Dame Ruth Carnall (Devon CCG chair): more questions, no answers

“Candy Udwin, from Camden Keep NHS Public

A CONTROVERSIAL shake-up in the way north London’s health services are run has already led to a cash bonanza for private companies, the New Journal can reveal.

While campaigners and some local politicians are still warning that the overhaul – known as the Sustainability and Transformation Plan (STP) – is cover for deep NHS cuts, the process has already begun, with consultants brought into advise on the changes.

Around £2.3million has been paid out by Camden Clinical Commissioning Group in return for help in drawing up a 68-page plan, which looks at how spending across five boroughs, including Camden and Islington, could be reduced by £1billion by 2022.

It has been criticised for being an obscure document which does not make clear where savings are going to be made.

Details of the payments to consultants show how one firm received more than £600,000 to set up and manage the STP office before a permanent team was hired and space offered up at Camden Council’s headquarters at 5 Pancras Square in King’s Cross.

Mark Porter, chairman of the British Medical Association’s council, said: “Doctors will find it galling to see that so much vital resource has been handed to consultancy firms for their part in failing plans which, ultimately, may never come to fruition, while frontline staff struggle to provide safe patient care in a service increasingly becoming unfit for purpose.”

Candy Udwin, from Camden Keep Our NHS Public, added: “It is truly shocking that at a time of such crisis in the NHS, Camden CCG has given over £2million to private consultancy firms, with a large amount of this going on STP plans which are meant to be finding ways to meet their deficit.”

Most of the companies earning payouts for help with STP have been set up by former public servants, including the former chief executive of NHS London, Dame Ruth Carnall.

Carnall Farrar – which received £115,882 for a STP “review of commissioning arrangements” – was founded by Dame Ruth Carnall and Hannah Farrar, a former director of NHS London, and Ben Richardson, who was a senior partner at McKinsey & Co, after NHS London was disbanded in 2014.

McKinsey & Co, the UK arm of the American management consultancy giant, is one of the big earners from the north London STP – being paid £360,000 from Camden CCG for help on “strategy assessment to investigate further options for the transformation of mental health services” and also “financial modelling of mental health programme initiatives”.

Financial advisers Deloitte netted £257,336 for “support for STP finance and activity modelling” while Methods Advisory was paid £617,850 for “programme management office (PMO) and strategy support”.

The New Journal contacted Methods Advisory for comment on details of the PMO but did not receive a reply.

Hunter Healthcare, which on its website states its values include integrity, tenacity and passion, also received £282,518 for interim administrative support for the PMO. GE Healthcare Finnamore, owned by the US multinational corporation General Electric, was paid £9,900 for more “support with STP finance and activity modelling”.

Health Finance and Economics – a company set up in September 2015 – is so small it is exempted from providing full accounts at Companies House.

It has no website or office, and is run by Jonathan Wise, a former chief finance officer at Brent, Harrow and Hillingdon CCG. It was paid £107,710 for “support for STP finance and activity modelling”.

The New Journal has contacted all of the companies on the list, with only Deloitte and McKinsey responding with short statements saying they could not comment on “client work” and recommending contact with the NHS.

None of the companies involved took up an opportunity to explain how the work of consultancy firms can help the NHS generally.

A spokeswoman for the STP said the large sums listed were partly caused by the new organisation being set up from a “zero base” and that consultants were hired only on an “interim basis” to assist in developing the plan.

“This work was completed by consultants and now a North Central London STP programme management team is in place,” she added. There would now be a “significantly reduced reliance on consultants”.

She added: “Contracts were put in place following a competitive tender using a national consultancy framework.”

Campaigners from Camden are set to join a national Save the NHS demonstration in central London on March 4.”

http://camdennewjournal.com/article/revealed-how-consultancy-firms-have-already-netted-2-million-in-nhs-shake-up

“Devon County Council leaders calls for urgent Government review of council funding”

BUT THESE PEOPLE CAMPAIGNED ON A TICKET OF SUPPORTING THIS GOVERNMENT WITH CONTINUING AUSTERITY CUTS! SO WHY ARE THEY (A) SURPRISED AND (B) COMPLAINING?

“THE LEADER of Devon County Council is calling for an urgent national review of local government funding.

Council leader John Hart said the county’s budget had been cut by more than £267 million over the last seven years to meet Government austerity targets.

“This reduction has a very serious effect on the ability of this council to offer services to the people of Devon,” he said.

The future funding of services was uncertain because the Government was further reducing its grants and switching financial support to business rates but there was no clarity or certainty about how much that would generate. … “

http://www.exeterexpressandecho.co.uk/devon-county-council-leaders-calls-for-urgent-government-review-of-council-funding/story-30142087-detail/story.html

AND they expect us to vote for them AGAIN in May!

Cranbrook-another broken promise, this time allotment provision

An FAQ produced by the town council.

Summary: We were supposed to have them, developers won’t give up any land so we have no idea if we will ever get them even though we have a statutory duty to provide them.

Developers 1, Town Council 0

Take particular note of the answer to Question 2. Cynical Owl wonders if other Section 106 community benefits are triggered at this point and developers are dragging their feet about effective counting.

EDW-watchers will recall that almost £700,000 of such benefits was not triggered due to poor record-keeping on the part of EDDC and the need to rely on developers to tell EDDC when trigger points are reached. And most of that figure related to Cranbrook.

“1) When I moved in two years ago, the salesperson said there would be allotments in Phase 1?

We are afraid that was incorrect but we can see how the confusion arose. To set the record straight, although Cranbrook was always going to have allotments, the land originally set aside for them was not in Phase 1 but was part of the Sports Pitch land on Phase 2. This location was subsequently challenged as it was thought that adjacent to sports pitches was an unsuitable place for them. It was therefore decided to try to find an alternative location. This prompted a renegotiation of the original legal agreement. The revised agreement will still make provision for allotments in Cranbrook but a new location needs to be found (see also 2 below).

2) The Town Council’s website says one of its responsibilities is providing allotments, so why haven’t we got any yet and when are they coming?

Not only do they require a suitable location (see 1 above) a numerical trigger also needs to be reached before the work can begin. There are two stages to this process. Firstly, when approaching 1500 homes are occupied (i.e. not just built), the Owners (in this case the Consortium) are required to identify and gain planning permission for a location. Secondly, the Owners must, “use reasonable endeavours to complete the Allotments by the First Occupation of the 2000th Dwelling in accordance with the Allotments Specification and Delivery Programme and make them available for use as soon as practicable thereafter.” (extract from Section 106 agreement). Surprisingly, although there are many more new houses being built on Phase 2, we have been informed by East Devon District Council that Cranbrook still hasn’t quite reached the 1500 homes occupied figure.

3) So, where will the Cranbrook allotments actually go?

We regret we don’t have any information as yet about where they will be located but we are keeping a watching brief and will inform residents as soon as we have any new information.

4) I’ve heard the Town Council has a list of people who are interested in having an allotment, so can I join that?

Yes, we are keeping a list, so that when the allotments do become available they can be allocated fairly to people who have declared an interest. We currently have 13 names on the list. Please feel free to contact us on office@cranbrooktowncouncil.gov.uk or 01404 514552 if you would like to be added.”

Click to access FAQ-Allotments-Green-Spaces.pdf