Care Quality Commission considering transferring control of its Clinical Commissioning Group to Cornwall Council

AND

“On the same day as the Royal Cornwall Hospitals Trust has been placed in special measures, the CQC has also highlighted problems with the wider health and social care system in Cornwall.

It said too many patients were stuck in hospital waiting for the support they needed to live at home, or be placed in residential care, and managers had lost sight of the needs of people using services.

Its review calls for “urgent and significant change to improve” to ensure people move through the system more effectively.

NHS England said it was considering transferring the management of the county’s Clinical Commissioning Group to the council. A director of adult social services and health integration could also be appointed.”

http://www.bbc.co.uk/news/live/uk-england-devon-41434125

Another south-west hospital buckles under the strain

Which pushes the falling domino to Plymouth … which pushes it to Exeter … which pushes it to … us.

“The Royal Cornwall Hospitals Trust has been placed in special measures following a damning report from health watchdog the Care Quality Commission.

Inspectors visited the trust in July and raised concerns about patient safety in surgery, the maternity unit and the paediatric emergency department, as well as long delays in cardiology and ophthalmology.

Chief Inspector of Hospitals Professor Ted Baker said patients had been “let down” with some “placed at risk” and the people of Cornwall “deserved better”.

Speaking on BBC Radio Cornwall, the trust’s chief executive Kathy Byrne (pictured) apologised unreservedly for the trust’s failings.

She said patients should “not be worried” and the trust had taken action on all the areas of concerns raised by the CQC’s warning notice.”

http://www.bbc.co.uk/news/live/uk-england-devon-41434125

Exmouth water sports centre plans revealed

First thoughts?

Owl’s – well, it doesn’t look like it will win any design awards! Personally, Owl preferred the boating lake and swan pedallos.

http://www.devonlive.com/news/devon-news/watersports-centre-plans-exmouth-seafront-575281

DCC Ind. East Devon Alliance Councillor Martin Shaw will try again to get DCC to see sense on bed closures

“PRESS RELEASE
Tomorrow (Thursday) Devon County Council will discuss a new call to review the controversial closure of beds in community hospitals in Honiton, Okehampton, Seaton and Whipton.

I have been told my motion will be discussed, rather than referred to Cabinet as is normal with most motions.

The motion proposes to redress the widely perceived failure of the Health Scrutiny Committee to properly scrutinise NEW Devon CCG’s decisions, which has allowed the CCG to go ahead with the closures.

The motion asks Health Scrutiny, which alone has legal power to refer the decision, to look again the outstanding issues, while at the same time committing the Council to alerting the Secretary of State to the disquiet in the County over the issue.

The motion also highlights the urgent call by Simon Stevens, Head of the NHS in England, to free up more hospital beds in view of the danger of an extreme flu season this winter.

I will issue the text of my speech tomorrow morning.

Martin Shaw
Independent East Devon Alliance County Councillor for Seaton & Colyton”

Conservatives talking of building council houses is an example of “cognitive dissonance”

“If you want to see cognitive dissonance in action, watch the Conservative party try to develop popular housing policies without contravening its loyalty to developers, landlords or free market fundamentalism.

For years, experts from across the housing sector have called for investment in social housing and proper regulation of the private rented sector, so it was entirely predictable that Theresa May’s flagship policy at this year’s conference was a £10bn boost for the housing bubble in the form of the Help to Buy scheme. There may now be some move towards investment in housebuilding – albeit in partnership with large corporations – but the problem remains that the Conservatives are unwilling to confront the origins of the UK’s “great housing disaster”.

This apparent inability to understand root causes is a tendency that has afflicted successive governments. In 1989, as Margaret Thatcher’s government finalised the deregulation of the private rented sector, it was put to the then housing minister, Sir George Young, that some tenants might struggle with rents that would inevitably rise once rent controls were lifted. “If people cannot afford to pay that market rent,” Young assured, “housing benefit will take the strain.”

Fast forward to 2010 and the coalition government’s decision to cap housing benefit because its expenditure in the private rented sector was “out of control”. No one in David Cameron’s government mentioned deregulation, but to anyone who knew the history, the connection was clear: private sector tenants were now to be punished for the consequences of Thatcher’s reforms.

