“Labour criticises government hospital asset sales”

“Labour has accused the government of selling off valuable hospital assets to help plug a hole in NHS finances.

Figures from data body NHS Digital show that the amount of NHS land in England earmarked for sale has more than doubled in the past year.
Analysis commissioned by Labour found 117 sites deemed surplus were still in medical or clinical use.

Ministers said selling land would give vital funds for patient care and free up space for much needed new housing.

The government has set itself a target of selling off enough public sector land to generate £5bn worth of income by 2020.

The NHS is asked to contribute as a major property owner.

NHS property being included for sale includes hospital buildings and some ambulance stations.

But Labour said hospitals were being stripped of their assets and forced into a “fire sale”.

Shadow health secretary Jonathan Ashworth said: “This government’s refusal to fund the health service has seen standards of care for patients drop and NHS building and upgrade works pushed back.

“The NHS needs an urgent injection of funding to make up for years of Tory underfunding, but the answer is not a blanket sell-off of sites which are currently being used for patient care.”

The Department for Health said disposing of surplus land and buildings reduced running costs and it was right to put sites that were no longer needed to economic use.

It said any income generated would be used to improve the quality of the NHS.”

http://www.bbc.co.uk/news/uk-politics-40883502

“Secret NHS land sales” by Tory Government

“A secret “fire sale” of hospital land – including dozens of properties still being used for medical care – is planned to bail out the cash-strapped NHS, new documents show.

The Department of Health has quietly doubled the amount of land it intends to dispose of, triggering accusations of desperate measures to plug a big hole in NHS finances.

Details of more than half of the 1,300 hectares now up for sale have been kept under wraps because of “sensitivity” – raising suspicions that many other sites also have clinical uses.

Today’s analysis, carried out for Labour by the House of Commons Library, went through Department of Health data of land that NHS organisations “have deemed surplus” and eligible for sale.

Of the 543 plots, totaling 1,332 hectares – worth many hundreds of millions of pounds – 117 are currently being used for clinical or medical purposes, Labour said.

However, data on 734 of those hectares, spread over 63 sites, has been held back due to “issues of sensitivity”, the analysis found.

Jonathan Ashworth, Labour’s Shadow Health Secretary, claimed a long-running failure to fund the NHS properly had forced “a blanket sell-off of sites which are currently being used for patient care”.

“Crumbling hospitals are in desperate need of investment for repair and renewal,” Mr Ashworth said.

“But the Government must provide that investment, not strip hospitals of their assets and force them into a fire sale.

“There has been a huge rise in the amount of NHS land available for sale this year, but for more than half of it the Government are keeping the details secret and refusing to fully answer reasonable questions.

“It all adds to the suspicion that ministers are drawing up secret plans for a fire sale of valuable NHS assets to plug the black hole in their finances.”

The criticism comes as Labour launches a major assault on the Prime Minister’s management of the NHS, warning her tenure has seen rising waiting times, cancelled operations and a growing crisis in social care.

However, the Department of Health hit back, insisting only truly unwanted land would be sold – with the cash raised ring-fenced to improve NHS services.

“There will be no ‘fire sale’ of NHS assets, but we continue with our ongoing efforts to help hospitals dispose of land they do not need,” a spokesman said.

“This will provide vital funds for the NHS to spend on patient care and free-up space for much needed homes.”

Ms May’s adoption of the Naylor report triggered criticism during the campaign. Dr Kailash Chand, the former deputy chairman of the British Medical Association, called it “an outline to sell off the NHS”.

The NHS Confederation then urged the Government to step back, calling for the land to be set aside for homes for NHS staff unable to buy on the open market, because of the housing crisis.

It linked the housing shortage to rising NHS vacancies, with 15 per cent of registered nursing jobs unfilled and 12 per cent of positions at GP practices vacant.

The most valuable site on today’s surplus list is the Royal National Orthopaedic Hospital, in Stanmore, London, which has a market value of £38.75m.

Other highly-priced locations include the Ida Darwin Hospital, in Cambridge (£20m), two sites at Broadmoor Hospital, in Berkshire (£16.75m and £11m), the Royal National Hospital for Rheumatic Diseases, in Bath (£10m) and Papworth Hospital, in Cambridgeshire (also £10m).

Meanwhile, Jeremy Corbyn, on a visit to Cornwall, will focus on the condition of the NHS to mark the release of performance data up to the point of the Prime Minister’s first anniversary in No 10.

He will say that, after 11 months, nearly 2.4 million people had waited more than four hours for treatment in casualty departments – or one in 10 patients.

