DOCSLIB.ORG

Review of Our Performance So Far

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Review of Our Performance So Far Draft: Final. APPENDIX 6: South Gloucestershire Council Climate Emergency Declaration Review of Year One of the Climate Emergency Action Plan South Gloucestershire Council Climate Emergency University Advisory Group UWE Bristol October 2020 1 Draft: Final. Index Section Page Executive Summary 3 Introduction and Context 8 South Gloucestershire’s Climate Emergency Process 10 South Gloucestershire’s Baseline 13 South Gloucestershire’s Climate Emergency Year 1 15 Action Plan Gaps in the Content of the Year 1 Plan 19 Year on Year Reduction in Emissions Required to 20 Meet the Target Areas of Focus for the Year 2 Plan 22 Recommendations for Improving Partnership Work 24 and Increasing Area Wide Engagement on the Climate Emergency Strategic Context (Political, Environmental, Social, 29 Technical, Legal, Economic) analysis Comparison of South Gloucestershire’s Climate Action 30 with that of North Somerset, Oxford, Plymouth and Wiltshire. Fit of South Gloucestershire’s Actions with the 42 National Policy Direction Summary, Conclusions and Recommendations 46 Appendix 1. 50 Setting Climate Commitments for South Gloucestershire. Quantifying the implications of the United Nations Paris Agreement for South Gloucestershire. Tyndall Centre Method Appendix 2. Oxford City Council Climate Emergency 52 Appendix 3. Wiltshire Climate Emergency 58 Appendix 4. North Somerset Climate Emergency 60 Appendix 5. Plymouth City Council Climate 62 Emergency Appendix 6. Global Warming of 1.5°C IPCC Special 64 Report. Summary Report for Policymakers Appendix 7 A Note on Terms 64 Note: All web sites accessed in September and October 2020 2 Draft: Final. Executive Summary South Gloucestershire Council asked UWE’ University Advisory Group to review Year One of the Climate Emergency Action Plan. In doing so the Council posed 10 questions for UWE to answer in critically assessing the Action Plan. 1. Climate Emergency Process – Please provide an assessment of the process to advise if any expected steps have been missed out that need to be picked up? The process is robust from a policy and planning perspective. The approach encompasses a declaration of a climate emergency with all party support. This is underpinned by a clear strategy with actions delegated to appropriate entities in a task and finish model. A governance structure is in place which loops back to the Cabinet via the Cabinet Report. Responsibility for the district wide elements of the plan is shared with members of the Local Strategic Partnership. Evidence from a survey of LSP members does not suggest that the major employers are, as yet, fully engaged in this task. 2. Baseline – Is this robust? Is further baselining/research required? The Baseline is robust enough for actions to be planned and executed. However, continuing action to enhance the accuracy and precision of the baseline is recommended. It may require updating to ensure that new knowledge about emission sources and rates is incorporated in the base year estimate. This action will be consistent with the way in which the National Atmospheric Emissions Inventory operates. The baseline should be accompanied by a robust plan to reduce direct emissions year on year. Consideration should be given to setting a target annual carbon budget and percentage reduction required for remaining years until 2030. The existing baseline position has been identified through an external consultancy using acceptable and sector recognised methods to determine the baseline. 3. Climate Emergency Year 1 Action Plan: What reflection can be made on this foundation Year 1 plan to tackle the Climate Emergency? Policy and plans are in place and the challenge is to ensure that all actors are aware and acting on the signals in the Action Plan. Evidence from a survey of LSP members does not suggest that the major employers are fully engaged in this task. The Year 1 Action Plan identified a suite of priority projects split into two groups. Those projects already funded through existing budgets and those for which funding will be sought from within the £1.7 million over the 4 year Medium Term Financial Plan (MTFP), in addition to the £85k allocated to early Climate Emergency investments in October 2019 and investments through the Capital Programme. It is not clear how much of the intended investment in climate action has been secured for use. The Action Plan contains actions in 7 categories. • Cross Cutting, • Buildings/Built Development, 3 Draft: Final. • Transport (& infrastructure /Highways), • Renewable Energy • Green Infrastructure and Nature Recovery, • Resources and Waste, • Adaptation and Resilience. Each project is assigned a starting stage dependent upon its maturity: Prepare, Develop or Implement. These terms should be defined. Projects are split into two categories – funded or planned. Under half of the funded projects have reached the stage of Implement. Under half of the planned projects are described as Implement. Over half of the projects will be led by the Council. Adaptation and Resilience has the smallest number of projects identified for action in each category. 