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

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”

Claire Wright gets debate on NHS winter care crisis at next DCC Health and Adult Care Scrutiny meeting

From the blog of Claire Wright:

“I have asked the chair (Sara Randall Johnson) that a report on Devon hospitals winter pressures – ie A&E waits, delayed discharges, how many patients are waiting to be discharged etc, is presented at the next

Devon County Council Health and Adult Care Scrutiny Committee on
Thursday 25 January.

This has been agreed.

The agenda papers are out next week so we will know more then.

Also on the agenda is a presentation from NHS Property Services/NEW Devon CCG on the future of our community hospitals – asked for by Cllr Martin Shaw and I at the November meeting ….”

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

Who fights for our NHS? Independents fight for it!

Photos from demo in Totnes today with a few local faces you will probably recognise.

No Tories from East Devon then?

Thought not!

DCC Health Scrutiny Committee – not fit for purpose

The DCC Health Scrutiny Committee lurches from poor practice to bad practice to utter chaos under the continued Chairmanship of Sarah Randall-Johnson

Can you imagine saying you will vote against questioning NHS Property Services about their intentions on the future of community hospitals which they now own “because they might not come”! And Randall-Johnson saying she is “not aware of any threat to any community hospital!!!

[CCGs have been offered match funding from the government for any properties sold in their areas]
http://www.mirror.co.uk/news/politics/naylor-plan-outline-sell-nhs-10544577
http://www.property.nhs.uk/asset-management/

Claire Wright’s Blog:

NHS Property Services will be invited to attend the next Health and Adult Care Scrutiny Committee in January.

But my simple request prompted a debate lasting over half an hour, at Tuesday’s meeting (21 November).

The lengthy and baffling discussion gave a poor impression of the committee in my view, with some Conservative councillors claiming confusion and dismissing the proposal several times as “premature.”

It all started off with a presentation to the committee by Independent councillor, Martin Shaw, under the final work plan agenda item.

Cllr Shaw rightly pointed out how many people were concerned about the potential loss of the hospital buildings, that they had put their own money into them and still there was no clarity over their future, yet NEW Devon CCG were (or at least would very soon be) paying large sums of money in rent each year when previously they owned the buildings outright.

NHS Property Services, a private company wholly owned by the Secretary of State for Health, set up under the Health and Social Care Act 2012, acquired the ownership of 12 community hospitals in Eastern Devon at the beginning of this year.

Given that the NEW Devon CCG is one of three most financially challenged health trusts in the country and must make huge cuts to try and stem a deficit of over £400m by 2020, people’s concerns about the future of the hospitals are very valid.

Following my proposal to invite NHS Property Services to the January meeting, chair, Sara Randall Johnson said there was a full agenda for the next meeting so it may not be possible to include it. She said that she was not aware that there was a threat to any community hospital.

Liberal Democrat, Brian Greenslade said NHS PS had been invited previously but questions had been remained unanswered and so should be invited again.

Conservative, Phil Twiss, who represents Honiton which has lost its own hospital beds, claimed in a number of long statements that it was “premature” to invite the company because the future of the buildings had not yet been decided.

He later added that they wouldn’t come anyway.

I replied that waiting until the March meeting was far too long and could mean that decisions were already made. Surely we need to talk to NHS PS and the CCG before their decisions?

I attempted to explain again why it was important we invited the company to the January meeting.

But apparently confusion reigned.

Conservative members became very fixated with the legacy issue, even though I had made it clear that it was about questioning NHS PS and the CCG about their plans on the future of community hospitals and the legacy issue was only part of that.

Chair, Sara Randall Johnson, suggested holding a meeting first to agree some questions to ask NHS PS. I have not seen this approach in my four and a half years as a member of the committee.

I had to make my proposal numerous times, while one or two persistent Conservative members continued to challenge it.

There was an amendment by Liberal Democrat, Nick Way, who wanted a spotlight review into the issue as well.

Phil Twiss then changed his tack and claimed there was no point in asking the company to attend as they wouldn’t come. He was in favour of a spotlight review instead (spotlight reviews are held in private).

But when the vote finally was taken, it was on the spotlight review amendment and not my original proposal to invite NHS PS to the next meeting …

I tried to intervene. Fortunately, the officers corrected matters… and then the majority of the committee voted in favour of my proposal. Finally.

My proposal couldn’t have been more straightforward or uncomplicated. It was entirely within the committee’s remit.

