Contract for urgent care in Devon has no bidders – with fewer community hospitals what next?

Devon Doctors has withdrawn its tender to provide out-of-hours services to the NHS Northern, Easters and Western Devon Commissioning Group, as the money offered to provide urgent care services is less than the service will cost. They will cease provision in March 2016.

They were the only bidder (and current providers) of out-of-hours GP services, dentistry and minor injury treatment.

“When asked what impact this would have a spokesperson said …”Clearly this uncertainty is not helpful and could have an unsettling effect on staff and clinicians”.

We must also assume that this is one of the services meant to enable people to have treatment that, where possible, would allow people to be cared for at home.

With Axminster and Ottery St Mary hospitals now closing how on earth can people be treated at home if a crucial part of the service is not available?

Anyone remember the antiquated Army “Green Goddess” fire engines that were used many years ago when firefighters went on strike? How long before we have army ambulances and army doctors in East Devon?

Source: Express and Echo “Setback for delivery of urgent care”, page 2, Anita Merritt (no web link found)

Hospital closures: the spin – and where are Hugo Swire’s comments?

“…County Councillor Claire Wright said: “It’s an absolute travesty. We heard that 11,000 people signed petitions to save the hospitals and they didn’t answer my question as they said they didn’t have enough information on how much a health hub would cost. The CCG say they are saving £500,000 but they haven’t costed in how much it will cost to create a health hub, which in Budleigh Salterton cost £800,000 and they haven’t costed how much home-based care will cost. It doesn’t stack up financially as they say that’s detail and are using numbers to their own advantage.”

http://www.exeterexpressandecho.co.uk/Anger-frustration-East-Devon-plans-axe-community/story-26919959-detail/story.html

Beds cut by 30% in East Devon to make remaining hospitals “more resilient”

You couldn’t make it up!

“Dr Jenner said: “Of course we understand that some people will always want to have community beds in their own area and this decision may disappoint them but making sure everyone has the same level of access to services is very important.

“We are looking to continually improve services to support people in their local communities whether they are cared for at home or in hospital and this is one step forward on that journey.”

Dr Jenner blamed health provider, Northern Devon Healthcare NHS Trust which runs North Devon District Hospital in Barnstaple and a series of community hospitals in east Devon, for putting extra strain on such hospital because of staffing issues.

He said: “Over the last few years the hospital provider Northern Devon Healthcare NHS Trust has had to temporarily close some community hospital inpatient units due to staffing issues.

“Consolidating from 10 to seven units means we will have much more robust staffing at our hospitals in the future.”

“This will improve the resilience of care at our community hospitals in the face of financial and workforce challenges.”

http://www.westernmorningnews.co.uk/Hospital-beds-slashed-30-East-Devon-make/story-26915985-detail/story.html

So, all you people in Axminster and Ottery don’t worry – you will be cared for in your own home by staff they don’t have.

Demonstration against Ottery and Axminster hospital closures

Claire Wright’s blog:

There will be a placard demonstration at

12.30pm on Thursday 16 July,

outside Newcourt Community Centre, Exeter – map here – https://www.google.co.uk/maps/place/Newcourt+Community+Centre/@50.701755,-3.474879,15z/data=!4m2!3m1!1s0x0:0xd9a1e2f62015b734

The Northern, Eastern and Western Devon Clinical Commissioning Group will meet at 1pm and will take a decision on whether to shut all the beds at Ottery and Axminster Hospitals, moving them to other local hospitals, as well as closing minor injuries units at Axminster, Ottery, Seaton and Sidmouth.

We are not allowed to speak during the meeting, although questions can be submitted in writing to staceyavery@nhs.net

For more see – http://www.claire-wright.org/index.php/post/the_last_battle._d_day_for_ottery_hospital_please_attend_this_meeting

This is our LAST CHANCE to be heard. Please come. And bring your friends. I would be grateful if you would drop me a line at claire@claire-wright.org if you plan on coming. Thanks very much.

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

The last battle for local hospital services

From the blog of Independent DCC Councillor Claire Wright (Ottery Sy Mary). We assume local MP Hugo Swire will be at the meeting … in our dreams.

