Current bed cuts in Devon hospitals – the reality

“The number of beds at a Devon hospital trust have fallen by more than a quarter over the past six years.

In July to September 2010, the average number of general and acute beds open overnight at Torbay and South Devon

The occupancy rate for these beds has grown from 64.6% in July to September 2010, to 87.7% in 2016, an increase of 36%, one of the highest in England.

At Northern Devon, the number of beds has also dropped by 21%, from 370 to 294, with occupancy rates rising from 85.5% to 86.4% over the same period.

Across England, for general and acute beds open overnight, the occupancy rate between July and September was 89.1%, up from 87% over the same period in 2015.

The average daily number of beds open overnight was 129,458 in July to September 2016 compared with 130,774 in April to June. The average occupancy rate for all beds open overnight was 87.5%.

Health experts advise that occupancy levels should ideally be under 85%. Anything over this level is regarded as riskier for patients as this leads to bed shortages, periodic bed crises, and a rise in healthcare-acquired infections such as MRSA.

Commenting on the numbers, Mr Ian Eardley, a consultant urological surgeon and Vice President of the Royal College of Surgeons, said:

“The NHS has been able to reduce bed numbers as medical advances mean more modern surgery can take place without an overnight stay. However, these figures suggest bed reductions have now gone too far in the absence of sufficient social care or community care alternatives.

“We are now seeing increasing numbers of frail older patients in hospital because they have nowhere else to go. The lack of additional money in the Autumn Statement for social care and the NHS is only going to make this even harder.

“Today’s figures will come as no surprise to frontline staff who struggle every day to provide for their patients because of increasing demands and a shortage of hospital beds. I and too many of my colleagues all around the country are regularly having to cancel patients’ operations due to a lack of beds and delays in transferring patients back into the community.

“A number of sustainability and transformation plans are proposing further hospital bed reductions. Today’s figures suggest NHS leaders need to think carefully about whether this is a good idea without first putting in place better care in the community.”

The Royal College of Surgeons warned the figures almost certainly underestimate hospital bed shortages in the NHS. The Nuffield Trust think tank warned last month that NHS England’s bed occupancy statistics do not show the true scale of the problem, stating that “with a growing number of patients coming and going during the day, counting bed occupancy at midnight means that crunch times are often invisible”.

http://www.exeterexpressandecho.co.uk/number-of-hospital-beds-in-devon-falls-creating-potential-risk-for-patients/story-29936995-detail/story.html

Greedy housebuilders make billions while getting taxpayer subsidies – yet fail thousands of homeless families

The Chancellor has been blasted for giving more taxpayer ­subsidies to greedy housebuilders – who rake in billions while making the homes crisis worse.

In his Autumn Statement, Philip Hammond ploughed another £1.4bn into the affordable homes programme as well as £1.7bn for developers building on public sector land.

Yet the biggest builders – Persimmon, Taylor Wimpey, Barratt and Berkeley Group – have all missed affordable housing targets set by councils in recent years, while watching profits soar.

They even plan to pay out £6.6bn in extra shareholders’ dividends by 2021, the Bureau of Investigative Journalism found.

Now housing experts are ­questioning why builders need subsidies when the top four raked in more than £2bn in pre-tax profits last year – with their bosses getting immensely rich.

Eight directors of major housebuilders together earned £230m in the past five years.

Meanwhile, the number of homeless families in temporary accommodation in England has risen 45% since 2010 to 73,120.

Two bosses, Tony Pidgley and Rob Perrins, of Berkeley, have taken £141m in pay and share sales since 2011. They have shares totalling £440m.

MPs and campaigners have accused the top firms of keeping housing supply low to drive up prices.

The big four built 50,000 houses between them in the past year, but are sitting on 450,000 empty building plots.

Joanna Kennedy, chief of housing advice firm Z2K, said: “Only a fool would imagine the big volume builders work in the national interest.”

Shadow Housing Minister John Healey said: “We need much tougher rules. Non-developing firms should forfeit planning permission.”

The big four are all in the Home Builders Federation, who told us: “House building is a high risk business.”

http://www.mirror.co.uk/news/uk-news/greedy-housebuilders-make-billions-getting-9342409

is this a mock-up of Grenadier’s Exmouth watersports centre?

Sent by a correspondent who says it has appeared on the Grenadier website:

img_1345

Owl thinks … well, no matter what Owl thinks … what do others think?

If it ISN’T a Grenadier mock-up, perhaps the company would confirm this and perhaps send us an image of their plans.

East Devon ward boundary changes- days left to comment

“Professor Colin Mellors, Chair of the Commission, said: “We will consider every submission we receive from local people before we draw up draft recommendations. We will then open another phase of consultation on those proposals in February.