4. What gaps do you identify in the content of the Year 1 plan that need to be addressed in subsequent plans? The Year 1 Action Plan is comprehensive in its consideration of areas for action covering the key emission sources. It is not clear what the priority assigned to each action might be but this could be clarified either by a ‘likely impact score’ based likely carbon saving or adaptation benefit. A tally should be kept of projects moving between Prepare, Develop, Implement categories. Projects with large and early carbon savings need to be prioritised in subsequent Actions Plans. Communication and behaviour change messaging needs to be enhanced and LSP members encouraged to act as a champions within their own organisations and with stakeholders. Adaptation is under represented in the Action Plan and further attention is recommended in subsequent Action Plans. A greater emphasis in year 2 on community engagement and actions for citizens is desirable and this could link to a local Citizens’ Assembly and /or local COP 26 activity. Offsetting or carbon compensation/ carbon balancing requires further consideration exploring both the potential and the timing of when such actions should be undertaken. This would be both a direct action for the council and an Inspire activity. Consideration should be given to promoting a WECA wide project with a managed fund established from the proceeds of offsetting and dedicated to reinvestment in verifiable offsetting or carbon management / adaptation projects. Consideration should be given to insetting opportunities on council owned land and opportunities for offsetting on the agricultural land within the District, estimated to be 64% of the area. 5. What year on year reduction in emissions needs to be achieved? In order to meet the zero target of 2030 a linear reduction of 34% per annum is required from a 2020 baseline of 1048.5 kt CO2e It is important to ‘bank’ emission savings early in the decade to 2030. If reduction actions are planned for implementation in later years but for whatever reason are delayed or only partially successful then this runs the risk of overshooting the target year. 4 Draft: Final. An additional risk from planning major reductions later in the decade arises from any failure of earlier year actions to deliver the expected savings. In such a case the missed part of the reduction must be added to future years and increases the difficulty of achieving the annual targets for future years. 6. What areas of focus should be prioritised in the Year 2 plan? • Mitigation of Scope 1 and 2 emissions • Further consideration of Scope 3 emissions both Council and District wide. • Integration of climate considerations into routine council business • Action to enhance co benefits of ecological recovery and climate action. • Training of staff • Communications Strategy • Acceleration of Adaptation consideration and moving to implementation actions • Outreach activity to win hearts and minds, link to local COP 26 activity. • Exploration of collaboration opportunities with WECA and local councils to identify early implementation opportunities and possible economies of scale for shared actions. • A greater emphasis in year 2 on community engagement and actions for citizens is desirable and this could link to a local Citizens’ Assembly and /or local COP 26 activity. • Offsetting or carbon compensation/ carbon balancing requires further consideration exploring both the potential and the timing of when such actions should be undertaken. This would be both a direct action for the council and also an Inspire activity. • Consideration should be given to promoting a WECA wide project with a managed fund established from the proceeds of offsetting and dedicated to reinvestment in verifiable offsetting or carbon management / adaptation projects. • Consideration should be given to insetting opportunities on council owned land and opportunities for offsetting on the agricultural land within the District, estimated to be 64% of the area. 7. What recommendations do you make for improving partnership work and increasing area wide engagement on Climate Emergency across the area? • Efforts should continue to enhance the response rate from the LSP survey, improve the quality of information provided including details of the anticipated carbon saving from the actions undertaken by LSP members. • The routine LSP agenda should contain an item to update progress by members in responding to the Climate Emergency. • The LSP should routinely discuss the challenge of actions to deliver net zero • Actions decided at LSP meetings should include quantification of the impact of a decision on the Net Zero target and the carbon budget for the period to 2030. This could be expressed as the percentage share of the annual carbon budget that implementing the decision will expend. • LSP members should be encouraged to discuss and agree actions that will adapt their business and build resilience in the face of climate change. 5 Draft: Final. 8. Strategic Context (Political, Environmental, Social, Technical, Legal, Economic) analysis A PESTLE analysis has been performed.
