How ruthless chief executives avoid the sack

“The NHS was accused of a whitewash this evening after a hospital boss who spent £10million suppressing whistleblowers was cleared by an official report.

David Loughton, who earned £260,000 last year, has been allowed to keep his job despite using taxpayers’ money to fight staff who raised serious concerns about patient safety.

The review into how Mr Loughton’s hospital trust is being run would only go as far as saying that he had ‘an impulsive and honest style’. It appears he will now face no disciplinary action and no sanctions will be taken against him.

Whistleblowers who were forced out of their jobs by Mr Loughton were not even interviewed for the report, and only found out the review had been published when contacted by the Mail.

In a further twist, it has emerged that the consultancy firm chosen by the NHS to do the review has been paid £78,837 by Mr Loughton’s trust for other jobs this year.

Deloitte was paid £45,444 for the review by watchdog NHS Improvement.
Mr Loughton, 62, chief executive at The Royal Wolverhampton NHS Trust, is renowned for fighting whistleblowers through the courts.

They include leading heart surgeon Dr Raj Mattu, who was vilified and sacked after he exposed that two patients had died in dangerously overcrowded bays in a hospital at another trust run by Mr Loughton.

Dr Mattu was cleared at a tribunal and in February was awarded £1.2million damages.

Manager Sandra Haynes Kirkbright was also suspended after raising concerns that Mr Loughton’s Woverhampton trust had mis-recorded deaths, making it look like fewer patients had died needlessly.

An investigation into her case condemned the trust for its ‘significantly flawed’ and ‘unfair’ treatment.

It described an account of how Mr Loughton made sure Mrs Haynes Kirkbright was ‘out of the way’ before a visit from hospital inspectors, telling staff to ‘kick this into the long grass’.

After the report into her case was published in May, NHS watchdogs ordered a review into the management of Mr Loughton’s hospital trust. But the results of that review were only quietly published on the trust’s website earlier this week. And it emerged that Deloitte was instructed to focus on the hospital as it is now, rather than considering previous whistleblowing cases.

As a result, the report’s authors did not contact Dr Mattu, Mrs Haynes Kirkbright or former board members who have criticised the management. They did not check what they were told by Mr Loughton and his employees, writing in the review: ‘We have assumed that the information provided to us and management’s representations are complete, accurate and reliable.’

Describing Mr Loughton, the report stated: ‘The chief executive is a strong character with an impulsive style and can attract controversy from time to time. However, he is strongly supported.’ It added: ‘Any past behavioural challenges have tempered in recent years.’

Today Dr Mattu said: ‘They have taken at face value everything management has said. I have great experience of Mr Loughton and he ruthlessly attacks anyone who dissents. He has persecuted whistleblowers. This has been a disgraceful waste of taxpayers’ money.’

Mrs Haynes Kirkbright said: ‘I was not consulted at all on this report. I didn’t know a thing about it until the Mail told me.’

Professor David Ferry was outed last year by Mr Loughton’s hospital after he anonymously revealed in the Mail that 55 cancer patients were needlessly put through the agony of chemotherapy.

This evening, he said: ‘They have whitewashed everything. I told them about Dr Mattu, about Sandra, about my case, but they said this is about the future, not the past. They have rewritten history their way, whatever the facts are.’

Mr Loughton, an NHS chief executive for 28 years, was awarded a pay rise of about £35,000 last year.

He joined Royal Wolverhampton in 2014 after 14 years at Coventry’s Walsgrave Hospital.

Mr Loughton said: ‘We are pleased with the review’s conclusions. Our number one priority is always patient care. Having an open and transparent culture is one of the ways in which we can ensure we remain committed to providing the best care we possibly can.

‘We are always seeking ways in which we can improve and we will take on board the recommendations the review makes.’

A trust spokesman said NHS Improvement commissioned Deloitte to do the review and ‘in line with many other organisations we have used the services of Deloitte’.

NHS Improvement said: ‘Deloitte were appointed following a formal and thorough tendering and evaluation process.’
Deloitte declined to comment.”

http://www.dailymail.co.uk/news/article-3995418/NHS-boss-Royal-Wolverhampton-NHS-Trust-faces-no-action-spending-10m-silence-whistleblowers.html

DDC to debate health cuts on Thursday

Thursday 8th December 2016, 2.15 pm, County Hall

Discussion and vote on whether to halt the “Sustainability and Transformation ” process in order to investigate fair funding for the Devon rural area.