Suspected stroke sufferers faced only a 50-50 chance of getting to a hospital within one hour and about 270,000 people had been added to NHS waiting lists.”

http://www.independent.co.uk/news/uk/politics/nhs-hospital-land-secret-sale-tories-privatisation-sell-off-theresa-may-labour-warning-medical-sites-a7885071.html

We are dying earlier thanks in part to health cuts – insurers happy

“A slowdown in the growth in life expectancy for the UK population has increased profits at insurance and pensions firm Legal & General, which said people were dying sooner than it had expected.

The century-long improvements in UK life expectancy have stalled in recent years, with experts blaming a range of factors such as rising obesity, dementia, stress, a lack of exercise, alcohol intake, as well as government cuts to health and social spending.

L&G’s chief executive, Nigel Wilson, said: “People have been dying much quicker than anyone had expected which as a consequence … gives us extra cash.”

https://www.theguardian.com/business/2017/aug/09/lg-profits-boosted-as-uk-population-dying-earlier-than-expected

“NHS underfunding blamed for maternity ward closures”

“Underfunding in the NHS has been blamed for a sharp increase in maternity wards temporarily closing to new admissions since 2014.

Data obtained by Labour under the Freedom of Information Act showed that in 2016 there were 382 occasions when units have closed doors, a 70% increase in incidents between 2014 and 2016. Some units have closed more than once.

The figures released today showed across England there were 225 closures in 2014, 375 in 2015, rising to almost 400 last year.

Information from the 96 hospital trusts – out of 136 – that responded to the FOI request indicated nearly half of England’s maternity wards, 42 (44%), were affected by the closures, some of which lasted more than 24 hours.

Ten trusts had to shut temporarily on more than ten separate occasions each.

Jonathan Ashworth, Labour’s shadow secretary of state for health, said: “These findings show the devastating impact which Tory underfunding is having for mothers and children across the country.

“It is staggering that almost half of maternity units in England had to close to new mothers at some point in 2016.”

Sean O’Sullivan, head of health and social policy at The Royal College of Midwives (RCM), said trusts were right to close wards when not doing so risked compromising safety of the service but stressed that persistent and regular closures were a sign of an underlying problem around capacity and staffing levels that needed “immediate attention”.

He added: “The RCM has warned time and time again that persistent understaffing does compromise safety and it’s about time the government listened to those best place to advise.”

According to a report from February, the RCM states the health service has a shortage of 3,500 midwives with over a third soon approaching retirement age.

A spokesman for the Department for Health, said: “Temporary closures in NHS maternity units are well rehearsed safety measures which we expect trusts to use to safely manage peaks in admissions.

“To use these figures as an indication of safe staffing issues, particularly when a number of them could have been for a matter of hours, is misleading because maternity services are unable to plan the exact time and place of birth for all women in their care.”

The government says the NHS now employees an extra 2,000 midwives since May 2010 and another 6,500 are currently in training.”

http://www.publicfinance.co.uk/news/2017/08/nhs-underfunding-blamed-maternity-ward-closures

Speak truth to power – or watch chickens coming home to roost

Guardian letters

• Rather predictably, following James Munby’s “blood on our hands” outburst, the NHS “identified a bed” for the suicidal 17-year-old, leaving him to claim, probably correctly, that NHS England would not have acted “as effectively or speedily” without his “outspoken warnings” (Judge’s plea as suicidal teenager is found refuge, 8 August). With new crises being highlighted almost daily, the latest being the closure of maternity wards, and pregnant women being “pushed from pillar to post”, Munby’s example should be followed (Maternity wards closed 400 times as shortage of beds and staff grows, 8 August).

At a time when the “austerity chickens” are coming home to roost, and Labour protests are not always getting the media attention they deserve, he cannot be the only dignitary to be appalled by the current situation. Is it not incumbent upon all judges, archbishops, lords, and even some “celebrities”, to make their voices heard? If the “brand” is indeed to be “reinvented”, royals also could be doing more than “championing mental-health charities” (The royals, a brand reinvented by the millennial generation, 5 August).”

https://www.theguardian.com/business/2017/aug/08/britains-young-suffer-as-austerity-continues-to-take-its-toll

East Devon: not the best place to have babies?

Honiton, Tiverton and Okehampton maternity units are to close, with services centralised on Exeter.

Let’s, say, take Hawkchurch:

Hawkchurch to Honiton – 15 miles, 25 minutes to Honiton
Hawkchurch to Exeter – 33 miles, 53 minutes to Exeter

Source: AA route planner, miles rounded

28 extra minutes – ON A GOOD DAY – to hospital with a maternity emergency.