He added: “Don’t miss this chance to have your say on how your council is run.”

This phase of public consultation closes on December 5.
Consultation responses should be sent to:The Review Officer (East Devon), Local Government Boundary Commission for England, Floor 14, Millbank Tower, London SW1P 4QP”

More information at:

http://www.exeterexpressandecho.co.uk/it-s-the-last-call-for-views-on-ward-boundary-changes-in-east-devon/story-29936690-detail/story.html

South-west Cross Country rail service “decimation: Newton Abbott services cut and more trains terminating at Exeter

No doubt our Local Enterprise Partnership is on the case. What, it isn’t? What a surprise! Wasn’t “connectivity” one of its responsibilities?

But perhaps it won’t be long before Hinkley C gets its own station to make up for such losses!

Will we be seeing DCC transport supremo Stuart Hughes commenting on this? Hhhmm …

http://www.torquayheraldexpress.co.uk/hands-off/story-29925191-detail/story.html

Cranbrook 0-2 nursery to close before Christmas

“Families have reacted with fury at plans to shut Cranbrook Nursery’s provision for babies up to two years old at incredibly short notice.

An email on behalf of the Tillhouse Road nursery was sent out to parents at 7pm yesterday, telling them they are considering closing the baby room and restructuring the rest of the nursery’s provisions.

The closure of the baby room could be as soon as Friday, December 16.
A consultation period has now opened.

One parent, Kelly Keatley, said: “Obviously this is upsetting and frustrating as they are stating that the possibility is that the last day could be December 16 which gives us very little notice to find an alternative.

“It is supposed to be a consultation process but we wonder what that really means.

“They are making this decision without regard for the implications for working parents now in a position where they could be without childcare for January.”

…The nursery, part of Cranbrook Education Campus, consists of four rooms that currently cater from birth to five years.”

http://www.exeterexpressandecho.co.uk/fury-at-to-permanently-shut-cranbrook-nursery-before-christmas/story-29936560-detail/story.html

Most LEP money going to areas other than south west

Autumn Statement 2016 – Cities, regions, and nations

3.49 Local infrastructure – The government will award £1.8 billion to Local Enterprise Partnerships (LEPs) across England through a third round of Growth Deals.

£556 million of this will go to the North of England,
£392 million to LEPs in the midlands,
£151 million to the east of England,
£492 million to London and the south east, and
£191 million to the south west.

Awards to individual LEPs will be announced in the coming months. This funding of local infrastructure will improve transport connections, unlock house building, boost skills, and enhance digital connectivity. The government will give mayoral combined authorities powers to borrow for their new functions, which will allow them to invest in economically productive infrastructure, subject to agreeing a borrowing cap with HM Treasury. The government will also consult on lending local authorities up to £1 billion at a new local infrastructure rate of gilts + 60 basis points for three years to support infrastructure projects that are high value for money.

3.50 English devolution – The government remains committed to devolving powers to support local areas to address productivity barriers. The government will continue to work towards a second devolution deal with the West Midlands Combined Authority and will begin talks on future transport funding with Greater Manchester. The government will transfer to London, and to Greater Manchester, the budget for the Work and Health Programme, subject to the two areas meeting certain conditions, including on co-funding. The government has also confirmed the Greater London Authority’s (GLA) affordable housing settlement, under which the GLA will receive £3.15 billion to deliver over 90,000 housing starts by 2020-21, and will devolve the adult education budget to London from 2019-20 (subject to readiness conditions). The government will continue to work with London to explore further devolution of powers over the coming months.

3.51 Regional productivity – The government has published a strategy setting out an overall approach to building the Northern Powerhouse, through addressing the key barriers to productivity that the region faces. The government will also publish a Midlands Engine strategy shortly.

3.52 Northern Powerhouse Investment Fund and Midlands Engine Investment Fund – The Autumn Statement confirms the arrangements for these funds, and the British Business Bank will make its first investments from the Northern Powerhouse Investment Fund in early 2017 to support local SMEs and its first investments from the Midlands Engine Investment Fund shortly after.

3.53 Scotland – The government will work with local partners and the Scottish Government towards a city deal for Stirling. The government has confirmed funding for city deals in Aberdeen and Inverness, is making progress towards a deal with Edinburgh, and will consider proposals for a deal with the Tay cities once they are brought forward, meaning all Scottish cities have the opportunity to agree a city deal. The government is also continuing to work with the Scottish Government to implement the Scottish Government’s fiscal framework and new powers set out in the Scotland Act 2016. (37)

3.54 Wales – The government is making good progress in discussions with local partners and the Welsh Government on a city deal for the Swansea Bay City Region. It will also consider options for a growth deal in north Wales and looks forward to receiving proposals from local partners. The government is also continuing to support the implementation of the £1.2 billion city deal for the Cardiff Capital Region, which was agreed in March.