Jeremy Corbyn’s recent announcement that Labour would reintroduce some form of rent control has prompted landlords to warn that such a move would be a “disaster” for tenants. Landlords often claim to be acting in the best interests of tenants, yet cases in which tenants themselves laud the merits of uncontrolled rents are rather more difficult to find.

… It is clear that the UK needs investment in social housing, but regardless of what May announces today it will take time to build the number of homes needed to have a knock-on effect on prices. In the meantime, there are various models of rent control that have been proven to create more secure, affordable and sustainable rented sectors in other countries. Adopting a model such as that proposed by Generation Rent above would improve the lives of millions of renters in the here and now.

The truth is that the UK’s housing crisis is not merely a problem of supply and demand, but of class inequality being reproduced through property relations. Perhaps it is the prospect of the present system being curtailed that some find so terrifying.

• Matt Wilde is a research fellow in anthropology at the London School of Economics and Political Science.”

https://www.theguardian.com/commentisfree/2017/oct/04/theresa-may-wont-fix-housing-disaster-rent-controls

Devon to be one of worst-hit areas for inability to cope with ageing population

Devon will have largest shortage in number of beds, with a projected 1,921 short by 2022

“… Izzi Seccombe, from the Local Government Association, said: ‘These findings reinforce our warning about the urgent need to reform adult social care and deliver a long-term sustainable solution that delivers a range of high-quality care and support for the growing numbers of people who will need it.

‘It is absolutely critical that the Government uses the Autumn Budget to bring forward its consultation for social care announced in the Queen’s Speech, and that it works with local government leaders in delivering a long-term sustainable solution for social care.

‘To tackle the problems we face tomorrow, we must start planning today.’

http://www.dailymail.co.uk/news/article-4946632/Nine-10-areas-run-care-home-places.html

A Tory council leader pleads for cross-party initiatives and unitisation to cut costs

Owl sats: One has to wonder if he would be putting out the same message if his party had a majority.

“Austerity means careful, selective investment is needed in core services, says Martin Tett, the Conservative leader of Buckinghamshire council

“… Less than a fortnight ago, the LGA sent chancellor Philip Hammond a 40-page submission ahead of the autumn budget which warned that services in England were at “tipping point” as a result of significant funding gaps, pointing to children’s services, adult social care and homelessness. By the end of this decade, English town halls will have seen £16bn of reductions to government grant funding – and from April 2019, 168 councils will not receive any funding for day-to-day expenditure.

Among its many appeals, the umbrella body urged the government to meet a £5.8bn funding gap facing existing local services by 2019/2020, of which £2.3bn is identified in adult social care. This figure includes £1.3bn that the LGA says is needed immediately to stabilise the adult social care market. This is despite an additional £2bn announced by Hammond in his spring budget to help councils cope over the next three years.

It also reiterated its call for greater financial flexibility and powers to allow town halls to build new homes in large numbers once more. …

… Alongside its urgent plea for cash for adult social care, the LGA has called for cross-party talks at national level to find a long-term solution to the social care funding crisis. The move echoes a call made by the Commons select committee for communities and local government in March that concluded that inadequate funding was having a serious impact on both the quality and level of care, and said a long-term fix was urgently necessary. Earlier this year, former Lib Dem social care minister Norman Lamb and a small group of cross-party MPs urged the prime minister to set up an NHS and Care convention to work on a sustainable settlement. A recent poll by the charity Independent Age showed that 86% of MPs believe a cross-party consensus is needed. The LGA has even offered to host the first round of discussions. …

… One way to save significant money would be to replace the two-tier system of one county and four district councils with one unitary authority. Having responsibilities split across two tiers of local government is crazy, says Tett. Districts, for example, are responsible for housing, counties for infrastructure – yet they are “two bits of the same jigsaw”. It would speed up decision-making, end the confusion about who is responsible for which services and allow a more holistic approach, such as joint commissioning across housing, health and care, he says.