It was also within a couple of hours of hearing the county solicitor’s presentation about how scrutiny should do its job properly. Or be culpable. See this blogpost here – http://www.claire-wright.org/index.php/post/devon_county_council_solicitor_tells_health_scrutiny_committee_you_have_a_v

Here’s the webcast. It is the final item on the agenda – https://devoncc.public-i.tv/core/portal/webcast_interactive/302658

Pic: Me exasperated!”

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

Some councillors on DCC scrutiny committee seem to have difficulty in grasping the concept of ………. scrutiny

Claire Wright’s blog:

Devon County Council’s solicitor, Jan Shadbolt, reminded the Health and Adult Care Scrutiny Committee of its legal responsibilities at Tuesday’s (21 November) meeting.

I had asked for this agenda item following a disastrous meeting in July where a referral to the Secretary of State for Health on the closure of 72 community hospital beds in Eastern Devon was thwarted by the Conservative members of the committee, resulting in over 20 complaints from members of the public.

Mrs Shadbolt read out a paragraph from the Mid Staffordshire NHS Foundation Trust Public Inquiry, led by Sir Robert Francis in 2013. Many people had tragically died there as a result of poor care.

The local council’s scrutiny committee was deemed to have failed in its duty to effectively scrutinise the local health trust and identify problems.

Mrs Shadbolt said it was the first time that non-executive members of a local authority were held to account because they were deemed to have failed in their duty.

New regulations were brought in afterwards to beef up the legal powers of health scrutiny committees. These were that health scrutiny committees can:
– Require a local officer to attend to answer questions
– Expect to be consulted by an NHS body or service provider on substantial developments (although there is no definition of substantial developments)
– Refer to the Secretary of State for Health (subject to a series of constraints)

The county solicitor told the committee that we had a “very powerful role to play within the community” and that we were “unique in scrutiny committees” on that basis.

Conservative, Phil Twiss wanted to know who “scrutinises the scrutineers.” The county solicitor replied that the ultimate scrutiny was being called to account over the failure of a service provider, but that generally speaking councillors were answerable to the community.

Cllr Twiss then wanted to know how the committee knew it was performing properly. Mrs Shadbolt said that the committee’s role was to ask pertinent questions, call any officer to present. She added that there are all sorts of bodies who can give information to help with this, such as Healthwatch.

Conservative councillor, Paul Crabbe, wanted to remind the committee that this agenda item had been added because “some members felt we failed to scrutinise correctly…” He went on to say that a “chap from south Devon was fizzing with excitement over the success and how about how wonderful his new system was” then they were later asked to vote that it was “rubbish.”

Cllr Crabbe said that this struck him as a nonsense then and still struck him as a nonsense and just because the committee voted against “someone’s particular view” it didn’t necessarily mean that the committee was not fulfilling its role.

Liberal Democrat, Cllr Brian Greenslade asked the county solicitor to remind councillors that scrutiny is not a normal committee of the council in that it is not supposed to be political. He said that he thought it was worth underlining this point…”

Here’s the webcast – https://devoncc.public-i.tv/core/portal/webcast_interactive/302658

Why do Ladram Bay owners like Hugo Swire so much?

Perhaps this from Swire’s 2016 blog sheds some light on why the Carters are so fond of him (see earlier post today). Owl wonders what he now thinks of local lobbying after he demanded that transparency about it should be increased because of Priti Patel’s involvement with lobbyists?

And remember, the words below are his own, from his own blog, not a puff job from Ladram Bay owners. Ah, except that Mrs Swire, his parliamentary assistant, is said to work on his blog – so he might have had a bit of help from her.

Wonder when we can expect to see Swire is a caravan that doesn’t belong to an Arab sheikh?

“East Devon MP Hugo Swire was given a behind-the-scenes tour of a major holiday park in his constituency this April after it put the finishing touches to a £10 million redevelopment project.

The family owners of Ladram Bay Holiday Park near Budleigh Salterton invited Mr Swire to see the changes and to meet park staff as it gears up for the 2016 holiday season.

He was accompanied on his tour by park directors Zoe House and Robin Carter, two of the four siblings whose family has owned the park for over 70 years.

The MP, who is also Minister of State at the Foreign and Commonwealth Office, heard that holiday bookings are already up by 10 percent compared with this time last year.

Helping to provide an even more memorable experience will be the new facilities completed last year, including a new swimming pool complex and Jurassic-themed adventure golf course.

This winter has also seen further improvements such as the newly made-over customer reception area which Mr Swire declared officially open during a ribbon-cutting ceremony.

Mr Swire commented: “It was a pleasure to visit Ladram Bay once again to open their new reception and view their new facilities. The business continues to thrive and grow, which is good news for local employment and the wider East Devon economy”.

