Swire sees the light on hospital beds (because it could be a big vote loser?)

Owl is concerned that local MP Hugo Swire is very, very slow in the uptake. After resting on his laurels by seeing community beds in his constituency staying while those in Neil Parish’s patch of EDDC have all gone (except for Tiverton – not part of East Devon which can’t be closed because it is a PFZi hospital), he finally wakes up and realises that it has left a black hole that will stop many people voting for either of them next time! AND result in people switching their votes to Claire Wright (Independent, East Devon) and maybe Caroline Kolek (Labour, Tiverton and Honiton)!

Sir Hugo Swire said the area’s demographics are 20 years ahead of the national average and it was ‘absolutely ridiculous’ the two services should have separate funding.

This comes after Dr Mike Slot raised concerns to Devon’s health watchdog that carers are not available to implement ‘care at home’ – the model the NEW Devon Clinical Commissioning Group’s (CCG) moved to after it closed 140 community hospital beds across the county.

Dr Slot said: “The loss of community hospital beds was intended to be offset by increasing the capacity of community care so that patients could be cared for in their own homes.

“This may or may not have been realistic since many of the patients in the hospital system cannot be managed in the community, even with excellent community services.

“However, with or without community hospital beds, it is an excellent idea to expand community services so that all those patients who can be cared for out of hospital can remain at home.

“Unfortunately, there is not sufficient capacity in the home care services to do this job.

“When GPs ring the single point of access number asking for rapid response or night sitting, the carers are not available.”

In a joint statement, the CCG and provider trust the Royal Devon and Exeter Hospital acknowledged that recruitment had been ‘challenging’ in a few places, but the bodies were working hard alongside other agencies to address the issues.

A spokeswoman said more than £2.5million had been redirected into growing and strengthening their community teams so more people can be cared for at home.

They added: “A large part of the reinvestment has been to increase the number of nurses, therapists and support workers and in most areas we have successfully recruited the additional staff.”

Social care was brought under the remit of health secretary Jeremy Hunt in the last cabinet reshuffle – a move welcomed by Sir Hugo, who said: “I think in future there will be far greater use of hubs.

“We must look to do the same with social care. It requires brave, strategic thinking. We have to get it right.

“The East Devon demographic is where the country is going to be in 20 years’ time. Sidmouth is even ahead of that. East Devon should be a template – use us as a guinea pig for integration of health and social care.”

http://www.sidmouthherald.co.uk/news/concerns-over-recruitment-for-new-care-at-home-model-after-east-devon-hospital-bed-closures-1-5395962

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

Has Clinton Devon Estates completely lost its moral compass (if it ever had one)?

Background: Background: in 1887 to mark Queen Victoria’s Golden Jubilee the philanthropist and benefactor Hon. Mark Rolle “leased” the Budleigh Salterton hospital site and garden to the people of the Town. After his death in 1907, the Rolle Estate passed to the 21st. Baron Clinton and was absorbed into the Clinton Devon Estates. 131 years later CDE have fenced off two-thirds of the garden from use by the newly formed Hospital Wellbeing Hub just as the children attending a nursery there were beginning to use it for recreational purposes and Spring arrives.

Article in Journal:

“A ‘substantial’ fence – around 6ft high and 100ft long – is causing uproar in Budleigh Salterton.

Residents are angry that it has gone up and a town councillor has described it as ‘an abomination’.

The fence has been erected by Clinton Devon Estates (CDE) on land that it owns and leases to the Budleigh Salterton Hospital League of Friends on an annual basis.

Running across the former Hospital Gardens opposite the new Community Health Hub in Boucher Road, it marks the boundary of the new hub garden and land that CDE has earmarked for development.

Last September, CDE had its outline application – for means of access, proposing two houses to be built on half of the land east of East Budleigh Road rejected at appeal by East Devon District Council (EDDC).

Now, it appears, it may make a fresh application.

“We are in discussion with the league of friends to agree a more secure long-term lease to provide the hub with a generous, tranquil garden with mature trees on approximately half of the site,” said a CDE spokesperson.
“This will provide easy access for all ages using the hub, as well as an attractive outlook from the building itself.

“We have recently put up fencing to mark the boundary of the new hub garden and any proposals we may have in the future for the remainder of our land at Boucher Road will go through all the required processes and approvals.”

David Evans, chairman of Budleigh Salterton Hospital League of Friends, said: “There is no doubt that our local community will be very disappointed at the erection of a substantial dividing fence down the middle of the greatly-valued hospital garden.”

However, he said the new lease would give ‘greater security’ than before.
“Whilst the league of friends would ideally have preferred to have been able to make use of the whole garden, it has been able to secure long-term access to a valuable and useful green area for the benefit of many,” said Mr Evans.
Councillor Courtney Richards – speaking at a town council planning meeting on Monday said his phone had been `buzzing’ with complaints about the fence.

