Rise in hospital deaths coincides with bed-blocking

Owl isn’t sure if The Times or the British Medical Journal realise that what they are saying is:

Sick people should have been turfed out of hospitals (where they died in the charge of nurses and doctors)and should instead have been sent to die at home (with carers).

One gets included with mortality statistics, the other doesn’t … Hhhmmm!

A sharp rise in deaths in England and Wales could be down to an increase in bed-blocking in the NHS.

Between July 2014 and June 2015 there were an additional 39,074 deaths compared with the year before. For England it represented the largest rise in nearly 50 years. The higher rate of mortality has continued since, with most of the deaths in older, frail people.

About a fifth of the increased deaths may have been caused by heightened levels of delayed discharge from hospitals, a study has concluded.

While the study itself can prove only a correlation, rather than causation, the researchers said that their findings required “urgent attention”, adding: “Greater investment in the NHS and adult social care to address the rising levels of delayed discharges may be needed to tackle the rapid rise in mortality rates.”

In February, a study published by the Royal Society of Medicine concluded that cuts to health and social care were “implicated” in the deaths.

The research team from the universities of Liverpool, Oxford, Glasgow and York found that while the total number of days beds were blocked increased from 2011, the rate of change increased from 2014, with the number of affected patients also rising rapidly. For each additional acute patient delayed, the number of deaths went up 7.32.

Mark Green, lecturer in health geography at the University of Liverpool, who led the research, said: “Since 2014, the number of patients admitted for acute conditions who were delayed being discharged from hospital has almost increased by 50 per cent. This creates blockages in the NHS where beds are not available for new patients.

“We detect an association only for acute patients and not non-acute patients. Acute patients require urgent medical care and therefore may be more susceptible to any delays.”

Hospitals have laid much of the blame on social care services, with patients waiting in hospital beds for the services they need to go home.

Saffron Cordery, director of policy and strategy at NHS Providers, representing hospitals, said: “We cannot say with any certainty how much delayed transfers of care are to blame for rising death rates. However, it is clear that they are bad for patients.”

The research is published in the Journal of Epidemiology and Community Health, a BMJ title.

Source: Times, pay wall

NHS: too little, too late? Hunt blames everyone …

“… The health secretary warned that the NHS would “fall down” without 150,000 EU citizens working in hospitals and communities across the country, saying he would use his conference speech on Tuesday to try to offer people reassurances.

Asked if the NHS was properly staffed – amid warnings of a crisis and the recent revelation that two junior doctors were left in charge of 436 patients at Derriford hospital in Plymouth – Hunt said it was not.

“No, we’ve got to do a lot better,” he said. ”Workforce planning has been woeful for a very, very long period of time.”

He said that health secretaries, including himself, had been too short-termist in their approach to the NHS, as he revealed his centrepiece announcement for a 25% increase in nurse training places from next year. Hunt said the rise was the biggest in the history of the NHS and there would also be more places available through the apprenticeship route. …

…Speaking about health, Hunt admitted that staffing was a significant issue as he reached out to EU citizens not to leave the UK.

“We want them to stay and we’re confident they will be able to stay with broadly the same rights as now,” he said, adding that the European workers were hugely valued and needed in an uncertain time. “We certainly can’t afford to lose them.”

He argued that more could be done on the issue of pay outside the basic salary, with plans to pilot a new app through which health workers could take on additional hours at short notice. Affordable homes built on NHS land would have to be first offered to health workers, he said.

… Admitting that the NHS was not properly staffed, amid warnings of serious strains, Hunt explained what he believed had been a key part of the problem.

“It has been a mistake made by successive health secretaries in all parties, that when you’re faced with a choice: do you put money into training more doctors and nurses [who] won’t come out of training in a nurse’s case for three or four years, or a doctor’s case six or seven years – or do you put the money into more cancer treatment today?

“Inevitably people take the decision to spend it on immediate priorities, even if it is not the right thing for the long term of the NHS.”
Hunt admitted that the party had to act on widespread concerns about public sector pay, many of which were raised during the election campaign, including by lifting the pay cap. But he admitted that could mean a challenge elsewhere for the NHS budget.

Hunt said properly resourced staffing was the priority for the health service but, asked where the money would come from, he said: “There is a big discussion to be had about that.”

He said the Tories’ biggest challenge was to take on Labour’s arguments, saying his party was ready to improve funding to the NHS and that services were improving despite challenging demographics.”

https://www.theguardian.com/politics/2017/oct/02/back-theresa-may-or-risk-labour-government-hunt-warns-johnson

Actually, the choice was: do we put more money into training doctors and nurses or do we employ them from other countries and save on the cost – the money WASN’T put into better cancer care OR better social care – the money wasn’t there and never has been.