Load more

Recommended publications
  • Plymouth City Council Planning Guidance
    Plymouth City Council Planning Guidance Monomorphic Fabio dazzled: he plasticizing his makefasts generically and clearly. Crabbier Perry scamp some ignorers after beardless Quill frizzles succinctly. Lageniform Heywood check-in some stepper and knifes his resignations so unremittently! The way i sense checked by city council member james prom said her body was already Averley outlines planning proposals to local chief planners, Nine Manchester councils to discuss joint plan, Tendring adopts part one of local plan. Plans that join have seen by of new homes double in. She later plans for planning council members, city council website and speaking with. Connect a nest to accord this element live on most site. Three things to encounter from New Plymouth City for News. Our city council in plymouth plan process has many distinct geographical information you can receive email. CITY OF PLYMOUTH AGENDA Regular City who May 2. Urban Planning Coordinator at Plymouth City Council. AONB when considering applications that left have an yield on the AONB. The plymouth and guidance has surpassed several county councils should be removed on the coronavirus job retention scheme will also gave an area. Until the origin paramter for cms. The division helps implement the doll through tools that strew the zoning ordinance and. Hollydale golf course land to council can also gave commanding views and planning? For queries about Land Charges registers or Agricultural Credits. Intended and unintended consequences? Pcc therefore the city council and working in the activities and champions of her. Is through an update on. 7 city of plymouth Amador County. South West Joint Local Plan.
    [Show full text]
  • SUBJECT: Agreement Under Section 75 of National Health Service Act
    DECISION OF COUNCILLOR NIGEL ASHTON LEADER OF NORTH SOMERSET COUNCIL WITH ADVICE FROM THE DIRECTOR OF PEOPLE AND COMMUNITIES DECISION NO: 86 - 2013/2014 SUBJECT: Agreement under section 75 of National Health Service Act 2006 between North Somerset Council and Avon Wiltshire Mental Health Partnership Trust to deliver social care within an integrated service 1. BACKGROUND 1.1 For well over ten years, Avon Wiltshire Mental Health Partnership Trust (AWP) has been managing North Somerset Council social care staff who have been deployed into an integrated mental health and social care service. Although this is an established service, there has never been a clear defined basis on which the council or AWP were operating. This meant that it was difficult for the council to hold AWP to account for delivery of social care or to be included transparently within AWP service developments. The service has been maintained purely through managing the working relationships between both organizations. 1.2 The council has 31.3 fte staff within the integrated service and in addition has 0.4 of a services manager and 1 JM3 to provide professional social care oversight, quality assurance, support and guidance to AWP to ensure adherence to council’s processes, ethos and procedures, including the focus on People and Communities strategic direction. There are also 1.6 Managers who lead the council’s Approved Mental Health Professional service. 1.3 AWP, as commissioned by North Somerset Clinical Commissioning Group (CCG), undertook a redesign three years ago and this was follow up by a further restructure on the appointment of a new chief executive in November 2012.
