and the British Medical Association complained that the figure was misleading and wrong. It has asked the Treasury to overhaul how government spending on both the NHS and health more widely is presented in order to minimise the risk of further “confusion” about the size of budget rises.

The UKSA’s intervention followed an increasingly public disagreement between May and Simon Stevens, the chief executive of NHS England, over how much extra funding the government had pledged to give the health service over the course of this parliament. May has put the figure at £10bn in the House Commons, a newspaper interview and at the Conservative party conference. She said that sum meant her administration was giving the NHS more money than the £8bn it had asked for in 2014 in order to transform how it works and close a £30bn budget gap by 2020.

Jon Ashworth, the shadow health secretary, accused the prime minister of exaggerating the true sum and using “spin” to try to present the government in a better light over the NHS. Dr Mark Porter, chair of the BMA’s ruling council, had also asked the UKSA to look into May’s claim. …

… The UKSA intends to ask the Treasury to “investigate whether in future they can present estimates for NHS England and total health sending separately. I will also explore with officials producing these figures other ways in which they might ensure clarity around sources, time periods and what is being measured, and in what context, when reporting on the level of increase in real budget allocations to NHS England.”

While Hunt has acknowledged that the £10bn was the budget increases over a six-year period, May has yet to do the same.”

https://www.theguardian.com/society/2016/nov/23/government-scolded-by-watchdog-over-theresa-may-nhs-funding-claims?CMP=Share_iOSApp_Other

Local news …

Another week where the Midweek Herald’s contribution to the current debate on health service cuts is limited to two short readers’ letters. No news about recent public meetings, no news on forthcoming public meetings, no coverage on Councillor Leader Diviani voting against a re-examination of the case for closing Honiton Hospital.

Well, it isn’t that serious is it …