The NHS: one doctor’s story

“An open letter to Prof Ted Baker, following his attack on the NHS
Dear Professor Baker,

It seems like only yesterday that another Professor – Stephen Hawking – felt compelled to raise concerns in the press about the current state of the NHS. If you recall, Hawking’s critique of Jeremy Hunt’s predilection for statistical cherry-picking prompted an extraordinary barrage of tweets from the Health Secretary, admonishing one of the world’s greatest scientists for his cluelessness on the matter of, well, scientific methodology.

Professor Baker, your interestingly-timed intervention today has prompted quite the barrage of headlines itself, hasn’t it? An NHS ‘unfit for the 21st century’, indeed? And that picture you paint of A&E departments’ disgraceful ‘unsafe practices’ – our ‘wholly unsatisfactory’ arrangements that ‘endanger patients, as well as denying them basic privacy and dignity’. It’s almost as if you think we’re somehow choosing to ‘keep piling patients into corridors where staff cannot even see them’ or to force patients to queue, hour upon hour, in ambulances outside log-jammed hospitals. Actually, you go further, don’t you? You directly blame us for the hellish conditions that patients and staff alike endured last winter, condemning our culture of ‘learned helplessness’ that leaves our patients abandoned, unmonitored, without even essentials like oxygen.

There’s just so much blame in your interview, isn’t there? Previous NHS staff, current NHS staff, ‘archaic’ NHS systems, bad managers, bad previous governments. Blimey. No-one, it seems, is immune from your blame. Except, that is, the one glaring exception. The one cherry you chose not to pick, so to speak.

Nowhere in your remarkable blame riff is there any mention of the funding climate in which frontline staff and managers alike are struggling – fighting tooth and nail, frankly – to keep on delivering a halfway decent standard of care for our patients. We are trying so unbelievably hard, Professor Baker. But we already have one of the lowest numbers of beds per capita of any country in Europe, as well as being one of the most under-doctored. And, of course, we have a government, currently, who has chosen to subject the NHS to the most draconian and sustained funding squeeze in NHS history. Right now, the NHS in my region is having to cut even more beds, hundreds of them. It simply cannot afford to do otherwise – like every acute Trust in the country. That’s not really going to help the patients stranded, bedless, in corridors about which you care so deeply, is it?

Of course NHS reform is needed. Of course we need greater community capacity and better integration between hospitals and primary care. But in omitting to mention the political context to your argument – the political choice to provide the NHS with inadequate resources safely to manage not only winter, but all-year-round rising demand – you come across, I’m afraid, as an oddly partisan chief inspector of hospitals. Why the omission, Professor Baker? Why blame the NHS and its dog, yet fall so shy and silent when it comes to acknowledging the political choices to underfund and understaff the NHS into a skeleton service in place of excellence?

Do you really think your admonishing letter to Trust CEOs, telling them to jolly well stop leaving patients in corridors, is going to do anything other than incense us all? Where else would you suggest we put them? Toilets? Broom cupboards? I believe Jeremy Hunt’s new toilet is rather lavish – perhaps we could squeeze one or two in there?

Anyone would think you were giving the Department of Health comms team a helping hand in the pre-emptive deflection of blame for the looming winter crisis away from the government and onto anyone else but Theresa and Jeremy. I thought nothing could surpass for sheer stupidity last week’s news that NHS staff were forced by NHS bosses to chant “we can do it” as an approach to managing ED winter pressures. But you, Professor Baker, have managed to out-Brent even that David Brent of a spectacle: instead of empty exhortation, you have apparently plumped for his more bullying style of management, through the medium of tetchy, head-masterly letters saying ‘you can and will pull your socks up – or else’. In all those years you’ve worked in the NHS since 1972, have you never noticed that nothing good ever comes from a caning?

Let me remind you what blame culture achieves, Professor Baker. First, it demoralises and undermines frontline staff. Then, it makes us feel hopeless and impotent. We stop trying to speak out, we become cowed and silent. And now, all that bullying and blame has managed to make the NHS less safe, not more, by allowing a culture to flourish in which no-one feels they can change anything, let alone risk speaking out for the sake of our patients.

In your interview, you’ve just achieved all of the above. I’m a hard-working NHS hospital doctor, and you’ve made me feel angry, demoralised, hopeless and incredulous – all in the same moment. That is not leadership, Professor Baker, and it is certainly not conducive to high standards of patient care. It serves only to present you to the public and NHS staff alike as a hospital chief inspector who seems to care more about playing a political game than the vital matter of patient safety.

How incredibly, bitterly disappointing.

Incidentally, please consider this letter my raising of safety concerns on behalf of NHS patients nationwide, as my duty of candour demands me to do.

