County councils say they cannot meet bed-blocking targets

Owl bangs on: Closing Seaton and Honiton hospital beds was NOT about patient care it was simply about THIS. And no use whinging Devonians – if you voted Conservative (and you did in sufficient numbers to ensure a majority on EDDC and DCC) this IS what you voted for and the buck does stop with YOU as much as them – and if you keep voting them in, it will get even worse:

“County council leaders have written to health secretary Jeremy Hunt asking him to reconsider proposals to withhold social care funding if bed-blocking targets are not met.

Under new guidance produced by the Department of Health last week, county authorities would have to reduce delayed discharges from hospitals by an average by 43% within the next few months – double the target of London.

Herefordshire has a target of a 69% reduction whilst Suffolk has a target of 67%, which county leaders have called “undeliverable” and “arbitrary”.

Colin Noble, County Councils Network health and social care spokesman, described the targets as a “backwards step” and said the resulting lack of funding would push services to breaking point.

“It is perverse that this money – designed to ease pressures – could be taken away if we cannot hit virtually undeliverable and arbitrary targets within a very short time period,” he said.

Noble highlighted that counties are the least well funded councils for social care and urged the government to draw up a sustainable solution not a “double whammy” of underfunding and the prospect of funds being withdrawn.

The CCN notes that the problem facing rural councils is even more acute because they contain the fastest growing elderly populations yet are the worst funded councils for social care.

In total, the 37 county authorities receive £2bn less funding for health and social care than other parts of the country, according to the network.

The CCN argues that there is no quick fix to the issue of delayed discharges and only one third of them nationally are attributable to social care.

Noble called on the government to develop long-lasting reform to social care that makes the system work better. He said counties, which spend 47% of the nation’s total expenditure on social care, want to work with the government to better integrate services.

However, the network argues the social care funding crisis will only be solved if funding discrepancies between rural and urban councils are resolved in tandem with a long-term sustainable funding settlement for all councils.

A Department for Communities and Local Government spokesman said: “No one should stay in hospital longer than necessary. It puts unneeded pressure on our hospitals and wastes taxpayers’ money.”

http://www.publicfinance.co.uk/news/2017/08/counties-urge-hunt-rethink-bed-blocking-targets

Care homes – a dying industry

“Care homes are teetering “on the edge” and a chronic shortage of funding risks “catastrophic failure” within the National Health Service, the businessman expected to be the biggest operator of residential homes has warned.

Chai Patel, chairman of HC-One, which could take over more than 120 homes from Bupa, predicted that six national chains would emerge to dominate the market by benefiting from economies of scale. The acquisition would enable his company to expand to about 350 homes with 22,000 care beds and become the biggest in the sector.

There is immense pressure on care homes amid government funding cuts and an increase in costs since all adults over 25 became eligible for the national living wage. Some small operators are quitting, with 144 care homes closing last year and a loss of about 2,000 beds a year. Many more are “zombie” homes, feared to be close to bankruptcy as struggling councils force down the rates they pay.

A shortage of capacity means that the number of people in residential homes has not increased in line with rising longevity, forcing many frail and elderly people to rely on specialist care in their own homes.

In an interview with The Times, Dr Patel admitted: “There is no question the sector itself is on the edge.” He added: “The impact of chronic under-funding of social care will result in catastrophic failure in the NHS.”

and underneath this article:

“An investment group that is set to be the biggest care homes owner in Britain has vowed that it will not become the next Southern Cross.

HC-One is poised to acquire about 120 homes from Bupa, possibly through a debt and equity deal amid unease about the implications for the group’s debt levels and with memories of Southern Cross’s collapse fresh in the memory.

Southern Cross, which once ran more than 750 care homes and had 37,000 beds and some 41,000 staff, failed in 2011 when all its homes were taken over by their landlords.

The equity for the Bupa purchase, which is close to completion, is understood to be being provided by Stepstone Real Estate and Safanad, an investment firm, and the debt arranged through Deutsche Bank and Apollo Global Management.

The acquisition of more than 9,000 beds from Bupa would take HC-One’s total to almost 22,000 and catapult it above Barchester Healthcare and Four Seasons Health Care. HC-One rose from the ashes of Southern Cross when it acquired about a third of the homes and has expanded through two other acquisitions since 2015. The purchase of Helen McArdle Care, which had 20 homes, was funded through debt.”

