Accountable Care Organisation

  • Tories 'relaxed' about NHS crisis because they think election is won

    By Neil Roberts  From GPonline.com - 27th April 2017

    "The government is 'relaxed' about the crisis in general practice because it thinks Labour can't win the general election, a former GP and health commentator has said.

    Former GP Dr Phil Hammond, who covers health policy for Private Eye, said that ministers were ‘very relaxed’ about the NHS because they believe there is no effective opposition.

    Plans to create large-scale Accountable Care Organisations to run health and social care services across the NHS would eventually lead to all GPs becoming salaried employees, he added.

    Citing a source ‘close to Jeremy Hunt’ Dr Hammond told the annual conference of Londonwide LMCs (Local Medical Committee) on Thursday: ‘They don't believe that Labour is electable. They are very relaxed about the state of the NHS, very relaxed about the queues in casualty, waiting lists going up again, and the disaster in general practice, because they don't believe Labour offers a credible opposition.’

    Dr Hammond said the Conservative government viewed the NHS as ‘a service for poorer people’ and wanted those who can afford it to take out private medical insurance.

    NHS privatisation

    ‘They want private companies to do as much NHS work as possible. And they want the NHS to be allowed to do as much private work as it wants to do. That is their ideology and agenda and they don't believe there is an opposition fighting that.’

    Dr Hammond, who was one of the first journalists to expose the Bristol babies heart scandal in the 1990s, warned GPs that under NHS England drive towards accountable care systems they could all end up in a salaried service.

    The NHS, he said, was ‘keen to move to a model of accountable care organisations where we unify primary, secondary care, social care.’ 

    He added: ‘Ultimately this will make all GPs salaried and working for a large accountable care organisation in a particular area.’

    The Conservative Party did not respond to a request for comment".

     

    SOH  Comment:

    The vast majority of the electorate know nothing about this. It has not been alerted to the detail of Health and Social Care Act 2012 and Simon Stevens' plans from 2014 for co-called "Sustainability and Transformation Plans". The STPs include American-style "Accountable Care Organisations" - the stress is on the word "accountable" or "cost-controlling". They are part of an entirely new and untried, root-and-branch reorganisation of the NHS which the present Government is bringing in very, very quietly.

    The NHS will be unrecognisable. The National Health Service will disappear and be replaced by many Regional ("footprint"-based) organisations linking local federations of GPs, local acute services and local government authorities. Each "footprint" organisation (ACO) will have a capped budget - no more deficits, no more overspending. Gone over your budget? No more medical service.  The management of the local ACO will devote its energies to finding ways to "deny service". Uninsured and poor Americans know all about this.....

  • Wake up to the Accountable Care Organisation threat!

    Calderdale and Kirklees 999 Call for the NHS article of 1st March 2017

     

    Simon Stevens, the NHS England Chief Executive,  just told the Public Accounts Committee that some Sustainability and Transformation Plans will soon get going as Accountable Care Organisations or systems.

    This sounds like more tedious, senseless jargonising.

    Indeed one MP, Anne Marie Morris, was so bemused by what Simon Stevens was saying, she asked if they were all smoking dope.

    But behind the jargon smokescreen – whether wacky baccy or not - setting up Sustainability and Transformation Plans to run the NHS as Accountable Care Organisations opens up the NHS to privatisation on a bigger scale than anything seen so far.

    And it is a mechanism for limiting the range of care that the NHS offers, and for denying care to patients who are judged to offer poor value for money.

    This would mean the end of the NHS as a service that provides the full range of health care to anyone who has a clinical need for it.

    How does this work?

    Sustainability and Transformation Plans require the speedy dismantling of the NHS to turn it into a health service that is based on American private health insurance systems – such as United Health,  the former employer of Simon Stevens, now NHS England’s Chief Executive.

  • Build your own Five Year Forward View - a satirical plan

    From:   https://www.networks.nhs.uk/editors-blog/build-your-own-forward-view/view - Julian Patterson

     

    The Five Year Forward View is a beautiful, intricate model of the future loosely based on a real view. It was popular as soon as it appeared. Every politician and senior manager had a copy. Everybody liked it because it made the future sound lovely, particularly if you closed your eyes while reading it.

    Quick to spot its mass market potential, the publishers rushed out a sequel called the GP Forward View, which allowed family doctors to imagine they had a future too.

    Now you can build your own forward view in just 260 fun-to-collect parts. Build Your Own Forward View is from the same people who brought you Become a World Class Commissioner in 5000 Easy Steps and NHS Reform for Dummies.

  • Julia Simon: "STPs and ACOs: solutions for a 'bankrupt' NHS and social care system"?

    Talk given at the Learie Constantine centre, Dudden Hill Lane, on 1st December 2016 at the invitation of Brent Patient Voice to an audience of 50 people.

    Dr Julia Simon was until Sept 2016 the head of NHS England's commissioning policy unit and its programme director of co-commissioning of primary care.

    She had worked at London and national NHS level since 2012 on CCG and commissioning issues.

     

    Dr Simon referred to a small number of presentation slides.

    "There has been a split between commissioning and provision for over 25 years. The 2012 Health and Social Care Act aims to create a truly clinically led system with GPs in the driving seat. But the outcome is actually a fragmented commissioning system with three main budget holders across CCGs, NHSE and local authorities (public health), and a bewildering number of other national organisations.

    In my view healthcare isn't a market: hospitals do not fail. They are always bailed out in order to give citizens care - which seems obvious. Andrew Lansley, the Secretary of State for Health responsible for the introduction of the HSCS Act, is married to a GP.

    CCGs:

    There were 212 in 2012 and there are 209 now. They are legally constituted by their members and all practising GPs must be members of one. CCGs have a statutory duty to (1) improve primary care and (2) to engage citizens.

    Fragmentation:

  • STOP the new plans to dismantle our NHS

     

    Please sign the 38Degrees petition HERE

    To: Jeremy Hunt, Secretary of State for Health and Simon Stevens, CEO NHS England

    STOP the destruction of our NHS. Call a halt to the Sustainability and Transformation Plans NOW

    Why is this important?

    This is the biggest attack on the NHS you've never heard of.