The last battle. D-day for Ottery Hospital – please attend this meeting!

The decision on the fate of Ottery St Mary Hospital will be made next Thursday (16 July), and the Northern, Eastern And Western Clinical Commissioning Group (NEW Devon CCG) appear as determined as ever, to close it.

Also at risk across East Devon, are all of Axminster Hospital beds, and minor injuries units at Ottery, Axminster, Sidmouth and Seaton Hospitals.

The CCG’s board papers, published yesterday, argue strongly in favour of closing Ottery Hospital’s beds and minor injuries unit and against any other option, including the recommendations presented by the stakeholder group – a group set up by the CCG in January.

The paper, in my view, has totally misrepresented the stakeholder group’s recommendation on hospital beds, by implying that the group supported “consolidation” as a long-term measure (moving hospital beds out of Ottery and Axminster to other hospitals).

The stakeholder group’s recommendation was that beds should remain at all our community hospitals and a minor injuries service should be retained in each town.

The paper that goes before the CCG’s governing body on Thursday states that the cuts will be implemented immediately once a decision has been made.

The paper acknowledges the significant projected population increase in East Devon over the next few years – over 11 per cent by 2026), but seems to believe that the best way of handling this is to move community hospital beds to other nearby hospitals.

At the last health and wellbeing scrutiny committee meeting on 18 June, the CCG’s update report, scarcely mentioned the work of the stakeholder group, bar a passing reference. Certainly it did not allude to its recommendations, despite the group being established by the CCG in January!

You can view discussions at this meeting here. The speakers names are now included within the webcast – http://www.devoncc.public-i.tv/…/portal/webcast_inte…/159084

I have not been able to find any mention of the CCG’s plans for Ottery Hospital, if the beds and minor injuries unit closes, yet paperwork claims that the stakeholder recommendations will cost an additional £200K. And the savings from closing all the beds at Axminster and Ottery will be £500,000.

The existing 15 bed stroke unit housed at Ottery is set to move to a site in Exeter – probably the RD&E. Ottery is viewed as an interim measure.

One of the stakeholder group’s recommendations included that no changes should take place until integration with a new provider had taken place (a decision about who gets to run local community hospitals – likely to be the RD&E).

But the papers submitted for next Thursday’s meeting tacitly admit that providers have not even been consulted with.
The CCG makes a strong case for its own proposals and dismisses the alternatives.

To view the recommendations turn to page 110 of the papers, in this link –

file:///C:/Documents%20and%20Settings/Claire/My%20Documents/Downloads/GB%20Pack%20PUBLIC%2016%20July%202015.pdf

The meeting starts at 1pm on Thursday 16 July, at Newcourt Community Centre, Exeter. It is open to the public, but please bear in mind that the relevant agenda item isn’t likely to start until after 3pm.

It is absolutely vital that there is a big public attendance from across East Devon, as this is when the decisions are made.

There is no facility for public speaking unfortunately (I did ask twice but was refused). However, there is the option of submitting questions in advance, in writing.

http://www.claire-wright.org

Roger Giles (Ind) polls highest vote in District Council elections

We’ve had further feedback from today’s election of East Devon District Councillors, when Independents gained considerable ground. Here are some highlights:

– The voters’ favourite was Roger Giles, the seasoned Independent Councillor for Ottery St Mary Town Ward, with 2087 votes.
– Paul Diviani, Leader of the Council) retained his seat at Yarty. He received 776 votes. But votes against him totalled 795.
– Cabinet member, Ray Bloxham (525 votes) lost in Raleigh Ward to IEDA candidate, Geoff Jung (950 votes).
– IEDA Leader, Ben Ingham successfully held Woodbury & Lympstone, where he and IEDA colleague, Rob Longhurst, defeated David Atkins (Con).
– The most significant cull of Tory Councillors was in Sidmouth, with Independents now in control:
There was a surprise defeat for Graham Troman, who ironically has often stood up alone for Sidmouth, without the backing of the other local councillors.
Stuart Hughes is the sole remaining Conservative, sharing Sidmouth-Sidford with Dawn Manley and Marianne Rixson, both IEDA.
Sidmouth Town Ward is in the hands of Cathy Gardner (IEDA), Matt Booth(IEDA) and John Dyson (Independent).

