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Only on this website, not on any estate agent or council or community websites, is it mentioned that potential purchasers/leaseholders of residential Sovereign Harbour property must pay a unique annual and increasingly expensive flood defence and harbour charge averaging £265 a year on top of local council taxes, insurance, management fees and ground rents. In no other flood area or harbour or marina area or private estate anywhere else in Britain, the UK, Europe or the world does this apply. A much wider flood zone area than just Sovereign Harbour is involved, affecting  more than 17,000 homes, yet only the 4,300 Sovereign Harbour residents and their successors are liable for this annual cost, paid via a Sovereign Harbour Trust subsidiary to the Environment Agency. Only residents pay it, not businesses including managing agents and property developers. A recent Member of Parliament has stated this is unfair and unjust but the present MP and local authorities will not help to right this wrong. A second unique covenant is also significant. It  requires owners/leaseholders of 369 South Harbour properties in the water feature to pay a further annual charge of £328 in 2018.It is believed to be the only such water feature in the world that makes such a charge to properties overlooking it.

The Case for Eastbourne, East Sussex and NHS Joint Integrated Health and Social Welfare

Europeans have practiced this for more than 20 years, Britain should adopt this in fairness to all Council Tax payers and help fund the NHS

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Beaches Council Tax Wrongs Eastbourne Disability Association

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Forbes Clan Forbes Clan 2 Integrated Council/NHS General John Forbes

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Pensioners Concerns Property Guidelines Sovereign Ward  

By Keith A. Forbes and his wife Lois Ann Forbes. Both disabled, they live in Eastbourne and write, administer and webmaster this website. Keith is a member of the UK's The Society of Authors and an activist for the elderly and disabled.

The case for Council, Health & Social Care Integration

Why does the NHS Confederation just note - see http://www.nhsconfed.org/news/2016/12/councils-able-to-raise-council-tax-to-fund-social-care - but not object to Council Tax hikes to fund Social Care? NHS performance figures show the need for redesigned services and more social care funding - NHS Confederation. See  http://www.nhsconfed.org/media-centre/2017/02/performance-figures-show-need-for-redesigned-services-and-more-social-care-funding.

Why have Councils in Eastbourne and elsewhere in England not instead considered Council and Health and Social Care Integration when faced with massive new costs for Social Welfare?  Why have Councils and NHS authorities in those Council jurisdictions not deemed it critical to adopt the latter? It's a far less costly, more consumer-oriented more inclusive and social welfare-friendly methodology than just putting up Council Taxes ad nauseam to take care of future social welfare needs of some but not all their constituents. It is not realized by most council tax payers who pay increased council taxes for social welfare needs that unless they have total assets less than £16.2500 or £23,000 if going to a nursing home, they will never qualify for their council's social welfare programme in any or all the ways the less affluent will.   

Health and Social Care Integration is the joining up of the local councils involved with the NHS bodies involved. Health and Social Care Integration is not something new, not Scottish (although it is now in effect throughout Scotland).  For at least 27 years it has been the leading aim, focus and service of national, regional and local governments and their national, regional and local health authorities and services authorities in Norway, Sweden and Denmark), Sweden, Denmark and Iceland. There, all their constituents (not just some as is the case in Scotland) are entitled to all of both their local authorities' health and social care services, not just the less affluent. When the more affluent pay for property tax increases they benefit as well, unlike in the UK including Scotland where they pay more council tax but are disqualified because of their means from getting equal services.

Other countries in Europe, such as Belgium, France, Germany, Holland, Italy, etc have also found it the best solution and as a result have since adopted it.. In the Nordic and other European countries, the programme is now seamless, with local authorities working with government-owned and run health authorities not on a Monday-Friday basis but on a 24 hour a day basis, in shifts to ensure equal quality of access of uniform quality irrespective of the area lived in. In the case of older people over 65 there is a moderate, fair and equitable personal or per-couple cost, based on what home-visit or other services and treatments are needed and whether they are provided at home or in care or retirement or assisted living premises owned and administered by either private corporate entities or local authorities. Another important factor in Europe is that specific carers are usually assigned to specific clients with sufficient time for a quality home visit including travel time and these carers are all adequately-paid health-care professionals accredited by their national or regional or local authorities. Another is that district nurses make frequent visits. It does not appear that any attempt was made in Scotland to study the Scandinavian or other European structures.

