Devon NHS hospital all on black alert – a comment

Save our Hospital Services Facebook page comment:

“Ann Wardman:

I have a friend who was just discharged from NDDH [North Devon District Hospital] where it was code black all the time she was there. Patients waiting for further treatment , some life saving, in Exeter and Plymouth stuck in limbo as both these hospitals are also in the black. Patients still coming in the front door increasing the pressure.

Then there are also patients who are finished with their treatment but not well enough to go home that would have gone to community hospitals for further rehab prior to discharge Home. They are also stuck in limbo until fit enough to go.

There are also terminally ill patients not able to go home but who in times past would have got NHS care and be able to be nearer to friends and family in a community inpatient bed.

How stupid and short sighted to cut community inpatient beds!

Who makes these stupid decisions?

With these many cuts to our NHS – beds , services and staff – this government has caused this crisis and yes as long as they can make a personal profit they don’t actually care whether the plebs get the treatment they need, have paid for and deserve ! You are showing your true colours Phil [Philip Milton – a local controversial Conservative troll on the site] and most are disgusted at your uncaring stance.”

District councils say they are being starved of most government funding

“The fair funding review will fail unless any reforms come with more money for local government, an umbrella-group has warned.

The Local Government Association said funding cuts had forced councils to divert ever-dwindling resources from other services to prop up adult social care and children’s services.

“Ultimately, the review will not be successful and lead to a sustainable outcome if it is not introduced alongside additional resources,” the LGA wrote in their response to the fair funding consultation, which ended on Monday.

“We estimate that councils face a funding gap of over £5bn by the end of the decade, on top of a £1.3bn pressure to stabilise the adult social care provider market.”

It called for 100% retention of business rates to try to plug the gap. The government confirmed in the draft local government settlement in December last year it is reducing the amount of grant it gives to councils and will allow them to keep 75% of business rates by 2020-21.

But the LGA said business rates retention and the calculation methodology for the four-year settlement had introduced “further layers of opacity” to a system already complicated by the use of 15 formulae and 120 indicators.

“It is positive that the government is attempting to reduce the number of cost drivers and formulae used in the relative needs assessment,” the LGA said. “It is important that complexity is only added where it is unavoidable and where it has a material positive impact on fairness.

“However, the right number of formulae and cost drivers must ultimately be driven by evidence or the outcome will not be seen as ‘fair’.”

The County Councils Network said any new formula arising from the review “must be capable of addressing spikes in demand for social care services”.

Its finance spokesperson Nick Rushton, leader of Leicestershire County Council, said: “This is a once in a generation opportunity to reform the system for the better.

“If we focus on the evidence and avoid introducing unnecessary complexity we may actually make something that stands the test of time. If not we will be back here sooner than we think.”

The District Councils Network said most districts would stop receiving revenue support grant by 2019-20 and were “continuing to see reductions in their core spending power for the whole period, compared to other councils who are all seeing an increase”. …”

http://www.publicfinance.co.uk/news/2018/03/local-government-funding-changes-will-fail-without-extra-resources

“Austerity will have cast an extra 1.5m children into poverty by 2021”

“An extra 1.5 million children will have been pitched into poverty by 2021 as a consequence of the government’s austerity programme, according to a study of the impact of tax and benefit policy by the Equality and Human Rights Commission.

The EHRC study forecasts dramatic increases in poverty rates among children in lone parent and minority ethnic households, families with disabled children and households with three or more children.

There are clear winners and losers from austerity tax and benefits changes since 2010, the study says. The regressive nature of the policies means that low-income families have been hit hardest: the poorest fifth will lose 10% of income by 2021, while the wealthiest fifth will see little or no change. …”

https://www.theguardian.com/society/2018/mar/14/austerity-will-have-cast-an-extra-15m-children-into-poverty-by-2021

“Councils forced to sell off parks, buildings and art to fund basic services”

Of course, some councils (naming no names) positively relish selling off the family silver to fund such things as posh new HQ … and note the bit about “transforming services” … a phrase our council adores!

“On Friday, the government-appointed inspector sent in to examine Northamptonshire county council’s books after it went effectively bankrupt is due to publish his report on what went wrong.

While he may identify some failings that can be laid at the council’s door alone, in reality Northamptonshire merely had the dubious honour of last month becoming the first local authority since 1998 to be unable to balance its books. According to last week’s report by the government’s spending watchdog, the National Audit Office, there are around 15 councils that could follow suit in the next three years. The most likely contenders seem to be the Tory-run Surrey, Somerset, Lancashire and Norfolk county councils.

The NAO’s analysis highlights the financial predicament facing councils across England. Government funding has fallen by nearly 50% since 2010. Combined with increased demand for adult and children’s social care and homelessness services, as well as paying higher national insurance contributions for staff, implementing the “national living wage” and the apprenticeship levy, growing numbers of unitary and county councils are relying on their reserves to balance their budgets, the watchdog found.

If current rates of spending continue, the NAO calculates that 10% of social care authorities will have exhausted their reserves within the next three years, while more than 20% will have depleted them within four to five years. A recent survey by the Local Government Information Unit thinktank (LGIU) found that 80% of councils were concerned about their finances. Having already slashed spending on management, administration and non-statutory services, as well as raising council tax, local authorities are desperately trying to find sources of revenue. Most plan to increase or introduce charges for services such as parking, garden waste disposal, burials, planning, home care and meals on wheels. With no financial lifeline from the chancellor, Philip Hammond, in his spring statement on Tuesday, many are also having to sell off their assets to raise cash.

