Claire Wright and Martin Shaw fighting heroically for our NHS

Thank heavens we have Claire Wright and Martin Shaw fighting so hard for our NHS on a daily basis and don’t have to leave the fight to Swire, Diviani, Sarah Randall-Johnson and East Devon Tories – or there would be no fight at all!!!

Holding NHS Property Services to account:
http://www.claire-wright.org/index.php/post/nhs_property_services_and_nhs_managers_requested_to_fully_engage_over_commu

Getting those winter performance figures that Randall-Johnson was happy to wait months for:
http://www.claire-wright.org/index.php/post/new_devon_ccg_to_provide_performance_winter_pressures_reports_within_days

Social care not working:
http://www.claire-wright.org/index.php/post/latest_devon_social_care_survey_reveals_concerns_among_people_about_service

Ambulance service under intense pressure due to cost-cutting:
http://www.claire-wright.org/index.php/post/devon_county_council_health_scrutiny_committee_records_its_concerns_over_am

Decisions on community hospitals:
Health Scrutiny hears there will be no precipitate decisions on community hospitals – local conversations with CCG and RD&E offer chance to shape ‘place-based health systems’ around towns

Declining performance:
Devon’s health system’s declining performance over last 12 months – and Health Scrutiny still waiting for winter crisis evidence

30 Devon health visitorsto be sacked in latest round of austerity cuts

From the blog of Claire Wright:

 

“The latest round of government budget cuts to public health is set to result in a loss of around 30 health visitor posts across Devon, it emerged at last Thursday’s (25 January) Health and Adult Care Scrutiny meeting.

During a presentation by Steve Brown, assistant director of public health for Devon County Council, I asked for clarification on the budget cuts as a result of reduction in funding of over £700,000 from central government ….

The narrative in the agenda papers stated that several of the budget lines are set to save mobey due to contract renegotiation. I asked for assurances that this meant only a renegotiated contract and not a reduction in service. Mr Brown confirmed that there would be no service reductions in those areas.

However, due to budgetary pressures in 0-5 children’s services, the contract currently managed by Virgin Care, it is anticipated that there will be a loss of 30 health visitor staff, due to ‘natural wastage’ (staff leaving and not being replaced), in the next financial year 18/19.

NHS funded mental health support in schools set to be lost

A cut of £223,000 to the public mental health in schools budget could mean that NHS funded emotional health and wellbeing service in schools will be scrapped, it was also revealed at last

Thursday’s meeting.

When I enquired, Mr Brown confirmed that the contract for the service was coming to an end and his department was searching for a new provider. He said it was a really valued service and if further efficiency savings could be made elsewhere, this service would be top of the list for funding.

I was completely dismayed at what I was hearing, given that anxiety and depression among young people is rocketing.

I proposed that the Health and Adult Care Scrutiny Committee relay its grave concerns to Devon County Council’s cabinet about the impact of the cuts on the public health budget.  In particular, the loss of 30 public health visitors and the potential significant impact on young people the cut of £223,000 to public mental health budget, especially at a time when anxiety and depression among young people is rising.

I also proposed that the Health and Adult Care Scrutiny Committee writes to all Devon MPs, asking them to take up the issue with the Secretary of State for Health.

Another proposal from the chair on continuing the push for fairer funding for public health in Devon was also put forward.

All recommendations were supported unanimously.

You can view the speaker-itemised webcast here”:

https://devoncc.public-i.tv/core/portal/webcast_interactive/315014

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

“Business rates hardship fund proves ‘false hope’ after more than £70m delayed”

A relief fund worth £300m set up by Philip Hammond, the Chancellor, to support small firms struggling under the weight of business rates rises has proved a “false hope” after failing to pass on tens of millions of pounds 300 days after its launch.

Research by Gerald Eve, the property consultancy, has found that more than £70m of the £175m allocated to councils for the year to March 2018 has yet to be passed on to local firms.

The Federation of Small Businesses said some of its members were still waiting for the essential funding.

“Our research showed that one in five firms facing business rates hikes were planning to sell, hand-on or close their business,” said Mike Cherry, the chairman. “The Chancellor’s £300m hardship fund offered a small glimmer of hope. For many, it’s proved to be false hope.” …

http://www.telegraph.co.uk/business/2018/01/29/business-rates-hardship-fund-proves-false-hope-70m-delayed/

Who holds academies (and every other privatised service) to account?

” An Observer piece questions the growth of academy schools, warning that: “There is no evidence that, on average, academy chains do any better at managing schools than the local authorities they replaced. Instead, the reforms have created a structural mess, opening up profound gaps in accountability and governance.” The paper also reports that six out of 10 of the biggest academy trusts have raised “warnings over pressures on pay, staffing levels, building maintenance and mounting deficits”, which “raises the spectre of what would happen if a major academy chain were to go bust”.