That’s if you have a car with an available driver – or an ambulance – sitting outside your home when an emergency begins. A very unlikely scenario. And it assumes a clear road and good conditions – not night-time rain or snow, or a blocked country road.

Under this government, maternity units are understaffed and under pressure. It’s shameful that pregnant women are being turned away due to staff shortages, and shortages of beds and cots in maternity units.”

https://www.theguardian.com/society/2017/aug/08/nhs-maternity-wards-england-forced-closures-labour

Hello, Mr Parish, hello.

Hospital closures: “Repulsive party political puppet show” and “Bow your heads in shame”

Two letters in View from … titles – pulling no punches

Swire pitches in to save a hospital – in London!

Yep – that’s our MP … described as one of a number of MPs from “across London and the south”.

Main home is in Chelsea perhaps – and you never know when you might need a good hospital on your doorstep.

Shortage of care home beds in Devon – except for the rich, of course

Too ill to be cared for at home or in community-bedless Devon? Tough.

But no worries for the rich in their luxurious “assisted living” apartments in places like Pegasus in Sidmouth and Millbrook Village in Exeter!

And even there no use having beds if there are no carers to take care of people post-Brexit.

“Devon and the South West is heading for a major shortfall in care home beds, a leading property expert has warned.

The region will need to create 1,350 beds a year to offset closures and pressures from an ageing population.

Anthony Oldfield, director at property consultancy JLL, which has an office in Exeter, said: “Even before we take into account the impact of bed closures, the care home sector needs to double the delivery of new beds. Demand for private pay stock set to increase across all regions of the UK, not just the wealthy prime markets, as a result of historic house price growth and no change in the threshold for publicly funded care since 2010.

“The election showed what an emotive subject social care and how it is going to be funded can be. But it is essential that the government reaches a sustainable solution as to how social care is to be funded in a way that doesn’t pass the burden to a shrinking working age population.”

JLL estimates that there will be a shortfall of nearly 3,000 care home beds in 2018 based on the current development pipeline and anticipated increase in demand due to growing demographics in the UK.

Just within the South West, the forecasts suggest a need for an extra 15,100 beds by 2026, or roughly 151 beds per year. With just over 1,200 beds lost in the market in 2016, the regional build rate could actually be closer to 1,350 new beds per year in order to offset home closures.

At the same time that demand is rising, the pipeline of planned developments in the South West suggests that just 700 beds will be built during 2018.

With about 77% of all care home beds built before modern quality standards were adopted in 2002, there is an urgent need for new development to meet demand and improve living standards for future care home residents.

Mr Oldfield said that priority should be given to care home provision in planning policy.

“A change of mindset is required that sees the development of care homes as an imperative for society and ensures that applications are resolved in a timely manner and without the frustrations that many operators report. “Attendant to reforms contained in the green paper should perhaps be protection or classification of land allocated to retirement living developments to ensure that the right type of housing is being built in the right locations. This would enable people to extend the period of independent living.”

http://www.devonlive.com/care-home-bed-build-has-to-double-to-offset-major-shortfall/story-30468122-detail/story.html

Budleigh “health hub” advertises for (paying) tenants

“The Budleigh Salterton Community Hospital Health and Wellbeing Hub (Budleigh Salterton Hub) will bring together local residents, the NHS, the voluntary, statutory and business sectors under a common purpose – to improve the quality of health and wellbeing for approx 48,500 people in the Woodbury, Exmouth and Budleigh (WEB) areas, including all the local villages and hamlets.

As a provider of health and wellbeing support, whether it be through fitness, social activities and groups, holistic therapies, mental health guidance, weight management, physiotherapy, healthy eating and lifestyle choices, art therapies, NHS outpatient services, catering, or childcare provision, this is your opportunity to get involved in this new and exciting project, supporting babies and children from early years through to older people.”

https://www.westbank.org.uk/Pages/FAQs/Category/budleigh-hub

Here is the “information pack”:

https://www.westbank.org.uk/Handlers/Download.ashx?IDMF=48d9c97d-1ad5-4ec3-86f5-1aab4f405774

Rooms ( including the kitchen) are from (not at) £15-25 per hour (NHS or private) and it seems from reading the brochure that, as yet, it has no tenants.

Eastern Devon – your new fantasy health care after hospitals closed

“… Dr Sonja Manton, director of strategy for both Devon Clinical Commissioning Groups, said: “The current model of care is not sustainable either clinically or financially, so we have to look at doing something differently.

