Privatisation: water company fat cats

“The bosses of England’s privatised water companies have been criticised for banking £58m in pay and benefits over the last five years while customers have been faced with above-inflation rises in their water bills.

The GMB union said the chief executives of England’s nine water and sewage companies were “fat cats” earning “staggering sums” from the management of a natural resource. …

Household water bills have risen by 40% above inflation since the industry was privatised in 1989, according to a National Audit Office report. The average bill this year will be £405, a 2% increase on last year, according to Water UK, the trade body that represents water and sewerage companies. …

Anglian Water and Southern Water paid no corporation tax last year, while Thames Water “has paid no corporation tax for a decade”. …

Liv Garfield, the chief executive of Severn Trent, was paid £2.45m last year, making her the UK’s best-paid water company boss. Garfield took home a salary of £674,000, a £615,000 bonus, and long-term incentive shares worth £975,000, a pension contribution of £168,000 and other benefits worth £18,000. …”

https://www.theguardian.com/business/2018/jun/05/water-companies-pay-national-scandal-gmb-union-says

“Two Dorset councils take out [allegedly] ‘fraudulent’ high-risk loans worth over £120m”

“Campaign group Debt Resistance UK revealed that Dorset County Council and Weymouth and Portland Borough Council have taken out £123m of Lender Option Borrower Option loans (LOBOs) in an effort to reduce their debts.
Dorset County Council took out £95.9m, while Weymouth and Portland Borough Council took £27m at the end of the 2015-16 financial year.
The LOBOs, which were uncovered on Channel 4’s Dispatches documentary series, allow private banks to propose or impose a new fixed rate on a pre-determined future start date.

This means that the borrowing party can either accept the new interest rate or repay the entire loan, paying a ‘breakage penalty’—the fee a client must pay its lender to break from the contract— incurring further costs on the local authority.

Last month the Chartered Institute of Public Finance and Accountancy (CIPFA) urged local councils to review their LOBO loans after auditing firms expressed concern at their impact on local authorities’ accounts. Channel 4’s Dispatches found that over 200 authorities had used the loans, totalling up to £15bn.

Cllr John Whitworth, chair of the Newham Council Scrutiny Committee, labelled the LOBO loans a “fraud on the people,” arguing that many local authorities took out the loans when they were struggling financially during the economic downturn in 2008. He added that the loans became “a very serious handicap” on councils dealing with austerity in later years.

Debt Resistance UK campaigner Joel Benjamin noted: “it is always cheaper for government to borrow than banks, and that PFI and by extension LOBO loans are therefore a fraud.”

Last week a merger between all nine Dorset councils was approved, creating the formation of Christchurch and Poole Council and Dorset Council. The deal is expected to deliver £6m in savings.”

http://www.publicsectorexecutive.com/Public-Sector-News/two-dorset-councils-take-out-fraudulent-high-risk-loans-worth-over-120m

Young people stuck in low-paid, insecure jobs

And that’s why “great employment figures” are not to be trusted.

“… The number of 21- to 30-year-olds working in precarious, often low-paid work has exploded, according to the report. In that 20-year period, numbers of young people working in private social care has increased by 104%, while in hotels and restaurants the figure is 80%. The generational pay gap has increased in real terms from £3,140 in 1998 to £5,884 in 2017 for someone working a 40-hour week. …”

https://www.theguardian.com/politics/2018/jun/04/growing-gulf-between-pay-of-younger-and-older-people-says-tuc

How to buy British nationality

Just be rich … doesn’t matter how you got rich, just have the moolah!

https://www.theguardian.com/world/2018/jun/02/citizenship-by-investment-passport-super-rich-nationality

A surgeon speaks on community hospitals and NHS privatisation

David Halpin FELLOW OF THE ROYAL COLLEGE OF SURGEONS knows what is needed – see his letter………

LETTER sent by DAVID HALPIN FRCS to the WESTERN MORNING NEWS

Dear Letters Editor, 25th April 2018

I reply to the letter from B Gelder (WMN April 23rd) entitled ‘Cottage Hospitals ease strain on the NHS.’ I have written before on this vital subject and listed their functions.

Recovery from serious illness or major operations requires loving and professional care, good nutrition and sound sleep. These were provided in good Community Hospitals. The last thing patients might get in the District General Hospital is a good night’s sleep. The noise, the moving of beds and the distress of disorientated patients do not allow sleep.

This retreat, supposedly for economy, from past high standards is part of what I call the ‘atomising’ of all that we hold dear. The dogmas of capitalism win out all the time. ‘Private good, public bad’. So with the privatisation of OUR railways under the Major government, the wheels were stupidly separated from the tracks to meet EU competition rules. There are about 3000 separate contractors working on the permanent way. There are probably more ‘contractors’ working in OUR NHS.

