What Swire thinks of NHS: likes dementia tax, tax on pensioner perks and Hunt “open to all options”

Owl says: “Hunt open to all options” sends a chill through my wings. It not only means he has NO plans but also that the option to keep the NHS a public service is doomed.

“A political consensus is emerging here at Westminster about what has to be done to save the NHS, which we all know is in crisis.

The main cause that has been targeted is social care, which has been created by an ageing population and yes, cuts to local Government.

Jeremy Hunt has now persuaded the Prime Minister to bring social care into the NHS, which is a good thing, but in my books the budget, which currently sits at the Ministry for Housing, Communities and Local Government also needs to be transferred.

The NHS rather than councils should be in charge of commissioning social care.

As we all know, old age is a condition lottery; one person might require £100,000 of 
care, another £20,000. Is it not a fairer solution to pool the risk between as many people as we can so that everyone loses something but nobody loses everything?

In my view, the so called ‘dementia tax’ was a good manifesto pledge because it suggested those who own their homes contribute to their own care rather than allowing our children and grandchildren, who are finding it difficult to get on the property ladder themselves, to pay for it. But it was flawed because it didn’t have a cap, which meant it failed to pool that risk.

Just how should we pay for it? Anyone I speak to seems to suggest that they wouldn’t 
mind paying a bit more in tax to sort it out. But how? Take 
money out of peoples’ estates after they die? Labour tried
that, and it was quickly dubbed, by my side, as being a ‘death tax’.

Maybe the Government could raise tax by means-testing pensioners benefits such as winter fuel allowances and ending the pension triple lock, but again whenever this has 
been floated there has been opposition to it, most recently by the DUP.

Another idea floating around Parliament is turning national insurance into a ring-fenced health tax. Sarah Wollaston, the Conservative chairwoman of the Health Select Committee believes national insurance should also be extended to those beyond retirement age who are presently exempt.

I have spoken to Jeremy 
Hunt many times about social care and the truth is he is not wedded to any one idea, he is ‘open to all options’, including a dedicated tax, because he knows more money must be found and fast.

What is needed is courage and leadership to drive forward solutions, but integrating social and health care must be the right place to start.”

http://www.exmouthjournal.co.uk/news/how-can-we-save-the-nhs-1-5366945

“Key figures in Devon and Somerset devolution deal meet to thrash out a way forward”

Owl says: Translation of headline – “A few rich businesspeople with vested interests and a few power hungry but rather uninformed councillors with their eye on the future panic because they risk having their fingers extracted from lucrative pies and will make unsustainable promises if that’s what it takes to keep them in”.

And as for that “productivity strategy”:
https://eastdevonwatch.org/2017/12/04/dcc-corporate-infrastructure-and-regulatory-services-scrutiny-committee-savages-hotsw-growth-strategy/

“Moves to shift more power and cash to the Westcountry took an important step forward this week when key players met civil servants to thrash out the way forward. The Westcountry has been pushing to join former Chancellor George Osborne’s “devolution revolution”, which would take powers away from London and put it into the hands of local people.

The first meeting in Whitehall last week included discussions on transport infrastructure, broadband access, home building and support for business growth.

The bid for devolution is led by the Heart of the South West local enterprise partnership, which includes leaders from business and councils across Somerset and Devon, including Plymouth, Torbay and Exeter.

A delegation has now met representatives from the Department for Business, Energy and Industrial Strategy to discuss devolution proposals.

The group claims that additional decision making and budget powers could have huge benefits for the Westcountry, including higher productivity, better paid jobs, improved transport links and more affordable homes.

Devon and Somerset are lagging behind the rest of the country. By November 2016, 11 regions had already reached devolution agreements.

Heart of the South West submitted its first proposal in February 2016, but has yet to reach a concrete deal.

An earlier stumbling block, the election of a regional mayor, has already been removed by the Government.

The issue had threatened to split the partnership.

But now civil servants have agreed to hold regular meetings on the issue, according to the region’s leaders involved in the bid.

Plymouth Council leader Ian Bowyer said: “Creating a strong economy, which means jobs, stability and strong prospects for our young people as well as families is vital for the future of Plymouth and the region as a whole. We are already working together across so many areas to deliver growth.

“This was a really positive meeting and sets the scene for closer working that will benefit all our residents.”

A total of 23 partnership organisations from across the region, which also includes clinical commissioning groups and national parks, are involved in the plans.

A joint committee for the Heart of the South West economic region is now being set up to move the discussions forward.

Cllr David Fothergill, chair of the Heart of the South West shadow joint committee, said of last week’s meeting: “We explained our vision for the area and how to help it become more prosperous.

“We discussed skills, transport infrastructure, broadband access, ways to provide more homes where they are needed and support for businesses to grow, innovate and export more. We also talked about the specific challenges faced by rural communities.”

The group said its first meeting will be in March, where it will agree a productivity strategy.”

http://www.devonlive.com/news/devon-news/key-figures-devon-somerset-devolution-1106519

““CAMPAIGNERS REVEAL CASH-STRAPPED KENT NHS TRUST PAID MILLIONS TO A PRIVATE COMPANY TO FIND SAVINGS”

Dame Ruth Carnell is also leading Devon’s STP after her appointment os chief of the “Success Regime” on which her consultanct company worked prior to her appointment.