Email your DCC councillors with your views:

http://democracy.devon.gov.uk/mgMemberIndex.aspx?bcr=1

and remind them to attend and to vote in favour of motions to suspend the process.

Agenda here:
http://democracy.devon.gov.uk/ieListDocuments.aspx?CId=132&MId=195

The live webcast of the meeting will be here:
http://devoncc.public-i.tv/core/portal/webcast_interactive/244711

Recall that, when last discussed at the DCC Health Scrutiny Committee, a similar motion proposed by independent councillor Claire Wright was defeated with DCC Councillor and EDDC Leader Paul Diviani voting AGAINST her motion.

More “Future [lack of care] Care” roadshows – probably your last chance to give your views

Seaton
Friday 16 December 2016
Town Hall, 09.30 – 11.30

Sidmouth
Friday 16 December 2016
Kennaway House, 14.30 – 16.30

Exmouth
Monday 19 December 2016
All Saints Church Hall, 09.30 – 11.30

Woodbury
Wednesday 21 December 2016,
Village Hall, 09.30 – 11.30

Budleigh Salterton
Wednesday 21 December 2016
Public Hall, 13.30 – 15.30

Honiton
Thursday 22 December
The Beehive, 14.00 – 16.00

Axminster
Friday 23 December 2016
Guildhall, 13.30 – 15.30

Budleigh Salterton Health and Wellbeing Hub to Open in Spring 2017 – is this Hub the bright new future of the NHS or what is left when the wheels fall off?

A press release of 30 November press claims this regeneration of the old Cottage Hospital, and one time specialist stroke unit, is aimed at providing a population of 50,000 with:

Bringing health, social care and well-being services together, as they will be at the Budleigh Hub, is a vision of the future and what can be achieved through partnership and focusing on the needs of the local community.

It will be a centre for a wide range of services in one place and it will provide a range of social and clinical services with the focus on prevention, rehabilitation and wellbeing.

Services will include NHS outpatient clinics, day centre, gym, café alongside health and wellbeing services such as diabetes and weight management support, dementia support, exercise classes, carers support, family groups, arts and craft and music. …”

Owl thinks that how you view this might depend on whether you interpret the provision of “spinning and other classes” alongside “jigsaws, knitting and crafts” as meaning something to do with spinning yarn, spinning words or exercise bicycles.

Whichever is correct it doesn’t seem directed at relieving the acute problem of bed blocking.

EDA Councillor Cathy Gardner on BBC Spotlight talking about health crisis

Lead story:

http://www.bbc.co.uk/iplayer/episode/b083gk3j/spotlight-weekend-news-03122016

East Devon Alliance Councillor Cathy Gardner radio interview on health crisis

http://www.eastdevonalliance.org.uk/cathy-gardner/20161203/eda-councillor-continues-fight-for-local-hospital-beds-and-healthcare/

Exeter NHS Rally: East Devon Alliance well represented, no Tory councillors or MPs spotted!

East Devon Alliance:

img_1357

Spotted in the crowd (not an exhaustive list as crowd too large): East Devon Alliance councillors Marianne Rixon and Cathy Gardner (also on Spotlight and Radio Devon), Sidmouth campaigners Di Fuller and Robert Crick along with town councillor Martin Shaw of Seaton and Independent Councillor Roger Giles of Ottery St Mary.

Many people attended from Exeter, Okehampton and North Devon.

No East Devon Tory Councillors or MPs sighted at all. Nor Exeter MP Ben Bradshaw.

Hundreds protest over NHS cuts

“Protesters were seen marching in red lines from every direction along Sidwell Street, Fore Street, Queen Street, North Street, South Street, and Paris Street.

Protesters then gathered in Bedford Square where the speeches began.”

http://www.exeterexpressandecho.co.uk/hundreds-of-people-attend-protest-in-exeter-to-stop-nhs-cuts/story-29954867-detail/story.html

img_1358

It included a rousing speech by DCC councillor Claire Wright:

Health crisis: EDDC scrutiny committee grills NHS rep

01 December 2016
Scrutiny committee questions CCG representative
Councillors voice concerns over proposed East Devon in-patient bed provision within Your Future Care consultation

At a meeting on Thursday 24 November 2016, members of East Devon District Council’s Scrutiny committee listened to Rob Sainsbury, the Chief Operating Officer of the NHS North Eastern & Western Devon Clinical Commissioning Group (NHS NEW Devon CCG), give a talk about the NHS’s Your Future Care consultation.

