Dartmouth Area Healthcare Action Group

The formation of this group began when the Torbay Health trust closed the Dartmouth Cottage Hospital before finding an alternative location to serve Dartmouth’s healthcare needs. After their negotiations with the owners of River-View, a private care facility, collapsed Dartmouth was left without suitable healthcare facilities, including sufficient beds to meet the needs of the community

This was followed by a well attended public meeting with our local MP Dr Sarah Wollaston at St Saviors Church and resulted in the formation of the Dartmouth Healthcare Action Group.

Chaired by Michael Mills this group is campaigning on behalf of the people of Dartmouth to secure adequate healthcare services and beds for, what is effectively, an isolated community, surrounded by the river Dart.

This website will keep the community informed on progress with our negotiations. We will publish news here:

Below is an exchange of emails between DAHAG Chairman Mike Mills and the Torbay NHS Trust:

From: Mike Mills
Sent: Thursday, November 15, 2018 6:01 AM
To: ‘DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)’
Cc: TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG); TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); Andrew Jarrold; dseward@hotmail.co.uk; hedley Piper; Wiz; N@tehel.net; Linda Goss;sarah.wollaston.mp@parliament.uk
Subject: RE: Dartmouth Health and Well Being Centre

Dear Liz

                 All of us who attended the meeting on 4th September are very clear on what we proposed and what was agreed. You have indulged in very sharp practice taking seven weeks to send out the paperwork and particularly at 1820 on the Friday evening before the meeting on the Monday. You have chosen not to engage with us who have consistently offered our experience and expertise to be part of the solution for our community.

                We have thus decided in view of this deliberate marginalisation and reneging on our agreement, not to take part in the working group as currently prescribed by yourself. We therefore will not be fielding a representative to meetings of the working group.

              Additionally we can only express deep disappointment that Simon Tapley has also reneged on his agreement to call a meeting within ten days of the 26th October telephone exchange and not had the courtesy to communicate why he has not done so.

              You will today receive a copy of my letter to the Secretary of State.

               I am now personally away out of the country until 27th November.

   Kind regards

                                                                                                                                                                                            Michael Mills

   : DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) [mailto:liz.davenport@nhs.net]
Sent: Friday, November 9, 2018 1:57 PM
To: Mike Mills
Cc: TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG); TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); Andrew Jarrold; dseward@hotmail.co.uk; hedley Piper; Wiz; N@tehel.net; Linda Goss
Subject: RE: Dartmouth Health and Well Being Centre

Mike,

Thank you for your email, apologies for the delay in my response but the system has been very busy this week and I have been behind with my emails.

I am sorry that you do not think we have honoured our agreement with you, I don’t believe this to be the case. We remain very keen to work with you and your group as well as other interest groups in the community so that we are able to progress plans to have a health and Wellbeing centre for Dartmouth and the surrounding community.

 I have taken the opportunity to review my letter to you following the meeting , which confirms our intention to work  with the community on the 2 issues that you had raised; the location of the Health and Wellbeing Centre and the availability of nursing, residential and nursing home beds. In this letter I have set out the agreement that we reached in the meeting that in order to progress we needed to involve representatives from the other stakeholder groups in the community along with people from DCC, the Trust, CCG and Dartmouth Medical Practice.

The group that we have brought together has membership from across all these interests and in order that have a manageable process it was suggested that we have representatives from these groups. If we have multiple representatives it risk making the group unwieldy and ineffective. This was discussed at the first meeting and the membership agreed to this which is set out in the terms of reference.

I would stress than this group has been convened for a specific purpose to agree a way forward for the 2 issues highlighted once agreed it is expected that working groups will be established that will do the detailed work where there will be an opportunity to draw on the expertise from across the community. I hope that this is something that you and your colleagues in the DHAG feel able to be involved in going forward.