PRESS RELEAE:

“Two local Kent campaigners claim they had to mount a year-long investigation, involving numerous Freedom of Information (FOI) requests and a meeting with top NHS executives, in order to confirm that a small private consultancy firm had been paid over £6 million of local NHS funds to find cuts and “efficiency savings” in Kent.

Diane Langford and Julie Wassmer say they became concerned when they saw Dame Ruth Carnall, a former NHS executive who heads the private consultancy, Carnall Farrar, had been made Independent Chair of the Programme Board of the local Sustainability & Transformation Plan (STP) – one of 44 regional bodies put in place by NHS England to implement cuts and “savings” within the NHS.(1)

Author and campaigner, Julie Wassmer says “I raised concerns with former Canterbury MP, Julian Brazier, at a public (CHEK) meeting last March, questioning how Dame Ruth could possibly claim ‘independence’ when her own company was set to profit from the contract. At the same time, I was aware that my colleague, Diane Langford, had already been coming up against a wall of obfuscation in trying to discover how much that contract was worth and who was actually making the payments.”

Ms Langford, a writer and former Hansard transcriber says: “I actually submitted my first Freedom of Information request in December 2016, then dozens more to all eight Clinical Commissioning Groups (CCGs) in Kent and Medway as well as to Kent County Council (KCC) and NHS England in order to try to establish who was paying Carnall Farrar. As each respondent has up to 20 days to reply, it was an extremely time-consuming process and all the bodies denied having paid the firm though KCC had disclosed that the money came from ‘the NHS.’”

A complaint to the FOI Ombudsman against Maidstone and Tunbridge Wells NHS Trust was triggered when no reply was received within 20 days.

Eventually the campaigners found that millions of NHS money had been paid to Carnall Farrar by Maidstone and Tunbridge Wells NHS Trust, of which Glenn Douglas was then CEO. Wassmer then obtained a meeting last month, at which the campaigners discussed with Douglas (now – CEO of the Kent and Medway Sustainability and Transformation Partnership) and Michael Ridgwell (its Programme Director) the huge sums that had been paid to Carnall Farrar and why they were not appearing on the Trust’s usual spending records for payments of £25k and over.

“Ironically,’ says Wassmer, “this was on 7th December, just before the local NHS was about to implode with the pressure of Christmas and New Year emergencies. Michael Ridgwell was unable to produce an exact figure of how much had been paid to Carnall Farrar, but suggested the sum of £2.2M. I then explained that with the help of research organisation, Spinwatch,(2) we had actually confirmed that a figure of £6,051,199 had been paid to September 2017 (3) – though only just over half of it had been logged in the Trust’s spending records, with no record of any significant spending on Carnall Farrar before June 2017 – and no trace of the remaining millions. At the meeting Glenn Douglas explained to us that as the STP is not an “organisation” it is not obliged to publish its payments, but Michael Ridgwell then agreed to publish the full expenditure on the Trust’s website and has since done so. These records show that Carnall Farrar has been paid well over half a million pounds a month since September last year, although it’s not known whether this money is on top of the £6m it has already charged the local NHS.“

The campaigners insist it is crucial to challenge the lack of clarity, transparency, and accountability surrounding such huge payments. Even more so as the government now seeks to introduce new bodies – Accountable Care Organisations – that could see billions of pounds of the NHS budget handed to commercial companies.

“This is public money,” says Wassmer, “NHS funds being diverted away from services and into the pockets of private consultancies. We know that over £6 million, and possibly more, has been paid from the local NHS budget to this one consultancy for barely 18 months’ work on the local STP. How much more is going to management consultants across the whole of the UK? It’s almost impossible to hold the system to account and I fear it will only be worse with the impending introduction of so-called Accountable Care Organisations (4). Paying millions to private companies, like Carnall Farrar to find damaging cuts within an underfunded service is not only senseless – it’s immoral.”

Diane Langford agrees: “This lack of transparency conceals not only the sums involved, but the role consultancies like Carnall Farrar play in axing services. At our meeting on 7th December, we mentioned that Dame Ruth Carnall had appeared in a 2011 list compiled by the Sunday Telegraph of the highest paid NHS “fat cats” – earning an annual salary of over £200,000 at that time.(5) Glenn Douglas was on the same list, and while he admitted he was still earning in excess of £200,000 a year, the point is that as an NHS member of staff he can be held duly accountable for his work, in a way that private companies like Carnall Farrar cannot.”

Dr Coral Jones, GP, vice -chair of Doctors in Unite and member of Keep our NHS Public commented: “As the campaigners Diane Langford and Julie Wassmer have uncovered, over £6 million has been paid to a single consultancy company run by a former director of NHS London to tell the Kent and Medway CCGs how to cut services. Downgrading of services at QEQM hospital in Margate, as proposed by Carnall Farrar, will put lives at risk. Patients in Thanet and all those in East Kent living miles away from Ashford will be at risk of death, or avoidable disability, after a review of Kent and Medway urgent stroke services plans to concentrate hospital treatment for strokes in three sites across Kent and Medway. There is no discussion of alternatives apart from the concentration of services in three hospitals, and none on how to avoid the poor outcomes for patients when treatment is delayed due to travel times. The use of management consultancy companies is widespread in the NHS. Their reports, costing many millions of pounds, all follow the same formula of cuts, re-configurations and concentration of services. On Saturday 27th January at 10.30 am there will be a community conference (6) at Queens Rd, Baptist Church, Broadstairs CT10 1NU to oppose downgrading of local NHS services and I urge everyone concerned about the NHS in Kent & Medway to come along.” ENDS

Source: http://www.spinwatch.org

“PEDIGREE CHUM”

Owl says: due diligence (lack of) and “chumocracy” – we know a LOT about that in East Devon!

