Tag Archives: nhsreform
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Revised Section 75 regs mire CCGs in a legal minefield

12 Mar

Further trouble not less after Government tables revised regulations on competition for providers. Who would be a Commissioner?

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Minefield (n) /ˈmīnˌfēld/: an area laid with explosive devices, intended to prevent incursion or protect a valuable target

I’ve spent a pleasant couple of hours reading through the government’s hurriedly-drafted amendments to its ‘Section 75’ (S75) regulations. These new rules, which the government tried to slip through Parliament without debate or vote, were designed to force the new Clinical Commissioning Groups (CCGs) to invite private providers to bid on any NHS contract, were blocked by Labour with the assistance of a brave LibDem MP (I know, there aren’t many these days).

The government ‘paused’ its legislation with a promise to rewrite it to calm the fears of LibDem objectors, with health minister Norman Lamb claiming that the government took the objections extremely seriously and was committed to honouring its 2012 promises that CCGs would not be forced to include private providers unless they felt it best for the population they…

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EXCLUSIVE: Secret Tory steering committee working overtime to ready NHS for mass privatisation

11 Nov

Sadly what surprises me about this news is that no-one has spotted such a working party earlier, say at the start of the NHS in 1948.

The Slog.

Enquiries by The Slog in the later hours of yesterday evening confirmed that an informal but extremely powerful Working Group has been set up by the Coalition – separate from both NHS management and the Department for Health – to assess the best way to facilitate the handover of NHS Hospital Trusts to the private sector.

Although details are hazy as yet, a picture is emerging of a Group very obviously dominated by privateers and anti-State lobbyists. To the best of my knowledge thus far, not a single member of it is closely associated with (or technically proficient in the understanding of) Britain’s rapidly expanding mutuality sector.

In the midst of blanket 24/7 coverage of paedophiles under every care home bed alongside easily the most boring Presidential election since 1972, this NHS story may not gain much traction immediately; but it is nevertheless the clearest sign yet to emerge of…

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A Trojan Horse – NHS reform paves way for privatisation

16 Feb

Drop the Bill

As I write this, the e-petition asking that the Health and Social Care Bill be dropped as passed 132,000 signatures.  This fantastic level of support is only surpassed by fuel prices, immigration and Hillsborough disaster.

With all the activity it has made me think about why so many people are worried about the implications of? the Bill.  Last week in conversation with some business friends it became apparent that a key reason some businesses are resilient while others fail is the constancy of the core business.

What is the core business of the NHS?  It is the delivery of health care.  Who delivers this?  Healthcare professionals.

Now, if your core business is fixed and the key people who deliver the product cannot go anywhere, your business will not fail even if the reorganisations, of which the NHS has known many, are destined to be short-lived.

UK readers may recall the launch of a fantastic sauce which was originally only available at Nottinghill Carnival: Reggae Reggae sauce.  After a wonderful boost from members of the Dragons Den, Reggae Reggae sauce took off.  Great!  Yet, the key person involved in the product lost control of his business and sales and marketing folks thought to exploit the trade name by launching other products http://www.reggae-reggae.co.uk/go/products.  Soft drinks and frozen snacks are not as catchy as the sauce – and the business is not thriving.

Back to the NHS.  Imagine for a moment private firms and individuals are eyeing NHS businesses eagerly waiting for the opportunity to pounce to acquire profitable elements.  What would make this attractive?  To my mind, if employee costs were lowered by eroding General Practice profits and reducing value of pensions the prospect of assuming any NHS business would be more attractive.

It is clear the business itself will survive, if not thrive, while the core activity (healthcare) and the key people (HCPs) remain.  A no-brainer.  Whatever and whoever gets control of NHS cannot fail to make money.

This then is my concern about the NHS reforms which are proposed.  There is a hidden danger inside this behemoth document – hidden within the document are opportunities to savage the public ownership of NHS.

The Trojan horse of privatisation is the risk faced by the country if the Health and Social Care Bill is permitted to pass into law.  This must be stopped.

STOP PRESS – UPDATE Friday 17th Feb 2012

Along with RCR and RCPath, RCGP is not invited to crisis talks with Prime Minister on Monday 20th Feb 2012 to discuss the Health and Social Care Bill.

This is power politics in action and it shows HMG is running scared of the largest group of doctors who, BTW, are supposed to be in the driving seat for the reforms.

A cynical ploy to placate the medical elites. A blatant abuse of power.
A message to the public that this Government is unfit to look after the Country perhaps unless surrounded by sycophants.

So, will RCGP hold its own summit to defy HMG. I hope so! Come on Clare and Iona – continue our College’s defiance and get on the Social Media pages to launch an alternative to Cameron’s cosy gathering.

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Jim McManus blogs on public health, ethics, books, theology and more