People in Torrington asked about healthcare

Posted on: 2 September 2015

Please note that this story has been updated and is available here . That’s because we have extended the length of time that people can have to let us know what they think of healthcare in the Torrington area.  People now have until the 8 October to let the Scrutiny team know what they think about their local service.

A Devon County Council health task group is inviting people in the Great Torrington area to let them know their views on healthcare in their community.

NEW Devon CCG and Northern Devon Healthcare NHS Trust introduced a new model of community based care in Torrington in 2013, which focusses on delivering healthcare to people in their own homes.

The pilot aims to improve local people’s access to healthcare as doctors, nurses, physiotherapists and others healthcare professionals come to, or closer to people’s homes, preventing people travelling any further than necessary to receive the necessary care.

Evidence suggests that, as well as this being a much better way of providing care to patients, it is also more cost effective.

The independent Health and Wellbeing Scrutiny Committee at Devon County Council has been following the pilot, and has had regular updates on progress from NEW Devon CCG and Northern Devon Healthcare NHS Trust.

The Committee agreed in June that its Task Group would seek further evidence from local people who have been receiving healthcare through this new community-based delivery.

They want to hear from people in Torrington and surrounding parishes who have received, or are receiving healthcare at home from district nurses, community matrons, community physiotherapists and occupational therapists or who are now accessing some of the day clinics at the hospital.

The task group is asking people to contact them by e-mail via, or by post at the address below by 21st September, and ask that people include details of the care they received and when, as well as their contact details in case the task group wish to hear more from them.

Scrutiny Team (re: Torrington Community Hospital)
County Hall
Topsham Road

The task group’s findings will be reported to the Health and Wellbeing Scrutiny Committee.

22 comments on “People in Torrington asked about healthcare

  1. Mike Lamprey says:

    I and thousands of people throughout northern Devon have, over the past two years, been subjected to the most heinous crime committed by any public body since the creation of the welfare state. We have all been persuaded to believe that those responsible for our medical wellbeing know better than we what is good for us. Such a patronising attitude, more typical of the Victorian era, is characteristic of the present government’s policy towards publicly-owned bodies in general and the NHS in particular. The stated reason is austerity, yet the NHS was created at a time of eye-watering deprivation which makes current economic shortfalls pale to insignificance. I remain to be convinced that any present austerity excuse has anything to do with economy and everything to do with political dogma. The total destruction of the NHS is at hand.

    It is the great misfortune of Torrington that the NDHCT chose it to be the ‘flagship’ of a vile experiment or ‘test of change’, as they choose to call it. Basically they wanted to see if patients, often discharged untimely from the District Hospital, could survive at home with brief and unpredictable visits from nurses. This was done in the face of an overwhealming parish poll against, an independent expert assessment by Dr Tucker and the opinion of GPs with a lifetime of local experience. All results were studiously ignored amid a veritable tsunami of outright lies. Their minds were long made up regardless of any clearly-established facts.

    I sincerely hope that general affection for the NHS will convince the public at large that this act of public treason will not be forgotten or forgiven when next the people have a say. By then the effects will doubtless be nationwide. Meanwhile I fear that many will suffer and maybe die at the hands of those who signed a sacred oath to care for the sick and give succour to the elderly. May God forgive them! I will find it more difficult.

  2. Irene Daniel says:

    Thankfully no one in my family has been ill or in need of hospital treatment recently. However I do have a history of CARE at Torrington Cottage Hospital for which I shall be for ever indebted !! My father (aged 80years) suffered a major stoke and received the most compassionate nursing care for six weeks which enabled him to be rehabilitated well enough to return home. The fact that he was in Torrington enabled my mother to visit him every day and meant they could support each other during this life changing period of their lives.He was cared for in the local community by the local people he had known,all his life, this I am sure aided his recovery.
    Two years later my mother who was frail and elderly (84yrs) and had not enjoyed good health for a number of years and who had had three stays in the hospital was coming to the end of her life. She was admitted and spent the last 10 days in the hospital. I will never forget the wonderful caring nursing that she received and the support the marvellous staff gave our family. She died with dignity surrounded by love.
    I am finding it very difficult to stress how very grateful our family were for all the support we received during those difficult times. This is my reason for believing so strongly that this cottage hospital which has such a long history of devoted care should be re instated along with other cottage hospitals. I am sure there are thousands of experiences like mine. I can not comprehend how the nurses in the community can possibly support patients on the same level as my own parents were looked after.
    With out these beds it is obvious to every one that the acute beds in the main hospitals are going to be blocked and we shall all have to suffer the effects that is bound to have. I emphatically urge you to do all in your power to see that these beds are reinstated.
    Yours sincerely Irene Daniel