The Observer, Page: 46

 

PFI – a licence to print money?

“Carillion made £500m in revenue from selling off Private Finance Initiative (PFI) projects between 2003 and 2011, with many deals handing the construction firm returns of more than 15 per cent per year.

The most lucrative sale was of three NHS hospital buildings in Staffordshire, Swindon and Glasgow in 2007 which netted Carillion a 38.7 per cent annual return, according to analysis by the European Services Strategy Unit (ESSU). Around £200m of the sales came after 2010, the figures show.

Several of the purchasers are based offshore meaning they pay no UK corporation tax on the profits they derive from the schemes, which are ultimately paid for by taxpayers, the ESSU research found. …

… There are currently 735 operational PFI and PF2 deals, with a capital value of around £60bn. Annual charges for these deals amounted to £10.3bn in 2016-17, the NAO found. Even if no new deals are entered into, future charges which continue until the 2040s will amount to £199bn.

Earlier research by the ESSU found that nine offshore funds own between 50 per cent and 100 per cent of the equity in 335 PFI projects across the UK. The funds own 45 per cent of all current projects, ESSU said. …”

http://www.independent.co.uk/news/business/news/carillion-made-500m-in-revenue-from-pfi-projects-with-annual-returns-of-up-to-39-research-finds-a8180986.html

Shocking numbers of children living in poverty in East Devon

See here for a village by village and town by town breakdown – largest number in Coly Valley!

http://www.devonlive.com/news/devon-news/nearly-half-children-living-poverty-1115648

Public-Private partnership – the downside

“… PPP is one of those financial inventions that was sold as being a win-win for both sides: the companies could be awarded lots of lucrative contracts to build stuff for the state; the government would get new infrastructure more quickly and without the financial risk, as private companies would bid for the work and the market would ensure taxpayer value.

At least, that was the theory. What actually happened was that companies kept bidding for projects, but tough competition meant the contracts came with skinnier and skinnier margins. So, if problems occurred, a contractor’s 2% profit would not just be wiped out – huge losses could be incurred too.

Sam Cullen, an analyst at investment bank Jefferies, said: “That is why construction can be such a fundamentally horrendous business. Under pressure to grow the top line and operating on wafer-thin margins, everyone bids each other to death. It’s a situation not helped when your largest customer, the government, is under huge pressure to get value for money and is more susceptible to accept the lowest bidder.”

The big question is: why do companies keep bidding, if the contracts can cause so much pain?

The answer probably lies in the structure of major PPP construction deals, because they hand the contract winner a large chunk of cash upfront.

Work on construction can then begin, while contractors like Carillion may not need to start paying sub-contractors for another 120 days.

During those four months, much of the upfront payment might be used to pay other debts within the business, meaning these deals can create situations where firms have to keep winning new contracts just to keep going.

Or, as it turns out, not keep going.”

https://www.theguardian.com/business/2018/jan/15/the-four-contracts-that-finished-carillion-public-private-partnership

Owl says: bad news for Devon which has hundreds of miles of local roads that Devon County Council can’t afford to maintain, just one motorway only serving part of Devon and a handful of trunk roads.

“More money needs to be spent on England’s local roads by Government after it was revealed today that motorways and major trunk roads receive 52 times more central funding per mile.

The Local Government Association, which represents 349 English councils and carried out the analysis, has urged Government to reduce the disparity so its members can tackle the £12billion repair bill to bring local roads up to scratch – including fixing more potholes.

It found that the Government plans to spend £1.1m per mile to maintain its strategic road network between 2015 and 2020.

However, the LGA will provide councils with just £21,000 per mile for local roads over the same period.

This is despite an increase in the number of cars travelling on local roads, average speeds falling and local roads making up 98 per cent of England’s road network, according to the LGA. …

http://www.thisismoney.co.uk/money/cars/article-5307957/LGA-calls-Government-help-tackle-12bn-repair-bill.html

DCC Councillor Claire Wright: “NHS REFUSES TO PROVIDE WINTER PRESSURES INFORMATION FOR DEVON COUNTY COUNCIL HEALTH SCRUTINY COUNCILLORS”

I am really disappointed to report that despite me asking at the beginning of January for the winter pressures information to be available at the 25 January Health and Adult Care Scrutiny meeting, it is not going to be provided.

Given the avalanche of very worrying “NHS in Crisis” press stories I sent several emails to committee chair, Sara Randall Johnson, at the beginning of January asking for information such as delayed discharges, A&E waits, levels of norovirus, staff vacancies and various other pieces of information.

I was told it would be published as part of the performance review. However, when the agenda papers were published last week, the performance review charts gave information until the end of November only.

