Sidmouth Port Royal: an independent view

“In July, ‘Three Rs’ campaigners unveiled their alternative vision to ‘retain, refurbish, re-use’ the site’s existing buildings.

They wanted to challenge suggestions that the ‘only apparent option’ for the development of eastern town was to construct a multi-use building with 30 homes that could stand up to five storeys high.

Campaigners argue the existing buildings should be retained, the whole area should be refurbished as needed and sites such as the Drill Hall and the old boat park should be re-used.

In a bid to keep the public informed, they have created four information sheets ahead of the publication of a final report on Port Royal.

Councillor Cathy Gardner, [Independent East Devon Alliance] who is one of those leading the Three Rs campaign, said: “We think it is important people have more background information for the proposals for the Port Royal area, particularly while we are waiting for the final report from the scoping study – we are expecting that in January.

“We have tried to be as factual as we can. People ask a lot of questions and sometimes there are misunderstandings, and we just want to help clarify it for everybody.”

The information sheets explain the challenges East Devon District Council (EDDC) faces in redeveloping the site and the importance of the authority deciding on what happens, and argue it is essential to retain the Drill Hall.

The guides also look at what the Ham is and its conveyance, the role played by Sidmouth Town Council, what the Local Plan has to do with Port Royal, and where Devon County Council comes in.

As well as this, the information sheets will address how the car parks could be refurbished.

Cllr Gardner said the campaigners could also cover other topics so asked residents who were unsure on anything or think something should be clarified to let them know.

The information sheets have also been pinned up on a notice boards around Sidmouth and are available online at http://www.retain-refurbish-reuse.uk.

Alternatively, email cathy.gardner@eastdevonalliance.org.uk for an electronic copy.”

http://www.sidmouthherald.co.uk/news/info-sheets-released-to-help-all-understand-potential-port-royal-development-in-sidmouth-1-5322440

Fat cats … lots of them … getting fatter

Several of Britain’s best-known companies, including Burberry, Sky and Sports Direct, are included on a list ordered by the prime minister of firms rewarding bosses with “fat cat pay” and representing the “unacceptable face of capitalism”.

More than a fifth of Britain’s FTSE listed-firms are included on the “name and shame” register of companies that Theresa May said risk damaging “the social fabric of our country” by paying bosses too much money.

May ordered the creation of the world’s first public register of companies that ignored shareholder concerns and awarded “pay rises to bosses that far outstrip the company’s performance” in August. She said calling out the firms would help tackle the “abuses and excess in the boardroom” and restore public confidence in big business.

The public register was published on Tuesday by the Investment Association, a trade body of investment firms that manage the pensions of million of Britons.

The register lists every company in the FTSE All-Share Index which has suffered at least a 20% shareholder rebellion against proposals for executives pay, re-election of directors or other resolution at their shareholder meetings.

Companies on the register include fashion label Burberry, broadcaster Sky, retailer Sports Direct and Sir Martin Sorrell’s advertising company WPP.

Others on the list include banking giant HSBC, supermarket Morrisons, BT, estate agent Foxtons, the AA and Mothercare.

Chris Cummings, chief executive of the Investment Association, said the register “reveals the true scale of investor concern” and shows how many shareholders are “flexing their muscles by exercising their votes”.

Cummings said the fact that 22% of companies in the FTSE All-Share are included on the list shows that “a significant number of companies need to seriously start listening to shareholders views and acting on them”. …”

https://www.theguardian.com/business/2017/dec/19/top-british-firms-named-and-shamed-on-pms-fat-cat-pay-list

“£3bn NHS spend due to unfilled vacancies”

“Figures obtained under Freedom of Information rules have shown that the NHS is spending £3bn a year on agency staff to fill staffing gaps caused by 100,000 unfilled vacancies.

The highest vacancy rate, of 12.2%, was for nurses, leaving hospitals and care homes short on qualified staff and reliant on less experienced healthcare assistants.

Janet Davies from the Royal College of Nursing said: “Hospital wards and care homes alike increasingly rely on unregistered healthcare assistants, especially at night. The Government must no longer allow nursing on the cheap – patients, particularly vulnerable and older individuals, can pay the highest price.”

Source” The Independent, Page: 3 Independent i, Page: 5

“Should we tax housebuilders more heavily than other companies?”

Owl says:

Would it happen? Could it happen? In your dreams!

Housebuilders are amongst the biggest donors to the Tory party and David Cameron let them write their own rules within days of becoming PM. Theresa May has talked about fairness in housing but has done NOTHING.

“Much of housebuilders’ success is the result of state policy.

I’ve never been a fan of windfall taxes, but I am feeling a bit more of one this week.

We have written in the magazine frequently about how much we hate the government’s Help to Buy scheme because of the way it exacerbates the original problem – high house prices. It’s a bad fiscal policy piled on a bad monetary policy.

More recently, we have raged about the effect of this on the housebuilders: for years they have been making verging on obscene amounts of money out of exploiting the scheme. They have also been paying much of that money out to their executives, thanks to badly constructed compensation schemes.

You can try and explain or justify this as much as you like but the truth is that one of the worst effects of Help to Buy has been a whopping transfer of wealth from the taxpayer to the top men at house building firms. There is evidence aplenty of this .

Look to the news this weekend that the chairman of one of the UK’s biggest building firms, Persimmon, has resigned over his role in creating one of the most repulsive bonus schemes of all time, one which is set to pay its top three executives £200m and another 137 managers around another £600m. None of these people started the business. None of them risked their own capital.

Half of Persimmon sales are backed by Help to Buy. When Help to Buy was launched, Persimmon’s market capitalisation was £2.5bn; now it is over £8bn.