    • Thank you for taking the time to comment Irene. Please do make your comments known to our Scrutiny committee task group who are gathering people’s views about the healthcare that they receive in the Great Torrington area. The deadline for response has been extended to the 23 October, to give people longer to respond. Here is a link to the updated story, which includes details about how to send your comments.

  3. susan scrutton says:

    At the beginning of the Beds Saga I was kept in Barnstaple hospital with
    a broken ankle for almost three weeks, as they didn’t want me to return
    to an empty house. On numerous occasions I said that I was the ideal
    patient to be in our Cottage Hospital – but they knew, and I knew, that
    orders had gone out not to send anyone there, although the beds were
    still in situ. My friends are all busy people, so, instead of being able to
    pop down the road to see me, I had very few visitors to share a laugh
    with and was occupying what I am sure must have been a much more
    expensive bed. Torrington was the ideal halfway house. Please
    reinstate the beds. I have no wish to die in Barnstaple.

    • Thank you for your comments. Please help inform members of our Scrutiny committee by letting them know what you think of healthcare in your area. The deadline for responses has been extended to the 23 October. Here’s a link to the updated story

  4. Yvonne Matthews says:

    It is hard to comment when one feels that whatever comment you make is going to be ignored due to the decisions having already been taken. Depression and alienation follow shortly after being ignored. The situation in Torrington and the rest of North Devon seems to be at odds with promises made by the government to provide local care. What they really mean is we will devolve our responsibility of care on to families and free carers thus shortening the lives of not just the very elderly but the next generation too – that should solve a lot of the problems shouldn’t it! A recent experience of one town resident (who has served our town well by clearing up the town for years) who now lives alone, is that an emergency admission to NDDH where there were no beds available, resulted in him being sent home with no one to look after him. Care at home cannot be arranged quickly. Proved. Only more emergencies will follow and fatalities will be covered up. Certain

    • Hi Yvonne. Thank you for your comments. We have extended the deadline again for comments to allow people longer to make their views known to the Scrutiny committee at Devon County Council. Members of the committee want to know what people think of the healthcare that they receive, and therefore your views are very welcome. Please, if you have time, do make your comments known to the committee. The contact details are in the updated story, here

  5. margaret brown says:

    Community beds are needed and should be kept open
    Our rural area with fractured bus service, distance to NDDH coupled with the cost of taxi fare in this deprived financial area will put lives at risk
    It is a fact that there are not enough Carers, Nurses trained to meet the demand in an area covering 13,000 people
    Carers are tired ,expected to work many hours with little pay and Nurses themselves
    saying they cannot cope .
    There are many stories of relatives at the end of their tether worn out from from the
    demands that could be met by the 24/7 care at the Torrington Community Hospital.
    With winter approaching and the possibility of a flue epidemic the NDDH will not be able to meet the demand, they are constantly on black and red alert .
    The closure of Torrington Inpatient Beds was an illegal act by the CCGand the Trust but they have continued to roll this out across Devon .
    Money has come first rather than patient care
    I fear for the future when we are in the hands of an Organization who continue down this road of (WE KNOW BEST) and fail to listen to the Community

  6. Sue Mills says:

    Having a father that died in Holsworthy Hospital, and a uncle that died in Torrington Hospital, My father was in Holsworthy because he was not assessed correctly by Social Services and my uncle ended his days in Torrington because he could be sent there, Now where are our parents going to die……. Living in Torrington I hear horrific stories of lack of care and support for wives, husbands and daughters or sons left to care for there loved ones, as there is not enough staff to go round. We in Great Torrington have been treated badly and have been let down. Treated as a experiment, which has clearly not worked. If the CCG and the NHS had been honest with us from the start, instead of telling a load of untruths. What money has been wasted on community meetings, when we have all clearly be fobbed off with misleading facts and figures. Put a halt on this now, include Torrington in talks concerning beds, and just admit you have made some serious mistakes. And no I’m not a robot, but have been treated like one at meetings…………

  7. Anne Wardman says:

    “Enhanced “care claimed but not implemented, funded or indeed a reality!

