Local Enterprise Partnership “scrutiny” committee – an oxymoron

Minutes (for what little they are worth) here:

https://democracy.devon.gov.uk/documents/g3417/Public%20minutes%2002nd-Nov-2018%2014.15%20Heart%20of%20the%20South%20West%20HotSW%20Local%20Enterprise%20Partnership%20L.pdf?T=11

REAL scrutiny by DCC Independent East Devon Alliance Councillor Martin Shaw of this laughable attempt to continue to hoodwink us here:

An inauspicious start for new Scrutiny Committee for the Heart of the South West Local Economic Partnership

Twiss gets his words into a twist – ANOTHER reason we need independent councillors!

This time from the blog of DCC EDA councillor Martin Shaw.

“Conservative County Councillor for Honiton, Phil Twiss told Devon County Council on 4th October that ‘Sonja Manton [Director of Strategy for the Devon Clinical Commissioning Groups] said at the Health and Adult Care Scrutiny Committee the other week that there no plans to close any community hospitals in our area. We were talking about Seaton, Honiton and Axminster at the time.’

I was surprised that he should give us this good news in passing, and that the CCG had made no announcement of something so obviously important. So eventually I watched the webcast of the Health Scrutiny meeting on September 20th. Although Sonja Manton spoke several times, I couldn’t find her saying anything like what Phil said – indeed anything about community hospitals at all.

So I emailed Sonja and she confirms she didn’t speak about the hospitals. As for the issue, all she would say was, ‘I can assure you that our continued focus remains on planning and commissioning services and support to meet the needs of the Devon population in the best possible way. We recognise how strongly communities feel about community hospital buildings and will continue to work with communities and stakeholders to modernise and evolve the way our services are delivered and where they are based to make sure we make best use of all our resources and public estate.‘

So was Sonja more forthcoming at another, presumably private, meeting, Phil? Or was what you said wishful thinking?”

@philtwiss’claim that @SonjaManton said ‘there are no plans to close any community hospitals in our area’, not backed up by @NEWDevonCCG. What’s the explanation, Phil?

Why we need independent councillors

From the blog of Claire Wright. The review would NOT be happening without Claire’s dogged persistence (and similar action by EDA Independent Councillor Martin Shaw. Without them these issues would be kicked into the very, very long grass!

“A Devon wide review of how carers are coping will take place, following my successful proposal at last month’s Devon County Council Health and Adult Care Scrutiny Committee meeting.

I had been carrying out research into this area since January, when I asked for more information on a scrutiny report, which suggested that carers may be struggling.

I had a meeting with officers and asked for a report of a focus group that was carried out last autumn (2017). …

The results (which I was asked not to publish) were worrying. In almost all areas carers who took part indicated that they were worse off, or saw services being poorer.

What came out strongly to me that the three key areas of health, financial support and respite care, were all deemed as being poorer, according to the carers who took part.

I proposed a review at the June scrutiny committee meeting but chair, Sara Randall Johnson suggested a meeting with Devon Carers staff first, at the Westbank League of Friends. Devon Carers is commissioned to provide support for carers in the Devon County Council area.

This was a useful meeting. What emerged for me, among other issues, was that under the Care Act 2014, the bar has been raised by the government for both financial support and for respite care so it is now harder to access. I am quite certain that this is partly the reason that carers are finding things tougher.

I asked for a further agenda item for the September Health and Adult Care Scrutiny Committee meeting. I invited two carers who had asked for my help – Maureen Phillips and Mary Hyland, who gave powerful and moving presentations of their experiences of caring. Maureen, for her father and Mary for her partner.

Mary said there is no respite care available. And that overnight she became a carer, she was thrown into it, she knew nothing about it and had to give up her job. She has no support and finds it hard to even leave the house. Previously, she was a very outgoing person, even having her own programme on BBC Radio Devon. She said she was there on behalf of all local carers. Everyone is finding things hard.

The committee was silent.

Maureen said she had been the carer to her father for eight years. Life is exhausting, demanding, frustrating and isolating, she said. Maureen said specialist support workers are required. She said both she and her father need emotional support. She asked who she should turn to when things get tough. There is a shortage of care workers. In the last eight years she had one holiday. She had to take her father with her. Maureen said she had to fight for every bit of support. She has turned to the services of a solicitor in desperation.

When I made the proposal for a spotlight review at the September meeting, it was seconded by the chair and agreed by the committee. I hope to have a date for the first meeting soon.

We need your help! If you would like to take part by giving your story to the spotlight review, please get in touch at claire@claire-wright.org – many thanks

Here’s the webcast: You can see Mary’s and Maureen’s presentation under public participation – https://devoncc.public-i.tv/core/portal/webcast_interactive/359701

The agenda item itself is under number 12..”

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

Open letter to Swire on hospital bed closures from DCC Independent East Devon Alliance councillor Martin Shaw

“Dear Hugo Swire,

In a recent Exmouth Journal article you said: “Regrettably, Ottery Hospital has been weaponised by an anti-Tory coalition for nigh on ten years with them telling a naturally alarmed local community that it will be sold off or closed. I have spent 10 years trying to counter this scaremongering. …”

It’s hardly scaremongering when the hospital has lost its beds and this July’s Devon NHS Sustainability and Transformation Partnership report said, ‘We know a large amount of space in our community hospital buildings is underused. The revenue cost of our community hospital estates is in the order of £20 million; money the NHS could use to improve other services. Working with other public sector partners, as part of the One Public Estate initiative, we will review the space that is required to deliver care, and plan to consolidate the number of sites to free up estate and generate money, which can be re-invested in technology and infrastructure.’