There’s a lot to say here about bonus structures and executive pay (see many blogposts past). But there is something else to say about companies whose success is the result of state policy. If the government has been the main driver behind a firm’s profits, is the Treasury perhaps entitled to more than the standard rate of tax on those profits?

Or, to look at it from another direction, does the firm in question have a higher level of social obligation than other companies – in this case, perhaps, to be obliged to build more social housing than usual – or, given the dismal quality of UK new-build housing, to just build better housing than usual?”

https://moneyweek.com/should-we-tax-housebuilders-more-heavily-than-other-companies/

An A and E consultant speaks … and begs for our help

“Dear Journalists,

As an A&E consultant I am writing to ask for your help.

Up and down the country our A&E departments are in meltdown, our staff are at breaking point and we need your help.

Patients are being left in corridors because there are no ward beds for them to go to, staff are leaving shifts demoralised and exhausted and most importantly our patients are not getting the care they deserve.

We need the public to know about this, not to scaremonger, but for the truth to be out there – as the only way to get politicans to change – is by voters knowing the reality and prioritising the NHS at the ballot box.

But without the public understanding what is going on, we will continue to have this crisis year after year after year. This is where we need your help. We need you to report the reality and not peddle the propaganda from our politicians.

The crisis is much worse than what you report. We all talk about the 4 hour target and that we get around 90%. But that includes all the patients who don’t need admission. But for the ones who need admission, the % who get admitted within 4 hours is so so so much lower than that. And for those patients, it is crucial for their well being, that they get admitted within four hours.

Why are you not asking for these figures? That would help reveal the truth.

Then you report 12 hour breaches. But in England (but not the rest of the UK) the clock starts ticking when a specialist senior has seen them. So they can be in A&E for 18 hours and not be a 12 hour breach.

Why are you not asking for the figures of patients who stay in A&E for more than 12 hours? That would help reveal the truth

And what about asking how many patients are spending time in corridors?

Because if you did reveal these figures – you would soon see the real extent of the crisis. And it is a crisis. One which will lead to a breaking point soon unless something changes.

The fault does not lie with the patients. Yes a few inappropriately attend – but they are not the problem; they can be quickly turned around and discharged.

The fault is not with the staff. They are working tirelessly and doing an amazing job despite the conditions they are working in.

The fault does not lie wth managers and hospital executives. They are working relentlessly to make things work as well as they can.

And despite what the governmnet peddle it certainly is not the fault of the GPs. Although there is falling numbers of GP surgeries, they are doing an amazing job at reducing the number of A&E attendances. Most importantly, the fault does not lie with the ‘system’ of the NHS – a model of care which utilities its resources to maximal effect.

The fault lies with the government.

Years of failed austerity depriving NHS and councils of vital monies and investment is taking its toll. A&Es are struggling because of the frail elderly who need a ward bed but cant get one.

They can’t get one because there are not enough beds within our hospitals (we have one of the smallest numbers of bed per capita in the whole of Europe) and because those that need to get out of hospital can’t because of a lack of social care.

In addition some money which has been spent on the NHS had been wasted on pointless reorganisations designed to start the process of NHS privatisation.

Please start reporting that. Please start reporting the truth. Please start reporting how close we are to melt down and please help get the public worked up about what is going on.

Because sadly our government don’t seem that bothered. They and their friends can afford private health care and therefore don’t rely on it. Even worse many would be happy to see our NHS privatised.

But for everyone else we need the NHS. The staff will battle on (and it is a battle at the moment). We will continue to do everything we can. We will continue to adapt, modernise and reform. We will continue to provide the most amazing possible care despite the conditions. But there is only so much our staff can take. And if we lose our staff we lose the NHS.

Journalists -we need your help. Please help.

And if you are not a journalist reading this, please share (publicly), or tweet it or send onto your friends in the hope that journalists will pick this up and start reporting the truth.

Rob Galloway A&E Consultant
@drrobgalloway

Rank and file Tories fear for the end of their party

This appears to be a legitimate Conservative party group whichis highly critical of attempt to de-democratise their party. The views are their ownand are shown verbatim:

From the blog of:
http://copov.blogspot.co.uk/2017/12/last-chance-to-save-conservative-party.html

CAMPAIGN FOR CONSERVATIVE DEMOCRACY
(COPOV: Conservative, One Person One Vote)

“Friday, December 15, 2017
Last Chance to save the Conservative Party

Changes to the Conservative Party Constitution
or
How to give more power to the hierarchy

At a meeting of the National Convention held on 25th November in Birmingham the following changes to the Conservative Party Constitution were discussed and passed to be formally proposed at the next National Convention meeting on 16th March 2018. About 100 members turned up on 25th November for this meeting out of the 1,000 members of the Convention. For only the second time in the last fifteen years ordinary Party members were excluded from the Convention even as observers.

If these rule changes go through you may as well bring down the final curtain on the Conservative Party and on it will the written:

The Tory Party. The End

1) “Constituency Associations” are abolished.

In future we will just have “Associations” which will consist of one or more Constituency Associations.

This is a sad day. For 150 years the Constituency Association has been the building block of the Conservative Party. No longer. This is the management of decline.

2) The Annual Meeting of the National Convention to be abolished.
Voting for Officers of the Convention will now be done “online”. Officers will give reports “online”

This means that there will be no hustings meeting at which the candidates will speak. It also means that there cannot be questions to the candidates. In the early days of the Convention a motion was passed calling for hustings at which the candidates were questioned. The motion was passed overwhelmingly. The Officers ignored it. Now there is no chance. Also no opportunity to question the Officers on their reports. This is North Korean style democracy.

Why don’t they just abolish the National Convention and have an Annual General Meeting to which every member is invited and at which the Party Chairman is elected by the members?

3) Selection of Candidates to be centrally controlled.

