(Tory) Council leaders, don’t you just love ’em – not!

Current leader of EDDC, Paul Diviani, and his Tory friends on the council voted against hospital bed cuts at EDDC (which is toothless on this matter) but he then voted FOR the same cuts at Devon County Council, which has just a few gnashers, but where former EDDC Leader and DCC councillor for Whimple, Sarah Randall Johnson, silenced a legitimate opposition debate on closures using very dubious tactics against her arch-enemy (campaigner and ouster from her EDDC seat) Claire Wright:

https://eastdevonwatch.org/2017/08/12/conduct-of-health-committee-members-investigated-by-devon-council-diviani-and-randall-johnson-heavily-criticised-for-behaviour/

Now the former Leader of Grenfell Tower Council joins the merry band:

The council leader who presided over the Grenfell Tower disaster offered paid “advice” on public sector cutbacks – and tried to “whitewash” his CV in the process.

Nick Paget-Brown resigned as leader of Kensington and Chelsea council after the authority’s woeful response to the deadly inferno drew widespread criticism.

He has remained a councillor but has attracted fresh ire from survivors and rival politicians after advertising his own company – NPB Consulting – on his new Linkedin profile.

The firm, of which he is managing director, offers specialist advice on “financial planning in an age of austerity” to other councils.

Paget-Brown is also accused of hurling a “final insult” to victims as he has omitted his experience as council leader from his CV’s career history, leaving a space between the end of his time as deputy leader in 2013 and founding NPB in 2017. His appointment as leader was mentioned elsewhere. …

Paget-Brown used the networking site to advertise his skills, including “policy analysis, seminars, briefings and drafting assistance for organisations working with local authorities”.

Emma Dent Coad, the Labour MP for Kensington, said: “Paget-Brown’s attempt to whitewash his career by becoming a cost-cutting consultant is the final insult.”

Moyra Samuels, co-founder of the Justice 4 Grenfell campaign, said: “To effectively say, ‘I’m moving on swiftly to my next project’ shows complete disdain for this community.”

At the time of his resignation, Paget-Brown said he shared responsibility for the “perceived failings” of the council. “

http://www.huffingtonpost.co.uk/entry/grenfell-paget-brown_uk_599a96bbe4b0e8cc855e707e

Only “perceived” note …

RIP Seaton Community Hospital beds – vigil, noon today

The town with the largest catchment area for elderly people – its community hospital closes the doors on its beds today.

Built by public subscription, funded by a hard-working League of Friends, only its outpatient services will remain – for now.

The heart of a community stops beating today.

Thanks to the vote of East Devon District Leader (Paul Diviani – who voted at EDDC against his own district recommendation) and former Leader and Chair of DCC Health and Social Care Committee Sarah Randall-Johnson, who voted along with all other Conservatives on that committee not to refer the closures of Seaton and Honiton (next Monday) to the Secretary of State.

This will leave the whole of the eastern side of the district with no community beds at all – the few remaining beds to be (for the time being) in Sidmouth and Exmouth, closer to Exeter and Cranbrook.

Worse than fake news – no news

Midweek Herald website has no information on the imminent, speeded-up of the total closure of Seaton Hospital’s community beds on 21 August 2017 and those in Honiton on 28 August 2017.

Today’s Midweek Herald has one letter bemoaning closure in general – and nothing else.

And nothing on the referral of the conduct of the DCC meeting chaired by Sarah Randall Johnson at which referral to the Secretary of State was squashed by a Tory block vote and refusal to debate any alternative and no mention of a planned fight back by Honiton Hospital patients and supporters. Or of Diviani voting one way at EDDC (against closure) and the opposite way at DCC and admitting that when he voted as the representative of Devon’s district councils, he hadn’t actually consulted any of them.

No news is bad news.

Still, you will be able to see praise for the council-subsidised Thelma Hulbert Gallery, so that’s ok then.

“Conduct of health committee members investigated by Devon council” – Diviani and Randall-Johnson heavily criticised for behaviour

“Devon County Council has confirmed it is looking into the conduct of members of one of its committees following a debate and vote not to refer a decision to close 72 community hospital beds in Devon to the secretary of state for health.