This is a sign of these shabby and confused times. Walking to Paddington Station past St Mary’s Hospital where I qualified as a doctor in 1964, I saw an ambulance – ‘NHS working in partnership with DHL.’

I understand that Teignmouth Community Hospital is likely to be closed completely. That catch phrase ‘not fit for purpose’ is being applied – ‘going forward’. The Philistines who order this will know that the original hospital was bombed by the Luftwaffe. Seven patients and three nurses were killed. They do not ‘remember them’. The first hospital to be built by the NHS, when the UK was on its uppers, was Teignmouth Hospital. Patients were treated for acute illness there by good GPs, nurses and physiotherapists, and others taken for further care from the big hospitals. It is being bombed again.

When this good hospital, with its views over Lyme Bay, becomes a 5 storey block of ‘luxury’ flats and second homes, the capital from the sale of the site will disappear in a puff of smoke. Taxpayers money is being burned in the NHS. The non-clinical staff in one Devon hospital now outnumber the clinical staff – nurses, physios, doctors etc. Watch BBC’s ‘Hospital’ from Nottingham as a quart fails to be squeezed into a pint pot. The proliferation of managerial personnel with unusual titles is excruciating and the distress of patients likewise.”

Councils’ end-of-year accounts – the effects of austerity on the accounting function

[The bold highlighted sections are those of Owl]:

“Under the Accounts and Audit Regulations 2015, English local authorities are expected to have their 2017–18 statement of accounts prepared, audited and published by 31 July, a reduction of two months (33%) on previous years.

Changes are obviously being implemented in different ways at different authorities, but some common themes and early learning is starting to emerge.

These can be summed up under four separate headings: Leadership, process, capacity and co-operation, and external audit.

Leadership

If year-end closedown is not seen as a priority by senior management, either the deadlines will not be achieved or the quality of the end-product will suffer. The statement of accounts should be seen as a corporate priority, because it explains how the authority has spent taxpayers money.

Successful section 151 officers “walk the talk” by:

Allowing key staff to focus on closure and not distracting them with other tasks in this important period.

Leading, not just attending, meetings to plan closedown work and monitor progress made to date.

Providing strategic direction on complex and potentially contentious accounting issues.

Fostering good working relationships with the external auditors at director/audit manager level — this pays dividends when unexpected problems crop up late in the day.

Process

First of all, start early. Prior year comparatives, accounting policies, and around half of all disclosure notes can all be drafted and audited well in advance of the year end. Secondly, avoid unnecessary effort by taking the following steps:

Keep journal postings up to date, clear suspense accounts regularly and reconcile bank accounts and feeder systems monthly.

Use estimation techniques to simplify accruals, provisions, overhead re-allocations and similar calculations.

Apply materiality levels and de-minimis thresholds intelligently to avoid unnecessary work and to “de-clutter” core statements and disclosure notes.
Capacity

Following eight years of austerity many back-office services in local government are running at not much more than minimum staffing levels and have insufficient headroom to deal with the additional workload year-end closure represents.

Take a pragmatic approach to staffing needs and recruit accordingly.

Increasingly, local authorities are buying-in short-term capacity to provide specialist skills or improve team resilience.

An alternative approach is using existing resources more flexibly. Some year-end tasks are complex, but many disclosure notes can be prepared by anyone with basic numeracy and spreadsheet skills.

Managing a cast of thousands does take time initially but this reduces as they gain confidence, and most employees will welcome the opportunity to try something new.

All finance staff, including budget holders and treasury management teams, should expect to be involved in closedown.

Co-operation with external audit

Spare a thought for the auditors. Practitioners, in most cases, will only have one set of accounts to worry about, whereas an external audit team might have five or six.

Inevitably, clients who provide good quality raw material and respond quickly to audit queries are expecting to receive earlier certificates and opinions. Auditors also seem to be trying to save time by looking to clients to provide audit evidence and accounting views that they might previously have obtained for themselves, or referred back to specialist technical teams.

Working pro-actively with the local audit team to resolve outstanding issues and avoid unnecessary delays, will be key to meeting the new deadlines this year so I suggest the following:

Operate a no surprises policy: Hold early meetings to discuss complex or contentious issues and any proposed changes to the accounts, working papers or key personnel.

Document the basis of any judgements exercised and assumptions made when preparing the accounts, and the rationale for any changes in accounting policies.

Be prepared to draft, at short notice, briefing notes on any technical issues arising. This forces you to understand the technicalities and provides the auditor with a much clearer answer to the question being raised.

Provide a range of calculations for estimated accruals and provisions so that auditors can confirm these represent the average, or most likely outcome.

Evidence all quality assurance and review processes undertaken at pre-audit stage so that auditors can rely on this work to reduce their own levels of testing.