The business case for unitary authority status has been in communities secretary Sajid Javid’s in-tray since last September. Tett is waiting to see if the reasoned argument will be heard.”

https://www.theguardian.com/society/2017/oct/03/martin-tett-social-care-decent-housing-austerity-neglect-investment

The destruction of trust in the NHS? Hunt has an app for that

“Jeremy Hunt spoke to the Tory conference in Manchester today about the NHS. It was a bizarre spectacle.

Hunt gave the Tories the credit for the fact that we have an NHS. He said he would increase the number of nurse training places – ignoring the fact that there aren’t enough student nurses filling courses now, thanks to the Tories’ decision to scrap bursaries for nursing students. And he tried to claim patient satisfaction levels are at an all-time high in an NHS that’s falling down around our ears amid ever-lengthening waiting times and hospitals running at record deficits.

But his nonsense entered the realm of the surreal when, after calling for a hypocritical round of applause for heroic medical staff who risked their lives to save others in the Manchester and London terror attacks, he said he planned to show nurses how valued they were and to help them manage their family commitments.

With an app.

And he screwed up and let slip that the ‘flexible working app’ he plans to make available is actually for NHS Trusts to be able to get their staff to work extra hours at short notice.

It’s the equivalent of a selfish, idiot husband buying his wife a new iron or vacuum cleaner so she can do ‘her’ chores more efficiently – and expecting her to be pleased at the ‘romantic’ gesture.

Except this is an idiot Health Secretary insulting well over a million NHS workers, If he hadn’t already been the most despised in the history of the NHS, he would be now.”

Video: Hunt – “I’ll give nurses an app to work longer at short notice”

The education magic money tree needs more manure and less bull****

“Schools in Devon will still be among the poorest in the country, despite the government’s new funding formula, according to figures seen by the BBC.

Last month the Conservatives, who run the county council, welcomed extra funding which they said meant Devon’s schools budget would get another £7.5m a year.

But emails obtained by the BBC said this would only improve funding by £22 per pupil, still leaving each school child with £268 a year less than the national average.”

http://www.bbc.com/news/live/uk-england-devon-41433439

Tories to build council houses, lots of council houses, beautiful council houses, the best council houses …

“Councils are expected to be given new freedoms to build their own homes, while also being forced to assess local need and set targets to construct more housing in their area.”

You see where this is going again?

Developers get a “council house target”, start building, council houses “unviable”

or

Council has to find money to build council houses from their own “profits” on other services such as refuse collection, planning fees, council tax

Magic money trees.

And from a government that deliberately stopped building them.

Yet some will think this is wonderful, and vote for them.

Remember, this is a desperate minority government – the NHS was “safe in their hands” … education was safe in their hands …

Boris: “clear the dead bodies away” and Sirte in Libya will be a great tourist site

“Theresa May is facing further calls to sack Boris Johnson after he said that a war-torn Libyan city only has to “clear the dead bodies away” to become a world-class tourist and business destination.

Johnson was accused by Labour of being “unbelievably crass, callous and cruel” about those who died in the battle to reclaim Sirte from Islamic State (Isis), after he was asked at the Conservative party conference what it was like visiting Libya as foreign secretary.

Speaking about the potential of Sirte, the Libyan city where Muammar Gaddafi was killed, Johnson drew gasps and embarrassed laughter from the audience as he said: “There’s a group of UK business people, wonderful guys who want to invest in Sirte, on the coast, near where Gaddafi was actually captured and executed as some of you may have seen. And they literally have a brilliant vision to turn Sirte, with the help of the municipality of Sirte, to turn it into the next Dubai.

“The only thing they’ve got to do is clear the dead bodies away and then they’ll be there.” …”

https://www.theguardian.com/politics/2017/oct/03/sirte-can-become-a-holiday-destination-if-it-clears-the-dead-bodies-says-johnson

Developer making massive profit wants better and quicker service from councils

“The boss of Cala Homes has hit out at ‘understaffed’ councils for slowing the pace of development as the firm reported a fifth year of record growth.

Alan Brown, chief executive of the private housebuilder, said that he wanted to see more “responsibility at a local level” for making sure development of new homes was able to go ahead.