Best wishes

Liz

Liz Davenport | Chief Executive

Torbay and South Devon NHS Foundation Trust

CEO Office | Hengrave House | Torbay Hospital | Lowes Bridge| Torquay | TQ2 7AA

Tel: 01803 655703| Internal : x55703 | Mob: 07979 967256 | Safehaven Fax: 01803 616334

Email: liz.davenport@nhs.net | Website: http://www.torbayandsouthdevon.nhs.uk

Working with you, for you

From: Mike Mills [mailto:mike@angloaustraliantrading.com]
Sent: 07 November 2018 19:42
To: DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Cc: TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG); TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); Andrew Jarrold; dseward@hotmail.co.uk; hedley Piper; Wiz; N@tehel.net; Linda Goss
Subject: RE: Dartmouth Health and Well Being Centre

Dear Liz

               You have responded to my emails but not necessarily answered them, the email below a case in point. I asked are you going to honour the agreement you made with us or not?

               At the meeting with you on the 4th September our Business Group proposed that we ( the 5 attendees ) sit down with representatives of the Trust ,CCG and Devon County Council as a working group, consider the two issues together and make appropriate recommendations. We believe you agreed to this on behalf of the Trust and Simon Tapley agreed on behalf of the CCG and Devon County Council, subject to confirmation, with a caveat that the other Dartmouth stakeholders be included, which we happily agreed to.

               We now feel marginalised with our group being reduced to one member, not what we proposed or agreed . To add insult to injury you have added another member from the CCG.

               We feel strongly that with the mix of expertise we are able to field we can truly offer a constructive and objective contribution that will bring about a solution that all parties can support.

               We feel with the Lesley Darke email sent out yesterday a lot of good work has been undone as it clearly appears that you are intent on committing to the SHDC site without seriously considering the economic impact and financial justification. In fact some of my colleagues believe having sited Lesley’s email a deal has been done, and it looks increasingly that way to me.

Best Wishes

 Mike

From: DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) [mailto:liz.davenport@nhs.net]
Sent: Tuesday, November 6, 2018 9:12 PM
To: Mike Mills
Subject: Re: Dartmouth Health and Well Being Centre

Mike,

Thank you for your message. I am sorry but I am not clear what you believe I have not responded to, our intention has been to respond to the issues that you have raised with us  which has been the objective of our recent meeting with local stakeholders.​

Please let me have the details and I will respond.

Best wishes

Liz

 Liz Davenport

Chief Executive

Torbay and South Devon NHS Foundation Trust

Tel: 07979 967256

From: Mike Mills <mike@angloaustraliantrading.com>
Sent: 06 November 2018 19:05
To: DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST); TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG)
Cc: Andrew Jarrold; Wiz; hedley Piper; dseward@hotmail.co.ukN@tehel.net; Linda Goss; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Subject: RE: Dartmouth Health and Well Being Centre

Dear Liz

You have consistently avoided answering the straight forward questions I have put to you since you and Simon agreed to a working group with our team. The simple question is are you going to honour the agreement you made with us or not? A simple yes or no.

Best wishes

Mike

 

From: DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) [mailto:liz.davenport@nhs.net]
Sent: Tuesday, November 6, 2018 6:14 PM
To: Mike Mills; TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG)
Cc: Andrew Jarrold; Wiz; hedley Piper; dseward@hotmail.co.ukN@tehel.net; Linda Goss; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Subject: RE: Dartmouth Health and Well Being Centre

Mike,

Thank you for your message.

At the meeting last week the representatives from the stakeholder groups agreed on a set of criteria against which the 2 options for the location of the Health and Wellbeing Centre would be evaluated. It is this set of criteria that we have asked the members and their groups to score. The results of the scoring exercise will be reported back to the next meeting which is due to be held on 20 November 2018. There was a broad debate on the criteria that should be used to inform the decision and agreement that the process was appropriate. Given the group was clear on this matter I am not sure that it would be appropriate to introduce new criteria at this stage.

