RESIST THE BREAKUP OF THE NHS THROUGH PRIVATISATION AND CUTS!
BRIEF UPDATE April 2018
(N.B. This site is not currently being regularly updated. )
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The government's increasingly desperate attempts to defend their record on the NHS have become less and less credible over the last year. This is partly due to increasingly effective local and national campaigns and partly to the crisis in hospitals, primary care and social care has forced more and more of those involved to speak out against the damage being caused by austerity. But many of those who are being damaged have no voice. Poor people, disabled people and the chronically ill have fewer opportunities to make their case as their benefit and treatment rights become eroded. NHS staff are generally gagged in one way or another. Exit can be the only escape leaving the NHS still weaker and now less and less able to recruit staff from overseas.
Large national demonstrations and industrial action by junior doctors, nurses and others have made the strength of feeling around the country quite clear, to the extent that even the Conservatives have got worried enough to promise the outlines of a new financial deal this summer. But will it be too late? Certainly it will be insufficient to undo the damage inflicted since 2010. Meanwhile the stress on services which affect the need for healthcare becomes more and more acute. The unspupported costs of Social Care (which is subject to means tested charges) is driving local authorities to bankruptcy.
Another threat is the developing reorganisation into Integrated Care Systems (previously known as Accountable Care Systems) which threaten to become Accountable Care Organisations. In our local area the Integrated Care System covers Barnsley, Rotherham, Doncaster and Bassetlaw as well as Sheffield. (See posts below.) Increasing pressure from campaigners and within the Labour Party is deterring local councils to sign up to these in case they become vehicles for further cuts and privatisation.
Across South Yorkshire resistance is building to the threatened implications of the ICS for local services and South Yorkshire Save Our NHS have formed a political party to stand in the Sheffield City Region Mayoral election on May 3rd 2018. See also Barnsley Save Our NHS.
THE NHS IS NOT KILLED OFF YET. Campaigning does work whether on the streets, in the press or, increasingly in the lawcourts. The government's high-handed tactics are being subjected to an increasing number of judicial reviews. At national level these have forced a public consultation on Accountable Care Organisations starting in May 2018.
Cartoons by Samantha Galbraith @sgalbraith47
For more national information see Health Campaigns Together and Keep Our NHS Public
April 14th 2018 11.45 Regional Demonstration to Save the NHS Leeds
April 25th Soviet Healthcare via Targets: Are Governments Bringing it into the NHS? Roco 2pm or 7pm
April 28th Sheffield Demonstration against proposed closure of the Minor Injuries and Walk-in Centres (see main website for details)
June 27th The NHS is 70 - but what is its life expectancy? Festival of Debate / SSONHS panel discussion and social. Roco 7pm - 11 pm.
June 30th Health Campaigns Together march for the NHS in London See main wesbite for details.
SSONHS planning and information meetings are generally on the first Monday of the month, except for bank holidays. They are usually at 6pm at the United Reform Church. Chapel Walk/Norfolk St S1
To contact us email email@example.com
In 2016 abnd 2017 we worked with Sheffield Festival of Debate and other colleagues to promote realistic discussion of the issues facing the NHS. On 4th May 2017 we had a lively meeting debating the future of hospitals and in 2016 we mounted an exhibition on NHS privatisation to coincide with a play, A DUTY OF CARE about Labour and the healthcare market. On 22nd November 2016 we held a panel-led debate on the future of the NHS with local NHS leaders, academics and campaigners. We also held a public meeting on 4th July 2016 to celebrate the NHS anniversary, discuss the STPs, the implications for privatisation in South Yorkshire and North Derbyshire and the consequences of the EU referendum result.
In March 2016 we held a successful workshop Taking Back Our NHS
We supported the Junior Doctors throughout their action because we felt they were being unfairly treated and were being treated as the advance guard for Hunt's uncosted, unfunded and misconceived ambition for a 7 day NHS. (For one of our supporter's views at the beginning of the dispute see this column in the Sheffield Star http://tinyurl.com/oo8qoc3)
For our questions to 2017 General Election candidates and canvassers about the NHS see our website campaign page
2016 8th-22nd November Exhibition on NHS privatisation How come we didn't know by London photographer Marion Macalpine
Theatre Delicatessen, The Moor
22nd November SSONHS Festival of Debate event Why is the NHS Under so much pressure? How can we save it for future generations?
