A correspondent remembers Zephaniah

A Correspondent remembers Benjamin Zephaniah:

The British


Take some Picts, Celts and Silures
And let them settle,
Then overrun them with Roman conquerors.

Remove the Romans after approximately 400 years
Add lots of Norman French to some
Angles, Saxons, Jutes and Vikings, then stir vigorously.

Mix some hot Chileans, cool Jamaicans, Dominicans,
Trinidadians and Bajans with some Ethiopians, Chinese,
Vietnamese and Sudanese.

Then take a blend of Somalians, Sri Lankans, Nigerians
And Pakistanis,
Combine with some Guyanese
And turn up the heat.

Sprinkle some fresh Indians, Malaysians, Bosnians,
Iraqis and Bangladeshis together with some
Afghans, Spanish, Turkish, Kurdish, Japanese
And Palestinians
Then add to the melting pot.

Leave the ingredients to simmer.

As they mix and blend allow their languages to flourish
Binding them together with English.

Allow time to be cool.

Add some unity, understanding, and respect for the future,
Serve with justice
And enjoy.

Note: All the ingredients are equally important. Treating one ingredient better than another will leave a bitter unpleasant taste.

Warning: An unequal spread of justice will damage the people and cause pain. Give justice and equality to all.


Does this “internal NHS market” produce sensible decisions? 

On March 9, 2020, days after Prof Chris Witty told MPs that we can no longer contain Covid-19 and must move into the delay phase, Owl reported Claire Wright’s concerns over:  “More deep cuts loom as Devon’s NHS must save over £400m by 2024”.

Now we have:

Health bosses to offload Okehampton’s empty hospital ward (as well as Seaton)

It could save £215,000 a year.

[Owl questions the use of the word “Save” in this context – this is an internal transfer between two parts of the NHS in budget deficit.]

Devon’s health bosses want to hand back an empty ward at Okehampton hospital to its landlords after claiming it has cost the local NHS more than £1 million over six years.

Bradley Gerrard, local democracy reporter www.radioexe.co.uk 

A report by the Devon Integrated Care Board suggests the county’s NHS could save around £215,000 per year by returning the ward to NHS Property Services, which owns the health service’s properties and rents them back to local trusts.

With Devon’s NHS ending the most recent financial year with a £46 million deficit, the trust’s bosses are desperately searching for ways to save money.

The county’s health board is in special measures, meaning Devon gets intensive support from NHS England.

The NHS in Devon has a £212 million savings plan, but its December board papers show it is £32.5 million adrift from where it expected to be.

The plan to jettison the Okehampton ward comes shortly after it emerged that the NHS in Devon is also seeking to hand back a ward at Seaton Community Hospital.

However, local opposition there has been vocal, with Richard Foord MP (Lib Dem, Tiverton and Honiton) raising the issue at Prime Minister’s Questions in parliament.

Beds at the ward in Okehampton were removed in 2017 when the clinical commissioning group agreed to retain inpatient beds at Sidmouth, Exmouth and Tiverton community hospitals, but to close them in the West Devon town, as well as at Seaton, Whipton and Honiton.

Around the same time, ownership of the hospitals moved to NHS Property Services, which charges a market rent even on empty space.

Devon’s NHS said a consultation at the time about the changes to these hospitals, entitled Your Future Care, involved 70 events and public meetings attended by more than 2,000 people. It received more than 1,500 responses  to it survey, along with 650 letters, but didn’t indicate the balance of views expressed, meaning it is unclear whether people supported or opposed the plans.

The report said the NHS in Devon hadn’t received a viable scheme so beds could return to the Okehampton ward, and the cost of bringing it back into a usable condition would be significant.

“Faced with ongoing stark financial challenges, we have started the process of surrendering this space so we can save the money being wasted,” the report said.

“On 28 November, we took a decision which effectively means we are in the process of handing the former ward area – made up of the empty ward, associated link corridors and ancillary space – back to the owner of the building, NHS Property Services.

“Based on local discussions and our experience, we do not anticipate that local voluntary, community and social enterprise organisations would be able to take on the ward space.”

It added that it would still be talking to local organisations to confirm they were not able to take on the space, and would also be consulting them on how best to use the rest of the hospital that remains in use now.
 

‘Significant work’ for Devon’s health service to exit special measures

Devon’s health leaders aren’t confident they can get out of special measures by the target date they have been set.