Although councils have long been able to sell school playing fields, swimming pools and leisure centres, they were previously barred from using money from building or land sales to fund frontline services. But since 2016, the government has allowed them to invest the proceeds of assets sold by April 2019 in “transforming” frontline services. This has given councils a greater incentive to flog assets. According to the NAO, in the year to April 2017, £118.5m of such capital receipts were used in this way.

Northamptonshire’s proposed sell-off of its new £53m HQ has been widely reported. But numerous other councils are hoping to sell their historic town halls, from Milford Haven in Pembrokeshire, to Southall in west London and Shotley Bridge in County Durham. Until last month Broxtowe borough council in Nottingham had also planned to sell Beeston town hall to developers, but in the face of fierce local opposition it is now inviting bids from those interested in making alternative use of the building.

“It’s a historic building which has been the civic centre for Beeston since 1936 and represents a lot for the people,” says Matt Turpin, a project and communications manager at Nottingham Unesco City of Literature and the co-founder of a blog about Beeston. “The locals are hugely against it. The council ran a consultation last year and 94% said they were against demolition.” A spokeswoman for the council says shortlisted proposals will be asked to submit business plans before a full council meeting makes a final decision.

With buoyant land values, it is hardly surprising that council-owned parks are vulnerable. Knowsley council in Merseyside is planning to sell 17 parks to developers for an estimated £40m. This will be used to create a charitable trust that will fund all future maintenance and upkeep of its remaining parks. The council will no longer fund parks and green spaces after 2019. After its 2018 budget was approved last week, the plans will now go before the scrutiny committee before a final decision later this year.

Knowsley is far from alone. More than half of cash-strapped councils in the north-west of England are considering selling their parks or finding other organisations to maintain them.

A 2018 parks survey being published on Thursday by the Association for Public Service Excellence (APSE) reveals that 85% of cash-strapped councils expect to cut parks and green spaces funding. Paul O’Brien, APSE’s chief executive, says this is a false economy. “While divesting parks may seem like a quick solution to financial pressures, in the long term we lose a valuable community asset that can generate a real return for local places and local people, he says.

“If we want to create healthy, active communities, develop attractive public realms to bring in new businesses and jobs, and safeguard the environment, then parks are the answer not the problem.”

https://www.theguardian.com/society/2018/mar/14/councils-forced-sell-parks-buildings-art-fund-basic-services

EDDC “Council decision to sell HQ for £7.5M is worst deal ever, activists”

Activists have branded a council decision to sell its HQ “the worst deal ever” for taxpayers.

East Devon District Council is selling its offices at Knowle in Sidmouth to Pegasus Life Ltd, one of Britain’s largest retirement housing developers, for £7.5 million.

The developable value of the site – divulged in a response to a Freedom of Information request in January-has been set at £50 million, with Pegasus Life Ltd set to make a £10 million profit.

Pegasus is owned by an American firm listed in the so-called Paradise Papers, 13.4 million confidential electronic documents relating to offshore investments that were leaked to German reporters last year. Offshore investments enable companies and individuals to shelter their wealth and avoid tax. They are legal.

Paul Arnott, chairman of the East Devon Alliance campaign group, said: “Why were councillors never told that our last great piece of family silver the Knowle – would be worth a massive £50 million after development?

“If any individual person in East Devon was told their prime location property could be developed and sold on for £50 million they’d never accept £7 million.”

In December 2016, the council’s planning committee rejected Pegasus Life’s planning application for 113 extra care units, but following a four-day inquiry into the developer’s appeal in November, a planning inspector gave the firm approval for the scheme which includes a café and swimming pool. Sidmouth has been allocated only 50 extra care homes in the council’s Local Plan.

The Alliance said it was an “exceptionally bad” deal, because, in accordance with the old land buyer’s rule of thumb, the landowner of a site should expect around a third of its developable value – in this case £16.5 million.
A council spokesperson said the deal was based on the site’s land value – in its current state. The site includes the buildings, terraces and top car parks.

Moving council operations to Honiton, with a satellite office at Exmouth Town Hall, has a budget of £10 million and is being funded out of the council’s coffers and a Public Works Loan Board loan.

The council spokesperson said that “from day one”, council running costs would reduce significantly when it leaves the Knowle and during its first full year of operations at Honiton it will save £135,000, with savings increasing year-on-year.

The Alliance pointed out that because the proposed complex is considered to be a residential/care home development, as opposed to a general residential development, the developer is not required to pay Section 106 money towards providing community services. The developer is only contributing £12,000 to improve access/footpaths to the site from adjacent parkland.

However, the developer could have to comply with what is known as an overage clause: If more than a 20% profit is made from the development, the council will be entitled to 50% of any profit made over and above the 20%, to a maximum of £3.5 million.

A council spokesperson, said: “We have carried out due diligence on Pegasus Life Ltd and are satisfied that they are an established and successful company suitably financed, capable of delivering the promised development and able satisfy their contract with the council.

“Selling the Knowle and moving offices is key to continuing to serve our communities. Services to our communities are what matter, not the vanity of paying to stay in an outdated and expensive building.

Pegasus Life Ltd bosses did not comment when asked whether any of the profit of its Sidmouth development could end up in tax havens. However, Howard Phillips, its chief executive, said: “We pride ourselves on the quality of our developments and the sensitivity of our designs to ensure they fit in with the area’s achitectural vernacular.

“The UK is in the middle of housing crisis and local authorities need to make cohesive eve plans that meet the needs their local towns. This includes provision for people over 60.”

Source: Western Morning Newz

Privatisation: consultants hire more consultants to bail them out (maybe)

(The final paragraph gives some perspective to the Capita boss’s upbeat message!)