Speakers included Dr Tim Moorhead, Chair, Sheffield CCG, Kevan Taylor (Sheffield Health and Social Care Trust) and Professor Sarah Salway (University of Sheffield, Public Health) + local campaigners
Taking Back Our NHS SSONHS workshop
Saturday 12th March 2016, 10am - 2pm
Campaigning for GP practices at risk of closure
2nd July Successful SSONHS public meeting addressed by Ray Tallis and speakers from Devonshire Green and Unison.
2nd May SSONHS stall in city centre from 11.30 Come and see us.The 38 degrees ambulance will also be in Surrey Street at 12pm and conveying the 38 degrees petitions to local Hallam candidates at Wesley Hall in Crookes for 3pm.
25th April - March through Sheffield Hallam, with the People's NHS and 38 degrees
28th February 38 degrees petitioning around Sheffield http://www.thestar.co.uk/news/health/local-health/campaigners-take-to-sheffield-streets-in-fight-to-save-nhs-1-7132981
22nd November Leafleting in Sheffield City Centre from 12.00 pm in support of the NHS strikers. For A5 and A4 copies of the leaflet which has more information on it see the Campaigns Page at our website
24th November NHS picket lines from 7am to 11am. Rallies at the Hallamshire and Northern General (Herries Road) at 10 am.
24th JULY 2014 Public Meeting jointly with Sheffield Medsin
We were proud to support the Jarrow to London march for the NHS, organised by Darlington Mums passing through Sheffield on August Bank Holiday Monday. http://999callfornhs.org.uk/ Thanks to everyone for helping and joining in.
Is our NHS really in crisis? Behind the headlines and soundbites
Panel discussion led by GPs and health experts from the NHS and universities.
For past activities see our website www.sheffieldsaveournhs.co.uk
Saturday, 25 October 2014
Stevens is adamant that the NHS needs to change in order to meet new demands, new expectations, higher standards and new technology and suggests that these changes need to be locally designed (within a choice of nationally approved models) and locally led. "England is too diverse for a ‘one size fits all’ care model ... Different local health communities will instead be supported by the NHS’ national leadership to choose from amongst a small number of radical new care delivery options, and then given the resources and support to implement them where that makes sense."
Stevens is reasonably frank about the money needed to finance the NHS (which secures him internal support) and he also makes a perfectly justifiable case that the NHS cannot survive if it is expected to pick up an infinite bill for lifestyle related ill health. He does not present competition as the key dynamic of change, indeed does not explicitly mention it at all, thus enabling Burnham to claim he is on their side and Hunt to mock Burnham for raising false fears.
But behind these bold strokes lie a multitude of problems.
The first question to ask is 'Is this a new version of the Tory "No top down reorganisation" pledge of 2010?' The paper rubbishes frequent changes of direction by politicians wanting to reform the NHS and Stevens insists that he is about changing the front-line, not the back-room. The problem is that this leaves the existing backroom (with its market oriented structure) in place with CCGs having an expanded role. The about to be marketed Commissioning Support Units, which have a big influence of CCGS and may go into the hands of privateers are not mentioned. Councils and elected mayors are seen more as a source of public health support than joint commissioners - Stevens is at best luke warm about Health and Wellbeing Boards - which reflects a general and long-standing hostility within the NHS to being under any sort of direct local political control. Meanwhile we hear that GP-led CCGs will be given more collective responsibility to develop primary care. There are clear and major conflicts of interest here - which have already surfaced in discussions about whether CCGs and NHS England can co-commission local GP contracts. There is little detail about how exactly changes will be brought about but either the existing structure will produce a bias towards the market, or there will be further backroom reorganisation because the current structure is 'not fit for purpose'.
Secondly it is perfectly possible that the front line reorganisations planned will actually, under the disguise of integration, create a number of new local services which CCGs may either want to put out to tender, prompted by the CSUs, if current laws and regulations stay in force, or which will be much more bite-sized enterprises for future privatisation, just as in social care.
