Claire Wright gets debate on NHS winter care crisis at next DCC Health and Adult Care Scrutiny meeting

From the blog of Claire Wright:

“I have asked the chair (Sara Randall Johnson) that a report on Devon hospitals winter pressures – ie A&E waits, delayed discharges, how many patients are waiting to be discharged etc, is presented at the next

Devon County Council Health and Adult Care Scrutiny Committee on
Thursday 25 January.

This has been agreed.

The agenda papers are out next week so we will know more then.

Also on the agenda is a presentation from NHS Property Services/NEW Devon CCG on the future of our community hospitals – asked for by Cllr Martin Shaw and I at the November meeting ….”

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

Judicial review of Accountable Care Organisations allowed

“A judge has granted permission for national campaign group 999 Call for the NHS to bring a Judicial Review of NHS England’s draft Accountable Care Organisation contract.

The group believe this is not only unlawful under current NHS legislation, but would threaten patient safety standards and limit the range of available treatments. The case will be held in Leeds High Court on 24th April 2018.

‘999 Call for the NHS’ and internationally recognised public law firm Leigh Day are launching the third and final stage of their crowdfund on 12 January, in order to cover all the costs of bringing the Judicial Review, and are appealing for £12,000. This amount, when added to existing funds donated by hundreds of generous members of the public in 2017, will cover the £37,000 cost of the Judicial Review.



The link to crowdfund is: Crowd Justice Healthcare4All Stage 3 . Please give what you can – any amount is useful.

 The crowdfunding starts at 6pm this evening.

Recognising that it is in the public interest to establish if the Accountable Care Organisation contract is lawful or not, the Judge has awarded 999 Call for the NHS a capped costs order of £25K. This limits the costs that the campaign group would have to pay NHS England, were they to lose the case.



999 Call for the NHS – originally well known as the Darlo Mums who organised a 300 mile Jarrow to London People’s March for the NHS in 2014, culminating in a rally in Trafalgar Square attended by 20,000 people – are challenging NHS England’s introduction of a model contract for use by new local NHS and Social Care organisations, known as Accountable Care Organisations (ACO).

We can help https://www.crowdjustice.com/case/healthcare4all-stage3

Interestingly Dudley Clinical Commissioning Group “is in the process of trying to establish …perhaps the only example of an advanced ACO type model”, according to the Health Service Journal (HSJ), and had hoped to award the Accountable Care Organisation contract by April 2018. Now however, they have confirmed they are planning to award the contract after guidance by NHS England and NHS Improvement (the Regulator with Dido Harding as ‘Chair’) with a start date in April 2019.

Has the 999 Call for the NHS Judicial Review put a spanner in the works? We can only guess!

According to the HSJ, the Dudley Clinical Commissioning Group had planned that the contract would take forward the “multispeciality community provider” (MCP) new care model, (a form of Accountable Care Organisation). Worth £5bn, the contract would incorporate a capitated (per person) budget to cover much of the health and some social care for the population in the area. This is not the usual current form of payment for NHS treatments, which is based on the actual costs of treatments that are provided.

What happens if the Accountable Care Organisation budget for the population does not meet the costs of the treatments that patients need? Who gets treatment then?

Please help us fight the dismantling of the NHS, to save healthcare for all. https://www.crowdjustice.com/case/healthcare4all-stage3

Sign and share

https://you.38degrees.org.uk/petitions/stop-the-plans-to-dismantle-our-nhs
Many thanks”

Source: 38 Degrees

Infrastructure: Shortfall of £270m over period of Local Plan says external auditor

“Appendix A page 39

Click to access 180118bpauditgovernaceoperationalrisk.pdf

“Current estimates show that there will be a £270 million shortfall in infrastructure over the period of the Local Plan. Changes in legislation are needed to address this albeit a CIL charging schedule review is underway and may improve the situation. Fundamentally the current system relies on funding from other sources and infrastructure providers and so pressure needs to be put in bodies such as DCC, NHS etc to help fund infrastructure projects in the district.”

External auditor reports on risks of combined authorities

“In July, the NAO published its report on Progress in setting up combined authorities which concludes that for combined authorities to deliver real progress they will need to demonstrate that they can drive economic growth and contribute public sector reform.

These authorities have inherently complex structures and are not uniform.

They vary in the extent of the devolution deals they have struck with government. The combined authority with the greatest degree of devolution, Greater Manchester, has now absorbed control over the office of the police and crime commissioner and fire and rescue services.

Others are currently primarily focused on transport issues, as well as housing and regeneration.