The Sidmouth Herald reporters were quick to pick this up: http://www.sidmouthherald.co.uk/news/election/eddc_independents_oust_tories_in_sidmouth_town_1_4066681

For complete election result information, go to http://eastdevon.gov.uk/elections-and-registering-to-vote/elections-2015/2015-district-council-elections-results/

Local Tories show their true colours

Andrew Moulding and Steph Jones’s election leaflet issued in Axminster, seems designed to misinform.

AxmstrLeaflet

A close look at the leaflet (above..click to enlarge) reveals some apparent misconceptions and economies with the truth:

Moulding/ Jones: Imply East Devon Alliance is centred in Sidmouth.
Incorrect: EDA Chair lives in Colyton; Vice-Chair in Feniton; vast majority of East Devon Alliance Independent candidates are from other parts of the District.

Moulding/Jones: Suggest Knowle is just adapted bedrooms and bathrooms.
Incorrect: Only the old part, which was once used as a hotel, then as flats.  No serious attempt has been made to market this individually to fund update of the newer building, which consists of purpose built offices in 1970-80s, with outside space for extension if required.

Moulding/Jones:  Move will save £6m over 20 years.
Figures are disputed ( posts on http://www.saveoursidmouth.com may explain why ‘Sidmouth’ is a painful subject for EDDC Deputy Leader, Cllr Moulding) – and some withheld documents concerning office relocation are still under legal review (Tribunal decision imminent: Information Commissioner and J. Woodward vs East Devon District Council).

Moulding/Jones: Why Honiton and Exmouth? “Because Honiton is more central, and Exmouth is the largest town.”
Then why did they previously support Skypark (which could not be less central) and selling the site in Honiton? In reality, a newbuild office at Honiton is just the fall-back plan, as the Honiton site couldn’t be sold for enough money to make a move to Skypark financially viable. And Exmouth has only now come into the equation, as space at the Town Hall has become available. The leaflet makes no mention of the issues of running a split site; nor of existing air pollution problems where the £7m newbuild HQ at Honiton would be sited (no such problem in Knowle parkland!), etc.,etc. 

Moulding/Jones; Why is Local Plan taking so long? “Because we want to get it right”
Or is it because EDDC are struggling, having got it so wrong in the past, and exasperating the Inspector, who rejected the previous one? (Remember the 53 ‘minor changes’ which the Inspector found to be ‘major’? SIN blogged the story: https://sidmouthindependentnews.wordpress.com/2013/11/30/sum-thing-amiss/)

Moulding/ Jones: Why so much new housing in Axminster? “Because you wanted it!!”
Who are ‘you’? Does it embellish the town and help it to thrive? Or is it symptomatic of consequences when deciding where to build the massive number of new houses EDDC has chosen to opt for?

Moulding/Jones:  Do you have a plan for the future of Axminster. “Yes, we have a vision.”
Who are ‘we’, and has the vision, with no neighbourhood plan yet in place, been led by speculative development?

This leaflet, along with quotes from Hugo Swire in the local press yesterday (https://eastdevonwatch.org/2015/05/02/east-devon-alliance-responds-to-hugo-swire-misinformation/), show tired tactics which are looking rather stale. On May 7th, East Devon voters may well show they’ve had enough of them.

That most dangerous of things: “a group of Sidmouth residents”! Are you sure?

Leaving aside whether “a group of Sidmouth residents” is the most dangerous thing on the planet (actually, the perpetrator of that remark may well be right!) it is how members of East Devon Alliance have been (oh-so-very-wrongly) described by Councillor Andrew Moulding, we have but one comment to make on his remark.

Why is Seaton resident and Conservative (and formerly a Lib Dem) councillor Stephanie Jones standing with Andrew Moulding in Axminster so that a Honiton resident Jenni Brown (whose address is the Monkton Court Hotel, Honiton) with no obvious connection to Seaton can stand in Seaton?