Dr Rachel Clarke

Oxford”

An open letter to Prof Ted Baker, following his attack on the NHS

People who care for younger relatives and then have a child of their own penalised by benefit system

Saving the country millions in care costs means you can’t afford a child of your own.

Carers who voluntarily look after younger relatives to stop them being taken into care are being denied thousands of pounds in welfare entitlements as a result of the two-child benefit cap, despite government promises to exempt them.

Campaigners have called on ministers to change rules whereby kinship carers who act as guardians for at least two children are refused child tax credits and maternity grants when they decide to have a child of their own.

Ministers promised kinship carers a year ago they would not be subject to the two-child policy after a defeat over the issue in the House of Lords. However, it has emerged that the exemption only applies to carers who have birth children first and then become guardian to a third child – not the other way around.

Although in such cases the third child is the carer’s first birth child, officials have blocked child tax credit payments worth £2,780 a year because the claimant is considered to have breached the two-child limit that came into force in April. … “

https://www.theguardian.com/society/2017/oct/01/kinship-carers-denied-thousands-of-pounds-over-two-child-cap

Money for schools is recycled money, not new money

“Thousands of headteachers across England are writing to parents to warn that there is “simply not enough money in the system” to fund schools properly, as their costs continue to rise and budgets come under severe pressure.

The letter from more than 4,000 heads will tell around a million families that the government’s new national funding formula still means their children face an unfair “postcode lottery”, with some schools able to afford class sizes of 20 but similar schools in other regions forced to have classes of 35 pupils.

The heads argue that the proposed national formula – designed to iron out historic disparities in funding – will do little to solve the funding crisis affecting many state schools.

“The finances of very low-funded schools are still insufficient to provide the service that your child needs,” the letter, due to be sent on Thursday to parents of children in 17 counties, will say.

“Parents and carers need to be clear that schools in very similar socioeconomic areas will continue to have entirely different levels of funding. This often amounts to hundreds of thousands of pounds in the primary sector and even millions of pounds across the secondary sector. Far from being resolved, your child’s education will still be at the behest of a postcode funding lottery.”

New funding formula for English schools is ‘recycling’, say heads
Calculations done by the heads found that – despite the promise by the education secretary, Justine Greening, of £1.3bn extra cash – the proposal amounts to a real-terms cut of 4.6% by 2020 compared with five years earlier. …”

https://www.theguardian.com/education/2017/sep/27/headteachers-tell-parents-you-are-still-in-a-postcode-lottery

Playing politics with peoples’ lives

“Labour has called for an inquiry after the collapse of a private ambulance firm that has contracts with the NHS and other private health organisations.

Private Ambulance Service, which the trade union Unison described as running an “abysmal” operation, was issued a winding-up notice by the Inland Revenue on Friday. The firm is expected to stop trading on 9 October.

The company has been employed in Bedfordshire and Hertfordshire as non-urgent patient transport service. It worked for hospitals including Watford General and Bedford hospital.

Labour MP Justin Madders, the shadow health minister, said: “It is still staggering that under the Tories so many parts of the NHS are being packaged up and sold off to companies who are unable to run the services properly.

“Several hundreds of staff and thousands of patients are now faced with huge uncertainty because of the failings of another private ambulance firm, and it’s not the first time this has happened.”

Madders called for an inquiry into what went wrong, saying the government should place “an immediate halt” on issuing other patient transport contracts until “lessons have been learned”. …”

https://www.theguardian.com/society/2017/oct/02/labour-calls-for-inquiry-after-private-ambulance-firm-folds

Companies make £44 billion profit, directors take £270m but don’t pay living wage

“Nearly half of our top 100 companies raked in a combined £44billion in profits last year while refusing to pay a proper living wage.

At the same time, the fat cat bosses of those firms pocketed nearly £270million between them, a Mirror probe found.

A third of FTSE 100 firms have now pledged to pay all staff, agency workers and contractors the “real” living wage.

The Living Wage Foundation sets this at £8.45 an hour or £9.75 in London – above the government’s National Living Wage of £7.50 for 25 and overs.

There are 33 FTSE 100 firms accredited with the LWF and the other two-thirds include a small number that pay all staff and contractors above the rates but have not signed-up to the scheme.” …

http://www.mirror.co.uk/news/politics/top-british-companies-help-themselves-11271770

“Boris Johnson ‘says Cabinet minister’s salary of £141,000 is not enough to live on’ “

“Boris Johnson has told friends his minister’s salary of £141,405 a year is not enough to live on, according to reports.

The Foreign Secretary told friends his annual earnings were insufficient because of his “extensive family responsibilities”, according to a report in The Sunday Times.