“We are extremely grateful to the Devon Health Scrutiny Committee members for the time they have put in to reviewing our plans in order to feel assured about the changes we are making. We thank them for their diligence and constructive challenge. Their insight was invaluable.

“We are now ready to move to the next step and start the final preparations of implementation and making the changes we have proposed.”

The Your Future Care proposals, which were subject to a 13-week public consultation that closed earlier this year, set out to move away from the existing bed-based model of care. Instead it focuses on a model of care that proactively averts health crises and promotes independence and wellbeing. By redirecting and reinvesting some existing bed-based resources, community services can be enhanced to support more home-based care by establishing:

Comprehensive Assessment
Single Point of Access
Urgent Community Response

The net result of this new approach will mean a reduction in inpatient beds in community hospitals in the Eastern* locality of Devon and an increase in community-based staff to support Out of Hospital Care.

Deputy Chief Executive/Chief Nurse of the Royal Devon and Exeter NHS Foundation Trust, Em Wilkinson-Brice, said: “The endorsement from the members of the committee coupled with the clinical recommendation to proceed from the assurance panel, will support public confidence that our plans are not only safe but will provide improved care.

“By moving to this model of care, we can help more people to have a better outcome – ensuring that across the whole of Eastern Devon everyone has access to safe, reliable services that promote independence and support people to live their life to the fullest.”

A significant amount of implementation planning including engagement with the workforce, stakeholders and local communities has already been undertaken and now that these two important milestones have been reached, the RD&E will, for the benefit of staff and patients, ensure that the move to provide more care and support in people’s homes is done in a safe and timely manner. In order to achieve this, the RD&E will continue to work closely with staff, partner organisations and communities to take a phased approach to implementation.

Further information specific to each of the four community hospitals will be provided in due course.

*The Eastern locality includes Exeter, East Devon, Mid Devon and parts of West Devon including Okehampton”

http://devonccg.newsweaver.com/GPNewsletter/un6s1ilvrc3qm5yxda10xa?email=true&a=2&p=1797435&t=289800

Hunt secretly visits Devon hospitals – too little too late? Or a privatisation dry run?

” … A Department of Health spokesman said: “Today he [Jeremy Hunt] visited Weston Hospital, Barnstaple Hospital and Exeter Hospital.

“The purpose of these visits was not to do media but to talk to hospital staff and managers about their work and gain insights into the local healthcare system.”

Councillor [Frank] Biederman [DCC Independent, Fremington Rural] sees the visit as more political than practical, he said: “Jeremy Hunt is at North District Hospital today. This tells me they are expecting another election, within 12 months, no other reason he would come to North Devon.”

Frank, with his tongue firmly in his cheek, added: “They should stamp on his foot, really hard and send him to Exeter for treatment.”

The visit comes a couple of months after the results of an Acute Services Review from the Northern Devon Healthcare Trust.

A report issued as a part of the review recommended that North Devon District Hospital, one of those visited by Mr Hunt today, retain its A&E, maternity, paediatrics, neonatal care and emergency stroke services.

Health campaigners from Save Our Hospital Services welcomed the news but are seeking clarification on how theses services will be funded in the future.”

http://www.devonlive.com/jeremy-hunt-tours-devon-hospitals-prompting-general-election-talk/story-30466779-detail/story.html

“Care homes face ‘huge shortfall’ in available beds” and more beds will be needed in hospitals!

“Up to 3,000 elderly people will not be able to get beds in UK care homes by the end of next year, research suggests.

Research commissioned by BBC Radio 4’s You and Yours programme reveals a huge shortfall in the number of beds available.

Increasing demand from an ageing population could see that grow to more than 70,000 beds in nine years’ time.

The Department of Health said local authorities in England had been given an extra £2bn to help fund social care.

But in the past three years one in 20 UK care home beds has closed, and research suggests not enough are being added to fill the gap. …

The research, carried out by property consultants JLL, found that since 2002 an average of 7,000 new care home beds had opened in the UK every year, but by 2026 there would be an additional 14,000 people needing residential care home places per year.

Lead researcher James Kingdom said: “We’re currently building half the number of care home beds every year that we need.”

“There are more people living longer.

“We know that over the course of the next decade there is going to be 2.5 million more over-65s, and as a result that means there is going to be demand for care home beds.

“To fix that, we need to double the rate of delivery”. …

In the past three years, 21,500 care beds have closed in the UK.

People in the care industry worry that as bed capacity decreases and demand increases, there will be more pressure on NHS beds as elderly people are admitted to hospital because they can’t cope at home.