“I don’t know if Clinton Devon are having a fit of pique, but they are really emphasising that `this is ours’,” he said. “There’s very little as a council we can do about it, which is a shame because it borders straight onto a piece of land that’s designated in the Neighbood Plan as an open green space.

“Frankly, I think it’s an abomination, but that’s Cl in ion Devon’s latest attempt to improve -Budleigh Salterton in, said, with his tongue firmly in his cheek.”

Carillion healthcare contracts sold to Serco at hefty discount

“Outsourcing giant Serco has secured a hefty discount on its deal to buy a raft of healthcare contracts from failed rival Carillion.

Serco said it would now pay £29.7m – down from the £47.7m price first agreed in December, before Carillion’s dramatic collapse into liquidation.

The move reflects the fact the contracts will have no working capital and will come with none of the usual warranties in place as a result of Carillion’s failure, according to Serco. …

… Serco’s deal will bolster its healthcare business, seeing it add a string of healthcare contracts spanning five acute hospital trusts and another 20 public sector organisations.

Just under 1,500 employees work on the contracts being acquired under the deal.

Serco’s existing health operations already generate revenue of over £350m, employ over 8,000 people, and provide services to institutions such as St Barts in the UK.

Serco employs more than 50,000 people across five sectors, including defence, justice and immigration, transport, health and citizen services.”

http://www.independent.co.uk/news/business/news/carillion-serco-healthcare-contracts-large-discount-collapse-latest-news-a8210136.html

“Government spent £108m in failed attempts to stop people’s disability benefits” (to which they were entitled)

And how are they going to fix this? By employing 190 more officers!!!

“The Government has spent £108million in two years trying to prevent disabled people claiming benefits they are entitled to, it has emerged.

Freedom of Information requests have revealed how much taxpayers’ cash has been spent on unsuccessful legal battles to prevent vulnerable people receiving help.

The Department for Work and Pensions spent £108.1million on appeals against disability benefits in just two years, new figures reveal, reports The Mirror.

Neil Heslop, chief executive of disability charity Leonard Cheshire, said: “To spend this amount on admin fighting to uphold flawed decisions that shouldn’t have been made in the first place is staggering. “Thousands of disabled individuals have had to fight to receive support to which they are legally entitled.” …

The monthly cost has been steadily rising and in December the DWP spent £5.3million on mandatory reconsiderations and appeals for PIP and ESA.

The equivalent figure for October 2015 was £2million.

Since October 2015, 87,500 PIP claimants had their decision changed at mandatory reconsideration, while 91,587 claimants won their appeals at tribunal.

In the first six months of 2017/18 some 66% of 42,741 PIP appeals went in the claimant’s favour. …

A DWP spokeswoman said it was working to improve the process, including recruiting around 190 officers who will attend PIP and ESA appeals to provide feedback on decisions.

“NHS chiefs pocket £166 MILLION in bonuses – while nurses suffer 1% pay cut”

“Nurses, midwives and other carers battered by David Cameron’s assault on NHS wages are night furious at revelations their bosses’ pay packets have risen by 36%.

Senior managers pocketed £166million in bonuses and other extras last year – as the Tory-led Coalition slashes £20billion in costs from the beleaguered service.

That is up 36% from £122million the year before.

The rise, on top of their annual salaries, could have paid for an extra 4,000 nurses, who have suffered a 1% cut. …”

https://www.mirror.co.uk/news/uk-news/nhs-bonuses-chiefs-pocket-116-3553527

“Things are going to get worse, nurse …” a poem

Northern poet John Cooper Clark on his 60th birthday in 2008 – a prophet!
Warning: some mildly bad language, understandable given the topic!

“What me worry? I should care,
Shit for brains, wire for hair,
I’ve seen the future and I ain’t there,
Things are gonna get worse.

Velcro slippers and a spandex wasteband,
Washed up on Planet Wasteland,
Zipped up like a nylon spaceman,
Things are gonna get worse.

Things are gonna get worse, nurse,
Things are gonna get rotten.
Make that hearse reverse, nurse,
I’m trying to remember everything that I’ve forgotten.

Things are gonna get worse nurse,
things are gonna get crappy,
colour me perverse nurse,
bad news always makes me happy.

Things are gonna get worse nurse,
things are gonna get dismal,
smite me with a curse nurse,
make it something real abysmal

Things are gonna get worse nurse
I ain’t optimistic
I’ve got a mouth like a purse nurse
and a bungalow smelling of piss and biscuits

things are gonna get worse nurse,
murder by statistics,
take me back to the first verse,
the last ones just too pessimistic

Euthanasia – that sounds good,
An Alpine neutral neighbourhood,
Then back to Britain, all dressed in wood,
Things are gonna get worse.”

https://www.clc.sllf.qmul.ac.uk/?p=387