“Patients trapped by care closures: Elderly face being STRANDED in hospital wards” [or just stranded if there are no hospital wards]

“In the past financial year, 148 care home businesses entered insolvency – an 83 per cent rise on the 81 failing in 2016-17.

The figures sparked a call for urgent action from the Government to tackle a growing crisis in social care which could impact badly on the NHS.

And experts warn of a “care home crash” as closures cause a shortage. Although the Government announced a £2billion package for social care over three years last year, local authorities are spending £6billion less than in 2010. …

Mike Padgham, chairman of the Independent Care Group which advises care providers in north Yorkshire, said: “We have been warning for years that the £6billion cut from social care would eventually mean more and more care homes closing.

“For every home closure there are older and vulnerable people either forced to find somewhere else to live or unable to have a place.

“About 1.2 million people are now going without the care they need and unless action is taken this will very soon be us. We now face a further £2.3billion funding shortfall and that is going to mean more and more people not getting care. …

Local authorities in England and Wales had planned to make savings of £824million in their social care budgets in 2017-18 according to the Associate Directors of Adult Social Services, despite demand increasing as the population ages.

A Competition and Markets Authority report highlighted a £1billion shortfall in public sector funding of care homes in 2017 and the Local Government Association says that the sector faces a £2.3billion gap by 2020.

Accountancy firm Moore Stephens, which released the insolvency figures, found the cost of providing a high standard of care has increased over the years. The National Living Wage rose again last month to £7.83.

It stood at £6.70 just three years ago. The annual rise places increased strain on care home margins. The average home now spends 52 per cent of its turnover on wages. …

A report by the Public Accounts Committee in September said that an “intolerable” number of older patients were waiting too long to be discharged from hospital, costing the NHS £170million a year.

The MPs said that every day, 3,500 older people remain in hospital in England after being declared fi t to leave because arrangements had not been made for them to move. In 2011, operator Southern Cross shut down and as many as 31,000 elderly and vulnerable residents had to find somewhere else to live. …”

https://www.express.co.uk/news/uk/959234/care-home-crisis-uk-government-elderly-care-bankruptcy

How privatisation and outsourcing of public services fails

And, at the time, directors changed rules so they would get more protection from the losses.

“Carillion used suppliers to “prop up a failing business model” and conceal true levels of debt, say MPs investigating the failed government contractor.

The parliamentary inquiry into the collapse of a company that provided a host of vital public services, including catering in schools, prison maintenance and construction of new NHS hospitals will conclude on Wednesday with the publication of the MPs’ final report. It is expected to name and shame those responsible for the failure of the listed company, which had a UK staff of nearly 20,000 when it crashed into administration in January.

Carillion bosses displayed ‘greed on stilts’, MPs claim

In a taste of what is to come, the work and pensions committee chairman, Frank Field, said: “Carillion displayed utter contempt for its suppliers, many of them the small businesses that are the lifeblood of the UK’s economy.

“The company used its suppliers as a line of credit to shore up its fragile balance sheet, then in another of its accounting tricks ‘reclassified’ this borrowing to hide the true extent of its massive debt.”

Field’s comments came as the joint inquiry with the business, energy and industrial strategy committee, published evidence from Santander, the bank that operated the company’s early payment facility. Its loss was one of the events Carillion’s directors attempted to blame for its eventual failure.

However, in the letter the Santander chief risk officer, Patricia Halliday, sets out why the bank pulled the plug on the facility in December 2017. In the wake of a profit warning that summer, Halliday said Santander had worked with other banks on a refinancing plan contingent on the company making disposals.

“Despite the provision of these new money commitments and continued close engagement with Carillion into December, the envisaged disposals did not take place and the detailed business and restructuring plans originally expected to be received by 8 December were further delayed,” Halliday writes. “This series of events … further undermined Santander’s confidence in Carillion’s financial position.

“In light of the lack of progress with the restructuring plan, Santander took the decision to terminate the … facility,” she adds. …”

https://www.theguardian.com/business/2018/may/14/carillion-displayed-utter-contempt-for-suppliers-frank-field

“Unions slam Devon companies after rising number of temporary jobs leave thousands without job security”

“… Across the UK, the percentage of workers on a non-permanent contract has stayed relatively stable at around 5% over the last decade – although that still leaves 1.6 million people affected nationally.

