Saving people’s lives is costing the NHS too much money

So, it isn’t young immigrants straining our NHS – it’s overweight/diabetic/smoking/drinking (often older ) people whose lives we save!

Now there’s a conundrum.

“Researchers tracked 10 million hospital admissions for acute events, such as heart attacks or strokes, over a decade.

They found that around 37 per cent of the subsequent rise in emergency admissions was among those whose life had previously been saved, thanks to advances in cardiac care.

The improvements saved an extra 4.04 lives per 100 admissions, but also resulted in an additional 7.72 emergency admissions in the next year, from those who would previously not have been expected to survive.

The results, published in Health Services Research, found “the survival effect” caused around 426,000 extra emergency admissions annually by 2012. …”

http://www.telegraph.co.uk/news/2017/10/10/nhs-left-straining-seams-amid-soaring-heart-attack-survival/

When is enough, enough?

Owl says: “social care beds” … what exactly are they? Residential homes? Nursing homes? Community hospital beds? Whatever they are – Cornwall doesn’t have enough of them.

So, how do they measure “enough”? Certainly in Devon our Clinical Commissioning Group doesn’t do numbers, so we will be hard-pressed to know if Devon has too much, enough, not quite enough, critically few or “disastrously dangerous” levels of anything measurable.

“The Care Quality Commission’s (CQC) calling on Cornwall’s health and social care managers to have “courage” to radically overhaul services.

The CQC points to the county having less social care beds than other comparable parts of the country.

In its annual report, the CQC says the system is “straining at the seams” because of increasing numbers of frailer pensioners and people with long term complex conditions.”

http://www.bbc.co.uk/news/live/uk-england-devon-41509465

“Government accused of “sidelining” parliament by boycotting key votes”

“MPs will hold an emergency debate tomorrow in a bid to stop the Tories “sidelining” Parliament by boycotting key votes.

Theresa May was accused of “running scared” of democracy when she ordered her MPs to skip Labour bids to freeze tuition fees and give nurses a fair pay rise last month. Her majority of just 13 led to fears she would lose the non-binding votes in an embarrassing defeat. So instead she boycotted the ‘Opposition Day’ motions, meaning they passed but were not officially a defeat for the government.

Tonight Commons Speaker John Bercow granted an emergency debate on the tactic after a request by the Lib Dem MP Alistair Carmichael. Mr Carmichael said it had “long been the practice of governments” to respect Opposition Day debates, adding: “The government is seeking to treat this House as talking shop.”

He said the government having to prop itself up with the hard-right DUP was historic, adding: “It’s a moment for us to assert the will of Parliament, not to see it sidelined.”

The debate will last three hours and begin late tomorrow morning.”

http://www.mirror.co.uk/news/politics/mps-hold-emergency-debate-tories-11315164

Communications gaffe costs police equivalent of 7,800 jobs

“The £4 billion upgrade to emergency services communications is already years behind schedule, and there are growing concerns that critical elements of it cannot work.

Incredibly, the technology does not even exist to operate the new generation of radios in police helicopters, while hundreds of extra phone masts must be built before the network can be used in rural areas.

Police leaders fear these unresolved problems will push the start date for the Emergency Services Network (ESN) back again, leaving them with a huge bill for keeping the existing Airwave radio system switched on as they pay for the development of its replacement. …

… Earlier this year, the Home Office admitted the transition period would have to continue until September 2020, nine months after the expected ‘national shutdown date’ for Airwave.

But a key part of the Airwave infrastructure is due to stop working six months earlier in March 2020, in what MPs on the influential Public Accounts Committee described as a ‘potentially catastrophic blow to the ability of our emergency services to carry out their job and keep citizens safe’.

A restricted document written for the National Police Chiefs Council this summer claims it would cost ‘£403 million or 7,800 constables’ if forces had to pay for an extra year of running Airwave.

Last night, the national police lead for the project, Deputy Chief Constable Richard Morris, said: ‘The Government has a contingency plan in place and has extended all Airwave contracts to December 31, 2019.’

The Home Office said: ‘Emergency services will only transition when they are satisfied with the new network.’ “

http://www.dailymail.co.uk/news/article-4959474/Delays-police-radio-cost-salaries-8-000-PCs.html

“Too late for cash injection to save NHS from a winter crisis”

But Diviani and Randall-Johnson have decided there is no crisis in Devon, so that’s ok …

“It is too late for a cash injection to save the NHS from a winter crisis, according to a senior health official.

