Our local NHS in crisis

Blogged by Independent DCC Councillor Claire Wright. We await Hugo Swire’s response.

Claire Wright and MP Hugo Swire with protesters at Ottery St Mary hospital on Saturday Ref sho 21-16SH 4964. Picture: Simon Horn.

Claire Wright and MP Hugo Swire with protesters at Ottery St Mary hospital on Saturday Ref sho 21-16SH 4964. Picture: Simon Horn.

Anyone who is keeping up with the news will realise that a growing and serious crisis is enveloping the NHS.

And Devon is at the very heart of it.

It is a crisis that is borne out of many years of successive governments messing about with our health service. In the 10 years that I worked in the NHS under the Labour government, there were two major wasteful reorganisations.

Since I left the health service in 2008, the difficulties in recruiting and retaining clinical staff has rapidly escalated. And funding has been steadily eroded.

GPs are leaving the profession in their droves, there is a mass exodus of nurses – and now junior doctors are said to be reconsidering their positions, with many of those who previously wanted to pursue a career in medicine said to be thinking again.

The government will now (disastrously) remove nurse training bursaries, which is bound to discourage further trainees from applying.

The annual growth funding increase, which used to be around 6 per cent each year has, under the last two conservative governments, flatlined. It comes at a time of more pressure than ever before with more older people who have complex health needs among us. This is especially so in Devon.

On top of this, the conservative government has demanded £22bn of so called efficiency savings. Or cuts, of course. The much vaunted £8bn promised to the NHS will only be supplied if NHS trusts slash £22bn first.

Where from you might wonder? Ask the staff, many of whom are tearing their hair out trying to do an immensely demanding job without adequate resources.

Nationally, alarming and damaging cuts are already taking place, which could easily be replicated in Devon, as we live in one of the top three financially health areas in the country.

Accident and Emergency departments are being closed overnight as a result of staffing problems, with potentially catastrophic consequences as people will need to travel further for life saving treatment.

Across the health service, a deficit of £460m was racked up in the first quarter of 2016/17. But this was only possible thanks to a cash injection of £450m over the same period.

Last year the NHS nationally reported a record deficit of £2.45bn. The disastrous health and social care act, which sold our health service down the river, cost £3bn.

Locally, across Devon if financial problems are not addressed by 2020, our health service will be in debt to the tune of around £440m.

The RD&E NHS Trust alone, has a £20m deficit.

The Royal Cornwall Hospital’s director of finance Karl Simkins told the Western Morning News earlier this year that the financial landscape was “challenging”.

He said: “We planned for a £5.5 million deficit and have ended the year with a £6.9 million deficit,” “The financial position is as challenging as it has ever been.”

A government task force has been drafted in to Devon to radically reduce the debt by cutting services.

As a member of Devon County Council’s health and wellbeing scrutiny committee, I am anxiously awaiting what is on the agenda. Plans are set to be published and consulted on shortly. Councillors are expecting there to be some significant and worrying cuts proposed.

Last month a public consultation was launched in South Devon on closing and selling off four community hospitals.

The team running the Success Regime already seem to be diminishing the role of community hospitals in their documentation I have seen so far. They claim that community hospitals, such as at Sidmouth, Ottery St Mary, Seaton, Exmouth, Honiton and Axminster, do not alleviate bed pressures at the Royal Devon & Exeter Hospital! This is counter intuitive and completely contrary to everything I have heard from medics and nurses up until now.

Ottery St Mary and Axminster Hospitals have already lost their beds of course and Exmouth Hospital looks like it will lose its overnight GP out of hours service.

All of this (and whatever else is to come) is at a time of unprecedented pressure – on beds – on staffing – and on services in general.

A major injection of funding is required to avoid major and widespread closures of services and hospital departments.

This government is, in my opinion, using the austerity argument to deliberately weaken our NHS for their own ideological reasons. They simply don’t believe in the state provision of public services.

Ministers have made a clear choice on how they spend our money. Public services are being slowly and steadily dismantled, while big business continues to enjoy preferential treatment.