    [Show full text]
  • The Local Authorities (Goods and Services) (Public Bodies) (England) (No
    Status: This is the original version (as it was originally made). This item of legislation is currently only available in its original format. STATUTORY INSTRUMENTS 2001 No. 691 LOCAL GOVERNMENT, ENGLAND The Local Authorities (Goods and Services) (Public Bodies) (England) (No. 2) Order 2001 Made - - - - 5th March 2001 Laid before Parliament 9th March 2001 Coming into force - - 31st March 2001 The Secretary of State for the Environment, Transport and the Regions, in exercise of the powers conferred on him by sections 1(5) and (6) of the Local Authorities (Goods and Services) Act 1970 and now vested in him(1) hereby makes the following Order: Citation, commencement and extent 1.—(1) This Order may be cited as the Local Authorities (Goods and Services) (Public Bodies) (England) (No. 2) Order 2001 and shall come into force on 31st March 2001. (2) This Order extends to England only(2). Designation as a public body 2. Each of the following bodies, being a person appearing to the Secretary of State for the Environment, Transport and the Regions to be exercising functions of a public nature, shall be a public body for the purposes of the Local Authorities (Goods and Services) Act 1970 in its application to England: NewSchools (Cornwall) Limited(3); and United Waste Services (South Gloucestershire) Limited(4). (1) 1970 c. 39. The powers conferred on the Minister of Housing and Local Government are exercisable by the Secretary of State, see article 2 of the Secretary of State for the Environment Order 1970 (S.I. 1970/1681), and see also S.I.
    [Show full text]
  • List of Councils in England by Type
    List of councils in England by type There are a total of 353 councils in England: Metropolitan districts (36) London boroughs (32) plus the City of London Unitary authorities (55) plus the Isles of Scilly County councils (27) District councils (201) Metropolitan districts (36) 1. Barnsley Borough Council 19. Rochdale Borough Council 2. Birmingham City Council 20. Rotherham Borough Council 3. Bolton Borough Council 21. South Tyneside Borough Council 4. Bradford City Council 22. Salford City Council 5. Bury Borough Council 23. Sandwell Borough Council 6. Calderdale Borough Council 24. Sefton Borough Council 7. Coventry City Council 25. Sheffield City Council 8. Doncaster Borough Council 26. Solihull Borough Council 9. Dudley Borough Council 27. St Helens Borough Council 10. Gateshead Borough Council 28. Stockport Borough Council 11. Kirklees Borough Council 29. Sunderland City Council 12. Knowsley Borough Council 30. Tameside Borough Council 13. Leeds City Council 31. Trafford Borough Council 14. Liverpool City Council 32. Wakefield City Council 15. Manchester City Council 33. Walsall Borough Council 16. North Tyneside Borough Council 34. Wigan Borough Council 17. Newcastle Upon Tyne City Council 35. Wirral Borough Council 18. Oldham Borough Council 36. Wolverhampton City Council London boroughs (32) 1. Barking and Dagenham 17. Hounslow 2. Barnet 18. Islington 3. Bexley 19. Kensington and Chelsea 4. Brent 20. Kingston upon Thames 5. Bromley 21. Lambeth 6. Camden 22. Lewisham 7. Croydon 23. Merton 8. Ealing 24. Newham 9. Enfield 25. Redbridge 10. Greenwich 26. Richmond upon Thames 11. Hackney 27. Southwark 12. Hammersmith and Fulham 28. Sutton 13. Haringey 29. Tower Hamlets 14.
    [Show full text]
  • Recovery Service Leaflet South Glos
    Advocacy Contact If you feel that you are struggling to get your South Gloucestershire Recovery Service point of view across, you may wish to consider North Team having someone to act as an advocate. The Elms, 26 Gloucester Road, Thornbury, Bristol, BS35 1DG You can find out more about this from Tel: 01454 271000 Care Forum South Team 0117 956 9331 Kingswood Civic Centre High street, Kingswood https://www.thecareforum.org/advocacy/ South Bristol, BS15 9TR Local Information Tel: 0117 378 4611/4621 9am - 5pm Gloucestershire (For medical emergencies dial 999) Your care co-ordinator is: Recovery Service PALS To make a comment, raise a concern or make a complaint, please contact the Trust’s Patient Advice and Liaison Service (PALS) Tel: 01225 362 900 Other people involved in your care are: Freephone: 0800 073 1778 Information for service users and carers Email: awp.pals@nhs.net Other languages and formats If you need this information in another language or format (such as large print, audio, Braille), please call the PALS number. Lead: South Glos Recovery Team Manager Leaflet code: AWP 022E Last reviewed: March 2021 Next review due: March 2023 What is the recovery service? Together, we will regularly review your care Where possible, they will involve family, friends plan and what support you require. and carers in the care plan, making sure We provide care, treatment and support for everyone knows who to contact in an people who have been referred for further help Some people need higher levels of support at emergency. after assessment from the primary care liaison times or struggle with seeking help.