The report highlights a number of risks including:

— local councillors will have limited capacity for the overview and scrutiny of combined authorities. Furthermore, in May 2017, six mayors were elected to combined authorities in England, with candidates having campaigned on manifestos which frequently made policy commitments beyond the current remits of these organisations. This raises the question of whether mayors can be credible local advocates if they only deal with the limited issues under the remit;

— a number of authorities have been unable to bring local authorities together to establish combined authorities, while areas with a long history of working together have often found it most straightforward to establish combined authorities;

— the capacity of most combined authorities is currently limited and the lack of geographical coherence between most combined authorities and other providers of public services could make it more problematic to devolve more public services in the future;
and

— if the United Kingdom’s departure from the European Union (EU) results in reductions in regional funding, the economic regeneration role of combined authorities would become more pressing. Combined authorities are generally in areas which receive the most EU funding. The North West, for example, is scheduled to receive in excess of 1 billion euros in European Regional Development Funds, European Social Fund, and Youth Employment allocations between 2014 and 2020.”

The report is available on the NAO website at:
http://www.nao.org.uk/report/progress-in-setting-up-combined-authorities/

https://eastdevonwatch.org/2018/01/01/conflict-of-interest-at-hinkley-c-oddly-not-at-our-lep/

page 41

Primary school children made to pay to play with school equipment!

“A primary school has been accused of segregating children in the playground based on whether or not their parents contributed towards the cost of sports equipment.

Those whose parents had paid for the footballs, skipping ropes and other items were allowed to play with them at lunchtimes, while those whose parents had not were excluded from the games organised by a member of staff.

Parents launched a petition online, accusing the headteacher of Wednesbury Oak Academy, in the West Midlands, of separating the children into “paid” and “unpaid” pupils.

“This has caused outright disgust from children, parents, grandparents, staff and suchlike,” the petition read. “The parents that have paid and parents that haven’t are totally against the separation of the children as this can cause upset, bullying and social exclusion among other things.”

After coming under pressure, the school’s governors quickly scrapped the system. “We have listened to the concerns raised and will be ending the scheme with immediate effect. We are a school that believes in putting our children at the heart of everything we do,” said Elizabeth Perrin, the chair of the school governors…. “

https://www.theguardian.com/education/2018/jan/11/west-midlands-school-accused-of-segregating-children-in-playground

Find out how your NHS hospital is coping this winter

“Your nearest trust is Royal Devon And Exeter NHS Foundation Trust.

It has had to add 641 extra bed days so far this winter.”

https://www.theguardian.com/society/ng-interactive/2018/jan/11/how-the-nhs-winter-beds-crisis-is-hitting-patient-care

Clinton Devon Estates and Blackhill Quarry: a critical test of the company’s environmental credentials and standards

A correspondent writes:

Sites of Environmental Significance:

We have three very special environmental sites in, or on the edge of, East Devon protected by stringent European and UK Habitat Regulations: the Exe Estuary, Dawlish Warren and the Pebblebed Heaths.

Clinton Devon Estate (CDE) is the owner of 80% of the the Pebblebed Heaths, including the land of Blackhill Quarry.

CDE web site proclaims “Responsible stewardship and sustainable development are at the heart of everything we do”.

So it seems extraordinary that CDE, instead of promoting the reinstatement of the Blackhill Quarry site as part of the Pebblebed Heaths, should, instead, be seeking to turn it into an industrial site with all the accompanying pollution (noise, light, traffic etc).

Recently Aggregate Industries withdrew an application to continue quarrying on the site and has been restoring the site to encourage wildlife. Indeed, Aggregate Industries was awarded runner up and highly commended at the Mineral Product Association’s Biodiversity Awards 2017 for its restoration of the sand and gravel quarry.

“This is an unique wildlife habitat situated close to Exeter. Designated a Site of Special Scientific Interest, a Special Area of Conservation and a Special Protection Area, this area represents one of the most important conservation sites in Europe.”

http://www.pebblebedheaths.org.uk/

Also, studies have shown these are popular local sites, and access to them is vital to the local economy and highly valued by local people.

Access has widespread benefits including health, education, inspiration, spiritual and general well-being. While much of the access takes place regardless of the wildlife interest, that wildlife interest is also a part of the specific draw for many people. New development in the area is putting this under pressure not only by destroying green space but by increasing the footfall on what is left from an ever larger population. Local authorities have a legal duty to ensure no adverse effects occur as a result of their strategic plans.

Legally, there can be no building within 400m of these sites and also any development within 10Km requires a formal Habitats Protection Assessment with favourable conclusions. EDDC, however, accepts a funding levy from developers to get around having to do this individually, effectively taking on the responsibility for mitigation delivery themselves.

Though money might do a lot of things, it can’t create more land.

Your correspondent recalls a time when CDE were talking of using the old industrial site to enhance the existing recreation experience of the Heath. And now it wishes to develop an industrial site.

Do they think the prohibition on building within 400m doesn’t apply to them?

East Devon in bottom ten percent for electric vehicle charging points

“East Devon

Has 202 electric vehicles, and 0 public charging points.