A poll of healthcare leaders found that 92 per cent are concerned about their ability to cope as the colder months arrive.

Niall Dickson, chief executive of the NHS Confederation which represents all health service organisations, said that there was “an even greater sense of foreboding” this year than last.

Writing in The Times today, Mr Dickson warns: “It is becoming hard to overstate the perilous state of the health and care system in England.”

His comments came as figures revealed that the number of the most critically ill patients waiting more than an hour for an ambulance has doubled in a year.

A separate report also suggested that 25,000 operations were cancelled last year because of a lack of beds.

Mr Dickson writes: “A cash injection at this stage is unlikely to solve the winter pressures, but the chancellor must revisit the pencilled in figures for 2018-19 and 2019-20, which if left as they are, would guarantee more crises and further delays to the reforms that are needed.”

He highlighted issues in A&Es last winter when there were ten hospitals in which less than 70 per cent of patients were seen within the four-hour target.

“Emergency departments are seen as a litmus test for the rest of the system. If the health service cannot cope at its front door, what lies behind it will also be struggling,” he says.

There has not been enough investment in community health and social care services, he adds, and draws attention to problems with staff recruitment and retention.

Figures released in July showed that the number of nurses and midwives fell by 1,783 to 690,773 in the financial year 2016-17 as 20 per cent more people left the profession than joined it.

Mr Dickson writes: “Emergency admissions are continuing to rise — in the first quarter of this year there was a 25.9 per cent jump in responses to life-threatening ambulance calls — so the ambulance service too is under increasing strain.”

Yesterday figures released to the Sunday Mirror under freedom of information laws showed that paramedics had taken more than an hour to reach 6,096 people requiring urgent treatment for conditions such as cardiac arrest in 2016-17. The total of “red” calls, which should be reached in eight minutes, waiting more than an hour was up from 2,746 in 2015-16.

Mr Dickson says that concerns have been heightened by fears of a flu epidemic. Simon Stevens, chief executive of NHS England, said last month that hospitals in Australia and New Zealand had struggled to cope with “a heavy flu season”, with the likelihood that the same strains of flu will head west and north.

Mr Stevens reiterated calls for “a comprehensive review looking at the funding of health and social care across the UK”.

A Department of Health spokesman said: “ The NHS has record funding and more doctors and nurses on our wards. The NHS planned for winter earlier this year than ever before and has robust plans in place, supported by an extra £100 million for A&E departments and £2 billion for the social care system to help improve discharging and free up beds in hospitals.”

Source: Times (pay wall)

Cap on care home fees scrapped

Something that wasn’t announced at their conference. But with a membership with an average age of 72, hardly surprising.

All those rich pensioners in PegasusLife flats will have to keep chipping in to their savings!

“The Tories’ pledge to introduce a cap on social care costs by 2020 has been officially abandoned.

David Cameron promised to bring in an upper limit of about £75,000 on the amount people must pay towards their own care.
But a senior Government source has said the cap will not be introduced until well into the next decade at the earliest.”

http://www.dailymail.co.uk/news/article-4961110/Tories-ditch-plan-cap-care-home-fees-2020.html

The demise of the bungalow

“The death of the bungalow could be less than a decade away, new figures reveal.

Despite an ageing population, around one in 70 homes being built is a bungalow compared with one in seven in the 1980s.

At the current rate of decline, the last bungalow could be built within nine years, according to analysis of data from the National House Building Council. …”

http://www.thisismoney.co.uk/money/news/article-4958682/Fears-bungalow-level.html

Affordable/social housing? Think again: it’s the developers gaining yet again

“While Theresa May was making headlines for all the wrong reasons, the government quietly announced an extra £2.5m “cash boost” for local authorities in England. But the problem is the money is almost entirely going to Tory-led county and district councils. And in some cases, the public won’t see the result of the extra cash for up to two decades.

Show me the money

On Tuesday 3 October, the Department for Communities and Local Government (DCLG) announced a “£2.5m cash boost to speed up the delivery of over 155,000 new homes in the proposed garden towns across England”. The DCLG, led by Communities Secretary Sajid Javid, said:

Nine locally-led garden town developments, from Bicester to Taunton, will each receive new funding to fast track the build out of these large housing projects… speeding up the progress of developments through additional dedicated resources and expertise.