15 SELECTION OF CANDIDATES

15.1 The selection of all candidates, including Parliamentary, Police Commissioners, Elected Mayors and local government candidates shall follow a process in accordance with rules and guidance published from time to time by the Committee on Candidates of the Board of the Party (as established under Schedule 6 of the Party Constitution)

All further articles up to and including 15.2.5 to be removed

The entire section of the Constitution which spells out the way in which candidates are to be selected has been deleted. All selection will now be determined by the Committee on Candidates which will also determine the procedures for selecting candidates. So a small group of appointed people unaccountable to the membership will now determine all candidates. This small group of unaccountable people will effectively decide who shall become a Conservative Member of Parliament and from them who will be in Government. What happened to democracy? This is disgraceful. It shows complete contempt for the people. What have we come to?

By adopting this proposal the last vestiges of any rights for Party members has been eliminated. Now they have no rights at all!

4) Conservative Policy Forum
Under the existing Constitution:

65 The Board shall appoint a Director of the Conservative Policy Forum whose responsibilities shall include the formation of a structure to co-ordinate the activities of the Political Deputy Chairmen of the Area Management Executives and Constituency Associations.

This is to be replaced by:

65 The Board shall appoint a Director of the Conservative Policy Forum on the recommendation of the Chairman of the National Convention, whose responsibilities shall include co-ordinating the policy-related activities of the Associations and Area Management Executives.

Why should the Chairman of the National Convention recommend the Director of the Conservative Policy Forum – to increase his power or a nice bit of cronyism?

66.3 Three representatives elected by the Political Deputy Chairmen of the Area Management Executives in accordance with the provisions of Schedule 5 .
This provision of the Constitution was never adhered to so instead of enforcing it what did they do? Delete it! So now, every member of the Council of the Conservative Policy Forum is appointed. Jobs for the boys!

5) Area Councils
The Constitution states:

4 Any member of an Association within an Area may stand for election within that Area to the Area Management Executive provided they are proposed and seconded by members of an Area Council in the Area in which they are standing for election.

5 The election shall take place at the meeting of the Area Council. The election shall be by secret ballot. The Returning Officer shall be a member of the professional staff of the Party, nominated for the purpose by the Board.

The only problem is that there is no requirement for members to be told when the date of the meeting of the Area Council is or indeed who are members of it, so they have become self perpetuating oligarchies.

6) National Convention
The existing Constitution states that:

5 Any nominee for any such office or post referred to in Paragraph 2.2 herein shall have been a Member of the National Convention for not less than two years.

This is now replaced by:

5 Any nominee for any such office or post referred to in Paragraph 2.2 herein shall have been a Member of the National Convention for not less than the two years preceding the date of close of nominations.

So you cannot stand for office until you are in the third year as a member and are currently a member The effect of this is that none of the officers will have any long term historical knowledge of the workings of the Convention

6 Any nominee for the office of President shall have been an elected member of the Board for one year.

This is changed to:

6 Any nominee for the office of President shall have been an elected member of the Board for one year preceding the date of close of nominations.
Same comment as above

It is time for the Conservative Members of Parliament to stop being so supine and get off sitting on their hands and oppose these changes. If they don’t, then at the next General Election the only activists left in their constituencies will be themselves!
Posted by John Strafford at 9:32 AM”

http://copov.blogspot.co.uk/2017/12/last-chance-to-save-conservative-party.html

East Devon mentioned in corruption and bribery article in Sunday Times

See post below for the history of the mention of East Devon.

“Bricks, bribery and mortar — the flaw built into our planning rules

This newspaper’s exposure of a corruption scandal in London is just the tip of the iceberg, says Rohan Silva. Outmoded development laws allow crime to thrive.

Exactly seven years ago today, on December 17, 2010, a young man named Mohamed Bouazizi set himself on fire outside a government building in Tunisia, kicking off the Arab Spring that turned the geopolitics of the region on its head.

In the aftermath of the turmoil, the influential economist Hernando De Soto interviewed Bouazizi’s family — and the families of the dozens of other people who killed themselves in similar ways in countries from Saudi Arabia to Egypt.

De Soto wanted to find out why these young men and women had committed violent acts of self-immolation — and he concluded that every case had the same root cause: “Desperation over property.”

According to De Soto, the absence of enforceable property rights in Tunisia — and across the Arab world — meant people were at constant risk of their property being confiscated by the government, and made it almost impossible to escape poverty and build a better life for their families.

Here in the UK, we tend to think property rights are a developing-world issue — with our long history of land registration and ownership, it’s easy to assume everything is hunky-dory.

If only. Last weekend this newspaper published a damning exposé of corruption in east London, with a £2m bribe sought from a developer in exchange for the promise of permission to build a skyscraper, Alpha Square.

Off the back of this exemplary journalism, the National Crime Agency is investigating the incident. Hopefully the bent politicians and officials will be brought to justice.

But the depressing truth is that corruption is endemic in Britain’s bureaucratic planning system. In every corner of the country, you can find stories of bribery, with local councillors and officials rigging the planning process for their own gain.

Doncaster, Enfield, Greater Manchester, EAST DEVON — these are just a handful of the local authorities where corrupt practices have been discovered in planning departments. In other words, the corruption is systemic and it’s caused by the inadequacy of Britain’s property rights.

To understand why, we need to look back to 1947, when post-war socialist planning was all the rage, industries were being nationalised and the state was steadily gaining control of the “commanding heights” of the economy.

That year, the Town and Country Planning Act was introduced, giving the government the power to determine the direction of property development. This piece of legislation is the basis of today’s planning system — and it took land development rights away from property owners and gave them to the planning authorities. It was another form of nationalisation, in other words.

Ever since, when you buy a piece of land in the UK you receive its property title, but you have absolutely no idea what you’re allowed to build on it — that’s up to planning officials in the local council.