The embattled outsourcing giant Capita is plotting a £700m fire sale of assets alongside a heavily discounted rights issue intended to raise a similar sum.

The new chief executive of the former FTSE 100 favourite is understood to be working on a more aggressive than expected review that could lead to the sale of six or seven businesses.

Jonathan Lewis, who overhauled the oil services company Amec Foster Wheeler, admitted in January that Capita needed a rescue cash call.

Delivering a profit warning that almost halved the market value to £1.1bn, Lewis said Capita had underinvested and relied on acquisitions to fuel growth.

The company has contracts ranging from army recruitment to customer services for Tesco Mobile [and BIG contracts with local authorities such as Barnet where they run just about everything]. It is wrestling with a debt pile that totalled £1.2bn at the end of last year and a reported £381m pension deficit.

Capita has hired the consultancy McKinsey & Co to work on its strategy and Bain & Co to help scythe through costs.

Lewis said in January that two businesses would be sold — Constructionline and ParkingEye — as part of non-core disposals. It is understood Capita has now identified six or seven businesses, worth up to £700m, that could be sold in stages. With the rights issue, this would allow Capita to raise up to £1.4bn of fresh capital. The company has had more than 120 approaches from potential bidders interested in its offshoots.

Capita has delayed publishing its 2017 results until it finalises the rights issue, which could be launched within weeks. Lewis is expected to reveal a cost-cutting plan that will strip hundreds of millions of pounds from its overheads.

The turnaround drive comes amid a toxic climate for outsourcing companies, illustrated by the collapse of Carillion in January.

Interserve is trying to refinance its £513m debt. The share price leapt last week on hopes that a deal with lenders may be agreed within days.

Lewis has insisted Capita is not in the same position as Carillion, pointing out it has £1bn of cash and bank facilities. Its shares closed last week at 168p. A year ago they were trading at 518.6p.

● Advisers to Carillion were handed £6.4m just before its collapse. Law firms including Clifford Chance and Slaughter and May and the investment bank Lazard were among the firms that were paid fees on January 12, an inquiry by MPs has found. Carillion went into liquidation 72 hours later.”

Source: Sunday Times (pay wall)

DCC Councillor Martin Shaw (East Devon Alliance) updates on NHS changes

This is a long article but if you want to know where we are with NHS changes in Devon this gives you all the information.

Our pressure has led to Devon NHS joining a national retreat from privatising Accountable Care Organisations. However the Devon Integrated Care System will still cap care, with weak democratic control – we need time to rethink

We must thank ALL our Independent Councillors – particularly DCC Independent Councillor Claire Wright, DCC Councillor Martin Shaw (East Devon Alliance) and EDDC Councillor Cathy Gardner (East Devon Alliance) for the tremendous work they have done (and continue to do) in the face of the intransigence (and frankly, unintelligence) of sheep-like Tory councillors.

At EDDC Tory Councillors told their Leader to back retaining community hospitals, so he went to DCC and voted to close them (receiving no censure for this when Independents called for a vote of no confidence).

At the DCC, Health and Social Care Scrutiny Committee Tory members were 10-line whipped by its Chair Sarah Randall-Johnson to refuse a debate on important changes and to vote for accelerated privatisation with no checks or balances.

At DCC full council – well Tory back-benchers might just as well send in one councillor to vote since they all seem to be programmed by the same robotics company!

That “6.5% payrise” for NHS workers deconstructed – it’s a pay cut!

“The good news: the eight year cap on NHS staff pay may finally be removed! The bad news? What’s being offered by way of “pay rise” is anything but.

Following months of negotiations between Ministers and Union officials, 1 million NHS staff are set to be offered what the Government is calling a 6.5% pay rise according to a leaked report today.

However, in practice, what that looks like is as follows: a 3% increase in salary from 2018-2019, which is simply the rate of inflation, and then a rise of 1-2% in the following two years.

The pay rise, which simply lines pay with inflation, is not a pay rise in any meaningful sense. Considering the fact that such an inadequate, paltry measure comes after eight years of pay that hasn’t even nearly matched the rate of inflation, the insult is stark.

NHS Nurse and ardent pro-NHS activist Jac Berry explained exactly why the Tories’ latest offer is so demeaning in a Facebook post, saying:

“Somebody (probably in a suit) has leaked what the government plans to offer us NHS staff over the next three years.

The chat is we will be offered a 6.5% increase which sounds good BUT ACTUALLY there are problems with what’s allegedly on the table.

1) The “award” is spread out over three years. If the rumours are true, this year we’ll be offered 3%, followed by 1-2% for the 2019-2021. The cost of living is going up faster than that, so this is in effect a pay cut.

2)In return, we must give up a day of our hard won Annual Leave. Personally I believe we need that annual leave to get rest and recuperation from doing incredibly undervalued work in increasingly challenging circumstances.

Sacrificing a day of that doesn’t just effect our pockets, it also affects our general well-being.

I do not view this as a acceptable offer so unless the 14 Health union leaders in direct negotiations can push the government back, I think we have no choice but to reject it.

On the question of strike action. No worker, let alone those of us caring for the sick and the vulnerable, withdraws their labour lightly. However, if the above is the best that (c)an be achieved through negotiations then I can’t think of any other option.”

To add more insult to the insult, in return for the paltry Government offering – some Twistian helping served up and slopped into the bowls of Britain’s most cherished workers – it is also a condition of the Tories’ offer that NHS staff sacrifice a day’s holiday. Indeed, the condition is a so-called red line.

Such a red line constitutes, in reality, a 0.4% pay cut. All this comes after a 14% real terms pay cut following years of austerity.

With an NHS suffering a massive dearth in staff: underfunded and under-appreciated, the Government’s response highlights exactly how little they truly care, and how little they appreciate the scale of the issue.