    The NHS, in particular Dr Bowman (NEW Devon CCG and now NDHT) in many meetings, has continued to erroneously claim that Torrington has been given an “enhanced” service. The only thing “enhanced” has been the hours that nursing staff work as it now 8am till 8pm instead of 9 till 5. Out of hours (8pm-8am)has not changed – a few (and I mean a few) nurses are still based in Barnstaple and they cover the whole area from Ilfracombe in the north to the Cornish border in the south. How they cover this number of patients and over this wide a geographical is nothing short of miraculous, and given the number of complaints and bad experiences it does make one wonder how well-resourced both these services are?

    This service although much proclaimed by the NHS as a success (which remains unproven) is in no way comparable to the 24/7 cover we had with beds and services in Torrington community hospital AND a community service. This NHS service has been illegal and unethical, overstretched and mismanaged. Illegal because the NHS did not consult or do an Impact Assessment into how the new service would impact on all sections of the community, prior to the sudden closure of the community beds and also unethical because the trial “Test of Change” and this change in patients’ treatment was not consented to by the Torrington community and on the mere assertion by the NHS managers that it was a “success” with no concrete, valid, relevant evidence as proof. In spite of this, they continue to roll out this inadequate service across Devon. Overstretched because this new service has been underfunded and understaffed relying on the elderly public doing most of the care and fending for themselves. For the NHS the whole point of this moneysaving strategy is to give a lesser service and save money. However by so doing they are discriminating against the increasing elderly and more complex patients in the population. It was thought up as a way to save NHS money in these austerity ridden times on the back of the old and the frail in our communities. It should be said that it is not a good time to be old or ill in Devon.

    As far as assessing workforce shortages. I believe the NHS has managers that have the job of assessing and predicting shortages in the workforce, months and years ahead. This staff shortage should have been flagged up by NHS managers in their workforce predictions long ago. That there would be a shortage of Nurses and Doctors in the coming years is part of this assessment and action should have been taken. The excuse given by Dr Diamond time after time, that it is a national problem is not good enough. The local NHS managers do not have to manage the national workforce – just locally and that they failed to do anything about this shortage over this period in time is a management failing. One could cynically say that it was part of their ultimate plan. However if this is the case then their failure to communicate to the public before the abrupt closure of Torrington and the pretence at consultation might be seen as somewhat deceitful and dubious!! That this basic staff shortage has never been corrected by government or the local health authorities indicates that the plan even prior to the bed closures was to allow the community hospitals to run down, under various pretexts. Their first claim being that Torrington hospital was under-occupied even though it was 85% occupied on closure (and fully staffed) and the second pretext being that they had not enough nurses to staff Ilfracombe and Crediton safely. Both strategies to enact the bed closure plan in a less than open and transparent manner.

    I would maintain that if they haven’t enough nurses to staff a hospital the NHS, they definitely haven’t enough nurses to staff this new service safely . Also lone working that is not safe in the hospital is equally if not more so, unsafe in the community!

    It demonstrates desperation at the local NHS authority level, who we know are failing financially and strategically, that this money saving scheme (Care closer to Home community service)is a life raft to cling on to as it ticks the new model of care box for NHS England. This is why the local NHS have dogmatically insisted on pushing it through against everyones better judgement and the community’s resistance.

    It goes without saying that this year the NHS in Devon has been allowed to spend millions on agency staff and also on this supposed “consultation” and “evaluation” and implementation of this failing service. Is it good management to overspend that much and yet none of these GP commissioners appears to takes responsibility for a service that is blatantly unworkable and failing in so many ways? Their heads firmly stuck in the sand, not even looking up to read the complaints or speak to the people who are suffering. It does make one ask – what training these GP commissioners have had to run and manage a health service and when are they going to take responsibility and be accountable to the people they imposed this on, never mind any ethically values they signed up to as doctors.

    They have now closed the beds in Torrington without real consultation and Ilfracombe (again the NHS pretend to listen) and intend closing 37 more beds in the North Devon area. These bed closures were all decided on a verbal report, not concrete evidence at a commissioners meeting. Dr Womersley (boss CCG Northern) let this out of the bag at a Scrutiny meeting – you can see this on the DCC webcam. I find this abuse of power and undemocratic dealing, downright dangerous as there has been no independent unbiased relevant research re the need for beds or that finds Care closer to Home in the community safe or that it was indeed proven to work before it was summarily stated to be successful and rolled out. Scarily unethical and unprofessional! These smug NHS Chiefs, in my opinion, are playing roulette with peoples lives!