David Cameron said in 2010 that he would protect the NHS.

We need to hold our conservative MPs to account on this.

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

Definition: Efficiency savings vs. Cuts

In the news today, NHS “efficiency savings” and NHS “cuts”. So what is the difference?

“Efficiency savings” – Delivering the same service for less money by being more efficient i.e. training enough nurses, avoiding using expensive agency staff, reducing the cost of administration etc.

“Cuts” – Delivering a poorer service for less money – by closing beds, shedding front line staff etc.

Judge for yourself where Jeremy Hunt’s proposals are “Efficiency savings” or “Cuts”.

Local NHS “Success Regime” not succesful

“Criticisms have been made over how long it is taking to reach the public consultation stage of the Success Regime.

The national intervention programme is aimed at reducing Devon’s worrying massive health service debt.It has narrowed down its focus for cuts, but details of those are yet to be made public.

Assurances have been made there will be a public consultation as the programme is set to deliver significant changes and cuts to health services. However, despite hopes of a summer consultation, no date has yet been confirmed for when the information will be made public and when the consultation will begin. …”

http://www.exeterexpressandecho.co.uk/long-wait-continues-to-find-out-what-will-happen/story-29616016-detail/story.html

Can the NHS add up? Not in Sidmouth and Ottery

“Health bosses have been warned that a lack of trust and transparency continues to hang over the future of hospitals in Sidmouth and Ottery St Mary.

The NHS Success Regime – tasked with determining the model of care provision – has been called to account in the wake of cancelled public meetings and discrepancies in published figures over hospital beds.

Representatives from the region’s health and care forums (HCF) have said better community engagement is needed. They have also questioned how decisions are being reached after one document stated the daily cost of a community bed in East Devon was £750, and another at £313. The correct figure for the average cost of an occupied community hospital bed in East Devon is £289.

Chief executive of the Success Regime Angela Pedder has apologised for the error, but reiterated that the status quo does not ensure the best outcomes for patients.

In letters sent to Ms Pedder on behalf of the region’s HCF, Ottery town councillor Elli Pang said: “A lack of trust and transparency continues. We can agree with you that our objectives are also to maximise best outcomes for patients. We would, however, challenge that your actions will achieve that in the short-term if you follow rigidly the idea of community bed removal.”

Speaking at an Ottery Town Council meeting on Monday, she revealed that an event on the future of the town’s hospital had been cancelled and expressed fears that the outcome of a future consultation has been predetermined. …”

http://www.sidmouthherald.co.uk/news/sidmouth_and_ottery_st_mary_representatives_claim_there_is_a_lack_of_trust_in_wake_of_hospital_beds_cost_discrepancy_1_4645063

Local NHS in the red

“Health trusts and commissioning groups in the South West had combined budget deficits of more than £150m in the last financial year.

The biggest deficits were almost £39.5m for Northern, Eastern and Western Devon Clinical Commissioning Group. Derriford hospital ended the year £36m in the red. But some trusts and commissioning bodies did balance their books.”

Source: BBC Spotlight live news

Standards in public life – an example

It seems one of the rules for standards in public life is that no-one needs to resign if they don’t want to. And that lack of effective scrutiny is a widespread problem.

“A troubled NHS trust has paid millions of pounds to companies owned by previous associates of its embattled chief executive, BBC News has learned.
One firm received more than £5m despite winning a contract valued at less than £300,000, while another was paid more than £500,000 without bidding at all.

Both are owned by former acquaintances of Southern Health NHS Trust’s chief executive Katrina Percy.

The trust said it took its financial responsibilities “very seriously”.

‘Failure of leadership’

The BBC has also learned Southern Health has access to the services of former Labour spin doctor Alistair Campbell, after it hired Portland Communications to help with its ongoing problems.

Mental health trust Southern Health has been under intense scrutiny since an NHS England-commissioned report in December found it failed to investigate the unexpected deaths of hundreds of patients.

