footprint

  • Imperial CEO resigns

    The rising pressures on Imperial College Healthcare NHS Trust finally took their toll yesterday. Dr Tracey Batten, CEO of the trust with three of the busiest acute hospitals in west London, resigned after the Board meeting in public at Charing Cross yesterday, Wednesday 25th January 2017.

    The timing of this resignation could not be worse, with A&E attendances rising to unmanageable levels, a growing waiting list for surgery both emergency and elective, and a programme of redevelopment at a critical point at St Mary's and in the wider context of the "Shaping a Healthier Future" business plans.

    Dr Batten was brave and honest to allow the BBC full access to Imperial's hospitals over 6 weeks. The documentary series "Hospital" is being broadcast on BBC2 on Wednesdays at 9pm, available later on the i-player.

    The Trust is closely helped by PwC for day-to-day financial management, although we were assured at the Board meeting on Wednesday that it "can pay its bills".

    NW London is one of the 44  NHS "footprints" in the most advanced stages of preparation for the implementation of its "Sustainability and Transformation Plan". It is known to be closely watched by the Department of Health. The pressure of implementing completely unwarranted and impossible cuts has, it is believed, prompted this resignation. We look forward to Imperial acknowledging that the evidence shows increased demand for beds, not for cuts in beds and staff.

    Postscript:  On 6th February Dr Batten informed us that in 6 months she will be going back to spend time with her ageing parents in Australia.

     

     

  • This is the biggest change to the NHS you've never heard of: "STP"s

    The NHS has lost over 50 percent of its bed capacity in the past 25 years. Our bed to population ratios are now below Eastern European countries. Further hospital closures will simply be disastrous.

     

    The government's Sustainability & Transformation Plans (STP) have been shrouded in secrecy. Despite being the biggest change to the NHS since the Health & Social Care Act 2012, they will not be voted on in parliament.

    So what exactly are the STPs? The NHS will be divided up into 44 footprints, but you need a glossary to translate these terms. Sustainability means cuts. This is part of the drive towards £22bn in cuts by 2020 – bearing in mind that we've already had £15bn in NHS cuts in the last parliament generating a manufactured crisis. Cuts mean a massive programme of hospital closures across the country and it will also lead to mergers and permanently selling off the NHS estate of land and assets.

    The bogus narrative around unsustainability and unaffordability has been spun by the private healthcare and insurance industry, captured politicians and the media. In truth, we spend much less on healthcare than other advanced economies.

    In order for these footprints to receive funds, there are strings attached. The footprints will have to sign up to transformation, which basically means privatisation. The footprints will have to adopt unproven models of care.

    The bigger picture here is integrated healthcare. It sounds great but it's imported from the US. The NHS five year plan – the Five Year Forward View – specifically states that the NHS should emulate US style integrated or accountable care. Integrated care organisations are springing up all over the place.

    This is all being sold as care in the community, but there are no extra resources for GP and community services.

    In fact, we already have a major bed crisis. The NHS has lost over 50 per cent of its bed capacity in the past 25 years. Our bed to population ratios are now below Eastern European countries. Further hospital closures will simply be disastrous.