Given that the value of a property can increase by tens — or even hundreds — of millions of pounds depending on what the planners decide, the incentive for corruption among low-paid officials and councillors is overwhelming.

Unfortunately, the lack of clear property rights doesn’t only lead to corruption. It also slows down every aspect of the development process, creating a boon for expensive planning consultants and lawyers.

All this bureaucracy helps explain why too few houses have been built over many decades, with monumental social and economic consequences.

As Mark Littlewood of the Institute of Economic Affairs has pointed out, our outmoded planning system has artificially inflated property prices in the UK by as much as 41%, adding more than £3,000 to the average family’s annual rent or mortgage payments.

What’s more, our post-war planning system stifles innovation. Developers have to play it safe, putting forward generic projects designed to get through the bureaucracy, rather than delivering what consumers want.

As the architect Lord Rogers has asked, why should bureaucrats get to decide on aesthetics? It’s a recipe for the kind of soulless grey buildings you now find in every British city.

Corrupt practices. Market failure. Lack of innovation. These are just some of the consequences of our broken planning system — the last vestige of socialist command-and-control we have left in the UK. (Until Jeremy Corbyn gets elected, anyway.)

It doesn’t have to be like this. In US cities, when you buy a piece of land, it comes with property rights that tell you what you’re allowed to build on it and how much extra space you can add.

This is known as “by-right” planning permission — because you don’t need a bureaucratic process to tell you what you can do. You apply for planning permission only if you want to build more than you’re entitled to.

Now is the time to bring this approach to this country and clamp down on corruption. By strengthening the UK’s framework of property rights and dismantling the failed post-war planning system, we can cut red tape and stamp out bribery.

Thanks to this newspaper’s exposure of corrupt practices, change is surely coming. You might even call it a British Spring.

Rohan Silva”

Source: Sunday Times, paywall

The disgraced ex-EDDC Tory Councillor Graham Brown “If I can’t get planning, nobody will” scandal refuses to die

Remember the disgraced ex-Councilor Graham Brown scandal?

http://www.telegraph.co.uk/news/politics/9920971/If-I-cant-get-planning-nobody-will-says-Devon-councillor-and-planning-consultant.html

Well, it refuses to die.

The Sunday Times today (page 29, main paper) mentions it in passing in an article entitled “Bricks, Bribery and Planning – the flaw built into our planning rules” (full text to follow shortly).

“But the depressing truth is that corruption is endemic in Britain’s bureaucratic planning system. In every corner of the country, you can fund stories of bribery, with local councillors and officials rigging the planning system for their own gain.

Doncaster, Enfield, Greater Manchester, EAST DEVON – these are just a handful of local authorities where corrupt practices have been discovered in planning departments. In other words, the corruption is systemic and it’s caused by the inadequacy of Britain’s property rights”. …”

Brown, at various times, headed up the East Devon Business Forum, was also highly influential in the early stages of the Local Development Plan (which wasted two years or more mostly visiting big development sites owned by prominent businessmen and which had to be abandoned and re-started under the later chairmanship of Councillor Philip Skinner).

Brown held many other posts throughout his long career as an EDDC councillor, mostly related to planning, while running his local planning consultancy business – a fact of which other Tory majority party councillors and officers were very well aware, but did not perceive as not being a conflict of interest – until the Daily Telegraph sting.

His only censure was to be kicked out of his local Tory party – local police refused to be involved with an inquiry due to insufficient evidence. Were local planners and councillors – or even the Daily Telegraph or Anna Minton – asked for evidence? We have no idea.

Brown features (as does East Devon generally – a whole chapter) in the Anna Minton expose “ Scaring the Living Daylights Out of People: The Local Lobby and the Failure of Democracy” (Section 3: The Local Mafia: Conflicts of Interest in East Devon”) :

Click to access scaring-the-living-daylights-final.pdf

As a final insult to injury, after his departure from EDDC he attempted to get the agricultural tie lifted from the farmhouse in which he lived (which would have greatly increased its value by up to 40%) until a local investigation (led by East Devon Alliance) uncovered the fact that he had been receiving EU farming subsidies to the tune of at least £850,000 throughout the period he said he was no longer farming:

https://eastdevonwatch.org/2014/09/22/ex-councillor-browns-facts-disputed-2/

“Social care postcode gap widens for older people”: EDDC tries to claw back its mistakes too late

Last week, desperate Tories put a much-too-little! much-too-late motion to East Devon District Council:

“To ask the Leader of East Devon District Council to request Sarah Wollaston, Chair of the Parliamentary Health Select Committee, to investigate the effects on Rural Communities of the STP actions and to test if Rural Proofing Policies have been correctly applied to these decisions in order to protect these communities”

https://eastdevonwatch.org/2017/12/13/effect-of-sustainability-and-transformation-plans-on-rural-communities-east-devon-tories-miss-the-boat-then-moan-about-it/

As Owl noted at the time, this is somewhat rich, as their Leader, Paul Diviani, voted at Devon County Council AGAINST sending the document to the Secretary of State for Health (where this could have been highlighted in the covering submission) against the instructions of his EDDC Tory Councillors and never having consulted other Devon Tory councils he was supposed to represent. He was ably assisted in this by former EDDC Chairman Sarah Randall Johnson, who as Chair of the DCC committee, railroaded their choice of action by effectively silencing any opposition (EDW passim)

This led to the accelerated closure of community beds in Honiton and Seaton, following on from earlier closures in Axminster and Ottery St Mary.

A subsequent vote of “No Confidence” in Diviani at EDDC (brought by non-Tory councillors) was defeated by the very Tory councillors he had defied!

Now we read that “Social care postcode gap widens for older people” and that social care is breaking down in deprived areas – many of which are inevitably rural.