A failure of leadership and governance at the trust was blamed for the problems, a conclusion a subsequent CQC report in April agreed with.
In light of the criticisms, Katrina Percy, the only chief executive the trust has ever had, has faced widespread calls to resign but has refused to do so. …”

http://www.bbc.co.uk/news/uk-england-36922039

You want an NHS dentist in East Devon? Tough, join the other 560 people on the waiting list

The number of patients who were unallocated and on the waiting list for a NHS dentists:

Exeter as of July 1, 2016, was 3,900, previously 846 as of July 1, 2015

East Devon as of July 1, 2016, was 560, previously 120 as of July 1, 2015

Mid Devon as of July 1, 2016 was 370, previously 113 as of July 1, 2015

http://www.exeterexpressandecho.co.uk/huge-rise-in-waiting-list-to-see-an-nhs-dentist-in-exeter/story-29543976-detail/story.html

Local NHS: cut, burn, slash, destroy

“Out of hours doctors care is to undergo some radical changes in Devon with the number of treatment centres being reduced and others having no overnight service.

Exmouth will entirely lose its treatment centre at Exmouth Hospital, as will Teignmouth, while other areas such Tiverton will see its hours significantly reduced.

As of October 3, they will reduce to nine, and some centres will no longer have out of hours services between 12am and 8am, such as Tiverton and Honiton.

It is also believed the amount of Devon Doctor cars to cover the region from 12am to 8am will be reduced by two. This will leave four cars to undertake home visits and return the their bases to see previous arranged treatment patients.

And a spokesperson said :- In Exmouth, there is NHS services available. The hospital is there and the minor injuries unit, and patients will be offered to attend Exeter treatment centre.

“There will still be overnight urgent care. Patients with a clinical need who are not able to get to a treatment centre will still receive a home visit as they do now.”

Source: Bay FM, Facebook

Knock-on effect of closing community hospitals and council nursing homes and sheltered housing

“The Royal Cornwall Hospital Trust (RCHT) and the Royal Devon and Exeter (RD&E) hospital are among the worst in the country for delays in discharging patients.

There were over 20,000 delayed discharges from the RD&E hospital last year, while the RCHT had more than 17,000 delays.

The report from the Commons Public Accounts Committee urges the government to address the scale and cost of bed-blocking across the country.”

Source- BBC Devon live news 08.11 am

Less space for urgent cases, more distress for patients

Devon Health Service Commissioner reduces number of senior posts

From eight very highly paid senior managers to five – well, it’s a start.

Whereas, in East Devon, after managing perfectly well on half a CEO when we shared him with South Somerset, we had to take him back full-time when they decided they could do without him.

http://www.exeterexpressandecho.co.uk/devon-health-service-commissioner-to-reduce-executive-team/story-29536655-detail/story.html#mh4cvHc0F8TZPS38.99

Pity Jeremy Hunt, pity the NHS, pity the patients

” …Without a change of tack, Hunt is likely to become the minister for the visible deterioration of the NHS – think Stephen Dorrell 1995-97. To survive and prosper, he will have to start being honest about how serious NHS understaffing is, stop depicting health professionals as lazy or unprofessional, somehow raise flagging staff morale, get real about delivering a “truly seven-day NHS” with no extra money or bodies, and start to offer hope that an NHS finally freed of austerity may once again be a place of pride, progress and improvement for staff, patients and maybe even politicians.”

http://www.theguardian.com/society/2016/jul/19/jeremy-hunt-survived-cabinet-reshuffle-what-now

Sidmouth residents to keep their eyes on their community hospital

“Community link to Sidmouth Victoria Hospital ‘must be maintained’

10:10 11 July 2016 Stephen Sumner
Sidmouth Victoria Hospital Ref shs 3264-50-14AW. Picture: Alex Walton.
Sidmouth Victoria Hospital Ref shs 3264-50-14AW. Picture: Alex Walton.
Sidmouth Victoria Hospital fundraisers are determined to hold NHS bosses to account as the community-funded premises are transferred to new owners – who will charge rent at the market rate.