Mr Sainsbury spoke about issues such as the financial pressure faced by the NHS, the changing way in which people are cared for, proposed models of care and the number of community inpatient beds in East Devon. He outlined the options set out in the consultation and reassured the committee that no changes to services would be made until tests created by local clinicians had been undertaken to ensure the changes are safe and reliable.

Consultation options
• Option A: Tiverton 32 beds, Seaton 24 beds, Exmouth 16 beds
• Option B: Tiverton 32 beds, Sidmouth 24 beds, Exmouth 16 beds
• Option C: Tiverton 32 beds, Seaton 24 beds, Exeter 16
• Option D: Tiverton 32 beds, Sidmouth 24 beds, Exeter 16 beds
The CCG’s preferred option is A, as this combination is considered by the CCG to result in the smallest changes in travel time and to have the greatest impact on the whole system.

Prior to councillors questioning Mr Sainsbury and debating a number of issues, the Scrutiny Chairman Councillor Roger Giles reminded the committee of recent comments made by Neil Parish MP who asked that action be taken to: “Fight all closures across East Devon.” Cllr Giles expressed a hope that the committee would adopt a unified front rather than focus on arguments between the towns where community hospitals are located.

Following a wide range of questions from councillors, which Mr Sainsbury answered, councillors voted in favour of the following comments being sent in a response from the Scrutiny committee to the NEW Devon CCG Your Future Care consultation:

1. Asks that the New Devon CCG presents an outline of how care delivery integrates health, social, and mental care, as well as physiotherapy, and how it is provided to patients

2. Consider that the comparison with Northern and Western Devon areas is unfair as the demographics were not the same as Eastern Devon

3. The committee considers that the models proposed in the consultation will not meet the needs of the District because of the local issues of social isolation, and the support that carers need

4. The NEW Devon CCG should review the expenditure on management and administration as a means to realise savings that could be used to provide care rather than divert funding from in-patient beds

5. The committee considers that the evidence presented to date by the NEW Devon CCG is not sufficient to convince them that the new model of care will be successful

6. The Committee does not accept Options A – D, but recommends that the NEW Devon CCG should retain the current level of in-patient beds in community hospitals in the Eastern Devon locality

7. Should a decision be made to close in-patients beds, the Committee insists that this is not undertaken until the replacement model of care is recognised as safe and in place; subject to the provision of evidence that the model of care has resulted in no bed blocking at acute hospitals, non occupancy of beds in community hospitals, and full care in the community

Commenting on the content and outcome of the meeting, Councillor Roger Giles said:

“The Scrutiny Committee were very far from convinced about the practicality of the CCG proposals to close beds in East Devon community hospitals and replace them with care in the community. There was also concern about the accuracy of the CCG costings used to justify closure of hospital beds. The committee felt strongly that East Devon hospitals provided an excellent and essential local service and that the existing hospital beds should be retained.”

ENDS

Devonwide NHS cuts rally Exeter 3 December midday – assembly arrangements

Dear Friends,

I wrote to you a few days ago giving you the suggested meeting places in Exeter on Saturday for those demonstrating who wished to march through the town to the area of our rally in Bedford Square, Princess Hays rather than going directly to the rally. The rally is from 12.00-14.00.

I have now been informed that at the final planning meeting it was considered that the suggested places were too many and too complicated.

So to Keep it Simple, individuals and any towns or communities that have not made their own arrangements to enter Exeter as a group could gather, at 11.30, at Bury Meadow at the Northern end of Queen Street (ten minutes walk up the hill from St Davids Station, near Exeter College) and walk south to High Street, and turn left to Bedford Square. If you do get lost, just join a group wearing red, particularly if they are waving placards!

Others may assemble as already planned, for instance, East Devon people will meet near the bus station by the civic centre on Paris Street, walk north to High Street and left to Bedford Square.