Click to access seaton.pdf

And where another candidate who is standing against former Tory Bob Buxton in Dunkeswell also lives (Colin Brown):

Click to access dunkeswell.pdf

You may be able to ask them both as the Monkton Court Hotel:

http://www.monktoncourthotel.co.uk/

Colin, Jenny and Joe are serving morning coffee, bar snacks, comfort food and afternoon tea. Come and relax in front of the fires or chill out in the sunny orchard -umbrellas can be supplied if necessary!

will be a polling station on election day:

Click to access 1505Nominations%20for%20MP.pdf

And it has been the venue for a number of EDDC and local Tory events such as the Tiverton and Honiton Conservative Association Pie and Pudding Club:

http://www.tivertonhonitonconservatives.co.uk/events/t-hca-honiton-branch-%E2%80%93-%E2%80%9Cpie-and-pudding-supper-club%E2%80%9D-3

Of course, anyone who fulfils the criteria in East Devon can stand anywhere in the district but it does seem a bit like musical-chair Tories – or perhaps pass the parcel would be a better description!

For the original article on the most dangerous people on the planet see our old friend:

http://realzorro1.blogspot.co.uk/2015/05/axminster-tory-district-council.html

Anyone wanting to find out EXACTLY where independent East Devon Alliance candidates emanate from can find out here:

http://www.eastdevonalliance.org.uk/
(follow candidates tab)

Tiverton and Honiton hustings at Honiton Beehive

http://www.midweekherald.co.uk/news/election/tiverton_and_honiton_constituency_candidates_discuss_the_issues_1_4046735

Axminster: Persimmon puts in its plans for eastern side development – 450+ houses

These three developments were the ones preferred by local people to the Millwey Rise develipment as they felt that it might get a much-needed by-pass built. nFormer planning supremo Kate Little refused to put it in the Local Plan.

Now Persimmon is showing its hand and, with no Community Infrastructure Levy in place because we have no Local Plan they do not have to provide infrastructure other than that needed by the development itself.

One to watch: and put in just in time to meet the decision deadline of the current council.

“To a Louse”: with particular reference to Councillor Moulding, Axminster Hospital and Knowle Relocation

“To a Louse” is, of course, the poem by Rabbie Burns which contains the immortal line:

“O would some power the giftie gie us to see ourselves as others see us.”

Bear this saying in mind when reading the following report on a recent meeting about the reduction in services at Axminster Hospital sent in by a correspondent (very slightly edited of its more pungent comments) and compare it with public criticisms about Knowle relocation: a leading advocate of which is one Councillor Andrew Moulding:

At a well attended meeting to discuss progress in the fight to maintain in-patient beds at Axminster hospital, Cllr Andrew Moulding (wearing both his Town and County councillor hats) spoke to concerned residents about his representations to the Devon CC Health and Wellbeing OSC. He made clear his feelings on the matter to the OSC and stated that his only job as a Councillor was to convey the feelings, views, anger and frustration ohf Axminster people over the shameful way in which the CCG and NDHT had conducted themselves, with misleading figures, loaded and biased consultations and the heavy handed (and expensive) use of lawyers to force a decision through…

A member of the public replied that the whole situation was ” kafka-esque ” and that despite public passion and anger and a huge response ( against the establishment view ) to the Consultation document, it seems as if the publics wishes and views were simply ignored… How do we change this state of affairs…

Jeremy Walden then waded in to say that it wasn’t his place to tell the public how to change things they didn’t like but that the day to do so was soon upon us all…. oooh, cryptic!

However, the real eye opener was when AM then said that the CCG must keep an open mind on the whole issue and could not just proceed as it pleased disregarding public sentiment and that he did not believe them when they said that ” no decisions had yet been made ” – he chuckled good naturedly – again, my only job is to pass on my electorates views, which I will do with a passion… ( confetti rained down from the ceiling, trumpets blared etc ). The CCG and NDHT have not been forthcoming with their figures, the ones they have released are flawed, they have used Commercial Confidentiality as an excuse to withhold data and this does not allow an analytical, reasoned, impartial review to take place by those opposed to the plans. THIS IS QUITE WRONG AND MUST BE CHALLENGED!