“More than a week after Toby Young quit from the Office for Student Regulator, it has emerged that ministers turned down three other ‘appointable’ candidates in order to give the provocateur-journo his post. Labour MP Kevin Brennan, who got the facts in a Parliamentary answer, accuses ministers of ‘jiggery-pokery’.

Tory MP Robert Halfon said the appointment of Young “smacks of the elite” and was the “chumocracy at work”. There are concerns over the due diligence failures in the case and how more ‘suitable’ candidates were overlooked. It’s unclear when Young’s replacement will be chosen.”

Source: Huffington Post, “The Waugh Zone” online

Andrew Marr defends NHS and confronts May

“BBC presenter Andrew Marr confronted Theresa May over the state of the NHS, suggesting he could have died if he had waited five hours for an ambulance following his own stroke.

The political broadcaster, 58, who suffered a stroke in January 2013, pressed the PM on the crisis, which has led to thousands of routine operations being cancelled in January as the health service struggles to cope with winter pressures.

It comes after the East of England Ambulance Service apologised following the death of a pensioner, 81, in Essex who was left waiting nearly four hours for a crew of paramedics.

Appearing in a pre-recorded interview on the BBC’s Andrew Marr show on Sunday morning, the Prime Minister acknowledged more needs to be done, telling the interviewer: “Of course nothing’s perfect and there is more for us to do.”

Mr Marr claimed funding was not the sole issue facing the service and said the cancelled operations were “part of the plan”.

Presenter Mr Marr challenged her, saying he would not be interviewing her if he had experienced the same delays following his stroke.

“If I’d been waiting for five hours before I’d seen a doctor after my stroke I would not be here talking to you,” he said.

“This is about life and death and up and down the country people are having horrendous experiences of the NHS,” he added, before asking what the PM would say to the daughter of an elderly woman who waited hours to see a doctor.

Mrs May replied: “Obviously you’ve raised an individual case with me which I haven’t seen the details of and I recognise that people have concerns if they have experience of that sort.

“If we look at what is happening across the NHS, what we see is that actually the NHS is delivering for more people, it is treating more people and more people are being seen within the four hours every day than has been a few years ago.

“But of course nothing’s perfect and there is more for us to do.”

On funding, it was suggested to Mrs May that she had done nothing to address increased pressure on the social care system.

The PM replied: “Well yes, we have done something about it, Andrew. I’m sorry, you’re wrong in that.

“We have put extra funding into the social care system and we have worked with hospitals and with local authorities to identify how we can reduce those delayed discharges, ie patients being kept in hospital when they shouldn’t be.”

Mrs May said the Government is working on its long-term plans for social care but would not be drawn on whether there is a need for a brave and radical look at how the NHS is funded.

Asked about whether she agreed with Mr Hunt’s suggestion of a 10-year funding plan, Mrs May replied: “Of course what we’re operating on at the moment is the five-year forward view for the NHS which is the forward view that the NHS themselves came forward with.

“They brought those proposals together.”

Pressed further on cash, Mrs May said: “You keep talking about the money but actually what you also need to look at is how the NHS works, how it operates.”

Shadow health secretary Jon Ashworth said of the PM: “She hasn’t got a plan to get those people off the trolleys and corridors.”

He added to the same programme: “Her only plan apparently is to promote this Health Secretary. They should be demoting this Health Secretary.

“If she promotes this Health Secretary tomorrow it’s a betrayal of those 75,000 people in the back of ambulances.”

Franz Ferdinand drummer Paul Thomson, performing at the end of the programme, appeared to show his support for the health service by wearing a t-shirt with the NHS’s logo above the Nike tick.”

https://www.standard.co.uk/news/politics/bbcs-andrew-marr-confronts-theresa-may-on-nhs-crisis-as-he-warns-he-could-have-died-without-fast-a3733866.html

EDDC’s justification for Exmouth seafront “planning lite” application

Would you or I get away with this?

Exmouth Town Council arranging hurried meeting on 6 January 2018.

Let’s see what they think (Tory dominated, don’t build up you expectations!)

From EDDC to Town Councillors – how to justify the unjustifiable!

One for the Scrutiny Committee? Oh no, wait – not allowed to discuss individual planning applications! But maybe CAN investigate how there are double standards in planning – one for their own officers and one for everyone else.

No – even that’s not right! One for EDDC and its developers and one for the rest of us.