It looks as though we can expect a very active rally with some good speeches. This is not just about the hospital beds in East Devon. That is only the first of the NHS cuts planned here in Devon which are part of the NHS’s STP (Sustainable Transformation Plan). People throughout England are getting up to be counted, led and motivated to some extent by 38 Degrees who have revealed the secretive nature of this STP which will be applied in 44 areas, or footprints, in England. Cuts are also to be made in AE departments, major acute hospitals and GP surgeries.

See you on Saturday.

https://you.38degrees.org.uk/petitions/save-community-hospital-beds-in-east-devon

Thanks

Chris East

Chris East started this campaign on the 38 Degrees Campaigns by You website.

Most NHS Finance Managers don’t believe their own hype on Sustainability and Transformation plans

Finance chiefs in charge of implementing NHS sustainability and transformation plans are struggling with a “club versus country” dichotomy, according to the Healthcare Financial Management Association.

Meanwhile, 52% of trusts and 21% of clinical commissioning groups (CCGs) are forecasting a deficit in 2016/17.

These were the findings of the latest NHS Financial Temperature Check undertaken by the HFMA, which represents NHS finance directors and finance staff working in healthcare.

It draws on responses to a survey of over 200 finance directors and chief finance officers from 128 provider trusts (53%) and 72 (35%) clinical commissioning groups across England. The responses were received between 20 October to 3 November this year.

Feedback indicated that 22% of trusts and 35% of CCGs are forecasting a worse position than predicted in their financial plan for the year. The most common causes of deficits were under-achieving savings plans (61%), increased agency costs (34%) and an increase in non-pay costs (24%).

Most respondents do view the STPs as a cornerstone in plans to reduce deficits. However, an overwhelming majority also voiced concerns about the structure of the plans, with almost three-quarters (72%) concerned about their governance.

Respondents professed limited confidence in the simultaneous delivery of both STP and organisational financial objectives. Only 6% of trust finance directors and 17% of CCG finance chiefs believe they are both deliverable.

Of the finance directors that responded, 62% claimed they will prioritise organisational objectives rather than their STP objectives. On reflection, 82% believe the regulatory regime needs to change to support the delivery of the STPs, and 79% believe the financial regime needs to change too.

Moreover, only half (54%) of finance directors believe that risks associated with STPs have been recognised, and only 5% believe adequate risk management arrangements are currently in place. …

http://www.publicfinance.co.uk/news/2016/12/hfma-survey-reveals-divided-loyalties-nhs-finance-chiefs-implementing-stps

East Devon will be represented at NHS cuts rally in Exeter on Saturday 3 December

“Sidmouth campaigners will join with others across Devon to rally against hospital bed cuts in Exeter on Saturday, December 3.
Organisers are urging the public to join them in a united show of opposition to proposals under which the town could lose all of its inpatient beds.

People from East Devon will gather at 11.40am near the bus station, outside the Civic Centre in Paris Street, Exeter. The rally will take place from noon in Bedford Square, Princesshay.

Campaigner Robert Crick said Sidmouth can be proud of its leading role in the campaign.

Organisers coined the term ‘See Red Day’ to highlight the point lines should be drawn to stop essential services being cut.”

http://www.exmouthjournal.co.uk/news/sidmouth_campaigners_join_in_see_red_day_rally_against_hospital_bed_cuts_1_4791281

Sidmouth public meeting on health cuts 9 December – Swire invited

“Organisers of a public meeting to discuss proposed hospital bed cuts are calling on East Devon’s MP to join and help fight the cause.

Campaigners are inviting people from across the district to attend a gathering on Friday, December 9, from 7.30pm, in Sidmouth Parish Church, in response to plans that could see the town lose its 24-bed inpatient unit.

Several community hospital beds around the county are under threat as the Northern, Eastern and Western Devon Clinical Commissioning Group (CCG) seeks to change to a more ‘home-based model of care’ and plug a predicted £384million deficit by 2020/21.

One of the organisers, Robert Crick, has issued a call for the community to join ‘urgent talks’ and East Devon MP Sir Hugo Swire – who has raised concerns about the cuts in Parliament has been invited.

Mr Crick said the idea to mobilise individuals and groups in a public meeting was born out of dissatisfaction with the CCG’s ongoing consultation into the proposals and a feeling that asking the public to choose one of four set options does not offer people enough choice.

He is calling on residents and Sir Hugo Swire to resist the CCG’s proposals and demand the Government restores funding levels for NHS and social care.