Thirdly Stevens tries to give the impression that he recognises the need to carry staff with him especially as the new models will require major adaptation by staff, and he continually speaks the language of incentives, whether for producing better services, or for improving their own health. However if these are on the lines of the arguable unethical offer of payment to GPs to diagnose dementia, they will cause chaos. Yes he says that pay freezes cannot last indefinitely but that's not much reassurance when he talks about ensuring pay is in line with the private sector (which generally means high salaries for the top managers and low wages / zero hour contracts for the rest).
Fourthly there is quite a lot of faith in the benefits of technology - diagnostic, assistive, informational etc. We all fantasise that this might be so, but efficacy and patient benefit are not yet adequately evidenced on a broader scale.
Fifthly we don't yet know what integrated care will actually mean in practice - though there will be a chance to understand it in Sheffield as local proposals for the largest Better Care Fund in England take shape over the next few months. Again the benefits to patients need to be clearly evidenced, and not just be aspirational.
Fifthly the politicians have already run away from the financial analysis. OK it's early days but they don't want this commitment even based on Stevens' optimistic predictions of efficiency gains. Already the NHS is saying that most of the easy efficiency gains have been made. Future efficiency gains will mean job losses and quite possibly more low cost outsourcing. Stevens observes about work-place health that mental health problems have overtaken MSK as sick leave issues. Well, quite. In the NHS, as elsewhere, we all know that this is partly related to squeezing the staff harder as part of efficiency measures. Nothing is said about dismantling the expensive structures for administering a market in healthcare. Nor, as Clive Peedell has pointed out for the NHAP, has Stevens said anything about how the cost of the new investments he proposes will actually be met.
Stevens' financial predictions are also based on more effective prevention services. Well these may or may not happen / be effective, but they certainly won't under this government which has caved in to commercial pressures from the alcohol, tobacco and fast food industries, undermined public provision of all sorts and, through its attacks on benefits, women and disabled people has increased the ill health of the very people whom the NHS identifies as having the most needs.
There's a lot to analyse and debate in Stevens' proposals - and there are plenty of interesting and positive ideas to work with. It is not however any sort of yellow brick road for NHS survival. Indeed a senior lawyer at Price Waterhouse Cooper has commented to HSJ: “There will be a number of challenges including leadership, culture, how money flows in the system, and allowing time for improvement. But the most difficult challenge will be political. The radical agenda will require political leaders to pick up the gauntlet thrown down by NHS leaders. Politicians will need to embrace the reform challenges as well as the resource challenges. Change of this scale will not be pain free. Each political party ahead of the next election will need to set out how it plans to champion changes to local health services including hospitals.”
So pressure needs to be kept on the parties - particularly Labour - to set out how in more detail what their proposals may be: both for finance and for structure. Here are a few possible key points.
The NHS needs a minimum 4% annual real terms increase, and all parties should recognise that NHS funding can't be seen in isolation from what is happening to public services in general.
Even given the need to keep reorganisation to a minimum, the competition regulations must be removed, the market-oriented structure replaced and injurious PFI contracts renegotiated or abolished.
National and local decision making must be democratically accountable and transparent.
NHS staff must be valued with reward not just words and positively enabled to increase their ability to adapt to changing needs.
Rushes into outsourcing must be prevented especially in the likely to be vulnerable community services.
The assumptions of austerity budgeting and a low tax economy need to be challenged
Management and government cannot ignore how the more and more overt and shameless 'squeezing' of staff to produce more and more will eventually lead to service failure. As experienced staff haemorrhage to better paid and less stressful jobs abroad, managers scrabble around competing with each other to attract nurses and other staff from less well off countries who need their own trained staff. Simon Stevens skirts round this in his Five Year Forward Look, but staff issues need to be addressed directly. Treating staff decently is not a luxury - it is essential to a caring service.
Monday, 1 September 2014
Thursday 4th September 2014 4pm Darnall. Business meeting in Public . NB Quality reports are beginning to show significant deterioration in performance against targets for the Hospital Trusts and the Ambulance Service and the CCG has applied or is considering contract sanctions. This is important not just because it shows increasing strain in the system but also because if some NHS services are judged not to be providing a satisfactory service, the pressure will grow to put them out to market. There have also been problems with diagnostics, particularly in cardiology leading some GPs to ask whether they can refer direct to Thornbury. The CCG has visited the hospital and is working with the Trust on improvements.
