NHS

‘Very high risk’ of market capacity failing to meet Devon’s needs for adult social care, Health Scrutiny will be told on Thursday

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The Adult Care and Health Management Team’s report on Risk Management report to Thursday’s meeting of the Health and Adult Care Scrutiny Committee says: ‘one risk has increased to Very High from High, this being “Market Capacity: Adult Social Care (Personal Care)”.

The AC&H team comment:

  • The personal care market capacity remains under pressure across the county with levels of demand exceeding the supply. Where care cannot be sourced an interim contingency plan is always enacted that ensures the safety of any individual and may include temporary accommodation in a residential facility or drawing on other arrangements including informal networks of care and support. The risk is also heightened currently due to increased likelihood of provider failure. Members will be aware of a recent CQC formal notification to local authorities around Allied Healthcare of potential provider failure as an example of this.

    Our mitigating actions in this area which are predicated on joint working across the health and care system include

  1. Support the recruitment and retention of staff (including promotion of our Proud to Care initiative).
  2. Reduce demand on services by promoting and growing our short term offer that supports people back to independence in a timely way.
  3. Achieve greater efficiency by working with our contractors to minimise travelling time and make best use of our existing workforce.

Report of Seaton meeting with RD&E published

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Agreed notes from the meeting of Seaton Area Health Matters with the RD&E Trust are now on the Health Matters website.

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.

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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.

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

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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.

Seaton Health Matters website live

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The Seaton Area Health Matters group is pleased to announce that their website is now live and can be accessed:

seatonhealthmatters.co.uk

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.

It seems likely CCG strategy director DID say that there would be no closures of East Devon community hospitals – but in a private meeting for councillors. Over to you again, @NEWDevonCCG: we need a definitive, detailed public statement

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Conservative councillor Phil Twiss has commented on East Devon Watch about my post yesterday. He says:

Happy to clarify that a discussion about provision of services in our local hospitals was raised at the Health Scrutiny Masterclass to improve knowledge (other Scrutiny committees hold similar cross party meetings as required), held on the 4th of October, which is open to all members of DCC. This particular one was attended by a broad cross party selection of Councillors, but not Martin Shaw or colleague Claire Wright who chose not take up the opportunity to hear from a variety of healthcare professionals at the Masterclass. My apologies to your reader for any confusion with the committee held on the same day.

I am delighted that local charity FORCE are now providing some chemotherapy treatments in Honiton, making it easier than travelling in to Exeter, with hopefully other services coming down the track; there is a clear ambition for healthcare hubs here and in the Axe Valley, where there is cross party work taking place to this end.

My reply on the same site:

Since Phil Twiss has clarified where Sonja Manton was speaking, but doesn’t comment on what she said, we must assume that he stands by his statement in the open Council meeting that she had confirmed there would be no closures of community hospitals in East Devon. If so, this is obviously very welcome, but the devil could be in the detail, and it is not good enough for such vital public information to be leaked to councillors in informal meetings. We need a public statement from the CCG, assuring us of the future of Axminster, Honiton, Ottery St. Mary and Seaton hospitals (as well as Okehampton which is part of the wider Eastern Locality).

Twiss’s comment that Claire Wright and I “chose not to take the opportunity” to attend the masterclass barely deserves a reply. However I have been dealing with a very difficult family situation over the last two months and this was one meeting which I had to pass up. I am not, in any case, a member of the Health Scrutiny committee, but since I was elected I have attended almost all its meetings, chiefly to support Claire in fighting for the community hospitals.

If the CCG now accept that the hospitals must stay, this will be a great victory for the campaigns in all the towns over the last few years, and for Claire, the Independent councillors at EDDC, and myself, who have supported local communities while the Conservatives have constantly left the door open for the CCGs to close them “where appropriate”, in the words of their most recent motion at the County Council.’

@philtwiss’claim that @SonjaManton said ‘there are no plans to close any community hospitals in our area’, not backed up by @NEWDevonCCG. What’s the explanation, Phil?

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Phil TwissConservative County Councillor for Honiton, Phil Twiss (right), told Devon County Council on 4th October that ‘Sonja Manton [Director of Strategy for the Devon Clinical Commissioning Groups] said at the Health and Adult Care Scrutiny Committee the other week that there no plans to close any community hospitals in our area. We were talking about Seaton, Honiton and Axminster at the time.’

I was surprised that he should give us this good news in passing, and that the CCG had made no announcement of something so obviously important. So eventually I watched the webcast of the Health Scrutiny meeting on September 20th. Although Sonja Manton spoke several times, I couldn’t find her saying anything like what Phil said – indeed anything about community hospitals at all.

So I emailed Sonja and she confirms she didn’t speak about the hospitals. As for the issue, all she would say was, ‘I can assure you that our continued focus remains on planning and commissioning services and support to meet the needs of the Devon population in the best possible way. We recognise how strongly communities feel about community hospital buildings and will continue to work with communities and stakeholders to modernise and evolve the way our services are delivered and where they are based to make sure we make best use of all our resources and public estate.

So was Sonja more forthcoming at another, presumably private, meeting, Phil? Or was what you said wishful thinking?