There is also a county-wide rally planned in Exeter on Saturday, December 3. For more information, call Robert on 01395 519292.”

http://www.midweekherald.co.uk/news/urgent_public_talk_in_sidmouth_on_hospital_bed_cuts_1_4791334

New Devon CCG transformation: as transparent as a lead block

Owl recalls that claims were made that the “transformation” plans for the NHS were ordered by the government to be kept secret, and that attempts by mere mortals to get information about them through Freedom of Information requests should be actively resisted.

Well, here is proof.

A local elector made two requests for information (community hospital bed occupancy and objective evidence for the decisions made by New Devon CCG). Both of these requests have been ignored ( no reply within 20 working days) and the first noted is now 40 working days overdue – with a request for internal review of the decision also ignored. This is a necessary step that must be made before a formal complaint to the Information Commissioner.

Link to the request 20 working days overdue and not acknowledging the Internal Review request made 20 working days ago:
https://www.whatdotheyknow.com/request/community_hospital_bed_occupancy

Second needed to be answered yesterday to be in time.

This is the important one – it will be reasonable to assume that either they have no clinical evidence whatsoever, or that they are deliberately avoiding answering because the evidence they have is negative:
https://www.whatdotheyknow.com/request/objective_evidence_of_the_clinic

Owl notes that none of our MPs appear to be trying to get this information for us – it is being left to local people to try to find out for themselves.

Privatisation: some things to think about

1. Your services get worse

Private companies have a legal duty to reward their shareholders, so they have to prioritise making a profit. This means they may end up cutting corners, or underinvesting in your public services. Water companies ignore leaks instead of investing in infrastructure, while private company involvement in the NHS has been bad for patients. Private companies also have ‘commercially confidential’ contracts, so they don’t share information with others; this makes it harder for them to work in partnership to make services better.

2. Your costs go up

You pay more, both as a taxpayer and directly when you pay for public services. Value for money goes down because private companies must make a profit for their shareholders and they also pay their top executives more money. This means either we the people, or the government, or both, end up paying more. Fares on our privatised railways and buses are the most expensive in Europe, while people are also being hit with high energy bills. 57% of 140 local authorities surveyed in 2011 said they had brought outsourced public services back in-house or were considering it, with 60% saying that the main reason was the need to cut costs.

3. You can’t hold private companies accountable

If the local council runs a service, you know where to go to complain. But if a private company runs a service, they are not democratically accountable to you. That makes it harder for you to have a voice. Academy schools are less accountable to parents. Private company Atos tried to silence disability campaigners instead of responding to their concerns about work capability assessments. A report by the Institute of Government reveals problems in outsourcing public services, including a lack of transparency, manipulation of contracts by suppliers and a reluctance to sack underperforming providers.

4. Staff are undermined

If you work in public services, privatisation will make your life harder. A Europe-wide study found that privatisation has had ‘largely negative effects on employment and working conditions’. There are often job cuts and qualified staff are replaced with casual workers, who are paid less and have worse conditions. This has a knock-on effect on the service being provided – for example, in the cases of care workers or court interpreters.

5. It is risky and difficult to reverse

Once our public services are privatised, it’s often difficult for us to get them back. Not only that, we lose the pool of knowledge, skills and experience that public sector workers have acquired over many years. We also lose integration both within and across different public services. A Deloitte report finds that many large companies are bringing services in-house because of the costs, complexity and risks of outsourcing.

But wait!

Aren’t private companies supposed to be better than the public sector? Doesn’t competition reduce costs and improve quality and customer care? No, because there is often very little competition; public services tend to be natural monopolies so there isn’t much choice for consumers. Instead, government (local or national) asks private companies to bid for contracts running our services – but there’s no real opportunity for our voices to be heard.

https://weownit.org.uk/privatisation

“False, flawed and fraudulent” says “Save Our Hospital Services” of NHS plans for Devon

SAVE OUR HOSPITAL SERVICES DEVON PRESS RELEASE
ON THE NATURE OF INDEPENDENCE AND IMPARTIALITY

The ‘Success Regime’/STP Team in Devon

“Save Our Hospital Services Devon (SOHS Devon) is today calling for the abolition of NHS England’s Sustainability and Transformation Plan (STP) for Wider Devon and the suspension of the so-called Success Regime for North, East and West Devon that is now an integral part.