Thursday 11th September 2014 AGM open to the public. 2 – 4 pm The Workstation, Paternoster Row, Sheffield, S1 2BX.
Reserve a place by emailing SHECCG.EngagementActivity@nhs.net. The CCG usually takes questions on the day either answering from the platform or sending a response later but if you want to be sure your question is taken at the meeting email it to the above address or alternatively call them on 0114 305 4609. They were asking for reservations and questions by Friday 22 August but are probably still accepting them.
The CCG has put quite a lot of work into making its website more accessible so it's worth a look and you can read the Annual Report there.
Sheffield Joint Health and Wellbeing Board
Next meeting Thursday 25th September - 2pm Workstation, Paternoster Row. the week before the meeting you can check the agenda at http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?CId=366&MId=5649&Ver=4
Sheffield Teaching Hospitals Foundation Trust
Monday 22nd September Annual Members Meeting in the Medical Education Centre Northern General . Lecture Theatre 2, 12pm on 22nd September 2014 (refreshements from 11.30) arrive early because it can be tricky to find and last year it was quite full.
Sheffield Health and Social Care Foundation Trust
Annual Members' Meeting on Monday 22 September 2014 from 12.45pm to 3.30pm at the Showroom & Workstation, 15 Paternoster Row, Sheffield S1 2BX It's tends to be pretty busy. You can reserve a place by emailing firstname.lastname@example.org
Sheffield Children's Hospital Foundation Trust
Tuesday 23rd September 6.30pm (buffet from 5.30) Lecture Theatre, Stephenson Wing, Children's Hospital.
Healthwatch Sheffield Board meeting
23 September, 2pm, St Mary's Bramall Lane:
Yorkshire Ambulance Service Trust
Annual General Meeting 30 September 2014 1015-1145 and Trust Board Meeting In Public: 1300-1530, Leeds - Thackray Medical Museum.
Sunday, 20 July 2014
It was good to see so many people turn out to support the marchers, especially in the wet on the Bank Holiday. Thanks to all our speakers and to the members of the Socialist Choir and Body of Sound for their performances and all their help, as well as to the Sheffield Street Band for adding oomph on both days.
Meanwhile in Sheffield, cuts both in the NHS and in local authority services which affect health are biting deeper. The new head of the NHS, Simon Stevens, with a strong background in the health market, will be outlining his proposals for the NHS in the next few weeks. Labour and the Lib Dems will be firming up their positions in their Party Conferences. Defenders of the NHS need to be on their toes.
The big summer campaigning event for the NHS in Sheffield will be the arrival of the People's March for the NHS, organised by the Darlington Mums. You can see details of the routes and download posters from the march website.
This is a really exciting and spontaneous manifestation of popular support for the NHS and against the fragmentation and privatisation brought in by the current Government. There is a lot of support up and down the country, not only along the route and on each leg the core marchers will be joined by local people, accompanying them on all or part of the way. The marchers are very keen to demonstrate the breadth of support for the NHS and are not tied to any particular organisation. All groupings which support the principles of the NHS are encouraged to participate and support. SSONHS is co-ordinating part of the Sheffield route.
The march is from Jarrow to Parliament and will reach South Yorkshire on Sunday 24th August, overnighting in Barnsley and then setting off for Sheffield from Barnsley District Hospital on August Bank Holiday Monday, 25th August. After a night in Sheffield the march will set off for Chesterfield from the Town Hall on 26th August.
We are expecting the marchers to reach Weston Park by 5pm on 25th August, where there will be a reception and short rally. We suggest that people who want to join the march before then do so at Hillsborough Park at the Parkside Road entrance at around 3 pm. After marchers and the heir hosts have a meal at the Broomhall Centre, Broomspring Lane, there will be an informal social/get together from about 7.30 at the same venue, not the Shakespeare as previously posted. There will be informal music etc and a BYO arrangement for drinks.
On the following day (26th) the march will be seen off from Sheffield Town Hall by the Leader of the Council, Cllr Julie Dore and Cllr Jillian Creasy for the Green Party. There will be a short rally outside the Hallamshire Hospital, addressed by representatives of people working in the NHS and the march will then go through Hunters Bar, Nether Edge (11.30), and Woodseats to Graves Park and Meadowhead.