… The knock-on effects for the NHS see elderly patients end up in hospital unnecessarily after accidents at home, while they cannot be discharged unless they have adequate community care in place. Among men, 30% in the poorest third of households needed help with an activity of daily living (ADL), compared with 14% in the highest income group. Among women, the need for such help was 30% among the poorest third and 20% in the highest third.

There is a growing army of unpaid helpers, such as family and friends, propping up the system. Around two-thirds of adults aged 65 and over, who had received help for daily activities in the past month, had only received this from unpaid helpers, the figures revealed.

Spending on adult social care by local authorities fell from £18.4bn in 2009-10 to just under £17bn in 2015-16, according to the respected King’s Fund. It represents a real-terms cut of 8%. It estimates there will be an estimated social care funding gap of £2.1bn by 2019-20.

While an extra £2bn was provided for social care over two years, a huge gap remains after the latest budget failed to address the issue. Theresa May was forced to abandon plans to ask the elderly to help pay for social care through the value of their homes, after it was blamed for contributing to her disastrous election result. The government has promised to bring forward some new proposals by the summer, but many Tory MPs and Conservative-run councils are desperate for faster action.

Ministers have dropped plans to put a cap on care costs by 2020 – a measure proposed by Sir Andrew Dilnot’s review of social care and backed by David Cameron when he was prime minister.

Izzi Seccombe, the Tory chair of the Local Government Association’s community wellbeing board, said: “Social care need is greater in more deprived areas and this, in turn, places those councils under significant financial pressures. Allowing councils to increase council tax to pay for social care, while helpful in some areas, is of limited use in poorer areas because their weaker tax base means they are less able to raise funds.

“In more deprived areas there is also likely to be a higher number of people who rely on councils to pay for their care. This, in turn, puts even more pressure on the local authority.

“If we are to bridge the inequality gap in social care, we need long-term sustainable funding for the sector. It was hugely disappointing that the chancellor found money for the NHS but nothing for adult social care in the autumn budget. We estimate adult social care faces an annual funding gap of £2.3bn by 2020.”

Simon Bottery, from the King’s Fund, said: “We know that need will be higher in the most deprived areas – people get ill earlier and have higher levels of disability, and carry that through into social care need.

“We also know that the councils that have the greater need to spend are, on average, raising less money through the precept [earmarked for funding social care].”

https://www.theguardian.com/society/2017/dec/16/social-care-for-elderly-postcode-gap-grows

Accountable Care Organisations: angels or devils?

Owl says: if you believe that Accountable Care Organisations are a good thing you will believe anything. Back-door privatisation a la USA and a ruthless way of enforcing rationing and post code lotteries rather than proper funding.

“Accountable care organisations have many strengths but should be openly debated before being implemented.

The war over the future of the NHS is being fought on multiple fronts. Campaigners, the Labour party, the government, NHS England and even Stephen Hawking are locked in combat over the structure, funding, transparency, accountability and legality of the current wave of reforms, along with the never-ending fight about privatisation – real or imagined.

The famous physicist has joined campaigners in a high court bid to block the introduction of accountable care organisations to oversee local services without primary legislation, arguing they could lead to privatisation, rationing and charging.

Meanwhile, the shadow health secretary, Jon Ashworth, has tabled a Commons early day motion after the government announced plans to amend regulations to support the operation of accountable care organisations. Ashworth argues that they are a profound change to the NHS that should be debated in parliament.

Accountable care – a term imported from the US, where it plays a key role in Obamacare – can take many forms, but it typically involves an alliance of providers with a fixed budget collaborating to manage the health needs of their local population. NHS England wants to see sustainability and transformation partnerships (STPs) evolving into accountable care systems in which integrated care supports good physical and mental health.

In June, NHS England announced that eight areas would be leading the accountable care drive. Greater Manchester is also adopting this approach, and many others are starting to use the accountable care language.

Accountable care has the potential to address many of the criticisms the most vociferous supporters of the NHS have made for many years. It goes a long way to replace competition with collaboration, and the NHS England chief executive, Simon Stevens, said it could mark the end of the infamous purchaser/provider split, which weighs down the health service with costly and often pointless bureaucracy.

Locally led, integrated systems are essential if we are going to shift the NHS from a 1970s-style hospital service to one that provides a community-based health and wellbeing service. Pooling budgets across the local area is not a ruse to disguise cuts. It is the most effective way to manage public money, irrespective of the level of funding.

The court case confuses the issue of how the NHS is organised with its funding and the role of the private sector. These are three different issues.

But the legal basis for accountable care is shaky. Faced with the wreckage left by Andrew Lansley’s infamous 2012 reforms, NHS England introduced STPs because trying to plan services through more than 200 clinical commissioning groups was never going to work.

As demand climbed, funding flatlined in the aftermath of the 2008 crash and managing long-term conditions became the dominant challenge; it was imperative to move from competition to collaboration and set a long-term goal of population health management. That is where accountable care comes in.

STPs and accountable care are operating under legislation meant for clinical commissioning groups – so collaborative systems typically serving 1.2 million people in which local government and all parts of the NHS have a say are underpinned by a legal framework for GP-managed competition overseeing populations of 250,000.

This is such a precarious legal balancing act that the 2017 Conservative manifesto promised to tidy up the legislation and regulations. But introducing an NHS bill now would be political harakiri for Theresa May, and most health service staff would prefer legal ambiguity to yet another round of organisational upheaval that would inevitably follow legislation.

So the choice is to either continue to find legal bodges to allow the NHS to collaborate and plan or – if the high court challenge succeeds – to return to the Lansley dream-turned-nightmare of full-blooded competition.

But although the thinking behind the legal challenge is muddled, that campaign and Labour’s early day motion highlight the major problem: a profound change in the management and leadership of the NHS is being introduced without informed public and parliamentary discussion.