Bradley Gerrard www.midweekherald.co.uk

The county’s leading health professionals told the Devon Integrated Care Board (ICB) that it could “not provide assurance of meeting the target exit date by Q1 2024/25”.

At its December meeting, the ICB, chaired by doctor and former Totnes MP Sarah Wollaston, heard that Devon’s health and care sector is on target to meet just two of nine criteria it has to hit to exit the NHS Oversight Framework, or NOF.

Devon is under NOF4, the most serious level, also referred to as being in special measures.

Bill Shields, interim chief executive and chief financial officer of NHS Devon, told the meeting at County Hall in Exeter that the health system had a “significant amount of work that needs to be done”.

“If you look at the current financial performance, we are not where we need to be,” he said.

He noted that this year had been challenging for a variety of reasons, including industrial action by junior doctors, and that next year will be similarly challenging for the whole NHS.

A report by Mr Shields showed Devon’s health service reporting a year-to-date deficit of £75 million against a planned deficit of £39 million, up nearly three-quarters compared to the previous month.

Stubborn costs, industrial action, a shortfall in pay award funding, and a year-to-date overspend on drugs at some hospitals were listed as some of the reasons.

Devon NHS has made nearly £90 million in efficiency savings in the current financial year, but it is targeting a total of £212 million.

Mr Shields said NHS Devon is moving to a single central office at Exeter’s Pynes Hill this month, which will help reduce annual running costs by approximately £500,000.

He added that all non-clinical posts would “not be filled by default”, but that a detailed process could be conducted if a case is made for a post to be filled.

Allison Williams, system improvement director for NHS Devon, welcomed the ICB’s commitment to helping improve the situation.

“The seriousness with which the board needs to take this is well understood,” she said.

“As part of the reset, it is timely to remind ourselves of the reason why I’m here as part of mandated support.”

The ICB is made up of members from the NHS Devon executive as well as non-executive members, and members from other organisations, such as Devon County Council’s leader Donna Manson.

Its purpose is to ensure high quality heath services and robust financial management.

Devon hit with dozens of pollution alerts

Devon has been hit with dozens of sewage pollution warnings today (Thursday, December 7). An interactive map published by environmental action group Surfers Against Sewage (SAS) claims 26 of Devon’s beaches could be contaminated with sewage.

What about the rivers?  – Owl

Molly Seaman www.devonlive.com

South West based SAS monitors the water quality across 47 beaches in Devon, meaning roughly 55 per cent could be polluted. According to SAS, a pollution alert means “storm sewage has been discharged from a sewer overflow in this location within the past 48 hours”.

The current warnings in place affect the south and east coast of Devon, with Torbay, Exmouth and Plymouth the worst affected. Around Woolacombe there is some pollution too, but the north coast seems to be faring better than the south.

The main contributing factor to polluted beaches is urban runoff, which sees fertilisers, pesticides, oil, and untreated human and animal waste all entering waterways, such as rivers. These harmful contaminants then eventually end up at our beaches. South West Water and other water companies are allowed to let their combined storm overflows (CSO), which combine household sewage with surface run-off, open into the sea when overwhelmed by heavy rain.

Swallowing water that could be contaminated with poo could lead to gastroenteritis, hepatitis, giardiasis, skin rashes, amoebic dysentery, nose, ear, and throat problems, pink eye, and other respiratory illnesses. Symptoms to look out for include nausea, vomiting, diarrhoea, cramps, inflamed stomach and intestines.

Devon beaches hit with sewage alerts:

  • Seaton
  • Beer
  • Sidmouth Town
  • Budleigh Salterton
  • Sandy Bay
  • Exmouth
  • Dawlish Town
  • Dawlish Coryton Cove
  • Teignmouth Holcombe
  • Shaldon
  • Meadfoot
  • Beacon Cove
  • Torre Abbey
  • Paignton Preston Sands
  • Goodrington
  • St Marys Bay
  • Dartmouth Castle and Sugary Cove
  • Mill Bay
  • Salcombe South Sands
  • Thurlestone South
  • Mothercombe
  • Wembury
  • Firestone Bay
  • Plymouth Hoe East
  • Plymouth Hoe West
  • Woolacombe Village

‘Bring it on’: Labour vows to fight Tories’ ‘degradation’ of nature in race for No 10

Labour will take on vested interests from water companies to housebuilders and farmers in an effort to restore the UK’s degraded natural environment, the party’s environment chief has said.