Then, oh lord yes, he came up with this peach…

We (the working party – doctors, councillors, league of friends) believe that no decision on this critical matter should be taken until after the General election as governments may change, funding may change, policies may change and so to make the decision before then would be quite wrong as there are too many unknown factors at play. (cue: rousing applause).

Compare, of course, this statement with the Cabinet view at EDDC – of which AM is the deputy Leader – regarding the HQ relocation saga. When a motion proposing a moratorium on the process was proposed by the opposition independent group, the ruling majority were outraged! Why should we hold off on major decisions until after the election; that is not democratic and simply delays good decision making and as for using lawyers to suppress the truth, issuing flawed figures, hiding behind commercial confidentiality, making decisions before consultations complete…. I don’t recall AM making a similar stand then!”

Truly some of us badly need the ability to see ourselves as others see us.

“Quite honestly, we have fallen flat on our face” with the relocation project, warns Honiton Councillor, Peter Halse

At last night’s Overview and Scrutiny Committee senior Tory councillor Peter Halse lashed EDDC’s Relocation Project. He said it risked the Council’s reputation for financial prudence. “At the time (the relocation project) looked OK, but now, with hindsight, it looks pretty bad….Quite honestly we have fallen flat on our face!” He was sceptical about Deputy CEO Richard Cohen’s claimed energy savings, and said employees based in the newer 1970/1980s building, “can’t see any reason why they’d want to move”. He concluded “It’s not just the leadership who are responsible. We need to look this thing full in the face. We can get out of this”.

Sidmouth resident Richard Eley, had already mauled Richard Cohen’s assumptions on future energy cost savings which were “way out of line” with those predicted by the Department of Energy and Climate Change (DECC). Mr Cohen in response welcomed the fact that auditors would now be taking “a useful look under the bonnet, as it were”. In the meantime a preferred developer had now been selected for a mix of care home and residential properties at Knowle. The planning process would have to be gone through by the developer and further attempts to delay the Knowle sale have been factored in to the costs, he added.

When Independent Cllr Claire Wright expressed concern that EDDC’s planning committee would be under extreme pressure to grant permission to develop the Knowle because the whole relocation project depended on it, she was accused of casting doubt on the integrity of councillors.

Independent Councillor Roger Giles didn’t get a clear answer from Mr Cohen about where his 10% annual energy inflation figures came from, only that they were “conservative”! And there was no answer to Cllr Giles’ second question about how much extra the renovation of Exmouth Town Hall would cost.

Tory Cllr Graham Troman (Vice Chair of the OSC) said the Knowle site was an appreciating asset while refurbished offices or new-build on an industrial estate (e.g. Heathpark) would not recoup the money spent on them.

Tory Cllr Sheila Kerridge urged her colleagues to show transparency and “not to be seen to be doing things underhand….Put the matter on hold until we know the figures”. (echoing Cllr Claire Wright’s proposal voted down a few weeks earlier.

Chair Tim Wood concluded that all would be examined in great detail by the auditors so there was no cause for alarm.

The second burning issue was the suggested reform of Task and Finish Forums.

A proposal from a Democratic Services Officer (advised by CEO Mark Williams?) that the scope of TAFFs should be proposed by officers, seemed pretty well acceptable to the obedient majority – though it is going to be thought about first by one of Cllr Bloxham’s Think Tanks.

The controversial Business TAFF will continue with the same members as before, but without too much embarrassing looking back at relations with the East Devon Business Forum whose demise seemed to be lamented by Deputy Leader Andrew Moulding. He assured everyone that the TAFF will now have perfectly respectable relations with the new East Devon Business Group which genuinely represented the District’s entrepreneurs.It was time to turn the page, he said, and stop attacking the perceived influence of the EDBF on crucial planning decisions. The representative from Axminster concluded,fittingly, that he was not “trying to sweep anything under the carpet!”

Temporary court order suspending Axminster Hospital bed closures lifted

It seems, as just announced on Spotlight, that the paperwork was not copied to the Health Trust so is not valid.

Shame that if we don’t consult them we can do nothing but if they don’t consult us they don’t get the same treatment!

EDDC Deputy Leader rails against failure to provide details of finances, and about secrecy.

