NHS

Health Scrutiny Committee will decide on hospital beds on Tuesday 25th July

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IMG_0276Campaigners in the Seaton and Honiton areas are preparing for a crucial meeting of Devon County Council’s Health Scrutiny Committee on Tuesday 25th July. Following a meeting in June when they postponed a decision, this committee will now decide whether to use its power to refer the decision of the NEW Devon Clinical Commission Group (CCG) to close all in-patient beds in Seaton, Honiton and Okehampton hospitals to the Secretary of State for Health.
In March, the Committee sent the CCG 14 questions, from a resolution proposed by County Councillor Claire Wright, about the proposals to replace 72 of East Devon’s 144 community hospital beds by care at home. Cllr Wright and other committee members are expected to examine the 14 points in detail to see which of them the CCG has answered satisfactorily.
The questions included the justification for the surprise last-minute switch of beds from Seaton to Sidmouth, which left no beds at all in the Axe Valley, since Axminster has already lost its beds.
Among those who will be speaking against the plans are Seaton Mayor, Jack Rowland; the Chair of EDDC’s Scrutiny Committee, Councillor Roger Giles; Steve Craddock and Bob Sturtivant from Honiton; and myself.
This is a crucial decision not only for the beds but also for the future of the hospitals. The CCG’s next step is its local estate strategy, which may involve partial or even complete closures of hospitals. Seaton is more remote from acute hospitals than any other East Devon town and it is vital that we retain our hospital, which was built by the local community in Seaton, Beer, Colyton and the surrounding area.
As in June, protestors will gather outside County Hall from 1 pm, and will then observe the meeting which starts at 2.15. A bus is being organised to take people from Seaton to County Hall: anyone who would like to book a seat should contact me cllrmartinshaw@gmail.com or 07972 760254.
The many emails sent to committee members in June had a real impact. Here are their addresses if you’d like to write again:

Whose smell was it – was Hugo Swire behind the Seaton-Sidmouth switch?

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A smug Hugo Swire MP told BBC’s Sunday Politics this morning that East Devon had more community hospitals than western Devon and than the national average. He failed to mention that it has many more over-85s too. He backed the NEW Devon CCG’s plans to replace community hospital beds with care at home, and said we must ’embrace change’.

Swire knows that beds in Exmouth and Sidmouth, in his constituency are safe from closure, so he is happy to write off Seaton (which he no longer represents after boundary changes a few years back) and Honiton.

Swire’s self-satisfied comments raise the question of whether he played any role in the CCG’s bizarre, unexplained, last-minute switch of 24 beds from Seaton to Sidmouth. Clearly had the CCG stuck with its original preferred option of closing beds in Sidmouth, they would have given Claire Wright a huge issue – which might well have seen her taking Swire’s seat in the general election.

Readers will recall that during the consultation, Swire was already saying that if beds had to go, they should stay in Sidmouth. Did Sir Hugo, or Tories acting on his behalf, lobby the CCG? How did the CCG respond? BothIMG_0518 have questions to answer.

Swire’s colleague Neil Parish MP told me and other Seaton councillors that the decision ‘smells’. Whose smell was it?

I appeared on the same edition of Sunday Politics as Swire, but was not in the studio to respond to him. Here I am being interviewed!

Unfortunately the Labour MEP for the South West, Claire Moody, who was on with Swire, obviously didn’t know much about East Devon hospitals and failed to respond. 

(YOU WILL BE ABLE TO WATCH THE PROGRAMME ON BBC iPLAYER SOON.)

 

EDDC backs call to refer hospital beds decision – Seaton switch rises up the agenda