The Tory MP has four children with his second wife, Marina Wheeler. He also fathered a daughter during an affair with arts consultant Helen MacIntyre, failing to get an injunction to prevent the reporting of her existence. …”

http://www.independent.co.uk/news/uk/politics/boris-johnson-ministers-salary-not-enough-a7976641.html

EDDC’s strategy for dealing with budget deficit: bleed residents dry?

“There is a significant shortfall projected in 2020/21 (£1.412m) which is as a result of an assumed rebasing of business rate income thereby reducing our income by £1.2m. It is proposed in the Finance Plan that work is started now in bridging this gap and driving self- sufficiency of the Council. Members have indicated that the strategic theme within the Transformation Strategy “Maximise the value of our assets through commercial thinking with a focus on income generation, sustainability and developing local economies” is one they believe has significant potential. The Financial Plan considers how this might be progressed with the use of a Member Group (possibly the Budget Working Party) to consider business cases and suggests that a fund is created to unlock barriers to the Council progressing this aim. Detailed recommendations will be presented within the 2018/19 Budget approval process.”

Click to access 041017-cabinet-agenda-combined.pdf

page 60

“NHS ‘not fit for 21st Century’, says chief hospital inspector”

And not a word about austerity, cuts or underfunding!

“The NHS is not fit for the 21st Century, the new chief inspector of hospitals in England has said.

Professor Ted Baker, who started the role last month, said the system had not adapted to deal with the growth in the population.

In an interview with the Daily Telegraph, he said: “The model of care we have got is still the model we had in the 1960s and 70s.”

The Department of Health is yet to respond to his views.

Prof Baker succeeded Sir Mike Richards overseeing the hospital division of the Care Quality Commission (CQC), having been his deputy since 2014.
The former hospital medical director said the NHS had not modernised because of a historic lack of investment.

He said: “One of the things I regret is that 15 or 20 years ago, when we could see the change in the population, the NHS did not change its model of care.

“It should have done it then – there was a lot more money coming in but we didn’t spend it all on the right things. We didn’t spend it on transformation of the model of care.”

The number of pensioners has increased by a third in the last 30 years and he said the system had not been able to deal with the increase in the number of elderly people in particular.

He also criticised accident and emergency wards and has written to all hospital chief executives calling for action to improve safety.

Too many hospitals had “wholly unsatisfactory arrangements”, he said, such as letting ambulances queue up at the entrance or leaving patients in corridors.

The CQC is expected to highlight increasing pressures on hospitals, who are in danger running out of beds and staff, in a report next month on the state of the health and care services.

That was an issue that Prof Baker touched on in the interview, saying: “Capacity is being squeezed all the time. That is a real concern going forward – because there comes a point at which the capacity isn’t there”.

The BBC’s health editor Hugh Pym said Prof Baker’s comments come after predictions of a difficult winter for the service, with the chief executive of NHS England warning of the possibility of a serious flu outbreak.
NHS Providers, representing trusts, has said that without an emergency cash bailout the service faces the worst winter in recent history, our correspondent added.”

http://www.bbc.co.uk/news/uk-41451162

Privatised good, nationalised bad? Think again

The NHS has about 1,700,000 UK workers:

“In December 2016, NHS Improvement forecast that NHS trusts would end 2016/17 with a potential deficit of £750–£850 million.”

https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/trusts-deficit

COMPARE WITH:

Carrillion has about 48,500 UK workers:

Shares in the beleaguered Carillion construction group, which is working on the HS2 London to Birmingham rail line and the vast Battersea Power Station project, plunged by 20% on Friday after the company issued its second profit warning in two months.

Carillion reported a first-half loss of £1.15bn and said its full-year performance would be worse than previously expected. It described the loss as “disappointing”. The shares, which were changing hands at 190p little more than three months ago, closed at 51p.

The company is struggling with a large debt pile and badly-performing contracts. It said it would write down £200m on 23 support services contracts, and was taking a £134m charge relating to its UK and Canadian construction businesses. …”

https://www.theguardian.com/business/2017/sep/29/hs2-contractor-carillion-profit-loss-construction-debt

CCG agrees deal with North Norfolk Council to save facility

“The North Norfolk Clinical Commissioning Group have voted in favour of the Norfolk County Council’s £2 million offer to turn the Cromer unit into a re-ablement centre.

This should give patients greater access to short-term care, meaning they can leave hospital earlier but still receive further support before returning home.

The vote also means that the CCG’s original proposal to remove two of the beds at Benjamin Court will not come to light. The proposal saw 16 beds at the Cromer unit being used for palliative care, IV, and Discharge to Assess beds.

Dr Anoop Dhesi, Chair of NHS North Norfolk CCG, said: “Our public consultation allowed us to listen to the thoughts and views of the public and we are very grateful to all those who responded and gave us such valuable insights.