NHS Property Services, also known as PropCo, will take on the hospital on December 1. The company does not profit and reinvests proceeds, but it will dispose of properties it judges are no longer needed.

Sidmouth Victoria Hospital has undergone a massive revamp since 1989, with much of the £4.5million bill coming from residents – and comforts fund chairman Graham Vincent is determined to ensure the community continues to have a say.

“We have two options,” he told Monday’s town council meeting. “One is what happened 60 years ago when the regional hospital board owned the buildings.”

At the time, six or seven dignitaries worked with the board to keep an eye on the buildings to see what improvements may be needed.

“They were the link between the health board and the community,” said Mr Vincent. “By doing that we hold on to a local interest.

“The other option is to form a community interest company (CIC) to lease the hospital from PropCo. It’s always been our policy to work with whoever owns the hospital.

“If we lost that local interest, we might lose out on donations. That’s no good to the local community.”

Mr Vincent said that PropCo has sold off surplus properties worth £58million and warned it cannot later be brought back under public ownership – ‘it will have gone forever’.

But he insists the hospital is well placed for the future: “Other community hospitals have lost their inpatient beds, but we’ve gained inpatient beds, and still we’ve got a minor injuries unit. We’ve got a completely new hospital, rebuilt over the last 25 years with community money. Sidmouth Hospital is stronger than any other community hospital in Devon.”

As the Herald was going to press yesterday, Mr Vincent was due to meet members of the Devon County League of Friends about the CIC.

He had a separate meeting planned with PropCo representatives.

A letter to stakeholders from NHS Property Services said charging market rents will provide the money needed for the ‘ongoing renewal’ of the estate. It also helps the NHS understand the ‘true cost’ of occupation.

It said groups like the comforts fund have raised ‘vital’ funds but the buildings are owned by the NHS and the ‘donation does not in itself provide rights of ownership’.

The transfer was triggered by the change in provider from the Northern Devon NHS Healthcare Trust to the Royal Devon and Exeter Hospital’s trust, scheduled for October 1.”

http://www.sidmouthherald.co.uk/news/community_link_to_sidmouth_victoria_hospital_must_be_maintained_1_4611342

NHS Property Services: questions in Parliament hinting at privatisation

Here are just two of several questions asked and answered recently by Parliamentary Question (an opportunity unavailable to Hugo Swire – or so he says – because they conflict with his ministerial duties at the Foreign Office):

NHS PROPERTY SERVICES
13th June 2016

Sir Nicholas Soames: To ask the Secretary of State for Health, what recent discussions he has had on (a) complete and (b) partial privatisation of the National Health Service’s Property Services.

George Freeman, Parliamentary Under Secretary of State for Life Sciences: The Department is always looking at ways to realise efficiencies and value for money from the use of its assets and investments, and this includes its investments in companies like NHS Property Services.

Hansard 39784

and

NHS PROPERTY SERVICES: SUSSEX
14th June 2016

Sir Nicholas Soames: To ask the Secretary of State for Health, if he will order a review to be undertaken of the administration and operational effectiveness of NHS Property Services in (a) West Sussex and (b) Mid Sussex.

George Freeman, Parliamentary Under Secretary of State for Life Sciences: Review of the effectiveness of NHS Property Services’ operations in all areas of the country is an ongoing process by the Company’s Board, which includes a Departmental senior civil servant as a Director, and by officials in the Department’s Commercial Division.

Hansard 39520

http://www.nicholassoames.org.uk/content/nhs-property-services-sussex-0

NHS Property Services: how it “works” in practice

“THE empty floor at the new Townlands Hospital in Henley shows no sign of being occupied in the near future.

Health chiefs would like the town’s two GP surgeries to move in but negotiations over rent believed to be around £250,000 a year have failed to produce a deal.

The space is being advertised on the Government’s property finder website, leading to speculation that a private healthcare provider might be interested in it.