This equates to <0.01 public charging points per electric vehicle, ranking it 328/380 in the country.

Electric vehicles make up 0.22% of all cars and vans in East Devon.”

http://www.dailymail.co.uk/news/article-5258129/Interactive-map-reveals-best-places-electric-cars.html

Theresa May accused of buying Tory MPs’ support – nearly half Tory MPs getting pay perks

“Theresa May has been accused of “buying the loyalty” of Tory MPs by paying nine of them about £10,000 a year extra to be party vice-chairmen.
Labour’s Chris Bryant claims the cash, which comes from Conservative Party funds, amounts to “hush money”.

The jobs were handed out to the MPs, including some who had lost ministerial posts, in Mrs May’s reshuffle.

According to The Times, they are being paid varying amounts depending on their past experience.

A Conservative spokesman said: “Our new team of vice chairs bring a diverse range of experience to the party.

“The party has decided to offer some remuneration for these positions, reflecting both the importance of these roles and the commitment expected of them.”
The new vice-chairmen were appointed by Mrs May as part of a shake-up of Conservative central office aimed at attracting more young people and ethnic minority voters to join the party.

Brandon Lewis was installed as the new party chairman, with James Cleverly as his deputy.

The vice-chairmen include junior ministers, such as Chris Skidmore and Marcus Jones, who were sacked in the prime minister’s reshuffle and will, therefore, have lost their ministerial salary of £22,000 a year, which comes on top of their £74,962 MPs’ pay.

The new vice-chairmen come in addition to the party’s existing four vice-chairmen and others given what Chris Bryant described as “semi-government” jobs, such as the 15 MPs acting as trade envoys.

“It has never been done before as far as I am aware,” said Mr Bryant, a former Labour minister, of the new vice-chairmen.

“It is basically a means of keeping them on board and extending the prime minister’s patronage.”

“It means they can be sacked,” he added, if they voted against the government or showed disloyalty.

The size of the so-called “payroll vote” – backbench MPs whose independence is supposedly compromised by being given paid or unpaid roles in government – has been a source of controversy under successive governments.

The Ministerial and Other Salaries Act 1975 says the maximum number of paid ministerial posts should be 109, with the size of the cabinet limited to 21 ministers.

Prime ministers can also appoint MPs to unpaid roles, such as Parliamentary Private Secretaries, or invite ministers to attend cabinet without being full members – there are six ministers in this category in Mrs May’s new line-up.

The BBC estimates that there 105 Tory MPs – out of a total of 316 – on the “payroll vote,” following Mrs May’s reshuffle, but that is before the new list of Parliamentary Private Secretaries has been released, which could take the total to 150 MPs, nearly half of the Parliamentary party.”

http://www.bbc.co.uk/news/uk-politics-42633471

Clinton Devon Estates blots its eco copybook at Blackhill Quarry

Will Woodbury ever be free of industrial onslaught?

A controversial Outline Planning Application has been submitted by Clinton Devon Estates for an Extension to an engineering works at Blackhill Quarry instead of returning the area to heathland as originally agreed.

The plan shows the outline application seeking approval for construction of up to 3251 sqm (35,000 sq. ft.) of B2 (general industrial) floor space with access, parking and associated infrastructure (details of appearance, landscaping, scale and layout reserved for future consideration) at Blackhill Quarry Woodbury Exeter EX5 1HD.

EDDC Planning Website 17/3022/MOUT

Electoral Reform Society publishes four hard-hitting articles

There’s a lobbying scandal brewing in the House of Lords”

“As if the House of Lords did not already look like a private members’ club, an investigation by The Times has revealed that peers can continue to use the House of Lords’ subsidised dining rooms even after they retire.”

That means former politicians, who were not elected but selected for the role – are enjoying cheap food and drink thanks to taxpayers’ hard-earned cash. …”

https://www.electoral-reform.org.uk/theres-a-lobbying-scandal-brewing-in-the-house-of-lords/

Referendum spending is a murky world – when it should be crystal clear

“Negotiations on the UK’s exit from the European Union will dominate much of the political agenda this year. But 18 months on from the Brexit referendum, questions are still being asked about whether campaigners played by the rules when it came to spending. …”

https://www.electoral-reform.org.uk/referendum-spending-is-a-murky-world-when-it-should-be-crystal-clear/

Political parties are too reliant on big donors – and it has to change

“The Mirror today published research findings showing that 39% of all cash donations to the Conservative Party declared so far this year are from 64 individuals and their businesses.

The 64 in question are all members of an exclusive donor club with a £50,000 annual membership fee.