“We are very pleased that a further idea was proposed by our colleagues at Norfolk County Council. Using the beds for re-ablement will still help reduce pressure on hospitals and dovetail with our Supported Care service.”

Bill Borrett, chairman of the Adult Social Services Committee at Norfolk County Council, said: “We care about people who have had a stay in hospital and we understand that most of them want to be able to return home and live independently for as long as possible. Our re-ablement services allow that to happen by helping those who need some extra support for a short period of time.

“Re-ablement services can mean shorter stays in hospital and less reliance on long-term care as people return home. We are looking to develop more of these services across the county and think that leasing Benjamin Court will improve our ability to support people in Norfolk.”

However due to the County Council taking over the building with their own staff, some redundancies may be made when the takeover takes place.

Lorrayne Barrett, Director of Integrated Care for Norfolk Health and Care NHS Trust (NCH&C), said; “While NCH&C are confident that this decision is the best way forward for the local community, reducing pressure on hospital beds, we are aware that this will have implications for our staff.

“This is a highly experienced, skilled and committed staff group and we are continuing to support and consult with them to provide clarity during this prolonged period of uncertainty, and we will work hard in partnership with them to retain them in the local health and social care services.”

http://www.edp24.co.uk/news/health/benjamin-court-s-18-beds-saved-thanks-to-north-norfolk-health-leaders-vote-1-5210438

“Free market” facts

“… May’s “greatest agent” – free-market economics – has established a system where:

eight people own as much wealth as half the planet

Such grotesque levels of inequality run through the UK, where

50% of the country owns just 8.7% of the wealth

While living standards continue to fall for most,

Britain’s richest 1,000 families are well on their way to tripling their wealth since the financial crisis. Since 2009, these families have increased their fortune by over 155%

https://www.thecanary.co/uk/2017/09/28/pm-just-called-achievement-greatest-human-history-people-beside-tweets/

Retaining 100% business rates will make make many count councils worse off

“County councils face unique challenges and retaining 100% of business rates could widen their funding gap, the County Councils Network has warned.

Analysis from the cross-party group, released yesterday, showed under full business rate retention the funding gap for county authorities could increase by £700m by 2029.

This was because business rate growth would fail to keep pace with acute demographic and service pressures for county councils, the analysis – done by local government consultancy firm Pixel Financial Management – concluded.

In contrast areas, such as London boroughs and district councils, are likely to disproportionately benefit from this policy, the CCN found.

The research comes as the Department for Communities and Local Government is encouraging bids for the second pilot scheme.

Council leaders at the CCN are calling on the government to provide more options in the pilot schemes to encourage more county authorities to participate, which would enable the risks to be fully trialled before the policy was rolled out across the country.

Pilots for 100% business rate retention have already been launched in Liverpool, Greater Manchester, West Midlands, West of England, Cornwall and Greater London in April, which will also continue into next year.

The West Midlands combined authority was part of the first pilots for the scheme, which began this April, ahead of plans to roll out the policy nationwide by 2020.

CCN finance spokesman and leader of Leicestershire County Council, Nick Rushton, said the research did not aim to dissuade countries from taking part in the pilots but to raise awareness of the issues facing the sector.

Rushton said: “The modelling we have released shows the unique challenges facing county authorities in implementing 100% business rates retention.

“CCN is supportive of moves towards greater local retention, alongside wider fiscal devolution, but we must ensure the system provides sustainable long-term funding and a platform to truly incentivise growth and self-sufficiency.”

He concluded that more options should be on the table, such as a ‘no detriment’ clause which is missing from next year’s pilots.

The CCN warn that by not providing this clause it may mean only ‘high growth’ counties coming forward to pilot, meaning that risk is not properly trialled.

Rushton added: “These findings clearly demonstrate the need for a fairer funding formula as part of wider reforms to local government finance.

“These reforms must stay on track and government should not shy away from adopting a new approach to measuring relative need; one based on real cost-drivers, not past spend.”

http://www.publicfinance.co.uk/news/2017/09/county-councils-funding-gap-could-widen-100-business-rate-retention

Do not shut hospital beds – closures not evidence-based says influential King’s Fund – too late for East Devon

Independent DCC Councillor Claire Wright – RIGHT
Independent DCC East Devon Alliance Councillor Martin Shaw – RIGHT
All Independent Councillors at EDDC – RIGHT
All Tories at DCC – Wrong
All those Tories (DCC and EDDC) who voted to support Diviani and Randall-Johnson in closing community hospital beds – WRONG

ALL the time the Independents have called for REAL evidence about bed closures.
ALL the time DCC Tories have acceptec waffle and jargon and “death by Powerpoint” instead of REAL evidence
EDDC Tories sort-of got it right and then allowed their Leader to vote WRONG so they still got it WRONG!

Why on earth are people still voting for these useless excuses for Tory representative councillors!