“These two programmes are false, flawed and fraudulent,” says Dave Clinch, a spokesperson for SOHS in North Devon. “They are riddled with public-private, professional-personal conflicts of interest.”

SOHS Devon points out that the Case for Change document on which both the Success Regime and the STP are based was produced by a private-owned health service consultancy, Carnall Farrar. One of the consultancy’s founding partners, Dame Ruth Carnall, is now the ‘Independent’ Chair of the Success Regime pushing through the STP in Devon.

“SOHS Devon believes that there is a pre-determined agenda in Devon to cut services, limit access and reduce demand by redefining medical need to ensure that government cuts are carried out. How can Ms Carnall, who produced the blueprint for the STP, be considered remotely independent in assessing our needs or services to meet them?” asks Mr Clinch.

SOHS Devon points out that to push their agenda for cuts to NHS services and staff, the Success Regime/STP team will have been allocated £7.4 million between 2015 and 2017. Some of this funding has been used to recruit senior staff from those same services they plan to cut; for example, Andy Robinson, who left his role as Director of Finance at the Northern Devon Healthcare NHS Trust to join the Success Regime in Exeter. What is more, Mr Robinson happens to be the partner of the Chief Executive of the Trust, Alison Diamond.

“Professional or personal? How can this relationship avoid directly impacting on the life-and-death decisions now being made?” says Mr Clinch.

Meanwhile, the proposed relocation to Exeter of acute services based at North Devon District Hospital (NDDH) is being overseen by the Success Regime’s Lead Chief Executive Angela Pedder, the former CEO of the Royal Devon & Exeter Foundation Trust.

“How can she be considered unbiased given her former role?” says Mr Clinch. It’s no coincidence that RD&E needs to cover a much bigger deficit than NDDH in Barnstaple.”

On top of this, the two leads on the STP’s Acute Services Review programme are both from hospitals in South Devon, namely Derriford in Plymouth and Torbay in Torquay. SOHS Devon can find no evidence that they are talking to the clinicians working in acute services at NDDH. And the fact is, if the proposed acute services cuts go ahead, people here in North Devon will suffer and die”.

ENDS

Social care HAS collapsed

Readers are urged to read the full article, only part of which is reproduced below. Social care is NOT about to collapse – it HAS collapsed. In addition, the decision to hand health and social care budgets ( cut to the bone and beyond) means that, with what little help there is available, rich areas will get better care than poorer ones and there will be a postcode lottery for services – which will sometimes depend which side of a road you live on.

Theresa May is under intense pressure from senior doctors and a powerful cross-party alliance of politicians to avert a collapse in care for the elderly, as shocking new figures show the system close to meltdown.

The medical profession, together with Tory, Labour and Liberal Democrat leaders in local government, have demanded a funding U-turn, warning that the safety of millions of elderly people is at risk because of an acute financial crisis completely overlooked in chancellor Philip Hammond’s autumn statement.

New figures obtained by the Observer show that 77 of the 152 local authorities responsible for providing care for the elderly have seen at least one residential and nursing care provider close in the last six months, because cuts to council budgets meant there were insufficient funds to run adequate services.

In 48 councils, at least one company that provides care for the elderly in their own homes has ceased trading over the same period, placing councils under sudden and huge pressure to find alternative provision.

In addition, 59 councils have had to find new care arrangements after contracts were handed back by a provider who decided that they were unable to make ends meet on the money that councils were able to pay them.

The medical profession, council leaders and even the former Tory health secretary, Andrew Lansley, are appalled that the social care crisis – exacerbated by growing numbers of elderly people and the rising costs of paying staff – was not addressed in the autumn statement.

In a letter to the Observer, the leaders of the four main political groups in local government expressed their disquiet at the chancellor’s dismissing talk of a crisis despite calls from politicians, NHS leaders, doctors and others. …

See https://www.theguardian.com/society/2016/nov/26/nhs-elderly-care-close-to-collapse

Current bed cuts in Devon hospitals – the reality

“The number of beds at a Devon hospital trust have fallen by more than a quarter over the past six years.

In July to September 2010, the average number of general and acute beds open overnight at Torbay and South Devon

The occupancy rate for these beds has grown from 64.6% in July to September 2010, to 87.7% in 2016, an increase of 36%, one of the highest in England.

