Townlands Hospital without any beds? It will happen unless we all march in protest Sat July 11th at 10am.
The TSG meeting on June 9th considered the answers given to the questions that the TSG had notified to the Clinical Commisioning Group (CCG) in advance. The TSG also considered the answers given by the CCG to the members of the public who asked an extensive set of detailed and searching questions.
It is obvious that the CCG proposals are strongly opposed by a large majority of the community. The TSG expect the consultation will show this clearly.
The CCG will report on the consultation to the Health Overview Scrutiny Committee (HOSC) of Oxfordshire County Council on July 2nd. The TSG is planning to make its own submission to HOSC.
HOSC has two levels of responsibility with respect to the Townlands
- ensuring that the consultation has been correctly and properly carried out (section f of its terms of reference)
- ensuring that the inhabitants of Oxon receive hospital and community health care services; and social care services (sections a, b, e, g of its terms of reference)
The TSG believes the CCG consultation is flawed and has failed for the following reasons
- insufficient information on the way the model will work
- insufficient information on the transition from the old model to the new by Nov 1st
- absence of information on what will happen to staff between Nov 1st and the opening of the RACU in the Nursing Home
- lack of any information on the monitoring and scrutiny post implementation (e.g. by identifying the process and Key Performance Indicators)
- refusal of the CCG to provide the detailed current bed usage figures or their modelling data
- unanswered questions on the modelling figures expressed at the TSG meeting on 9 June (e.g. from TSG member Geoff Probert)
- the questionnaire made it very difficult for the community to express clearly our views on the proposals
- lack of any information on costings
- the emergence of significant changes to the proposals in the course of the consultation, including
— the RACU is to open only 3 days per week
— the fact that EMUs were used to provide reassurance of successful examples of operation of the new model which are quite different from RACUs (e.g. being associated with community beds at Witney and Abingdon)
— The new model is expected not to require additional community health resources (e.g. district nurses). Peter Magrane said this on 9th June. No evidence has been provided to support this
— The new model is expected not to require additional adult social care resources. John Jackson said this on 9th June. No evidence has been provided to support this
The TSG is very disappointed that the CCG have failed to provide supporting documentation for their proposals which would allow the community to provide a fully informed response to the consultation. The lack of support from the GPs for the proposals underlines this failure.
The TSG will urge HOSC and other stakeholders to act to ensure that the CCG reverts to the service model as specified in the original Business Case approved by the PCT and SHA in 2012, planning permission for which was also granted in 2012.
The TSG will continue to engage with the CCG on a new plan based on the new model of ambulatory care, as it is clear than this is supported in principle by many Gps and other clinicians, and has operated successfully as part of an integrated system of Health and Social Care in other parts of this country and around the world.
Cllr Ian Reissmann
Leader Townlands Steering Group
and other TSG Subgroup members
Cllr David Nimmo-Smith
Dr Peter Ashby
Dr Barry Wood
Dr Fiona Galton-Fenzi
Cllr Stefan Gawrysiak
Cllr Julian Brookes
16th June 2015
Now to be Submitted Without Transport Strategy.
Conservative Cllrs voted through the latest draft of the Neighbourhood Plan on Tuesday 23rd June which means the plan will be submitted to South Oxon District Council without a Transport Strategy. This overturned the resolution from a Special Full Council held on 8th June which voted to delay the plan until the Town Council’s Transport Study is completed in July.
The Transport Study was commissioned by Henley Town Council earlier this year when it became clear that the Plan would be incomplete without full consideration of the requirements for infrastructure, especially transport, being included in the Plan.
The original Public Opinion Day held in 2012 identified traffic as the most important issue facing Henley.
Conservative Cllrs proposed that the current plan be submitted with minor amendments. HRG cllrs opposed this making clear the need to include a Transport Strategy as originally decided on June 9th.
Cllr David Nimmo-Smith accused HRG cllrs of dragging out debate saying “The proposers are opponents of the Neighbourhood Plan and are simply trying to delay things”. This was refuted by Cllr Ian Reissmann “I support the submission of a good Neighbourhood Plan. It’s vital we get the Plan right so it does not fail at inspection or referendum. I am trying to save the Neighbourhood Plan.”
HRG cllrs proposed the following amendments to the Plan:
- Delay submission pending transport study and inclusion in the plan
- Add affordable housing definition and tighten wording on 40% affordable figure so that developers cannot duck the 40% affordable commitment.
- 20% of the affordable housing should be reserved for people with a local connection in line with SODC housing strategy 13.3
- Add Heritage/History Vision and objectives.Ensure that a top level priority for the plan is to protect Henley’s Heritage and History.
5. Policy SCI3: Renewal and enhancement of community facilities, which only applies to renewal of existing facilities. Amendment was to add that new facilities can be created using CIL and Section 106 money through the Neighbourhood Plan.
6. Community benefits: add
– Ensure public access and communal spaces on new developments.
– To protect and enhance wildlife on new developments
- Consideration of Market Place Mews. There is no consideration of the development of the major site in the Town Centre for which planning permission was granted in 2007 for 14 residences and 8 commercial properties.
8. All new housing to meet the 2016 government level 6 target for carbon emissions.
- Reserve Site for Highlands Farm as there is a question mark over whether this is deliverable due to the Scheduled Ancient Monument.
– add the conservation area to the site map
– indicate that 75% of Site A is in the Conservation Area
– strengthen commitment to protecting Conservation Area
- Youth Centre loss of housing allocation due to sale to Care provider.
- Include more pedestrian crossings at Gravel Hill, Northfield End, Kings Road, Swiss Farm.