Prepare comprehensive working papers that provide a clear audit trail and demonstrate that key code requirements have been met.

And finally, don’t forget to manage the on-site audit process. Nominate a key contact point who will take on responsibility for ensuring that audit queries and requests for further information are dealt with promptly (and comprehensively) and that changes to the accounts are processed as agreed.

Peter Worth
director at Worth Technical Accounting Solutions.”

“Devon County Councillors have just given themselves a 15 per cent pay rise”

“Devon County Councillors have voted to give themselves an immediate 15 per cent hike in their allowances.

The independent remuneration panel had recommended that a rise from the current figure of £10,970 to £12,607 to be implemented by the council.

No rise in allowances for members has taken place in the last nine years.

The allowance for the leader of the council will go up from £25,000 to £31,518. …

The leader of the council, Cllr John Hart said that since the Conservatives had come to power in 2009, over a million pounds had been saved already as they had reduced the number of committee places and that there had been report after report from the independent remuneration panel recommending this.

He said: “This report came to us in 2016 and we all bottled it and didn’t recommended putting it up before the election in 2017. But this is the time to do it and link any future raise in allowance to raises in staff pay.”

Leader of the Liberal Democrat Group, Cllr Alan Connett, said that no-one disagreed with the proposals but the money for this wasn’t in the budget and that by putting up allowances straight away, it won’t change a thing in terms of how diverse the council will be. …

… Of the 60 current county councillors, 52 of them are over the age of the 50, and 15 are aged more than 70. There are just three councillors who are younger than 40 and none under the age of 30.”

https://www.devonlive.com/news/devon-news/devon-county-councillors-just-given-1609558

OFSTED too poor to inspect failing schools adequately

“The schools watchdog has failed to hit targets while suffering “constants cuts” to its budget for more than a decade, the National Audit Office has said.

The full spend on inspecting the schools sector in 2017-18 has fallen in real terms by 52% compared to 1999-2000 – from £125m to £60m, the public spending watchdog highlighted in a report released yesterday.

Ofsted had failed to meet its statutory target to re-inspect schools graded ‘inadequate’ in 6% (78) of cases between 2012-13 and 2016-17.

It also did not meet its statutory target to re-inspect schools within five years in 43 cases between 2012-13 and 2016-17, mainly due to it categorising 32 schools as new when they were expanded or amalgamated, the NAO publication showed.

Amyas Morse, head of the NAO, said: “The fact that Ofsted has been subject to constant cuts over more than a decade, and regular shifts in focus, speaks volumes.

“The department [for education] needs to be mindful that cheaper inspection is not necessarily better inspection. ”

He added: “To demonstrate its commitment, the department needs a clear vision for school inspection and to resource it accordingly.”

Cuts have occurred while Ofsted has been handed new responsibilities, including evaluating children’s social care, early years and childcare, the public spending watchdog noted.

The NAO highlighted a high level of turnover- 19% in 2017/18 – of HM Inspectors, who cited workload pressures as a key reason for leaving.

A lack of inspectors has meant that Ofsted has “found it difficult to meet inspection targets,” according to the NAO report.

Under current legislation, schools graded as ‘outstanding’ are exempt from routine re-inspection, meaning that at August 2017 1,620 schools had not been inspected for six years or more.

Of these, 296 schools had not been inspected for ten years or more.

The NAO estimated the cost of inspection per school in 2017-18 was £7,200.

Amanda Spielman, Her Majesty’s chief inspector, said: “Like much of the public sector, we are operating in a difficult financial climate.

“We have had to make tough decisions about how we prioritise resources. I am confident that Ofsted gets the balance right.”

She added: “The NAO’s conclusion that we cannot prove the value for money we represent is explicitly not the same as demonstrating that we do not provide value.”

In 2017-18, Ofsted spent £44m on inspecting state-funded schools. ”

https://www.publicfinance.co.uk/news/2018/05/schools-watchdog-under-funding-pressure-struggles-hit-targets

Is one Devon unitary council being created by stealth?

DCC Leader John Hart said on Spotlight this evening, that the reason Devon isn’t going for unitisation is that the government usually insists on 0.5m population for a unitary council and so Devon would need 2 unitary councils and, whichever way you cut it, that would result in one rich council and one poor council. (Presumably he means a north/south divide or east/west).

(No worries, Mr Hart, ALL councilswill be very poor, very soon!)

BUT WAIT! Isn’t “Greater Exeter” coming in close to 500,000 population?

Exeter – approx 120,000
Mid Devon – approx 80,000
Teignbridge – approx 125,000
East Devon – approx 140,000

YES – it is big enough to be unitary and is developing an over-arching “Strategic Plan”.

Are we getting a “Greater Exeter” unitary council by stealth?