Kill beds, no community alternative = kills US!

“NHS bosses have been urged to halt plans for more ward closures as experts warn that hospitals do not have enough beds to accommodate patients.

Britain has fewer hospital beds per person than almost any other rich country and numbers in the NHS have fallen to 142,000 from the 299,999 that were available 30 years ago, according to an analysis by the King’s Fund health think tank.

Thousands of further cuts are being planned as part of a strategy by Simon Stevens, head of NHS England, to improve out-of-hospital care and make £22 billion in efficiency savings.

The King’s Fund said that this plan was unrealistic at a time when wards are more than 95 per cent full, well above the 85 per cent level generally thought to be safe. Hospital bosses in London are hoping to cut hundreds of beds, but the King’s Fund estimates that the city will need 1,600 more by 2021 to keep up with population growth.

Helen McKenna, a senior policy adviser at the think tank, said: “There are opportunities to make better use of existing beds and initiatives to capitalise on these should continue, but with many hospitals already stretched to breaking point, reductions on the scale proposed in some areas are neither desirable not achievable.”

Chaand Nagpaul, head of the British Medical Association, said: “Serious questions need to be asked about whether these plans are realistic and evidence-based given it defies logic to cut bed numbers when we already don’t have enough.”

Mr Stevens said that he would only allow bed closures where NHS bosses could demonstrate local alternative treatments were being put in place first or where hospitals were remedying inefficiencies. The King’s Fund said that these tests lacked any real detail.

Saffron Cordery, of NHS Providers, said: “One of the key lessons from last winter was the importance of avoiding unsafe levels of bed occupancy.”

Mr Stevens agreed that hospitals would need to free more beds during the winter, promising an extra 3,700 would be opened for the busiest time of year as hospitals were told to prevent “bed-blocking” by elderly patients.”

Source: Times (pay wall)

“Pensioners are STILL being failed by 15-minute care visits as they go without showers and proper meals”

“Vulnerable pensioners are going without showers and proper meals because ministers have failed to stamp out 15-minute care visits.

Three quarters of home helps say they are simply too rushed to do their jobs properly, according to the survey by public sector union Unison.

Almost two thirds of case workers said they have just 15 minutes to help people eat, drink, get washed and go to the toilet – despite government pledges to end the scandal.

And nine out of 10 of those questioned said they did not have time to chat, even though the person they looked after may not see anyone else that day.

The union’s survey of 1,000 workers found that three quarters feared they were compromising the dignity of those in their care because they were pressured to fit in too many visits.

The care workers help pensioners suffering from dementia, strokes, Parkinson’s, or with learning disabilities.

Unison general secretary Dave Prentis said: ‘Care workers and those they look after are suffering because standards are routinely being breached.
‘Care staff try to do their best within a system that increasingly prioritises quotas over compassion. Elderly and disabled people are ending up lonely, without dignity and with their care needs unmet.

Care workers and the vulnerable people they look after will continue to be failed by a flawed system unless the government acts.’

Unison’s report, Making Visits Matter, highlights the ongoing crisis in England’ s broken care system.

Earlier this month the Mail revealed that regulators are called in to deal with four complaints about care firms every day.

The Care Quality Commission launched 1,512 enforcement actions against care homes and companies which provide home helps in 2016/17 – 68 per cent up on the previous 12 months.

The watchdog dealt with complaints about unsafe care, residents not being treated with dignity and poor staffing levels. Other issues included lack of food or water and ‘abuse and improper treatment’.

Campaigners are demanding extra cash to prop up England’s care system. Last year ministers took urgent action to allow town halls to raise council tax to avert a meltdown.

Anyone with savings must meet the full cost of the care they receive – no matter how substandard.

The Tories have failed to honour a 2015 manifesto promise to cap the maximum bill at £75,000 and during the last election campaign Theresa May indicated the pledge could be scrapped.

Unison’s survey found that just over half of the care workers it questioned were on zero-hours contracts and almost two in three said they were not paid for the time they spent travelling between visits.

Some 63 per cent of respondents said they got just 15 minutes to help with personal tasks such as eating and drinking, or taking a shower.
The majority (89 per cent) of home care workers do not have time for a short chat even though the person they look after may not see anyone else that day, according to the survey.

Earlier this month a separate survey revealed that one in four care workers believe the service they provide for the most vulnerable in society is no longer ‘fair or safe’.