Fiona Harvey www.theguardian.com 

Steve Reed, the shadow environment secretary, said: “If the Tories want to have an election fight over that, bring it on, because the British people care about the countryside, they care about nature. They care about living in a beautiful country. They value their access to the countryside. The Conservatives are on the wrong side of all that, and to many, many voters that will tip their votes.”

Vested interests had provoked a sewage crisis in the UK’s waterways, he said. “The government has formed a coalition between the Conservative party and rogue water bosses.

“They are allowing these companies to illegally exploit our waterways by filling them up with record levels of sewage, illegal discharges of sewage, in order to boost their profits. Then the water bosses take huge levels of bonuses as a result of these boosted profits.”

The Tory approach to housebuilders also verged on corruption, he added. Labour exposed this when the government tried to weaken nutrient neutrality rules in August, in plans that would have given housebuilders carte blanche to build without considering the impact of sewage from new houses.

“[They have] a cosy relationship with developers, who became the biggest source of donations to the Conservative party. And then, frankly some decisions … where planning permission was granted for inappropriate developments when the developer was donating to the Conservative party.”

Labour would take a firm line with all vested interests, he said. “We’re not only going to stop that from happening in future but we will go back and get some of that money [for instance from Covid contracts], as much of that money back as we can so that we can invest it. Public money should be spent for the public good, not private gain.”

Protecting nature is not just essential, it is a vote winner, Reed believes.

“The Conservatives have increasingly been positioning themselves against nature. They have not just tolerated but encouraged the degradation of nature,” he told the Guardian in his first high-profile interview since his appointment by Keir Starmer in September.

“They are on the wrong side of the public, as well as the wrong side of history. When it comes to nature, we are the conservers, not the Conservatives.”

Reed is acutely aware that Labour must make huge gains in rural and semi-rural constituencies if it is to win a majority at the general election, expected next year.

Tony Blair won a landslide in 1997 by taking a majority for the first time for Labour in rural, semi-rural and coastal seats, and again in 2001, but since then the party’s support in such areas has waned.

The Liberal Democrats have made big byelection gains, overturning huge Tory majorities largely through a strong focus on green issues such as the pollution of waterways.

Labour has been viewed by many political observers as quieter on nature issues, and conservation groups have been pushing the party for more action.

Reed said nature protection was the “opposite side of the same coin” as the climate crisis and net zero. Viewed in parliament as an attacking politician, his instincts are to bring the fight to the Tories. He was said to be instrumental in controversial ads attacking Rishi Sunak this year, and his appointment was widely seen as a sign that Starmer was attempting not to cede the initiative to the Lib Dems on green issues such as sewage, nature and housebuilding.

“Keir wants us to make a bigger offer on nature and coastal issues,” he said. “Labour’s path to victory runs through rural communities. We need them to win, then govern effectively. But this is not just a political case, it’s a moral one.”

He takes it personally, he makes clear. “We shouldn’t be totally dispassionate in politics, I think you’ve got a right to be angry,” he said. “You’ve got to channel it into making a better offer for how our country can meet the aspirations that the British people have for it, that these Conservatives have totally abandoned.”

Rural people face some of the worst poverty and deprivation in the country, he noted, but it is rarely considered. Rural areas frequently lack transport, broadband, access to healthcare and other basic amenities that cities take for granted, and a lack of jobs, investment and affordable housing has held people back, Reed argues.

“We must expose the horror that the Conservatives have inflicted on our rural communities. They have left working families who live in the countryside facing low pay and rising poverty, inadequate public transport and the destruction of good local jobs,” he said.

Some of Reed’s positions are likely to bring him into conflict with farmers. British rivers are dying not just because water companies fill them with sewage, but also because of pollution by farmers, who the Guardian has revealed are barely inspected owing to savage budget cuts at the Environment Agency.

Conservationists are also likely to object to Labour plans to build on the green belt, though Natural England chief Tony Juniper told the Guardian last month that it was possible to build on green belt land and improve conditions for wildlife and nature.

While Labour has announced plans to deny bonuses to water bosses over sewage, promised support for farmers and set out plans for a new Clean Air Act, important policy areas are still blank or lacking in detail. Pledges such as improving the UK’s flood defences and planting trees will need to be backed up with new cash.

Reed has also little to say yet on rewilding and species reintroduction, and has not yet taken a view on whether to restrict or ban wood-burning stoves, which are now responsible for about a third of the UK’s air pollution despite being owned by only 8% of households.