The MP also toured Ladram’s bright new park shop which puts a special emphasis on locally sourced food and drink, from artisan bread to Devon-brewed craft ales.

Other developments fresh for 2016 include improvements to Ladram’s Seaview Shack on its private beach where families can hire boats and watersports equipment, and enjoy light refreshments with stunning views along the coast.

There are also additional brand new holiday homes with the emphasis on five-star comfort, and early summer will see the installation of new super-luxury glamping pods.

Mr Swire was also shown a pair of colourful historic gypsy caravans which the park has had in its proud possession for many years, and which have now been renovated using traditional construction skills and hand-painted decoration.

The MP congratulated the Carter family on their long history of providing top quality and good-value holidays to tens of thousands of Devon visitors each year.

The park’s high standards have been recognised with a raft of awards, and Ladram now boasts a top five-star accolade from VisitEngland, putting it among an elite of UK holiday parks.

Zoe House said the family was delighted that Mr Swire was able to take time out to visit the park and officially open the new reception area. …”

https://www.hugoswire.org.uk/news/seaside-parks-£10m-splash-wins-mps-backing

Claire Wright: “Director of Ladram Bay Holiday Park attempts intimidation at public meeting”

Carter family (Ladram Bay, Greendale Business Park and other businesses) prefer absent Hugo Swire MP to present DCC councillor Claire Wright. Surprise, surprise!

“A director of Ladram Bay Holiday Park ordered me to be silent and leave a public meeting last night, which was called to discuss traffic concerns associated with his business.

The meeting, which was held in the restaurant of Ladram Bay, was arranged at the behest of myself and Otterton Parish Council, following widespread concern over the level of traffic and size of vehicles travelling to and from the caravan park.

It was attended by around 70 Otterton residents, who were largely exasperated and angry about the problems caused by the continually expanding caravan park.

At the end of the meeting I outlined three key concerns that I had heard in the meeting, in order to seek assurances from the management team. They were on:

• frequent use of retrospective planning applications
• continual expansion (a huge increase in the number of lodges and caravans)
• level of traffic and size of vehicles travelling to and from the park and funding potential mitigating road improvements

But before I could get more than a sentence out, Robin Carter approached me and asked me to stop talking. He added that I wasn’t welcome and that I should leave.

His co-director, Zoe House, added that the members of the public were there at their invitation (I had just mentioned my letter that was delivered to every house in the village).

The room sort of erupted at this point and there were shouts of:

“Let her speak!” “She’s our representative!” “Leave her alone!”

Robin Carter, whose family also own the controversial Greendale Business Park at Woodbury Salterton, told residents that I wasn’t their representative. Hugo Swire was. He added that I was not going to “canvass for votes” on their property.

I replied that I was Otterton’s Devon County Councillor and was entitled to speak at a public meeting.

I said I would like to finish my points. But after almost every sentence, Mr Carter interjected with similar remarks – and to more shouting from outraged residents.

One of my points was that if highways officers identified any road improvements whether Ladram Bay might consider contributing funding. Seeing as Robin Carter was standing right in front of me, I directed this question at him.

He then moved so close it felt as though he was actually squaring up to me. Someone called out: “That’s intimidation!” I asked him to move back, which he did but only slightly. He glared angrily and carried on addressing me in a low menacing voice.

Mr Carter said that if I had these points to make I should raise them in a private meeting, not in public and that I should hurry up and finish what I was saying.

I replied that I had already attended a private meeting with his co-director, Zoe House and the parish council in August. That many of these points were already made and surely now was the time, with residents present, to provide these assurances.

Cue further glaring and, no answers.

Many residents came up to me afterwards to thank me for standing up for them, and to Mr Carter.
***************************
The meeting started with a PR video set to music, which struck me as entirely the wrong note. It was the sort of video that would have been more appropriate for investors. Then the Ladram representatives read out a list of accolades awarded to the company.

Management team Steven Harper-Smith and Will Tottle who ran the presentation and fielded questions seemed out of their depth at times and as a new member of staff, Mr Harper-Smith was unaware of the continual retrospective planning applications.

People complained they couldn’t hear. It wasn’t helped by the loud thumping music coming from downstairs, which I asked to be turned down. It wasn’t.

Some of the management team’s points, such as the new £10 fee (increased from £5) for parking on site, which they claimed reduced congestion in the village and was “not a money making scheme” was met with understandable derision. How can this improve traffic and parking in the village?!