“The issue is about how central government gets local government to take their responsibility more seriously,” he said. “At a time when the country desperately needs more homes, local authorities are cutting back on people.”

Research by the Royal Town Planning Institute released in August found that council planning departments were “just about managing” due to budget pressure.

“All local government services have been under significant pressure over the past few years, However, data suggests that planning and development has been the hardest hit of all,” the research found.

Mr Brown praised Theresa May’s commitment to extending the Help to Buy scheme, which helps first time buyers get onto the housing ladder. The prime minister announced over the weekend that the scheme would benefit a further 135,000 people, giving a boost to housebuilders who feared an end to the subsidy.

Around 14pc of Cala’s sales in the last year have been made through Help to Buy, Mr Brown said, although he added that he thought it should eventually be “transitioned out over time” as the number of higher loan-to-value mortgages increases.

Cala Homes, which is backed by Legal & General and Patron Capital, made revenues of £747.9m in the year to June 30, 27pc higher than in the previous year.

It rapidly increased the number of homes it built, completing 1,677 in the 12-month period compared to 1,151 in the previous year, an increase of 46pc.

Its pre-tax profits jumped 14pc to £68.5m, despite the average selling price of its homes dipping 8pc to £497,000. This was a result of Cala’s move away from building homes worth more than £1m in order to concentrate on more mid-market properties.

Clyde Lewis, analyst at Peel Hunt, said: “We expect the group to see a decent improvement in margins this year as strong volume growth catches up with the overhead investment.”

http://www.newsrepublic.net/detail/0585683D6F10100001_uk

Unemployed in Glasgow? Tory MP says “Go work on a farm and meet gorgeous EU women”

“A Conservative MP has said young people should “get on their bikes” and take farming jobs where they can work with “loads of gorgeous EU women”.

Craig Mackinlay, the MP for South Thanet, told a fringe meeting at the Conservative conference in Manchester that British youngsters needed to show the same motivation as low-skilled workers from elsewhere in Europe.

“I was struggling to think why wouldn’t a youngster from Glasgow without a job come down to the south to work for a farm for the summer with loads of gorgeous EU women working there?” he said.

“What’s not to like? Get on your bike and find a job.”

http://www.telegraph.co.uk/news/2017/10/02/unemployed-should-get-bikes-find-work-farm-gorgeous-european/

DCC East Devon Alliance Councillor Shaw gets new NHS scrutiny debate

THURSDAY 5 OCTOBER, 2.15 pm
ITEM 15

“There WILL be a debate at the County Council on Thursday on my motion calling for Health Scrutiny to look again at the issues it failed to scrutinise properly in July, and for the County to let the Secretary of State know of the concerns about the CCG’s decisions and the process. The Leader, Cllr John Hart, has told me that they will agree to a debate rather than having the motion forwarded first to Cabinet, as is the normal procedure.

The agenda for the meeting is here:

http://democracy.devon.gov.uk/ieListDocuments.aspx?CId=132&MId=2091&Ver=4

The free market – where you are free to walk away from responsibility for your actions

“The boss of Monarch was setting-up his own firm as the stricken airline was going to the wall, it has emerged.

Andrew Swaffield insisted he was “heart broken” by the firm’s collapse, with the loss of more than 1,800 jobs. Yet as Monarch was for fighting for survival, polo playing Mr Swaffield found time to get a new firm for himself off the ground.

Records show electronic paperwork to establish Alcedo Consulting Services was received by Companies House last Friday. The two directors are Mr Swaffield and his partner William Low, 51. The company was formally incorporated on Monday – the same day Monarch plunged into administration.

Stefan Stern, director of the High Pay Centre, branded the timing “shocking”. He said: “He appears to have been planning his escape route before the passengers or crew. “It used to be women and children first, now it seems to be chief executive first. “It’s such bad taste and, frankly, stupid, to do this now.”

The firm is named after Mr Swaffield’s polo team, Alcedo, which recently won several trophies at the Cowdray Park Polo Club in West Sussex.