    [Show full text]
  • Brighton and Hove Bus Company Complaints
    Brighton And Hove Bus Company Complaints If slumped or twistable Zerk usually arrived his lempiras fuss becomingly or outdrank uniaxially and circumstantially, how unforeseeable is Earle? Harcourt is attributively pompous after poor Gretchen hiccupping his polje spiritedly. Augustin is admissibly dished after bigoted Lars birches his singspiel vascularly. Yes vinegar can be used on all Brighton Hove and Metrobus services except City. Absolute gridlock on bus company introduced the brighton fans are much you have not to complaints about the atmosphere was the whole day! Mel and hove face as company operates from my advice but it can i got parked vehicles with a complaint has really soak up. The brighton and was a bit after was the train at least link to complaints from over ten minute walk to queue for? Brighton have a skill set of fans and far have lots of respect for their manager Chris Houghton. The Brighton Hove Bus Company has reduced the price of Family Explorer tickets from 10 to 9 This addresses the complaint we often describe that bus fares. 110 eastern bus schedule Fortune Tech Ltd. Frustrating with brighton fans had picked this company operating companies and hove bus operator for best dealt with a complaint about to complaints from last month. Fans taht i bought one. The worth was established in 14 as Brighton Hove and Preston United. Hagrid, the giant, becomes besotted with another industry giant mine is played by Frances de la Tour. Uncorrected Evidence 1317 Parliament Publications. Devils dyke 04 2aw Walk & Cycle. Chiefs at the Brighton and Hove Bus Company told has the short lay-by made that too dangerous for their buses to control out board the series dual.
    [Show full text]
  • South Gloucestershire
    Archaeological Investigations Project 2003 Desk-based Assessments South West SOUTH GLOUCESTERSHIRE South Gloucestershire 1/556 (B.79.N001) ST 66137889 BS36 1AL BADMINTON ROAD AND COLSACK LANE, WESTERLEIGH Land at Badminton Road and Coalsack Lane, Westerleigh, South Gloucestershire Stevens, D Bristol : Bristol & Region Archaeological Services, 2003, 20pp, pls, colour pls, figs, tabs, refs Work undertaken by: Bristol and Region Archaeological Services A study was carried out in response to proposals for a golf course extension. It was shown that there was intense coal mining activity in the area from the 17th to the mid 20th century. The assessment also indicated medieval sites of archaeological importance close to the study area. [Au(abr)] Archaeological periods represented: PM 1/557 (B.79.N005) ST 78006180 BS34 8QZ HEWLETT PACKARD, FILTON Hewlett Packard, Filton, South Gloucestershire and Bristol Stoten, G Cirencester : Cotswold Archaeology, 2003, 23pp, colour pls, figs, tabs, refs Work undertaken by: Cotswold Archaeology An assessment was carried out at the site in advance of commercial development. Several hedgerows were taken into consideration at the site. The setting of the Grade II Listed farmhouse was also considered, although its setting had already been affected. There were also thought to be early post- medieval buildings preserved at the site. [Au(abr)] Archaeological periods represented: PM 1/558 (B.79.N006) ST 65707600 BS16 5QS LAND ADJACENT TO 91A HILL HOUSE ROAD, MANGOTSFIELD Land adjacent to 91A Hill House Road, Mangotsfield, South Gloucestershire Barber, A Cirencester : Cotswold Archaeology, 2003, 24pp, colour pls, figs, tabs, refs Work undertaken by: Cotswold Archaeology An assessment was undertaken to establish the potential of the site in advance of a proposed new house.