Source: Times (pay wall)

The erosion of democracy to serve the cult of celebrity and business

From an article about how Boris Johnsom frittered away nearly a billion pounds on projects that came to nothing while he was London mayor – echoes of the East Devon Business Forum, the Local Enterprise Partnership, Greater Exeter …

“… Still, Johnson merely highlights a number of problems. He shows what happens when our celebrity culture, in which he has a starring role, fuses with an era of denuded press and desiccated politics. This is the age of the administrative monarch. We are encouraged to place power and trust in individuals of purported unparalleled wisdom, vision and probity. Mayors, metro mayors, police commissioners, superheads; we outsource to individuals, increasing their power in the belief they will get things done, unencumbered by faint hearts and red tape.

By this thinking, democratic checks and balances are a bother. There can, in this political calibration, be some light-touch monitoring, but the monarch must have all the power. True democracy can be such a millstone.

This is a philosophy tilted towards business in its many lucrative interactions with the public sector, for it sends a message that the special individual talents of the market do not need the democratic or collective checks and balances that might save us from folly. We saw this in the framing of the London mayoralty, where the initial hope was that a Richard Branson or a Greg Dyke would seize the sceptre. That didn’t work out. Instead of an industry titan, the befuddled lawmakers ended up with Ken Livingstone, the very antithesis of their hopes, and then Johnson.

But the thinking endures that true progress needs turbo-empowered individuals in whom we endow complete trust, as we might for a pilot or a brain surgeon, because their knowledge and drive and networking prowess surpasses our understanding. Theresa May sought that sort of unquestioning trust when she implored us not to worry our pretty little heads and to give her complete and personal authority to do as she pleased in Brussels. The country eventually called her out on that, but isn’t it time to question that philosophy everywhere?

Isn’t it time to reassess the extent to which we have loosened the regulatory structures? The Tory-led coalition scrapped the audit commission and with it a level of scrutiny that once gave the reckless pause. The Standards Board for England, responsible for monitoring ethical standards in local government, was doused in ministerial petrol and thrown on to the same so-called bonfire of the quangos.

At the same time, the right or expectation that local councillors, representing their communities, should sit on the boards of organisations in receipt of public funds – such as schools, housing associations and private firms delivering communal services – has been steadily eroded.

Our system is a largely a centralised one, but still the canny determined mayor can disengage the handbrake knowing that no one can, in real time, reapply it. Voters can assert their authority at some point on the journey, but it may be some way down the road. By that point the vehicle, recklessly driven, may have crashed. And by the time the authorities arrive, the driver may well have legged it.

So these leaders may never be held to account. Maybe they have already left office. The heat turns down, the world moves on. The protection of celebrity deflects the glare. Isn’t that what’s happened in the case of the garden bridge and all of the wasteful, ill-conceived Johnsonian follies?

But isn’t it also – in terms of the public’s apparent inability to bring poor and reckless administrators to account – what’s happened in universities up and down the country? Vice-chancellors on grotesquely bloated salaries charge £9,000-plus tuition fees without any improvement in the offer to students. And in notorious academy schools, deified super-heads have taken advantage of huge pay cheques and light public supervision to provide pupils with a substandard education.

We have grown scornful of the mundanities of democracy. The celebrity-as-saviour populist version excites. But the dull, traditional, sometimes tortuous structures – with checks and balances and inquests and punishments – existed for a reason. With them grand projects took longer, consensus was required, and foolhardy stewardship carried risks. But without them we spend millions on the dream of a flowery bridge while services atrophy, food banks flourish, and the designers of that outrage move onwards and upwards.”

https://www.theguardian.com/commentisfree/2017/aug/22/boris-johnson-940-million-system-to-blame

(Tory) Council leaders, don’t you just love ’em – not!

Current leader of EDDC, Paul Diviani, and his Tory friends on the council voted against hospital bed cuts at EDDC (which is toothless on this matter) but he then voted FOR the same cuts at Devon County Council, which has just a few gnashers, but where former EDDC Leader and DCC councillor for Whimple, Sarah Randall Johnson, silenced a legitimate opposition debate on closures using very dubious tactics against her arch-enemy (campaigner and ouster from her EDDC seat) Claire Wright:

https://eastdevonwatch.org/2017/08/12/conduct-of-health-committee-members-investigated-by-devon-council-diviani-and-randall-johnson-heavily-criticised-for-behaviour/

Now the former Leader of Grenfell Tower Council joins the merry band:

“The council leader who presided over the Grenfell Tower disaster offered paid “advice” on public sector cutbacks – and tried to “whitewash” his CV in the process.

Nick Paget-Brown resigned as leader of Kensington and Chelsea council after the authority’s woeful response to the deadly inferno drew widespread criticism.

He has remained a councillor but has attracted fresh ire from survivors and rival politicians after advertising his own company – NPB Consulting – on his new Linkedin profile.