“Queen’s Drive Temporary Uses Planning Application Response to Concerns Raised by Exmouth Town Council

1. CONCERN ABOUT TOO LITTLE DETAIL IN THE APPLICATION.
The lack of detail in the planning application is a result of the tight timescale that we are faced with in delivering the temporary uses.
Time is a key driver for the delivery of the Temporary Uses project. We aim to have new facilities available by early spring 2018.
In order to achieve this, we have to secure a planning permission first, before starting work on the installation of the new facilities.
We also have to go through the research and then procurement process to find the suppliers (and operators where appropriate) for the new facilities.
We realised that if we are to achieve this tight timetable, we would need to undertake tasks concurrently. So we would need to submit a planning application without necessarily knowing the detail of exactly what the facilities would be and who would be supplying them.
We discussed this with our planning advisor and the Local Planning Authority and identified that we could submit a planning application that provided a general description of what we propose to do (and was therefore without too much detail), where (if approved at committee), the planning authority could put conditions on the permission and request the detail at a later time.
We agreed on a strategy for the planning application that would show the three zones for the three different “themes” of what will be on offer. Namely: children’s play, food and drink, and a range of one-off events.

2. CONCERNS ABOUT RESIDENTIAL AREA AND NOISE.
The District Council will have to apply for necessary licences to cover the hours of opening for the operation of the events on site. Again, as yet we do not know the detail of what the events will be as we are still in the research and planning stages. We would not expect that any event would be later than midnight. But note that this will only be on odd occasions – not every night. This application will be heard by the Licensing Committee in due course.

3. CONCERNS ABOUT THE FILLING IN OF THE PONDS.
We do not yet know the specific engineering solution for how the ponds will be filled in. It is thought that this will be loose material topped with sand. Whatever is used to fill the ponds could be removed in the future if required.
4. CONCERNS ABOUT THE TIMING OF SUBMISSION.
We are aiming for the application to be heard at DMC on 6 March 2018.
To meet this date and allow for the lead in period for the application to be processed, we therefore had to submit the application before Christmas (early December). It was not until early December that we had finalised the application ready for submission.

Alison Hayward
EDDC 3 January 2018”

An A and E consultant speaks … and begs for our help

“Dear Journalists,

As an A&E consultant I am writing to ask for your help.

Up and down the country our A&E departments are in meltdown, our staff are at breaking point and we need your help.

Patients are being left in corridors because there are no ward beds for them to go to, staff are leaving shifts demoralised and exhausted and most importantly our patients are not getting the care they deserve.

We need the public to know about this, not to scaremonger, but for the truth to be out there – as the only way to get politicans to change – is by voters knowing the reality and prioritising the NHS at the ballot box.

But without the public understanding what is going on, we will continue to have this crisis year after year after year. This is where we need your help. We need you to report the reality and not peddle the propaganda from our politicians.

The crisis is much worse than what you report. We all talk about the 4 hour target and that we get around 90%. But that includes all the patients who don’t need admission. But for the ones who need admission, the % who get admitted within 4 hours is so so so much lower than that. And for those patients, it is crucial for their well being, that they get admitted within four hours.

Why are you not asking for these figures? That would help reveal the truth.

Then you report 12 hour breaches. But in England (but not the rest of the UK) the clock starts ticking when a specialist senior has seen them. So they can be in A&E for 18 hours and not be a 12 hour breach.

Why are you not asking for the figures of patients who stay in A&E for more than 12 hours? That would help reveal the truth

And what about asking how many patients are spending time in corridors?

Because if you did reveal these figures – you would soon see the real extent of the crisis. And it is a crisis. One which will lead to a breaking point soon unless something changes.

The fault does not lie with the patients. Yes a few inappropriately attend – but they are not the problem; they can be quickly turned around and discharged.

The fault is not with the staff. They are working tirelessly and doing an amazing job despite the conditions they are working in.

The fault does not lie wth managers and hospital executives. They are working relentlessly to make things work as well as they can.

And despite what the governmnet peddle it certainly is not the fault of the GPs. Although there is falling numbers of GP surgeries, they are doing an amazing job at reducing the number of A&E attendances. Most importantly, the fault does not lie with the ‘system’ of the NHS – a model of care which utilities its resources to maximal effect.

The fault lies with the government.

Years of failed austerity depriving NHS and councils of vital monies and investment is taking its toll. A&Es are struggling because of the frail elderly who need a ward bed but cant get one.

They can’t get one because there are not enough beds within our hospitals (we have one of the smallest numbers of bed per capita in the whole of Europe) and because those that need to get out of hospital can’t because of a lack of social care.

In addition some money which has been spent on the NHS had been wasted on pointless reorganisations designed to start the process of NHS privatisation.

Please start reporting that. Please start reporting the truth. Please start reporting how close we are to melt down and please help get the public worked up about what is going on.

Because sadly our government don’t seem that bothered. They and their friends can afford private health care and therefore don’t rely on it. Even worse many would be happy to see our NHS privatised.

But for everyone else we need the NHS. The staff will battle on (and it is a battle at the moment). We will continue to do everything we can. We will continue to adapt, modernise and reform. We will continue to provide the most amazing possible care despite the conditions. But there is only so much our staff can take. And if we lose our staff we lose the NHS.

Journalists -we need your help. Please help.

And if you are not a journalist reading this, please share (publicly), or tweet it or send onto your friends in the hope that journalists will pick this up and start reporting the truth.

Rob Galloway A&E Consultant
@drrobgalloway

“DAVID DAVIS WENT FOR DINNER WITH DAILY MAIL EDITOR AFTER BAILING EARLY ON FIRST ROUND OF BREXIT TALKS”

“Remember when David Davis ran out on the first round of Brexit negotiations after less than an hour? Now we know a bit about what he was doing instead.

The Brexit Secretary had declared it was “time to get down to business” ahead of the talks – but then skipped the majority of the discussions.