They said that their letters to visitors included a line about driving carefully through the village. That this was “a journey” and the start of a positive relationship with the parish council.

A traffic survey carried out in August by a group associated with the parish council found that around 35 per cent of traffic travelling through Otterton is generated by Ladram Bay. Another survey is imminent.

The incredible claim by the management team that traffic hadn’t increased much over the years and that all roads were busier, was met with loud and understandable frustration. The park has expanded massively over the years, with hundreds of pitches – and the traffic has increased with it!

I should add here that on my visits to Otterton I have observed a genuine and real problem with the level of traffic on the road and the absolutely enormous caravans and lodges that make their way through the village and residents tell me, knock walls down, erode banks and damage trees and hedges.

There was acknowledgement of this damage and a promise to repair it. How further damage is prevented is another issue, when the road is simply too narrow for the size of the loads.

Someone asked for a commitment for a maximum number of lodges so the village could have peace of mind on further development. This was supported by clapping.

The management team did not commit to this.

Someone else suggested that the lodges should be brought in by barge instead.

One resident said the number of cars increasing in the village was not related to Ladram Bay. It was due to people having more cars. It was clear that this view was not shared by the vast majority of residents.

Someone else described the traffic situation as “horrendous.”

Then the thorny subject of planning was raised. Ladram Bay is in an Area of Outstanding Natural Beauty and in a coastal preservation zone. The landscape is highly protected under a number of strong policies. Yet planning consent keeps being given for expansion. And many of these planning applications are submitted after the building has taken place.

One resident spoke on this in a very informed way about this. He asked why the dog walking area was now a car park and said there was no point in objecting to the planning application as the trees had already been removed. The team were vague on this but the new general manager did say that in future what they did would comply with planning consent.

Parish council chairman, John Fudge told the meeting that the parish council had objected to the application but it was approved by East Devon District Council’s planning committee.

This started a bit of a debate in the room and how people are not notified about planning applications. And why there is one rule for them and another for Ladram Bay.

An attendee asked the Ladram Bay owners to liaise with the village and said that the park should “have the decency to talk to the village” over planning applications and it was no surprise that there was “distrust and a complete lack of confidence” in the business by residents.

A resident of Ladram Road said she had been hit twice by vehicles and there needed to be speed deterrents. The management team agreed.

A resident of Fore Street said that she takes her life in her hands every time she leaves her house and that traffic is travelling too fast.

Someone replied that community speedwatch found few cars travelling over 30mph but that was too fast anyway. That the village needed a 20mph zone.

(This is something I have been investigating and will continue to do so).

John Fudge, parish council chairman spoke at the end of the meeting to thank people for coming. He said the parish council would work with Ladram Bay to improve the situation. He said he believed there was a genuine desire on the part of the caravan park to improve things.

Directors, Robin Carter and Zoe House remained silent throughout the meeting. Until I spoke at the end.

What do I think of Robin Carter’s behaviour? I think it was aggressive and an (unsuccessful) attempt at intimidation. It was totally inappropriate and completely unnecessary. I am a key representative of Otterton people and I am entitled to attend and speak at a public meeting.

A thriving business on the edge of Otterton is a positive thing. Otterton Mill is also a successful local business. Yet I haven’t heard a single complaint about Otterton Mill. All the complaints I have heard have been about the attitude of the senior management team at Ladram Bay, their lack of consideration and the effect that their continual expansion plans have on the village.

I am hoping that this will be the start of a more positive and considerate relationship between residents and Ladram Bay. Local people deserve better.”

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

Is Swire after Pritti Patel’s job? Or any ministerial post with foreign travel?

Owl realised after reporting about Swire’s stinging criticism of Pritti Patel that it had missed the most blindingly obvious reason for his jibes about her. He desperately wants another crack at the Foreign Office!

Why? Well, here are a few possible reasons:

1. He supports Bojo, thinks they would make a great pair – and he might even think he could do his job if Bojo screws up much more.

2. He’s been terribly unhappy as a lowly constituency MP since he lost his foreign office bagman job and it would give him a terrific boost.

3. Many questions he asks in Parliament are about other countries, fewer about this country, hardly any about East Devon – so he would be in his comfort zone. Plus he could use his old excuse of not being able to speak about East Devon in Parliament because it would conflict with his bigger, better job.

4. He enjoys his £2000 per month job as Chairman of the Conservative Middle East Council – but not half as much as he would enjoy being at the FO.