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On Thursday, East Devon District Council’s Scrutiny Committee expressed ‘great concern‘ that under the NEW Devon Clinical Commissioning Group’s plans ‘there will be no community hospital beds east of Sidmouth, leaving residents in a whole swathe of eastern Devon remote from the nearest hospital facilities.’
The Committee also agreed to write to Devon County Council’s Health Scrutiny Committee, urging it to refer the matter to the Secretary of State for Health ‘as a matter of urgency‘ as it was ‘concerned that lack of an early submission will result in NEW Devon CCG going ahead with its proposals‘. This followed a claim from Councillor Mike Allen that staff were already leaving and patients being turned away from Honiton Hospital, a point I also made about Seaton Hospital.
Much of the discussion at the EDDC meeting reacted to the discussion at Devon’s Health Scrutiny Committee last Monday. Devon councillors had followed the recommendation of their Chairman, Councillor Sara Randall Johnson, to postpone until July a decision on Councillor Claire Wright’s proposal to refer the CCG’s decisions to the Secretary of State for Health.
How many staff? – ‘What is required’ says CCG!
The Committee’s resolution was the outcome of two hours’ pressure from Committee members, other councillors and the public on the Chair of the CCG’s Eastern Locality, Dr John Kerr. The  resolution was proposed by Chairman, Councillor Roger Giles of Ottery St. Mary, who had interrogated CCG representatives on their proposals. He repeatedly asked ‘how many additional staff will be required’ for the CCG’s new model of care, only to be told ‘what is required’. Other members expressed doubt that enough new staff could be recruited.
Moulding backs Seaton
Cllr Giles’ proposals followed speeches by EDDC ward councillor Andrew Moulding of Axminster and myself for keeping hospital beds in Seaton. Councillor Moulding pointed out that not only Axminster, but also Axmouth, Uplyme and Rousdon, had been omitted from the CCG’s calculations of the population served by Seaton Hospital.
Keeping beds in Seaton has had tremendous backing this week, including not only from Councillor Moulding but also Councillor Hall from Axminster, and Mike McAlpine, Chair of the Committee for the Axe Valley Health Hub. Seaton’s Deputy Mayor, Martin Pigott, made an excellent case at County Hall.
CCG fails to answer 
It was very obvious that CCG representatives, Dr Sonja Manton at the Devon meeting and Dr Kerr at EDDC, refused to answer direct questions about the flawed case for axing Seaton’s beds. I am optimistic that when this comes back to Devon, councillors on the Health Scrutiny Committee will pick up the Seaton issue and we will finally get justice for our communities.
EDDC has put saving the beds back on the agenda and pointed the way for Devon County Council’s Scrutiny Committee to follow. I am very pleased at the strong cross-party case made for East Devon hospitals – especially the mounting support for looking again at the CCG’s completely indefensible abandonment of Seaton.

More closures at community hospitals

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The Acute Services Review, part of the Devon NHS Sustainability and Transformation Plan (STP), proposes the closure of maternity units at Newton Abbot, Tiverton, Okehampton and Honiton – the last two hospitals of course designated, with Seaton, to lose inpatient beds too. Read a summary and Claire Wright’s comment.

A frustrating day, but further chances on Thursday and in July to challenge the CCG

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The Health Scrutiny Committee meeting at County Hall yesterday was incredibly frustrating for the 60 or so supporters of Seaton, Honiton and Okehampton hospitals who attended. It resolved nothing and there will be another meeting before the end of July to consider the matter again (I will tell you when the date is fixed).
You can watch the meeting at https://devoncc.public-i.tv/core/portal/webcast_interactive/288543. The speakers in the public participation at the beginning were good, much better than most of the committee discussion. My speech is at 0.34.50. You may have seen that we also made a good splash on regional TV.
There WAS progress, I think, in pinning down the irrationality of the decision to close Seaton’s beds. Speeches supporting Seaton were made by Martin Pigott, Vice-Chair of Seaton Town Council, Mike McAlpine, Chair of the committee for the Axe Valley Health Hub, Cllr Ian Hall of Axminster, as well as myself. The issue was picked up on the committee, especially by Cllr Hilary Ackland, who twice challenged Dr Sonja Manton of the CCG on the issue. Manton declined to answer Ackland’s specific question.
I feel we can build on this at the re-run meeting. We also have an opportunity to challenge the CCG (who are answering questions from councillors) at EDDC’s Scrutiny Committee on Thursday at 6pm. EDDC doesn’t have any power but I think we should keep up the pressure on the CCG. I have put down to speak. If anyone else can do it – email Debbie Meakin dmeakin@eastdevon.gov.uk.
Would anyone who can come to this meeting – whether to speak or not – let me know (cllrmartinshaw@gmail.com)?
Thanks to all who came and who sent emails (they really had an effect).

CAN YOU COME TO COUNTY HALL ON MONDAY to support the campaign for Seaton & Honiton hospital beds?

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We will be asking the committee to use its power to refer the decision to close our hospital beds to the Secretary of State for Health. This is our best opportunity to halt the closure programme.

We will be meeting on the main steps of County Hall from 1 pm to protest against the closure decisions, together with people from Okehampton (whose beds are also threatened) and other parts of Devon. Tell your friends and bring placards!

The meeting starts at 2.15 and we want as many people as possible to be in the public gallery to support our 6 speakers in the public participation session at the beginning of the meeting. As a Councillor (but not a member of the committee), I will be speaking later when we reach the item.

Howard and Anne West are organising a bus to take people from Colyford and Seaton to the meeting. Please email annewest@lineone.net AS SOON AS POSSIBLE if you would like a seat on the bus (£9).

20170614_19363760 people packed Marshlands, Seaton, last night for the planning meeting which called this demonstration. Dr Mark Welland, Seaton GP and Chair of the Hospital League of Friends, addressed the meeting which was chaired by Jack Rowland, Mayor of Seaton.