Cllr Andrew Moulding has said not a word about the same issues regarding Knowle office relocation.
But in his other role as a Devon County Councillor for Axminster, he seems greatly exercised by them. See him in action at this webcam link to DCC’s recent debate on the NHS failure to provide details of the finances for the community health provision rationalisation while maintaining secrecy.http://www.devoncc.public-i.tv/core/portal/webcast_interactive/118538 ( Just click on Cllr Moulding’s name, for his speech near the beginning of the meeting.)

‘I have never experienced a stranger council than EDDC!’

In a long letter in today’s edition of Pullman’s View from Sidmouth , an Axminster resident, berates EDDC for the strange way in which it operates. In a phrase echoing one by Clive Aslet in his Daily Telegraph article ‘Sidmouth Mans the Barricades, the author of the letter, Michael Blagrove, says, “I am glad that I am not alone in detecting a nasty smell emanating from The Knowle… the unmistakable whiff of aloofness and unaccountability.” Mr Blagrove goes on to explain why in his experience, “the officers of the council seem to be under the impression that they are rather too grand to act as “public servants” in the accepted manner..” He is particularly scathing about the Chief Executive’s dual role in South Somerset and East Devon, commenting that ” He may well consider himself to be a jack of all trades, but clearly he is master of none.”
The letter can be viewed in full at http://www.viewfromonline, Tues Oct 28th 2014.
Clive Aslet, Editor-at-Large of Country Life, made some similar observations after a visit to Sidmouth two years ago. See final paragraph of his report at this link http://saveoursidmouth.com/2012/10/23/save-our-sidmouth-reaches-the-daily-telegraph/

Local Health service “consultation”

We have been told by our local health group that we are being “consulted” on widespread changes to community care, particularly community hospitals.

Then almost immediately we hear that in Ottery there is to be a “temporary” stroke unit
http://www.northdevonhealth.nhs.uk/2014/10/trust-to-centralise-community-stroke-rehabilitation-services-in-ottery-st-mary/

and Axminster’s inpatient beds are to close over winter and nurses will be transferred to Seaton

http://www.exeterexpressandecho.co.uk/Hospital-beds-Axminster-set-close-relocate-Seaton/story-23207587-detail/story.html

The so-called “consultation” document did not include either of these plans nor did they include costings of ANY of the various other alternatives in their report.

So what exactly ARE we being consulted about? And is it worth the paper it is written on?

Community hospital closures

Our area health group have said they will not cut community hospital beds until people have adequate alternative care provided:

http://www.bbc.co.uk/news/uk-29501588

So, looks like those cuts will (should) never happen or at least not for a very, very long time.

Cuts to local hospital beds and services: MP says “not a time for whipping up excitement”

http://www.westernmorningnews.co.uk/NHS-bed-closures-scrutiny-hospital-admits/story-22951197-detail/story.html.

A public meeting is being arranged on this urgent matter to discuss the situation in Ottery St Mary on 7 October – more details to follow.

In the meantime MP for the Ottery and Sidmouth area, Hugo Swire, has apparently said this is “not the time for whipping up excitement” and, on the bright side, means more time and space for clinics:

http://www.claire-wright.org/index.php/site/comments/hugo_swire_on_ottery_hospitals_bed_losses_this_is_not_the_time_for_whipping

As yet there seems to be no comment from the area’s other MP, Neil Parish (cuts at Axminster Hospital).

Local hospital bed closures – consultation

Axminster and Ottery St Mary hospitals are set to lose all their beds and Sidmouth hospital will lose its minor injuries unit under the cost-cutting proposals.

12 weeks consultation on these plans start today.

Full Report here:

http://www.newdevonccg.nhs.uk/get-involved/get-involved/community-services/101039

The East Devon section is here:

http://www.newdevonccg.nhs.uk/file/?rid=105273&download=true

Just one problem: none of the recommendations (which should also include doing nothing as a costed option) have ANY numbers attached to them. So, we don’t know what things cost now, we don’t know what the new recommendations will cost, so there is no idea what savings, if any, may be made.

But no doubt our District Council will come to our aid …..