Meanwhile, Exeter also has a particularly high proportion of temporary workers, with nearly 8% of working adults in this position – an estimated 5,400 people.

Elsewhere in Devon, the figure was also higher than average – in both Torridge and Plymouth, for example, 7% of workers are temporary, while in Torbay 6% are.

A further 5% of workers in South Hams are non-permanent, while east and north Devon both have the lowest proportion in our area, with 4% in this position. …”

https://www.devonlive.com/news/devon-news/unions-slam-devon-companies-after-1563512

The cost of austerity and underfunding – 20,000 extra deaths last winter

We cost the NHS and Social Services nothing when we are dead.

“Researchers have called for an urgent investigation to find an explanation for more than 20,000 ‘additional deaths’ so far this year, amid severe pressure on the NHS.

Figures from the Office for National Statistics (ONS) show that in the first sixteen weeks of the year, there were 20,215 more deaths in England and Wales compared to the previous five years.

In March, academics raised concerns that Britain was facing a rise in mortality and argued that “health chiefs are failing to investigate a clear pattern of worsening health outcomes”, in an editorial for the British Medical Journal (BMJ).

The piece centred on the finding that there were 10,000 ‘additional deaths’ in the first seven weeks of the year and concluded “that neither ‘flu, nor cold weather appeared to be the main cause.”

Now the authors have now updated their findings to account for fresh statistics covering the first sixteen weeks of the year.

Their response, published on the BMJ website this week, argues that the latest statistics “sadly provide little reassurance of this being a ‘blip’ as some have suggested.”

There were 198,943 deaths in the first sixteen weeks of 2018, compared to an average of 178,778 deaths in the same period over the previous five years. The rise represents an 11.3 per cent increase on the five year average.

The weekly average for the same period was 12,434 deaths, ahead of the five year average of 11,174. The 20,215 figure is equivalent to an ‘additional death’ every eight minutes throughout the first sixteen weeks of the year. …”

https://www.telegraph.co.uk/news/2018/05/11/calls-urgent-investigation-explain-20000-additional-deaths/

“Over a million elderly people missing out on help they need due to dire state of social care system, watchdog warns”

“More than a million vulnerable elderly people are missing out on help they need because of the dire state of the social care system, the UK’s spending watchdog has said.

The National Audit Office (NAO) called for urgent action as it published a detailed report citing evidence showing the number of people over 65 with unmet care needs jumped by some 200,000 in the last year alone.

The body said a spiralling turnover of poorly paid staff and increasing job vacancies are at the root of the problem, which is being worsened by ongoing deep cuts and fewer employees from the European Union since Brexit.

In particular, the NAO struck out at the Department of Health and Social Care (DHSC) for being unable to demonstrate how it is going to fund care for the elderly in the face of burgeoning future demand.

Ministers know working out how to pay for social care is one of the biggest challenges they face, but have been unable to bring forward clear proposals of how to meet it.

The report said the DHSC’s own modelling had shown the number of full-time jobs in the care system would need to rise by some 2.6 per cent per year until 2035 to meet increased demand.

But the annual growth in the number of jobs since 2013 has been two per cent or lower.

The report said: “The failure of formal care to meet this increased demand may have contributed to the growth in individuals’ care needs not being met.

“Age UK estimated that 1.2 million people over the age of 65 had some level of unmet care needs in 2016/17, up from one million in 2015-16.”

The NAO found that In 2016/17, the annual turnover of all care staff was 27.8 per cent – with care workers. …”

https://www.independent.co.uk/news/uk/politics/elderly-people-vulnerable-million-missing-dire-poor-social-care-system-a8199506.html

Swire discovers “health hubs”

Written Answers – Department of Health and Social Care: Health Services (9 May 2018)

https://www.theyworkforyou.com/wrans/?id=2018-04-30.139412.h&s=speaker%3A11265#g139412.q0

Hugo Swire: To ask the Secretary of State for Health and Social Care, what his Department’s policy is on the establishment of health and wellbeing hubs in former community hospitals.”

Owl’s policy is that NHS community hospitals are much more important than commercial juice bars and personal trainers and should therefore be funded BEFORE health hubs, not abandoned to insert “health hubs” in their place.