The firm, of which he is managing director, offers specialist advice on “financial planning in an age of austerity” to other councils.

Paget-Brown is also accused of hurling a “final insult” to victims as he has omitted his experience as council leader from his CV’s career history, leaving a space between the end of his time as deputy leader in 2013 and founding NPB in 2017. His appointment as leader was mentioned elsewhere. …

Paget-Brown used the networking site to advertise his skills, including “policy analysis, seminars, briefings and drafting assistance for organisations working with local authorities”.

Emma Dent Coad, the Labour MP for Kensington, said: “Paget-Brown’s attempt to whitewash his career by becoming a cost-cutting consultant is the final insult.”

Moyra Samuels, co-founder of the Justice 4 Grenfell campaign, said: “To effectively say, ‘I’m moving on swiftly to my next project’ shows complete disdain for this community.”

At the time of his resignation, Paget-Brown said he shared responsibility for the “perceived failings” of the council. “

http://www.huffingtonpost.co.uk/entry/grenfell-paget-brown_uk_599a96bbe4b0e8cc855e707e

Only “perceived” note …

Coverage of Seaton hospital bed closures

Owl still thinks THIS is the real reason for the hurried closure:
https://eastdevonwatch.org/2017/08/20/is-this-why-there-is-a-dangerous-rush-to-close-community-hospital-beds/

“Protesters waved banners and shouted ‘shame’ outside Seaton Hospital today (Monday, August 21) as health chiefs began implementing their in-patient bed closure plans.

A similar vigil will take place outside Honiton Hospital next Monday when the cuts are due to begin there.

Yesterday’s gathering was addressed by Seaton’s county councillor Martin Shaw who said the town had been badly let down, and town mayor Jack Rowland, who said that while they may have lost the fight to save the beds the battle would now begin to save the actual hospital.

The dates for the closure of in-patient beds in East Devon was announced by health officials last week.

In a statement the Royal Devon and Exeter NHS Foundation Trust said: “The NHS has given details of how it intends to implement its ‘Your Future Care’ plans to improve patient care across Eastern Devon, including creating new nursing, therapist and support roles.

“Your Future Care” set out proposals to move away from the existing bed-based model of care. Instead it proposed a model of care focused on proactively averting health crises and promoting independence and wellbeing.

“The plans were subject to a 13-week public consultation that closed earlier this year, following which the NHS NEW Devon CCG approved a way forward which enhanced community services to support more home-based care by redirecting and reinvesting some existing bed-based resources. The net result would mean an increase of over 50 community-based staff to support out of hospital care and a reduction in community inpatient beds across the Eastern locality of Devon.

“Detailed operational work began in this area with the introduction of the Community Connect out-of-hospital service in March which has already led to a reduction in demand for community inpatient beds.

“In order to achieve this transition safely, implementation will take a phased approach to redeploy and recruit staff to the additional nursing, therapy, care workers and pharmacist roles which will enhance community services in Exeter, East Devon and Mid Devon.

This will enable the reduction in inpatient beds – moving from seven community inpatient units to three.

The timetable for implementation is:

• Seaton Community Hospital week commencing 21 August 2017

• Okehampton Community Hospital week commencing 21 August 2017

• Honiton Community Hospital week commencing 28 August 2017

• Exeter Community Hospital week commencing 4 September 2017.

“The provision of inpatient services at these locations will cease from these dates. All other services at these hospitals will continue as normal. Patients in these areas in medical need of a community inpatient bed will be accommodated at either Tiverton, Sidmouth or Exmouth hospitals, depending on where they live.

“Over the past couple of weeks it has become apparent that the schedule for the closure of the in-patient units needs to be brought forward. This is due to the increasing pressures on safely staffing the current configuration of seven community inpatient units. Furthermore, now that the workforce HR consultation has been completed, 170 staff can be redeployed into the enhanced community teams and our hospitals to provide extra capacity and resilience to meet the demand for care for the people of Eastern Devon.”

Adel Jones, Integration Director at the Royal Devon and Exeter NHS Foundation Trust said: “It is acknowledged that getting to this point in the process has not been without its challenges and I would like to thank all who have contributed to the development of the implementation plans.”

Dr Anthony Hemsley, Associate Medical Director at the Royal Devon and Exeter Hospital said: “Although the decision to reduce inpatient beds will only affect a small number of patients per week, we, with the support of the clinical assurance panel, are confident that our plans to provide more care at home are safe and ultimately will help more people to be independent.