It’s symptomatic of a Government that thinks it can continue to strangulate the air out of the lungs of the institutions that make this country great and still expect it to sing in perfect falsetto.

Our NHS staff already work untold hours of unpaid overtime, already they sacrifice for strangers, and now in order to be graced with the honour of a meagre pay rise, they are expected to give up their only time to rest, to recuperate, to recover and rejuvenate so that they can continue to provide the service that they do.

After May patronised the profession by lying to them that a “magic money tree” doesn’t exist before jimmying up wads of cash for the DUP, and after she proselytised that there are myriad reasons why nurses might use food banks, this supposed ‘offer’ from the Government is truly outrageous.

It is arrogant, condescending, brutish and destructive, and NHS Staff should reject it.”

The Tories’ NHS “Pay Rise” is a CON – it’s a PAY CUT – and they plan to steal paid holiday from NHS staff for the privilege

MPs profess shock at £817 million housing underspend

Owl says: Let’s say each affordable home cost a very generous £200,000 – that’s just over 4,000 affordable homes! If we went down the prefabricated route and homes were £100,000 that’s just over 8,000. Cranbrook currently has about 3,500 homes. Scandalous.

“MPs are demanding an urgent explanation from ministers after being told that £817m allocated for desperately needed affordable housing and other projects in cash-strapped local authorities has been returned to the Treasury unspent.

The surrender of the unused cash has astonished members of the cross-party housing, communities and local government select committee at a time when Theresa May has insisted housebuilding is a top priority and when many local authorities are becoming mired in ever deeper financial crises.

On Monday the committee, which discovered the underspend for 2017-18, will interrogate housing minister Dominic Raab and homelessness minister Heather Wheeler on the issue, before Tuesday’s spring statement by the chancellor, Philip Hammond. He is under heavy pressure from MPs, and the Tory-controlled Local Government Association, to signal extra help for the local authority sector, which has seen budget cuts of around 50% since 2010.

The acting chair of the committee, the Tory MP Bob Blackman, said: “We will be wanting to know why this very large sum has not been spent at a time of great strain on local authority budgets, and why it was not channelled to other spending projects. It does not help those of us who argue that more should be given to local authorities if the chancellor knows money he gave last time has not even been spent.” MPs believe they can argue for more for local authorities because Hammond will announce that unexpectedly high tax receipts have left the Treasury with a windfall of between £7bn and £10bn.

Speaking on Saturday night, the chancellor said the government had gone a long way to put the public finances back in order and was now able to pump more into services, including housing: “We’re making good progress on building the homes this country needs with, last year, a 20-year record high for housebuilding. This is how we build an economy that works for everyone.”

But Helen Hayes MP, a Labour member of the select committee, said it was “astonishing” that money was lying unspent when the number of social homes built by local authorities from government grants had dropped dramatically since 2010. “This is the biggest issue for families up and down the country, including in my Dulwich and West Norwood constituency,” she said. “It is simply astonishing and unacceptable that there is so little urgency being shown.”

For the last 30 years, councils have cut back council housebuilding in the face of severe budget cuts. Local authorities have also been discouraged from building by the government’s “right to buy” scheme, which allows tenants to buy council properties at a 40% discount.

Hundreds of councils have set up their own property development companies to build homes and get around the rules. But progress has been slow, in part because of the threat from ministers that they might extend the right to buy to the new council-owned companies.

Shadow housing minister John Healey said housing and local government secretary Sajid Javid’s department had also failed to spend £220m of funding allocated to affordable housing last year. “Sajid Javid needs to explain why he is selling families short by surrendering much-needed cash for new homes,” he said.“If the secretary of state can’t defend his department’s budget from the Treasury he should give the job to someone who can.”

A housing ministry spokesman said: “We are investing £9bn in affordable homes, including £2bn to help councils and housing associations build social rent homes where they are most needed.

“All of the affordable housing underspend from 2016-17, including £65m returned by the Greater London Authority, has been made available to spend on similar schemes.”

Last week, the National Audit Office estimated that 10% of unitary authorities and county councils have less than three years’ reserves left if they continue to deploy them at current rates, leaving them vulnerable to potential insolvency.

The Tory chair of the health and social care select committee, Sarah Wollaston, said action was needed urgently: “NHS public health and social care need a boost now, but also a long-term plan to provide the funding they need and a clear plan to set out how the money will be raised.”

Labour will counter Hammond’s claim that the public finances are on the mend by calling for an emergency budget to address the funding crisis hitting Tory- as well as Labour- and Lib Dem-run councils.”

https://www.theguardian.com/society/2018/mar/10/housing-budget-817-million-unspent-astonished-mps

Warning light for our LEP council partner’s finances (Somerset)

Owl wonders how our Local Enterprise Partnership will function with (at least) one partner council “showing financial stress” – and the lead partner which provides most of the administrative services to the LEP … and have some of those “fallen useable reserves” (fallen 60% in five years) “fallen” to the LEP – possibly even towards Hinckley C support?

As we do not get to see LEP accounts, we will never know.

“Three Conservative-run counties have been added to the list of those showing signs of financial stress because of funding cuts.

Somerset, Norfolk and Lancashire county councils are exhibiting some of the warning signs demonstrated by Northamptonshire county council before it declared itself effectively bankrupt last month, according to the Bureau of Investigative Journalism.

The three join the Tory-run Surrey county council, which is facing a £100 million shortfall, as the counties in the deepest financial crises. The National Audit Office has found that one in ten councils could run out of money in the next three years. County councils have been hit hard by cuts to local government funding since 2010 and social care costs are rising.