EDDC charge £40 to tell you they don’t know the answer to a simple planning question

https://m.facebook.com/groups/175988535857207?view=permalink&id=1528476497275064

and

https://m.facebook.com/story.php?story_fbid=1450832245038963&id=959780427477483

” ‘Perfect storm’ over rural social care costs”

“Rural residents are unfairly penalised when it comes to Improved Better Care Funding, MPs have been told.

The Rural Services Network issued the warning in response to an inquiry by MPs who are examining the long-term future of adult social care.

The Long Term Funding of Adult Social Care Inquiry is being undertaken by the Housing, Communities and Local Government Committee of the House of Commons.

Submitting evidence to the inquiry, the Rural Services Network said the average predominantly urban resident will attract £37.74 per head in Improved Better Care Funding in 2019/20.

This is £8.20 more than rural residents who attract just £29.54 per head.

In 2017/18 Adult Social Care Core Funding is met by Council Tax to the tune of 76% in rural areas compared to just 53% in urban.

The Rural Services Network said there was no relationship between the numbers of people requiring social care and either Council Tax or Business Rates.

Growth in business rates or council tax income is in no way correlated to the service needs of care services, it pointed out.

“It is obvious that the rising costs of caring for the growing elderly population cannot be met by local taxation and must be funded per capita by central government,” said the network.

In rural areas, there are significantly more residents aged 65+, fewer businesses required to pay business rates and Council Tax levels are already much higher than in urban areas.

The network added: “Thus, there is created a ‘perfect storm’ of rising costs and limited income in the rural areas across England.”

Cost pressures in Social Care Services mean county and unitary councils serving rural areas are having to cut other budgets to the detriment of the well-being of rural residents and businesses.

Council tax per head is reflected in the Final Settlement for 2018/19 is £541.46 for Predominantly Rural Areas compared to £450.58 in Predominantly Urban Areas.

“The gap, at circa £91 per head, is inexcusable,” said the network.

There appears to be a conscious policy decision by the government that in rural areas Spending Power will be increasingly funded by council-taxpayers, it added.

In other words, the government appeared content for people in rural areas to pay more council tax from lower incomes and yet receive fewer services than their urban counterparts.

“This is manifestly unreasonable and totally inequitable,” said the network.

The role of preventative services in respect of adult social care was not formally recognised by government and district councils were not funded for public health.

With increasing pressures on district council budgets, there remained uncertainty as to how public health interventions delivered at a local level would be funded in the future.

http://www.rsnonline.org.uk/perfect-storm-over-rural-social-care-costs

“Crumbling Britain: how austerity is hollowing out the heart of Tory Somerset”

The article takes the town of Dulverton and charts its decline due to council austerity cuts. Just change Dulverton to any rural area in Devon and you have the same story.

“Richard Eales pulls off his walking shoes and sits back on the sofa in his caravan, where he lives with his wife and their four-year-old son. Wisps of dog hair stick to his khaki polo shirt, which bears the badge: “Exmoor National Park Ranger”. His three dogs, Jet, Star and Sky, settle at his feet.

The 40-year-old father has been living for 17 years on the edge of Dulverton, a remote rural town in west Somerset known as the “gateway to Exmoor”. From managing the native pony herds and deer to grappling with farmers and landowners, Eales says: “It’s not a job; it’s a way of life. You’re always on duty.”Even when opening a tab at the pub, he’s logged as “National Park – Richard”. As he travels around Dulverton’s narrow streets in his mud-splattered Land Rover, the tall and gregarious figure seems to know everyone.

His first child Thomas attended Little Owls, the local nursery, from the “the age of nought”. The nursery opens 8am-6pm Monday to Friday, 49 weeks a year, for children up until the age of four.

But the family might not be here much longer.”Little Owls nursery is facing spending cuts, and Richard’s wife, Rebecca, who works as a dental hygienist, is three months’ pregnant. The nearest alternative nursery would add almost two hours to their daily drive, which would, in effect, stop them working.

Yet Eales and other parents isolated deep in this wooded valley have been told that Little Owls’ hours are likely to be reduced after the next academic year to 9am-3.30pm Monday to Thursday, term-time only, with no provision for under-twos. “We couldn’t afford to live if Bex [my wife] wasn’t working,” Eales says.