He turned up in Brussels at 8am on July 17, spent 15 minutes having a “friendly chat” with EU chief negotiator Michel Barnier and another 45 minutes in a meeting with their respective officials.

After being photographed without any papers and a quick press conference, he was on the Eurostar back to London.

A Government spokesperson told the media at the time that Davis had planned to leave early but denied that the decision was connected to a vote in Parliament.

So what did he get up to upon his return to London? Something more useful than dealing with the nitty gritty of Brexit negotiations?

Transparency documents published by DExEU last night offer us an interesting insight.

They show that on July 18 – while talks were still ongoing in Brussels – Davis had dinner with Daily Mail editor Paul Dacre. …

The Brexit Secretary only reappeared in Brussels when talks finished on July 20 for a press conference which didn’t go well.

Davis was criticised by Barnier over a “lack of clarity” in the Government’s position over the divorce bill.

That’s unsurprising given the extraordinary but real possibility that he may well have spent more time speaking to Dacre than Barnier about Brexit that week.

And it might also explain why, 18 months after the referendum, he’s only just made “sufficient progress” in negotiations.

Proud of yourself, Davis?”

https://politicalscrapbook.net/2017/12/david-davis-went-for-dinner-with-daily-mail-editor-after-bailing-early-on-first-round-of-brexit-talks/

RDE rushes ahead with unaccountable “Accountable Care Organisation” plans

[By total coincidence, of course, Tiverton has the only local 24 bed PFI-funded community hospital which cannot therefore be closed].

NEWS RELEASE
Tuesday 5 December 2017

“Tiverton GP practice due to join hospital trust – pioneering the way for Devon’s first primary and secondary health care integration

On 2 January 2018, Tiverton’s Castle Place Practice and its 50 members of staff*, including GPs, plan to join the Royal Devon and Exeter NHS Foundation Trust (RD&E). This new venture will be the first of its kind in Devon and will provide locally-led seamless care for the Tiverton community
This move fits with the direction of the NHS Five Year Forward View and offers better integrated working by removing organisational barriers. Castle Place is already co-located with Tiverton Community Hospital and has an established close working relationship with the Trust’s community teams so it was a pragmatic option for the practice to approach the RD&E with the proposal to explore a fully integrated model. Whilst offering the opportunity to work differently for the benefit of all the local community, it will also help address some of the challenges faced by primary care, particularly the difficulty in recruiting new GP partners and balancing time for clinical care with the demands of running a business.

Dr James Squire, GP Partner at Castle Place, explains: “This is an exciting new venture for us and one in which our patients’ best interests are central to our rationale for pursuing this change. I’d like to reassure our patients that in the short-term there will be no changes to the services we offer and in the longer-term will only provide better care.

“The ever increasing challenges and pressures are resulting in necessary changes right across the healthcare system. Thankfully, due to our focus on person-centred, continuity of care we have managed to fare some of these challenges well but we know that to maintain this for our current patients and future generations we need to explore new ways of working. There are a number of different ways GPs could adapt but it was important for us that we secured a future which was true to our core values and principles. Joining the RD&E gives us an opportunity to concentrate our efforts on leading and providing excellent clinical care in a way that’s right for our community”.

“This is a bold step for us but the whole team here is motivated to test new ways of working, not only between the practice and the hospital but also with the community services for our population, and we are really keen to share our experiences and learning for the wider benefit.”

Suzanne Tracey, RD&E Chief Executive, said: “At the RD&E we are prioritising working more closely with local health and care partners to support a move towards ‘place-based care’. This is the future of healthcare and we want to help create the conditions which enable communities to take the lead. To achieve this, we envisage working with our partners in a number of exciting and different ways and this proposal initiated by the Castle Place Practice in Tiverton is a great opportunity to put this into practice.

“Whether in primary or secondary care, all of us want to do what’s right for the person and right for a community but sometimes competing demands, targets and finances can get in the way or slow the pace of change. The partnership with Castle Place Practice is a great opportunity for us to work together with GPs to develop more proactive care which keeps people well and independent in their own communities.”

Castle Place Practice’s 15,000 registered patients, which is around half of Tiverton’s population, will see no immediate changes. Staff will continue in their existing roles, patients’ named GP will not change and access to appointments and services will continue in exactly the same way. However, in the longer term it will enable and increase the opportunities for better management of long term conditions plus improve access to care at home and in the community.”

More bad news for ineffective Local Enterprise Partnerships!

The Industrial Strategy is also offering what it calls “Sector Deals”. Partnerships between Government and groups of industries and businesses focussed on specific industrial sectors such as Nuclear Power.

To unlock Government money here are the sort of things Government will require (page 210):

“Deal proposals should have a demonstrable and analytically rigorous impact on the productivity and earning power of the sector.

We expect credible analysis of the impact of any proposals to accompany each specific proposal showing expected increase in GVA, employment or increases in skilled workers, exports or specific investments (including foreign direct investment) resulting from the deal. Tangible commitments are likely to be the most convincing.

Sector Deal proposals need to be realistic and achievable. We are looking for evidence that industry commitments can be delivered and that clear governance arrangements will be set up. Any arrangements should be proportionate to the scale of ambition of the deal itself and designed to ensure commitments will endure. To be credible, deal proposals should include specific delivery plans covering each component of the proposal.”