    [Show full text]
  • Recreation 2020-21
    Conservation access and recreation 2020-21 wessexwater.co.uk Contents About Wessex Water 1 Our commitment 2 Our duties 2 Our land 3 Delivering our duties 3 Conservation land management 4 A catchment-based approach 10 Engineering and sustainable delivery 12 Eel improvements 13 Invasive non-native species 14 Access and recreation 15 Fishing 17 Partners Programme 18 Water Force 21 Photo: Henley Spiers Henley Photo: Beaver dam – see 'Nature’s engineers' page 7 About Wessex Water Wessex Water is one of 10 regional water and sewerage companies in England and About 80% of the water we supply comes from groundwater sources in Wiltshire Wales. We provide sewerage services to an area of the south west of England that and Dorset. The remaining 20% comes from surface water reservoirs which are includes Dorset, Somerset, Bristol, most of Wiltshire, and parts of Gloucestershire, filled by rainfall and runoff from the catchment. We work in partnership with Hampshire and Devon. Within our region, Bristol Water, Bournemouth Water and organisations and individuals across our region to protect and restore the water Cholderton and District Water Company also supply customers with water. environment as a part of the catchment based approach (CaBA). We work with all the catchment partnerships in the region and host two catchment partnerships, Bristol What area does Wessex Water cover? Avon and Poole Harbour, and co-host the Stour catchment initiative with the Dorset Wildlife Trust. our region our catchments Stroud 8 Cotswold South Gloucestershire Bristol Wessex
    [Show full text]
  • Board Meeting Agenda
    Board Meeting Agenda Wednesday 21st July 2021, 1400 to 1600. Location: Virtual Meeting (see link in calendar invitation) 1 Elect New Chair & Vice Chair – Peter Mann (Secretariat) 14:00 2 Introductions – Chair 14.10 3 Minutes and actions from the previous meeting – Chair 14.20 (See Appendix 1 below, pg.2) 4 Public Participation – Chair 14.25 (Paper circulated separately to Board members) • Questions or Representations from Members of the public in line with the Board’s Public Participation Scheme. 5 *Urgent Item* 14:30 Publication of Government’s Decarbonising Transport Plan – James White. 6 Strategic Transport Plan – Ben Watts (Gloucestershire) / Craig Drennan (WSP) 14:35 Presentation • Explanation of Corridor Scenarios 7 WGSTB Programme & Finance Update 14:55 Paper A – Nuala Waters & James White (West of England Combined Authority) • Current thinking on forward plan 8 WGSTB Carbon Audit – Rob Murphy (Wiltshire) Presentation 15:10 Update on Carbon Baseline & Forecasting 9 WGSTB Rail Update 15:25 Paper B – James White (West of England Combined Authority) 10 Network Rail Study Updates - Jonathan Lovatt (Network Rail) Presentation 15:40 • Bristol to Birmingham Corridor • Bristol to Exeter Corridor 11 AOB – Chair 15:50- • Note request to move meetings to morning of 22/09 16:00 Date of next meeting – Wednesday 22nd Sept 2021 – Time TBA, Virtual Meeting. Summary of Previous Meeting - Actions & Allocated to Target Update Decisions Date: Request an update to WG on NR’s electrification DR 23/06/21 Network Rail to update at 1 Programme next meeting. Review Comms Protocol in line with DfT comments and Prog. Team 23/06/21 Protocol being revised in line bring back to next Board for approval.
    [Show full text]
  • West of Exeter Route Resilience Study Summer 2014
    West of Exeter Route Resilience Study Summer 2014 Photo: Colin J Marsden Contents Summer 2014 Network Rail – West of Exeter Route Resilience Study 02 1. Executive summary 03 2. Introduction 06 3. Remit 07 4. Background 09 5. Threats 11 6. Options 15 7. Financial and economic appraisal 29 8. Summary 34 9. Next steps 37 Appendices A. Historical 39 B. Measures to strengthen the existing railway 42 1. Executive summary Summer 2014 Network Rail – West of Exeter Route Resilience Study 03 a. The challenge the future. A successful option must also off er value for money. The following options have been identifi ed: Diffi cult terrain inland between Exeter and Newton Abbot led Isambard Kingdom Brunel to adopt a coastal route for the South • Option 1 - The base case of continuing the current maintenance Devon Railway. The legacy is an iconic stretch of railway dependent regime on the existing route. upon a succession of vulnerable engineering structures located in Option 2 - Further strengthening the existing railway. An early an extremely challenging environment. • estimated cost of between £398 million and £659 million would Since opening in 1846 the seawall has often been damaged by be spread over four Control Periods with a series of trigger and marine erosion and overtopping, the coastal track fl ooded, and the hold points to refl ect funding availability, spend profi le and line obstructed by cliff collapses. Without an alternative route, achieved level of resilience. damage to the railway results in suspension of passenger and Option 3 (Alternative Route A)- The former London & South freight train services to the South West peninsula.