[Somerset] “Tory council at risk of bankruptcy calls for funding system fix”

Owl says: “Hissing” in the wind! Our unelected and unaccountable Local Enterprise Partnership now controls the vast amount of money in both counties!

“A Tory-controlled local authority has called on ministers to fix a “broken” system of council funding after it emerged its deteriorating finances mean it is at serious risk of going bust.

Somerset county council has been told that large overspends on children’s social services, coupled with reduced government funding and the erosion of its reserves, have left its finances “in a very challenging position”.

A formal peer review says any failure to meet its ambitious financial savings targets for the current year would leave the council at risk of being unable to set a balanced budget within months – in effect leaving it at risk of insolvency.

The county, which has already announced unpopular plans to close two-thirds of its Sure Start children’s centres, more than half of its libraries and make big reductions to its learning disability services, must now find further cuts.

There has been heightened concern over the sustainability of local authority finances since Northamptonshire county council declared effective bankruptcy in February. It was subsequently taken over by government commissioners.

A spokesperson for Somerset county council said: “There are clearly pressures on our budgets, as there is on local authority budgets up and down the country as government funding falls and demand grows.

“The recent peer review report found many positives and areas of success. It also concluded that we understand the financial challenges we face and that we can meet them.

“We believe the system by which local government is funded is broken and call on the government to address this as a priority as part of its fair funding review [of local government finance].”

Somerset says it is confident that it will not follow Northamptonshire into insolvency. Despite serious challenges – including a target of £17m in cuts for children’s social care this year – it says it is committed to meeting savings targets.

But the review makes it clear that the county has struggled to deliver planned savings for two years, and has been reliant on reserves to patch up its budgets. “For the last two years only 65% of agreed savings have been delivered and whilst there may be specific reasons for this, this level of delivery is simply unsustainable in the future.”

Somerset, which has an annual budget of around £316m, has made around £130m of savings since 2010. It believes the forthcoming green paper into social care funding and the fair funding review hold the key to its survival.

The National Audit Office warned this year that several councils were using up “rainy day” reserves to prop up services. It estimated up to 15 councils are at risk of going bust when their reserves are exhausted.

Jane Lock, the leader of Somerset’s opposition Liberal Democrat group, blamed the council’s predicament on its decision to freeze council tax for six years after 2010, despite swingeing national cuts in funding, and at a time when austerity measures were increasing demand on services.

She said: “The reason Somerset has got to here is quite simply the political ideology that they would refuse to put up council tax. That’s left a £26m hole in the budget.”

Simon Edwards, the director of the County Councils Network, said: “County authorities face a toxic cocktail of having rising demand for services, being the lowest funded upper-tier councils, and the impact of having the sharpest reductions in government funding by the end of the decade.”

He added: “With demand continuing to rise amid funding reductions, the reality is that councils of all sizes and colours will face similar situations in the future, unless a sustainable solution is found by government.”

https://www.theguardian.com/society/2018/may/18/tory-council-at-risk-of-bankruptcy-slams-broken-funding-system

New EDDC Leader a ‘solution finder’ says another obsequious Tory Councillor

Owl says: Ah, Mark Williamson – how little you understand about your own council! What it REALLY needs is a leader who makes sure the problems don’t occur in the first place! Not one who has to get into the deep holes that have already been dug for him by his own party!

“East Devon District Council’s new leader has been described as a “solution finder” by a fellow councillor.

Councillor Ian Thomas was unanimously elected to become the new leader of the council at the annual council meeting last night.

The Conservative, who has represented Trinity Ward since 2009 and is a director of the Exeter Science Park Company, replaces Councillor Paul Diviani, who announced that he would be stepping down from his post earlier this year.

We all know that the next ten years will be the most difficult and challenging for local government, and we need someone with financial acumen and creativity to lead us, and in his business career, he has demonstrated that each day. He is a solution finder, and that is exactly what we need now and for the forthcoming year.”
Councillor Mark Williamson”

http://www.bbc.co.uk/news/live/uk-england-devon-44037998

“NHS England and Capita misunderstood the risks in outsourcing primary care support services …” says hard-hitting report

Summary:

NHS England and Capita misunderstood the risks in outsourcing primary care support services resulting in services to 39,000 GPs, dentists, opticians and pharmacists that were a long way below an acceptable standard. Capita’s performance against the contract has improved but widespread failures are still being experienced by primary care practitioners, says today’s report by the National Audit Office (NAO).

In August 2015, NHS England entered into a seven-year, £330 million contract with Capita to deliver primary care support services. NHS England aimed to reduce its costs by 35% from the first year of the contract and provide a high-quality and standardised service. Capita expected to make a loss of £64 million in the first two years of the contract, which it planned to recoup in later years.

NHS England’s decision to contract with Capita both to run existing services but also simultaneously to transform those services, was high risk. Capita was incentivised through the contract to close existing services to minimise its losses but the interaction between running, closing and transforming services was more complex than Capita or NHS England had anticipated.