“At the point of implementation, we will be able to redirect some of the existing bed-based resource into local community teams. Additional staff including community nurses, therapists and personal support workers will be there to provide greater provision and access to care and support. However, we know that there is still much more work to be done, particularly around prevention, wellbeing, recruitment of staff and availability of domiciliary care. This can only be done in partnership with communities and we at the RD&E look forward to continuing this work.”

Rob Sainsbury, chief operating officer for NEW Devon CCG, said: “Reallocating resources away from hospital bed-based care into more home-based and community care will really make a positive difference to people’s lives.

“It will ensure that everyone who needs the service in our community has the best access to good quality and sustainable health services and help people to stay independent for longer, with the benefit of being cared for closer to family and friends.”

http://www.midweekherald.co.uk/news/protest-over-seaton-hospital-bed-closures-1-5157377

Electoral reform needed; system not strong OR stable!

“… In the end, we have a system that only recognises the geographical location of a voter and nothing else. It is where voters are – rather than how many are backing whom – that matters. This must change if we are to restore legitimacy to our political institutions.

But the real question for our politicians is this: if the two main parties can gain over 80% of the vote for the first time in decades, in a system designed for two parties, and yet both still lose – when will they show the leadership the country so desperately needs and fix our voting system?

Doing so would send a message that far from being in it for themselves, parties can make brave and bold decisions to revitalise our democracy. If there’s anything this last few years have shown, it’s that people feel alienated from politics and are struggling to be heard. Let’s find positive ways of making that happen.”

Read the full report here:

https://www.electoral-reform.org.uk/the-myth-that-westminsters-voting-system-is-strong-and-stable-has-been-bust-for-good/

Care at home – in your dreams, sorry – nightmares!

A comment from Save Our Hospitals Facebook on the Seaton hospital beds closure today and Honiton next week:

“What utter tripe!!!!

Out of all our nursing auxiliaries at Honiton there is ONE, being redeployed in community. The rest have been shipped to Exeter and Sidmouth!!
How’s that for care in the community! The bloke [Neil Parish MP, who responds to worried constituents with an anodyne “round robin” but voted through the cuts] is a total liar, as is the rest of them!! When it came to the crunch,they all turned their backs on their community!! God help them!!”

RIP Seaton Community Hospital beds – vigil, noon today

The town with the largest catchment area for elderly people – its community hospital closes the doors on its beds today.

Built by public subscription, funded by a hard-working League of Friends, only its outpatient services will remain – for now.

The heart of a community stops beating today.

Thanks to the vote of East Devon District Leader (Paul Diviani – who voted at EDDC against his own district recommendation) and former Leader and Chair of DCC Health and Social Care Committee Sarah Randall-Johnson, who voted along with all other Conservatives on that committee not to refer the closures of Seaton and Honiton (next Monday) to the Secretary of State.

This will leave the whole of the eastern side of the district with no community beds at all – the few remaining beds to be (for the time being) in Sidmouth and Exmouth, closer to Exeter and Cranbrook.

Sidmouth Port Royal: “Retain, reuse, reburbish” meeting Wednesday 23 August 7.30 pm

The meeting, on

Wednesday 23rd August
starts at 7pm at
All Saints Church Hall, All Saints Road, Sidmouth.

“More than a thousand people have now signed the petition “an alternative plan for Sidmouth’s Port Royal—the 3 Rs.

If you, too, feel strongly about appropriate development at the eastern end of the seafront, but haven’t yet added your name, it is urgent to do so as a decision is imminent.

Signatures for the ‘Retain-Refurbish-Reuse’ option are being collected online at

https://you.38degrees.org.uk/petitions/alternative-plan-for-sidmouth-s-port-royal-the-3r-s

or alternatively on paper – for example at this week’s 3Rs Public Meeting, organised by EDDC Councillors Matt Booth, Cathy Gardner, Dawn Manley and Marianne Rixson, and Chaired by Di Fuller – see header above”

The “hold your nose” General Election – 20 million votes “wasted”

“Twenty-two million votes were “wasted” in June’s election and had no impact on the result, a study reveals today.

Nearly seven out of 10 ballots made no different to the outcome, which stripped Theresa May of a Commons majority, the Electoral Reform Society report claims.

It brands the 2017 poll the ‘hold your nose’ election, estimating 6.5 million people voted tactically because they knew ticking the box for their favourite party or candidate would have no influence.

Other findings include that if just 0.0016% of voters chose differently, the Conservatives would have won a majority; the rise of very marginal seats, with 11 seats won by fewer than 100 votes; and the second highest voting volatility since 1931, with people switching sides at “astonishing” levels.

The ERS also blasts Britain’s first-past-the-post system, which is designed to avoid hung parliaments – but, for the second time in three general elections, left no party with a majority.