The new approach has many strengths, but introducing it under the radar only serves to feed anxieties and misconceptions about the objective. NHS England needs to get the discussion about accountable care out in the open.”

https://www.theguardian.com/healthcare-network/2017/dec/15/under-radar-nhs-reforms-fuelling-public-anxiety

Size DOES matter! Failing company kept on by government – because it is too big to fail!

“The government kept funding training company Learndirect despite it being judged ’inadequate’ because of fears over the loss of such a large provider.

That was the conclusion of a National Audit Office probe, released yesterday, into why Learndirect continued to receive substantial public money even after regulator Ofsted criticised its effectiveness.

The NAO’s report said that although the normal policy of the Education and Skills Funding Agency was to withdraw funding from providers rated as ‘inadequate’ by Ofsted, it “believed that the size of Learndirect Ltd made it an unusual case, to which special considerations should apply”.

It continued: “Specifically, ESFA concluded that continuing to fund Learndirect Ltd for the 2017-18 academic year would best meet the interests of learners, allowing the company to wind down and let learners complete their courses with minimal disruption.”

The NAO said it conducted the investigation because “Parliament and the media have questioned whether Learndirect Ltd’s performance was subject to proper scrutiny, and whether correct and timely decisions were made about its continued funding”.

Learndirect grew to be by far the largest provider of skills training, with some 70,000 people on its books.

In 2016-17, it received £121m worth of central government contracts.

Labour’s Meg Hillier, chair of the Public Accounts Committee, said the report showed: “The government backed itself into a corner by letting itself become dependent on Learndirect.

“At a time when many further education providers are struggling with funding restraint, it is disgraceful that the Department [of Education] should be continuing to spend millions of pounds of taxpayers’ money on an inadequate provider.

“I am concerned that it took Ofsted so long to investigate. It knew Learndirect was a risk from as early as Spring 2015, but the inspection took two years to arrive.”

The NAO said Ofsted inspected Learndirect in early 2017 and in March that year issued a ‘notice of serious breach’ of apprenticeships standards.

It said Ofsted identified factors contributing to its ‘inadequate’ rating including poor management of subcontractors’ performance and weak oversight of learners’ progress.

Ofsted also covered the Learndirect affair in its annual report this week.

This noted: “The case of Learndirect limited has shown that no provider is too big to fail.

“This raises a question for us and for government about failure in market regulation and whether incentives drive the right behaviour.”

It said the episode raised questions about when providers of any kind “grow too big, too fast”.

A Department for Education spokesperson said: “Our priority throughout has been the protection of learners and ensuring that they do not lose out – a point that has been acknowledged by the NAO.”

Ofsted, at the launch of its annual report, went on to warn that the new apprenticeship levy was “raising a very substantial amount of money to fund training, [which] carries the risk of attracting operators that are not committed to high-quality learning, as we saw, for example, with Train to Gain”.Learndirect has been approached for comment.”

“DAVID DAVIS WENT FOR DINNER WITH DAILY MAIL EDITOR AFTER BAILING EARLY ON FIRST ROUND OF BREXIT TALKS”

“Remember when David Davis ran out on the first round of Brexit negotiations after less than an hour? Now we know a bit about what he was doing instead.

The Brexit Secretary had declared it was “time to get down to business” ahead of the talks – but then skipped the majority of the discussions.

He turned up in Brussels at 8am on July 17, spent 15 minutes having a “friendly chat” with EU chief negotiator Michel Barnier and another 45 minutes in a meeting with their respective officials.

After being photographed without any papers and a quick press conference, he was on the Eurostar back to London.

A Government spokesperson told the media at the time that Davis had planned to leave early but denied that the decision was connected to a vote in Parliament.

So what did he get up to upon his return to London? Something more useful than dealing with the nitty gritty of Brexit negotiations?

Transparency documents published by DExEU last night offer us an interesting insight.

They show that on July 18 – while talks were still ongoing in Brussels – Davis had dinner with Daily Mail editor Paul Dacre. …

The Brexit Secretary only reappeared in Brussels when talks finished on July 20 for a press conference which didn’t go well.

Davis was criticised by Barnier over a “lack of clarity” in the Government’s position over the divorce bill.

That’s unsurprising given the extraordinary but real possibility that he may well have spent more time speaking to Dacre than Barnier about Brexit that week.

And it might also explain why, 18 months after the referendum, he’s only just made “sufficient progress” in negotiations.

Proud of yourself, Davis?”

https://politicalscrapbook.net/2017/12/david-davis-went-for-dinner-with-daily-mail-editor-after-bailing-early-on-first-round-of-brexit-talks/

Top ten government salaries in privatised rail industry

“The 10 highest-paid public servants in the country have been revealed – and every single one works in Britain’s widely-privatised rail industry.

Network Rail chief executive Mark Carne earns the most at up to £750,000 per year – almost five times more than Theresa May’s £150,000.

The head of HS2 Ltd, Mark Thurston, is in second place, earning as much as £605,000 while he maps out a multi-billion pound high-speed line.

Not one of the top 10 is a woman.

Cabinet Office figures show a total of 442 officials at government departments and quangos earn at least the same as Mrs May – up 14% in just one year.

This includes 70 who work for Network Rail, which is an “arms-length” public body, and 51 staff at HS2 Ltd, which is a firm funded by a government grant. Train firms are not on the list as they are private companies. …”

http://www.mirror.co.uk/news/politics/meet-britains-10-highest-paid-11702402

“£500,000 to get your first flat: A quarter of London homes bought by first-time buyers ‘worth half a million or more’ “

Remember, the “Help to Buy” scheme drops 20% of the purchase price of properties up to £600,000 into developers’ pockets and the government has just put an extra £10 billion into this scheme from other hoysing budgets.