The government estimates this already costs the NHS in England £900m a year.
Pete Calveley, from Barchester Health Care, said it was an increasing feature of the health and social care environment because there was not enough capacity in the community.”

http://www.bbc.co.uk/news/uk-40791919

Seaton DCC Councillor on that shameful DCC Health Scrutiny meeting – and Diviani’s disgraceful behaviour

“Councillor-Sara-Randall-Johnson (from this article):

Why did Devon’s Health and Adult Care Scrutiny Committee block the proposal to refer the closure of our beds to the Secretary of State?

The idea that the Chair, Councillor Sara Randall Johnson (left), was settling an old score with Claire Wright makes a nice story but overlooks the concerted Conservative position. The collusion between Randall Johnson and Rufus Gilbert – who rushed to propose a ‘no referral’ motion before Claire could move her motion to refer – was obvious to all, as was her keenness to persuade her colleagues not to have a recorded vote.

Equally striking, however, is that only one out of 12 Tories on the Committee – Honiton’s Phil Twiss – voted against Gilbert’s motion. The other 7 Tories who voted were all for allowing the beds to be closed; 2 who had reservations abstained; 2 more were (diplomatically?) absent. Whipping is not allowed on Scrutiny committees, but this gives a strong impression of a Tory consensus. Members who were uncertain of their support were unwilling to defy it beyond abstention. Twiss was obviously a special case, as the one committee member whose hospital will lose its beds.

Clearly the Conservative Group on DCC gave their East Devon members the main role in dealing with the Eastern Locality hospital beds issue when in May (with its return to Scrutiny looming) they made Randall Johnson chair and nominated two Exmouth members, Jeff Trail and Richard Scott, as well as Twiss as members of the Health Scrutiny Committee. With East Devon Tory leader, Paul Diviani, representing Devon’s district councils, 5 of its Tory members were from East Devon and only 7 from the other five-sixths of the Tory group.

East Devon Tories on the committee certainly lived up to their role on Tuesday. All except Trail voted, making half of all Tory votes cast on the committee and 3 out of 7 on the pro-CCG side. In contrast, only 4 of the 8 Tories from elsewhere in the county cast a vote on this crucial issue: East Devon’s Tories may have convinced themselves, but not their colleagues.

Paul Diviani spills the beans

With Randall Johnson preoccupied with timekeeping (except when the CCG were speaking), Scott silent and Twiss asking questions, it was left to Diviani to express the Tory rationale. He claimed to speak for Devon district councils as a whole, but has acknowledged that he had consulted none of the others. He was happy to defy his own Council, which has voted to keep hospital beds, and spoke for himself – and East Devon Conservatives.

Diviani’s caustic little speech deserves more attention than it has been given.

He started by saying that those who decide to live in the countryside expect diminished service, and must cut their cloth accordingly in current times – forgetting that many have lived here all their lives, or moved here long before the present Tory government arrived to savage the NHS.

‘Costs will always rise without innovation’, Diviani continued, forgetting that the ‘costs’ of community hospitals are rising particularly because of the Tory innovation which gave them over to NHS Property Services and its ‘market rents’.

‘Local decisions should be made locally’, he averred, overlooking the fact that Sustainability and Transformation Plans, Success Regimes and NHS property sales are all national initiatives forced on the local NHS – while NEW Devon CCG is so unrepresentative even of local doctors that only full-time managers (Sonja Manton and Rob Sainsbury) are allowed to present its case in public while its ‘practitioner’ figurehead, Dr Tim Burke, hides in a corner.

When, however, Diviani warned that ‘attempting to browbeat the Secretary of State to overturn his own policies is counter-intuitive’, he expressed the truth of the situation. The closure of community hospitals results from the determined policies of the Conservative Government. (Referral would have served the purposes of delaying permanent closures, embarrassing the Government and forcing its Independent Reconfiguration Panel to give an assessment of the issue.)

East Devon Tories are the Government’s faithful servants. ‘Don’t trust East Devon Tories’ over the hospitals, I warned during the County elections. How right have I been proved.”

East Devon Tories were central to ditching Seaton and Honiton hospital beds

Claire Wright’s report on the shameful behaviour of DCC Health Scrutiny Committee Tories

“The Conservatives on Devon County Council’s health and adult care scrutiny committee on Tuesday, torpedoed local people’s views and any possibility of a referral to the Secretary of State for Health for a decision to close 71 community hospital beds.