Cash for the Tories’ mates?

The DCLG claims that garden towns are:

development[s] of more than 10,000 homes… [The] government is encouraging different and ambitious solutions to fix the housing market.

But what the DCLG failed to mention is just where the £2.5m was going. Research by The Canary shows that of the 22 county, district and borough councils involved in the scheme, 19 are Conservative controlled. Also, developments like the North Northants Garden Communities are being developed [pdf p39] by companies like Barratt Homes, which was caught up in a government lobbying scandal in 2014. The Guardian caught it, along with other developers, pressuring senior ministers to relax planning regulations. At the time the DCLG denied policy was being influenced by developers.

Not so picturesque

But there are other issues surrounding the Conservatives’ garden towns projects:

The North Essex Garden Communities project will only deliver [pdf p124] around 25% “affordable” homes, and no social housing at all.

Also, the developers of the scheme in Taunton have said that the 25% affordable home requirement is “not financially viable”.

The garden town in Didcot will not be fully completed [pdf p41-42] until at least 2031. And the construction of 3,000 homes in part of the Bicester development will not begin until 2031.

Campaign groups like Smart Growth UK claim [pdf p13] that none of the garden town projects are on new sites; they are just extensions of existing developments.

Research by consultancy firm Turley found that the garden towns are not located in areas with the greatest housing need. Also, the developments only provide “a relatively limited proportion” of the housing that the area needs.

The Campaign for Rural England has criticised garden towns as being “influenced” by Local Enterprise Partnerships (LEP) which are driven by “aspirations for economic growth without considering the environment or social impacts”.

Garden towns will do little to reduce transport carbon emissions, as all of them [pdf p27] are near motorways, A roads or trunk roads.
None of the developments are in the most deprived areas of the England.
The government response?

In a statement the DCLG told The Canary:

lThis government wants to support local authorities and communities in developing their own vision for locally-led Garden Towns and Villages, taking account of local plans. We’re seeing good progress on housing delivery and we’re expecting that at least 25,000 homes will have been completed or started across our garden villages, towns and cities by 2020. We expect to see a good mix of tenures, including affordable rented, in our garden towns.l

A busted flush

The DCLG announcement came as some of the media declared that May had pledged in her conference speech to spend £2bn on “council housing”. But this is not strictly the case. Because May said:

“I can announce that we will invest an additional £2bn in affordable housing, taking the government’s total affordable housing budget to almost £9bn.

We will encourage councils as well as housing associations to bid for this money and provide certainty over future rent levels. And in those parts of the country where the need is greatest, allow homes to be built for social rent, well below market level.”

‘Affordable‘ housing is property where rent is 80% of the market rate. ‘Social‘ housing is property set at government-defined rents with a secure tenancy. And “encouraging” councils and housing associations to bid for money is not a guarantee of more council or social houses. So, May’s words seem to be more spin than substance.

As with many Conservative-led initiatives, this appears to be less about England’s urgent housing needs, and more about lining the pockets of developers; along with presenting a thinly veiled image of “acting” on the housing crisis. The government has dressed its £2.5m “cash boost” up as in some way helping solve England’s housing problem. When in reality, it is merely a small drop in a very expensive ocean.”

https://www.thecanary.co/uk/2017/10/04/while-all-eyes-were-on-theresa-may-the-government-just-quietly-bunged-2-5m-to-her-mates/

Does Jacob Rees-Mogg contribute to his local food bank? They need it

“After Jacob Rees-Mogg said he found the huge rise in food banks “uplifting” in a live interview on LBC, we went to find out how many people in his constituency use this service.

According to the manager of the Somer Valley Food bank Paul Woodward, over 1,500 people used the food bank last year. Since April, in just over six months, almost 700 people have come to collect food already. This is added to numbers from Bath, where local food banks can see over 20 people a day.

While Jacob Rees-Mogg said food banks are a good thing as they show what a “good compassionate country” the UK is, the numbers paint a different picture.

According to data by the Trussel Trust, which accounts for about half the food banks in the UK, the number of emergency food packs given out has risen from 61,468 in 2010/2011 to 1,182,954 last year.