The current nursery provision is only continuing until July 2019. It applies for emergency money to keep the hours that it does, which is not deemed sustainable. A Somerset county council spokesperson tells me the nursery “applied for and recently received a grant from the Sustainability Fund and can apply again”​ but that “these grants are to help providers while they look for ways of being sustainable in the long term and we are currently helping the nursery do that”.​

“I look at other families and I can see why they’re claiming [benefits],” Eales sighs. “We’d be far better off money-wise if we moved further away. You stick it for as long as you can, but you get these hurdles chucked in front of you that keep getting bigger.”

Dulverton’s state provision has been rolled back. Its Sure Start children’s centre was “de-designated” (transferred to the local school and stripped of many services) in 2014 – a precursor to this year’s decision to close two-thirds of Sure Start buildings in Somerset.

Recent government figures reveal that more than 500 Sure Start centres – established by the last Labour government in 1998 to provide early years support – have closed throughout the country since 2010, when the Conservatives took office.

The Council insists children’s services will still be available – just no longer run in “expensive and sometimes difficult to reach buildings”, which will instead be taken over by nurseries, schools and others. But that was not the result in Dulverton, which made this change four years ago.

Once a hub of parent clubs and support sessions, Dulverton children’s centre services have been “really reduced”, according to Becky Fry, who has a four-year-old son and one-year-old daughter. She relied on the weekly baby group, health visitors and reading time with her first child. “I don’t know what I would have done without it… I’ve struggled with my second one.” She works for a charity more than a 45-minute drive away from where she lives.

Dulverton’s library, a former green-fronted old ironmongers on the main square, is also under threat – nearly half of Somerset’s libraries face closure as the council consults on making them community- or volunteer-supported instead of council-run, or replacing them with mobile libraries. In the consultation, Dulverton library has a “no change” option, but locals are gloomy about its fate.

The town even lost its only bank two years ago; now a mobile bank stops by every Tuesday for 45 minutes in the late morning.

“By taking all that away, you’re not encouraging any young, working families to live and stay in the area. You’re literally just pushing them out,” says Richard Eales, the park ranger.

The woodland idyll masks widespread deprivation. West Somerset has the worst social mobility in England, performing particularly poorly on services for early years and working-age people. Job opportunities are scarce and public transport poor – the word “bus” provokes bitter laughter from people I meet.

Wages are low but retirees moving in, and holidaymakers with second homes for shooting and fishing on Exmoor, inflate property prices. West Somerset has Britain’s highest percentage of people aged 65 and over, and its population is dwindling.

“We’re not a theme park or just a place for people to retire to,” says the Somerset county councillor for Dulverton, Conservative Frances Nicholson. “Working families should be supported because they will move out.”

Rural deprivation is so great that the government has made west Somerset an “opportunities area”: an area to focus funds on improving outcomes for children.

For residents like Eales, however, it’s already too late. “It almost feels like [living here] you are being pushed beyond the realms of our reach,” he says. “It’s austerity, isn’t it?”

Somerset is solid Tory territory. With the exception of Bath, all its constituencies are held by Conservative MPs – the best-known being Jacob Rees-Mogg (whose six children are unlikely to bear the brunt of Sure Start cuts).

Yet, because of the “Corbyn effect”, west Somerset’s local Labour Party membership has more than tripled in the last two years. “No Labour politicians ever come to this area,” leader Kathrine See tells me. “We’ve got to tackle these communities; we can’t just ignore them. For one, it’s not responsible because that’s not part of the [Labour slogan] ‘For the many’, and two, we need their votes… It’s a poor area for the majority.”

Local Tories also feel neglected by their Westminster counterparts. “I’m just wondering where our society’s going, and what can be done? And are our policymakers really in touch with the grassroots?” asks the chairman of West Somerset Council, Bruce Heywood, who has represented Dulverton since 2011, when I meet him for a coffee outside the grey stone-walled Tantivy Café. To avoid bankruptcy his council is merging with neighbouring Taunton Deane. “It is a chipping away of what has been established over years that causes problems in our environment… when they turn the tap off funding.”

The former mayor of Dulverton and fellow district councillor Nick Thwaites warns that the “slow creep” of austerity – “when the pillars the town depends on are removed one by one” – is difficult to reverse. This is why, he says, “you have to fight each removal as if it is much bigger than it first appears”.

https://www.newstatesman.com/politics/uk/2018/04/crumbling-britain-how-austerity-hollowing-out-heart-tory-somerset

“Tax on pensioners proposed to heal inter-generational divide”

A Robin Hood tax? Owl doubts pensioners in East Devon (quite a few of whom have probably given their kids and grandkids substantially more than £10,000) would agree!