I have since been told by the committee chair that a representative from the NEW Devon CCG claimed that they weren’t in a position to provide the information because it would give councillors an incomplete picture.
If this isn’t infuriating enough, winter pressures data is updated on a daily basis and circulated to NHS and social care managers. They have the information. And it’s as up to date as today.

The health scrutiny committee chair indicated during a phone call with me on Saturday that she thought this was acceptable and that this data not being provided until the March meeting was fine!

When I asked (as per the email below) for the data to be provided under ‘urgent items’ I was told the issue wasn’t urgent and there wasn’t time to get the paperwork out in any case.

The refusal to supply this information, is in my view, a deliberate obfuscation. An attempt to interfere with the democratic and legitimate process of scrutiny and the NHS should have been pressed to provide it for this meeting.

Here’s my email to chair, Sara Randall Johnson, sent last Wednesday (17 January):

Dear Sara

I am very disappointed that there will be no specific written report on winter pressures at next week’s meeting.

I think that most people, given that ongoing national crisis that the NHS is experiencing right now, would find it inconceivable that our committee did not have this important information to assess how our major hospitals are managing during winter.

I see that there is an agenda item for urgent items at the beginning of the meeting.

Can I ask that this information as I previously asked for, is included in the form of written reports from the four NHS acute trusts, as an urgent agenda item. This to include delayed discharges for the winter period and up until next week, A&E waits and numbers, staffing vacancies, levels of norovirus and all the other standard winter pressures reporting that the trusts do on a daily basis for their managers.

I look forward to hearing from you.
Best wishes
Claire”

What if businesses and tourism turn right at the Severn bridge when tolls are removed this year?

“The government announced last July that tolls would end on the Severn bridges by end 2018.

What happens to our Local Enterprise Partnership and Greater Exeter Growth Plans if everyone turns right at Bristol?

As a current Guardian article says:

… “The abolition of the tolls on the Severn bridges will create a “once in a lifetime” chance to build an economic region to rival the northern powerhouse and challenge the south-east of England, politicians, business leaders and academics have said.

Making the crossings between the west of England and south Wales free could lead to a “western powerhouse” stretching from Bath and Bristol to Swansea, boosting prosperity and jobs, advocates believe.

A summit at the Celtic Manor resort, on the Welsh side of the border, yesterday discussed how regions on either side of the bridges could benefit from government plans to abolish the tolls by the end of the year……..”

The concept of a “Severnside” region has been around for decades. Welsh devolution is seen as one reason why the concept lost traction but Brexit has led to a reassessment.

Dylan Jones-Evans, the assistant pro-vice chancellor at the University of South Wales, said abolishing the tolls was a once in a lifetime opportunity. “Many businesses on both sides of the bridges felt [the tolls] formed a major psychological and financial barrier. Wales was seen as being separate from the rest of the UK economy.”

But he warned: “The current transport provision for road and rail between south Wales and the south west of England is not fit for purpose. … “

https://www.theguardian.com/uk-news/2018/jan/22/calls-to-abolish-tolls-on-severn-bridges-to-build-western-powerhouse

“Key figures in Devon and Somerset devolution deal meet to thrash out a way forward”

Owl says: Translation of headline – “A few rich businesspeople with vested interests and a few power hungry but rather uninformed councillors with their eye on the future panic because they risk having their fingers extracted from lucrative pies and will make unsustainable promises if that’s what it takes to keep them in”.

And as for that “productivity strategy”:
https://eastdevonwatch.org/2017/12/04/dcc-corporate-infrastructure-and-regulatory-services-scrutiny-committee-savages-hotsw-growth-strategy/

“Moves to shift more power and cash to the Westcountry took an important step forward this week when key players met civil servants to thrash out the way forward. The Westcountry has been pushing to join former Chancellor George Osborne’s “devolution revolution”, which would take powers away from London and put it into the hands of local people.

The first meeting in Whitehall last week included discussions on transport infrastructure, broadband access, home building and support for business growth.

The bid for devolution is led by the Heart of the South West local enterprise partnership, which includes leaders from business and councils across Somerset and Devon, including Plymouth, Torbay and Exeter.

A delegation has now met representatives from the Department for Business, Energy and Industrial Strategy to discuss devolution proposals.

The group claims that additional decision making and budget powers could have huge benefits for the Westcountry, including higher productivity, better paid jobs, improved transport links and more affordable homes.

Devon and Somerset are lagging behind the rest of the country. By November 2016, 11 regions had already reached devolution agreements.

Heart of the South West submitted its first proposal in February 2016, but has yet to reach a concrete deal.

An earlier stumbling block, the election of a regional mayor, has already been removed by the Government.

The issue had threatened to split the partnership.

But now civil servants have agreed to hold regular meetings on the issue, according to the region’s leaders involved in the bid.