The Somer Valley Food Bank stated they currently have more stock going out than going in. There are collection boxes at local churches and supermarkets. Mr Woodward said they need the usual long-life food such as tinned meat, fish and vegetables, but also UHT milk and sponge pudding.”

http://www.somersetlive.co.uk/news/somerset-news/surprising-number-people-who-need-588920

EDDC: What they say, and what Owl thinks they mean

Council spin decoded:

PRESS RELEASE

“The council’s latest annual Working Together for the Future of East Devon conference, which brings together voluntary and statutory organisations, was attended by more than 100 people. Councillor Jill Elson, EDDC’s portfolio holder for sustainable homes and communities, who organised the event, said she was delighted with the high level of attendance from voluntary organisations, community groups and town and parish councils.

She said: “Volunteers are becoming essential as a means of helping ensure that people have the best quality of life they can, particularly with more people wishing to be cared for at home.

“Whatever support they offer, all volunteers make a difference and ensure that people’s lives are enriched and that they are not forgotten.” “

DECODED:

We are durned well not going to pay for anything you lot will do for free, so get your noses to the grindstone and save us lots of money to squander on our new HQ. Oh, and although we aren’t respinsible for social care we allowed our Leader to torpedo the NHS, so you’d better fill the gaps because we won’t.

After freehold leases another scam: unadopted roads

Rumour has it there are many such roads in our part of the world …
http://www.midweekherald.co.uk/news/practical-advice-issued-for-sensible-parking-in-cranbrook-1-3999229
and
https://eastdevonwatch.org/2017/02/20/cranbrook-estate-rent-charges-another-developer-cash-cow/comment-page-1/

Owners of new homes are living on potholed roads with no street lights or rubbish collection as housebuilders and councils shun the responsibility for road maintenance.

Developers can save thousands by dodging the legal agreements that pass the roads on to local authority control, allowing builders to make roads narrower than usual, for example, and leaving homeowners to pay for the road’s upkeep or see it fall into disrepair.

People living on these unadopted streets have been forced to seek approval from road management committees before selling their homes and say it is harder to find buyers.

The government is to ban new houses from being sold on a leasehold basis to tackle onerous ground rent charges, yet owners of freehold houses on unadopted streets are being “held to ransom” by management companies that charge households up to £660 a year for road maintenance.

“We seem to be rewriting the rules on the way that roads are looked after,” says Derrick Chester, a councillor for Littlehampton and Arun in West Sussex.

Normally housebuilders have new roads “adopted” by the local authority through a legal agreement under Section 38 of the Highways Act 1980, while the sewers underneath are covered by a similar Section 104 arrangement. When the road is left unadopted, homeowners on the road are responsible for its upkeep, and often the sewers and facilities such as playgrounds and parks.

Halima Ali, 30, and her husband bought their freehold four-bedroom home in Rochdale, Greater Manchester, from Persimmon, the developer, and believed that the road would later be adopted by the local council. Seven years later the streets around the 120 flats and houses remain unadopted and are deteriorating.

“The street lights have not been fixed for years, so there are areas that are in complete darkness; it is quite scary at night. A neighbour has had a problem with a sewer cover, which is in danger of collapse,” she says. “There is a children’s playground and, even though it is a public park, residents are required to maintain it. The public come and trash it and we can be made to pay for its maintenance, which is outrageous, and we are paying council tax on top.”

Another homeowner, 56, bought a three-bedroom freehold house in Kettering, Northamptonshire, from SDC Builders nine years ago. “At the time it was sold to me as a benefit, your own private neighbourhood, which would be passed into the residents’ control once the developer had left,” she says, “but, as an unadopted road, we have no street lighting, the bin men won’t come down and we are liable if anyone has an accident on the communal land.”

She has been trying to sell her home, but buyers pulled out when they found out about problems with the unadopted road.

She says that SDC Builders set up a limited company for managing the development, which was passed to residents, who elected two neighbours as directors. She was not aware that if she wanted to sell her property it would require the directors’ approval, and they have refused permission over what she says is a trivial disagreement about parking.

Christine Hereward, the head of planning at Pemberton Greenish, the law firm, says councils and highways authorities will only adopt roads if they are built to their standards. Section 38 agreements are also backed by a lump sum, sometimes running to hundreds of thousands of pounds, put down by the housing developer as a bond against the road not being finished properly. Developers receive their bond back only when the road is adopted. Ms Ali says: “Persimmon has not built our road to the required standard. The council won’t adopt it.”

Critics say developers are choosing not to enter into a section 38 agreement so that they can bypass local authority standards; roads can be narrower and car parking spaces smaller than regulations require, for example. They also save tens of thousands by not making the required bond payments.