Somerset, Norfolk and Lancashire’s usable reserves — effectively rainy day funds — have all fallen substantially in recent years, the bureau’s research found. Somerset’s usable reserves have fallen by 60 per cent in the past five years, Norfolk’s have halved and Lancashire’s have fallen by 48 per cent.

All three show further signs of financial difficulty. In Somerset the council overspent on children’s and adult’s social services in each of the past three years and its budget this year projects a £14.6 million overspend on children’s services, the largest in the country. Last month it announced plans to close two-thirds of its children’s centres.

In Norfolk the council has spent more than it budgeted for in each of the past three years, the bureau found, although the council disputed the claim it had been overspending and insisted its budgeting was “robust and prudent”.

Lancashire has overspent on children’s and adult social services in each of the past three years, and its funding gap is £97 million in the coming financial year.

A spokesman for Somerset said that the findings “overstate the position and don’t take account of our considerable contingency funds or the plans we have in place to make savings”. A Norfolk spokesman said the research was “scaremongering” and that the council had recently “set a balanced budget for 2018-19”. Angie Ridgwell, Lancashire’s chief executive, said: “There may be sufficient funds within the transitional reserve to support the identified budget gap in 2018-19 and 2019-20. However, further savings will need to be made.”

Source: The Times (paywall)

[Somerset county council has announced plans to close two thirds of its children’s centres in a bid to save cash]

The human cost of austerity cuts

“One in ten councils faces running out of money in the next three years after exhausting its reserves to pay the dramatically rising cost of social care, the government’s financial watchdog has concluded.

The National Audit Office (NAO) warned that many councils were on the verge of insolvency having had their central government funding cut by almost 50 per cent in eight years. It found that authorities’ financial positions had “worsened markedly” since they were last audited in 2014, with two thirds of councils with social care responsibilities dipping into their reserves last year. The report also revealed that government cuts had led councils to:

• Reduce the number of households having their bins collected each week by 33 per cent since 2011;

• Cut the number of food hygiene checks on cafés and restaurants by 40.9 per cent;

• Make savings of £1.6 billion by closing Sure Start centres and services for young people.

In addition, bus route subsidies have been cut by 48 per cent, 10 per cent of libraries have been shut and 67 per cent fewer health and safety enforcement notices are being handed out.

The NAO found that despite these cuts, councils were still unable to balance their books because of the increased demand for social care combined with cost pressures such as the new national minimum wage. It said that the estimated number of people aged over 65 in need of care had increased by 14.3 per cent. Social care accounts for 54.4 per cent of local authorities’ total service spending, up from 45.3 per cent in 2010-11.

As a result, 66 per cent of local authorities with social care responsibilities drew on their reserves last year. The NAO said that at the current rate of deficit 10 per cent of councils would have exhausted their reserves by 2020.

Last month Northamptonshire county council had to impose strict in-year spending controls after effectively going bankrupt. The Timesrevealed that Surrey, Britain’s richest county, is facing a £100 million cash crisis. Councils are not legally allowed to run up deficits and so they would be forced to cut services to ensure they remained solvent. Many of the councils affected are in solid Conservative areas. Surrey, for example, is a county represented at Westminster by seven government ministers.

Amyas Morse, head of the NAO, said that while the government had given local councils several “short-term cash injections” this funding had only been available for adult social care and uncertainty remained over the long-term financial plan for the sector.

Meg Hillier, chairwoman of the Commons public accounts committee, said funding cuts had led to “stark choices” about which services local authorities continue to provide. “Many councils are raiding their rainy day funds to pay for social care, and we have seen Northamptonshire reach the brink of financial failure,” she said.

A government spokesman said councils needs and resources were being reviewed and a real-terms increase had been provided over the next two years.”

Source: Times (pay wall)

Who will be working where with the new EDDC HQ

Freedom of Information request 19 February 2018. EDDC seems to be increasing staff during austerity.

“Total number of employees working for EDDC
513 – data as at 28 February 2018.

How many currently working remotely or ‘on the move’ are:

A) based in Exmouth Town Hall -79
B) based in Sidmouth – 280
154 are based elsewhere across the district including THG, Manor Pavilion, Cranbrook, StreetScene depots, parks and gardens, Lymebourne House, Business Centre, Camperdown or may be mobile touching down at both ETH and Knowle.

How will this situation change once the new office opens in Honiton (number):

It remains to be seen exactly but I would expect the majority of the 280 to relocate to Honiton but I will be consulting with all individuals and where there are people who potentially live in Exmouth who can work more sensibly from Exmouth we may make adjustments.”

http://eastdevon.gov.uk/access-to-information/freedom-of-information/freedom-of-information-published-requests/

How do you solve the housing crisis? With great difficulty given vested interests

Matt Ridley:

“Sajid Javid, the housing secretary, is right — and brave — to go on the warpath about Britain’s housing crisis in his new national planning framework, to be launched today. Britain’s housing costs are absurdly high by international standards: eight times average earnings in England, fifteen in London. A mortgage deposit that might have taken a few years to earn in the early 1990s can now take somebody decades to earn. Average rents in Britain are almost 50 per cent higher than average rents in Germany, France and crowded Holland.

Britain really is an outlier in this respect. Knightsbridge has overtaken Monaco in rental levels. Wealthy, crowded Switzerland has falling house prices and lower rents than Britain. Over recent decades, most things people buy have become more affordable — food, clothing, communication — and the cost of building a house has come down too. Yet the price you pay for it in Britain, either as a buyer or a tenant, has gone up and up.