The hospital was still being built when Sue Ryder pulled out of a deal to relocate its hospice in Nettlebed to Townlands in December 2014. The building was completed in February and opened to patients in March.

Last summer, GPs at the Hart and Bell surgeries said they would be interested in relocating but they have not agreed a rental deal with NHS Property Services, which owns the building.

Philip Unwin, senior partner at the Hart Surgery, said: “We are trying to do it but at the moment NHS Property Services is advertising it on the open market to try to get a bigger rent.

“The best way of securing healthcare services for Henley in the long term is if we move up there and rent it on a long-term lease. It would be a really tight hub of medical services for Henley and the surrounding area.

“There’s a very small window of opportunity and if we don’t grasp it we will miss out. It would be the perfect site for us to move to but we need everybody to be on side to be able to do that.

“I understand why they are advertising it but I hope it’s going to be too expensive for anyone to take the bait. If someone does, we will stay where we are and plod on.”

Ian Reissmann, who chairs the Townlands Steering Group, said the most important thing was that a tenant was found as soon as possible.

He said: “We don’t want to see an empty floor. This hospital has been built to provide medical services and we want these much-needed services to be provided locally.

“Moving the GPs in there would not be straightforward and even if everyone wants to see it happen it’s unlikely to be quick.”

Cllr Reissmann said he would be reluctant to see a private company move in but this might be the only option.

He said: “I’d like to see NHS Property Services bring in other services from the Royal Berkshire Hospital and other providers rather than some sort of private provider.

“It’s an NHS hospital and we want to see NHS services available for free there, which is what we were promised.

“It’s important that the hospital is financially viable and while the hospital isn’t occupied fully then the financial model is not as originally planned, which is a concern.

“My first preference for the empty floor is NHS services which are free to use and my second choice is the GPs. My third choice, if there’s really nothing else, is to reluctantly allow someone to move in there to provide paid-for services. The worst option of all is to leave the floor empty.

“If NHS Property Services was serious about sorting out the problem they would have.

“They’ve known about Sue Ryder for 18 months and they could have made arrangements for someone to move in at least temporarily.”

Henley MP John Howell said: “Who goes on the floor is a matter for the NHS and Townlands Hospital to decide.

“The doctors should get a move on and finalise their bid. It would be good to have them there so they need to make sure they put in a good bid.”

A spokesman for NHS Property Services said: “We are continuing negotiations with prospective occupiers of the second floor.

“It is important to secure tenants for this prime site as soon as possible and we are exploring all options. Rent would be discussed as part of negotiations with prospective tenants.

“As previously stated, we have informed public sector partners that the space is available by listing it on the Government’s electronic property information mapping service for 40 working days.

“After this period, the property also appears on the Government’s property finder website. We have not placed the property on the open market at this stage.”

http://www.henleystandard.co.uk/news/news.php?id=222190

Top Conservative says: “look after NHS nurses not BHS bosses”

“The Conservative Party is “in danger of dying” unless it convinces people it stands for NHS nurses not BHS bosses, the party’s Deputy Chairman warned today.

Speaking to the HuffPost UK, Tory MP Robert Halfon spelt out his fears for the future of the Conservatives and warned that whoever takes over as leader will be inheriting a “collapsing” party.

Halfon, who served in the Treasury under George Osborne for 10 months before becoming Deputy Chairman last May, revealed some local associations were facing a “disaster” due to a lack of new members. He called on the party to stand up against “so-called crony capitalism” and pledge to redistribute money gained from tax cuts to poorer communities.

Halfon also said the public don’t trust the Tories on the NHS and any of David Cameron’s achievements are seen through the prism of austerity. Speaking in his parliamentary office, where a framed photo of Scottish Conservative leader Ruth Davidson hangs on the wall next to a picture of Margaret Thatcher, Halfon explained the potentially dire situation his party is in.

He said: “The party is in danger of dying in my view – the infrastructure is collapsing around the country, the membership is ever aging. “Of course we have an incredible party and the members are unbelievable, and I would not be here if it wasn’t for volunteers, but everywhere you go, particularly in marginal seats, it’s a disaster in many cases.