“A £10,000 payment should be given to the young and pensioners taxed more, a new report into inter-generational fairness in the UK suggests.

The research and policy organisation, the Resolution Foundation, says these radical moves are needed to better fund the NHS and maintain social cohesion.

Its chairman, Lord Willetts, said the contract between young and old had “broken down”.

Without action, young people would become “increasingly angry”, he said.

The Resolution Foundation says its goal is to improve outcomes for people on low and modest incomes. ….”

http://www.bbc.co.uk/news/business-44029808

Do you have a damp home? Do you need an affordable home? Contact Councillor Phil Twiss to get your problems sorted!

It seems councillor Twiss is a modern-day superhero – able to help you with just about any problem you might come across.

So, if you live in Honiton, do contact him:

Email: ptwiss@eastdevon.gov.uk
Telephone: 01404 891327
Address: Swallowcliff, Beacon, Honiton, EX14 4TT

http://eastdevon.gov.uk/council-and-democracy/councillors/honiton-st-michaels/phil-twiss/

or at DCC:
Email: phil.twiss@devon.gov.uk

True, he hasn’t so far sorted East Devon’s broadband not-spots, wasn’t able to halt the closure of Honiton Hospital’s community beds or stop Baker Estates from weaselling out of their affordable housing commitments and the ‘fillip’ to Honiton’s jobs and shops when the EDDC HQ moves to Honiton will be at the expense of Sidmouth … but these are just minor hiccoughs … aren’t they?

Austerity and our NHS: in the relegation zone in football terms

Owl says: so, in football terms England has 8 men playing in a game with a full Barcelona premier, super-fit 11-person team. With our 8-person team consisting of six people waiting for hip operations and 2 blocking beds awaiting their home care packages!

“… The stark findings come from a new King’s Fund analysis of health data from 21 countries, collected by the Organisation for Economic Cooperation and Development. They reveal that only Poland has fewer doctors and nurses than the UK, while only Canada, Denmark and Sweden have fewer hospital beds, and that Britain also falls short when it comes to scanners.

“If the 21 countries were a football league then the UK would be in the relegation zone in terms of the resources we put into our healthcare system, as measured by staff, equipment and beds in which to care for patients,” said Siva Anandaciva, the King’s Fund’s chief analyst.

“If you look across all these indicators – beds, staffing, scanners – the UK is consistently below the average in the resources we give the NHS relative to countries such as France and Germany. Overall, the NHS does not have the level of resources it needs to do the job we all expect it to do, given our ageing and growing population, and the OECD data confirms that,” he added.

The report concludes that, given the dramatic differences between Britain and other countries: “A general picture emerges that suggests the NHS is under-resourced.”

The thinktank’s research found that the UK has the third-lowest number of doctors among the 21 nations, with just 2.8 per 1,000 people, barely half the number in Austria, which has 5.1 doctors per 1,000 of population.

Similarly, the UK has the sixth-smallest number of nurses for its population: just 7.9 per 1,000 people – way behind Switzerland, which has the most: 18 nurses, more than twice as many.

With hospital beds, the UK has just 2.6 for every 1,000 people, just over a third of the number in Germany, which has the most – 8.1 beds – and which places the UK 18th overall out of the 21 countries which the OECD gathered figures for. The number of hospital beds in England has halved over the last 30 years and now stands at about 100,000, though the NHS added about 4,000 more as an emergency measure in December, January and February to help it cope with the spike in patient numbers caused by the long, cold winter.”

https://www.theguardian.com/society/2018/may/05/nhs-lowest-level-doctors-nurses-beds-western-world

Roads: less traffic predicted on poorer roads

Both articles in today’s Times (pay wall)

“Billions of pounds spent upgrading motorways and roads may be a waste of money because traffic levels are expected to fall, ministers have been told.

A study said that people were travelling “less often and less far” by car because of the rise of internet shopping, Netflix and flexible working. …”

and

“The condition of Britain’s roads is turning into a “national emergency”, with rising numbers of cyclists seriously injured and cars damaged.