Plymouth Council leader Ian Bowyer said: “Creating a strong economy, which means jobs, stability and strong prospects for our young people as well as families is vital for the future of Plymouth and the region as a whole. We are already working together across so many areas to deliver growth.

“This was a really positive meeting and sets the scene for closer working that will benefit all our residents.”

A total of 23 partnership organisations from across the region, which also includes clinical commissioning groups and national parks, are involved in the plans.

A joint committee for the Heart of the South West economic region is now being set up to move the discussions forward.

Cllr David Fothergill, chair of the Heart of the South West shadow joint committee, said of last week’s meeting: “We explained our vision for the area and how to help it become more prosperous.

“We discussed skills, transport infrastructure, broadband access, ways to provide more homes where they are needed and support for businesses to grow, innovate and export more. We also talked about the specific challenges faced by rural communities.”

The group said its first meeting will be in March, where it will agree a productivity strategy.”

http://www.devonlive.com/news/devon-news/key-figures-devon-somerset-devolution-1106519

“Secretary of State forecasts increase in number of unitary authorities”

Might Devon unitisation take place soon AFTER EDDC moves to its new luxury HQ?

“The Secretary of State for Housing, Communities and Local Government says he expects the number of unitary authorities in England to be higher in five years’ time.

Sajid Javid’s comments came in response to a question from former Cabinet colleague Patrick McLoughlin, who noted that both Scotland and Wales “are totally served by unitary local authorities”.

Sajid Javid 146x219The Secretary of State responded: “I can tell him that 60% of English people are served by unitary authorities, and I expect the number to be higher in five years’ time, given the views of many local people about unitary authorities and our commitment to consider unitarisation whenever requested.”

In November 2017 Javid said he was ‘minded to’ back the Future Dorset plans, which involve the replacement of the nine local authorities in the council with two unitaries.

Under this model, one ‘urban’ unitary would be created through the merger of Bournemouth, Poole and Christchurch. The other ‘rural’ unitary would be established from East Dorset, North Dorset, Purbeck, West Dorset and Weymouth & Portland. The county council would cease to exist.

However, councillors at Christchurch agreed this month to write to the Secretary of State to set out their vision of an alternative to the proposed shake-up. The council also approved an initial budget of £15,000 to take legal advice “and if necessary initiate legal proceedings to protect the interests of Christchurch Borough Council and its residents”.

Though not involving the establishment of unitary authorities, the Secretary of State said in December that he was ‘minded to’ back the merger of Taunton Deane Borough Council and West Somerset District Council, and the merger of Forest Heath District Council and St Edmundsbury Borough Council into single district councils.”

http://localgovernmentlawyer.co.uk/index.php

““CAMPAIGNERS REVEAL CASH-STRAPPED KENT NHS TRUST PAID MILLIONS TO A PRIVATE COMPANY TO FIND SAVINGS”

Dame Ruth Carnell is also leading Devon’s STP after her appointment os chief of the “Success Regime” on which her consultanct company worked prior to her appointment.

PRESS RELEAE:

“Two local Kent campaigners claim they had to mount a year-long investigation, involving numerous Freedom of Information (FOI) requests and a meeting with top NHS executives, in order to confirm that a small private consultancy firm had been paid over £6 million of local NHS funds to find cuts and “efficiency savings” in Kent.

Diane Langford and Julie Wassmer say they became concerned when they saw Dame Ruth Carnall, a former NHS executive who heads the private consultancy, Carnall Farrar, had been made Independent Chair of the Programme Board of the local Sustainability & Transformation Plan (STP) – one of 44 regional bodies put in place by NHS England to implement cuts and “savings” within the NHS.(1)

Author and campaigner, Julie Wassmer says “I raised concerns with former Canterbury MP, Julian Brazier, at a public (CHEK) meeting last March, questioning how Dame Ruth could possibly claim ‘independence’ when her own company was set to profit from the contract. At the same time, I was aware that my colleague, Diane Langford, had already been coming up against a wall of obfuscation in trying to discover how much that contract was worth and who was actually making the payments.”

Ms Langford, a writer and former Hansard transcriber says: “I actually submitted my first Freedom of Information request in December 2016, then dozens more to all eight Clinical Commissioning Groups (CCGs) in Kent and Medway as well as to Kent County Council (KCC) and NHS England in order to try to establish who was paying Carnall Farrar. As each respondent has up to 20 days to reply, it was an extremely time-consuming process and all the bodies denied having paid the firm though KCC had disclosed that the money came from ‘the NHS.’”

A complaint to the FOI Ombudsman against Maidstone and Tunbridge Wells NHS Trust was triggered when no reply was received within 20 days.