5. He could visit his constituency even less often, using the excuse of having to jet-set.

6. He could spend more time in London doing things like supporting the Royal Marsden hospital.

7. He wouldn’t have to see or hear so much about Claire Wright.

8. He could keep out of the way of the East Devon Alliance.

9. He could keep out of the way of local protesters about austerity cuts (NHS, education, environment)

10. He would be far too busy to worry about over-development of expensive properties and under-provision of social housing in East Devon – and unable to comment on it anyway – see 3 above.

Is it on the cards? Well, anything is on the cards these days … though May having sacked him, she would likely have to be ousted first.

‘Ladram Bay to hold public meeting over Otterton traffic issues’

“A public meeting is being held in Otterton to allow residents to raise any concerns they have over the flow of traffic through the village.

Following a meeting with holiday park Ladram Bay earlier this year, which was attended by county councillor Claire Wright as well as Otterton parish councillors, a public gathering has been scheduled for Wednesday (November 8).

Writing in her blog, cllr Wright said Ladram Bay director Zoe House has offered to hold the meeting at the holiday park at 7.30pm.

She added: “It was impressed upon the Ladram Bay staff, who will first give a presentation about their business, the main reason for holding such a meeting is for local residents to ask questions.

“I am told that this has been accepted and taken on board.”

There will be a Ladram Bay minibus, seating between eight and 10 people, outside the King’s Arms at 7pm, for those people who are unable to make the trip on their own.”

http://www.exmouthjournal.co.uk/news/ladram-bay-holding-public-meeting-otterton-traffic-1-5263057

DCC Tories torpedo Devon NHS

“PRESS RELEASE
Yesterday the Conservative Party machine defeated my final attempt to get Devon County Council to take action over the closure of community hospitals beds. My motion, seconded by Claire Wright, asked the Health Scrutiny Committee to look again at the issues it failed to scrutinise properly in July, and asked the Council to write to the Secretary of State for Health to alert him to our concern about hospital beds. I highlighted widespread NHS concern that there will be too few beds if there is a flu epidemic this winter. My speech is available here and you can watch it and the debate in the webcast (beginning at 2.18).

The Tory response was an amendment, moved by the leader, John Hart, which took the guts out of the motion. Despite all the evidence to the contrary, it said that Health Scrutiny had ‘extensively considered the issues and concerns from members of the public, elected members and others, including medical professionals, all matters relating to the closure of some community hospital beds in Honiton, Okehampton, Seaton and Whipton.’

Instead of my proposal to write to the Secretary about the beds closures, the amendment proposed to write ‘seeking reassurance that appropriate funding is provided by government to deliver the necessary health and social care services in Devon’. Not a dicky bird to the minister about community hospital beds, the whole point of the debate.

In reply I told the Council (at 3.10) that if they passed this amendment, they would be ignoring East Devon opinion just like Kensington & Chelsea Council ignored the residents of Grenfell Tower; and the Conservative Group as a whole would have made itself responsible for the failure to properly scrutinise the hospital bed closures.

The result

Although they were not formally whipped, 40 Tories fell dutifully in line to support the amendment. There were 16 votes against (these were Liberal Democrat, Labour, Independent and Green members, together with only one Conservative, Ian Hall of Axminster).

Claire made a valiant attempt to put some guts back into the motion, with another amendment – but the Tory machine squashed that too.

Martin Shaw
Independent East Devon Alliance County Councillor for Seaton & Colyton

DCC Tories fail, yet again, to do the right thing on our NHS

“Martin Shaw and Claire Wright were voted down… [at today’s health scrutiny committee, see below] shame on Devon County Council! Every single Tory Councillor with the exception of one voted against Martin’s motion – they put party politics above their communities interests once again.
People need to know what they did.”

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)

DCC EDA Independent Councillor joins DCC independent Councillor Claire Wright as one of the few NHS champions at DCC

“After the failed Health Scrutiny Committee meeting in July – which has led to repercussions in the County’s Standards and Procedures Committees as well as at EDDC – the full Devon County Council will be asked to look again at the issues on Thursday 5th October. I have proposed the following motion, which Claire Wright will second:

The County Council regrets the failure of the Health and Adult Care Scrutiny Committee on 25 July 2017 to be seen to scrutinise the decision of NEW Devon Clinical Commissioning Group to close community hospital beds in Honiton, Okehampton, Seaton and Whipton, especially in the light of the subsequent urgent recommendation by the head of the NHS in England, Simon Stevens, which is supported by evidence from the Royal College of Emergency Medicine and the King’s Fund, that more beds need be made available for the coming winter.