Research published today by the AA found that almost nine in ten drivers say that roads have deteriorated in the past decade. In the past year the number of motorists describing the state of local roads as “poor” has risen by a quarter.” …

Pays yer money, don”t get yer choice!

EDDC Independents lead call for action on local health provision

Owl can’t quite see why Tory Councillor Allen felt the need to table his amendment – perhaps he felt Independent councillors were rather too Independent and therefore needed a dash of Tory policy! Now we just have to hope that new Leader Thomas doesn’t go and do exactly the opposite of what was resolved when he attends to DCC health scrutiny meetings – as Diviani notoriously did last year.

“A motion calling for the community hospitals which have lost beds to be maintained as health hubs, that services and clinics should be moved out of Exeter to local community hospitals and that more outpatient services should be provided in each community hospital was discussed by East Devon District Council at their meeting last week.

Proposing the motion, Cllr Marianne Rixson [EDA, Independent] said that health hubs in local areas need to be supported by the Council.

She added that the need for less travelling and difficult local bus services needed to be taken into consideration and that if place-based care was to be effective then the level of out-patient services need to be increased overall or at least maintained in every town.

She was supported by Cllr Val Ranger [Independent] who added that those people discharged early from hospital, children and elderly living with long-term health conditions should be able to access out-patient services locally in every community.

Councillors voted for an amendment, proposed by Cllr Mike Allen [Conservative], that said that this Council resolves to welcome the proposal of the Devon CCG’s to develop placed-based health care where strong evidence suggested that it would deliver high-quality patient care and sustainable services.

It added: “However, due to lack of supporting clinical evidence and clear future planning, the Council has strongly opposed closure and removal of community hospital beds and hospital-based services throughout East Devon.

“All efforts are made, in consultation with local communities, to ensure the existing estate of community hospitals was retained for health care purposes, where appropriate, the potential development of ‘Health Hubs’ was investigated, and council members received from the Clinical Commissioning Group a review of service changes (bed-based to home/community based care) made during 2017/2018 in East Devon, to include clinical evidence highlighting levels of patient safety and outcomes achieved and an evidence-based forward plan of proposed changes to health services in East Devon, for initial discussion at a future Cabinet.

After the meeting, Cllr Martin Shaw [DCC East Devon Alliance], said that he has written to Cllr Ian Thomas, who is due to become the new leader of the council on May 16, asking for assurances that each of the hospitals which has lost its beds (Axminster, Honiton, Ottery and Seaton), as well as Exmouth and Sidmouth, to be kept open and that a formal public consultation in the affected town and surrounding area should a closure of any community hospital, involving substantial relocation of outpatient services, be proposed.”

https://www.devonlive.com/news/health/closure-removal-hospital-beds-should-1530794

“£250m spent but no starter homes yet built under flagship fund”

“The government has spent £250m to boost starter home construction without a single property being built so far, it has emerged.

Dominic Raab, the housing minister, made the admission in response to a question from John Healey, the shadow housing secretary, who described the situation as “a betrayal of young Brits looking for help to buy a first home”.

In March 2016 the government announced a £1.2bn fund to help deliver “200,000 quality starter homes by 2020 exclusively for first-time buyers at a 20% discount on market value”. The promise was originally made in the Conservatives’ 2015 election manifesto.

The aim was to use the cash to support the purchase and cleanup of sites to guarantee the construction of starter homes. The policy recognised that the cost of making brownfield sites useable could make some places unviable for development. Ministers believed that targeted interventions could help increase housebuilding at the bottom of the market where the affordability crisis had bitten most deeply and particularly affected millennials.

In January 2017, Gavin Barwell, then housing minister, said the first homes would be built that year after partnership agreements with 30 local authorities.

He said: “This first wave of partnerships shows the strong local interest to build thousands of starter homes on hundreds of brownfield sites in the coming years. One in three councils has expressed an interest to work with us so far.”

However, after Raab confirmed that “£250m of the starter homes land fund has been spent to date”, a spokesman for his department said, adding: “At the moment no specific starter homes have been built yet.”

The government has now placed the operation of the flagship fund under review.

A spokesperson for the Ministry of Housing, Communities and Local Governmen, said: “We have spent £250m buying land to build affordable properties, and work is underway getting them ready for development. It is important we get starter homes right and we aim to introduce regulations on them alongside our new planning policy before building gets underway.” …”

https://www.theguardian.com/society/2018/may/02/250m-spent-but-no-starter-homes-built-under-flagship-fund

Unitisation … today Somerset, tomorrow? Will the (very fat) turkeys vote for Christmas?