First mooted in 2012 as Scottish policy, real progress began there in December 2014 with the Scottish Government's country-wide programme of reform to improve services for people who use Health and Social Care Services. The Scottish Government and all its local authority councils stated that improving care for older people was a specific goal, with a focus on reducing the time they spend in hospital. A Rapid Response Team of a Social Care Officer and a Nurse Coordinator would provide homecare and nursing advice on the same day it is requested, as an alternative to hospital care, if feasible. Health and Social Care staff would work with clusters of GP practices to identify older patients at greatest risk of being admitted to hospital, to co-ordinate their care, anticipate their needs and try to maintain their treatment in a community setting. Lead partners are the Scottish NHS including GPs, the relevant NHS body and local council. There is no national uniform methodology, instead it varies by local authority. Third sector and independent service providers are other partners. It was hoped that Integration would ensure that Health and Social Care provision is joined up and seamless, especially but not exclusively for those elderly and frail, with long-term conditions and disabilities. Later in 2015 in Scotland, the Health and Social Care Integration scheme became a legally binding contract. For example, in the Perth and Kinross Council area it became the Perth and Kinross Health and Social Care Partnership (PKHSCP). It formalized the merger in integrated healthcare of PKC and NHS Tayside. It replaced the NHS Community Health Partnership (CHP) which earlier administered and ran NHS Tayside hospitals and allied services. 

However, in 2017 to date in Scotland:

Admission to hospital as an inpatient

medical help in hospital

When you get your letter informing you of admission it will tell you the day and time to come and will also ask you to bring all your GP-approved prescriptions in their original packaging. Plus, if you are due for an operation, you may be told to stop taking aspirin or another/other medications a stipulated number of days beforehand. But what you are not told is what else to bring. When you first arrive, you may be asked to sit in a waiting room for an hour or so, while your details are processed or a bed is made ready for you, or both. When arrive in your ward a nurse will take your medications from you and lock them in a unit next to your bed. She will retain the key of the unit and administer the doses. She will also take your wallet, bus pass or other valuables and store them securely. For your own comfort and convenience bring books or magazines and your own personal toiletries including a comb, dentures if you use them, denture cream, deodorant, dressing gown, electric shaver or razor and shaving cream if a man, facial tissues (Kleenex or similar), hairbrush, hand wipes, mobile phone (now allowed in a non-emergency ward), mobile phone charger, pajamas (instead of the issued hospital gown), slippers (you will need them to go to the bathroom in the ward, especially when the floor has just been thoroughly washed and may be slippery), soap and/or shower gel, toothbrush, toothpaste and washrag. Note that none of the above are available in any hospital bathroom/shower room. If you forget or are unable to bring the items mentioned note that if you want them ask a visiting family member or relative to bring them as soon as possible after your admission. If that's not possible you can buy them from the WRVS cart that will visit your ward on a daily basis. It's also possible you may find the cotton blanket on the hospital bed not long enough, wide enough or heavy enough to give you a good night's sleep, in which case ask a friend or spouse or family member to bring a freshly laundered light but adequate-size blanket when they next come to see you. If you have a balance problem and/or sleep not on your back but on one side, make sure, or ask a member of the staff to help you fasten the rail or rails on the side of your bed, to avoid falling off. Unless you are in a High Dependency Unit where stricter rules may apply you will find the wards are quite relaxed about your choice of pajamas or nightgowns. You will note how nice, affable, kind, friendly, courteous, concerned, cheerful and competent all the hospital staff are, from consultants to doctors, nurses, student nurses, orderlies and cleaners.  Be aware that while patients can bring their computer laptops or notebooks or ultrabooks they may not be able to get line Internet or WIFI to send or receive emails or use the World Wide Web. (There is an NHS computer service, in some hospitals it may be free but in others it may be a secure network, password-protected for authorized NHS staff only), or part of the hospital TV contract However, in hospital wards most inpatients will be able to bring and use their mobile phones to stay in touch with families and friends. 