    [Show full text]
  • SWAG Breast Stratified Pathway FINAL
    Somerset, Wiltshire, Avon and Gloucestershire Cancer Alliance SWAG Breast Cancer Follow-Up Guidelines At end of all treatment patients are stratified to either a supported self-management pathway with routine surveillance, or to complex case management. NB. Patients participating in clinical trials will receive individualised follow-up SUPPORTED SELF-MANAGEMENT COMPLEX CARE MANAGEMENT Criteria: Criteria: Treatment with curative intent Advanced disease +/- known Stable disease pattern metastatic disease Patient able to comply with self-supportive Ongoing treatment required management Patient unable to comply with supportive self-management Follow-up procedures: Follow-up procedures: No patients receive routine face to face All patients receive face to face follow- follow-up up in a consultant-led clinic All patients offered HNA and care plan and Frequency of appointments determined provided with H&WB support by the treatment regime, disease Signs & symptoms of recurrence and likely progression, ongoing symptoms and consequences of treatment explained to information/ support required by each patient individual patient Treatment summary to be completed at Ongoing surveillance is managed on an the end of each primary treatment individual basis with regular breast, Remote surveillance in the form of annual bone & body imaging as required, blood mammograms for 5 years post-treatment. tests and tumour markers Younger patients will have appropriate breast imaging (mammogram or MRI) annually until the age of 50 Ongoing Support and
    [Show full text]
  • Cornwall Council) (Respondent) V Secretary of State for Health (Appellant)
    Trinity Term [2015] UKSC 46 On appeal from: [2014] EWCA Civ 12 JUDGMENT R (on the application of Cornwall Council) (Respondent) v Secretary of State for Health (Appellant) R (on the application of Cornwall Council) (Respondent) v Somerset County Council (Appellant) before Lady Hale, Deputy President Lord Wilson Lord Carnwath Lord Hughes Lord Toulson JUDGMENT GIVEN ON 8 July 2015 Heard on 18 and 19 March 2015 Appellant (Secretary of Respondent (Cornwall State for Health) Council) Clive Sheldon QC David Lock QC Deok-Joo Rhee Charles Banner (Instructed by (Instructed by Cornwall Government Legal Council Legal Services) Department) Appellant /Intervener (Somerset County Council) David Fletcher (Instructed by Somerset County Council Legal Services Department) Intervener (South Gloucestershire Council) Helen Mountfield QC Sarah Hannett Tamara Jaber (Instructed by South Gloucestershire Council Legal Services) Intervener (Wiltshire Council) Hilton Harrop-Griffiths (Instructed by Wiltshire Council Legal Services) LORD CARNWATH: (with whom Lady Hale, Lord Hughes and Lord Toulson agree) Introduction 1. PH has severe physical and learning disabilities and is without speech. He lacks capacity to decide for himself where to live. Since the age of four he has received accommodation and support at public expense. Until his majority in December 2004, he was living with foster parents in South Gloucestershire. Since then he has lived in two care homes in the Somerset area. There is no dispute about his entitlement to that support, initially under the Children Act 1989, and since his majority under the National Assistance Act 1948. The issue is: which authority should be responsible? 2. This depends, under sections 24(1) and (5) of the 1948 Act, on, where immediately before his placement in Somerset, he was “ordinarily resident”.
    [Show full text]