What are the purposes and functions of Community Hospital beds?

Dr Ben Titford presented a paper on this subject-

Proposals for the future of community health and social care services Update briefing – September 2014 Moor to Sea Locality

Ashburton and Buckfastleigh
“Engagement in the town will start later in September. It is the view of the locality GP lead, Dr Ben Titford, and of other GPs in both towns, that this rural area with poor transport links needs bed-based care for patients. This would be at the existing community hospital in Ashburton.”

1. Beds for those who are very unwell, requiring complex and increasingly specialist medical care, outside the acute hospitals – possibly fewer

2. Beds for those who no longer need to be in the acute hospital, but need to recuperate before they are well enough to go home – possibly more

3. Beds for those who are not so seriously ill they need to be in the acute hospital, but who are nevertheless too unwell to be at home, especially if they would be alone – possibly more

Mr Mel Stride  MP for Central Devon   

re http://www.publications.parliament.uk/pa/bills/cbill/2014-2015/0018/15018.pdf

Dear Mel,

You are probably aware that the NHS is in crisis.  I am not being alarmist.  I worked within it as a doctor and surgeon for 40 years. I loved my work but I did not enjoy the bumf.  Most of this came out of political diktats - from all colours.

I have kept a close interest in OUR NHS since early retirement which came out of sickness.  On top of doing a very busy and demanding job in orthopaedics and trauma, I was fighting alone in Torbay against Mrs Thatcher's internal market and for the life of our excellent single specialism Princess Orthopaedic Hospital in Exeter, the latter with good colleagues.  Both battles were lost.  The internal market doubled the cost of administration from 5% to c. 10% as I had predicted.  The number of desks doubled and with them long and ridiculous titles like 'Patient Services Administrator'.  I had to phone him often to have the detritus removed from the corridor to my fracture clinic.  All this was not what the public might have expected from a Tory reform.  Very few people know that £1.3 billion was added to a £30 billion budget as a result of Mrs T's monetarist dogma.  But I do tell them in newspaper pieces, public meetings and on Youtube x2.

Dear Mr Pym,


Forgive this brief intrusion. I am a retired orthopaedic and trauma surgeon but I was trained at St Mary's which has been at the forefront of the analysis and cure of disease for many decades.

I applaud your detailed inquiry into this current case and in particular what surveillance took place at HR.

Dear Reverend Fenton,

Below is the e-mail I sent you over 3 weeks ago.  No reply.  Assuming the e-mail address was incorrect, I sent a fuller letter by post about a week later.  There was silence, and after speaking with your wife last week who suggested that I 'phoned back in the afternoon, I did that.  I left a message saying that I knew it was a central duty of a priest to visit the sick, the frail and the dying.  You would often hear about the care they were getting and I was keen to hear your witness be it bad or good, or a spectrum.  It is apt that the Reverend Marshall's TFTD today was on visiting the sick.

I have been deeply hurt by your failure to respond to me.  I assume you harbour some animus towards me but I can only guess as to its spring.  Perhaps my standing for the Palestinians  in their slow, quick, quick, slow crucifixion is the source.  As a Christian atheist since age 17, I know that I have followed Christ in this.


Thank you Geoff.  I had read the much truncated 'confidential' report in the Guardian.  But this is more than stark.  Skimmed - so much evil to read here and everywhere.  I bet the opthalmologists at Taunton advised against this Poundland exercise.

I noted Conclusions 7 1 especially.  Outrageous.  And leaning over to make the 'letting' of a contract to an outfit run by 2 money grubbing GPs in BUCKINGHAMSHIRE sound normal and capable of high standards.  'The Practice' - what practice?