Eventually the campaigners found that millions of NHS money had been paid to Carnall Farrar by Maidstone and Tunbridge Wells NHS Trust, of which Glenn Douglas was then CEO. Wassmer then obtained a meeting last month, at which the campaigners discussed with Douglas (now – CEO of the Kent and Medway Sustainability and Transformation Partnership) and Michael Ridgwell (its Programme Director) the huge sums that had been paid to Carnall Farrar and why they were not appearing on the Trust’s usual spending records for payments of £25k and over.

“Ironically,’ says Wassmer, “this was on 7th December, just before the local NHS was about to implode with the pressure of Christmas and New Year emergencies. Michael Ridgwell was unable to produce an exact figure of how much had been paid to Carnall Farrar, but suggested the sum of £2.2M. I then explained that with the help of research organisation, Spinwatch,(2) we had actually confirmed that a figure of £6,051,199 had been paid to September 2017 (3) – though only just over half of it had been logged in the Trust’s spending records, with no record of any significant spending on Carnall Farrar before June 2017 – and no trace of the remaining millions. At the meeting Glenn Douglas explained to us that as the STP is not an “organisation” it is not obliged to publish its payments, but Michael Ridgwell then agreed to publish the full expenditure on the Trust’s website and has since done so. These records show that Carnall Farrar has been paid well over half a million pounds a month since September last year, although it’s not known whether this money is on top of the £6m it has already charged the local NHS.“

The campaigners insist it is crucial to challenge the lack of clarity, transparency, and accountability surrounding such huge payments. Even more so as the government now seeks to introduce new bodies – Accountable Care Organisations – that could see billions of pounds of the NHS budget handed to commercial companies.

“This is public money,” says Wassmer, “NHS funds being diverted away from services and into the pockets of private consultancies. We know that over £6 million, and possibly more, has been paid from the local NHS budget to this one consultancy for barely 18 months’ work on the local STP. How much more is going to management consultants across the whole of the UK? It’s almost impossible to hold the system to account and I fear it will only be worse with the impending introduction of so-called Accountable Care Organisations (4). Paying millions to private companies, like Carnall Farrar to find damaging cuts within an underfunded service is not only senseless – it’s immoral.”

Diane Langford agrees: “This lack of transparency conceals not only the sums involved, but the role consultancies like Carnall Farrar play in axing services. At our meeting on 7th December, we mentioned that Dame Ruth Carnall had appeared in a 2011 list compiled by the Sunday Telegraph of the highest paid NHS “fat cats” – earning an annual salary of over £200,000 at that time.(5) Glenn Douglas was on the same list, and while he admitted he was still earning in excess of £200,000 a year, the point is that as an NHS member of staff he can be held duly accountable for his work, in a way that private companies like Carnall Farrar cannot.”

Dr Coral Jones, GP, vice -chair of Doctors in Unite and member of Keep our NHS Public commented: “As the campaigners Diane Langford and Julie Wassmer have uncovered, over £6 million has been paid to a single consultancy company run by a former director of NHS London to tell the Kent and Medway CCGs how to cut services. Downgrading of services at QEQM hospital in Margate, as proposed by Carnall Farrar, will put lives at risk. Patients in Thanet and all those in East Kent living miles away from Ashford will be at risk of death, or avoidable disability, after a review of Kent and Medway urgent stroke services plans to concentrate hospital treatment for strokes in three sites across Kent and Medway. There is no discussion of alternatives apart from the concentration of services in three hospitals, and none on how to avoid the poor outcomes for patients when treatment is delayed due to travel times. The use of management consultancy companies is widespread in the NHS. Their reports, costing many millions of pounds, all follow the same formula of cuts, re-configurations and concentration of services. On Saturday 27th January at 10.30 am there will be a community conference (6) at Queens Rd, Baptist Church, Broadstairs CT10 1NU to oppose downgrading of local NHS services and I urge everyone concerned about the NHS in Kent & Medway to come along.” ENDS

Source: http://www.spinwatch.org

“NHS protest march to be held in Exeter City Centre”

Organisers say everyone concerned about their health service across Devon is welcome

Hundreds are expected to join a protest march through Exeter city centre to protest at hospital closures across the county.

The Save Our Hospitals Campaign is holding a march in the city on Saturday February 3 which is open to anyone who has concerns about the reorganisation taking place across Devon where four hospitals have already closed while beds have been closed at several more.

Spokesman for the group Mike Dallimore from Brixham where the minor injuries unit has been closed, cited the closure of hospitals at Dartmouth, Bovey Tracey and Ashburton and beds at Paignton Hospital.

He said the group feared Devon would ultimately be left with only two hospitals in Plymouth and Exeter.

It comes as Foreign Secretary Boris Johnson was understood to be pushing for an extra £100m a week for th NHS in England after Brexit.

