DCC East Devon Alliance Councillor backs East Devon National Park

“I’m putting forward a motion to the next meeting in July for the Council to support a new park, which would include the East Devon Area of Outstanding Natural Beauty, and prepare a case for submission to the review of national parks recently announced by the Government.

I’m proposing that Devon County Council supports the creation of a Dorset and East Devon National Park

And EDDC Leader Thomas is … silent so far. And Hugo Swire is … silent so far!

EDDC Independents lead call for action on local health provision

Owl can’t quite see why Tory Councillor Allen felt the need to table his amendment – perhaps he felt Independent councillors were rather too Independent and therefore needed a dash of Tory policy! Now we just have to hope that new Leader Thomas doesn’t go and do exactly the opposite of what was resolved when he attends to DCC health scrutiny meetings – as Diviani notoriously did last year.

“A motion calling for the community hospitals which have lost beds to be maintained as health hubs, that services and clinics should be moved out of Exeter to local community hospitals and that more outpatient services should be provided in each community hospital was discussed by East Devon District Council at their meeting last week.

Proposing the motion, Cllr Marianne Rixson [EDA, Independent] said that health hubs in local areas need to be supported by the Council.

She added that the need for less travelling and difficult local bus services needed to be taken into consideration and that if place-based care was to be effective then the level of out-patient services need to be increased overall or at least maintained in every town.

She was supported by Cllr Val Ranger [Independent] who added that those people discharged early from hospital, children and elderly living with long-term health conditions should be able to access out-patient services locally in every community.

Councillors voted for an amendment, proposed by Cllr Mike Allen [Conservative], that said that this Council resolves to welcome the proposal of the Devon CCG’s to develop placed-based health care where strong evidence suggested that it would deliver high-quality patient care and sustainable services.

It added: “However, due to lack of supporting clinical evidence and clear future planning, the Council has strongly opposed closure and removal of community hospital beds and hospital-based services throughout East Devon.

“All efforts are made, in consultation with local communities, to ensure the existing estate of community hospitals was retained for health care purposes, where appropriate, the potential development of ‘Health Hubs’ was investigated, and council members received from the Clinical Commissioning Group a review of service changes (bed-based to home/community based care) made during 2017/2018 in East Devon, to include clinical evidence highlighting levels of patient safety and outcomes achieved and an evidence-based forward plan of proposed changes to health services in East Devon, for initial discussion at a future Cabinet.

After the meeting, Cllr Martin Shaw [DCC East Devon Alliance], said that he has written to Cllr Ian Thomas, who is due to become the new leader of the council on May 16, asking for assurances that each of the hospitals which has lost its beds (Axminster, Honiton, Ottery and Seaton), as well as Exmouth and Sidmouth, to be kept open and that a formal public consultation in the affected town and surrounding area should a closure of any community hospital, involving substantial relocation of outpatient services, be proposed.”

https://www.devonlive.com/news/health/closure-removal-hospital-beds-should-1530794

East Devon Alliance “Time for a Change” public conference 26 May 2018

Venue: Beehive, Honiton

Free places can be booked at:

https://www.eventbrite.co.uk/e/east-devons-time-for-a-change-peoples-conference-tickets-45482525458

Attendance needs to be monitored as the hall has a maximum capacity.

DETAILS:

All across East Devon people are worried about their HEALTH, their HOMES and their JOBS. Never has it been more important to involve yourself with local democracy in your district.

YOU CAN MAKE THE DIFFERENCE.

The EAST DEVON ALLIANCE is trying to help with all of this, an umbrella group of Independent people, who since 2015 have won 7 district council seats and 1 county seat. The EDA is free from the negative influence of national parties who – at East Devon District Council – have acquired the arrogant habits of a Conservative one-party state.

This conference is for YOU.

Speakers will include County Councillors CLAIRE WRIGHT and MARTIN SHAW. In two sessions you will be able to hear and then CONTRIBUTE on:

a) how did we get where we are now?
b) what can we do about it through democracy in our parishes, towns and district.

Please come. We are all volunteers but if we band together now to fight for hospitals, homes and jobs we have a chance to change the face of how where you live is run.

We are making no fixed charge for the event but a donation on the day would be much appreciated to cover the cost of venue hire. Thank you. See you there.”

Important health meeting in Seaton on 23 March

From the blog of DCC East Devon Alliance councillor Martin Shaw:

“Seaton and Area Health Matters – Going Forward Together

Friday 23rd March 2018 – Seaton Town Hall

9.00 for 9.30 am start – 1.00pm

Book here: https://goo.gl/forms/7laMUjhByt8F0w053 (right click on link to open booking form)

You are invited to participate in this community led event with key stakeholders around the future health and wellbeing of all the people in our communities, in response to the new landscape affecting Seaton and surrounding area as a result of NHS and Government policies advocating Place-Based Care in health provision and cross-sector collaborative working with community groups

The aim: To discuss what we know, where there are gaps/challenges and how, as a community we will address these to ensure collaborative approaches to co-design and co-produce local health services/activities that meet the needs of all the people in our communities.