Click to access industrial-strategy-white-paper.pdf

Demonstrable and analytically rigorous impact on productivity; credible analysis; tangible commitments; realistic and achievable proposals; clear governance: specific delivery plans …

HotSW, our LEP, is going to have to up its game or we shall lose out on each and every one of these.

Government industrial strategy: Local Enterprise Partnerships have to pull up their socks

Unfortunately, we have heard this all before – words do not seem to get translated into actions:

Page 223:

“… We remain firmly committed to Local Enterprise Partnerships. From next year, the Prime Minister will chair a biannual ‘Council of Local Enterprise Partnership Chairs’. This will provide an opportunity for Local Enterprise Partnership leaders to inform national policy decisions.

While Local Enterprise Partnerships across the country have played an important role in supporting local growth, feedback suggests that their performance has varied.

We are reviewing the roles and responsibilities of Local Enterprise Partnerships and will bring forward reforms to leadership, governance, accountability, financial reporting and geographical boundaries. We will work with Local Enterprise Partnerships to set out a more clearly defined set of activities and objectives in early 2018. These will be driven by influential local leaders, acting as figureheads for their area’s economic success, and a clear strategy for local and national partnership.

We will agree and implement appropriate structures for holding Local Enterprise Partnerships to account. We will work with Local Enterprise Partnerships to review overlapping geographies and ensure people are clear as to who is responsible for driving growth in their area. We recognise that in order to deliver their role effectively, Local Enterprise Partnerships need financial support. We will make additional financial resources available to Local Enterprise Partnerships that demonstrate ambitious levels of reform following the review. …”

Click to access industrial-strategy-white-paper.pdf

Tory Minister refuses to give straight answer when asked to confirm his name!

A Tory minister was so reluctant to give straight answers to questions this morning that he wouldn’t even answer ‘yes or no’ to confirm his own name.

Business Secretary Greg Clark was given a thorough going over by Piers Morgan on this morning’s edition of Good Morning Britain.

He was doing a round of TV studios pushing the Government’s new industrial strategy, which he is launching today. But the minister became stuck in a series of Brexit questions – and his evasive answers appeared to frustrate Morgan.

Clark refused to answer whether he would vote for Brexit if there was another referendum, saying it was a “hypothetical question that I haven’t given a moment’s thought to.”

Host Susanna Reid asked him if Brexit was the best thing for the UK, he again failed to give a straight answer, saying: “I believe that we have to get the best deal through these negotiations and I think it’s possible to do that.”

Morgan asked him if that was a ‘yes’, to which he repeated: “I think we can get a good deal. It’s in everyone’s interests to get a good deal.”

Finally, Morgan challenged the Tory minister to give a straight, yes or no answer to one question – “the allegation that you are named Greg Clark.”

After some laughter, and a long, uncomfortable pause, Clark said: “Well, I think you’ve got that.”

Morgan seemed satisfied with his answer, saying: “We’ve established at least one convincing answer.”

But Reid was left unconvinced, adding: “I’m not sure we did. I think there was room for doubt there.” …”

http://www.mirror.co.uk/news/politics/tory-minister-wont-even-give-11594456

Swire’s blog: is this satire?

“ … Despite all this [negative news for Tories – he mentions sexual harassment, Paradise Papers, Brexit shambles] A You Gov poll for the Times found 34% of voters want Theresa May to stay as Prime Minister, up one point from a month a go. It seems middle England, at least at the moment, cannot bear to contemplate the alternative!”

https://www.hugoswire.org.uk/news/view-westminster-difficult-month

Er, doesn’t that mean that up to 66% of people (he doesn’t specify what the choices were which might include “don’t knows”) DON’T want May as PM?

Grenfell Tower resident blogged that fire would be result of council’s deliberate neglect – local media refused to take up the story

Local media knew about this for YEARS but refused to take it up or investigate, leaving a lone Grenfell Tower blogger to document the unfolding disaster. One so-called “local” journalist was actually filing copy from Dorset!

“[Edward] Daffarn [a social worker who had lived in Grenfell Tower for 15 years] is understandably emotional when reflecting on the last few months, but more than that he is angry. Angry with the way he feels Grenfell residents were treated by the Kensington and Chelsea Tenant Management Organisation – the people who were entrusted to maintain the estate and keep its residents safe. Angry with the Royal Borough of Kensington and Chelsea Council, which was meant to scrutinise the KCTMO. Angry with a society which didn’t seem to care about people like him – people who live on housing estates – until it was too late.

“The reality is if you’re on a housing estate it’s indifference and neglect, two words that sum up everything about the way we were treated,” he says. “They weren’t interested in providing housing services, keeping us safe, maintaining the estate. They were just interested in themselves.”
It wasn’t for us to tell the council what they should be doing we were just trying to raise an alarm.

Edward Daffarn, Grenfell Action Group blog

Daffarn and fellow Grenfell resident Francis O’Connor had been blogging on behalf of the Grenfell Action Group since 2012. They wrote about issues that concerned their tight-knit community – air pollution, the closure of the local public library, and their fears that corners were being cut during the refurbishment of the tower.

“We wanted to record for history how a community on a housing estate in the fifth richest country in the world could be ignored, neglected, treated with indifference. We never thought we could make change. We just wanted to record what was happening,” he says.