The matter was debated by the health and adult care scrutiny committee meeting at Exeter’s County Hall on July 25.

Among those who have expressed their concerns is Val Ranger, East Devon District Council ward councillor for Newton Poppleford and Harpford.

She says that at a meeting of East Devon District full council meeting on July 26, Cllr Paul Diviani, who sits on the committee as a representative of district councils, admitted he had not asked the opinion of other district councils about whether they wished to refer the decision to close local hospital beds to the secretary of state, and could offer no evidence on that basis that he was representing their views.

At the meeting Cllr Diviani was among those who voted not to refer the decision to the secretary of state.

Cllr Ranger said: “He said he voted not to because it was unlikely that the secretary of state would overturn the decision.

This seems duplicitous on two count. The first for failing to adequately represent the views of the district councils.

“Secondly for assuming the role of the secretary of state by stating there was no point in referring the matter to him as he was unlikely to overturn the decision.

“At the EDDC scrutiny committee on June 22, EDDC’s views and recommendations were very clear; Northern, Eastern and Western (NEW) Devon Clinical Commissioning Group (CCG) has failed to provide the evidence needed to support their plans.

“However, Cllr Diviani failed to represent those views or the views of other district councils as he did not seek them. He has admitted he voted independently of both EDDC and other district councils, rendering his vote as entirely without integrity in his role at the DCC meeting.

“The vote is an entirely unsafe and undemocratic way of conducting business and brings both EDDC and DCC into disrepute.”

A spokesman for Devon County Council said: “We have received a number of comments, representations and complaints about the health and adult care scrutiny committee held last week and about the conduct of members at that meeting.

“We will be looking at all the points raised by Cllr Ranger and others under our normal procedures to see if there are any issues to be addressed.”

However, Cllr Diviani is confident the investigation by DCC will conclude there has been no wrong doing.

He said: “I take this predictable and entirely politically motivated complaint against me by people who contribute little or nothing positive to the debate at face value, and feel sure that DCC will dismiss the allegations as unfounded.

“I have neither seen or heard anything from Ms Ranger on how her party would address the huge challenges facing the NEW Devon CCG and the NHS.

“As the web cam at County Hall malfunctioned and didn’t record properly, the gist of what I said is as below. I did also explain that my position on that scrutiny committee is by virtue of my being elected by the other leaders of all the Devon districts to represent the county-wide views of the district councils, not just East Devon, and is a function I perform regularly both locally and in London through the District Councils Network where I represent the South West.

“There is a tendency to assume that everything is fine as it is, when it quite clearly is not, and that the government will keep throwing money at the NHS as they always have in the past.

“What that underestimates are the social care costs which are massive, but if tackled correctly will reduce the acute care costs, as evidenced by the Kings Fund report. We will still need our hospital buildings which in Honiton are already being used differently, for example, for kidney or chemotherapy treatments. Staffing is still a problem but that is not building dependent.

“Many of us have made a positive decision to live and indeed work in the countryside and a direct result of that decision is a diminution of accessible services we can reasonably expect the state to provide. When able, it is a price we gladly pay for the quality of life afforded.

“In straightened times, we need to cut the cloth accordingly. As is well documented, the largely under funded cost of adult social care is a significant factor in the problems besetting the NHS where the acute care service is the treatment of last resort, and very good it is too, but with the budget sliced off to the top tier local authority.

“As the truly excellent Kings Fund Report from 2016 made exceedingly clear, sorting adult social care comes first and if we tackle that with the help of the district councils the benefits will flow. The NHS cost pressures will diminish and the money can best be spent where most needed.

“In East Devon we have enormous and justifiable pride in our local hospitals and all our existing towns were well endowed. Costs are, however, never static and will always rise without innovation.

“But here we are talking service industry which is always people dependent and where low wages do not necessarily translate into low cost. Simply put, if one person falls, it will take two people to rectify the situation, and if not rectified speedily, the condition and costs multiply exponentially.