- Improve numbering and structuring of the document, including a change to renumber the two chapter 6’s
- Add monitoring section
- Enhance delivery section
HRG Cllrs expressed their dismay when Conservative Cllrs forced through a procedural motion to prevent any more amendments being proposed, and voting on the substantive proposal without any discussion. “We agree with Cllr Thomas that this debate is a shambles. We should not be rewriting the document here. We should take the document back and make the necessary changes and bring it back to Full Council when it is ready.” said Cllr Gavrysiak.
Many amendments which could not be put had been supported by members of the public during public participation. Passionate speeches were made on the inclusion of the Transport Strategy, the sell off of Gillott’s School playing fields, and the Fairmile Conservation Area. The only individual to speak in favour of submitting the plan in its current form was a representative of a developer.
The Neighbourhood Plan final document has not been looked at by the Overview group of the Neighbourhood Plan nor has it been looked at by the Neighbourhood Plan Governance Committee. This had been the first chance for Henley Town Council to consider the Plan which has so far cost £150k.
The NPGC and Full Council have ratified on 3 or more occasions that the Transport strategy was to be built into the NP.
The Plan will now go through a final consultation for 6 weeks, following by independent examination, before finally going to referendum.
Last weeks Town Council and District elections turned out to be much more closely fought than those at national level, and HRG fought a very strong campaign with a fresh new team. Now that the dust has settled we’re very pleased to report that not only did we increase the number of HRG Councillors on the Town Council by two, but Stefan Gawrysiak was also elected as District Councillor.
We now have seven Town Councillors – Stefan Gawrysiak, Ian Reissmann, Kellie Hinton, David Eggleton, Sara Abey, Sarah Miller and Jane Smewing. The details of the votes are here. Read more about Our Councillors.
And we’re delighted that in Stefan we shall have an active representative on SODC. In Stefan’s words “I’m hugely pleased to be elected. I will work extremely hard for the people of Henley and I’m really pleased that HRG got so many votes.” The details of the votes are here.
Although we are disappointed that we have not regained control of the Town Council, weincreased our representation within the council against a wave of national Conservative popularity. We have a strong and diverse team, and are already focussed on working together to improve the town, as HRG has always done. The fight goes on to achieve the best for Henley!
Since the meeting on the 26th March the following have taken place:
1. Plans for the new model of care have been provided to the TSG and are on the TSG pages on the HTC website.
2. IR is in regular phone contact with Libby Furness who is leading the CCG project.
3. The subgroup (IR, PA, SG, DNS, SG) met with John Howell to plan the next steps
4. The TSB have agreed to hold a consultation on the proposals to move to a new model of service. This consultation was pressed for by the HOSC at OCC who are responsible for ensuring that changes to the services have undergone due process. This was inevitable given the nature of the proposed changes.
5. The critical factor is not the consultation itself, which was never in doubt, but the content when the documents are published on May 11/12.
6. IR has been invited to join the CCG project group as TSG rep. There have been two meetings so far: 18 April and 30th April. These have been attended by all the key players and are working in a focussed and cooperative way to ensure the new plan is developed successfully and the consultation is successful.
7. The TSG including John Howell met with Oxford Health CEO on 24th April. Also present COO Yvonne Taylor and Director of Older People’s Services Pete Magrane. CCG manager Libby Furness also attended.
8. The TSG including John Howell met with the Henley GPs on 30 April.
9. There was a Service Design workshop held on 1 May to allow all the key stakeholders to agree a plan for the new model of care. This will be reviewed by a wider group including GPs and Peter Ashby from the TSG on 7th May.
10. IR had a meeting with Corrine Yates (CCG comms director) and Julia Stackhouse (senior CCG comms manager) to review the engagement plan. This includes many planned meetings with interest groups in and around Henley. There is a plan for one large meeting, with capacity for a second if demand is sufficient. I think the overall plan is comprehensive – they CCG are making sure they are able to show this is a real consultation. They have also made clear that they remain open to new ideas and views of the community. This is no rubber stamping of a done deal.
11. Consultation will start on 11 May. The documents are mostly at final draft stage. I have seen some of these. These are:
1. Letter of intent based on the document signed by Andrew Burnett as sent to the TSG on 27 March
2. Summary of the assessment of key health needs (as issued to the TSG in March)
3. Full description of the new model
5. Summary of agency interworking
6. Case studies
12. The main document which presents the detailed services to be delivered at Townlands will be published on the 12 May.
13. The TSG should also meet as soon as possible in the course of the consultation. Provisional dates of 4 June and 11 June were discussed this morning.
This consultation is very important and we need to make sure we all consider carefully the papers when they come out and respond both as individuals and collectively. It’s important we wait to see exactly what the proposals are before we rush to judgement. The TSG and CCG (and others) have done a lot of talking over the last few weeks and the eventual proposals may be significantly different form the outline presented to the TSG and community on March 26 by the CCG.
Cllr Ian Reissmann
5 May 2015
The new hospital at Townlands is being built and will certainly open in the next 12 months with an excellent set of services which are so important to the community. This is a magnificent result and thanks to the community and the TSG which has been so effective in fighting this battle for over 10 years.
The Clinical Commissioning Group are going to launch a consultation on May 11th which will suggest an alternative set of services to the beds. This will include improved support for people to be cared for at home, and also greater availability for long term care for those who can’t go home.
The CCG say this will be better and GPs agree that this potentially may be a better service. The key point is making sure the support systems are in place, particularly the Adult Social care which is the responsibility of OCC.
We need to make sure their plans stack up and the people currently using the beds will be cared for safely and with dignity.
Until we get the facts, we’re not able to judge. The TSG are in close contact with the CCG and will be carefully scrutinising the proposals. The TSG have been working in this way very successfully since being set up by HRG cllrs in 2003.