Chief executive Darren Hughes said: “The vast majority of votes are going to waste, with millions still stuck in the electoral black hole of winner-takes-all – a diverse and shifting public having to work around a broken two-party system.

“The result is volatile voting and random results in the different parts of the UK.

“There are a wide range of systems where votes are not thrown on the electoral scrapheap.

“We need to move towards a means of electing our MPs where all voices are heard and where people don’t feel forced to hold their nose at the ballot box.”

The ERS’ ‘Volatile Voting – Random Results’ report says while Labour secured 29% of votes in the South East it got just 10% of seats.

In the North East, the Tories netted 34% of votes but scooped just 9% of seats.

Meanwhile, the SNP continued to be over-represented in Scotland, as was Labour in Wales, while Northern Ireland voters were “forced into two camps”, according to the report.

Researchers discovered the Conservatives benefited most from the mismatch between votes and seats, winning 46% of English votes but 56% of seats.

Mr Hughes said: “June’s election has shown first-past-the-post is unable to cope with people’s changing voting habits – forcing citizens and parties to try and game the system.

“With an estimated 6.5 million people ‘holding their nose’ at the ballot box, voters have been denied real choice and representation.

“This surge in tactical voting – double the rate of 2015 – meant voters shifted their party allegiances at unprecedented rates, with the second highest level of voter volatility since the inter-war years.”

http://www.mirror.co.uk/news/politics/tens-million-votes-wasted-general-11020317

Is EDDC gearing up for even greater development for 5-year Local Plan review?

All Local Plans have to be reviewed every five years. Though it is likely that the next Local Plan won’t be very local as “Greater Exeter” will almost certainly be what is put forward, East Devon being only one part of it.

Now it seems the current Local Plan didn’t go to plan!

“The number of new homes being built in East Devon has dramatically dropped, government data has revealed.

In total, 620 new properties were completed by private developers and housing associations in 2016/17.

But this is more than 250 homes fewer than were built in 2013/14, 2014/15 and 2015/16 – where an average of 836 new properties were finished each year.

In the last decade, a total of 4,690 properties have been built and completed in the district and more than 12,600 new homes were finished across Devon. …”

http://www.sidmouthherald.co.uk/news/number-of-new-homes-being-built-in-east-devon-dramatically-drops-1-5155038

In fact 2013/14 and 2014/15 and 2015/16 were the result of the years during which the developer free-for-all took place when EDDC had no Local Plan and no 5 year land supply so we had a situation where, under government rules, developers could build any amount of houses practically anywhere. So it’s hardly surprising there was a boom.

So, it now appears that, in fact, the number of houses EDDC had expected to see built this year haven’t materialised.

That could mean that more will be front-loaded to a revised (probably Greater Exeter) plan. And/or the whole area might be back to not having a 5-year land supply so it will be a developer free-for-all – again.

What is VERY interesting is that around 37% of all new homes in the whole of Devon have been built in East Devon in the last decade.

Perhaps time for other parts of Greater Exeter to take the strain in the coming decade?

Is this why there is a dangerous rush to close community hospital beds?

Nothing to do with care at home”, everything to do with austerity cuts. AND much more opportunity for private companies to make big profits from home care instead of NHS costs in hospitals.

“Councils have been told to reduce hospital bed-blocking by up to 70% by next month or face funding cuts.

The warning came in a letter, seen by The Sunday Times, sent to council and NHS chief executives by the Department for Communities and Local Government (DCLG) and the Department of Health last month.

The letter sets out the “expectations” it has for local authorities to reduce delays in discharging people from hospital, with some councils facing demands to cut bed-blocking by up to 70%.

Councils that do not do enough to help NHS patients go home could have their share of a £2bn social care fund withheld.

Of the 152 councils with social care responsibility, 42 are required to reduce bed-blocking by 60% or more, based on their performance in February. Reading borough council has been given the highest target of a 70% reduction.

More than two-thirds are expected to reduce bed-blocking attributable to social care by 50% or more.

The letter accompanying the targets said progress would be assessed in November and 2018-19 allocations of the £2bn fund could be reviewed.

This could see poorly performing councils lose out on anticipated funding.

Last night, Izzi Seccombe, a Tory council leader who speaks on community wellbeing for the Local Government Association, said setting “unrealistic and unachievable targets” for councils to cut bed-blocking was “counterproductive.”

“The threat of reviewing councils’ funding allocations for social care . . . could leave many councils facing the absurd situation of failing to meet an unattainable target, losing their funding and, on top of this, potentially being fined by hospitals.”