We have put out an appeal for help with resources (practical and financial), accommodation and transport, and have already offers of help from local organisations and individuals. Apart from the events we need to raise money for meals and refreshments. We need help with stewarding the march and setting up the rally at Weston Park. For offers or inquiries please email us here or if the link doesn't work try email@example.com
for updates see our web page
We hope this will be a very special celebration of the NHS here in Sheffield
We're experimenting with a format which opens up discussion - rather than suggesting there are easy answers. We start from the given that the government's failure to keep up with the 4% real term increase in the NHS budget, on top of the so-called efficiency cuts, has put the NHS in real trouble. Even senior Tories are saying that more money has to be put in. The question is, of course, how it should be raised. The Tories may well try some sort of patch up before the election and Labour are flirting with the idea of hypothecated National Insurance. But that's not what we want to talk about on Thursday.
The deeper debate is whether there are other changes needed in the NHS to meet changing social, demographic, economic and technical developments in order to maintain a universal health service true to its founding principles.
We've chosen to focus on certain aspects - first access to health services, a discussion led by two experienced GPs who are committed to the reduction of health inequalities. In the second half, two academics with considerable experience of the organisational side of the NHS will address issues such as competition vs collaboration, accountability, and whether preventative and community-based services will be both effective and save money. All the speakers will be in a personal capacity and will talk for about 10 minutes each.
It's a lot to pack in and there are bound to be a host of other issues coming up from the floor. We hope for a lively discussion.
At the end of the meeting we will have few minutes to discuss how to take things further, including whether we should organise more meetings of this sort and on what topics. We will also alert people to the developing arrangements for the Darlington marchers.
Monday, 14 July 2014
The proposed international trade partnership agreements TTIP and TISA have the potential to damage our health as well as our economy and environment. But you have to peer through a load of sliding windows, shifty statements and economic pie in the sky to find this out.
Let’s start off by debunking two myths. First of all there are arguments that population health will improve because we will all be better off. This increase in wealth – estimated at something like 9.7% change in real per capita income (Bertelsmann Foundation) - is what seems to bind the Labour leadership into the overall concept of the TTIP. What on earth makes people think that this sort of benefit will happen?
1. First of all the figures for economic benefit are grossly inflated because they are based on the assumption that all aspects of trade will be brought into the treaty – which they won’t be.
2. Secondly, even if there is an economic benefit, what makes anyone think it will be distributed evenly? This average trades off the losses – of jobs, job protection and freely available public services – the losses for ordinary people against the very considerable gains that will be made by the rich, the 1%, the business leaders with their golden hellos and golden handshakes, the shareholders and celebrities with their offshore accounts.
3. Thirdly the potential downgrading of regulation in other spheres – the loss of environmental protection, certain food measures, drugs and advertising, workers’ health and safety all have the potential to make our health a lot worse.
4. Fourthly there is the threat of the ISDS – the secret court where companies can sue governments which threaten competition. Philip Morris are suing Australia under an obscure international provision to try and prevent them going ahead with blank cigarette packets. Hardly good for our health?
So let’s call on the Labour leadership to take off their primrose spectacles and look at the real needs of the people they are supposed to represent.
On the other hand some TTIP opponents give the impression that the NHS will fall to pieces because under the TTIP, healthcare services will be brutally exposed to takeover by international corporations. Well this isn’t quite true either. The NHS as we used to know it even up to 2006 and even just about before the 2012 would have a significant degree of protection either because it was a publicly funded service or because it can be excluded during negotiations – and this is what is made a clear in a letter issued yesterday by the senior EU TTIP negotiator, Sñr Bercero, to one of our local MPs John Healey.
But since the opening up of NHS provision to the private sector, tried by Thatcher, then insinuated into the NHS Plan by Labour from 2001 to 2006 and since then legally institutionalised by the Coalition government, this protecting veil becomes full of holes. Every specialist service which is opened up to tender by NHS England, every CCG which goes out to private tender for NHS services, and, most alarmingly, every decision by the holders of the new personal health budgets to enter the healthcare market, puts that service into the competitive arena and vulnerable to TTIP.