In 2009 the government estimated that it would cost £3 billion to bring the country’s thousands of unadopted streets up to an adoptable standard. “Developers can achieve cost savings and make their lives easier. It does enable them to construct a substandard highway. It is a shortcut. To be fair to the developers, it is up to councils to enforce the standards,” says a source who did not want to be named. “There is very little sanction.”

The public come and trash the park and we can be made to pay for it
Mr Chester says councils and housebuilders are colluding over the issue because it saves both parties money. “It fits into the narrative about local authority budget cuts,” he says.

Phil Waller, a former construction manager who runs the website Brand-newhomes.co.uk, says: “I know of one development where a fire engine was unable to access a fire because of parked cars and the layout of the road.”

Unlike private roads, which are often gated, unadopted roads appear as ordinary streets. Whether the public has right of way can be uncertain. Mark Loveday, a barrister from Tanfield Chambers in London, says he frequently hears from homeowners who did not realise that their property was on an unadopted road. “What very often happens is nothing is done to the road for many years and it is only when potholes appear and someone living on the road says, ‘hang on, someone should be maintaining this road’”, he says.

Buyers of new-build homes ought to check the specifics of the road before the sale. “This is an important thing that should be flagged up by the solicitor,” says Mr Loveday. Those who are unsure about the status of their road can apply to the Land Registry for details.

Steve Turner of the Home Builders Federation, the trade association, says housebuilders are increasingly in dispute with local authorities and planning departments over the specifications of newly built roads, which is causing delays in local authorities adopting them. “The resolution typically involves the authority demanding more cash,” he says.

‘We may have to pay for the road upgrade’

Residents of unadopted streets often need to take out public liability insurance in case someone is injured on the street.

Keith Beattie used the government’s flagship Help to Buy scheme to buy his house in Haydock, near St Helens, Merseyside, from Westby Homes North West. In February 2014, when he moved in, the road was unfinished, with tarmac not properly laid and potholes filling up with water. The housebuilder went into administration in August. “The administrators have informed us that they won’t be completing the road and paths. St Helens council will not enter a section 38 until the road is brought to an adoptable standard, which it is not,” he says. “As residents, we may have to pay to have the road completed to the council’s standard.”

Source: Times, pay wall

London Mayor asks car manufacturers to contribute to anti-pollution measures

Why stop at London?

Greater Exeter is already polluted by cars streaming into and out of the cities and towns it covers. Who is going to tackle that?

Not our Local Enterprise Partnership, or the Greater Exeter partners that”s for sure – they both want more houses and more roads.

https://www.theguardian.com/environment/2017/oct/06/sadiq-khan-asks-car-manufacturers-to-give-funds-towards-tackling-londons-toxic-air

“Wealthy families exploit £7billion Help to Buy home scheme with 40% of recipients on more than £50k a year”

“Wealthy families are exploiting a £7billion government scheme aimed at first-time buyers.

Help to Buy doles out taxpayers’ money so househunters can secure a mortgage.

Almost 135,000 families have taken advantage since its launch in 2013. But four in ten recipients were earning more than £50,000 a year and one in ten was on at least £80,000.

More than 5,000 purchasers had six-figure incomes. Help to Buy has also been highly lucrative for builders and their bosses, accounting for a third of private sales of new homes. …

Profits, share prices and executive bonuses have soared at firms including Barratt, Bellway and Taylor Wimpey. Jeff Fairburn, chief executive of Persimmon, where around half of sales are through Help to Buy, is in line for a £130million payout.

Academics said the scheme – given a £10billion further boost by Theresa May this week – was driving up house prices.

‘Help to Buy is like throwing petrol on to a bonfire,’ said Sam Bowman, of the Adam Smith Institute. ‘This scheme is being used by investment bankers and doctors. They are certainly not the sort of people who the taxpayer should be subsidising.

‘It is astonishing that households earning over £100,000 a year are using it.’

Luke Murphy of the Institute for Public Policy Research, another think-tank, said Help to Buy had made houses less affordable.

‘The two fundamental problems are that it pushes up property prices and that it is primarily helping those who would have been able to buy anyway,’ he added.

‘For those that can’t afford to purchase their own home, Help to Buy is pushing their dream further out of reach.’

A government survey found that 57 per cent of people using Help to Buy said they could have afforded to purchase a home without the scheme. One in five was not a first-time buyer at all.