“And speedily must mean access to care, quickly. Our travel times are well known and until they are resolved, we will always need staging posts to either stop people occupying the acute provision when unnecessary or to maintain them in a degree of comfort until they can reach the comfort and safety of their own living space.

“The major flaw appears to me to be the ever present ‘one size fits all’. Flexibility is key and our response should be the start.

“Attempting to browbeat the secretary of state with a demand to overturn his own policies is counter intuitive. I prefer to ask him to rural proof our rural situation before allowing any further reductions in service which we on the ground can see will be detrimental, but our transformers would discount. But that is a local decision which should be made locally.”

Also among those who have raised concerns over the debate and vote at the scrutiny meeting is Claire Wright, Devon County Councillor for Otter Valley Ward.

She has said how she was “disappointed” by the behaviour of scrutiny committee chair Sara Randall Johnson who “appeared to do her utmost” to prevent any referral.

She said: “I am also disappointed with the attitude of the majority of the Conservative group who used a variety of ill-informed views and remarks to justify their determination not to refer, refusing to hear or see any member of the public’s distress, frustration and disbelief at the proceedings.

“The chair’s attitude made me angry and led to a protracted row where I repeatedly asked her why she had allowed a proposal to be made and seconded at the very start of the meeting by her conservative colleague, Rufus Gilbert, not to refer to the secretary of state for health, when I already had a proposal that I had lodged with her and the two officers, before the meeting.”

She added: “When they did what they did at the health scrutiny meeting, the Conservatives betrayed thousands of local people.”

The close vote whether to refer the decision was six votes to seven, with two abstentions. All those who voted with Cllr Gilbert’s motion were Conservative’s.

Cllr Wright, who is seeking advice on what happened at the meeting, concluded: “I am quite certain that with a different approach by the chair the outcome would have been different, and local peoples views would have been respected and acted upon.”

http://m.devonlive.com/conduct-of-health-committee-members-investigated-by-devon-council/story-30478465-detail/story.html

Eastern Devon – your new fantasy health care after hospitals closed

“… Dr Sonja Manton, director of strategy for both Devon Clinical Commissioning Groups, said: “The current model of care is not sustainable either clinically or financially, so we have to look at doing something differently.

“We are extremely grateful to the Devon Health Scrutiny Committee members for the time they have put in to reviewing our plans in order to feel assured about the changes we are making. We thank them for their diligence and constructive challenge. Their insight was invaluable.

“We are now ready to move to the next step and start the final preparations of implementation and making the changes we have proposed.”

The Your Future Care proposals, which were subject to a 13-week public consultation that closed earlier this year, set out to move away from the existing bed-based model of care. Instead it focuses on a model of care that proactively averts health crises and promotes independence and wellbeing. By redirecting and reinvesting some existing bed-based resources, community services can be enhanced to support more home-based care by establishing:

Comprehensive Assessment
Single Point of Access
Urgent Community Response

The net result of this new approach will mean a reduction in inpatient beds in community hospitals in the Eastern* locality of Devon and an increase in community-based staff to support Out of Hospital Care.

Deputy Chief Executive/Chief Nurse of the Royal Devon and Exeter NHS Foundation Trust, Em Wilkinson-Brice, said: “The endorsement from the members of the committee coupled with the clinical recommendation to proceed from the assurance panel, will support public confidence that our plans are not only safe but will provide improved care.

“By moving to this model of care, we can help more people to have a better outcome – ensuring that across the whole of Eastern Devon everyone has access to safe, reliable services that promote independence and support people to live their life to the fullest.”

A significant amount of implementation planning including engagement with the workforce, stakeholders and local communities has already been undertaken and now that these two important milestones have been reached, the RD&E will, for the benefit of staff and patients, ensure that the move to provide more care and support in people’s homes is done in a safe and timely manner. In order to achieve this, the RD&E will continue to work closely with staff, partner organisations and communities to take a phased approach to implementation.

Further information specific to each of the four community hospitals will be provided in due course.