Halfon, who campaigned for the UK to remain in the EU, went on: “Labour are getting thousands of new members, Ukip are getting thousands of new members and if anything, if I can praise Vote Leave, what did they do in one year with very little money – they created a grassroots organisation, in every constituency in the country with badges, stickers and signs, brilliantly organised from nothing.

“That is the way politics is nowadays. The Conservative Party has to create a grassroots movement like Vote Leave and campaign on issues one by one which are appealing to people. “You have to rally people around an issue but do it in modern ways – whether it’s through social media and also doing the ground war. “You can have the existing stuff going on but you need to create a new kind of grassroots movement.”

Halfon has represented the Essex seat of Harlow since 2010, winning it from Labour in that year’s General Election. He admits that since working in the town, which has below average earnings compared to both the region and the country, his political views have changed from being a “free market Thatcherite” to someone who recognises the need for a “social ambulance” alongside a meritocratic ladder.

Halfon said: “We are in danger of being deserted by the millions of working people who have deserted Labour because they don’t feel we are on their side. They feel they are the party of BHS and not the NHS – by BHS I mean the corporate, awful revolting people like that Phillip Green and the dodgy guy he sold it to.” Halfon claimed workers in his constituency’s branch of BHS were “thrown on the scrap heap because of the greed, the mismanagement of corporate capitalism.”

He went on: “The modern Conservative party needs to launch an assault on the so-called crony capitalism and protect workers and stand up for them.” Branching into policy ideas, Halfon called for the Conservatives to become the “party of redistribution”, arguing that extra money generated for the Treasury by tax cuts for the wealthy should be used to cut taxes for the poor or help impoverished communities. “That’s a Conservative idea of redistribution, rather than a socialist one which says you increase taxes on people and redistribute the wealth,” Halfon said.

He also called for a massive increase in house building, and argued that while schemes such as Help to Buy are a step in the right direction, it was not enough to solve the crisis. “If I think of my own constituents and I think of millions working people across the country they can barely afford a few thousand quid. “The idea of getting £5,000 is impossible. Even if the Government says ‘We’ll match it’ they can’t do it.

“We need to build millions of social housing. I prefer it to be done by housing associations but I’m not against council housing. “But social housing should be as much of a priority of as building millions of affordable houses or by-to-let schemes.”

There is one area where Halfon does not want to see fundamental reform, and that is the NHS. The Tory MP is very open about how the voters view his party when it comes to the health service. a“The public don’t trust us on the NHS. There is an umbilical chord between the public and NHS, they do not want us to privatise it. They do not want us to mess around with it. They just want a good service.”

Halfon has yet to decide who he will back in the Conservative leadership election, but the support of the man who so successfully battled for a freeze on fuel duty will be a bonus for any candidate’s “white van” credentials.

When asked by the HuffPost UK why he didn’t put himself forward, Halfon shook his head said he didn’t think it was a role to which he was suited. “Whoever is the leader, this is a huge chance,” he said, before reeling off the achievements of David Cameron’s Governments: equal marriage, the National Living Wage, the pupil premium, free school meals.

“Everything was seen in the frame of austerity by the public,” said Halfon.
“We will never get support again unless, in my view, we radically change our narrative, radically change our policies in terms of how we reach out to the public and radically change the way our political party operates.”

http://www.huffingtonpost.co.uk/entry/robert-halfon-conservative-dying_uk_5776b79be4b0c9460800c912

NHS Property Services Ltd to charge East Devon community hospitals £3.1m rent

We would never find out these things without Claire Wright – thank you, Claire:

http://www.claire-wright.org/index.php/post/nhs_property_services_now_set_to_sign_contracts_worth_3.1m_a_year_for_12_de

Axminster Hospital affected by protracted NHS contract negotiations

“Axminster must accept the closure of its hospital beds and concentrate on re-establishing day case treatment there.