Shelter said the scheme was making it progressively harder for renters to get on the housing ladder. ‘Extending Help to Buy is the wrong priority,’ said Polly Neate, the charity’s chief executive.

‘It has barely helped the first-time buyers it is targeted at and has done nothing to help those worst affected by our broken housing market.’

Mark Littlewood, of the Institute of Economic Affairs, said: ‘Not only does Help to Buy completely fail to recognise why the cost of housing is so high in the first place, it will also fail to benefit many of the people it’s designed to help. The policy, which encourages people to take on debt they cannot afford in order to boost demand and lead to a rise in house prices is improvident, reckless and wrong.’

The Treasury has insisted the extra £10billion of funding will help another 135,000 families ‘make their dream of owning a home a reality’. When the house is sold, the Government takes the same proportion of the sale price as it loaned at the time of the initial purchase. If the house price has gone up, the government makes money, if it has fallen, the taxpayer makes a loss.
There is also a Help to Buy Isa and a Help to Buy shared ownership scheme.
The five biggest stock market listed builders made combined profits of more than £3billion last year.”

http://www.dailymail.co.uk/news/article-4957030/Wealthy-families-exploit-7billion-Help-Buy-home-scheme.html

“Coasting schools”not dealt with despite government promise to do so

“No ‘coasting’ schools have been forced to become academies despite a Tory manifesto pledge two years ago, new figures show.

In the run up to the 2015 election, the Conservatives promised to take over every school not considered to be pushing its pupils hard enough.

Hundreds of schools were thought have to been in this category – but new data released under the Freedom of Information Act suggests none have become academies as a result.

The Department for Education said that forced academisation was only ever intended for ‘a small minority of cases’ …

Of the 756 schools and academies that were branded as ‘coasting’ and have not since closed, more than half – 51 per cent – were told no further action was needed, and 49 per cent were told they needed some extra support.
In only one case did Regional Schools Commissioners (RSCs) use any of their other powers – a termination warning notice was issued to the Basildon Upper Academy. …”

http://www.dailymail.co.uk/news/article-4957476/No-coasting-schools-forced-academies.html

Ah, it’s not council housing, it’s “affordable” rents from developers!

“We will provide £2bn more funding [ie not BUILDING, FUNDING] for the affordable housing programme.

This will increase the government’s 2016-21 affordable homes programme to £9.1bn. This extra £2bn will lever in a total investment of £5bnn (public and private) in new housing. [Is the private sector really chipping in, of course not, it’s creative accounting!]

In those areas of the country where rents are high, we will allow bids for social rent, which are further below market rents. [ALL areas of the country have rents t

With a typical subsidy of £80,000, £2bn investment can supply around 25,000 homes available for social rent.

This compares with an additional 6,800 social rent homes delivered in 2015-16.

To help encourage more investment in social housing, we will create a stable financial environment by setting a long-term rent deal for councils and housing associations. This will give them the security and certainty to invest and build more.

We will encourage councils as well as housing associations to bid for this funding so that we can deliver a new generation of council homes in this country.”

https://www.theguardian.com/politics/blog/live/2017/oct/04/conservative-conference-2017-theresa-may-to-announce-council-house-building-programme-politics-live

“Stark warning” to people selling flood-damaged homes

“A couple whose new home was repeatedly hit by flooding are to sue the previous owners, claiming that the problem was deliberately hidden from them before they bought the property. …””

https://www.moneywise.co.uk/home-mortgage/flooding-case-‘stark-warning-to-sellers-say-legal-experts

Lies, damned lies and a minority government on fire (lack of) safety

“… Sajid Javid, the communities secretary, pledged in July that any lack of financial resources would not prevent necessary works going ahead.

The housing minister, Alok Sharma, has declined Nottingham city council’s request for help to install sprinklers inside flats and communal areas in 13 towers at a cost of £6.2m. Sharma told the council: “The fire safety measures you outline are additional rather than essential.”
He has told the London borough of Croydon, which wants to spend £10m on retrofitting sprinklers to 25 tall residential blocks: “It is the landlord’s responsibility to ensure that people are safe.”

Wandsworth wants to spend up to £30m on sprinklers in 100 towers but has been told: “Support will not include general improvement and enhancements to buildings.”

All the councils said they had been advised to carry out works by their local fire brigades.