At Northern Devon, the number of beds has also dropped by 21%, from 370 to 294, with occupancy rates rising from 85.5% to 86.4% over the same period.

Across England, for general and acute beds open overnight, the occupancy rate between July and September was 89.1%, up from 87% over the same period in 2015.

The average daily number of beds open overnight was 129,458 in July to September 2016 compared with 130,774 in April to June. The average occupancy rate for all beds open overnight was 87.5%.

Health experts advise that occupancy levels should ideally be under 85%. Anything over this level is regarded as riskier for patients as this leads to bed shortages, periodic bed crises, and a rise in healthcare-acquired infections such as MRSA.

Commenting on the numbers, Mr Ian Eardley, a consultant urological surgeon and Vice President of the Royal College of Surgeons, said:

“The NHS has been able to reduce bed numbers as medical advances mean more modern surgery can take place without an overnight stay. However, these figures suggest bed reductions have now gone too far in the absence of sufficient social care or community care alternatives.

“We are now seeing increasing numbers of frail older patients in hospital because they have nowhere else to go. The lack of additional money in the Autumn Statement for social care and the NHS is only going to make this even harder.

“Today’s figures will come as no surprise to frontline staff who struggle every day to provide for their patients because of increasing demands and a shortage of hospital beds. I and too many of my colleagues all around the country are regularly having to cancel patients’ operations due to a lack of beds and delays in transferring patients back into the community.

“A number of sustainability and transformation plans are proposing further hospital bed reductions. Today’s figures suggest NHS leaders need to think carefully about whether this is a good idea without first putting in place better care in the community.”

The Royal College of Surgeons warned the figures almost certainly underestimate hospital bed shortages in the NHS. The Nuffield Trust think tank warned last month that NHS England’s bed occupancy statistics do not show the true scale of the problem, stating that “with a growing number of patients coming and going during the day, counting bed occupancy at midnight means that crunch times are often invisible”.

http://www.exeterexpressandecho.co.uk/number-of-hospital-beds-in-devon-falls-creating-potential-risk-for-patients/story-29936995-detail/story.html

Cranbrook 0-2 nursery to close before Christmas

“Families have reacted with fury at plans to shut Cranbrook Nursery’s provision for babies up to two years old at incredibly short notice.

An email on behalf of the Tillhouse Road nursery was sent out to parents at 7pm yesterday, telling them they are considering closing the baby room and restructuring the rest of the nursery’s provisions.

The closure of the baby room could be as soon as Friday, December 16.
A consultation period has now opened.

One parent, Kelly Keatley, said: “Obviously this is upsetting and frustrating as they are stating that the possibility is that the last day could be December 16 which gives us very little notice to find an alternative.

“It is supposed to be a consultation process but we wonder what that really means.

“They are making this decision without regard for the implications for working parents now in a position where they could be without childcare for January.”

…The nursery, part of Cranbrook Education Campus, consists of four rooms that currently cater from birth to five years.”

http://www.exeterexpressandecho.co.uk/fury-at-to-permanently-shut-cranbrook-nursery-before-christmas/story-29936560-detail/story.html

Big rise in hospital admissions for malnutrition

The number of hospital beds in England taken up by patients being treated for malnutrition has almost trebled over the last 10 years, in what charities say shows the “genuinely shocking” extent of hunger and poor diet.

Official figures reveal that people with malnutrition accounted for 184,528 hospital bed days last year, a huge rise on 65,048 in 2006-07. The sharp increase is adding to the pressures on hospitals, which are already struggling with record levels of overcrowding.

Critics have said the upward trend is a result of rising poverty, deep cutbacks in recent years to meals on wheels services for the elderly and inadequate social care support, especially for older people. …”

… The Department of Health figures showed that the number of bed days accounted for by someone with a primary or secondary diagnosis of malnutrition rose from 128,361 in 2010-11, the year the coalition came to power, to 184,528 last year – a 61% rise over five years.

Such patients only account for one in 256 of all hospital bed days, or 0.4% of the 47.3m total, but the financial cost is considerable as each bed costs the NHS an average of £400 a day to staff and given the condition each spell in hospital because lasts an average of 22 to 23 days.”

https://www.theguardian.com/society/2016/nov/25/huge-rise-in-hospital-beds-in-england-taken-up-by-people-with-malnutrition