Month: November 2018
CCG proposals for Teignmouth, including a new health/wellbeing centre, relocating services to Dawlish and selling the hospital site, go to Health Scrutiny at County Hall on Thursday (2.15)
The proposal to be presented will include ‘a commitment to support the vision of integrated services in Teignmouth and the further development of health and wellbeing services in a new centre on Brunswick Street involving the co-location of the three GP practice sites, the health and wellbeing team and the voluntary sector.’
In order to deliver this vision South Devon and Torbay Clinical Commissioning Group (now merging with NEW Devon CCG) says it would need to:
- Relocate community clinics from Teignmouth Community Hospital into the health and wellbeing centre
- Relocate specialist outpatient provision from Teignmouth Community Hospital into Dawlish Community Hospital
- Relocate theatre services from Teignmouth Community Hospital into Dawlish Community Hospital
- Reverse the decision following the consultation to establish 12 rehabilitation beds in Teignmouth Community Hospital
- Close Teignmouth Hospital and sell the site for reinvestment in the local NHS.
The health centre will be built by private firm Health Innovation Partners and local people have been opposing the closure of the hospital (I was at their demonstration in June).
A patient tells me of waiting 11 months for hip replacements in @RDEhospitals – and it’s going to get worse this winter. The RD&E boasted of cutting ‘elective admissions’ by 5 per cent last year, but this is a shameful failing of the Trust and @NEWDevonCCG.
From a constituent: ‘I am writing to you with another example of the impact and stupidity of reducing beds in local community hospitals. I am presently on the waiting list for hip replacement surgery at the RD&E. This waiting list is currently 11 months, compared with the Government guidelines of 18 weeks.
‘During a follow-up phone call with the RD&E last week, I was told that winter health problems were already causing a shortage of beds and the knock-on effect will be further delays for people on waiting lists for serious surgery. Clearly, beds in community hospitals could have been used to help with winter health emergencies.’
Hip replacements are called ‘elective surgery’ and the RD&E Trust boasted earlier this year that it had reduced the number of these admissions by 5 per cent. As I pointed out to the Health Scrutiny Committee at the time, this might be something to be pleased about if lifestyle changes, etc., meant that people didn’t need so many operations – but the evidence is to the contrary. It has been achieved by lengthening waiting lists for patients who suffer pain and discomfort for months or even years on end.
The lack of priority for ‘elective’ admissions is one of the most shameful failings of the NHS in Devon, alongside the mounting delays in treatment for cancer. Both these problems are repeatedly brushed under the carpet by local NHS leaders.
An inauspicious start for new Scrutiny Committee for the Heart of the South West Local Economic Partnership
Who would have known? The previously unaccountable quango, the Heart of the South West Local Economic Partnership, which dispenses public money but whose board is made up mainly of businessmen, now has a scrutiny committee all of its own, recently established in some haste to meet newly imposed legal requirements. The first meeting took place five days ago, but little seems to have happened, judging from the minutes. There is currently no opportunity for public participation and no webcast.
The committee will have 17 members, with 13 Tories (11 confirmed – two representatives of Conservative-controlled district councils to be named), 3 Labour members (2 from Plymouth and 1 from Devon) and 1 Lib Dem from Somerset. Thus Independent and Green members have been entirely excluded, while there is only minimal opposition representation. The ruling Tories on the two county councils have used their majorities – obtained with less than 50 per cent of the votes in the 2017 election – to collar three quarters of the county seats, in addition to all those from the districts they control.
It’s worth mentioning that the Heart of the South West (geographic Devon and Somerset – but few local residents will recognise it under its marketing name) also has a Joint Committee of the Councils, with 19 members even more unevenly distributed by party (16 Tories, 2 Labour, 1 Lib Dem, no Independents or Greens).
Will all this bureaucracy give a new steer to the LEP, notorious so far for its bias towards the Hinckley new power station (it is even funding a hotel for officials of the foreign companies behind the project to stay in), its neglect of coastal and rural areas, and its fantastical plans for the South West to overtake London in productivity?
The biggest poll ever undertaken of attitudes to Brexit estimates that, whereas the majority of voters in 6 out of 8 Devon districts backed Leave in 2016, now the situation is reversed – only 2 out of 8 still have majorities for Brexit.
East Devon still shows a narrow Leave majority, but 4 districts have seen Leave majorities overturned.
|LEAVE % 2016||LEAVE % 2018||CHANGE|
|Mid Devon||Switched to REMAIN||53.34%||47.44%||-5.90%|
|North Devon||Switched to REMAIN||57.04%||49.04%||-8.00%|
|Teignbridge||Switched to REMAIN||53.90%||48.61%||-5.29%|
|West Devon||Switched to REMAIN||53.20%||48.52%||-4.68%|
Seaton Health Matters has constructive meeting with RD&E about health services in the area, and we look forward to working together for the best solutions
Jack Rowland, Geoff Pook, Dr Mark Welland and I, representing Seaton Area Health Matters, met Professor Em Wilkinson Bryce and Adel Jones of the RD&E at Seaton Hospital yesterday to discuss the future of health provision in the area. All agreed it was a constructive meeting, and we look forward to working closely with the RD&E on plans for health, wellbeing and community activities centred on the Hospital.
One of our next steps will be to have a detailed discussion with colleagues in Axminster, who also met the RD&E recently, to formulate an Axe Valley approach. Notes of the Seaton meeting are being prepared, and once I have these I will make more details available.
The Seaton Area Health Matters group is pleased to announce that their website is now live and can be accessed:
You can keep up to date with what we are trying to achieve to tackle the top 10 priorities identified earlier this year facing our area in the provision of health, care and wellbeing services. We will also post news that we receive as the result of discussions we are having with the Royal Devon & Exeter Trust and the Clinical Commissioning Group as well as news that emanates from Council meetings at Town, District and County level.
Broadly the challenges involve trying to establish a health hub to extend the number of clinics and services available at the Seaton Community Hospital site and co-ordinating the information to show the range of voluntary groups involved in providing health and wellbeing support in the area.
We welcome input on these important issues and the website enables this to happen.