Performance issues emerged in 2016 shortly after Capita started closing primary care support offices and making other changes to the service. Capita acknowledges that it made performance issues worse by continuing to close support offices in summer 2016 even though it was aware the customer service centre was struggling to meet demand at that time. NHS England was contractually unable to stop Capita’s aggressive office closure programme, even though it was having a harmful impact on service delivery.

Failure to deliver key aspects of the end-to-end service, delivered by Capita and other organisations, impacted primary care services and, potentially, put patients at risk of serious harm. For example, 87 women were notified incorrectly that they were no longer part of the cervical screening programme; processing issues led to an estimated 1,000 GPs, dentists and opticians being delayed from working with patients and some of these practitioners lost earnings. No actual harm to patients has been identified.

Users continue to experience poor delivery with seven severe service failures in February 2018. A number of organisations have contributed to underperformance as Capita relies on other organisations to provide some services.

NHS England has made savings, in line with expectations, of £60 million in the first two years of the contract, as the financial risk of increased costs sits with Capita who have made a £125 million loss over this period. To date, NHS England has deducted £5.3 million from payments to Capita as penalties for poor performance but it expects it may have to pay up to £3 million in compensation to primary care providers.

NHS England has not yet secured all the benefits it wanted to achieve as Capita’s transformation programme was halted while it focused on operational issues. NHS England remain concerned about three of the services – the national performers lists, payments to opticians and GP payments and pensions but recognises that some of the issues with them pre-date the contract with Capita.

Two and a half years into the contract basic principles are still not agreed, which limits NHS England’s ability to hold Capita to account. NHS England and Capita have still not agreed how to calculate 11 performance measures, and how these data should be used to calculate payments owed to Capita for delivering the services.

The NAO recommends that NHS England should determine whether all current services within the contract are best delivered through that contract or be should taken in-house by NHS England.

“Neither NHS England nor Capita fully understood the complexity and variation of the services being outsourced. As a result, both parties misjudged the scale and nature of the risk in outsourcing these services. “While NHS England has achieved financial savings and some services have now improved, value for money is about more than just cost reduction. It is deeply unsatisfactory that, two and a half years into the contract, NHS England and Capita have not yet reached the level of partnership working required to make a contract like this work effectively.”

Amyas Morse, the head of the NAO, 17 May 2018″

https://www.nao.org.uk/press-release/nhs-englands-management-of-the-primary-care-support-services-contract-with-capita/

Full report here:

CCG somewhat opaque on future of Honiton and Seaton hospital closures

Owl says: This is the sort of Press Release the CCG excels at. Telling us what the situation is at present but giving no guarantees that there will not be future cuts to current services (some of which, such as dermatology in Seaton, have already been closed.

Owl would also like to know how many of the extra 20,000 deaths noted in the first quarter of this year were in East Devon.

From EDA DCC Councillor Martin Shaw:

“NEW Devon CCG have issued the attached statement criticising ‘inaccurate information’ about Honiton and Seaton hospitals, after Dr Simon Kerr, Chair of the CCG’s Eastern Locality, was credibly reported as saying that these two hsopitals are ‘at risk’ in their Local Estates Strategy due this summer.

I welcome the CCG’s statement that it has no plans to close either hospital. However it has not denied that Dr Kerr said that they were at risk.

The CCG could end this controversy today if it gave an unequivocal assurance that both hospitals will continue for the foreseeable future with the present or enhanced levels of service. People in Honiton and Seaton were badly let down by the CCG over hospital beds and they won’t trust them now without a clear statement that our hospitals are safe in the coming Local Estates Strategy.”

The statement from the CCG reads:

“There have been reports today that the future of Honiton and Seaton Hospitals is under question.

NHS Northern, Eastern and Western Devon Clinical Commissioning Group wishes to make clear that there are no plans to close Honiton and Seaton hospitals.

In March 2017, the Governing Body of NHS Northern, Eastern and Western Devon Clinical Commissioning voted to implement a number of changes following a 13 week public consultation. This included the decision to close inpatient beds at both Honiton and Seaton hospitals.

Beds were closed in both hospitals in August 2017 as more care was introduced to look after people at home. Both hospitals are still open, thriving buildings providing more than 50 day services and clinics combined.”

“NHS has lost 1,000 GPs since Jeremy Hunt set workforce target”

Pulse is the newsletter for GPs:

“The GP workforce in England is continuing to decline, as official statistics reveal that 316 full-time equivalent GPs have left the profession in the last three months.

The figures released by NHS Digital today also reveal that the number of FTE GPs in the workforce has decreased more than 1,000 since September 2015 – when health secretary Jeremy Hunt announced he would increase the number of FTE GPs in England by 5,000.

