Devon County Council: the place democracy goes to die

Facebook post by DCC Lib Dem Councillor Brian Greenslade

Late last year we started to learn about plans by the Health Secretary Jeremy Hunt and NHS England to introduce by the 1st April Accountable Care Organisations to replace CCG’s in the Health Service. These organisations would provide health and social care services. Bringing these services together makes sense but democratic oversight appeared to be an after thought. ACO’s seemed to be based on similar type Organisations in the US.

What was clear was that little or no public scrutiny of these proposals had happened. Congratulations to Sarah Wollaston MP Chairman of the Health Select Committee who then intervened to stall this initiative to allow the Parliamentary Health Select Committee chance to scrutinise the proposals. The same was true at Devon County Hall where nothing about this was brought to the attention of members of the Health Scrutiny Committee.

Opposition to ACO’s started to brew up so then suddenly the Government and NHS England started to talk about integrated care systems instead which apparently are different. How different is not clear and I am concerned that this could be a back door attempt to introduce ACO’s.

Yesterday at the DCC Cabinet a report by the Chief Executive about Integrated Care Systems was considered. It failed to answer key questions but it was clear that changes from April were on the way.

My Lib Dem colleagues and I hotly contested the recommendations and called for time to have this report sent to Scrutiny first. This was voted down by the Tory majority.

We reacted to this by calling in the Executive decision for scrutiny. This as the effect of delaying any decision on this being made until 11th April at the earliest to consider representations by Scrutiny.

Amazingly the Tories are rushing scrutiny through by making it an urgent item for the Health Scrutiny meeting on the 22nd of March giving little time for consideration of this critical issue for the health of the people of Devon.

Democratic standards that the Lib Dem’s stand for mean little to Devon’s ruling Tories!”