Local GPs barred from making ‘routine’ referrals

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It was brought home to me this week that the cuts imposed by the NEW Devon (Northern, Eastern and Western Devon) Clinical Commissioning Group (CCG), which is in charge of our local health service, mean that GPs can’t refer patients to specialists for many ‘routine’ conditions – which may nevertheless be conditions which cause considerable discomfort and even risk serious complications down the line.

So although the Group says it is ‘prioritising’ the NHS Constitution commitment to ‘consultant-led treatment within a maximum of 18-weeks from referral for non-urgent conditions’, the real wait for patients will be much longer – because you’ll have to become ‘urgent’ to get referred in this first place!

In the bad old days you had to wait, but at least you knew you were on the list. Now you can’t even get on the list, not because there isn’t a specialist available, but because the list for your condition simply doesn’t exist in our area. It does in other areas, of course – it’s a postcode lottery.

This situation is partly caused, Independent County Councillor Claire Wright suggests out in her latest column in the Express and Echo, by the expensive, pro-privatisation NHS reorganisation forced through by David Cameron’s former health secretary Andrew Lansley.

UPDATE: Owen Jones reports that CCGs elsewhere in the country are paying GP practices NOT TO REFER patients.

Elected to Town Council

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I have been co-opted to the Council to fill a vacancy, and I took my seat last night. Many thanks to the members who voted me on and to friends who came to support me at the meeting. I look forward to an interesting four years.

Martin Shaw

Pendeen doomed in DMC travesty

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The battle for Pendeen, the modest but attractive seafront bungalow on Castle Hill which its owner wants to replace by a block of 3 flats, was lost at East Devon’s Development Management Committee yesterday. The DMC had refused a very similar application in April (by 7-6), but the same committee has now approved the replacement (6-4, with three Independent members unfortunately absent).

Seaton’s voice was once more unanimous: Marcus Hartnell for the town council, his fellow district councillor Jim Knight, Pendeen neighbour Jean Hoskin, and myself for the many individual objectors, backed up by Peter Burrows on the committee, all opposed the application, but we were overridden by Tory councillors from other areas.

Planning officers’ distortions 

How could local opinion be so ignored, and the committee’s own recent decision be set aside? The simple answer is that planning officers, who supported the original application but were overruled by the majority of members, provided ammunition for councillors supporting the bid to overturn the first decision.

Two disturbing distortions in the officers’ case were highlighted by councillors who opposed the application. First, they quoted the National Planning Policy Framework’s paragraph 60 to the effect that we ‘should not stifle innovation, originality or initiative’. However Councillor Mike Allen (Conservative, Honiton) objected that they had omitted the conclusion to the NPPF paragraph: ‘It is, however, proper to seek to promote or reinforce local distinctiveness.’ Allen said that he did not appreciate officers quoting selectively to buttress a particular case.

Secondly, the officer in charge repeatedly displayed a photo, originally produced by the applicant, labelled to show the proposed flat-roofed block together with two other flat roofs in the view from Seafield Gardens. Peter Burrows twice pointed out that there were no photos provided at all from the public viewpoints (Coastal Path, Cliff Gardens) that would be damaged by the building. (Moreover the photo that was highlighted by the officer had cut out the row of red-roofed houses on Castle Hill of which Pendeen forms part.)

Councillors’ failure to carefully consider the objections

How did the committee come to its decision despite these failings in the pro-application case being pointed out? The majority of members simply did not respond to either Allen’s or Burrows’ points, they did not respond to most of the objections made by the Seaton representatives, and they did not address point by point the 3 good reasons for refusal that their own committee had given as recently as April.

Mostly these councillors thought it sufficient to give their opinions: Councillor Alan Dent, the former Design and Heritage Champion, ‘liked’ the proposed building, his successor, Christopher Pepper, agreed with him without expanding his own view, and other members chipped in briefly before voting the proposal through.

The bias of the planning system

Why do councillors act like this? They are not simply biased against Seaton, as the same thing happens to applications from other areas. They are not necessarily corrupt (in the sense highlighted by the Graham Brown case).  The key, probably, is that they don’t want the trouble of appeals, highlighted as a danger by the officers in this case. Group-think does the rest: the Tories are happy to let individual councillors like Jim and Marcus speak for their constituents, and more independent minds like Mike Allen have their say, as long as the rest of them can vote us down.

We have no real redress against the Committee’s failure to consider the matter carefully or fairly. The applicant, if he had lost, could have appealed. Objectors can only seek judicial review – a right the Tory Government is trying to curtail – which would cost probably tens of thousands of pounds if EDDC spent taxpayers’ money to cover their own failings.