In a message seen by the Mirror, he insisted Monday’s collapse of Monarch was “the hardest day of my entire career. “Seeing the end of the company and 1,800 people losinzg their jobs has been heart breaking.’

Mr Swaffield previously ran a consultancy firm, CST Consulting, after losing his job at British Airways in 2005. He said: “I have done the same again today knowing that I am leaving, so that I can start the process of planning my future and if I manage to secure any work I will have a company through which to process it. “It can take up to a year to secure chief executive level roles and consulting is a good stop gap.”

Records show Mr Swaffield became chief executive of another company, Shelfco 2017, that was set-up on September 25. The other directors include Nils Christy, Monarch’s chief operating officer, and Christopher Bennett, its finance director. It is registered at Monarch’s Luton Airport headquarters.

It came as millions of holidaymakers and bank customers are set to pick-up the bill for Monarch’s rescue flights.”

http://www.mirror.co.uk/news/uk-news/boss-monarch-set-up-new-11282103

Working-class unmarried men, you are a scourge on society, says Duncan-Smith

Owl REALLY tried to cut some of this article but HAD to print it in its entirety – PLEASE we have to get people like this out of Parliament.

“Unmarried men often grow into “dysfunctional” human beings and become “a problem” for society, Iain Duncan Smith has said.

Speaking at a fringe event at the Conservative Party conference in Manchester, the Tory MP also claimed cohabiting couples have “inherently unstable” relationships.

He went on to claim men out of wedlock were “released to do all the things they wouldn’t normally do” such as committing crimes, drinking too much, taking drugs and fathering multiple children.

Couples living together were more likely to break up as the arrangement “suits the man” more than the woman, he went on to claim, and if men were not taught of the importance of marriage they would develop “low value for women” and seek out “the alternative on the internet”.

“Cohabitation is a very different relationship from marriage,” he said. “It is inherently unstable. The level of breakup is staggering high compared to marriage, and for the most part, these relationships break up upon arrival of a child.”

He went on: “The answer I think is because cohabitation suits one of the partners more than the other. Almost invariably it suits the man, because they have to make good on their commitment and when that commitment is facing them they then withdraw.

“In marriage, having made that commitment, the child becomes a focus for your responsibility and you commit more. They commit automatically once the child arrives.”

He went on: “Out there, these boys particularly, when left without the concept of what [marriage/commitment] is about will find the alternative on the internet.

“And the alternative on the internet, now so readily available, is about abusive sex and low value for women. That is where they will go.

That’s why, certainly at the bottom end of the income scale, there is such collapse of self-worth among young girls because they see themselves as objects because they are taught from the beginning that is the only way to get a man.”

He said men “unanchored” from a partner were more likely to get into debt and commit crimes, adding: “What has been going on all these years is the men that have been absent from these families in many of these low income groups are now a problem.

“They are out, no longer having to bring something in for their family, so they can be released to do all the things they wouldn’t normally do and shouldn’t do, so levels of addiction, levels of high criminal activity, issues around dysfunctional behaviour, multiple parenting – all those things are as a result of the un-anchoring of the young man to a responsibility that keeps them stable and eventually makes them more happy.”

The former Work and Pensions Secretary, who introduced Universal Credit, said there was a “family breakdown crisis” in Britain among lower income groups, but “middle class opinion” meant ministers were “scared stiff” of tackling it.

He cited research by the Centre for Social Justice, the think tank he founded and of which he is chairman, that found that teenagers from the poorest 20% of households were 65% more likely to experience family breakdown than teenagers in the top 20% of households.

He said one in five dependent children had no father figure at home, and added: “A child in Britain is more likely to experience family breakdown than anywhere else in the world, not the western world, the world.”

He compared marriage to buying into a golf club membership, which would see men sign up for “absurd things” and claimed the current system financially rewarded single people.

Duncan Smith said: “If something really matters to you in life, you commit to it. People join golf clubs and they sign up for the most absurd things that you have to do, wearing trousers, shoes, all sorts of things.

“They will sign up to all of that. They will sign contracts on housing, they will do financial contracts that they will sign and never question.