I will keep this blog post short and instead post three articles that explain things just as well as I could have explained them.
Suffice to say that I am deeply disappointed.

Not just with the behaviour of chair, Sara Randall Johnson, who appeared to do her utmost to prevent any referral, both at the previous meeting last month and at Tuesday’s meeting.

But also with the attitude of the majority of the Conservative group, who used a variety of ill-informed views and remarks, to justify their determination not to refer, refusing to hear or see any member of the public’s distress, frustration and disbelief at the proceedings.

The chair’s attitude made me angry and led to a protracted row where I repeatedly asked her why she had allowed a proposal to be made and seconded at the very start of the meeting by her conservative colleague, Rufus Gilbert, NOT to refer to the Secretary of State for Health, when I already had a proposal that I had lodged with her and the two officers, before the meeting.

I had been indicating to speak since the start of the meeting, yet, Cllr Randall Johnson chose to call four councillors before me.

When I was finally called to speak I challenged her on why she had not made my proposal, which she had a copy of in front of her, known to the committee at the start of the meeting, which is the usual practice.

Cllr Gilbert’s seconded proposal before questions or the debate had even started had nullified my proposal, which was why I was so angry.

Cllr Randall Johnson admitted that it was her decision not make my proposal known to the committee and her decision on who is called to speak.

When they did what they did at Tuesday’s health scrutiny meeting, the Conservatives betrayed thousands of local people.

As I said in my final speech, local people had written letters, organised petitions, replied to public consultations, attended meetings, spoken at meetings, attended demonstrations, some had even spent significant sums of money on a legal challenge.

Time after time, month after month, the committee has asked questions which have not been properly answered on issues such as evidence that it will work, the staffing required, the finances, care of the dying. Local GPs are up in arms, staff have objected… yet the Conservative group knew best.

The vote was agonisingly close – six votes to seven, with two abstentions. All those who voted with Cllr Gilbert’s motion were conservative. Cllr Randall Johnson also voted with Cllr Gilbert – another unusual move at such a highly charged and significant meeting.

I am quite certain, that with a different approach by the chair, that the outcome would have been different. And local people’s views would have been respected and acted upon.

Councillors are elected by local people to represent their views.

Why was it so important to the chair and her colleagues that my proposal failed on Tuesday?

A whip at scrutiny committees, much least a legally constituted committee such as the health and adult care scrutiny committee of Devon County Council is strictly forbidden.

Yet to the members of the public present, who were repeatedly shouting “fix” it certainly appeared that way.

Since the meeting I have been inundated with messages from people who are disgusted at what happened.

Alongside two other councillors, I am seeking advice on what took place at Tuesday’s meeting.

The debate can be viewed on the webcast here – https://devoncc.public-i.tv/core/portal/webcast_interactive/293466

Seaton councillor, Cllr Martin Shaw, wrote an excellent account of the meeting here – https://seatonmatters.org/2017/07/26/the-health-scrutiny-committee-which-didnt-scrutinise/

My row with Cllr Randall Johnson has led to a local newspaper running a story about revenge… – see http://www.devonlive.com/tory-sara-randall-johnson-derails-claire-wright-s-health-campaign-six-years-after-election-defeat/story-30457493-detail/story.html”

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

Exmouth DCC councillor ignores his own rule about “keeping your nose out and sticking to your own business”

Councillor Richard Scott yesterday voted for closure of Honiton and Seaton hospitals.  Yet on 26 March this is what he wrote about councillors from outside an area voting on matters that had “nothing to do with them”:

Who exactly does EDDC Leader Diviani represent? And who does he consult?

Questions at last night’s Full Council meeting at Knowle shed some light on this. Members of the public pointed out that Councillor Paul Diviani had voted against both his own EDDC council and public opinion, at Devon County Council just two days previously (25th July), by supporting the decision that ‘Your Future Care’ should not be referred to the Secretary of State.

The EDDC Leader’s vote on this occasion could be regarded as crucial, as the decision had been narrowly carried by 7 votes to 6, and was met by cries of “Shame on You” from the public, as reported on BBC Spotlight tv the same evening.

Last night at Knowle, Councillor Diviani replied that he had to vote the way he had at the DCC Health and Adult Care Scrutiny Committee because he was representing the views of the eight Devon District Councils. But when Cllr Roger Giles, Chair of EDDC Scrutiny Committe, then asked him if he had consulted Mid Devon, North Devon, South Hams, Teignbridge, Torridge and West Devon, the answer was no.

So is the oft-repeated phrase from Cllr Diviani and close colleagues, “We are where we are” , the consequence of poor leadership? Fortunately in democratic Britain, our leaders are not permanent fixtures.