This grants them access to senior party figures via swanky dinner events. Ministers who have attended in the first half of this year include Theresa May, Boris Johnson, Philip Hammond and Jeremy Wright. …”

https://www.electoral-reform.org.uk/political-parties-are-too-reliant-on-big-donors-and-it-has-to-change/

Ministers are ignoring the elephant in the room when it comes to boundaries

“Because of the current winner-takes-all voting system for electing Members of Parliament, 22 million votes were wasted at last year’s General Election – that’s 68% of the total votes cast.

So no matter what the size of your constituency is, most votes went into the black hole of our voting system.

That means 22 million people not just being under-represented – but not being represented at all in Parliament’s elected chamber.

Their votes are being thrown on the scrapheap – and the result is a highly distorted legislature that fails to represent the country. …”

https://www.electoral-reform.org.uk/boundaries-need-reforming-but-the-real-affront-to-democracy-is-first-past-the-post/

Swire’s biggest concern this week: pensioners in Zimbabwe

Oral Answers to Questions – Foreign and Commonwealth Office: Veterans Abroad: Military Covenant (9 Jan 2018)
https://www.theyworkforyou.com/debates/?id=2018-01-09a.155.1&s=speaker%3A11265#g155.2

Hugo Swire: What discussions he has had with the Secretary of State for Defence on the application of the Military Covenant’s Duty of Care to veterans living abroad.

Oral Answers to Questions – Foreign and Commonwealth Office: Veterans Abroad: Military Covenant (9 Jan 2018)
https://www.theyworkforyou.com/debates/?id=2018-01-09a.155.1&s=speaker%3A11265#g155.4

Hugo Swire: Of course, we very much welcome that. According to the campaigning charity, ZANE: Zimbabwe A National Emergency, there are 600 former British servicemen—those who have served the Crown—and widows of servicemen living in considerable pensioner poverty in Zimbabwe. Does the Minister agree that although the financial responsibility is that of the Government in Harare, the moral…

Four million people affected by NHS cancellations and waiting times

“Four million people have been directly affected by NHS cancellations and long waiting times, a poll has suggested.

It also found the majority of the public (65%) believe the Government is badly managing the current pressures on the NHS.

And almost half (44%) blame No10 for the crisis, the YouGov survey showed….”

http://www.mirror.co.uk/news/uk-news/four-million-people-directly-affected-11826172

Powerful new video: SOHS – Care Closer to Home isn’t Working

Should be required watching for everyone in Devon – made on a shoestring by campaigning group Save our Hospital Services. A starring role for Independent DCC Councillor Claire Wright – our only hope for common sense in East Devon.

Please watch NOW and pass the link to everyone and anyone, inside and outside Devon who can amplify this message.

Exmouth Royal Beacon Hotel in administration

“THE company behind one of Torbay’s best-known hotels has gone into administration. But company boss Keith Richardson said all the hotels remained open and it was ‘business as usual’. …

… The companies operate a collection of five hotels including the Grand Hotel in Torquay, The Royal Beacon Hotel in Exmouth, The Falmouth Hotel in Falmouth, The Fowey Hotel in Fowey and The Metropole Hotel in Padstow.

All have either three or four stars and are notable for their prominent seaside locations, period architecture and award-winning dining.

All five hotels will continue to trade on a business as usual basis while the administrators assess the current financial position and available options. …”

http://www.devonlive.com/news/devon-news/top-devon-hotels-administration-boss-1033893

Sandy Bay caravan park looks bigger than some East Devon towns!

“The holiday park, at Sandy Bay, is holding an open day on Saturday, January 20, from 10am until 3pm, where applications will be accepted for more than 400 vacancies.

Pat Titley, talent manager at the holiday park, said staff training starts at the end of January in readiness for March 1 and the new holiday season.

Allen Main, Devon Cliffs Holiday Park assistant general manager, said last year more than 23,000 families holidayed at the attraction. …”

http://www.exmouthjournal.co.uk/news/exmouth-hundreds-of-jobs-available-as-devon-cliffs-launches-summer-season-recruitment-drive-1-5348502

Plymouth and Torbay to share some strategic planning functions – so where does LEP fit in?

So where does our Local Enterprise Partnership fit in with these emerging Strategic Planning areas of Plymouth/Torbay and Greater Exeter/East Devon/Mid Devon/Teignbridge Strategic Plan?

It’s all getting very confusing! Well, except that most of the LEP Devon and Somerset plans and money end up surprisingly close to Hinkley C!

“Plymouth and Torbay councils could share some planning services under plans to be discussed later in January.

Plymouth’s cabinet will discuss an “in principle agreement” looking at sharing some planning functions with Torbay Council on 16 January.

Torbay requested the partnership after a service review by Plymouth City Council last year made a number of recommendations.

Areas which could be covered under the arrangement include strategic and local planning, environmental policy, natural infrastructure and major developments.”

http://www.bbc.co.uk/news/live/uk-england-devon-42543152