“On the most important relationship in our lives, the thing that will damage or make us, family formation, we let the middle class sit there and tell us this is a lifestyle choice, and we shouldn’t ever tell people that it matters that you make an absolute commitment such that it is written down on a piece of paper.

“Education is critical.”

He added: “We don’t ask for special privileges for marriage and stable families, we simply ask to get that pendulum back in the middle so that people who make a choice do not have to make a choice that is financially damaging rather than benefiting.

“The whole system is set up to reward those living by themselves and essentially penalise those who stay together, because they get more money.

“If you are on a very low income and the choice is between, basically, losing money or gaining money, ultimately you will choose the path of gaining money because that is how it works.”

The fringe event was the only one at the party conference discussing family breakdown, he said, before adding: “The truth is I sit in a building where people are scared stiff of this subject.”

Sir Paul Coleridge, chairman of the Marriage Foundation, also spoke at the event.

He said: “The problem is that there is a view out there, borne of ignorance I’m afraid, that all cohabiting relationships are of equal worth, of equal value, of equal stability. I’m afraid they are not.”

Marriage means a relationship three times more likely to last until a child is into their teenage years, he said.

“I think a very straightforward message from the government through the tax system, like recycling your rubbish or anything else, it is the message that you send to people; that one form of a committed relationship is more valuable and useful to society than another.”

He said men not in marriage were more likely to die earlier, experience health problems and get into debt.

He added: “It’s not a moral crusade, it is a public health campaign.”

http://www.huffingtonpost.co.uk/entry/marriage-iain-duncan-smith_uk_59d3b8f9e4b04b9f92054af5

Students: you aren’t working hard enough or living frugally enough ex Eton and Bullingdon Club Minister says

“Students facing high living costs at university can choose to live frugally and it is not always up to parents to supplement loans, universities minister Jo Johnson [Eton and Balliol, Bullingdon Club member, former banker at Deutsche Bank, brother of Boris] has said.

Responding to questions about the pressure on parents to supplement maintenance loans, the minister conceded there may be a gap between the loans provided and the actual cost of living at university.

He said that did not mean parents had to fill the gap. Some students chose to work to supplement their loan, some saved before beginning their course and others chose to be frugal and live modestly. …

.. .The minister was taking part in a fringe event at the Conservative party conference in Manchester on Tuesday with consumer finance expert Martin Lewis, who argued that means-tested maintenance loans did not cover the cost of living and parents were struggling to fill that gap.

Lewis, who led an independent taskforce looking into student finance, said the cost of living was now the biggest problem students faced when going to university, with loans falling short of expenditure on accommodation and other living costs.

The minister said there may be a gap but added: “That does not necessarily mean it’s a gap that has to be filled by parental contributions.

“There are many other ways in which students could fill that gap. They can work, as many, many students do. They can also save, and then of course they can borrow from their parents if they wish, but it isn’t necessarily a parental contribution.”

Johnson continued: “What is also so important to bear in mind is that students have many different choices about the kind of lifestyle they want at university.

“Some students want to live very modestly and have a frugal existence, focusing on their studies. Other students may want a different lifestyle but there isn’t one cost of going to university – it’s a very specific choice that each individual will make.”

Johnson’s comments came as the Institute for Fiscal Studies thinktank (IFS) said Theresa May’s offer of loan repayment relief for graduates in England would cost the government an extra £2bn a year.”

https://www.theguardian.com/money/2017/oct/03/frugal-students-wont-need-help-from-their-parents-says-jo-johnson

Where’s Hugo and Neil? Hugo adored Boris’s speech and doesn’t think politically uneducated 16-year olds should be allowed to vote, Neil is worrying about farmers and plastic bottles

Anyone caught sight of Swire or Parish at the party conference? All we have from Hugo today are a couple of tweets on his Twitter account but they could have come from anywhere – Saudi, Maldives, Mid-Devon … and tweets on protecting farmers, plastic bottles and a desperate hope for a last-ditch meeting about Axe Valley college.

But we DO know Hugo adored Boris, as he re-tweeted:

“The most barnstorming speech of the conference so far. You’ve got to give it to him!”

and

He doesn’t like the idea of 16 year old voters unless they learn what’s best for them in school:

“Against 16 yrs old voting but might be prepared to look at it if politics and constitutional history were compulsory subjects in schools.”

