BBC to highlight ‘Save Our Devon Seafronts’ campaign this Thursday (27 July). Port Royal, Sidmouth, will be featured.

“Campaigners from Devon’s seaside towns have united in an initiative to ‘Save Our Seafronts’. Sidmouth is included. This Thursday, BBC Radio Devon breakfast show will include an interview with Sidmouth Councillor Matt Booth, one of the four East Devon District Councillors who are leading the 3Rs campaign for an alternative vision for Por Royal – Retain,Refurbish,Reuse’.

The debate may continue on the radio lunchtime phone in programme (tel 0345 301 1034) and possibly on Spotlight TV on BBC 1 that same day.”

BBC to highlight ‘Save Our Devon Seafronts’ campaign this Thursday (27 July). Port Royal, Sidmouth, will be featured.

Bed closures at Honiton and Seaton – the final stitch-up by Tory Councillors

Councillor Martin Shaw (EDA, Colyton and Seaton) reports:

[Names of those voters have been amended – it does not affect the result]

“The 7 councillors who voted NOT to refer the decision to close Honiton and Seaton hospital beds were:

Sarah Randall-Johnson
Paul Diviani (Leader of East Devon District Council, representing Devon district councils), and county councillors
Richard Scott (Exmouth),
Rufus Gilbert,
Sylvia Russell,
Paul Crabb and
Ron Peart.

The 6 councillors who voted against this motion, i.e. to refer the decision, were Claire Wright (Otter Valley, Independent), Brian Greenslade and Nick Way (Liberal Democrat), Hilary Ackland and Carol Whitton (Labour) and Phil Twiss (Honiton, Conservative).

Jeremy Yabsley (Conservative) abstained as did John Berry. Two other Tories,
Jeffrey Trail (Exmouth) and
Philip Sanders, gave their apologies.

Six public speakers, Cllr Roger Giles (Chair of East Devon’s Scrutiny Committee), Paul Arnott (Colyton), Cllr Jan Goffey (Mayor of Okehampton), Cllr Mike Allen, Bob Sturtivant and Stephen Craddock (Honiton), spoke eloquently against the closures for two and a half minutes each. County Councillor Ian Hall (Axminster) and I also addressed the committee for five minutes each.

Three representatives of NEW Devon CCG and the RD&E (who run the hospitals and are working with the CCG) were then allowed to make a very lengthy Powerpoint presentation and contribute freely to the discussion – which none of the public speakers, Ian Hall or I were allowed to do.

Claire Wright had prepared a detailed motion to refer the closures and had submitted it to the Chair before the meeting. However when debate began, Cllr Randall Johnson chose not to call Claire to speak but called Rufus Gilbert who immediately proposed the motion not to refer, which was quickly seconded by Sylvia Russell.

This blatant manoeuvre by the Chair meant that the committee never considered point by point, as Claire’s motion would have required it to, the 14 questions on which it had asked the CCG to satisfy it. Despite an excellent report from Hilary Ackland which concluded that the CCG had failed to convince, the Committee basically abdicated its scrutiny role and blocked a referral without discussing most of the objections which we had raised.

Claire and I are planning to complain about the way the meeting was handled. If you want to watch it, it’s online at

https://devoncc.public-i.tv/core/portal/webcast_interactive/293466.

Thank you all for your support for the hospitals over the last 9 months. Be assured, however, that this is not the end of the matter, since the CCG and RD&E are both developing ‘estates strategies’ which will centre on what to do with space freed up by the closures. “

UK – tax avoidance hot spot

Almost 40% of corporate investments channelled away from authorities and into tax havens travel through the UK or the Netherlands, according to a study of the ownership structures of 98m firms.

The two EU states are way ahead of the rest of the world in terms of being a preferred option for corporations who want to exploit tax havens to protect their investments.

The Netherlands was a conduit for 23% of corporate investments that ended in a tax haven, a team of researchers at the University of Amsterdam concluded. The UK accounted for 14%, ahead of Switzerland (6%), Singapore (2%) and Ireland (1%).