Daffarn and O’Connor shared a theory that Kensington and Chelsea – a London borough more widely known for its museums, designer shops and flower shows – actually wanted its council estates to go into decline, so that the residents would leave and expensive flats could be built in this sought-after location. For this they were described as fantasists.

“We weren’t fantasists,” he says, visibly hurt. “We were trying to raise genuine concerns about how our community was being run down.”

The natural consequence, he concluded, would be loss of life. Which is why on 20 November 2016, frustrated and desperate, Edward wrote the blog post KCTMO – Playing with fire!

“It is a truly terrifying thought but the Grenfell Action Group firmly believe that only a catastrophic event will expose the ineptitude and incompetence of our landlord.”

A few months earlier a fire had ripped through five floors of a tower block in Shepherd’s Bush, just down the road. Edward was worried that if a fire broke out in his tower block residents wouldn’t know what to do. They had been given no proper fire safety instructions from the KCTMO. There were no instructions on individual floors on how residents should act in the event of a fire, there was only a recent newsletter saying residents should remain in their flats – advice which in the case of the Shepherd’s Bush fire would have led to fatalities.

There’s a lot of abusive behaviour evidenced forensically about what was happening to our community, but it wasn’t sexy so it never got picked up.

In March 2017 the KCTMO installed fire safety instruction notices in the entrance hallway to Grenfell Tower and outside the lifts on every floor of the building, again urging residents to “stay put” unless the fire was “in or affecting your flat”.

It wasn’t the first time the Grenfell blog’s authors had raised concerns about fire safety.

Before the blog began, when a school was built on the only green space the residents had, they wrote to the borough pointing out that access for fire and emergency vehicles had been compromised.

Later they blogged about the blocking of a fire exit with mattresses during the refurbishment and the power surges in 2013 that manifested in flickering lights, computers and stereos blowing up, and entire rooms filling with smoke. These continued for three weeks, Daffarn says.

“We were tenants we weren’t fire safety specialists but we were switched on enough to feel this was important and it was not being dealt with on our estate and that’s why we were blogging. It wasn’t for us to tell the council what they should be doing., We were just trying to raise an alarm.”

An alarm that went unanswered. The November 2016 blog post represented the last moment at which something might have been done to avert the disaster which followed six months later. But why didn’t anyone heed or investigate Daffarn’s claims?

Hidden within the story of the Grenfell blog is another story of the decline of local media. There simply was no local press on the ground in the borough of Kensington and Chelsea scrutinising the authorities and helping to amplify the voice of people like Edward Daffarn.

The last time he had the attention of a local journalist was in 2014 when Camilla Horrox, the reporter for the Kensington and Chelsea Chronicle ran front page stories about Grenfell residents’ concerns regarding the possible presence of asbestos on the site of the new school and about the power surges.

She had met Daffarn several times, and had been concerned about KCTMO’s dealings with the residents of the properties it managed.

But when the newspaper was closed down later that year Horrox was made redundant and all her Grenfell articles disappeared from the web. The Kensington and Chelsea Chronicle was incorporated into a website that reports on 29 west London districts.

Horrox’s replacement was expected to report on three boroughs – Kensington and Chelsea, Westminster and Hammersmith and Fulham – while based in Surrey, an hour’s drive away.

Some residents of the borough might have been under the mistaken impression that they did have a local newspaper. In 2015 a free paper, The Kensington and Chelsea News, was established to fill the gap left by the closing of the Chronicle.

But when I tracked down its reporter he explained that he was the sole reporter working on the paper, and on two other local newspapers – his salary was £500 a week and he did almost all his reporting from home in Dorset, 150 miles away. He made it to the borough only twice in two-and-a-half years, and the one story he ever published about Grenfell was from a council press release about the installation of the new cladding.

Though he always searched for a “good front page splash” for each of the three editions, he also made sure to find two pages of royal stories and two pages of entertainment stories.

Edward Daffarn didn’t take his concerns to the media in November 2016 because he no longer thought anyone would listen. But the blog was out there for everyone to see, he points out, if only they had been looking.

“We’d been blogging for three or four years and you go back over that time there’s a lot of abusive behaviour evidenced forensically about what was happening to our community, but it wasn’t sexy so it never got picked up.”
For Edward, what was going on at Grenfell wasn’t just a local story, but a national one. A story about invisible people in a society that cared more about celebrity and wealth than its most vulnerable residents.

Close to tears, he admonishes the nation’s journalists.

“If you look back now our whole community of North Kensington, the policy that the local authority was taking every public space and privatising it, that that could be missed by the BBC, by Channel Four, by these wider news agencies… The question should be for you, why did you miss it?
“Why aren’t our lives important enough for you?”

http://www.bbc.co.uk/news/stories-42072477

When is government funding not government funding?

… When you announce a fund of £1.7 billion and, in the same press release, announce that you have only agreed to spend £250 million!

“… The Transforming Cities fund aims to improve connectivity, reduce congestion and bring in new technology to create high-quality jobs and spread wealth around the country.

Some £250m has already been allocated to the West Midlands. …”

https://news.sky.com/story/theresa-may-reveals-16317bn-transport-boost-ahead-of-budget-11135211

Jobs, how many? It depends on who is doing the counting

Press releases say that 500 jobs have been created at the new Lidl depot in East Devon.

PLEASE note that this is NOT the same as 500 full-time jobs. It is quite possible that many jobs are for a limited number of hours.