So what’s different about 17 and 18 year old voters who didn’t get inculcated at school?

Looks like the education cuts and teacher shortages mean he won’t be changing his mind soon …!

And Neil?

His tweets today have been on:

Protecting farmers:

“My piece for @politicshome @housemagazinecz on food, farming & Brexit talks. @CommonsEFRA will be ensuring @DefraGovUK stands up for farmers”

Toadying to Gove on plastic bottle deposits

“90% of plastic bottles are recycled in Denmark & Germany. We need a bottle deposit scheme here too. @michaelgove is right to be in favour.”

and

Shutting the door after the 6th form horse has bolted at Axminster Academy which has announced closure of its 6th form:

“Urgent meeting set up with @AxeValleyCC & now writing to @JustineGreening . We must find a solution for A-Level Axe Valley pupils locally.”

Which came first: national Tory policy or East Devon Tory policy?

“Jacob Rees-Mogg has compared this year’s Conservative conference to a North Korea-style rally, saying the party will face a crisis unless members are given more stake.

Rees-Mogg said ordinary party members had no power to debate policy compared to when he first entered politics. He told a Policy Exchange fringe meeting:

It has now become like an American presidential convention where we just expect them to turn up and cheer the great and the good. It isn’t even American, it’s Kim Jong Un style. If it stays like that for long enough we’re going to be in real trouble.

Asked about whether the party needed to give more power to its members, Rees-Mogg said:

We treat them appallingly. We expect them to do all the work, deliver all the leaflets, go out in the rain and then the CPF [the members’ policy-making forum] sends in its reports and it gets ignored. We used to have system that took the policy ideas from our members seriously.”

https://www.theguardian.com/politics/blog/live/2017/oct/03/conservative-conference-2017-theresa-may-says-she-does-not-want-yes-men-in-her-cabinet

Rise in hospital deaths coincides with bed-blocking

Owl isn’t sure if The Times or the British Medical Journal realise that what they are saying is:

Sick people should have been turfed out of hospitals (where they died in the charge of nurses and doctors)and should instead have been sent to die at home (with carers).

One gets included with mortality statistics, the other doesn’t … Hhhmmm!

“A sharp rise in deaths in England and Wales could be down to an increase in bed-blocking in the NHS.

Between July 2014 and June 2015 there were an additional 39,074 deaths compared with the year before. For England it represented the largest rise in nearly 50 years. The higher rate of mortality has continued since, with most of the deaths in older, frail people.

About a fifth of the increased deaths may have been caused by heightened levels of delayed discharge from hospitals, a study has concluded.

While the study itself can prove only a correlation, rather than causation, the researchers said that their findings required “urgent attention”, adding: “Greater investment in the NHS and adult social care to address the rising levels of delayed discharges may be needed to tackle the rapid rise in mortality rates.”

In February, a study published by the Royal Society of Medicine concluded that cuts to health and social care were “implicated” in the deaths.

The research team from the universities of Liverpool, Oxford, Glasgow and York found that while the total number of days beds were blocked increased from 2011, the rate of change increased from 2014, with the number of affected patients also rising rapidly. For each additional acute patient delayed, the number of deaths went up 7.32.

Mark Green, lecturer in health geography at the University of Liverpool, who led the research, said: “Since 2014, the number of patients admitted for acute conditions who were delayed being discharged from hospital has almost increased by 50 per cent. This creates blockages in the NHS where beds are not available for new patients.

“We detect an association only for acute patients and not non-acute patients. Acute patients require urgent medical care and therefore may be more susceptible to any delays.”

Hospitals have laid much of the blame on social care services, with patients waiting in hospital beds for the services they need to go home.

Saffron Cordery, director of policy and strategy at NHS Providers, representing hospitals, said: “We cannot say with any certainty how much delayed transfers of care are to blame for rising death rates. However, it is clear that they are bad for patients.”

The research is published in the Journal of Epidemiology and Community Health, a BMJ title.

Source: Times, pay wall