Chronic obstructive pulmonary disease (COPD)

An umbrella term for people with no-cure but sometimes manageable chronic bronchitis, emphysema, or both and chronic obstructive airways. See British Lung Foundation at www.blf.org.uk/Conditions/Detail/COPD Also see under Stop Smoking.  Many people in the Eastbourne area have COPD, including these authors.

Eastbourne Hospitals

Provided by the East Sussex Healthcare NHS Trust at East Sussex Healthcare NHS Trust. Hospitals are 

Eastbourne District General Hospital at http://www.esht.nhs.uk/hospitals/eastbournedgh/ , King's Drive, Eastbourne BN21 2UD. Phone 01323 417400. For car parking at Eastbourne District General Hospital see http://www.myhospitalmap.org.uk/Eastbourne/CarParkingatEastbourneDistrictGeneralHospital.aspx   

Eastbourne DistrictHospital

Conquest Hospital, St. Leonard's, Hastings, see http://www.esht.nhs.uk/hospitals/conquest/ and http://www.nhs.uk/Services/hospitals/Overview/DefaultView.aspx?id=RXC01

Queen Victoria Hospital, see http://www.qvh.nhs.uk/

East Sussex Better Together

See https://news.eastsussex.gov.uk/east-sussex-better-together/

European Health Insurance Card (EHIC)

European Health Insurance Card(Until Brexit occurs in 2019, after which it may no longer be valid). As qualified local residents, if you've not already signed up for and received one and want to go on holiday or business in Europe, to entitle you to free or reduced-cost health care if you get ill or have an accident in any European Union country you'll need a European Health Insurance Card (EHIC). In 2005 it replaced the old E111 form. You can apply by completing the online form (your card will be delivered in seven days) or by calling 0845 606 2030. Every family member needs a separate card. You can apply for an EHIC for your spouse/partner and any children up to the age of 16 (or 19 if they are in full-time education) at the same time as applying for your own. Before you apply, you need to have the name, date of birth and NHS or national insurance (NI) number of everyone you are applying for. The EHIC lasts for 3-5 years and allows UK nationals, resident in the UK, to receive free or reduced-cost emergency healthcare when visiting European Economic Area (EEA) countries, Iceland, Liechtenstein, Norway and Switzerland. The Department of Health website explains where the EHIC is valid. The treatment will be free or at a reduced cost, but private treatment is not usually covered. Should you need to make a claim once you return to the UK call the Overseas Healthcare Team (Newcastle), 0191 218 1999 (Mon-Fri, 8am-5pm). Renew your EHIC for free directly at www.nhs.uk/ehic. If you use an unofficial website you may have to pay. If you're going to a European Economic Area (EEA) country or Switzerland, it's also important to make sure you have private health insurance. This is because the EHIC will not cover all the costs of your treatment (for example, will not cover your costs if you are treated by any cruise ship or riverboat medical staff or anyone they have to call) and never covers the cost of getting you home (repatriation) if you are seriously ill. Supplementary, more inclusive EHIC coverage is available. If you are going to a non-European country, only very few countries offer any similar arrangement.  For more information on the EHIC see the Department of Health's advice for travellers or call the EHIC Enquiries Line on 0845 605 0707. 

Hospital Chaplaincy

In Eastbourne, the East Sussex Healthcare NHS Trust provides chaplaincy team members who are here to help support you during your time in hospital. They are available to anyone, whether or not patients consider themselves religious and no matter what religion. Chaplaincy members wear blue shirts or blouses, for patients wishing to contact them. Bedside chaplaincy members provide a confidential listening ear for any concerns patients may wish to share. They may be ale to help patients seeking support in dealing with medical or nursing or support staff, or in some circumstances, providing someone to speak for patients. Chaplaincy members can supply books such as a bible, Koran, Torah and Bhagavita. Patients wanting Holy Communion or prayer should request it. 