Local health commissioning group “not fit for purpose”

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This is the body which oversees Seaton Hospital too.

East Devon Watch

This is the group that is top-heavy with jargon-speaking managers behind the closure of community hospital beds. Can we now expect to see a re-assessment of that decision?

Article in today’s “View from …” titles:

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West Seaton planning update

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IMG_1296A controversial application to build two houses in the rear garden of the Lyme Bay View Residential Home, Old Beer Road (seen in the picture from the SW Coastal Path to Beer) has been withdrawn. This follows the withdrawal of a similar proposal to build three houses in the garden of Pembroke House, Beer Road, earlier in the year.

These proposals both involved overdevelopment of the sites and affected views of the coast and White Cliff (both adjoin the open field at the top of Beer Road which affords the best views on the west side of Seaton). Neither was environmentally sustainable, as distances from the town centre meant that occupants would inevitably rely on their cars.

Both also had access problems – the threat from coastal erosion to Old Beer Road at the Lyme Bay View entrance, and the ‘dangerous’ bend at the entrance to Pembroke House (as a previous EDDC decision described it).

Despite these withdrawals, West Seaton residents remain concerned at the pressure for inappropriate new development, also seen in the application for a block of flats at Pendeen, Castle Hill, which has been submitted in a revised form (the first application was rejected by EDDC after widespread opposition). The two ‘garden-grabbing’ applications could also return.

Green wedge plans to return?

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There is speculation that developers are planning to submit a new application to build on the ‘green wedge’ between Seaton and Colyford. Twice in recent weeks, residents have spotted people who appeared to carrying out preliminary surveys for such a proposal. The last application was defeated at the beginning of 2014 after a major campaign.

Victory for AONB campaigners on the Devon-Dorset border

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11402285_100434180300174_2569508618080426262_o Not far from Seaton, on the road into Lyme Regis, a planning application for 120 homes in the Area of Outstanding Natural Beauty has rightly been refused by EDDC. It was immediately called in by the Government (Department of Communities and Local Government – see below), but they quickly allowed the decision.

A well deserved victory for the determined campaigners to Stop the Shire Lane Development!

East Devon Watch

http://www.trinitymatters.co.uk/index.php/planning-applications-east-devon/planning-applications-uplyme/item/1123-updated-4th-aug-application-15-0851-mout-land-west-of-shire-lane-uplyme

It appears that, whatever the decision, the Minister at the Department of Communities and Local Government had already decided to call it in.

Whilst this might be an unpopular development, it is no more or no less unpopular than many other current applications, so what has made it so special? It might, however, be the first of several applications that eventually could link Axminster to Lyme Regis.

The Devon MP is Neil Parish, the Dorset MP is Oliver Letwin, good friend of David Cameron. The site is closer to Dorset’s Lyme Regis than Devon’s Seaton and Axminster.

Following the 2015 election, Letwin remained Chancellor of the Duchy of Lancaster as Cameron reappointed him as an official ministerial member of the new Conservative government’s Cabinet. He has been given responsibility for overall charge and oversight of the Cabinet Office.

Wonder what they think of this really strange situation?

It also…

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‘Community’ hospitals on the way out

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Whatever relief we feel at the news that the number of general medical beds in Seaton Hospital will increase must surely be tempered by the fact that the clumsily named NEW (Northern, Eastern and Western) Devon Clinical Commissioning Group, doesn’t even get the idea of community hospitals.

A NEW Devon spokesman, writing in this week’s View From, says that they have to take account of the ‘whole population’ of the area, not just specific ‘communities’. Community opinion in Axminster (and Ottery St. Mary, which will also lose its beds) has simply been set aside.

EDDC’s Scrutiny Committee, chaired for the first time in years by a non-Conservative (Independent, Roger Giles), has asked both MPs to request the Secretary of State for Health, Jeremy Hunt, to overrule the decision to remove the beds from the two hospitals. Our MP, Neil Parish has already said he will do this for Axminster. I wish him well with this but I’m not holding my breath.

Parish says that ‘Our Government’s NHS legislation puts much store on local people being consulted and listened to’. However the Lansley reorganisation was universally criticised for creating a fiendishly complex structure which would make it more difficult for people to influence. And so it has proved.

 seaton_hospital Seaton Hospital – beds safe for now. But for how long?

Environment Agency success over slurry pollution

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streampollutionscreengrabNo, not for the problems in the Beer Brook (which flows into Seaton Hole) which we exposed on BBC Spotlight in April (screen grab), but for another case near Bideford, where a farmer has been fined £30,000.

If the problems in the brook return, we’ll be pressing the Environment Agency for similar action. Report pollution to the EA straightaway on 0800 80 70 60, and email seatonmatters@gmail.com.