Best wishes

Liz

Liz Davenport | Chief Executive

Torbay and South Devon NHS Foundation Trust

CEO Office | Hengrave House | Torbay Hospital | Lowes Bridge| Torquay | TQ2 7AA

Tel: 01803 655703| Internal : x55703 | Mob: 07979 967256 | Safehaven Fax: 01803 616334

Email: liz.davenport@nhs.net | Website: http://www.torbayandsouthdevon.nhs.uk

Working with you, for you

 

From: Mike Mills [mailto:mike@angloaustraliantrading.com]
Sent: 06 November 2018 17:32
To: DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST); TAPLEY, Simon (NHS SOUTH DEVON AND TORBAY CCG)
Cc: Andrew Jarrold; Wiz; hedley Piper; dseward@hotmail.co.ukN@tehel.net; Linda Goss; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG)
Subject: FW: Dartmouth Health and Well Being Centre

Dear Liz and Simon

Reading Lesley Darkes email below you clearly have had no intention of undertaking a proper professional exercise and including our working group with their respective expertise and are making a decision by postal vote.                                                                                                                                                                                    Best wishes                                                                                                                                                                          Mike

 

From: DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) [mailto:lesley.darke@nhs.net]
Sent: Tuesday, November 6, 2018 5:07 PM
To: Andrew Jarrold
Cc: Mike Mills; ‘Wiz’; ‘hedley Piper’; ‘David Seward’; ‘N’; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST); ELKINGTON, Helen (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Subject: RE: Dartmouth Health and Well Being Centre

Andrew,

Our current working assumption on Trust requirements is summarised below.

Could I please ask what options analysis you are undertaking please and what outputs you are anticipating and when. Clearly as you would expect we are pursuing our own planning timeline, starting with the location decision by the Dartmouth stakeholders which I am hoping will be confirmed later this week.

Quantity sqm total sqm Total
HWB/ Community Team & Physio Stores 1 33 33
HWB/ Community Team/Physio Office  x2 1 71 71
OT/ Physio Rehab Gym 1 48 48
Waiting Area 1 25 25
Clinic /quiet Room 3 14 42
Toilets x 5 1 17 17
Reception – shared 0.5 14 7
Meeting Room – shared 0.5 41 20.5
Staff Room  – shared 0.5 32 16
Total 279.5
Plus 30% circulation 83.85
363.35

 

Kind Regards

Lesley Darke

Director of Estates and Commercial Development

Torbay and South Devon NHS Foundation Trust

Telephone: 01803 656800 or 56800 internal

 

From: Andrew Jarrold [mailto:advjarrold@btinternet.com]
Sent: 06 November 2018 14:37
To: DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Cc: ‘Mike Mills’; ‘Wiz’; ‘hedley Piper’; ‘David Seward’; ‘N’; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG); DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST); ELKINGTON, Helen (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)
Subject: RE: Dartmouth Health and Well Being Centre

Hi Lesley

Thanks for that. Could you please give me some guidance on question 2 below.

Thanks

Andrew

 

From: DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) [mailto:lesley.darke@nhs.net]
Sent: 06 November 2018 12:22
To: Andrew Jarrold <advjarrold@btinternet.com>
Cc: ‘Mike Mills’ <mike@angloaustraliantrading.com>; ‘Wiz’ <wiz@tehel.net>; ‘hedley Piper’ <unimserv@gmail.com>; ‘David Seward’ <dseward@hotmail.co.uk>; ‘N’ <n@tehel.net>; TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG) <jenny.turner3@nhs.net>; DAVENPORT, Liz (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) <liz.davenport@nhs.net>; ELKINGTON, Helen (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) <helen.elkington1@nhs.net>
Subject: RE: Dartmouth Health and Well Being Centre

Dear Andrew,

Those are the assumptions based on Riverview, they will be updated in the near future but can be used as a working hypothesis. Zion Place physio is not currently planned to be part of the development.