Every year multinationals avoid paying £38bn-£158bn in taxes in the EU using tax havens. In the US, tax evasion by multinational corporations via offshore jurisdictions is estimated to be at least $130bn (£99bn) a year. …”

https://www.theguardian.com/world/2017/jul/25/netherlands-and-uk-are-biggest-channels-for-corporate-tax-avoidance

The “care outside hospital” check list – cut out and keep

In December 2016, East Devon Watch published this article::

https://eastdevonwatch.org/2016/12/07/the-30-plus-questions-to-be-answered-before-care-at-home-is-authorised/

Owl has been passed a copy of the “30 [plus] questions” that must be asked BEFORE care at home can be implemented:

Pre-implementation

The model of care:

• Does the new model of care align with our overriding ambition to promote independence?
• Is there clinical and operational consensus by place on the functions of the model and configuration of community health and care teams incorporating primary care, personal care providers and the voluntary care sector?
• Is there a short term offer that promotes independence and community resilience?
• Is there a method for identifying people at highest risk based on risk stratification tool?
• Are the needs of people requiring palliative and terminal care identified and planned for?
• Are the needs of people with dementia identified and planned for?
• Is support to care homes and personal care providers, built into the community services specification?
• Is support for carers enhanced through community sector development support in each community?
• Has the health and care role of each part of the system been described?
• Have key performance indicators been identified, and is performance being tracked now to support post implementation evaluation, including impact on primary care and social care?

Workforce:
• Is there a clear understanding of the capacity and gaps in the locality and a baseline agreed for current levels and required levels to meet the expected outputs of the changed model of care?
• Is there a clear understanding of and plan for any changes required in ways of working:
o thinking
o behaviours
o risk tolerance
o promotion of independence, personal goal orientation

• Have the training needs of people undertaking new roles been identified, including ensuring they are able to meet the needs of patients with dementia?
• Do we have detailed knowledge with regards to investment, WTE and skill mix across the locality and a plan for achieving this?
• Are system-wide staff recruitment and retention issues adequately addressed with a comprehensive plan, and where there are known or expected difficulties have innovative staffing models been explored?

Governance, communications and engagement:
• Is there a robust operational managerial model and leadership to support the implementation?
• Has Council member engagement and appropriate scrutiny taken place?
• Is there an oversight and steering group in place and the process for readiness assessment agreed?
• Have providers, commissioners and service users and carers or their representative groups such as Healthwatch agreed a set of key outcome measures and described how these will be recorded and monitored?
• Is there a shared dashboard which describes outcomes, activity and productivity measures and provides evaluation measures?
• Is there an agreed roll out plan for implementation, which has due regard to the operational issues of managing change?
• Is there a comprehensive & joint communications and engagement plan agreed?
• Is there a need for a further Quality or Equality Impact Assessment?

Implementation
• Is there a clinical and operational consensus on the roles of each sector during the implementation phase including acute care, community health and care teams, mental health, primary care, social care, the voluntary care sector and independent sector care providers?
• Is there an implementation plan at individual patient level describing their new pathway, mapping affected patients into new services?
• Are the operational conditions necessary for safe implementation met?
• Have the risks of not implementing the change at this point been described and balanced against any residual risk of doing so?

Post Implementation
• Is there a description of the outcomes for individuals, their carers and communities?
• Are the mechanisms for engagement with staff, users of services and carers in place and any findings being addressed appropriately?
• Is there a process in place for immediate post implementation tracking of service performance including financial impact to all organisations?
• Is longer term performance and impact being tracked for comparison against pre-implementation performance?
• Have we captured user experience as part of the process, and have findings been addressed and recorded to inform the planning of future changes?
• Are there unintended consequences or impacts (e.g. on primary care or social care) which need to be addressed before any further change occurs?
• Is there a clear communication plan for providers and the Public describing the new system and retaining their involvement in community development?

Source: http://www.newdevonccg.nhs.uk/about-us/your-future-care/publications-and-evidence-sources/102085
( point 14, page 94)”

https://eastdevonwatch.org/2016/12/07/the-30-plus-questions-to-be-answered-before-care-at-home-is-authorised/