    The NHS has stated that they have increased the staffing level. They have indeed increased the number of nurses to cover the increase in hours but pro rata have they increased the level of staffing per patient? There are over 12,000 people (and growing) in Torrington Community (a third of which are over 65). Many of these recruited nurses work part time and this in itself brings problems with consistency of skills, knowledge and expertise levels and maintaining continuity of care. Do you know what we had before the beds were closed without notice and this new healthcare change inflicted on the population? Do you know whether it worked or not? Was there a baseline to compare the new service with? No – and neither do they! They were too keen to shut the beds before anyone could complain or make a fuss. This is the strategy they used in the past when they closed the Minor Injury Unit and 2 beds in Torrington again without consultation with the people it affected.

    Having been reliably informed by community staff in Torrington that all is not as it should be, where nursing staff are under desperate pressure , where nurses and doctors are opting to leave and also to retire in order to escape what they are finding to be an unworkable service and unreasonable pressure. Staff find themselves unable to speak out or whistleblow. However we have been told, many people are seriously concerned for the safety and care of the patients. These staff are at a severe impasse. Newly appointed nurses, we have been told, are in the main, inexperienced, and many nurses work as lone workers and therefore forego clinical supervision. Many are increasingly stressed by the NHS’s unworkable expectations. The nursing and medical staffs concerns need addressing and soon! Dr Diamond’s letter stating everything in the garden is rosy is far from true. She is too distanced to know what is really happening and relies on managers telling her what she wants to hear! Torrington staff have been working in isolation, shut off from fellow Devonian colleagues support for too long. Unable to take action against what has gone on for fear of retribution. The only non partisan way to go about this is to insist on an independent anonymous investigation/survey otherwise these staff will not have the mechanism to speak out. It would be of grave concern to both staff and patients if the CCG/Trust decides to do their own internal investigation/survey itself as they have failed to be unbiased and trustworthy in this service implementation (See STITCH report into the dishonest practice in the NHS running of the Oversight committee and the continuous misinformation and manipulation in this roll out )! See the 17 initial patient complaints (and many more that followed) that were sent in to the NHS nearly 2 years ago with the patient’s consent to public scrutiny. A proper complaints procedure by the NHS has failed to happen. These people remain unsupported by the organisations who inflicted this. It is no wonder that the reputation of the NHS has been severely damaged during and since this enforced social experiment. Torrington people have been discriminated against and summarily dismissed by the NHS, both CCG and Trust. Ask yourselves why we never had any part in any REAL decision about any bed closure – either initially or thereafter? When we did speak out they ignored us and treated us summarily. Why we have never had a proper legal consultation prior to bed closure, and have not been included in the recent CCG and separate Trust (sham) consultations where bed closure has already been decided and not by the people who matter, the patients? How cruel to make the decision to close the beds and then ask people where they want them closed – deliberately setting community against community! Why there was never an INDEPENDENT unbiased “trial” nor is their any relevant INDEPENDENT unbiased evidence? Why have we never been treated with respect? Why do NHS managers continue to lie about the Torrington trial being a success at their “consultations” with other communities? Why were none of the government guidelines in particular the 4 Nicholson tests ever adhered to during the Torrington trial “test of change”.

    A major healthcare change ( which is happening in Devon) has to meet 4 key criteria to be valid, these are,

    1 · Clarity about the clinical evidence base underpinning the proposals;

    2 · Support of GP commissioners involved;

    3 · Consistency with current and prospective patient choice;

    4 · Genuine engagement of public and patients

    Ask why they have never had the courtesy to listen to the people. God knows, Torrington has done everything in its power to let them know that the evaluation, consultation and implementation has been fundamentally and irretrievably flawed and is failing the people it was forced upon. These remain the most weak and vulnerable in our society. Even the MPs have spoken out against it. Lately the GPs throughout a large area of North Devon have written a letter to Dr Diamond, in it they state “It has been suggested that the closure of Torrington Community Hospital was a success. The truth of the matter is that these patients were often placed in other community hospitals which are still open and the evidence shows these community beds are needed”. These Torrington patients were treated miles from home and family and not by their own doctor who knows them. Is that better or appropriate care? Is that putting the patient first?