Footnote: For reference, one of the questions asked last night, is copied below. All can be heard on the audio recording of the Full Council meeting, soon to be available on the EDDC website.

‘At the 17th May 2017 EDDC Full Council meeting, Councillor Mike Allen said, and the council formally agreed, that care in the community had not yet been proven to work.

Yesterday (25th July 2017), the EDDC Leader voted at Devon County Council Health and Adult Welfare Scrutiny Committee that ‘Your Future Care’ proposals be NOT referred to the Secretary of State. (This decision was made by 7 votes to 6).

Through the Chair, will Councillor Diviani kindly explain how voting against his own Council fits with his leadership of it? ‘

“How Tory Sara Randall Johnson took down rival Claire Wright’s health campaign”

Owl says: So, Honiton and Seaton hospitals sacrificed to Randall-Johnson’s anger?

By P Goodwin, Western Morning News

“As the old saying goes: revenge is a dish best served cold.

For Conservative county councillor Sara Randall Johnson the wait to gain the upper hand on old rival Claire Wright stretched to six years.

When she did, the result was painful and public.

At this week’s bad-tempered and rowdy council health scrutiny meeting, Ms Randall Johnson used her new power of chairmanship to thwart the independent rebel and stamp her authority on the newly-elected authority.

In a move which prompted jeers and cries of “fix” from the public gallery, Randall Johnson ignored a tabled motion to halt hospital bed closure plans and instead allow a fellow Tory, Rufus Gilbert, to seize the momentum by kick starting the debate and swiftly proposing the exact opposite.

She then dismissed Ms Wright’s protest by telling her the power to choose was entirely at her discretion as chair, before moving to a vote against referring the proposals, which was won by a majority of one, with one abstention.

It was a swift and brutal piece of politics. The result: bad headlines averted, no need to trouble Jeremy Hunt with the protests of a rebellious council and the upstart put firmly in her place.

Former Lib Dem county council leader and respected political veteran Brian Greenslade remarked after the meeting that the move had been highly unusual.

He considered that not mentioning or circulating a table motion – one submitted before the meeting begins – was rare: not against procedure but definitely a departure from protocol.

In other words: a low blow but not quite below the belt.

It was clear from the tetchy exchanges during the meeting that there is little love lost between the two women and this is perhaps no surprise.

Wright pulled off a shock victory when she ousted Randall Johnson from her East District Council seat and her position as leader, relegating her into third place in a race for two seats, by the slender margin of just 25 votes.

The defeated leader put on a brave face, claiming she had got her life back after 20 years of public service, but this hardly sounds like the words of a woman who just two years earlier was vying with Sarah Wollaston to become MP for Totnes.

Since that victory, Wright, an outspoken independent campaigner, has become a painful thorn in the side of local Tories at district and county level, particularly around the NHS, where she worked in PR before launching her political career.

She has led the opposition ever since, including two general election campaigns in which she gave MP Hugo Swire a run for his money.

But the campaign to halt bed cuts and hospital closures has been a major factor in her rallying call to local people, the jewel in her campaigning crown.

The recent background to Tuesday’s meeting went like this:

Plans by the Northern, Eastern and Western Devon Clinical Commissioning Group to axe 71 beds across four cottage hospitals sparked anger in the Eastern locality.

Amid fears the NHS is planning to sell off the hospitals, relations between the public and NHS officials deteriorated with many accusing executives of lying about their true intentions.

Campaigners, angry that the case has still not been made for the Your Future Care model of home visits, labelled the consultation a sham and turned to the Health and Wellbeing Scrutiny Group for help.

It could refer to Mr Hunt though in reality it the plans would have gone to an independent reconfiguration panel who would make recommendations.

What many people wanted was a change in the way the CCG operates and communicates. they wanted a more open approach and they felt this might give the health trust a jolt.

Under the chairmanship of veteran Labour councillor Richard Westlake, the scrutiny group was poised to refer the plans to the Secretary of State if 14 documented points were not addressed.

But he stepped down at the election and Ms Randall Johnson took up control.

At the first meeting of the newly constituted committee in June, it became clear that she did not intend to let this happen.

Ms Wright had proposed to the last meeting that it was time to vote to refer to the Health Secretary and the chair repeatedly came under fire for not putting this to a vote.

There was a lack of clarity among one or two members about the whole process and eventually, members were persuaded to defer a decision until yesterday to get more information.

It appeared that the Conservatives had their ducks in a row on Tuesday.