Noting also the Standards Committee’s conclusion that events at the Scrutiny Committee meeting ‘may not reflect well on individual members of the Council or upon the Council as a whole’, its recommendations for the Committee’s Chair and its general recommendations to both members and chairs of Scrutiny Committees, the County Council therefore

requests the Health and Adult Care Scrutiny Committee to scrutinise those issues identified by the County Solicitor in her paper for 25 July which were not directly and fully addressed at the Scrutiny Committee in that meeting;
consistent with the Council’s ‘community champion’ role, alerts the Secretary of State to the strength of feeling in the locality at the overall STP process throughout the County and the significant numbers of objections made by the public to the CCG’sproposals and that in the interests of democracy and democratic accountability he might wish to satisfy himself that all relevant process were properly undertaken and assessed and that the CCGs subsequent decisions are supported by the evidence; and
welcomes the agreement of the Health and Adult Care Scrutiny Committee to examine, subject to the advice of the County Solicitor, means of safeguarding community hospital buildings throughout Devon as facilities for the provision of place-based health services.

Seaton and Axminster – combined health hub?

As I have reported before, Seaton Town Council, the League of Friends and I have been discussing the future of Seaton Hospital in the light of the removal of the beds. Full details of the proposals have not been finalised, so I can only quote the report of Councillor Jack Rowland, Mayor of Seaton, to next Monday’s Town Council:

‘The next campaign is to ensure that the site is retained with a compelling case for retaining the existing services and extending these. To this end I attended a meeting on 6 September to discuss the next steps. I cannot give fuller details at this stage, but broadly the idea is to set up a Steering Committee for an Axe Valley Health Hub and to work in conjunction with Axminster to build a case for retaining both sites with complementary services.’ “

After the failure of the July Scrutiny meeting, I am asking Devon County Council to look again at hospital bed closures on 5th October

“Tories block recording concerns over biggest ever planned health service cuts in Devon”

Oh, how different it will be if (when) Tories lose control of DCC. We will then hear Twiss and his party colleagues saying EXACTLY what Claire Wright is saying!

Party politics sucks. More Independents needed – urgently.

From the blog of Claire Wright:

“.. And the County Solicitor will be called to address the committee to remind it of its responsibilities.

Devon County Council conservatives blocked my proposal yesterday to record significant concerns over the biggest cuts facing Devon’s health service in living memory.

Sonja Manton from NEW Devon Clinical Commissioning Group gave an update on the plans to slash around £500m by 2020, as part of Devon’s Sustainability and Transformation Plan (STP).

The county’s STP is one of 44 across the country and is the government’s main programme of major cost cutting and centralisation in the NHS, to stem a £30bn shortfall by 2020.

I asked a number of questions mainly on staffing, budgets and buildings, along the following lines:

What are the vacancies and how do you plan to fill them and when do you plan to make redundancies (which has been previously hinted at)?

The answer was woolly (and no amount of pushing would encourage Dr Manton to reveal more). It contained no information on numbers, but she did mention that there is a 30 per cent turnover rate across Devon, in home care staff and that 75 per cent of the NHS budget is spent on staffing.

Next I asked whether pregnant women would still have a genuine choice where to give birth, as three community maternity units at Okehampton, Tiverton and Honiton were set to close (two have already closed temporarily due to staffing issues).

The answer was that the new service would meet national guidelines, so I pushed and asked whether pregnant women would be able to have a choice of a midwife led unit and how far they would have to travel. The answer was that there will be a new midwife led unit at the RD&E, adjacent to the consultant led unit.

So essentially women from all over Devon will soon have to either have a home birth, or travel to Exeter to give birth, whether that’s at a midwife led unit or a consultant led unit. There was a bit of a disagreement about me saying the current midwife led units were closed, despite the announcement having already been announced that this was the intention and two being temporarily closed due to staffing pressures.

Next I asked how many more beds were planned to be cut.

More prevarication.

I pushed. Was the figure of 600 bed cuts recognised, which was the broad figure in the first draft of the STP?

Yes this figure was recognised but it depended on a raft of issues.

Finally, I asked about the selling off of redundant estate. How many, where and when? Another non answer ensued. It was the next piece of work.

Entirely frustrated at the refusal to answer questions, not because I believe, the answers are not known but because there is a total refusal to get into any detail whatsoever, I expressed my complete frustration and disappointment at the answers. It made no difference.

Other councillors asked other questions.

At the end of the debate I proposed a resolution that the committee express significant concerns over the STP, its potential effect on patient care and the lack of transparency so far.

I called for urgent information on staffing, beds, buildings and budgets, in particular.

The proposal was seconded by Chair, Sara Randall Johnson, who added that a piece of work would be done on this.