Chaplaincy Centre and Chapel, Level 2, next to the Michelham Unit, Eastbourne General Hospital. Phone 01323 417400. Ext. 4600.

NHS Business Services Authority

The NHS organization that supplies the NHS with all its needs and also handles the renewal of European Health Insurance Cards, among other things.

Radio Station at Eastbourne District General Hospital (DGH)

Radio DHH at www.radiodgh.com. Hospital radio stations, individual charities, have their own websites. The vast majority are members of the UK-wide Hospital Broadcasting Association, a body which speaks for and supports the individual stations but with no control over them. If you become an inpatient at a local hospital within a day or two after you are admitted to your ward you may be visited by a member of its radio station  You will be told about the programming on offer and asked if you'd like a classical or non-classical music request on the nightly request show. Requests played can range from Country and Western to Oldies and Goldies, classical and much in between. The station will gladly play classical requests although in general if the piece is more that 7 or 8 minutes long they will play an excerpt. They play full pieces on their dedicated classical music shows. Here's a sample of such a request, a 1960s pop song, by Pat Boone. See http://www.youtube.com/watch?v=30jJlIZRJ1c. Another is Casta Diva by Bellini sung by Nana Mouskouri at http://www.youtube.com/watch?v=2p5T8U2qGF4. Or her gorgeous Qual Cor Tradisti at http://www.youtube.com/watch?v=1BQxcaYp8Jk. Or listen to Lehar's Volga Lied at http://www.youtube.com/watch?v=-fAQNX66pe4. Classical requests no longer than 6 minutes may be played.

To make a hospital radio request for someone - friend or family - on a certain day, send your request to the station. Requests are usually played at night, sometimes at a specific time or near it, between 8 pm (2000 hours) and 10 pm (2200 hours). 

Stop Smoking

See  (a) www.quit.org.uk or NHS Smoke Free at http://smokefree.nhs.uk.

Travel insurance coverage via NHS instead of private insurers?

For the disabled and elderly especially but not exclusively, many of whom go to Europe or further afield on holidays. With the NHS so critically short of funds, the topic of constant news-media reports, this is one way to receive much-needed additional income. This ought to have been possible many years ago, instead of always having to go to private-sector commercial insurers. Why do we here in Britain have such a constant travel insurance uphill battle to get coverage at an affordable price, especially after you become disabled and/or get to be over 75 years old? Other nationalities don't seem to have this problem. Nor are they being told, as we here in the UK are by tour operators that we cannot travel unless we have such travel insurance. We should be able to buy it directly from the NHS or via our local hospitals and GP surgeries. The NHS knows our medical history, wants and expects it to remain confidential and is by far and away the best, also the only, position to rate us fairly for risk insurance purposes, yet to date has not been able to do so. Patient confidentiality is at the core of medical ethics and anything that undermines this or has the potential to do so is extremely concerning. Confidentiality is central to trust between doctors and patients. Only with patient permission or court order for ‘specifically named records’ should anyone other than the physician or the patient have access to health information of any patient. When we give private insurers our supposedly confidential information it is no longer confidential between ourselves and/or our GPs and/or our NHS hospitals. If/when we use different insurers at different times we have to submit our medical histories all over again.  We'd avoid that by going directly through the NHS. We'll gladly do our travel insurance through NHS if this is possible and practical and ideally at a somewhat more reasonable cost than through private insurers. We want our insurance premiums to go to the publicly funded NHS instead of to private insurers. We will appreciate NHS and general feedback

travel money

Keith also writes

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Written, administered and web-mastered in Eastbourne, East Sussex, England, by

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Keith A. Forbes and Lois A Forbes at editor@sovereignharbourgazette.org.uk  
© 2018. Revised: September 3, 2018