Speculation exacerbates the problem. British people, and foreign investors here, borrow money to invest in housing on the generally valid assumption it will rise in value. This distorts our economy, diverting funds from more productive investments and exacerbating labour shortages in expensive places such as London and Cambridge.

The fastest take-off in house prices relative to earnings has been in the past two decades, when cheap money has further fuelled the house-price spiral, rewarding the haves at the expense of the have-nots. The high cost of housing is by far the biggest contributor to inequality. The reason people have to turn to food banks is not because of high food prices, but because of high housing costs. It is a rich irony that the Attlee government’s Town and Country Planning Act 1947 is probably as responsible as anything for the continuing prosperity of most dukes.

Yet seeking out profiteers misses the point. At the root of the problem is supply and demand. Britain restricts the supply of housing through its planning system far more tightly than other countries. That keeps prices going up, enabling developers, landlords and speculative buyers to make gains. We are building not much more than half as many houses each year as France, despite a faster population growth rate, and a quarter as many as Japan.

So why is British planning so restrictive? Until 1947 Britain regulated housebuilding in most cities the same way other countries did: by telling people what they could build, rather than whether they could build. As Nicholas Boys Smith, director of Create Streets, told a recent conference at the Legatum Institute, in the centuries following the Great Fire of 1666 “there was a series of pieces of legislation that set down very tight parameters: ratio of street width to street height, the fire treatment of windows etc. That is how most of Europe still manages planning. They have not taken away your right to build a building.”

Britain switched to deregulating what you could build, but nationalised whether you could build, by adopting a system of government planning in which permission to build was determined by officials responding to their own estimate of “need”. This brought great uncertainty to the system, because planning permission now depended on the whims of planners, the actions of rivals and the representations of objectors. Today local plans are often years out of date, if they exist at all, and are vast, unwieldy documents, opaque to ordinary citizens and subject to endless legal challenge and revision.

This makes Britain both far more subject to centralised command and control, and far more dominated by big corporations than other countries. It is a good example of how socialism and crony capitalism go hand in hand. Barriers to entry erected by planning play into the hands of large companies and make it hard for small, innovative competitors to take them on. In turn, this leads developers to produce unimaginative, repetitive designs to get the best return on their huge investment in land and permission.

Getting planning permission to build houses in Britain requires you to spend big sums on consultants, lawyers, lobbyists and PR experts, as you wear down the councils’ planning teams and their ever-growing lists of questions over several years. Not that the two sides in such debates are really antagonists: it is more like a symbiosis, a dance in which both sides benefit, because the fees to be earned by everybody from ecologists to economists are rich. And that is because at the end of the process the reward can be huge: a hundredfold uplift or more in the value of a field that gets turned into housing.

As a property owner, I have experience of this system and, I freely admit, a vested interest in it. I should be arguing for it, rather than against. However frustrating planning authorities can be, the rewards they bring to property owners can be large, either through upward pressure on prices and rents by their restrictions on permissions, or through uplifts in the value of land zoned for development.

Our mostly centralised taxes make things worse. In Switzerland, cantons compete for the local taxes that residential property owners pay, encouraging them to agree promptly to building bids, whereas here development brings headaches for local councils in providing infrastructure and services, only partly redressed with “section 106” agreements that make developers pay for schools and roads.

The system also creates opportunities for nimbyism on a greater scale than elsewhere. Opposing new development because it blocks your view, increases congestion on the roads and crowds the doctor’s surgery and local school, is rational everywhere. But it is much easier to organise a protest when the decisions are taken by council officials and the permissions are for big projects, rather than where many small decisions to build are taken by many dispersed owners and builders.

If Sajid Javid is to succeed in revolutionising Britain’s housing market, he must tackle the underlying causes. Rent control, Help to Buy, affordable housing and bearing down on developers’ land banks mostly address the symptoms. Forcing councils to set higher targets for housebuilding is a start, but if he were to succeed in unleashing a building boom across the country sufficient to bring down house prices, he would create a debt crisis among those with negative equity. So it will not be easy to cure Britain’s addiction to property, but he must try.”

Source: The Times (pay wall)

More than 2,000 deaths due to cold snap Ministers were warned about 3 months ago

Fuel poverty – does our CCG take this into account when sending people home with a “care package” – no. And we are the 6th richest country in the world.

“The death toll from Britain’s big freeze could rise to more than 2,000, as it emerged the Met Office had warned ministers a month ago about the cold snap.

The number of people who have died in cold homes in the UK might reach 100 per day this winter, a charity warned in an analysis of Office for National Statistics figures. …

But amid the expected lift in most travel restrictions on Monday, experts have begun to assess the health impacts of the cold snap.

The estimated rise in deaths, compared to a five-year average, comes as thousands face broken down boilers and fuel poverty, preventing them from heating their homes to safe temperatures.

Campaigners claimed that public health officials had been too slow in warning the public – particularly the vulnerable and elderly – of potential health risks so they could protect themselves. …

Peter Smith, director of policy for National Energy Action, said that the weather would likely see an average of as many as 100 people per day perishing in cold homes this winter, compared to a five-year average of 80 people per day.

The total number of cold-home deaths due to the “Beast from the East” cold front is therefore estimated to be more than 2,300.

At least ten deaths have so far been attributed to the cold weather, but the true death toll is likely to take longer to emerge due to the increase in strokes and heart attacks linked to cold weather.

Mr Smith’s analysis is based on ONS data from previous years and a comparable period of cold weather in the winter of 2010-11.