And it’s not just TTIP. As part of the WTO a separate negotiation called TISA is progressing among 20 developed countries including the UK about liberalising the service sector. Here the dangers for a part privatised NHS are even worse especially if the Tories get in next time and especially if Andrew Lansley were to achieve his ambition to become an EU commissioner.
TISA will lock in the rights of private services. Take the example of Bolivia – before Morales was elected president a previous government placed Bolivia’s then pretty awful healthcare system into the WTO system, trying to encourage foreign investment. Of course this hardly produced a service which met the needs of the Bolivian people but when Morales tried to take it out to encourage the growth of an indigenous public service, WTO members like the USA refused to allow the return of hospital services to public control. Good article about TISA in the Big Issue.
Can healthcare be excluded from the TTIP? Of course it can as Sñr Bercero has made clear. The French, right from the beginning, fought hard on one of their perennial bottom line issues – protection from US cultural influences. Paris refused to be involved, exercising a virtual veto, unless cultural issues (mainly films and audio-visual media) were excluded. And they won. Last year the USA and Canada updated their trade agreement. Canada, which has much more publicly funded healthcare, despite cuts there too, refused to include healthcare and the USA was forced to agree. Ironically this has led some liberals in the US to press much harder for healthcare to be included in the TTIP in order to bring more competition into their own appalling system. But not at the cost of our own NHS! No thanks Uncle Sam.
Cameron has dodged all requests for healthcare to be excluded. All the supposed assurances given by government ministers have been equivocal. Sñr Bercero says public services can be protected not that they will be protected. Why this reticence from Cameron? Could it be because of the money given to the Tories by private healthcare interests? Could it be because of the number of Tory and Lib Dem MPs and peers with significant investments in private healthcare? 65 Tory Lords; 12 Lib Dem Lords, 37 Labour Lords, 31 cross benchers, not to mention 63 Tory MPs. (Social Investigations) Surely this can’t be the case. And yet….maybe it could.
Recently the EU halted negotiations in order to start an elaborate public consultation on ISDS which suggested that public provision in areas like health could be excluded from litigation provided government actions were not manifestly unfair. Well who decides what manifestly means? The ISDS secret court no doubt. It is quite clear that any government which was seeking to bring services back into the public sphere, would, at the very best, have to invest considerable resources into protecting itself from litigation.
Let’s be clear, this is not particularly about the EU. There are campaigners against the TTIP like the Greens who are in favour of the EU and others from the Left who are against it. UKIP have nothing to say. A UKIP government would not only be cutting and privatising the NHS but looking for a bilateral agreement between the UK and USA to deliver exactly the same sort of deals for business. So people should not be gulled into looking to UKIP for protection.
So what’s to be done?
First it is clear that the EU negotiators, despite all the fences, are susceptible to pressure. They have already been shamed into delay and attempts at consultation and transparency. So keep it up, locally, nationally and internationally.
1. The campaign needs to carry on right the way through this year and up to and including any EU parliament vote. Our MEPs must be held to account on this.
2. Secondly don’t take any half-baked assurances that our health services are safe. Healthcare needs to be formally exempted and no weasel words from the government can be tolerated. Take every opportunity to press your elected representatives either directly or through organisations like 38 degrees.
3. Finally we need to stop the privatisation rot in the NHS. Even under the present system commissioners need to understand that if they put services out to tender, they are potentially damaging not just the present but the future of the NHS as a publicly owned, publicly provided and publicly accountable service.
For more information, come to the SSONHS meeting on 24th July 2014, 7pm at the Quaker Meeting House. Leading local experts will discuss the issues facing the NHS.
To show your dissent to government policy on the NHS - Join the People’s March for the NHS organised by the Darlington Mums. We hope to see you on August 25th or 26th on the march or at Weston Park. Look out for more details
Monday, 12 May 2014
Do you oppose the NHS being forced into open and competitive tendering for services (opening them up to be taken over by the private sector) where there is public and professional support for preferred NHS provider arrangements?
What is your view on Sheffield Council's decision to put the learning disability service, currently provided to the Council under contract from the NHS, out to tender? Do you support the Council's recommendation that the decision should be left to officers rather than be part of the political process?