That is what League of Friends’ chairman Dr Phil Taylor told members at their annual general meeting, in The Guildhall, on Friday.

He said: “Your committee agreed that, having fully engaged in the battle over beds, it was time to accept the inevitable and work constructively to ensure that the communities which we serve saw the development of other services which we hoped would mitigate this loss.

“Specifically, we would like to see the re-establishing of day case treatments at Axminster Hospital. This would mean that people who need blood transfusions, infusions for osteoporosis treatments and other intravenous treatments could have these in Axminster. We are also hoping that chemotherapy treatments might also become available locally as well.

Progress on this has been impeded by the interminable process of contract transfer of the community hospitals – and other services – from Northern Devon Healthcare Trust (NDHT) to the Royal Devon and Exeter NHS Foundation Trust.

“We are also keen that people who are at the end of their lives can be looked after in our community when it is appropriate, the ability to do this having been diminished by the loss of our in-patient beds.

“We have been working with NDHT to see if we can establish two temporary care home beds but perhaps, more excitingly, we are working with the Exeter and District Hospice on extending the Seaton Hospice at Home service into the rest of the Axe Valley.”

http://www.midweekherald.co.uk/news/re_establish_day_cases_at_axminster_hospital_urges_gp_1_4588919

Claire Wright reports massive cuts to Devon NHS services

“Devon NHS cuts loom as regime narrows its focus…

The team parachuted in by NHS England to reduce a massive health service debt in Devon has narrowed down its focus for cuts, it emerged yesterday.
At Monday’s health and wellbeing scrutiny committee, the Success Regime, led by former RD&E chief executive, Angela Pedder, outlined its progress so far and I asked about proposals to publicly consult.

If nothing changes, we were told that the NHS in Devon will be a whopping £398m in the red by 2020/21.

The paper submitted with the committee agenda states: “Some services such as stroke, paediatrics, maternity are not clinically or financially sustainable in the long term without changes to the way they are delivered across the system.

Other services that will be targeted includes emergency surgery and specialties such as ear, nose and throat services.

And it looks as though we will lose more hospital beds across large and small hospitals in the area.

“Bed based activity will decrease and fewer beds will be needed in acute hospitals (big district hospitals) or community hospitals.”

In a separate but perhaps linked development, we also heard yesterday from South Devon Clinical Commissioning Group that it is poised to publicly consult on reducing its community hospital bed numbers from 156 to 96. Torbay Hospital is also set to lose 100 beds.

Five community hospitals are proposed to be closed and sold off, freeing up around £6.2m. These are Dartmouth, Bovey Tracey, Ashburton, Buckfastleigh and Paignton.

The paper goes on to state that there are “initial recommendations on five segments of the population. These are:

– Elderly with chronic conditions
– Adults with chronic conditions
– Adults with severe and enduring mental illness
– Elderly with dementia
– Mostly healthy adults

The changes proposed are set to deliver around £70m of savings during 2016/17, with a £100m expected to be saved by March 2018.

The paper seemed to be a bit light on what consultation would take place, although it was clear that the regime wanted the changes implemented as soon as possible.

I asked twice about this and received a rather vague reply but it looks as though there will be a 12 week consultation, possibly starting in July, which is when the regime is set to publish its detailed plans.

Health scrutiny chairman, Richard Westlake, asked that a detailed consultation programme be sent to the committee.

These are likely to be significant cuts to health services and it is essential that the public consultation period is handled properly and fairly.”

Itemised webcast of yesterday’s meeting here – http://www.devoncc.public-i.tv/…/portal/webcast_inte…/222097

Source: Claire Wright, Independent Parliamentary Candidate for East Devon,mFacebook

NHS: fewer beds per 100,000 patients than Rumania, France, Belgium, Germany, Austria and Irish Republic

“Britain has half as many hospital beds for its population as Romania, leading doctors have said, amid warnings that NHS trusts are “bulging at the seams”.

Consultants said bed shortages meant they could only do only a third of the operations they were able to carry out in the 1960s.