The group organised a protest march in Totnes last month which hit the headlines when a mock coffin was left outside the office of Totnes MP Sarah Wollaston covered in posters saying ‘cuts cost lives’ with the figure 120,000 ‘ unnecessary’ deaths.

The protest will start at Bedford Square in Exeter at 11am and possibly march through the city centre, said Mr Dallimore.”

http://www.devonlive.com/news/devon-news/nhs-protest-march-held-exeter-1104504

“The ‘temporary’ closure of birth services will now last nine months, and possibly longer, in Honiton and Okehampton”

“The ‘temporary’ suspension of birth services in Honiton and Okehampton is set to continue due to ongoing staff sickness and high patient demand in Exeter.

Today the Royal Devon & Exeter Hospital has announced the two centres will be closed for a further three months – which means they will have been closed for nine months.

When the centres closed in July 2017, it was said at the time the suspension of the services was expected to last for three months.

The latest suspension means women will still not be able to give birth at either site. The suspension will be reviewed again in April.

The RD&E says that although good progress has been made to recruit staff into vacancies within the wider maternity service, ongoing staff sickness and high patient demand in the acute unit in Exeter means it has not yet been able to reach acceptable staffing levels in either centre.

All antenatal and postnatal clinics, midwifery support and home birth services at Honiton and Okehampton are unaffected and running as normal.

Zita Martinez, head of midwifery, said: “We are sorry for this continued suspension in inpatient services and understand it will be disappointing for women who had hoped to birth at Honiton or Okehampton.

“Patient safety remains our top priority and we are continuing to work hard to resolve this as soon as possible.”

Honiton and Okehampton Birth Centres are open for clinics and midwife care and support 8am to 8pm, seven days a week. Outside of these hours women should call the RD&E main maternity triage service on 01392 406616.”

http://www.devonlive.com/news/devon-news/temporary-closure-birth-services-now-1102388

“We’ll live longer but suffer more ill-health by 2035, says study”

Owl says: Couple this with news today that child health care in England lags behind that of Wales and Scotland:

http://www.bbc.co.uk/news/health-42746982

the result of which is likely to be MORE ill-health in later life, we have an perfect storm of ill-health about to descend on us.

“The number of older people who have at least four different medical conditions is set to double by 2035, in a trend that will put huge extra strain on the NHS, researchers warn.

Diseases such as cancer, diabetes, dementia and depression will become far more common as more and more over-65s develop them in their later years, a study at Newcastle University published on Tuesday found.

Health fears over boys as young as 13 using steroids for ‘good looks’
One in three of those diagnosed with four long-term conditions will have dementia, depression or some form of cognitive impairment, according to academics in the university’s Institute for Ageing.

They predict that over the next 20 years there will be “a massive expansion in the number of people suffering from multiple diseases, known as multi-morbidity”.

Those years will see a 179.4% increase in the number of people of pension age being diagnosed with cancer, a 118% rise in those who have diabetes and a big jump, too, in cases of arthritis.

“In the population over the age of 85 years all diseases, apart from dementia and depression, will more than double in absolute numbers between 2015 and 2035”, say the researchers.

The trend will mean that men and women will suffer from four or more diseases for two-thirds of the extra life expectancy that people can look forward to gaining by 2035 – another 3.6 years for men and 2.9 years for women – the authors estimate.

“These findings have enormous implications for how we should consider the structure and resources for the NHS in the future,” said Carol Jagger, professor of epidemiology of ageing at the institute, who led the study.

“Multi-morbidity increases the likelihood of hospital admission and a longer stay, along with a higher rate of readmission, and these factors will continue to contribute to crisis in the NHS”.

A large part of the increase in the number of people with four or more medical problems will come from an expected sharp rise in coming years in the number of people living until at least 85, which Jeremy Hunt, the health secretary, has warned will increase the NHS’s workload.

Jagger and her team also identified another age group whose health outlook is also very gloomy.

“More worryingly, our model shows that future young-old adults, aged 65 to 74 years, are more likely to have two or three diseases than in the past. This is due to their higher prevalence of obesity and physical inactivity, which are risk factors for multiple diseases,” added Jagger.

The research, part of the MODEM project, has been jointly funded by the Economic and Social Research Council and the NHS’s research arm, the National Institute for Health Research.

Caroline Abrahams, the charity director at Age UK, said: “This research absolutely underlines the importance of getting our health and care services right for older people. The increase in longevity over recent years has been a major achievement, but it also means we need to shift our focus to helping people to stay as well and independent as possible for as long as possible.

“As we get older, our health and care needs tend to overlap and become more complex. A more compassionate and intelligent approach to caring for older people must be a priority for us all.”