It’s also rich for you to talk about ‘weaponising’ community hospitals. In Seaton we remember all too well when the Clinical Commissioning Group launched its consultation on the future of community hospital beds in 2016, with its preferred option being Option A which would keep the beds in Tiverton, Exmouth and Seaton. You said in Parliament that ‘option B, which sees the beds retained in Tiverton, and also in Sidmouth and Exmouth, is the option worthy of support. Sidmouth has an extremely high proportion of over-85s, with people increasingly living longer, and of people with dementia. Exmouth is the biggest town in Devon with more than 35,000 people.’

Four months later the CCG followed your recommendation, changed its preference, and closed Seaton’s beds. The reasons given for preferring Sidmouth to Seaton were specious – Seaton has an almost identical proportion of elderly. In short, Hugo Swire, you sold Seaton down the river because it was no longer in your constituency (having been removed due to boundary changes in 2010) and you needed to save beds in Sidmouth as well as Exmouth to fend off the challenge from Claire Wright, who even so ran you close in the 2017 General Election.

Today Seaton Hospital, like Ottery, Honiton and Axminster, faces an uncertain future. If it closes, it will be a knock-on effect of the beds decision, and it will be partly on your head.

Martin Shaw, County Councillor for Seaton and Colyton”

Who’s ‘weaponising’ community hospitals, @HugoSwire? Two years ago you were happy to sell out Seaton Hospital to save your parliamentary career

Seaton councillor to ask searching question of EDDC on NHS

From the blog of DCC Independent East Devon Alliance councillor:

The question to be asked by former Mayor and Seaton Councillor Jack Rowlands:

“EDDC has recently decided not to list Seaton Community Hospital as an asset of community value citing that it does not meet the definition of “social wellbeing”. EDDC has now declined requests from 3 community hospitals in the district giving the same reason each time. Please explain why other district councils in Devon have agreed to list community hospitals as assets of community value e.g. Tyrell Community Hospital in Ilfracombe, Moretonhampstead Community Hospital, Bovey Tracey Community Hospital and Teignmouth Community Hospital.

Why is EDDC interpreting the definition differently to neighbouring district councils on this important issue where our community hospitals may be under threat of being fully closed and sold in the future by NHS Property Services?”

Why has EDDC refused to list Seaton and other community hospitals as ‘assets of community value’, when other Devon districts have done so? Jack Rowland will ask at the EDDC on Wednesday

New National Park for East Devon? Not while people like Diviani are councillors!

This is the aspiration:

“A new Dorset and East Devon National Park could be created.

Cllr Martin Shaw had called for Devon County Council to support the establishment of a Dorset and East Devon National Park and to submit a case for this to the DEFRA review of national parks.

But Devon County Council agreed that any expression of support for the establishment of a Dorset and East Devon National Park should be deferred until the overriding benefit was clearly demonstrated and that it would come from additional funding. …”

https://www.devonlive.com/news/devon-news/new-national-park-could-created-2090631

This is the reality (November 2017 and nothing has changed:

It has been suggested that the area might secure some £10million of annual central government funding with more than 90 per cent of this being invested in the local economy.”

Responding to the question, council leader Paul Diviani stated that EDDC is not directly involved in the proposals and awaits further consultation as it progresses through the process of consideration.

When asked if he agrees with claims that a national park would bring significant economic benefits to the district, Cllr Diviani said: “National parks and AONBs are not about making money. The AONBS are much more localised than national parks ever can be.

“It is an opportunistic type of approach that people in Dorset are taking about our assets here in East Devon.”

https://eastdevonwatch.org/2017/11/09/dorset-positive-about-national-park-we-cant-join-up-as-diviani-doesnt-want-to-lose-control-of-assets/

Community hospitals in Devon lost to nursing homes in privatisation move

“There was a staggering revelation yesterday at Health Scrutiny from Liz Davenport, Chief Executive of South Devon and Torbay NHS Foundation Trust, that they had made ‘block bookings of intermediate care beds in nursing homes’ when they introduced the ‘new model of care’. South Devon has closed community hospitals in Ashburton, Bovey Tracey, Paignton and Dartmouth and is currently consulting on the closure of Teignmouth – where I spoke at a rally last Saturday.

The ‘new model of care’ is supposed to mean more patients treated in their own homes, and there does seem to have been an increase in the numbers of patients sent straight home from the main hospitals.

But the idea that all patients can be transferred directly from acute hospitals to home is untrue. There is still a need for the stepping-down ‘intermediate care’ traditionally provided by community hospitals – the only difference is that now it’s being provided in private nursing homes instead.

It’s likely to be cheaper to use private homes, because staff don’t get NHS conditions, and crucially it frees up space in the hospitals so that the CCGs can declare buildings ‘surplus to requirements’ and claim the Government’s ‘double your money’ bonus for asset sales. It seems NEW Devon CCG has also made extensive use of nursing home beds, but we don’t yet know if there were ‘block bookings’.

However the private nursing home solution may not last – DCC’s chief social care officer, Tim Golby, reported that nursing homes are finding it difficult to keep the registered nurses they need to operate, and some are considering reversion to residential care homes.

This may be where the South Devon trust’s long term solution comes in – it had already been reported that it is looking to partner with a private company in a potential £100m deal which will include creating community hubs that contain inpatient beds.

The new model of care is also about privatisation.”

Shock revelation at Health Scrutiny suggests the ‘new model of care’ is more about switching intermediate care from community hospitals to ‘block bookings’ in private nursing homes – saving costs and freeing up assets. How long will it last?