“Scrapping Somerset councils ‘may save £28m a year’ ”

“Abolishing all six local authorities in Somerset could save £18m to £28m each year, the county council leader says.

Conservative David Fothergill has asked for work to begin to look at how a unitary arrangement could work.

The plan would see several single-tier authorities – or one – replacing local councils including the county council.

The idea has been met with mixed responses with one councillor saying it would mean getting “turkeys to vote for Christmas”.

Mr Fothergill said: “At a time of unprecedented financial pressures on all councils we are all looking at different ways to be more efficient, make savings and protect the front-line services that our residents value so much.

“I believe that we owe it to our residents to look at this option too.

“I want start the ball rolling on work to establish the benefits and costs of such a change so that we can all make an informed decision as to whether a unitary model is the right way to go.”

News ‘a bombshell’

He said savings from introducing a single-authority would include £500,000 per year by moving from five chief executives to one, and about £1m per year by reducing the number of councillors covering the county by about half from the current 300.

Analysis: Ruth Bradley – BBC Somerset

While it’s relatively unusual for councillors to decide to get rid of their own authorities, it’s not unheard of.

In fact Somerset has been looking to the example of its near-neighbours to see just how it could work here – and how much money it could save.
Wiltshire became a unitary authority in 2007 – the same time as Cornwall – merging four districts and a county council into what is now the biggest local authority in the West of England.

But that was in a different political era, pre-austerity rather than as a reaction to government cuts.

And next year Dorset is due to scrap its nine councils and set up two new unitaries.

Interestingly it has managed to achieve this with near-consensus from all the councils involved – something which Somerset will be keen to emulate, given the fractured nature of the last attempt at this here in 2007.
Buckinghamshire was also signed off by the government earlier this year to go unitary at the same time as Dorset.

Somerset is hoping to have its model in place by the 2021 local elections.

Other savings would come through reducing the number of HR, customer services and finance teams, and reducing the number of IT and utilities contracts and transport costs.

The Conservative leaders of West Somerset and Taunton Deane said they were prepared to discuss the idea, while the Liberal Democrat leader of South Somerset described the news as “a bombshell” and said “none of us [district council leaders] want to go down this route but we have to put the people or Somerset first”.

Independent county councillor, Mike Rigby, said he was pleased with the plan and “had been calling for this for years”.

“It’s going to require some turkeys to vote for Christmas so it’s not in the bag yet, though I suspect the momentum will become irresistible,” he added.
There were protests outside parliament in London in 2007 when the Liberal Democrats made a similar proposal.”

http://www.bbc.co.uk/news/uk-england-somerset-43972967

“Trying to maximise income purely from commercial revenues is NOT what the public want.”

CIPFA chief executive Rob Whiteman has told a conference this morning”

“… At some point in the next 15 – 20 years local government needs to be reorganised. We need to be aware reorganisation would be a good thing.”

But he predicted there was unlikely to be “any meaningful local government reform” for some time.

Local government must rebuild trust with the public, Whiteman told his audience. “In its present form, local government is not perfect.

“I do not think that trying to maximise income purely from commercial revenues is what the public want.”

Don Peebles, head of CIPFA UK policy and technical, echoed this, suggesting local government’s commercial investments should be more about keeping council finances afloat rather than maximising profit.

He said recent changes to the prudential code – the statutory guidance for local government on borrowing and investments – reflected that “the priority is not maximisation of return but the protection of capital”. …”

https://www.publicfinance.co.uk/news/2018/05/local-government-uncertain-place-10-years

“Food, clothes, a mattress and three funerals. What teachers buy for children”

“.. . In 2014 Gemma Morton, the headteacher of a large secondary school, told Education Guardian her school had helped to pay for the funeral of a student whose family couldn’t afford it, even after they had sold their car. Three years on, she has helped to pay for two more funerals. “When a child dies, nobody’s saved for it,” says Morton. “There is literally nowhere for families to go apart from the people they already know, and most of them are poverty-struck too.” 