A spokesperson for NHS England said: “This study is further evidence of the need to integrate care, in the way the NHS is now beginning to do, so as to better support the growing number of older people with multiple health problems.”

https://www.theguardian.com/society/2018/jan/23/well-live-longer-but-suffer-more-ill-health-by-2035-says-study

“Tory government could let Virgin Trains run more rail lines despite East Coast ‘bailout’ “

“Tory ministers could let Virgin Trains take control of more rail lines despite a huge row over the firm receiving a “bailout”.

Transport Secretary Chris Grayling refused to rule out further franchises, despite confessing the firm “made a major mistake” and there will be less money than forecast for the taxpayer.

He faced calls to quit last month when he let Virgin Trains East Coast, a partnership between Stagecoach and Sir Richard Branson’s empire, walk away from its franchise three years early. The firm is expected to pay the government hundreds of millions of pounds less than the £3.3bn it originally promised to 2023.

Labour branded this a bailout, a word Mr Grayling has repreatedly rejected.

Grilled by MPs today, Mr Grayling finally admitted there “won’t be as much” profit to the taxpayer “as had been forecast”. He added he was “not at all” happy with the current situation, adding: “This is a franchise that we clearly have not got right, the company hasn’t got right, it’s hugely frustrating.” But he repeatedly refused to guarantee the firm won’t be granted future rail franchises. He said the firm had not defaulted on the East Coast contract and was running a “good service”.

He told the Commons Transport Committee: “I have to do what is lawful as well as what is desirable. “I’m also constantly under attack from various politicians saying there are too many foreign companies in our rail network. This happens to be a British company in our rail network. “It may have made a major mistake here – do we want to exclude it permanently from all participation in the rail network?”

Mr Grayling insisted he does not want “companies to abuse the system and milk it for money”, and promised: “There’s no question of handing anybody a bung… They will be held to every last inch of that contract.”

But he admitted there will be less money to the public purse than forecast. He told MPs: “The taxpayer continues to make a premium out of this, will make a premium out of this in all circumstances going forward – taking a substantial slice of the operating profit.

“The money that’s been committed through the franchise period doesn’t just disappear in a puff of smoke. “But it’s certainly the case there isn’t as much of it as had been forecast.”

https://www.mirror.co.uk/news/politics/tory-government-could-virgin-trains-11896936

“Orphan” academy school still wIting for new sponsor after 2 years

“Two years ago, Rose Hill primary on the outskirts of Oxford was branded a failing school. Ranked “inadequate” by the schools watchdog Ofsted, it was placed in special measures and staff and parents were told an academy trust would be brought in to turn around the school’s fortunes.

Two years on – and two education secretaries later – the school is still waiting.

When the Guardian visited in January 2016, morale was at rock bottom. The Ofsted report had been so devastatingly negative that the headteacher, Sue Vermes, and her team said they felt “criminalised” by the experience. A compulsory academy order was made and Vermes and her colleagues waited for their new masters to move in. Then – nothing.

Rose Hill, which serves a disadvantaged community far from Oxford’s dreaming spires, has become what is known as an “orphan” school. It is yet to be adopted by a sponsor. Though a local academy trust has shown an interest, a deal is yet to be secured. As the new education secretary, Damian Hinds, gets to grips with his brief, this small school is a reminder of the challenges the government’s academies programme faces.

“You feel unwanted,” says Vermes, sitting in her drab office. “With the day-to-day running of the school, it doesn’t have much impact. But long term, where are we going? I’ve given up trying to explain it to parents.”

Rose Hill is not alone. Estimates suggest there are around 60 orphan schools in England waiting to be taken over by a sponsor.

The government claims its academies policy – which takes schools out of local authority control and puts them in the hands of an academy trust, making them directly accountable to the Department for Education (DfE) – enables it to intervene swiftly when a school is in trouble. However, Rose Hill and others like it show this is not always a straightforward process.

And it has an impact on the children, too. After Rose Hill’s inadequate rating, one pupil asked Vermes: “If this is an inadequate school, does that mean I’m an inadequate child?” The longer the uncertainty continues, the less appealing the school looks to future pupils and their families, hence numbers drop and so does income.

The school building, which was crying out for repairs when we last visited, is just as bleak two years on. There is mould on the ceiling, the toilets smell, the paintwork is chipped, the classrooms are overheated and stuffy and the shabby corridors are chilly and unwelcoming.

It was due to be demolished and rebuilt under the last Labour government – the plans were drawn up and published in the local newspaper. When the coalition government took over in 2010, the funding disappeared overnight and Rose Hill has been struggling to keep up appearances ever since.

Since the Guardian’s last visit, the local authority has spent £200,000 on patching up the roof and replacing some windows; the DfE has set aside £1.4m for a new sponsor to spend on further repairs. But Vermes thinks a total rebuild is needed, which would cost £9m. “This is not a building that says to the children and their families that their education is crucial. It’s just saying to them, you are not worth the investment,” she says.