Last month The Sunday Times revealed that the NHS had fined at least 22 councils for causing delays in discharging patients and threatened 11 others with charges.

A DCLG spokesman said: “No one should stay in hospital longer than necessary. It puts unneeded pressure on our hospitals and wastes taxpayers’ money.”

Source: Sunday Times (pay wall)

“Managers on more than £400,000 a year at failing NHS authorities”

“Temporary NHS managers brought in by failing health services are being paid record rates of up to £400,000 a year.

Ministers have repeatedly ordered clampdowns on “excessive and indefensible” management pay and promised extra scrutiny of deals which pay more than the £142,500 salary of the Prime Minister.

But a Telegraph investigation of 32 clinical commissioning groups (CCGs) failing so badly that they have been taken over by NHS England shows that in fact rates have reached a record high.

Nurse leaders last night said executive pay was “spiralling out of control” amid warnings that “sky-high” remuneration packages were not being matched by improvements to frontline services. Health services insisted they were forced to pay “premium” rates to attract good managers quickly.

The figures, from NHS annual reports for 2016/17, disclose 21 managers at the struggling organisations on rates equal to at least £200,000 a year – including five on more than £300,000.

… “At North, East and West Devon Martin Shield cost over £90,000 for three months – an annual rate of £375,000 – as “turnaround director.” …

http://www.telegraph.co.uk/news/2017/08/19/managers-400000-year-failing-nhs-authorities/

Does our councils promote social value when funding public services via charities?

This is i portant be ause, more and more, councils are sub-contracting their responsibilities for health and social care to charities.

“Small charities that deliver public services have a problem.

The government grants that once helped to fund this work are drying up fast – their total value halved in the decade between 2004 and 2014, according to the NCVO, and has continued to drop ever since. This leaves organisations dependent on income from local council contracts, where the complex tendering process is stacked against smaller providers. At risk of being squeezed out completely, they face what the Lloyds Bank Foundation earlier this year called a “broken commissioning landscape”.

The government knows this is a problem. The House of Lords select committee on charities expressed concerns back in 2016, recommending that the government takes steps to promote commissioning based on impact and social value rather than simply on the lowest cost.

The Social Value Act, introduced in 2012, is one of very few ways in which central government can influence who is commissioned to deliver local services. It requires councils to think about the social, economic and environmental benefits of their decisions when they commission contracts above a certain value (around £170,000).

This means officials are encouraged to do more than simply favour the lowest bidders; they are invited to consider what else a provider could contribute to the area. One organisation might be committed to employing local people, for example. Another might offer to work with small community groups, or bring together existing networks of GPs, schools and others to coordinate services more effectively. The aim is to level the playing field, and enable non-profit providers – such as charities, social enterprises and community businesses – to compete with big private companies.

The government promised a review of the act back in February, something tantamount to an acknowledgement that it is not having the desired impact. Those plans have since been derailed by the snap election and the review is now promised “in due course”.

With the review still pending, we at Power to Change spoke to (pdf) community businesses across England, to find out what changes could be made to improve the situation.

The organisations we spoke to were positive about the aims of the act, and confessed that the commissioning landscape would be “much bleaker” without it. Some councils even welcomed the fact that the act gave them, as they saw it, “permission to explicitly consider social value”.

But many community businesses dismissed the act as “tokenistic”, complaining that it made little practical difference to how councils commissioned or from whom. We found limited evidence that the act actually affected their decisions about whether to tender for contracts: organisations who wanted to work with their council said they would have gone ahead regardless.

If the government wants to improve the impact of the act, our research has some simple recommendations.

Lower the financial threshold

Fairer UK charity contracts will demand long-term government support
The act only applies to local authority contracts worth more than £170,000. Very few community businesses operate at that kind of scale, particularly those committed to working only in their local area. A lower threshold would bring more small organisations into play, either as providers or, more likely, as partners.

Apply it to goods and works, not just services

The principles behind the act are very popular with government, councils and community business alike, so extending it to contracts for goods and works would be another way to introduce social value into commissioning. In his report into the act in 2015, for example, Lord Young celebrated parliament’s decision to commission bottled water for two years from a social enterprise whose profits were shared with the charity Water Aid. There is no reason this sort of innovation shouldn’t be more widespread.

Offer more support for potential providers

Providing more support and guidance, especially some highlighting successful practice, could boost take-up of the act. For commissioners, this could mean giving examples of where they have made savings or improved outcomes through commissioning with social value in mind. For small voluntary or community-led organisations, this could be examples of similar organisations that successfully engaged with the process.