NHS England is recruiting from overseas in a bid to boost GP numbers, but Pulse revealed last month that they had only managed to recruit 85 by April – despite originally touting the figure of 600.

The latest statistics show that in the last three months, the workforce has fallen from 33,890 FTE GPs in December 2017 to 33,574 as of 31 March 2018.

Meanwhile, the workforce is 1,018 GPs worse off than it was in September 2015.

This is despite the success of NHS England’s induction and refresher scheme, which has tempted 546 GPs back into the workforce since its launch in 2015.

The news comes as a Pulse investigation, published earlier this month, showed a steep rise in the number of GPs claiming their pension early. Since 2013, almost 3,000 GPs have claimed their pension before the age of 60.

The BMA has previously warned the Government that continued sub-inflation uplifts to GP pay is going to further exacerbate GP workforce shortages, having asked the independent review body on doctor’s pay to recommend a 2% uplift for 2018/19.

Dr Richard Vautrey, chair of the BMA’s GP Committee, said the latest workforce statistics are ‘extremely concerning’.

He said: ‘It’s more than two and a half years since the health secretary promised to recruit 5,000 more GPs before 2020, and these figures are a damning progress report. With less than two years until this target date, the trend is clearly going the other way and it’s a sign that a step change in action needs to be taken.

‘As GPs struggle with rising demand, increasing workloads and burdensome admin, and are expected to do so with insufficient resources, it’s no surprise that talented doctors are leaving the profession and although the number of GP training places have increased, this is not enough to address the dire recruitment and retention crisis.’

RCGP chair Professor Helen Stokes-Lampard said: ‘These figures are yet another hammer blow for family doctors, for whom going the extra mile is now the norm, and for our patients. The stark truth is that we are losing GPs at an alarming rate at a time when we need thousands more to deliver the care our patients need, and keep our profession, and the wider NHS, sustainable.

‘It is clear that substantial efforts to increase the GP workforce in England are falling short – and we need urgent action to address this. We have made great strides over the past couple of years encouraging more medical students and foundation doctors to choose general practice, but these efforts will be futile, if more GPs are leaving the profession than entering it.’

She said this comes as ‘GP workload is escalating, both in volume and complexity, and the hardworking GPs we do have are burning out as we try to cope without the resources and support we need’.

‘Longer and longer days in clinic is what our members are telling us they face when they come to work in the morning, exacerbated by a mountain of bureaucracy and paperwork. This isn’t safe for GPs, our teams, or our patients, and if it isn’t tackled GPs will continue to leave the profession early, and new GPs will be put off from joining,’ she added.

Labour’s shadow health secretary Jonathan Ashworth said the data marked ‘yet another broken promise on NHS staffing from ministers’.

‘It’s an embarrassing failure for the secretary of state that far from delivering the extra GPs primary care desperately need, there are now 1,000 fewer family doctors than in 2015.

‘The truth is that the Tories have failed to bring forward a sustainable long term plan for the NHS. The consequence is the biggest financial squeeze in its 70-year history and a failure to recruit the frontline doctors and nurses we need to care for patients.’

A department of health and social care spokesperson said: ‘We are committed to meeting our objective of recruiting an extra 5,000 GPs by 2020. This is an ambitious target and shows our commitment to growing a strong and sustainable general practice for the future.

‘More than 3,000 GPs have entered training this year, 1,500 new medical school places are being made available by 2019 and NHS England plans to recruit an extra 2,000 overseas doctors in the next three years.’

http://www.pulsetoday.co.uk/news/gp-topics/employment/nhs-has-lost-1000-gps-since-hunt-set-workforce-target/20036703.article

Claire Wright responds on threat to close Honiton and Seaton hospital day services

“Seaton and Honiton Hospitals may be at risk, local GP and chair of the NEW Devon CCG’s Eastern Locality, Dr Simon Kerr reportedly revealed at a meeting with health campaigners last month.

Dr Kerr was apparently speaking of the long-awaited Estates Strategy, which will list all the assets held by the local NHS and what it plans to do with them.

NEW Devon CCG is in considerable financial difficulty. Devon is one of three most financially challenged health trusts in the country.

The background is that 12 community hospitals across Eastern Devon were acquired by the private company (wholly owned by the Secretary of State for Health) NHS Property Services, last year.

As yet, we haven’t heard about the fate of the remaining 10 community hospitals now in the ownership of NHS Property Services. This of course, includes our beloved Ottery Hospital, as well as Exmouth, Sidmouth, Whipton, Okehampton and Crediton.

Many of these hospitals, including Seaton, Honiton, Ottery St Mary and Okehampton and Whipton, have sadly now been stripped of their beds in cost cutting measures. But they still are home to a range of services and clinics that are very much needed locally.