Newspapers are sloppy about this. Often the number of promised jobs, when converted to full-time equivalent hours (FTE) can be half this number or even less.

ALWAYS ask “How many full-time equivalent jobs?” and get it in writing from the employer.

What the Tory council did next after Grenfell Tower tragedy

“The council responsible for Grenfell Tower has been accused of wasting huge sums of money after it emerged it was trying to recruit more than two dozen communications staff to spread the message about its work in the aftermath of the fire.

Kensington and Chelsea council is advertising for as many 28 “communications and engagement professionals” on one-year contracts. With salaries ranging from £26,500 to £49,500, the move could cost as much as £1m….”

https://www.theguardian.com/uk-news/2017/nov/09/grenfell-council-accused-of-wasting-up-to-1m-on-communications-jobs

Do tors question privatisation – no confidence in contractor Capita

Oh Lord, government says it is “holding Capita’s feet to the fire”. Would that be the same fire that MP Neil Parish said he was holding the CCG’s feet to, just before Honiton and Seaton hospitals closed?

Not much of a fire, feet rather a long way from it.

“Doctors raise alarm about controversial private company’s plans to overhaul cancer screening

GP representatives have raised concerns about the potential risk of delayed or missed cancer diagnosis from a new IT service being developed to administer smear testing for cervical cancer.

The British Medical Association’s GP Committee (GPC) has written to NHS England chief executive Simon Stevens to highlight the continued failures in key back-office functions from paying doctors to registering patients.

The problems all relate to a major contract for primary care “support services” that are essential to the day-to-day running of GP practices, dentists, opticians and pharmacists.

NHS England decided to contract for a single national supplier and awarded a contract to outsourcing giant Capita, starting in September 2015.

The BMA letter says major problems have persisted since NHS England commissioned the service two years ago, changes the letter says are “putting patients at risk”.

But it warns there are more changes planned for next year.

GPC chair Dr Richard Vautrey writes: “We understand that new systems for both cervical screening and GP payments and pensions are due to go live in July of next year.

“We are very concerned that preparations are not sufficiently advanced at this stage of the projects to guarantee a seamless transfer to the new service.”

“We have no confidence in Capita’s ability to deliver this service,” the letter adds.

A spokesperson for Capita told The Independent that a final date had not been set, but did confirm that a July deadline has been discussed.

They added that the new service was being developed alongside NHS England, NHS Digital and Public Health England.

Capita’s support services website shows it is responsible for updating and operating key elements of the National Cervical Screening Programme.

The programme invites women aged 25 and 64 years for a routine smear test every three years, and health chiefs warned earlier this year that screening uptake had hit a 19-year low. …

… A Capita spokesperson said: “This is a major transformation project to modernise a localised and unstandardised service, which inevitably has meant some challenges.

“This letter does not accurately reflect our involvement and responsibilities in PCSE, nor does it reflect our recent correspondence from NHS England who have recognised the improvements and significant progress being made across services in 2017, which has been demonstrated through improved and increasing customer satisfaction.

NHS England said: “We are holding Capita’s ‘feet to the fire’ on needed improvements”.

http://www.independent.co.uk/news/health/nhs-cancer-screenings-changes-capita-overhaul-doctors-raise-alarm-a8036381.html

Tory DCC Councillor and Cabinet member for adult social care and health services) attends commercial enterprise event

A company looking for new home care assistants (which Owl will not name) is pulling a publicity stunt to attract both new carers and new clients. DCC and other councils (and Archant Newspapers) are said to be giving their support to such initiatives, saying that:

“The vacancy rate is estimated at 6.9 per cent with some 9,000 adult social care vacancies across the region at any one time.

And across the South West an estimated 30,000 new care jobs will be needed by 2025. …”.

The care company has arranged a Q and A meeting with local health care big wigs – including an influential Tory DCC councillor – and is publicising it via a press release (no doubt related word for word by Archant) in local Archant newspapers (coincidentally Archant being a large provider of advertisements for such jobs).

What puzzles Owl is why the DCC Tory councillor is enthusiastic to be associated with such a commercial publicity stunt when local people find it almost impossible to get him and other Tory councillors to speak about social care anywhere else? Even in DCC meetings!

You know who we mean – Councillor Andrew Leadbetter (DCC), Cabinet member for adult social care and health services.

“[A local home care company] is asking people for their views on ageing, their perception of what care means and the questions that ‘up until now they’ve been reluctant to ask’.

The home care provider has launched its (details) campaign, with pop-up events around Exeter this month, as well as on Facebook and Twitter.

On Wednesday, November 8, the top 10 questions will be put to an expert care panel, including:

Martyn Rogers (Age UK, Exeter),
Cllr Andrew Leadbetter (Devon County Council Cabinet member for adult social care and health services),
Dr Michael Dixon (GP, mid-Devon) and
William Flint [the care provider] …

… Devon County Council (DCC) and 15 other councils from across the region are also hoping to boost recruitment in the care sector with its Proud to Care campaign.”

http://www.exmouthjournal.co.uk/news/trio-of-campaigns-in-east-devon-will-kick-start-vital-conversations-about-care-1-5251282

The event is said to be on 8 November, but no venue is specified – you have to contact the home care company for more details.

Parish on our environment

I challenge anyone to take away one bit of useful information from this embarrassing exhibition of total pompous waffle!