The Help to Buy: Equity Loan can be used to purchase a new build property up to the value of £600,000, with a maximum equity loan of £120,000 (20%). In London, applicants are able to claim an equity loan up to 40% of the purchase price.

https://www.gov.uk/government/news/10-billion-new-funding-for-help-to-buy-equity-loan

“A record number of first time buyers must find at least £500,000 to get a foothold on the housing ladder in London, new research reveals today.

The dramatic surge in property values in the capital over the past decade is forcing young Londoners to raise vast sums that would have been unimaginable to their parents, it shows.

So far this year an unprecedented 25.9 per cent of the homes bought by debut buyers in London have been at or above the half a million pound mark, according to analysis of mortgage lending by agents Savills.

… The data, from trade body Finance UK, also shows that no mortgages at all were advanced to first time buyers for homes in the £125,000 to £175,000 bracket during the third quarter. It was the first time on record that this more affordable segment of the market has dried up altogether. …”

https://www.standard.co.uk/news/london/500000-to-get-your-first-flat-a-quarter-of-london-homes-bought-by-firsttime-buyers-worth-half-a-a3720361.html

That Persimmon boss £128 million bonus in perspective

“Wow! A bonus worth more than working since the building of Stonehenge for an average Briton…”

https://www.theguardian.com/business/2017/dec/15/persimmon-chair-resigns-chief-executive-obscene-bonus
(comment)

Buckfastleigh dissolves its planning committee – as district and county councils take no notice of its recommendations

Most districts are more likely to take the views of their local Tory association and/or Freemasons Lodges and/or developers than any of its town councils! Well done Buckfastleigh for recognising and admitting this.

“Town Council Dissolve Planning Committee

Yesterday (Wed 13th Dec 2017), at the Buckfastleigh Full Town Council meeting, The Council decided to dissolve it’s Planning Committee.

The Planning, Environment & Transport Committee, which evolved from the Planning Committee that was in place until 2015, has up till now examined and responded on every local planning application made to the Dartmoor National Park Authority (DNPA), Teignbridge District Council (TDC) or Devon County Council (DCC).

At the meeting we observed that as a Town Council we have in fact had no powers in terms of planning since 1974, when TDC took over most of the powers of the then Buckfastleigh Urban District Council, but that many local people still felt that we had some control over planning decisions. This has led to both misplaced hope that bringing a case to the Planning Committee will make a difference to their case and consequent blame when planning decisions go ahead regardless of their concerns.

It has been made quite clear in recent years that the carefully considered and well-informed responses to planning applications to DNPA, TDC and DCC have been ignored by their planning authorities in reaching decisions. In fact the Town Council has recently a formal complaint with DCC about it’s inability to enforce planning legislation and it’s misconduct in issuing planning notices in the case of Whitecleave Quarry.

Since the start of this council in May 2015, none of the responses submitted by the council in response to any major planning proposal in the parish has had an appreciable effect on the outcome. This includes the Town Council’s responses to the DNPA for piecemeal development of the Devonia site at the heart of the town which has now twice been given permission to demolish and build afresh. This despite the Buckfastleigh Neighbourhood Plan, initiated by the Town Council, which, after prolonged and detailed consultation with local residents, has recommended developing a Masterplan for the site which takes into account flood mitigation and coherent future mixed-use and also after assurances that DNPA would work ‘closely’ with us in future and that ‘mistakes’ had been made in the past.

We are quite sure too that our carefully expressed concerns about the upcoming plans for 80 plus new homes at Barn Park and Holne Rd (despite proven lack of local housing need), resulting in increased traffic/parking issues, flood risk and pressure on local amenities, will also be ignored by the DNP, who, in line with the the other authorities, seem always by default to find in favour of commercial developers whilst disregarding the needs of local residents.

We feel that by maintaining a ‘Planning’ committee, which is clearly impotent, we are misleading the public and misdirecting any concerns they have. We believe it would likely have more impact if all the individual councillors and members of the public made their own representations to planning authorities (although evidence is limited that this has any effect either!) and we don’t want to be duped into inadvertently acting as fodder for those authorities going through the motions of carrying out statutory consultative procedures, unless our opinion is actually given some weight.

We will continue to flag up any planning proposals that are likely to have a significant impact on the parish and fight for the interests of our constituents, but we will no longer formally meet as a planning committee to formulate our responses – these will come from full council. The current Planning, Environment & Transport committee will be dissolved and it’s members will meet to discuss any future remit.

Buckfastleigh Town Council”

“Persimmon chair resigns over chief executive’s ‘obscene’ £128m bonus”: “corporate looting”

£128m bonus =
427 homes at £300,000 or
512 at £250,000
– just saying …

The chair of Persimmon has resigned over his role in orchestrating a £128m bonus for the housebuilder’s chief executive, Jeff Fairburn, that will begin paying out on New Year’s Eve.

Nicholas Wrigley, the company’s chair and a former banker, said he regretted not capping the bonus scheme and was leaving “in recognition of this omission”.

The Guardian understands Wrigley had put pressure on Fairburn to donate some of his bonus to charity, although Persimmon declined to comment.

The bonus scheme – believed to be the most generous ever in the UK – is due to start paying out more than £800m to 150 senior staff on 31 December. The payouts are linked to the company’s stock market performance, which has been significantly boosted by the government’s help to buy scheme.

Persimmon’s share price has more than doubled since George Osborne introduced help to buy in 2013. About half of Persimmon homes sold last year were to help-to-buy recipients, meaning government money helped finance the sales.

The bonuses have been widely criticised by politicians, charities and corporate governance experts contacted by the Guardian this week. One expert described the bonuses as “corporate looting”, while another said directors had their “hands in an open cookie jar”.

Vince Cable, the leader of the Liberal Democrats, said the “scale of this bonus is obscene” and built on a “government subsidy”.