And many town halls are effectively breaking the law by slashing home helps and other services, according to a damning survey by the Care and Support Alliance and Community Care magazine.”

http://www.dailymail.co.uk/news/article-4931848/Pensioners-failed-15-minute-care-visits.html

Politics and life or death

The head of the Fire Brigade Union at the Labour Conference:

“They say don’t politicise Grenfell Tower, and we’ve not tried to politicise Grenfell Tower. But the truth is that actually when we examine this, and we do that, we’re already doing that, we will find – and any serious inquiry if it is genuine will find – that what led to the situation whereby Grenfell Tower could happen is a whole series of decisions, decisions that go back probably 30 years in reality, that go back over those three and a half decades.

“Decisions that altered the safety regime. Decisions that altered the housing regime. Decisions that altered inspection regimes and enforcement regimes.

“A process of deregulation and supposedly cutting red tape, where the previous Prime Minister David Cameron described health and safety as a ‘monster that should be slain.’ This is the language we’ve had off these people in power.” “And it is political decisions that have created the regime whereby Grenfell Tower, that atrocity, could happen.

“So there is no getting away from the fact that it is a political matter and we shouldn’t be afraid of saying it is a political matter.

Echoing Shadow Chancellor John McDonnell’s controversial claim that Grenfell victims were “murdered by political decisions”, Mr Wrack said: “They’re decisions and decisions are made by politicians. So by definition they are political decisions.

“To me it is a national political scandal. It is the sort of the scandal on which governments should fall, by the way.”

Mr Wrack said only London’s fire service was big enough to be able to give the level of cover needed to fight the fire.

“Plymouth has tower blocks that failed the tests” for flammable building cladding, he said. “They have night duties when they have 18 firefighters on duty.”

Turning to the inquiry, he added: “If we conclude, and if representatives of the residents and survivors and bereaved conclude, that the whole thing is a pointless stitch-up, then actually we may conclude that we’re going to walk away and boycott that inquiry.

“I hope it doesn’t happen but I think we need to tell the inquiry people that that’s where we stand.”

http://www.mirror.co.uk/news/politics/grenfell-tower-fire-crime-should-11237179

The “free market” PM shows how it’s done

As the article says: The NHS spends 1.02% of its budget on agency staff where the Cabinet Office has spent nearer 8% of its budget on such staff. But that is a mere drop in the ocean … read on …

“While all eyes were on the Labour Party conference, Theresa May’s Cabinet Office (CO) quietly published its accounts. And buried in the 114 pages was the fact that it spent a whopping £43.8m on agency staff in 2016/17.

But this was just the tip of a half a billion pound spending iceberg – with the CO blowing £8.86m on staff perks, and even giving [pdf, p89] former Lib Dem leader Nick Clegg £114,982 from the public purse. …

Excruciating figures

Some of the most notable spending compared to 2015/16 was:

£43.8m on agency staff, up 54%.
£2.47m on staff “termination benefits” when they left the CO, up 162%.
£8.86m on staff travel, food and “hospitality”, up 63%.
£196.8m on total staff costs, up 20%.
£50.2m on Police and Crime Commissioner elections.
£1.54m on Private Finance Initiative (PFI) contracts, up 387%.
£21.7m on renting buildings, up 38%.
Writing off £2.3m of “bad debt”, up 5,342%.

But the £43.8m spent on agency staff (7.8% of the CO’s entire budget) does not tell the whole story. Because another set of CO figures reveals that it only employed 299 agency, interim, or consultant staff in 2016/17. Meaning the average cost of one of these, including agency fees, was £146,488.

The CO spent, overall, £558.58m in 2016/17; down £1.24m or 0.22% on 2015/16. The spending increases listed above were mostly offset by savings from not having the cost of a general election, reductions in pension costs, and less being paid out for “professional services”.

But delve a little deeper into the figures and some of the CO spending is even more questionable.

Nudging paper

The full CO accounts reveal that it paid out [pdf, p89] £538,067 in total to all living former Prime Ministers as “public duty costs”. But this also included £114,982 to former Deputy PM Clegg; a 12.8% increase on his payment in 2015/16.

The CO has [pdf, p99] £210.6m worth of agreements with private contractors to pay out over the course of their durations. It also holds [pdf, p101] £64m of investments in six private companies that operate within the public sector/government. One of these is Behavioural Insights Ltd, also known as the controversial ‘Nudge Unit’. As writer Sue Jones noted in 2015, the Nudge Unit is:

aimed at ‘changing the behaviours’ of citizens perceived to ‘make the wrong choices’ – ultimately the presented political aim is to mend Britain’s supposedly ‘broken society’ and to restore a country that ‘lives within its means’, according to a narrow, elitist view, bringing about a neoliberal utopia built on ‘economic competitiveness’ in a ‘global race’.
The Canary approached the CO for comment on its accounts, but at the time of publication had not received a response.