The World Health Organisation estimates that an overall proportion of 30 per cent of excess winter deaths are due to cold homes. … “

https://www.telegraph.co.uk/news/2018/03/04/uk-weather-big-freeze-death-toll-could-rise-2000-emerges-met/

“John McDonnell: Spring Statement ‘must help ailing councils’ “

[Many of the councils ehich admit to severe problems are Conservative councils – some in affluent areas]

“John McDonnell has urged the government to ensure that the Spring Statement offers help to local councils that are struggling financially.

Mr McDonnell said: “Tories are bizarrely saying they will pass up an opportunity this month to act.”

He warned that councils in England are facing bankruptcy due to what he called the government’s “failed policy of austerity”.

Chancellor Philip Hammond will deliver the Spring Statement on 13 March.

A recent survey suggested that 80% of England councils feared for their finances.

In his speech in Southampton on Saturday, Mr McDonnell highlighted reported comments by Surrey County Council leader David Hodges – a Conservative – who said the authority faced “the most difficult financial crisis in our history”.

Mr Hodges also reportedly urged the government not to “stand idly by while Rome burns”.

Surrey County Council spans the chancellor’s constituency of Runnymede & Weybridge.

John McDonnell said: “If his own Tory council leader doesn’t trust his main economic policy, why should anyone else in the country?”

Mr McDonnell accused the government of trying to play down the Spring Statement by refusing to publish “any major documents” and moving the statement from its usual slot.

A Treasury spokesman outlined the plans to the Financial Times for the statement which, unlike most recent Budgets and Autumn statements, is being delivered on a Tuesday rather than taking the high profile slot straight after Prime Minister’s Questions on a Wednesday.”

http://www.bbc.co.uk/news/uk-politics-43273843

“NHS England treats too many patients as an emergency, watchdog warns”

“The ageing population and other unexplained factors mean hospitals are now treating 5.8 million patients as emergency admissions every year, 24% more than a decade ago, the NAO found. Together they cost the health service £13.7bn, almost a 10th of its budget, and account for 33.59m bed days.

Its hard-hitting report, published on Friday, praises NHS England’s handling of the extra numbers but also criticises its failure to put in place enough services outside of hospitals to keep patients healthier.

The watchdog believes this lack of provision underpins its finding that 24% of emergency admissions are avoidable, implying that £3.43bn a year of NHS funds may be being wasted on people who, with better care, would not have ended up falling ill.

GPs offered cash to refer fewer people to hospital
The NAO said: “The impact on hospitals of rising emergency admissions poses a serious challenge to both the service and financial position of the NHS.”

It acknowledged that hospitals have done well to reduce the overall impact of rising emergency admissions in recent years, in particular by reducing patients’ length of stay and treating more patients as day cases.

But it warned: “[The health service] cannot know if its approach is achieving enduring results until it understands whether reported increases in readmissions are a sign that some people admitted as an emergency are being discharged too soon.

“The NHS also still has too many avoidable admissions and too much unexplained variation. A lot of effort is being made and progress can be seen in some areas, but the challenge of managing emergency admissions is far from being under control.”

The NAO cast serious doubt on whether key government-backed NHS initiatives to keep people out of increasingly overloaded hospitals have proved effective. The NHS’s longstanding policy of reducing its supply of beds has made things even more difficult for hospitals trying to deal with rising emergency admissions, the watchdog added.

The latest NHS data published on Thursday on how health services are coping with winter’s intense pressures shows that 95.3% of hospital beds were occupied last week – more than 10% more than the limit considered necessary for patient safety.

The NAO also voiced concern that the number of emergency admissions varies from 73 to 155 per 1,000 overall admissions in different parts of England, suggesting NHS trusts’ admission policies appear to be inconsistent and possibly wasteful.

NHS organisations and health unions endorsed the NAO’s conclusion that health service leaders’ failure to create and deliver more services in and nearer patients’ homes, despite promises to do so, was a key factor behind the upward trend in admissions.

The number of nurses working in NHS community services fell by 15% between 2010 and 2017, the Royal College of Nursing pointed out.

“People, particularly older people, are not getting the support they need in the community, which leads to more emergency admissions and dangerous levels of bed occupancy when demand is high, as we have seen this winter”, said Donna Kinnair, the RCN’s director of nursing, policy and practice.

Saffron Cordery, the deputy chief executive of NHS Providers, which represents hospitals, said proper community services were “central to the [NHS’s] ambitions” to transform the way it cares for patients. However, she added, efforts to do so had been hampered by underfunding and such care not being seen as a priority.

Prof Keith Willett, NHS England’s medical director for acute care, said: “As the report states, there are 12% fewer A&E patients being admitted than was predicted at the start of the decade, and hospitals, community trusts and GPs trialling new models of care have meaningfully reduced admissions compared with their peers.

“In addition, growth in the cost of managing emergency admissions has been less than a third of the growth in demand.”

https://www.theguardian.com/society/2018/mar/02/nhs-england-too-many-patients-as-emergency-nao-warns

RDE declares crisis

Well, we didn’t see that one coming did we – after more than 200 of our community beds were closed.

How on earth do you “prioritise patients in currently in your care” when emergencies happen and when your next nearest large hospitals are 40-90 miles away and having their own crises?

Here’s an idea: have community hospitals and move dying, improving or rehabilitation patients closer to their homes, freeing up acute beds!

“The severity of today’s weather has resulted in the Royal Devon & Exeter Hospital declaring a status of ‘internal critical incident’.

The warning means that care is being prioritised to patients already in its care, and it is calling on all available staff to come in to work.

Pete Adey, RD&E chief operating officer, said: “Due to the adverse weather conditions the trust, earlier today, declared an internal critical incident. This means we are diverting all available staff and resources to provide care for the patients who are in the hospital and receiving care from our community teams.

“We are asking staff within walking distance of the RD&E’s main Wonford site to come in and provide help if it is safe for them to do so.