Invitees: Management and senior level employees and volunteers / trustees from community, voluntary and social enterprise sector as well as public and private organisations.

Area to include: Seaton, Colyford & Colyton, Beer, Axmouth, Branscombe

PROGRAMME:

Welcome: Mayor of Seaton – Cllr Jack Rowland

Community Context:

Dr Mark Welland – Chairman of Seaton & District Hospital League of Friends
Roger Trapani – Community Representative, Devon Health and Care Forum
Charlotte Hanson – Chief Officer, Action East Devon
Strategic and Services Overview – Place Based Care:

Laura Waterton – Royal Devon and Exeter NHS Foundation Trust
Richard Anderson – Health and Social Care Community Services Manager
Dr Jennie Button – Social Prescribing Lead – Ways 2 Wellbeing project in Seaton
Workshop, Networking and Discussion will form the main part of this event:

Workshop 1 – What is working well and what are the challenges for Seaton and surrounding area?
Workshop 2 – Working together to improve health and wellbeing outcomes? What support do we need?”

Important community conversation on health and wellbeing in Seaton and area to begin on 23rd March

Our local health services: our last line of defence

From the Save Our Hospital Services Facebook site:

:… these guys are our last line of defence. They need to work harder at not being manipulated.

Health and Adult Care Scrutiny Committee, County Hall, 25 January 2018

“I take my Scrutiny duty very seriously,” declared Cllr Brian Greenslade (Barnstaple North) at the Devon County Council Health and Adult Care Scrutiny Committee meeting at County Hall on 25 January. Save our Hospital Services (SOHS) members from North Devon who attended this and many other such meetings know this to be only too true.

Indeed, were it not for Cllr Greenslade and his meticulous colleague, Cllr Claire Wright (Otter Valley) it is doubtful how much scrutiny by the Scrutiny Committee there would be at all. One thing is certain: given the scale, speed and scope of the changes now being pushed through in health and social care services in Devon, real information, real questions and real answers have never been so vital. It is literally a matter of life and death.

At a previous Scrutiny meeting, the Chair, Cllr Sara Randall Johnson, in clear cahoots with Cllr Rufus Gilbert, manipulated proceedings. The two managed to prevent Cllr Wright putting a motion she had already tabled, thus shutting down a debate that may have saved in-patient services at some community hospitals.

This so outraged some councillors and members of the public that their chorus of complaints and the consequent internal investigation prompted the county’s lawyers to lecture councillors as to their legal obligations to scrutinise. The investigation and warning came too late for the community hospitals, but could better behaviour be expected from now on?

Indeed, it could. But then, on 25 January, the Chair of the Standards Committee was sitting in. This time Cllr Wright was allowed to say quite a lot, pose many more questions, and state much more of the obvious in defence of our health and social care services.

However, far too many of our County Councillors still appear unwilling to spend time and effort educating themselves as to the issues, facts and figures, whilst being only too willing to swallow propaganda and projections put out by overpaid health bosses bent on making severe cuts to our NHS services.

No one, even councillors who have barely raised a whisper in opposition, is in any doubt as to the real motive for all these health service changes: cuts and cutbacks designed to save £557 million over the next five years. The aim is to ration, restrict and remove elements of care and treatment for however many people it takes to save that amount of money. Cost comes first, clinical need a poor second.

Dr Sonja Manton was again allowed to speak at great length. She is NHS Devon’s lead cost-cutter, qualified by means of a doctorate in Systems Dynamics, not qualified in Medicine or any form of clinical care. Which sort of gives the game away –as does her most obvious skill, talking for a very long time without saying anything at all.

When questioned by Councillor Wright, she appeared, as ever, not to have the required data or evidence to hand. Cue the now customary promise to look it up and pass it on. The pattern that follows has been obvious for more than 15 months now. The Scrutiny Committee ends up waiting a long time for what they have asked for – if they get it at all — making real scrutiny in public for the public impossible. The lack of real information, the failure to meet requests, the failure to resolve contradictions in presentations cause real difficulties for our County Councillors meeting after meeting – not least again on 25 January.

It has been reported that Devon’s Clinical Commissioning Groups are bent on steamrollering ‘Accountable Care Organisations’ into position from 1 April. To prove that the joke is on us for what is, after all, April Fool’s Day, they have given the Scrutiny Committee no information about them at all. This is particularly scandalous and frightening. As Brian Greenslade stated: “I want to know where we are…..we need to understand where we’ve got to and what this may mean.”

One faint beacon of light is the announcement, on the same day as the Scrutiny meeting was held, that NHS England will hold 12 week consultations on the implementation of ACOs https://www.england.nhs.uk/…/consultation-aco-contracts/ which puts a very slight delay in place. But the website does not elaborate on how much time after closure of consultation implementation could happen. The Consultation could well be the outcome of an exchange between Sarah Wollaston, Chair of the Health Select Committee, and Jeremy Hunt, Secretary of State for Health and Social Care, as well as an attempt to water down the possible impact of a Judicial Review, which is being filed by a group of Health Care professionals, to challenge the government’s attempt to circumvent Parliament and democratic scrutiny and allow ACOs to operate

ACOs are financially constrained, business-based American-style systems of healthcare purchasing and provision, which will pave the way for further privatisation and still more rationing and restriction of provision. Councillor Martin Shaw from Seaton had done a lot of research on ACOs and put his findings online. But, incredibly, he had to force the whole issue onto the Committee’s Agenda just to secure the very limited discussion that took place.