May’s money for nothing

John Manzoni, Chief Executive of the Civil Service, said [pdf, p9] in his introduction to the CO accounts that:

This year the Cabinet Office celebrated 100 years… ensuring that government works efficiently and effectively for citizens across the UK.
Manzoni’s hopes of the CO “ensuring efficiency” are laughable, at best, when you have a government department that happily spends £43.8m on agency staff and nearly £9m on ‘perks’ for its employees.

But the CO’s seemingly frivolous spending should contrast with other government departments. Because during 2016/17, the DWP cut Personal Independence Payments (PIP) for 164,000 people living with mental health issues. It reduced their payments from the enhanced to the standard rate, saving it £27.45 per person, per week. So, this saved the DWP £234m, or 0.11% of the welfare budget.

Also, the NHS spends around 1.02% of its budget on agency staff, but is criticised for doing so. So, when the CO claims “efficiency” but sees fit to spend 7.8% of its budget on agency staff, yet the DWP cuts crucial support from some of the poorest in society to save it a mere 0.11%, we have a truly broken government.

Axe Valley Academy 6th form to close due to austerity cuts

“AXMINSTER has been hit by the shock news that the sixth form at Axe Valley Academy looks set to close.

The board of trustees of Vector Learning Trust, which includes the academy, issued a statement this afternoon saying that a public consultation has been launched regarding the proposed sixth form closure at Axe Valley Academy.

The statement said: “Schools and academies nationwide have come under increasing financial pressure from government underfunding in the last few years with a particular reduction in the amount received per sixth form student.

“Consequently, schools with small sixth forms have supplemented post-16 provision from budgets allocated to 11-16 year olds; a situation which is neither fair on the lower school nor sustainable in the long term, and subsequently many school sixth forms throughout the country have closed or are planning to close.”

Ann Adams, chairman of trustees of Vector Learning Trust, said: “Despite the best ever sixth form results in August of this year, the finances at Axe Valley Academy have reached a critical point and tough decisions are having to be made.

“Re-designation of the academy to an 11-16 provider would guarantee financial stability and allow us to direct staffing and resources to the lower school resulting in a more effective and efficient organisation which will ensure outstanding education for the young people in the Axe Valley communities.”

The proposed sixth form closure is for August 2019, to allow the current cohort of Year 12 students to complete their two-year courses.

All further post-16 recruitment has been suspended pending the outcome of the consultation.

Martin Brook, CEO of the trust said: “We are totally committed to providing our existing sixth form students with high quality teaching and resources to attain their required grades at A Level and thus secure their preferred places at leading universities.”

He went on to say: “I have no doubt that this is absolutely the right decision for the young people and staff at Axe Valley Academy and by making it now we are securing the future of the academy in the long term as well as the provision of outstanding schooling for students in Years 7-11.”

Further information regarding the proposed sixth form closure can be found in a full consultation paper posted on the Academy website http://www.axevalley.devon.sch.uk (printed copies available on request).

The consultation will run until Tuesday November 7thduring which time comments can be sent to the Academy by e-mail admin@axevalley.devon.sch.uk or delivered to reception in Chard Street, Axminster. A public consultation evening is being held at 6pm on Tuesday 10th October 10th in the Main Hall at Axe Valley Academy to which all are welcome to attend.”

https://www.viewnews.co.uk/sixth-form-closure-shock-axminster/

DCC EDA Independent Councillor Shaw asks LEP CEO killer question

The question

When will the Heart of the South West LEP offer something to small town, rural and coastal Devon?

The response:

“This was the question I asked Chris Garcia, of the Heart of the South West LEP, when he appeared before the Corporate Infrastructure and Regulatory Services Scrutiny Committee (CIRS) at Devon County Council yesterday. Mr Garcia said that Government funding was geared mainly to urban areas, but the LEP has a ‘rural growth commission’ which will publish a report shortly. I shall look out for it.

Mr Garcia didn’t reply, however, to my criticism that the LEP is itself skewed by the ‘white elephant’ new nuclear power station at Hinkley C in Somerset. This project, rashly endorsed by Theresa May who had a chance to halt it, will cause British consumers pay over the odds for electricity for decades to come, based on an unproved type of nuclear station which is not supported even by many who believe nuclear energy is necessary for national energy needs, and in the control of French and Chinese state companies! As renewables get cheaper and electric storage becomes viable, this is a project we don’t need. True, it will bring some jobs to Somerset, but not to most of Devon.

Mr Garcia came with a powerpoint and brandishing the LEP’s latest glossy annual report. I asked that in future, we had proper written reports circulated in advance which members could scrutinise.

Mr Garcia didn’t mention the word ‘devolution’. HoTSW is leaving all that to Devon and Somerset county councils, who are apparently now planning to establish a Joint Committee. What that will involve is something else county councillors will need to scrutinise carefully.”

When will the Heart of the South West Local Economic Partnership (LEP) offer something to small town, rural and coastal Devon?