“It is reminiscent of the worst excesses of corporate greed that helped to create the financial crisis, when short-termism was heavily incentivised and long-term planning ignored,” he said.

“This is also a perverse situation where a corporate fortune has been built on what is essentially a government subsidy in help to buy. This situation shows just why help to buy is so flawed: it fuels demand rather than supply, putting house prices even further out of reach of young people, while adding zeros to the bank balances of housebuilding executives.”

Homeowners trapped by ‘fleecehold’ – the new cash cow for developers
Fairburn is due to collect the first £50m worth of bonus shares on 31 December. The scheme, which is based on the level of dividend returned to shareholders, was meant to take 10 years to pay out, but the company has accelerated dividend payments.

This means Fairburn, other executives and more than 100 middle managers are likely to collect all of the £800m worth of shares by July 2018, far ahead of the 2021 schedule.

The top three Persimmon bosses are due to collect more than £230m from the scheme, which was worth 9% of the entire company when it was created.

John Hunter, the chair of the UK Shareholder Association, which represents small investors, said the bonus scheme was “completely ridiculous” and was based solely on the dividend payments.

“Any bloody fool can pay dividends – it’s just paying them their own money. The scheme is doing the opposite of what it is meant to do – incentive performance and retention,” Hunter said.

“How does this incentive people when they’re all sitting on fortunes? If you’re a manager and you’re getting millions you’d retire on the spot.”

Hunter said Persimmon defends the scheme, which was approved by 85% of investors in 2012, as a reflection of the company’s strong performance and the billions of pounds it has returned to investors through dividends.

“It has done brilliantly well – with our money,” he said. “Help to buy has been almost a license to print money – our money. These bonuses are being subsided by us. All building companies have made a lot of money from help to buy, a government subsidy. We, the voters, have subsidised these payments to directors.”

He added: “I don’t blame directors for putting their hands in an open cookie jar – they are only human. The question here is how this scheme ever got approved.”

Jonathan Davie, Persimmon’s senior independent director and chair of the renumeration committee, which sets company pay, also resigned on Thursday.

“Nicholas and Jonathan recognise that the 2012 LTIP [long-term incentive plan] could have included a cap,” the company said in a statement. “In recognition of this omission, they have therefore tendered their resignations.”

Davie resigned with immediate effect. Wrigley will stay on until his successor has been appointed. …”

Honiton Health Matters: a conversation with stakeholders 18 January 2018 9.30-13.30

What an excellent idea! Something for other towns to copy.

“Honiton’s Health Matters – Going Forward Together
Thursday 18th January 2018,
Beehive Main Hall,
9.30 for 10am start – 1.30pm

Book a place here:
https://docs.google.com/forms/d/e/1FAIpQLSeJj_8YEemYo6ktVy7VQz1kZSiVHpMPbpqOoZrH2M3IIOQkQQ/viewform?usp=send_form

Context: This event is the start of a community conversation with key stakeholder organisations around the future health and wellbeing of residents in response to the new landscape affecting Honiton and its environs as a result of NHS and Government policies advocating placed-based health provision and cross-sector collaborative working.

The aim: To discuss what we know, where there are gaps/challenges and how, as a community we will address these to ensure collaborative approaches to co-design and co-produce local health services/activities that meet the needs of all the people in our communities.

Invitees: Management and senior level employees / volunteers / trustees across the public, private, community, voluntary and social enterprise sector.

Speakers:
Ø Professor Em Wilkinson-Brice – Deputy Chief Executive / Chief Nurse RD&E
Ø Dr Simon Kerr – Chair, Eastern Locality New Devon CCG
Ø Julia Cutforth – Community Services Manager, Honiton and Ottery St Mary
Ø Ways2Wellbeing – Social Prescribing, Speaker to be confirmed
Ø Charlotte Hanson – Chief Officer, Action East Devon
Ø Heather Penwarden- Chair, Honiton Hospital League of Friends

Organised by Action East Devon.

Local Enterprise Partnerships: The buck should stop at Devon and Somerset County councils

As it stands, those councils could not even veto or scrutinise a 26% salary increase which went through on the nod by the LEP this year! So, don’t hold your breath (especially as many councillors have close affinities with many other LEP board members).

Be thankful for small mercies that the scrutiny is at county level where there is a better representation of parties. Though, of course, the scrutiny can only be as good and as fair as its chairman, as we have found to our cost with DCC Health Scrutiny Committee!

“In light of our concerns regarding public oversight of LEPs, we call on the Government to make clear how these organisations are to have democratic, and publicly visible, oversight.

We recommend that upper tier councils, and combined authorities where appropriate, should be able to monitor the performance and effectiveness of LEPs through their scrutiny committees. In line with other public bodies, scrutiny committees should be able to require LEPs to provide information and attend committee meetings as required.”

Click to access 369.pdf

How to stop developers using the “viability assessment” loophole to avoid building affordable housing

Excellent report on the current disgraceful situation and what needs to be done about it. Part of the conclusion of the 38 page report of November 2017 which should be required reading for all council planning officers:

“… On its own, Section 106 will never meet the country’s need for new affordable housing supply. But the current use and abuse of viability assessments means that we are getting less affordable housing out of private developments than we were before and during the crash, and certainly less than we could.

Flexibility in the viability system has driven down affordable housing provision at the expense of land price inflation, essentially making development more expensive.

By amending the National Planning Policy Framework and National Planning Practice Guidance to close the viability loophole, we can maximise developer contributions to affordable housing, with knock-on positive effects for overall housing supply, build out rates and community support for new housing.

The government is already consulting on the changes needed to turn affordable housing policies into cast iron pledges. It is now vital that they follow through on these plans.”

Click to access 2017.11.01_Slipping_through_the_loophole.pdf