Doctors at British Medical Association (BMA)’s annual meeting said patients were being harmed by cuts which have left Britain with far fewer beds than almost every country in Europe.

They called for an “urgent re-evaluation” of bed numbers, amid fears that plans to tackle a spiralling deficit could endanger patients further.

Dr Mary McCarthy, a GP from Shropshire, said hospital bed numbers had been “steadily eroded” without the corresponding increase in help to support people in their own homes.

She said: “The UK has less than 300 beds per 100,000 population and in Shropshire, where I am, it’s less than 200.”

Speaking to the conference in Belfast, she said: “In the Irish Republic a few miles south of here it’s about 500, in Belgium it’s over 650, in France it’s over 700, in Germany it’s over 800, in Austria it’s over 700, in Romania it’s over 600.

“Do we really need to keep cutting beds? Are we not finding that our hospitals are bulging at the seams with people who should be there but are discharged home too early and unsafely?” she asked fellow doctors.

Dr Michael Hardingham, an ear, nose and throat surgeon, from Cheltenham, said: “I have been working long enough to remember that working in the 1960s … I did at least twice as many cases in a day’s work – possibly three times – and this is largely due to difficulties with beds.”

‘Patients are being harmed because they are being sent home as there are no beds available’

Dr Michael Hardingham, an ear, nose and throat surgeon, from Cheltenham
“The recovery wards get blocked up because they can’t move people out into the hospital beds, and so patients who have been booked just have to be sent home,” he warned.

Doctors said children and families often had to travel long distances to find a paediatric bed, while hospitals were repeatedly diverting patients, after declaring a “black alert”.

“Patients are being harmed because they are being sent home as there are no beds available,” the doctor warned.

A motion calling for the dwindling numbers of beds to be “urgently re-evaluated” was passed with an overwhelming majority.

Dr Mark Porter, BMA Council chairman, suggested the NHS was taking too many risks in paring back bed numbers, with average bed occupancy now above safe levels.

“If average bed occupancy goes up above about 85 per cent there can be a rise in the risk of cross infection between patients, and it is less likely that an appropriate bed will be available for acute patients as they come in,” he said.

“While this policy might make sense if you are looking for short term cuts, it can have serious implications for quality and cost of care in the longer term. We need to carefully monitor the number of beds available and ensure that we are putting patients first when it comes to deciding how many beds are available in the NHS.”

NHS figures show the number of beds available each day has dropped from more than 144,000 in 2010/11 to less than 132,000 in 2014/15.

Earlier, Dr Porter said that claims being made by the Vote Leave camp were “farsical and fatuous.”

Katherine Murphy, chief executive of the Patients Association said: “At the very heart of the NHS is the ability to treat patients in a professional, caring and dignified manner. We can’t do this if we are unable to provide patients with hospital beds.

“Clearly there is an urgent need to address the funding issues that plague our NHS, as it is ultimately patients who end up suffering due to lack of proper investment,” she added.

Mike Adamson, British Red Cross chief executive said: “Increasing more beds alone will not help solve this problem. This country is facing a social care crisis. Without the proper care systems in place to return people home, thousands of patients will continue to be stuck in limbo.

“No one chooses to be stuck on a hospital bed when they could be in their own homes, rebuilding their lives. The Government has already set aside funds to be invested in health and social care. However, the bulk of this money won’t be available for another two years. These funds are needed now – to support people who are currently stranded in hospital due to the gap in care provision and to help prevent thousands from being admitted to hospital in the first place.”

A spokesperson for NHS England said: “It is important that patients receive the right care, in the right place, at the right time. The hospital is not a home and we know that, when given the choice, patients often prefer to receive care as close to their home as possible.

“It is for local NHS leaders to determine the best mix of care for the populations they serve – they will rightly consider community and home care as well as hospital beds.”

http://www.telegraph.co.uk/news/2016/06/20/nhs-has-fewer-beds-per-head-than-romania-doctors-warn/