Until this announcement it was the case that ACOs (unless the Judicial Review has effect) were to be imposed without any debate, discussion or statute. So an ACO could be and, in many cases, will be, a private business, primarily accountable to shareholders and managers rather than patients and the public. And even now we don’t know how ‘public’ the consultation will be. As Jan Goffey, Mayor of Okehampton, declared, “Sick people should never be regarded as a profit-making opportunity.”

Eventually even the Chair, Sara Randall Johnson said, “We need more information.” We have heard her, and others, say this before. Is this a way of avoiding doing anything? Or is it something more cynical: a way of helping to destroy our NHS, but giving themselves the excuse that they just did not know?

If so, it will only be because they failed to find out – or scrutinise.”

Claire Wright and Martin Shaw fighting heroically for our NHS

Thank heavens we have Claire Wright and Martin Shaw fighting so hard for our NHS on a daily basis and don’t have to leave the fight to Swire, Diviani, Sarah Randall-Johnson and East Devon Tories – or there would be no fight at all!!!

Holding NHS Property Services to account:
http://www.claire-wright.org/index.php/post/nhs_property_services_and_nhs_managers_requested_to_fully_engage_over_commu

Getting those winter performance figures that Randall-Johnson was happy to wait months for:
http://www.claire-wright.org/index.php/post/new_devon_ccg_to_provide_performance_winter_pressures_reports_within_days

Social care not working:
http://www.claire-wright.org/index.php/post/latest_devon_social_care_survey_reveals_concerns_among_people_about_service

Ambulance service under intense pressure due to cost-cutting:
http://www.claire-wright.org/index.php/post/devon_county_council_health_scrutiny_committee_records_its_concerns_over_am

Decisions on community hospitals:
https://seatonmatters.org/2018/01/26/health-scrutiny-hears-there-will-be-no-precipitate-decisions-on-community-hospitals-local-conversations-with-ccg-and-rde-offer-chance-to-shape-place-based-health-systems-around-towns/

Declining performance:
https://seatonmatters.org/2018/01/26/devons-health-systems-declining-performance-over-last-12-months-and-health-scrutiny-still-waiting-for-winter-crisis-evidence/

Do not shut hospital beds – closures not evidence-based says influential King’s Fund – too late for East Devon

Independent DCC Councillor Claire Wright – RIGHT
Independent DCC East Devon Alliance Councillor Martin Shaw – RIGHT
All Independent Councillors at EDDC – RIGHT
All Tories at DCC – Wrong
All those Tories (DCC and EDDC) who voted to support Diviani and Randall-Johnson in closing community hospital beds – WRONG

ALL the time the Independents have called for REAL evidence about bed closures.
ALL the time DCC Tories have acceptec waffle and jargon and “death by Powerpoint” instead of REAL evidence
EDDC Tories sort-of got it right and then allowed their Leader to vote WRONG so they still got it WRONG!

Why on earth are people still voting for these useless excuses for Tory representative councillors!

Kill beds, no community alternative = kills US!

“NHS bosses have been urged to halt plans for more ward closures as experts warn that hospitals do not have enough beds to accommodate patients.

Britain has fewer hospital beds per person than almost any other rich country and numbers in the NHS have fallen to 142,000 from the 299,999 that were available 30 years ago, according to an analysis by the King’s Fund health think tank.

Thousands of further cuts are being planned as part of a strategy by Simon Stevens, head of NHS England, to improve out-of-hospital care and make £22 billion in efficiency savings.

The King’s Fund said that this plan was unrealistic at a time when wards are more than 95 per cent full, well above the 85 per cent level generally thought to be safe. Hospital bosses in London are hoping to cut hundreds of beds, but the King’s Fund estimates that the city will need 1,600 more by 2021 to keep up with population growth.

Helen McKenna, a senior policy adviser at the think tank, said: “There are opportunities to make better use of existing beds and initiatives to capitalise on these should continue, but with many hospitals already stretched to breaking point, reductions on the scale proposed in some areas are neither desirable not achievable.”

Chaand Nagpaul, head of the British Medical Association, said: “Serious questions need to be asked about whether these plans are realistic and evidence-based given it defies logic to cut bed numbers when we already don’t have enough.”

Mr Stevens said that he would only allow bed closures where NHS bosses could demonstrate local alternative treatments were being put in place first or where hospitals were remedying inefficiencies. The King’s Fund said that these tests lacked any real detail.

Saffron Cordery, of NHS Providers, said: “One of the key lessons from last winter was the importance of avoiding unsafe levels of bed occupancy.”

Mr Stevens agreed that hospitals would need to free more beds during the winter, promising an extra 3,700 would be opened for the busiest time of year as hospitals were told to prevent “bed-blocking” by elderly patients.”

Source: Times (pay wall)