    The NHS has wasted so much money on trying to roll out an inadequate service, appointing and paying managers for the roll out and on the flawed consultation when it could have gone directly to patient care instead. Why do the GP commissioners and Trust managers remain so blinkered and so intransigent and uncaring? Torrington is not doing this to be difficult – we just want the best healthcare for our community. Do they really not understand that by their actions and unilateral decisions they are really causing untold damage not only individually but to a health service, which will detrimentally affect the lives of many in Torrington and throughout Devon if they continue. I agree entirely with the GPs in their letter that states “North Devon population will end up with no community hospital beds, no consultant with the appropriate skills and direction and an over-stretched community service in addition to an acute hospital with bed shortages over winter” Cant the CCG/NDHT see that it is a recipe for disaster! Recently an 80 year old friend was taken into NDDH as an emergency, he spent overnight on a trolley as there was no bed and they could not even find a pillow for him in the hospital, and had to use a rolled up blanket instead. No bed and it isn’t even winter yet!

  8. M. Jones says:

    The Closer to Home care is not adequate.This is not the fault of the staff who have to implement it.My neighbour should have received good care after being sent home after an operation.Nobody came until neighbours repeatedly complained and it took days to get anything sorted.She eventually had to be readmitted and the same thing happened again. We need a cottage hospital .

    • Thanks for your comments M. Jones. The Council’s Scrutiny team is currently asking people to let them know what they think of the closer to home care that they or others they know are receiving. There’s still time to respond – by the 8 October – so do please let them know what you think. Here’s the link to the latest updated story on our News Centre. If you would like to submit your comments, the Scrutiny team’s contact details are in the updated story.

  9. Carol Kidby says:

    Seven years ago at the age of 90 my mother fell,breaking her knee cap in several places.
    Following a week in NDDH she returned to our lovley Torrington cottage hospital for rehabilitation and TWENTY FOUR HOUR care. She returned home and managed well for another eight years.
    Can anyone tell me what the outcome have been with ‘care closer to home’?
    The first poster was right in every respect.
    Will someone please LISTEN?

  10. bernard wittram says:

    The removal of the beds from Torrington Cottage Hospital and the Care Closer to Home has been opposed has significantly reduced the level of care for patients. It has been opposed from the start by the community and this view has continued to grow. The trust/ccg has refused to listen to the community and has forced its own agenda through.It is a cynical money saving exercise, with the trust refusing to acknowledge the facts and patient experiences.
    How can the community engage in a meaningful dialogue when the trust seeks to fly in the face of overwhelming opposition. The Tucker rpt. clearly identified the deceipt. When will the community be listened to ?

    • Thanks Bernard. Please do take time to let the officers of the Council’s Scrutiny Team know what you think of the local decisions. People have until the 8 October to make their views known to the Scrutiny Team. Here’s the link to the latest updated story on our News Centre. If you would like to submit your comments, the Scrutiny team’s contact details are in the updated story.

  11. Dave and Liz Clinch says:

    We have been appalled at the lack of care and consideration regarding the removal of the beds at Torrington Community Hospital. We are now aware that a discussion took place in January 2013 regarding the North Devon Health Trust Estates which included an option to sell off the Torrington Community Hospital. There followed the sham of ‘consultation’ with the population of Torrington with no mention of that discussion. This ‘consultation’ was quickly arranged only after the furore caused by the summary removal of the Torrington Community Hospital beds in July 2013, and from which the campaign to have the beds restored emerged ie Save The Irreplaceable Torrington Community Hospital aka STITCH.

    Despite the carefully gathered case studies by STITCH; an overwhelmingly successful local referendum, dismissed as a mere ‘opinion poll’ by the NDHT/CCG; the presentation of a formidable amount of evidence to Simon Stevens CEO of the NHS (to which he has never responded); several public meetings overwhelmingly in favour of continuing to campaign for a return of the Torrington Community Hospital beds and the Tucker Report, which was acutely critical of the methods and reasoning of the NDHT/CCG, the beds were closed, shamefully, by the CCG. This is a group primarily composed of doctors who showed no shame or any concern for the inevitable consequences of their pitiful and damaging actions.