Wright cried foul when her tabled motion was ignored, claiming she had never seen it happen in six years of committee meetings.

Unfortunately, the legal advice from the council backed Randall Johnson: Motions needed to be proposed and seconded in the meeting.

Would it have changed the vote? Maybe not. It was close though. East Devon leader Paul Diviani rebelled against his members and voted not to refer and one Tory did admit he was wavering.

The way the meeting was handled did little to foster good relations between the council and the community.

Ms Randall Johnson may have done nothing wrong but she certainly didn’t make any new friends in the public gallery.

As for old foes among the membership – no change there.”

http://www.devonlive.com/tory-sara-randall-johnson-derails-claire-wright-s-health-campaign-six-years-after-election-defeat/story-30457493-detail/story.html

The “care outside hospital” check list – cut out and keep

In December 2016, East Devon Watch published this article::

https://eastdevonwatch.org/2016/12/07/the-30-plus-questions-to-be-answered-before-care-at-home-is-authorised/

Owl has been passed a copy of the “30 [plus] questions” that must be asked BEFORE care at home can be implemented:

Pre-implementation

The model of care:

• Does the new model of care align with our overriding ambition to promote independence?
• Is there clinical and operational consensus by place on the functions of the model and configuration of community health and care teams incorporating primary care, personal care providers and the voluntary care sector?
• Is there a short term offer that promotes independence and community resilience?
• Is there a method for identifying people at highest risk based on risk stratification tool?
• Are the needs of people requiring palliative and terminal care identified and planned for?
• Are the needs of people with dementia identified and planned for?
• Is support to care homes and personal care providers, built into the community services specification?
• Is support for carers enhanced through community sector development support in each community?
• Has the health and care role of each part of the system been described?
• Have key performance indicators been identified, and is performance being tracked now to support post implementation evaluation, including impact on primary care and social care?

Workforce:
• Is there a clear understanding of the capacity and gaps in the locality and a baseline agreed for current levels and required levels to meet the expected outputs of the changed model of care?
• Is there a clear understanding of and plan for any changes required in ways of working:
o thinking
o behaviours
o risk tolerance
o promotion of independence, personal goal orientation

• Have the training needs of people undertaking new roles been identified, including ensuring they are able to meet the needs of patients with dementia?
• Do we have detailed knowledge with regards to investment, WTE and skill mix across the locality and a plan for achieving this?
• Are system-wide staff recruitment and retention issues adequately addressed with a comprehensive plan, and where there are known or expected difficulties have innovative staffing models been explored?

Governance, communications and engagement:
• Is there a robust operational managerial model and leadership to support the implementation?
• Has Council member engagement and appropriate scrutiny taken place?
• Is there an oversight and steering group in place and the process for readiness assessment agreed?
• Have providers, commissioners and service users and carers or their representative groups such as Healthwatch agreed a set of key outcome measures and described how these will be recorded and monitored?
• Is there a shared dashboard which describes outcomes, activity and productivity measures and provides evaluation measures?
• Is there an agreed roll out plan for implementation, which has due regard to the operational issues of managing change?
• Is there a comprehensive & joint communications and engagement plan agreed?
• Is there a need for a further Quality or Equality Impact Assessment?

Implementation
• Is there a clinical and operational consensus on the roles of each sector during the implementation phase including acute care, community health and care teams, mental health, primary care, social care, the voluntary care sector and independent sector care providers?
• Is there an implementation plan at individual patient level describing their new pathway, mapping affected patients into new services?
• Are the operational conditions necessary for safe implementation met?
• Have the risks of not implementing the change at this point been described and balanced against any residual risk of doing so?

Post Implementation
• Is there a description of the outcomes for individuals, their carers and communities?
• Are the mechanisms for engagement with staff, users of services and carers in place and any findings being addressed appropriately?
• Is there a process in place for immediate post implementation tracking of service performance including financial impact to all organisations?
• Is longer term performance and impact being tracked for comparison against pre-implementation performance?
• Have we captured user experience as part of the process, and have findings been addressed and recorded to inform the planning of future changes?
• Are there unintended consequences or impacts (e.g. on primary care or social care) which need to be addressed before any further change occurs?
• Is there a clear communication plan for providers and the Public describing the new system and retaining their involvement in community development?

Source: http://www.newdevonccg.nhs.uk/about-us/your-future-care/publications-and-evidence-sources/102085
( point 14, page 94)”

https://eastdevonwatch.org/2016/12/07/the-30-plus-questions-to-be-answered-before-care-at-home-is-authorised/