3.55 Northern Ireland – The government continues to work closely with the Northern Ireland Executive towards the introduction of a Northern Ireland rate of Corporation Tax, subject to the Northern Ireland Executive demonstrating it has placed its finances on a sustainable footing.”

Remember, that small amount of money for the south-west has to be shared with:

Swindon and Wiltshire LEP
West of England L
Dorset
Cornwall …

… Devon and Somerset

Not quite the Mighty Boosh then, our LEP!

The true cost of NHS cuts

“Hospitals have been told to discharge thousands of patients and pass some scheduled surgery to private organisations to reduce pressure ahead of a potential winter crisis, it was reported.

Leaked memos also revealed that managers have been banned from declaring black alerts, the highest level, when hospital services are unable to cope with demand, the Daily Telegraph said.

The newspaper claimed instructions were sent by NHS England and the regulator NHS Improvement last month to reduce the levels of bed occupancy in hospitals, which are the most crowded they have ever been ahead of winter.

In the three months to the end of September, 89.1% of acute and general beds were full, compared with 87% last year, prompting the order for hospital trusts to take the drastic measures.

The goal is to reduce occupancy levels down to the recommended safe limit of 85% from December 19 to January 16, the Telegraph said.

Dr Mark Porter, chairman of the British Medical Association, said: “This is evidence of an over-stretched healthcare system that the government has failed to properly fund, which must outsource patient care to private providers to cope with predictable patient demand.”

Hospitals have been told to turn to the private sector to “maximise elective activity”, with operations such as knee and hip replacements likely to be among the outsourced procedures to help free up beds for urgent patients.

The measures are likely to have a significant cost to the NHS.

NHS England said plans to pace elective programmes and hospital discharges are put in place every year to maximise bed availability and reduce the possibility of cancelled operations.

A spokeswoman said: “Our ambition to reduce bed occupancy in hospitals over the festive period is about timely discharge and getting people to the most appropriate care setting ahead of the holidays, so there is capacity for early January when we know pressure is greatest.

“This is part of our well-rehearsed winter preparedness every year.”

A spokeswoman for both NHS England and NHS Improvement added there was a lack of a historic national protocol for hospitals when declaring alerts, leading to “a hotchpotch of confusing terminology”.

She said: “This has led to confusion between hospitals, ambulances and the public over what is happening, how to respond or how they can help.

“The new NHS guidelines are for hospitals to use when managing local operational pressures in order to deliver a consistent approach across the country.”

https://www.theguardian.com/society/2016/nov/26/send-patients-to-private-sector-to-avert-winter-crisis-hospitals-told

EDDC and Knowle – reasons for refusal of PegasusLife planning application – but will a new HQ sway councillors?

A letter from Michael Temple, Sidmouth

“Compare and Contrast

The highly controversial PegasusLife application for Knowle is to be decided at 10.30 am on Tuesday 6 December in the Council Chamber at Knowle, Sidmouth.

Readers might like to compare it with other recent PegasusLife applications:
1. Bath (assisted living): refused: “excessive and incongruous height”, “harmful impact upon surrounding heritage assets”, “nearby listed buildings undermined”, “the excessive tall building fails to respect its context”, “harmful impact on character and appearance of surrounding conservation area”.

Bristol (Nuffield Hospital site) – officers can’t support due to “excessive bulk and massing”, “doesn’t relate to surrounding context”, would “dominate the townscape”.

Wilmslow: refused: “too large, too high, no affordables”.

Harpenden (retirement flats) – refused due to “height (20.7 metres)”, “lack of privacy for neighbours”, “footprint 28 degrees greater than existing buildings”, “visually intrusive”, “residents’ parking would spill onto neighbouring roads”.

Knowle, Sidmouth (assisted living – or second homes?) – officers approve.

The East Devon District Council’s planning officer, departing from the Local Plan and its planning strategies, claims the the “benefits” to Sidmouth outweigh the harm to an English-Heritage listed building.

“Benefits”? Could he mean

the overbearing, intrusive impact on the park and neighbourhood of an excessively high, out-of-scale massed development?

the loss of heritage buildings and public assets like the Council Chamber where so many people met recently over the proposed hospital bed cuts?

the loss of weekend parking to this tourist town?

the loss of about 100 jobs?

the blot on Sidmouth’s skyline?

the loss to the public of the park’s fine lawn prospect?

the lack of a contribution towards affordable housing?

possible downtown drainage overflow during flash floods?”