Kind Regards

Lesley Darke

 

Director of Estates and Commercial Development

Torbay and South Devon NHS Foundation Trust

Telephone: 01803 656800 or 56800 internal

 

From: Andrew Jarrold [mailto:advjarrold@btinternet.com]
Sent: 06 November 2018 09:45
To: TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG)
Cc: ‘Mike Mills’; DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST); ‘Wiz’; ‘hedley Piper’; ‘David Seward’; ‘N’
Subject: RE: Dartmouth Health and Well Being Centre

Hi Jenny

Sorry to bother you further but the DAHAG team are in full swing with their options analysis work and not surprisingly in need of further detail confirmation:

We understand the H&WB Centre to be planned at 1,740 sqms (as per Riverview model) and to provide the following:

NHS Trust offices                             c.363 sqms

Dartmouth Medical Practice        c.915 sqms

Dartmouth Caring                            c.214 sqms

Pharmacy                                            c.138 sqms

Other Retail                                        c.110 sqms

Total                                                      c.1740 sqms

 

  1. Could you please confirm our understanding to be correct and if not please provide correct summary
  2. Could you please explain what the NHS Trust office element is provided at 363 sqms.
  3. Can you please confirm whether or not the Zion Place physio clinic is included in the above and if so is it part of the DMP space or NHS space?

If this could be confirmed by return that would be extremely helpful as our team plan to meet again in a day from now and this is relevant to our analysis.

Many thanks

Andrew

From: Andrew Jarrold [mailto:advjarrold@btinternet.com]
Sent: 03 November 2018 06:48
To: ‘TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG)’ <jenny.turner3@nhs.net>
Cc: ‘Mike Mills’ <mike@angloaustraliantrading.com>; ‘DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST)’ <lesley.darke@nhs.net>
Subject: RE: Dartmouth Health and Well Being Centre

Hi Jenny

Thanks for your prompt response. All information is welcome so yes please to indicative funding costs on both options.

Thanks

Andrew

 

From: TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG) [mailto:jenny.turner3@nhs.net]
Sent: 02 November 2018 09:48
To: Andrew Jarrold <advjarrold@btinternet.com>
Cc: ‘Mike Mills’ <mike@angloaustraliantrading.com>; DARKE, Lesley-Jane (TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST) <lesley.darke@nhs.net>
Subject: RE: Dartmouth Health and Well Being Centre

Dear Andrew

Thank you for your email. I have asked for the information you requested. Would you also like indicative figures for the cost of borrowing if we were to fund a new build either on the hospital site or at the top of town?

Best wishes

Jenny Turner

Head of Integrated Care – South

T: 01803 652505 | E: jenny.turner3@nhs.net

 

From: Andrew Jarrold [mailto:advjarrold@btinternet.com]
Sent: 01 November 2018 20:08
To: TURNER, Jenny (NHS SOUTH DEVON AND TORBAY CCG)
Cc: ‘Mike Mills’
Subject: Dartmouth Health and Well Being Centre

Hi Jenny

Mike has forwarded your email of today’s date at 12:16 with attached documents.

Can you please tell me whether or not you have an indication from South Hams as to what the Rent will be for the new Health and Well Being Centre?

My own thinking would be based on two routes of analysis:

  1. SHDC return on capital employed – probably would want not less than 5% which would suggest c.£225,000 per annum which is I think strikingly close to the Riverview option but with no beds or
  2. An open market valuation which would be say 1817 sqms or 19,500 sqft at say £12.00 per sq foot = £235,000 per annum

Normal approach would be (2) and I have not done any research on this so my figure of £12.00 psf is very much a guestimate.

This request is very important for our appraisal work so if you can give me an indication asap I would be most grateful – if not we will work with my figures.

Many thanks

Andrew

Andrew Jarrold BSc MRICS

Propel Property Consultancy

Consultant to Shobrook & Co Ltd

South West Consultant to Acuitus Auctioneers

Mobile 07517 182317

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