Unfortunately, my wording appeared to upset the conservative group. Cllr Philip Sanders said he didn’t like that I had said the process appeared not to be transparent and wanted this word deleted. I replied that that it was entirely justified and refused to amend my proposal.

But fellow Conservative, Phil Twiss, wanted ANY mention of concerns deleted.

He said: “We don’t need the emotional language.”

Three years ago, Cllr Twiss reported me and this blog to the police cyber crime unit. You can read about it here, if you like – http://www.claire-wright.org/index.php/post/eddc_tory_whip_reports_me_to_the_police_for_a_comment_on_this_blog

Cllr Twiss then proposed that ALL my words were deleted, simply retaining the section that relating to a task group being set up.

This was voted through by the vast majority of the Conservative group.

Letting down every single resident in Devon who relies on the NHS.

Yes, I think that’s everyone.

Ambulance Trust response targets are failing and RD&E unable to discharge its patients in good time

Later in the meeting we were examining the performance review.

The South West Ambulance Trust which used to meet the national target of eight minutes largely without a difficulty, are now significantly under target. Only 59 per cent of calls were answered within eight minutes, across Northern, Eastern and Western Devon, in July of this year. The target is 75 per cent.

Lives are surely being put at risk. Certainly news of the failures are hitting the local media.

The narrative attached to the graph claimed that the reason was the rural nature of the South West. Yet the South West has been rural for years and this wasn’t a problem previously. Of course there have been cuts to budgets, and reductions in the number of ambulances so that is more likely to be the cause of the failure.

Problem with delayed discharges at the RD&E

Similarly, the RD&E was shown to have a significant problem with delayed discharges.

In June this year a daily average of 66 beds were occupied by patients who were well enough to go home.

It was obvious from the graph that the problem was clearly way out of kilter with other local NHS trusts.

This was largely to do with major staffing problems in the care sector, an officer confirmed.

of course it is these staff among others that we will rely on, to look after people in their own homes following community hospital bed cuts.

I proposed a resolution that the committee record its concerns at the ambulance response rates and the high level of delayed discharges at the RD&E and invite both trusts to the next committee meeting.

I had to argue with the chair that the proposal should retain the bit about recording concerns, before it was seconded by Cllr Brian Greenslade.

One of the Labour councillors was unhappy with me mentioning the RD&E at all in my resolution because she was chairing a piece of work looking at delayed discharges. I tried to point out that the resolution supported her work but she was adamant …

Then Cllr Twiss started up again. He said he didn’t like my wording and that I was simply making a statement that “looks good in the press.”

I reminded Cllr Twiss that the committee is legally constituted to scrutinise health services on behalf of the people and our job is to hold the health service to account. In fact such words had been used recently in a standards committee hearing minutes.

Anyone who is familiar with the basic requirements of an audit trail will recognise the importance of the committee recording concerns about service failures in this way.

I told Cllr Twiss that I intended to ask in the work programme agenda item, that the county solicitor attends the next committee meeting and outlines our responsibilities.

The final amendment removed my words about concerns about the RD&E’s delayed discharges but retained the words about the ambulance trust target failure.

So Ambulance Trust representatives will be invited to the next meeting.

I have certainly heard anecdotally that things are very challenging indeed within the Trust, with too few ambulances and low staff morale.

I duly asked in the final agenda item for the County Solicitor to attend the next meeting to remind the committee of its remit.

Some councillors appear to be in sore need of training.

Playing political games with health scrutiny resolutions is a dirty and unacceptable game.

NHS Property Services and buildings

Cllr Martin Shaw spoke to a report he submitted to the committee on this. The upshot will be that a sub group will examine the future of community hospital buildings.

The speaker itemised webcast can be viewed here – https://devoncc.public-i.tv/core/portal/webcast_interactive/301904”

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

“Do we need political parties?”

A view from a German writer:

“In many Western countries, party structures are dissolving. Traditional political organisations are disintegrating, being swept away by new movements, or infiltrated by fresh members. There is not much left of the once-defining role of classical parties. And the examples are abundant.

In France, the traditional party system has decayed. The Socialists, after being the governing party in Paris until spring, have practically ceased to exist. Other traditional parties have also been hit hard, replaced by movements such as Emmanuel Macron’s “En Marche!” and Jean-Luc Melenchon’s “La France insoumise”.

The US’ once-lofty Republicans – the self-proclaimed “Grand Old Party” – have now disintegrated into separate wings, whose positions differ to the extent that a common programme is hardly recognisable. And the party organisation is so weak that it could be captured by a non-politician like Donald Trump.