Up until now, NHS England has been picking up the tab for the extortionate rents charged by NHS PS, of well over £3m a year, across the area.

A stupid stupid system, set up to fail. All over the country health trusts are being forced to sell off estate because it can’t afford the ridiculous rents charged by NHS PS for a building that used to be in NHS ownership.

Honiton Hospital has a treatment centre and is home to East Devon’s out of hours GP service.

The idea that the building could be lost and with it the treatment centre and out of hours service is totally ludicrous and appalling. The RD&E’s A&E department is full to capacity much of the time and staff are struggling to manage the volume of patients.

It means someone unwell living in the far east of the area – Axminster, for example, would have to travel around an hour to Exeter, to be seen by a GP if they were unwell out of working hours. It is quite unacceptable.

The amazing maternity unit which has been ‘temporarily’ closed for the best part of a year, was also based at Honiton Hospital.

There are so many cuts to the health service now it is difficult to keep up with them, let alone fight them.

Cllr Shaw has written to the CCG chair, Dr Tim Burke demanding assurances that the buildings remain open.

I have asked for an urgent item on the next Health and Adult Scrutiny Committee agenda, which is held on Thursday 7 June.

I will keep you posted.

Here’s Cllr Shaw’s blog – https://seatonmatters.org/2018/05/14/ccg-chair-says-seaton-and-honiton-hospitals-at-risk-of-closure-in-local-estates-strategy/

http://www.claire-wright.org/index.php/post/seaton_and_honiton_hospitals_at_risk

“Suspension of birth services at Honiton Hospital extended”

“The suspension of birth services at Honiton maternity unit has been extended.

The Royal Devon and Exeter NHS Foundation Trust (RDE) has today delayed its reintroduction until mid-September 2018.

The Trust took the decision last year to temporarily suspend births and subsequent in-patient stays at Honiton Hospital.

It said the step was taken to maintain patient safety due to a combination of factors affecting the stability of the services at this site and the other units it operates in Tiverton and Exeter.

Zita Martinez, head of midwifery at the RDE, said: “We are sorry for this continued suspension in services. Although we have successfully recruited to a number of our midwifery vacancies, we are still managing a high level of staff absence, including maternity leave.

At the same time, the positively received implementation of national policy in the Better Births and Saving Babies’ Lives guidance has meant that the complexity and acuity of women and babies we are caring for has significantly increased.

“This means that our main maternity unit in Exeter is experiencing greater levels of demand on the specialist care that we provide.

“In the context of increasing complexity, re-opening Honiton maternity unit for births and in-patient stays would result in the Trust stretching our workforce too far and potentially compromising safety in our other delivery units.”

The Trust has agreed with NEW Devon Clinical Commissioning Group to extend the suspension of births and subsequent in-patient stays at both Honiton and Okehampton until mid-September 2018 in order to ensure the safety of services across a wider geographical footprint and therefore, for more women and babies.

All antenatal and post-natal appointments, support clinics and home births will continue as normal in both communities.”

http://www.midweekherald.co.uk/news/suspension-of-birth-services-at-honiton-hospital-extended-1-5517432

Tories to nationalise rail line!

Owl says: well, this will take some explaining!!!

“Chris Grayling is expected to make a decision “within days” to end the existing East Coast rail franchise operated by Stagecoach and Virgin Trains.

The transport secretary was said to be preparing to either renationalise the London to Edinburgh line or negotiate a “not-for-profit” arrangement with Stagecoach and Virgin Trains before the end of the week. …

Ministers have denied that the companies are being bailed out, saying they will lose a £165m performance bond and face other penalties. Beyond 2020, the government is expected to introduce a new public-private partnership model on the line.

Virgin Trains East Coast said it had “met or exceeded” all of its contractual commitments on the East Coast line. The DfT declined to comment.”

https://www.theguardian.com/business/2018/may/14/east-coast-rail-franchise-to-be-scrapped-chris-grayling

East Devon Alliance DCC Martin Shaw responds to threat of full closure of Seaton Hospital

“Martin​ Shaw
County Councillor for Seaton and Colyton​

LETTER TO THE CHAIR OF NEW DEVON CCG

Dear Dr Burke,

We have seen draft notes prepared by 38 Degrees of your meeting with them on April 5th. According to these, Simon Kerr said (before your own arrival) that Seaton and Honiton hospitals were ‘at risk’ in the coming Estates Strategy. These remarks, written down at the time, have been confirmed to us by several participants. While we appreciate that no formal decision may have been taken, there seems little reason not to take them as a clear indication of CCG thinking.