“As we expect the weather conditions to continue, our focus for the next 24 hours is to provide urgent and emergency services and to look after the patients already in our care.

“In view of the treacherous driving conditions, patients should only attend their booked appointments if it is safe to do so. Appointments for all of the patients who cannot reach the hospital and those we have needed to postpone in light of the weather conditions will be rescheduled as soon as possible.”

The RD&E advised Honiton Minor Injuries Unit will reopen at 9am tomorrow.

Tiverton and Exmouth MIUs are open as normal at this time but may be subject to change. Regular updates will be provided.

Mr Adey continued: “We sincerely thank the public for their help and support at this challenging time and pay tribute to our staff who are working incredibly hard to keep our essential urgent and emergency services running.”

https://www.devonlive.com/news/devon-news/devon-hospital-declares-internal-critical-1285163

Privatisation: Network Rail assets likely to be sold off to billionaire equity funds

“Private equity firms, including Guy Hands’ Terra Firma, have emerged as contenders to take over Network Rail’s commercial property business, fuelling further dismay over the forced sale of assets to fund the budget shortfall.

The US investment giant Blackstone is understood to be another bidder for the rail property arm, which includes about 5,500 premises across England and Wales and is estimated to be worth £1.2bn.

According to Sky News, about 20 parties are expected to table preliminary bids on Friday, including Telereal Trillium, owned by the billionaire Pears family, and also funds linked to the Wall Street bank Goldman Sachs.

Much of the property is in urban areas under railway arches, and often let to small businesses such as bars, garages and hairdressers. The portfolio generated a large proportion of Network Rail’s total rental income of £293m in 2017. Network Rail has said existing tenants will retain their leases under the new landlords.

The involvement of Guernsey-based Terra Firma was revealed a month after a scathing report from the National Audit Office found the government had lost up to £4.2bn in a previous sell-off to part of Hands’ private equity group. The Ministry of Defence sold 57,400 army homes for military families for £1.66bn in 1997 to Annington Homes, and then rented them, which the public accounts committee chair, Meg Hillier, described as “a rotten deal for taxpayers”.

Terra Firma has also attracted attention for its management of the crisis-hit Four Seasons Health Care, whose care homes look after 17,000 elderly people in the UK and which is seeking a rescuer.

The sale of Network Rail assets, including some depots but no stations, was agreed as a condition of George Osborne (who was then the chancellor) releasing more funds in 2015 to continue promised infrastructure work. Network Rail hoped to raise £1.8bn towards a £2.5bn shortfall. A host of rail upgrades in a five-year plan from 2014-19 were cancelled after the budget for electrifying the Great Western mainline alone overran by approximately £2bn. …”

Unions and campaigners condemned the sale. Mick Cash, general secretary of the RMT union, said: “This is the same old bunch of chancers, speculators and asset strippers queuing up to make another killing at the expense of our public services. These property assets make a decent income for Network Rail and once they are gone they are gone, smashing another gaping hole in the rail infrastructure budget.” …

… Cat Hobbs, of the campaign group We Own It, said: “Railway land belongs to all of us – we don’t want it parcelled up and sold to the highest bidder. This is an asset which generates millions every year, money which should be returned to the public purse not disappear into private profits.”

https://www.theguardian.com/business/2018/mar/01/guy-hands-emerges-as-bidder-in-national-rails-property-sell-off

The business rate retention scam

“Allowing English councils to retain more of their business rates revenue could lead to damaging shortfalls in funding and drive divisions between different areas, the Institute for Fiscal Studies has warned.

Councils that enjoy the biggest increases in such revenues are unlikely to be those with the biggest spending needs, the think tank said. Levelling the playing field by redistributing the money would address regional disparities but would undermine the goal of encouraging councils to use business rates to boost regional growth.

The government turned the business rates system on its head in 2013 as part of its devolution strategy, when local authorities were allowed to keep half of any real-term growth in revenues or bear half of any real-term fall. Until then, business rates were pooled by central government and distributed back to local authorities as grants.

Five years ago, the ambition was for councils to keep 100 per cent of the change from 2019. That has been revised down to 75 per cent from 2020. The idea was to give local authorities an incentive to boost their revenues and local economies by increasing commercial property development or by cutting rates to attract more business.

The IFS said that the plan may backfire and “lead to divergences in English councils’ funding without promoting growth”. Its analysis of councils’ revenues and spending since 2006 showed that the policy may be flawed.

“The report shows that significant divergences could arise in just a few years under 100 per cent rates retention,” the IFS said. “This is because those councils, which would have seen the biggest increases in their retained business rates revenues, were often not the councils that experienced the biggest increases in their relative spending needs, for example, because their population became older, poorer or sicker.

“It is also not clear that the incentives provided by rates retention will translate into faster economic growth. The report finds no relationship between changes in the councils’ business rates tax bases and local economic growth, or indeed employment or earnings growth, in recent years.”

David Phillips, associate director at the IFS, said: “Areas seeing lots of new developments aren’t guaranteed strong economic growth. And growth doesn’t necessarily rely on large-scale property development.”

Source: The Times (pay wall)

Millenium baby boom coincides with school funding cuts in recipe for disaster

“… A baby boom in the 2000s created a “population bulge”.

Primary schools have been feeling the effects of this for years. Now, secondary applications are beginning to rise as children born during this population boom move up through the school system. …

… The increase in demand for school places has meant fewer pupils across England are being offered their first or any of their top choice schools – last year the proportion (83.5%) was the lowest since 2010. And more are being offered a school that they didn’t choose at all. …”

http://www.bbc.co.uk/news/education-43216483