The building will be an ongoing issue for any sponsor. In addition, staffing costs are high: 35 different languages are spoken at the school, a third of the children have special educational needs and around half of them live in poverty. Vermes says the pressures on vulnerable families have increased as austerity continues to bite. There are two local food banks, which are well used, but some children are not getting enough to eat.

The children’s centre at the school has closed like all Oxfordshire’s children’s centres – so problems are not being picked up at an early stage. Pupils who need to attend a special school cannot always find one because of a shortage of places, so Rose Hill keeps them on roll with additional support staff.

MPs call for overhaul in oversight of England’s academy school chains
After the academy order was made, Vermes was asked to quit – but she refused. “It’s the wrong culture. It’s like football managers,” she says. She has worked as a teacher in Oxfordshire since 1985 and has taken just three days of sick leave in that time.

Last October, Ofsted returned to Rose Hill and found it much improved. The school was taken out of special measures and rated “requires improvement”, but in three categories was ranked “good”. Yet still the school is stranded without a sponsor.

More than half of all secondary schools in England are now run as academies, along with a fifth of primaries. On 17 January, MPs on parliament’s education committee called on the government to overhaul the oversight of academy chains after a string of high-profile failures.

Vermes is optimistic there will be a positive outcome for Rose Hill, hoping that the local academy chain she favours will take the school on, but the journey to this point has been long and bruising. It is, she says, a good example of the chaos of government policy surrounding academisation.

“I also think we are a symbol of the current punitive attitude towards children and families in poverty: ‘You’re poor, so your education is less important, and you can certainly put up with a substandard building,’” she says.

The Department for Education was unable to say how many “orphan” schools there currently are in England. A DfE spokesman said: “We have been working hard to achieve a positive solution for Rose Hill Primary school and to address the most urgent needs which will make the building fit for purpose.
“We are still in negotiations with River Learning Trust, which is supporting the school, and continue to work with the local authority, which remains responsible for maintaining the buildings and site at Rose Hill.”‎

https://www.theguardian.com/education/2018/jan/22/rose-hill-primary-oxford-an-orphan-school-at-the-sharp-end-of-academisation

Up to 1 million elderly people starving and lonely say MPs

“As many as a million older people are starving in their homes through loneliness according to MPs who have called on ministers to redirect funds into schemes such as lunch clubs.

Isolation from relatives and friends is a bigger cause of malnutrition in the elderly than poverty, they say, and the winter fuel allowance should be means-tested to free money for meals on wheels and lunch clubs.

Supermarkets should have “slow checkout lanes” so that older people can get enough to eat by shopping without rushing, the all-party parliamentary group on hunger recommends.

It reports cases where people have gone without meals for weeks after losing a partner or wasted away over many months because they had no one to help them cook. Others have gone hungry because they could not get to the shops. Some have been banned from supermarkets for falling over.

Social care services have said that while they will help frail elderly people eat, it is outside their scope to ensure there is food in the house, according to evidence gathered by the MPs.

Frank Field, chairman of the group, said: “Beneath the radar there are malnourished older people in this country spending two or three months withering away in their own homes, with some entering hospital weighing five and a half stone with an infection, or following a fall, which keeps them there for several torturous days, if not weeks.”

Theresa May said that loneliness was the “sad reality of modern life” as she appointed Britain’s first minister for loneliness last week. Tracey Crouch promised a strategy to deal with isolation and Mr Field said that his findings should be the “first report on her desk”.

About 1.3 million over-65s are thought to be malnourished but the MPs called for a more up-to-date estimate. Today’s report argues that pensioner poverty had fallen and few used food banks so the main reason was social. Mr Field said he was surprised to find that “for some of those who become malnourished it may be economic but there is also growing isolation, losing their friends because they’ve died and losing their partner.” Such people often end up in hospital and the House of Commons library estimates that malnutrition costs the NHS £12 billion a year.

A crumbling elderly care system has been cited as one of the main reasons for hospital pressures and Simon Stevens, the head of NHS England, has previously suggested scrapping perks such as free bus passes to pay for social care.

The MPs say that £100 million could be raised to feed the elderly by stopping the winter fuel allowance for higher-rate taxpayers.

Dianne Jeffrey, chairwoman of Age UK and of the Malnutrition Task Force, an independent group of experts, said it was a “shocking reality” of modern Britain that malnourished older people were “hidden in plain sight”.

Only 29,000 people receive meals on wheels, down from 155,000 a decade ago. A handful of Sainsbury’s and Tesco shops have “slow shopping” times when checkouts are devoted to those who want to shop without feeling hurried.

A government spokeswoman said: “We know better diagnosis and detection is key, which is why we continue to train all health staff to spot the early warning signs of malnutrition so effective treatment can be put into place.”

Source: The Times, today (pay wall)