*The Eastern locality includes Exeter, East Devon, Mid Devon and parts of West Devon including Okehampton”

http://devonccg.newsweaver.com/GPNewsletter/un6s1ilvrc3qm5yxda10xa?email=true&a=2&p=1797435&t=289800

Seaton DCC Councillor on that shameful DCC Health Scrutiny meeting – and Diviani’s disgraceful behaviour

“Councillor-Sara-Randall-Johnson (from this article):

Why did Devon’s Health and Adult Care Scrutiny Committee block the proposal to refer the closure of our beds to the Secretary of State?

The idea that the Chair, Councillor Sara Randall Johnson (left), was settling an old score with Claire Wright makes a nice story but overlooks the concerted Conservative position. The collusion between Randall Johnson and Rufus Gilbert – who rushed to propose a ‘no referral’ motion before Claire could move her motion to refer – was obvious to all, as was her keenness to persuade her colleagues not to have a recorded vote.

Equally striking, however, is that only one out of 12 Tories on the Committee – Honiton’s Phil Twiss – voted against Gilbert’s motion. The other 7 Tories who voted were all for allowing the beds to be closed; 2 who had reservations abstained; 2 more were (diplomatically?) absent. Whipping is not allowed on Scrutiny committees, but this gives a strong impression of a Tory consensus. Members who were uncertain of their support were unwilling to defy it beyond abstention. Twiss was obviously a special case, as the one committee member whose hospital will lose its beds.

Clearly the Conservative Group on DCC gave their East Devon members the main role in dealing with the Eastern Locality hospital beds issue when in May (with its return to Scrutiny looming) they made Randall Johnson chair and nominated two Exmouth members, Jeff Trail and Richard Scott, as well as Twiss as members of the Health Scrutiny Committee. With East Devon Tory leader, Paul Diviani, representing Devon’s district councils, 5 of its Tory members were from East Devon and only 7 from the other five-sixths of the Tory group.

East Devon Tories on the committee certainly lived up to their role on Tuesday. All except Trail voted, making half of all Tory votes cast on the committee and 3 out of 7 on the pro-CCG side. In contrast, only 4 of the 8 Tories from elsewhere in the county cast a vote on this crucial issue: East Devon’s Tories may have convinced themselves, but not their colleagues.

Paul Diviani spills the beans

With Randall Johnson preoccupied with timekeeping (except when the CCG were speaking), Scott silent and Twiss asking questions, it was left to Diviani to express the Tory rationale. He claimed to speak for Devon district councils as a whole, but has acknowledged that he had consulted none of the others. He was happy to defy his own Council, which has voted to keep hospital beds, and spoke for himself – and East Devon Conservatives.

Diviani’s caustic little speech deserves more attention than it has been given.

He started by saying that those who decide to live in the countryside expect diminished service, and must cut their cloth accordingly in current times – forgetting that many have lived here all their lives, or moved here long before the present Tory government arrived to savage the NHS.

‘Costs will always rise without innovation’, Diviani continued, forgetting that the ‘costs’ of community hospitals are rising particularly because of the Tory innovation which gave them over to NHS Property Services and its ‘market rents’.

‘Local decisions should be made locally’, he averred, overlooking the fact that Sustainability and Transformation Plans, Success Regimes and NHS property sales are all national initiatives forced on the local NHS – while NEW Devon CCG is so unrepresentative even of local doctors that only full-time managers (Sonja Manton and Rob Sainsbury) are allowed to present its case in public while its ‘practitioner’ figurehead, Dr Tim Burke, hides in a corner.

When, however, Diviani warned that ‘attempting to browbeat the Secretary of State to overturn his own policies is counter-intuitive’, he expressed the truth of the situation. The closure of community hospitals results from the determined policies of the Conservative Government. (Referral would have served the purposes of delaying permanent closures, embarrassing the Government and forcing its Independent Reconfiguration Panel to give an assessment of the issue.)

East Devon Tories are the Government’s faithful servants. ‘Don’t trust East Devon Tories’ over the hospitals, I warned during the County elections. How right have I been proved.”

East Devon Tories were central to ditching Seaton and Honiton hospital beds