HSCA

  • 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.....

  • The view from the ‘burning platform’ - Medicine Balls, Private Eye Issue 1439 10th March 2017

     

     
    jeremy-hunt.jpg
     
    Health secretary Jeremy Hunt has the gall to repeat the lie that the NHS is not for sale.

    ACCORDING to Professor Sir Mike Richards, chief inspector of hospitals, the NHS stands on a “burning platform” with 11 percent of trusts rated inadequate by the Care Quality Commission (CQC) and 70 percent requiring improvement. Understaffing and overcrowding put patients and staff at risk every day.

    Meanwhile, private providers lead by Virgin Care are busy “conquering the community care space”, says HealthInvestor magazine. “A market worth around £10bn has suddenly become a private affair.” Virgin has already hoovered up more than 400 health, social care and local authority services’ contracts, worth more than £1bn. It’s “quite the portfolio”, according to HealthInvestor, and other companies are lining up to conquer what’s left. “The chance to drink in a £9bn pool is tantalising.”

    There is a clear underfunding and privatising trend in NHS and local authority services. Between April 2013 and April 2016, 45 percent of the community health services that were put out to tender went to non-NHS providers.

  • Hugely successful demonstration by NHS campaigners in central London on 4th March 2017

    They came from all over the country united in their concern for the present state of the NHS and their fears for its future. Different sources estimate attendance from "tens of thousands" to 250,000.

    Three women dress in white medical suits and hold placards reading 'Slash Trash Privatise', 'Don't be a Silent Witness' and 'Death Closer to Home' near Russel Square today. The protesters are set to be rallied by Bernie Sanders's brother

    From "Save Our Services Cumbria" (Whitehaven Hospital), to "Hands off Huddersfield Royal Infirmary", to "Calderdale 999Call for the NHS" (above), to "Defend our NHS York", to "Bristol Protect our NHS", to "Sussex Defend the NHS", all were protesting about planned or actual A&E, acute units or whole hospitals closures. Health Campaigns Together  and the People's Assembly had done a superb job calling together dozens of NHS campaign groups and organizing the biggest NHS demonstration in central London in decades.

  • 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:

  • "How to Dismantle the NHS in 10 Easy Steps" by Dr Youssef El-Gingihy, an East London GP: meeting Wednesday 7th October at Charing X Sports Club at 7.30-9.30pm

     

     

     

     

  • "Liberating" the NHS: source and destination of the Lansley reforms (Reynolds, Lister, Scott-Samuel and McKee) August 2011

    For the background to the 2012 Health and Social Care Act please read "Liberating the NHS: Source and destination of the Lansley reforms" by Dr Lucy Reynolds, Dr John Lister, Dr Alex Scott-Samuel and Professor Martin McKee, 29th August 2011

     

     

  • TTIP and its impact on the NHS and health - Linda Kaucher of StopTTIP

    StopTTIP meeting public information meeting focused on NHS/TTIP. Monday 3rd Feb 2014 6.30-8.30 pm, UNITE building.

    Within the EU and US civil society mobilisation against the TTIP, there is a particularly UK campaign calling for an exemption of the NHS from the TTIP.

    This is not an abandonment of a call to end TTIP negotiations or saying that an NHS exemption is enough.

    The NHS, and the changes to it, are a main public concern in the UK. Trade agreements like TTIP seem remote and unrelated to people’s lives, and importantly go unreported. However, it is clear that people can understand quite easily how the TTIP will make the provisions of the Health and Social Care Act permanent.

  • NHS Reinstatement Bill from Prof Allyson Pollock gives hope to campaigners

    Leading NHS campaigners have come together to produce an NHS Reinstatement Bill which contains all the vital ingredients to stop and reverse NHS privatisation. And they want your views.

    Leading public health experts have launched a consultation on a new Bill that aims to reverse the failings of the Health and Social Care Act 2012 and fully restore the National Health Service (NHS) in England as an accountable public service.
     
    The NHS Reinstatement Billproposes to abolish competition and the purchaser-provider split, re-establish public bodies and public accountability, and restrict the role of commercial companies. It draws on some of the best examples of NHS administration over its history, retains some features of the reforms laid out in the Health and Social Care Act 2012, and would be implemented on a timescale determined by the secretary of state.

  • March Report October 2012

     

    The Rally in Lillie Road Recreational ground was attended by a large crowd who heard the Chair of Save our Hospitals in Hammersmith read out messages of support from Ian McKellen, Vanessa Redgrave and Sheila Hancock

    Sir Ian McKellen

    As a lifetime beneficiary and supporter of the NHS, I am very sorry that I can't join you on Saturday for Save Our Hospitals’ rally.

    This week I consulted the manager of my local health centre and she wrote the following:

    The impact of the Health and Social Care Act is expected to be massive. Although, prior to the Act, services had been outsourced to private health care companies, this will escalate under the Act. We are already seeing the impact on patient care, for example, with the Camden Road GP practice that was taken over by one private health care provider, who found they could not make a profit on it and sold the practice on to a second private provider who also found they couldn’t make a profit so pulled out – leaving the patients with no practice.

    Locally we had a situation in the last few days where GPs have received a letter from the Chief Exec of Barts Health asking us not to refer patients to them unless it is an emergency. Patients’ lives are being put at risk.

    On Friday 21st September we received a letter from the head of the London Ambulance Service saying they were very stretched and asking us not to call for ambulances except in emergencies.

    I do hope your event has an impact and that current policies can be reversed.   

    Ian McKellen