Access to data on the progress and effects of the act is also limited. We recommend the introduction of an open-source, central dataset on the use of the act across local authorities in England, including monitoring data on social value outcomes.

Promote the act more

Our research found an alarming number of social enterprises and community businesses either weren’t sure how the act worked or hadn’t heard of it. The government should give the act greater publicity, targeting community groups who might want to take up the opportunity it offers. For the same reason, the guidance surrounding the act needs to be much clearer and more accessible.

Explain how social value is measured

It can be fiendishly difficult to measure social value, but it can be done – and local groups told us that councils could do more to explain how they will be assessed. This could start with commissioners consulting interested parties locally on what sort of measurements they will be using and how they will be collected, not least so that local groups can decide whether or not to apply for a contract in the first place.

Encourage councils to take risks

New charities minister, but government isn’t interested | Asheem Singh
Local authorities like to praise the not-for-profit sector for bringing more innovation and greater flexibility to social problems. But this does not always extend to commissioning decisions, which can favour large, well-known private firms over smaller groups. This may be understandable, but councils will need to overcome this risk-aversion in the future.

Make the act part of wider social change

The act requires councils only to consider social value in commissioning. But not every local authority limits itself to this: Oxfordshire county council and Somerset district council were celebrated last year by Social Enterprise UK for incorporating the act into a wider agenda for social change. This meant using the act to focus on a whole strategy to strengthen the local area, something commissioners all over the country could learn from.

Russell Hargrave works for Power to Change”

https://www.theguardian.com/voluntary-sector-network/2017/aug/15/seven-ways-improve-social-value-act

“Neil Parish MP snubs Seaton Mayor’s request for urgent meeting with Health Secretary”

And Parish sends a circular letter as his reply – one exactly like others he sent to people also asking him to save their hospitals:

“Councillor Jack Rowland, Mayor of Seaton, has posted on Facebook:

As many of you know I wanted to arrange a face to face meeting with Neil Parish and Jeremy Hunt regarding the CCG decision to close the hospital beds at Seaton Hospital.

I’ve now received a reply from Neil Parish and the email I sent to him and the reply is reproduced below.

Dear Jack,

Thank you for your email on beds at Honiton and Seaton.

I am deeply saddened by the decisions to close beds at Honiton and Seaton Hospitals. I wanted beds to be retained at Seaton and Honiton, as part of a wider upgrade to health services in Devon. This closure is not the outcome I wanted. I would like to pay tribute to all the staff who have worked so hard to maintain fantastic inpatient beds at the hospitals over the past years.

We now have to make the best of the current situation. The CCG have stated they believe there is sufficient at-home care to replace the current beds. Hospital staff will now be redeployed into community care. Every patient who previously required care in the hospitals must now have the same level of care delivered to them at home or in a residential care home. This promise must be kept and I will be monitoring the situation carefully.

Regarding the future of Honiton and Seaton Hospitals, I want the buildings to continue to host vital health and social care services. Particularly, I want the sites to be used as health and social care hubs, with a positive future for each of the locations. I believe the hospitals still have an important role to play in community healthcare services. Any suggestions you could provide in this area, which would help maintain viable services at Seaton, would be appreciated.

I know this might be a disappointing response, but I hope we can continue to maintain excellent care in our community.

Thank you again for your email.

Yours sincerely,

Neil

Neil Parish MP
Member of Parliament for Tiverton and Honiton
House of Commons | London | SW1A 0AA
Telephone: 020 7219 7172 | Email: neil.parish.mp@parliament.uk
http://www.neilparish.co.uk

In response to this email:

From: cllr.jack.rowland@btinternet.com [mailto:cllr.jack.rowland@btinternet.com]
Sent: 16 August 2017 12:26
To: PARISH, Neil
Cc: townclerk@seaton.gov.uk; Martin Shaw ; Marcus Hartnell
Subject: Seaton Hospital – bed closures

Dear Mr Parish,

I’m writing to you in my capacity as the Chair of Seaton Town Council.

As you are no doubt aware the Health and Adult Care Scrutiny Committee of Devon County Council voted by 7 votes to 6 on 25 July not to refer the CCG decision to the Health Secretary for a review. An investigation has been called for regarding how the Scrutiny Committee Chair managed that meeting.

In the meantime the RDE Trust are accelerating the bed closure timetable from the original timetable and the beds in Seaton Hospital are now being phased out starting on 21 August and those in Honiton the following week.

This is despite no adequate answers being given to date regarding the concerns about the “Your Future Care” changes now being implemented. At the East Devon District Council Annual meeting all the Councillors present voted in favour of requiring more information on this subject and the EDDC Scrutiny Committee met in June to question representatives of the CCG and were not satisfied with the responses and maintained their opposition to Community Hospital bed closures.