The tension over who should foot the fire safety bill follows a pledge in July by the communities secretary, Sajid Javid, that any lack of financial resources would not prevent necessary works going ahead. However, the government appears determined not to fund or allow additional borrowing for any improvements that go beyond essential safety works. The necessity of sprinklers is proving a key faultline.

Dany Cotton, commissioner of the LFB, has said retrofitting sprinklers in tower blocks “can’t be optional, it can’t be a nice-to-have”. Since 2007 they have been compulsory in new-build high-rises over 30 metres tall in England, but those building regulations do not apply to older blocks.

The Department for Communities and Local Government (DCLG) argues that an appropriate level of fire safety can be achieved without the need to retrofit sprinklers, and fitting them is a matter for landlords to consider for themselves.

A recent study of 677 fires where sprinklers were activated found they controlled or extinguished the fire in 99% of cases.

The nationwide bill for replacing flammable cladding and retrofitting sprinklers is already likely to run into hundreds of millions of pounds. Southwark has previously estimated that the bill for installing sprinklers in its towers could be as high as £100m, and it is currently finalising its bid for funding. The council leader, Peter John, has told Javid: “Fire safety is a national issue and the financial burden for these works must not fall on already stretched councils.”

Birmingham city council, the UK’s largest council landlord, is yet to submit a request for retrofitting sprinklers in up to 213 blocks.

So far, 31 town halls have asked for government help to make high-rise flats safe. The DCLG said it was in detailed discussions with six, and others had been invited to provide further information about how the work they wished to undertake was essential.

In Salford, the city council has borrowed £25m to fund works to remove potentially flammable cladding from nine towers, and leaders have accused the government of “failing to live up to its responsibility”.

“Like many other councils, Salford is lobbying the government to recognise the huge financial cost of this national issue and provide funding to us and other local authorities to deal with it,” said the deputy city mayor, John Merry.

Pressed on funding at the Conservative party conference in Manchester this week, Theresa May said: “We have said we would work with local authorities on any adaptations and changes they needed to make to ensure the safety of those tower blocks.”

But asked about funding sprinklers, she said: “There’s a number of issues that can improve the safety of tower blocks. It is not just one answer.”

Adam Hug, leader of the Labour opposition at Westminster city council, said he had seen correspondence with the government detailing the council’s request for financial aid or better flexibility on borrowing.

“Both were being asked for,” he said. “They were told: only in exceptional circumstances. Yet again it will be council tenants and people who desperately need new homes who are left to pay the price of this Tory government washing their hands of their responsibilities.” …”

https://www.theguardian.com/society/2017/oct/06/ministers-refusing-pay-improvements-fire-safety-grenfell

Cancer survival poorer for rural patients – travel time may be a factor in decisions

One-year survival rates are lower for those who live in rural areas, found a study by the University of Aberdeen. They say longer travel distance limits treatment choices and follow-up care

“… It could be that living in rural areas where you have to travel further to receive treatment might limit treatment choices once a diagnosis has been made.

‘There is evidence that when faced with two treatment options, patients might weigh the costs in terms of time, expense and inconvenience of travel against the perceived benefits, for example, choosing surgery over chemotherapy to limit time in hospital.

Lengthy or difficult travel to a cancer centre or hospital could also result in less limit engagement with post-primary treatment follow-up, with consequent implications for the effective management of treatment effects and the identification of other follow-up needs.’ …”

http://www.dailymail.co.uk/health/article-4955794/Low-survival-cancer-patients-living-far-hospital.html

“Cat and Fiddle” pub site to have new hotel

Though why Exmouth Journal thinks the A3052 site is “near Exmouth”, when at 8.3 miles away it’s actually closer to Woodbury (4.1 miles), Cranbrook (6.4 miles) and even Topsham (4.1 miles) is puzzling. It is, however, only 1 mile from Crealy Adventure Park …

Does the Local Plan allow for a hotel there?

“A new 33-bed hotel could be built in Clyst St Mary if a major planning application gets the go-ahead.

St Austell Brewery has entered a proposal to redesign the Cat and Fiddle Pub, in Clyst St Mary, and build a new two-storey hotel in the existing car park.

If given the go-ahead the pub and hotel would operate together with the pub being managed by the brewery to ‘maintain control’ of the whole site. …”

http://www.exmouthjournal.co.uk/news/new-33-bed-hotel-planned-clyst-st-mary-1-5226031