Until recently in the UK, the Labour Party, which had been positioned in the pragmatic centre, has moved vehemently to the left. It was infiltrated by an influx of often young new members, who celebrate the party’s leader, Jeremy Corbyn – formerly a marginal figure in the political life of the island – as a pop star.

In Italy, the populist Five Star Movement of former comedian Beppe Grillo has been unsettling the political system for some years. On the right, the former regional party “Lega Nord” is expanding with new national-populist content.

There’s an evolving pattern. Traditional political structures are breaking up, liquefying political systems. People are becoming more important than parties, and posing seems more relevant than policies.

Politicians who have served their time and worked their way up through party ranks are ousted by outside figures with star attributes – cheered along by citizens, who suddenly behave like fans. [Watch out Hugo!]

Still, there’s a prominent exception: Germany.

Or so it would seem. Large parties and their established top figures still dominate the political scene. At the top are well-tempered characters like Angela Merkel, the chancellor, and Martin Schulz, the Social Democratic contender. And, above all, both of them promise that as little as possible is going change.

But this is just the visible surface. In Germany, like elsewhere in Europe, the political system is being transformed. Anger and frustration are on the rise – sentiments which parties like the far-right AfD are only able capture to a small extent.

The next federal government will likely be formed by a coalition that promises stability on the verge of boredom. However, this does not preclude the possibility of unexpected turns in regard to specific topics.”

https://euobserver.com/opinion/138989

“Devon County Council health scrutiny committee district representative [Diviani] must consult before voting”

From the blog of Claire Wright.

If you wish to show your disapproval of the man and his conduct (see below), turn up at EDDC HQ, Knowle, Sidmouth tomorrow evening from 5.30 pm onwards for the vote of “no confidence” in him – brought by Independent members of EDDC.

Watch and note which Tory councillors cave in and continue to back the man who neither represents us nor cares about us.

“The district council member of Devon County Council’s health and adult care scrutiny committee will need to consult before speaking and voting, it has been recommended today.

The Procedures Committee (which I am a member of) met this afternoon and debated the fallout of the controversial July health scrutiny meeting where the chair ended up as the subject of a Standards Committee hearing, following a vote against a referral to the Secretary of State over the loss of 72 community hospital beds.

Paul Diviani, leader of EDDC, also voted against a referral to the Secretary of State, despite his own council robustly opposing the bed cuts.

His actions have been much criticised by local people, who quite reasonably, believe that Cllr Diviani did not carry out his responsibility fully.

If he had voted in line with the views of his own council a referral on the closure of 72 hospital beds, would now be winging its way to the Secretary of State for Health, as the vote was so close – 7/6.

Later, Cllr Diviani (who is now facing a vote of no confidence at a specially convened meeting tomorrow evening) admitted that he had not asked any district council for its position on hospital bed closures.

At this afternoon’s Procedures Committee, it was proposed, seconded by me, that the district council member of the health scrutiny committee, should be required to “collate” the views of local councils before speaking and voting on health scrutiny agenda items.

It’s a nonsense that an appointed representative should not actually need to represent the views of local councils so this move should mean that in future, the representative will fully and fairly discharge his duty.

The recommendation will go before full council next month.”

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

Environment: Claire Wright asks us to write to Swire

Claire Wright Facebook:

URGENT. DEBATE TODAY AND ON MONDAY 11 SEPT!!!

If you care about nature and environmental protections please email Hugo Swire about this.

He simply parrots Michael Gove’s misleading nonsense about all nature laws being transferred over, but there very different plans afoot within the Tory Party.

I know someone will say what’s the point, but if we don’t lobby him he will simply claim no one really cares or people don’t believe it is a priority.
He needs to speak and vote the right way on this Bill.

I lodged a motion on this very issue at Devon County Council earlier this year and got it through virtually unopposed, however the response from central government was anything but reassuring.

No promises whatsoever.

In East Devon there are important landscape legal protections and there are also many species currently protected under EU law that are at risk of losing that protection…. at a time when nature is more depleted than ever before.

If you are on Twitter tweet him with this link. The more public the better.
Even better back it up with an email. Simply paste the points in the article into an email as a request, with a short personal intro.

It will take just two minutes 🙂
Let’s hold Hugo Swire to account.
hugo.swire.mp@parliament.uk”

Swire insults Claire Wright because she cares

So, there you can see the difference between Swire and Wright – carelessness and bitterness on his part and caring and compassion on Claire Wright’s part.

Who would you prefer to represent you?