At the Seaton Town Council meeting on 7 August I tabled a motion to demonstrate concern at the decision reached by the DCC Scrutiny Committee and to seek an urgent meeting with yourself and Jeremy Hunt to be attended by myself, Marcus Hartnell (Town and EDDC District Councillor) and Martin Shaw (Town and DCC Councillor). All the Town Councillors present voted in favour of my motion.

In view of your stated opposition to the bed closures in Seaton and Honiton I hope you can facilitate the meeting I am requesting in view of the overwhelming opposition from the elected Councillors in East Devon.

I look forward to hearing from you in the near future regarding potential dates, times and venue – we would be willing to travel to London if necessary.

Regards
Jack Rowland
Seaton Town Council Chair / Mayor”

https://seatonmatters.org/2017/08/19/neil-parish-mp-snubs-seaton-mayors-request-for-urgent-meeting-with-health-secretary/amp/

Tourism, new roads and more second homes is not the answer for Cornwall

” … Cornwall is a major tourist area, but its economy is one of the weakest in Europe. EU investments, together with “matched funding”, have injected around £1.5bn into the region, but this has had little impact on raising GDP.

One of the biggest stumbling blocks has been the perception by successive governments that the Cornish economy is synonymous with tourism, with its focus on unskilled, low-paid and part-item employment.

Cornwall is being directed to build 52,500 houses before 2020. A large proportion of these will be bought as holiday homes or by people retiring to Cornwall. This large-scale “immigration” has vastly distorted the housing market. People employed in tourism cannot afford these houses. Perhaps Cornwall’s perversity in delivering a very large pro-Brexit vote was because there are so many middle-class retired incomers who are putting stress on the social and health services .

Tourism is supposed to generate billions of pounds, but very little of this “sticks” in Cornwall because much of it goes to the major supermarkets, which employ unskilled people on low pay.

Government (and the Cornish will not forget the Brexiters’ claims that EU funding would be replaced by central government) must encourage high-value opportunities, such as those within the digital industries that are beginning to grow in Cornwall. And perhaps government should improve the social and health services, digital connectivity and rail and air infrastructure, rather than pumping more money into roads that primarily serve tourists.

Dr Ben Dobson
Crantock
Newquay”

https://www.theguardian.com/business/2017/aug/13/letters-tourist-areas-need-investment-in-jobs-not-just-better-roads

“Daily Mash” nails the Stephen Hawkings/Jeremy Hunt NHS row

“PROFESSOR Stephen Hawking has discovered the densest thing in the known universe.

The world’s most famous theoretical physicist said the super-dense black hole was located in the centre of London and looks like a six foot tall weasel.

Unveiling his discovery, Hawking said: “It sucks in facts and then crushes them instantaneously to the point where they may as well never have existed.

“I still don’t how it could possibly have got there. No-one does. There’s no reason for it to exist in its current position.

“It’s as if the universe is just being spiteful.”

He added: “It’s also the first black hole that appears to be wholly owned by private health care providers.“

http://www.thedailymash.co.uk/news/science-technology/hawking-discovers-new-super-dense-black-hole-20170819134289

The spat is here:
http://evolvepolitics.com/jeremy-hunt-literally-just-said-stephen-hawking-wrong-scientific-basis-nhs-reform/

Foul dealings in East Budleigh goes national!

“Village footballers unable to play for level of fouling

Police have been called in over a dispute between the council and dog-walkers in an east Devon village.

The dispute started after East Budleigh parish council decided to fence off a football pitch on the recreation ground because games were being halted by the presence of dog mess.

Councillors have been subject to such abuse that they are no longer able to drink in the village pub, and the council refuses to engage with the dogwalkers collectively as they consider them a “hate group”.

The council said: “East Budleigh has been particularly bad for dog mess and . . . last season several football games had to be stopped to clear up the dog mess. The idea is to make it a safe area and free from dog mess for everyone — not just the football club.

However, Ray Marrs, from the Friends of East Budleigh Recreation Ground, said: “Lots of people use the field to walk their dogs on and none of us has ever noticed a problem with dog poo on the pitch. How was it possible for councillors to have reached a decision to fence off our recreation ground . . . based upon somebody’s notion of dog fouling without any consultation or knowledge of the village?”

He added that he knew of the abuse and did not condone it. The police are investigating allegations of abusive behaviour and harassment.”

https://www.thetimes.co.uk/edition/news/east-budleigh-footballers-unable-to-play-for-level-of-dog-fouling-xgwljqfr8