… At Gill Williams’s primary school in the north-west of England, local supermarkets deliver bread and fresh vegetables three times a week, which are placed in the playground for parents to help themselves. There is rarely a crumb left. …

… Georgia Easton, a secondary teacher, always carries a few pounds in her pocket for children who have “forgotten” their dinner money. “It’s heartbreaking,” she says. “Kids saying ‘I had one slice of toast for tea.’” She estimates she spends about £10 a week of her own money on food and other shopping for needy pupils. That’s £380 per year. Gemma Kay, a food science teacher, spends much the same. “You hear kids talking about how in the holidays their parents are going to the food bank because they relied on free school meals in the week. It’s just very sad,” she says. “With changes to benefits, you’d know parents were on less money.” …

… Williams asked her leadership team to compile a list of the school’s recent expenditure on personal items for students and their families. It included school shoes, bus passes, uniform when the pupil welfare department said a child didn’t meet their criteria; a pregnancy test for a mother who arrived at school in turmoil; an entire food shop after a home visit when it was apparent there was nothing to eat in the house; a mattress for a child sleeping on a sofa; and a bedroom carpet when social services said bare floorboards were acceptable.

… Her school has put aside a sliver of budget, known as the social inclusion fund, for crisis situations, which has to be repaid. The fund has helped to guarantee a child’s physical safety during a criminal trial, when the family felt in danger: Williams paid for a week’s rental on a caravan out of the area.

… She also used the fund to install a safety gate in a family’s house after first trying and failing to fit it herself. “The children were unsafe without one and I couldn’t leave them another night in the space.”

… She observes pointedly that the local authority was unable to help. Thresholds of need for support by social services departments have increased and emergency grant and loan funds have been cut.

“There was mum with two teenage boys who’d been made homeless and put into one room,” says Easton. “I took them to Asda and got new shirts, trousers and shoes. It came out of staff pockets because much as school wanted to pay, it couldn’t.”

https://www.theguardian.com/education/2018/may/01/teachers-buy-children-food-clothes-mattress-funerals-child-poverty

The epidemic of community hospital closures shows no signs of slowing down …

We in East Devon feel your pain:

“Former MP slams plans to close Teignmouth Hospital – the first purpose build NHS Hospital in the UK”

The area’s former MP says:

“We need more hospital beds. The Germans have 8.13 beds per 1000 people but the UK only has 2.61 beds per 1,000, and this needs to improve as there is a local and a national need for beds.”

https://www.devonlive.com/news/devon-news/former-mp-slams-plans-close-1516807

https://www.devonlive.com/news/devon-news/former-mp-slams-plans-close-1516807

“RURAL RESIDENTS FACE SOCIAL CARE ‘LOTTERY'”

The government’s system of funding social care services is unsustainable and unfair for rural communities, the Rural Services Network has warned.

Service providers operating across rural areas face inequitable costs compared to their urban counterparts for both adult and child social care, said the network.

Rural council taxpayers also faced unfair costs, warned the network in response to an inquiry by MPs who are examining the long-term future of adult social care.

RSN chief executive Graham Biggs said: “Social care is a national issue but it is in crisis.

He added: “While continuing to be delivered locally with flexibility for councils to respond to local circumstances and priorities, it should be 100% funded by central government to provide an adequate core service level for all residents nationally – irrespective of where people live.

“Council tax is an unsuitable taxation vehicle for demand responsive services and means rural residents face a postcode lottery when it comes to social care provision.”

Mr Biggs said council tax should only be used to fund social care if a given local authority decided extra money was needed to boost services above a core level locally.

It should not be used to fund the core, national, service, he added.

Mr Biggs said: “It costs substantially more to provide social care in rural areas than it does in larger towns and cities – and there is higher demand for services in rural areas.

“As a statutory duty, services have to be prioritised and other budgets – such as rural transport support, for example – are being cut significantly as a consequence.”

This was because older people make up a higher proportion of the population in rural areas than they do in urban areas, said Mr Biggs.

At the same time, the twin challenge of isolation and distance made it harder and more expensive to deliver services to dispersed rural populations.

Such costs inevitably and unfairly penalised rural councils – and were compounded by issues such as poor economies of scale and poorer external markets for delivery.

Mr Biggs said: “A future formulae to fund social care services must fully reflect the different costs of delivery imposed by both geography and population.”

http://www.rsnonline.org.uk/rural-residents-face-social-care-lottery