    We, therefore, have no confidence in the management of the NDHT or the CCG, who in our view are merely implementing the savage cuts demanded by this government in its so-called ‘austerity’ programme. They have failed to show any moral or ethical responsibility by implementing these cuts, knowing well that the most vulnerable in the local communities of the area under their remit will be those who suffer most.

    Finally, it is extraordinary that NDHT should have spent so much on literature and ‘consultation’ meetings over the last two years when their only intention has been to use the scalpel to eviscerate local communities by the removal of hospital beds.

    They will shamefully go to old age for visiting their worst across communities in Devon. Perhaps then they might just realise that there won’t be any beds left to accommodate them should they themselves need medical care in their local community, previously provided by a local community hospital such as that of Torrington.

  12. Diana Percy says:

    As the daughter of an elderly Torrington resident I have had first hand experience of both the Care Closer to Home programme and the Torrington Community Hospital. Nothing compares to the security and personal touch of the community hospital- the patient’s family are close and can visit, the patient does not feel they are a burden to their family and in many cases the staff were personally known to the patients. How can a price be put on that at end of life or in very difficult times? The Community Hospital offered that vital half-way house to the return home, and relieved the burden on, often elderly, family carers. Obviously family do want to care for their relatives but sometimes it is not practically or more important physically possible. How can a visiting carer arrive at the times when those extra hands are needed? The burden is, in the Closer to Home model, put on families. That is the bottom line. It is families doing the major share of caring. Please let us have our valued beds back in our Torrington caring community. We do care.

    • Thanks Diana. We have extended the period for responses, to give people a bit longer to let us know what they think. The deadline for responses now is the 8 October. Here’s the link to the latest updated story on our News Centre. If you would like to submit your comments, then please do to the Scrutiny Team. Their details are in the updated story.

  13. Diana Davey says:

    The very people who have been disadvantaged and worse are unable to gain access to this site. So will be unable to get the address details of the scrutiny team

    Paragraph four of item posted “Evidence suggests………”
    What evidence?

  14. John Wardman says:

    There has been no independent evaluation of the ‘Care Closer to Home’ scheme which operates in Torrington. The Trust claim the service is “excellent” but have no valid evidence to support this claim. The patients who would formerly have been treated in hospital and who are now treated under ‘Care closer to home’ have never been asked by the Trust or CCG about their experience (see independent Tucker Report), and yet this scheme is being rolled out to communities across Devon.
    STITCH has collected evidence from patients of their experience of ‘Care closer to home’. With patient’s consent 17 serious complaints were submitted to North Devon Healthcare Trust for investigation in July 2014. These complaints have never been investigated. The Trust failed to follow the proper complaints procedure. The CCG/Trust publicly claimed 97 patients were kept out of hospital. The independent Tucker Report shows this figure was made up.
    It is time the Trust/CCG’s actions were investigated and it is a step forward that Devon County Council’s Task Force will shortly be talking to Torrington people.

  15. Diana Davey says:

    clearly shows that we here in Torrington and district have third rate healthcare. There is not the available staff for either nursing and social care needed on a rural area such as our widespread parishes which total seventeen.
    Care Closer to Home may have some success in urban areas but there is no evidence that it has worked in rural areas, in fact, it has failed miserably and caused harm to patients.
    Many staff admit that it is not working, care is rationed to the extent that it could well be classed as abuse, especially of the vulnerable and elderly.
    The CCG Northern locality admit this model is cost neutral and almost the admission that it was more costly,but we beg to differ in that it definitely is more expensive both in monetary and human terms Why won’t the CCG admit to the
    real cost of this disastrous exercise which has caused harm.
    There has been many complaints and concerns which were passed on to the NDHCT some from 2014, only one has been completed, the rest ignored. Some are with the ombudsman.
    To put it bluntly, Torrington is dangerously disadvantaged in the healthcare which was foisted upon them. This model of care was not researched professionally but clearly cobbled together by both the NDHCT and CCG who were unable to work in tandem. This was shown at many meetings and discussions , each organisation had different comments and conversations with the staff and public. It was often embarrassing to listen to these organisations because nether were in tune , NDHCT said one thing and the CCG said quite the opposite.
    The community hospitals were built for the rural community which it serves well.
    How do you cope with a dying husband when you are allowed only two nights help with care because there aren’t the carers available and very likely to remain so.

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