My case for the Health Scrutiny Committee to refer the hospital beds decision to the Secretary of State

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On Monday 19 June (2.15), Devon County Council Health Scrutiny Committee will consider the NEW Devon Clinical Commissioning Group’s responses to 14 questions asked of the CCG by the Committee. If the Committee is not satisfied, it has the legal power to refer the CCG’s decisions to the Secretary of State for Health. (http://democracy.devon.gov.uk/ieListDocuments.aspx?CId=429&MId=2581&Ver=4)
I have sent this 6-page letter to the Chair of the Committee, Cllr Sara Randall Johnson, showing why the the CCG’s replies are inadequate, their decisions still demonstrably flawed, and the Committee should use its power to refer them.
I shall be speaking at the Committee, along with other representatives of the Seaton, Honiton and Axminster communities which are worst affected by these decisions. My main points are:
  1. Plans to halve the numbers of community beds do not take into account that the numbers of older people in Devon will more than double in the next two decades.
  2. East Devon needs more beds than other areas because it has the oldest population in Devon and this will continue to grow.
  3. Community beds are crucial to older patients without transport and when they are distant many relatives will have huge difficulty visiting their loved ones.
  4. Savings from the closures will be small. Both financial logic and CCG planning suggest that the real agenda is to close a number of hospitals.
  5. The CCG’s consultation was flawed because it gave no option to keep Honiton’s beds, and the CCG ignored the stronger support for Seaton from people who responded.
  6. The CCG’s reasons for choosing Sidmouth over Seaton are based on misleading use of evidence about population and age distributions (see table below, explained in letter).
  7. The concentration of beds in Tiverton, Sidmouth and Exmouth will leave the eastern margins of East Devon entirely without. The CCG’s claim that this is ‘a more even geographic spread’ is entirely false.
  8. The CCG ignored the fact that Seaton also serves the Axminster area, and has reneged on the commitment it gave when it recently closed Axminster Hospital’s beds, that beds would continue to be available in Seaton.
  9. Communities in the Seaton, Axminster and Honiton are angry about the decision and expect the Health Scrutiny Committee to refer it to the Secretary of State.
We are holding a public meeting in Seaton on Wednesday 14th (7 pm, Marshlands Centre, Harbour Road) to plan the community presence at the Health Scrutiny Committee.
Figure-3.2-Population-in-Selected-Age-Bands-by-town-2014-768x501

 

Hospital beds fight shifts back to County Council

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The battle to keep in-patient beds in Seaton Hospital should now return to Devon County Council’s Health Scrutiny Committee, I argue in a statement issued to the press today.

The Council has the power to refer the decision of the NEW Devon Clinical Commissioning Group (CCG) to the Secretary of State for Health. In March, the Scrutiny Committee asked the CCG to answer 14 questions before the Council exercised this power. The CCG responded, but the answers will remain confidential until the June meeting of the new committee, whose members will be nominated at the Council’s Annual Meeting on May 25th.

I have now seen the CCG’s answers but I am not allowed to reveal them publicly, which I think is deplorable. However I can state that, particularly in relation to the decision about Seaton, the CCG’s case remains flimsy and threadbare. I shall be raising this matter as soon as the new committee meets and I urge other interested parties in the Axe Valley to join me in making representations. I have had a preliminary talk with Axminster’s new County Councillor, Ian Hall, and I hope we can make a cross-party case for the whole local community on this issue. I am also talking to Honiton campaigners.

Judicial review: fundraising insufficient

I am proposing this way forward after the urgent appeal for £20,000 for the first stage of a judicial review of the decision, the preparation of a ‘letter of complaint’ – which I made last Saturday following my election on Friday – failed to raise enough money to proceed. 

I was moved by the response in which about 70 donations have been made. Sadly, however, the total raised, while over £5,000, was still not sufficient to pay the solicitors to prepare the letter, for which they would have charged £16,800. It might have been possible to raise the balance after the letter was sent, but within three weeks the action itself, requiring a fighting fund of many tens of thousands, would also have had to be launched. In the light of this response, there seemed no prospect of raising the further money in the time available.

I therefore decided not to proceed with the action. I felt it was unfair to the donors to spend their money on something which could not be followed through. I have incurred some legal costs but most of the money will be returned, and I have written to those donors whose names I had (others will be contacted in due course after I have sorted things out with the League of Friends).

Case strengthened 

The appeal has had a positive effect, however, in that new evidence came to light which strengthens the case that the CCG acted wrongly in the way they made the Seaton decision. This will be used in representations to the County Council. I also urge voters to make the Seaton and Honiton hospital beds a priority with all candidates in the General Election, so that whoever is our MP makes the new Health Secretary aware of local anger about this issue.

NHS plans to sell off hospital sites

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From the Daily Telegraph via East Devon Watch.

NHS in crisis: ambulance service failing in SW

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They moved the goalposts, but still couldn’t score: ‘The number of most urgent calls taken by the South Western ambulance service between May 2016 and March 2017 compared to the year before was reduced from 308,000 to 44,600. But the proportion of calls hitting the eight-minute target remained stagnant at 70 per cent.’ (The minimum acceptable is supposed to be 75 per cent.)