As the two elected local politicians on the organising group of Seaton Health Matters, the community conversation launched together together with the CCG and RD&E, we hosted Dr Kerr at the launch meeting on 23rd March, which also heard Em Wilkinson-Bryce (copied in) appeal to the audience to trust in the ‘good intentions’ of the speakers from the NHS organisations. We have no reason at all to doubt her sincerity, but it is difficult for us to believe in the good faith of Dr Kerr and the CCG, as (unless he had only just picked up the names of the ‘at risk’ hospitals) it seems to us that you may have helped launched us into a discussion of local health needs knowing that you may be moving to deprive us of our major health resource, Seaton Hospital.

Our initial Health Matters discussion broached many areas of constructive cooperation between the local community and the NHS, which we are keen to pursue. However it also left no doubt of the need to maintain the 50+ outpatient services currently based in the Hospital, the desirability of bringing in additional services if place-based care is to be meaningful, and the needs of an elderly community (with significant pockets of deprivation and poor public transport) for as many clinics, etc., as possible on the doorstep rather than in other towns. We are ready to explore the possibility of a combined health hub for the Axe Valley, but on the basis that services would be more or less equally shared across the two hospitals and there would be no reduction in the overall level of services in each. The other thing that was clear from our discussion was that the community considers the Hospital a community resource since its building was half-funded by local donations and it has been maintained by local contributions ever since. I am sure that people in Axminster and Honiton feel the same about theirs.

You should not underestimate the local anger, only just subsiding, over the removal of beds from Seaton Hospital. It bears repeating that this was widely regarded, including outside Seaton, as an unjust choice based on a misuse of the JSNA data and misleading assumptions about the relative agedness of the populations of Seaton and Sidmouth (their age structure is in fact almost identical and the comparison did not justify a choice of Sidmouth over Seaton). It was also based on false claims that the Sidmouth option would involve a better geographical spread: a glance at the map would have shown that, on the contrary, it left the remaining community beds concentrated in the southwestern corner of East Devon with none in the Axe Valley. There is similar feeling in Honiton because the Your Future Care consultation did not even include an option which would have retained their hospital’s beds.

We mention this history not to try to reverse the beds decisions (although the shortage of beds in the recent winter should lead to it being looked at again) but because the treatment of Seaton and Honiton in those decisions should be a reason for generosity in the distribution of outpatient services and in the Estates Strategy. It is adding insult to injury to place Seaton and Honiton on a shortlist of potential closures. Having switched your decision last time against Seaton, you should now reconsider again in Seaton’s favour. This is not, of course, to suggest that any other hospital should be closed instead. On the contrary, all East Devon towns have community hospitals which reflect real local needs and you should be devising a system of health hubs which enables all communities to have a solid base for place-based care.

The next meeting of Seaton Health Matters is scheduled for 24th May. We do not wish it to be dominated by the fallout from Dr Kerr’s remarks but without an unequivocal assurance that Seaton Hospital will remain open, it is unavoidable that this will be the main topic of discussion.

We look forward to hearing from you at the earliest opportunity. We have also copied this to Sonja Manton since we discussed the Health Matters process with Em and her before it began. We should like to meet with you about this, but before the 24th any meeting would have to be late that afternoon or on the 23rd, as one of us is away until the morning of the 22nd.

Regards,

Martin Shaw
County Councillor for Seaton & Colyton

Jack Rowland
Seaton Town Council”

Seaton and Honiton hospitals “at risk ” of full closure says CCG

“CCG chair says Seaton and Honiton hospitals ‘at risk’ of closure in Local Estates Strategy”

POSTED ON MAY 14, 2018 by Councillor Martin Shaw

It has been revealed that Dr Simon Kerr, Chair of NEW Devon CCG’s Eastern Locality, told a meeting with representatives of 38 Degrees on 5th April that Seaton and Honiton hospitals were ‘at risk’ in the CCG’s Local Estates Strategy due in July. His remarks were taken down by the 38 Degrees member who produced draft notes of the meeting, and have been confirmed by other participants, but have not yet been confirmed by the CCG.

Although the hospitals both lost their inpatient beds last summer, Seaton Hospital currently hosts over 50 outpatient services (and there are probably at least as many in Honiton). Both are vital community health resources, created with decades of financial and practical support from people all around the Seaton and Honiton areas.

As part of a move to promote ‘place-based care’, the CCG and RD&E are currently taking part in two ‘community health conversations’, Honiton’s Health Matters and Seaton and Area’s Health Matters, which local voluntary groups, town and parish councils etc. are involved in. However if place-based care means anything, it should mean that communities should keep their local hospitals as health hubs, with more rather than fewer services.

Together with Cllr Jack Rowland, who stood down as mayor of Seaton last week but remains the town council’s representative on the Health Matters organising group, have written to Dr Tim Burke, Chair of the CCG, to ask for an unequivocal assurance that the hospitals will remain open.

I am hoping to shortly announce a meeting of the hospital campaign group.”

https://seatonmatters.org/