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Separately to - Dr Alison Diamond MB ChB  CE of the Northern Devon Healthcare NHS Trust  and  Dr George Thomson  MB ChB  Medical Director  (NO REPLY)

Dr Tim Burke  BM (Southampton)  Chairman  NEW CCG   This email address is being protected from spambots. You need JavaScript enabled to view it.

Dr Nick Roberts  MB ChB MBA     Chief Clinical Officer  SD&T CCG  and Dr Derek Greatorex  MB ChB  Clinical Chair    This email address is being protected from spambots. You need JavaScript enabled to view it.  (Dr Derek Greatorex replied.)

Dear Dr ….... and doctors on the CCG board,

We write as doctors to doctors, with over 300 years of service in the NHS between us, because the service is in crisis.  We have especial concern about the closure or downgrading of Community Hospitals (CH) and how that will effect the competence of the District General Hospitals to deal with the ever increasing need for medical care.  We list just a few signs of this crisis for brevity.  We have no conflicting interests, our concern being only for the maintenance of good, rational services for all patients.

We know the duties of your public body was made clear by Sir David Nicholson KCB CBE Chief Executive of the NHS in England on 29 July 2010

• support from GP commissioners;
• strengthened public and patient engagement;
• clarity on the clinical evidence base; and
• consistency with current and prospective patient choice.

We will return to these rules later.

TO This email address is being protected from spambots. You need JavaScript enabled to view it. and by Royal Mail 31st March 2015

The Rt Hon Earl Howe PC Parliamentary Under Secretary of State for Quality

Department of Health and Social Security
Richmond House
79, Whitehall

REF: Your letter to Mr Stride 9-02-15 PO00000912802

Dear Lord Howe,

Mr Stride forwarded your letter the next day (1) and suggested that I would want time to consider it. This reply is long delayed. The political landscape, and especially that of our NHS, changes by the mile as on a train. I see that the Efford Bill ran out of steam 3-03-15 so this letter will deal with a few central points. Incidentally, I have asked Mr Stride to correspond by e-mail. That would be better for the plebiscite in allowing the easy sharing of correspondence etc and be less costly. At the Westminster end it would save many of those precious millions including that spent on expensive, crested ivory paper. And governments ask often that we should use e-correspondence. Furthermore, it is driving the NHS into becoming inappropriately 'paperless'.

Car Bill BoardTTIP is a great threat but less than the corruption in our UK. Whilst people battle against TTIP, they ignore, perhaps, vicious EU competition rules.  These are central in driving 'privatisation' within OUR NHS and in our other public services. The concordat that Milburn made with Eamonn Butler of the Adam Smith Institute in 2000 was also a big factor.

The task is to get as many fellow citizens thinking, and then fighting for OUR NHS. Consider bill boards on your car if you have one. Ours are outside ready for a trip into town - made for last Saturday.

If you care for OUR NHS you will have to fight for it. The politicians have it by the throat.

Find a candidate who is independent of party, who has done a job, has principle and vision, and who will fight for our NHS among other things that are vital to us.

Roof racks and do-it-yourself skills are the only requirement. I am investigating printed posters so waterproofing will not be necessary.

I have been pleading that the NHS should not be used as a political football for about 20 years.

The plan I urged was this -

The NHS would be kept away from the government of the day. Instead it would be led by a scrupulously chosen National Executive peopled by experts in all relevant fields and with evident wisdom in health and other fields.  They would be responsible in all respects.

It would report to parliament every six months via the Health Select Committee. That report would include progress, unmet needs, future plans etc

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