Do you agree that the public health budget for the City Council should be ringfenced for public health issues?
Do you agree that important changes to NHS and council services should be put out for proper and timely public consultation, no matter who instigates them?
Do you agree that the extension of charging for access to healthcare included in the Immigration Bill risks widening health inequalities, threatening communicable disease control, and costing more to implement than is recouped in payments? If so, do you oppose its implementation?
What do you think about the Government's decision to postpone the Better Care Fund which would enable NHS money to support local authority social care?
Do you oppose major NHS services being put out to competitive tender, thus opening them up to be taken over by the private sector. Are you prepared to work in the European Parliament to help minimise the attempts by big corporations to erode the provision of publicly funded healthcare?
Do you agree that health care should be exempted from the proposed EU/USA Transatlantic Trade and Investment Partnership agreement?
29th May Postscript
At the hustings there were positive commitments to the NHS and to support on health issues in Europe from both Labour and Green MEP candidates. However there was a lot of concern from the floor about EU competition law and the proposed EU/USA trade agreement. The effect of the UKIP showing on the NHS is not clear. Farage is apparently going to include NHS issues prominently in his new manifesto to be launched in Doncaster this autumn. Expect this to be a pretty uninformed attack on bureaucracy "There is plenty of room for cuts and efficiencies" BBC interview July 2013. Other UKIP candidates (e.g. Paul Nuttall NW UKIP MEP) explicitly support privatisation. Ironically Le Pen's party in France is strongly against the Trade Agreement but we don't think this will be UKIP's position, if indeed they consider the issue at all.
Wednesday, 30 April 2014
If the NHS fails to win renewal of its contract, Unison estimate the loss to local NHS revenue of around £6m. Instead the contract would go to an organisation like Care UK, with possibly similar results to those in Doncaster. At the moment it is not even clear whether TUPE would apply. The Council has delegated the contracting decision to officers and Sheffield Unison is (belatedly) running a campaign against it.
So what is happening in Doncaster where Care UK workers are on strike?
Here is an extract from a UNISON BULLETIN: CARE UK DISPUTE, DONCASTER
"The above Dispute concerns a Supported Living Contract where Doncaster Metropolitan Borough Council are the client, but the NHS has run the service on their behalf for many years. Regrettably last year, prior to the new Labour Mayor being elected, DMBC let the contract to Care UK. Late last year Care UK announced that they wished to change the terms and conditions of those employees who transferred with this contract, in some cases the changes mean a cut of 50% to their take home pay, by ending weekend and night working enhancements and Bank and Public holiday enhancements. It is clear that the employer intends to de-skill and dumb down the skill base enjoyed by the current staff and replace them with minimum wage carers, thereby reducing the quality of the service provided. Indeed evidence of this has been obtained from the local job centre where a care worker for this contract was recently advertised on a pay rate of £6.73 per hour for a 40 hour week, with no additions or enhancements for evening or weekend working or for bank or public holiday working and also no pension provision.
"In response to this UNISON have tried to negotiate with Care UK who refuse to change their position. This led our 150 members in Doncaster to request a ballot for industrial action, where over 90% of those voting, voted for a combination of strike action and action short of strike action. Our members have already had a period of 7 days strike action, followed by action short of strike action in the form of withdrawal of goodwill, working to contract, non-use of company or personal cars on business, etc. Our members also undertook a further 7 day period of strike action, commencing on Wednesday, 19 March 2014.
"Up until the beginning March, the employer had refused to negotiate with us and despite an approach from us to use ACAS, they had indicated that they were willing to use ACAS but had advised that they had nothing to offer.
"This changed and discussions were held under the auspices of ACAS, unfortunately the employer was only prepared to increase the protection offer by a mere two months which was completely unsatisfactory and the talks broke down. In addition to this the employer has approached individuals participating in the action, as well as other employees currently not involved, and tried to get them to sign up to the new terms and conditions, indicating to them that if there are any improvements conceded they will honour them for any who sign up to the new terms. To say this has incensed our members is putting it mildly.
"Our members subsequently voted for further 3 day and 4 day periods of Strike action the first of which took place on the 6,7 and 8 April with a further 4 days commencing on the 18 April (Good Friday), 19 April, 20th April (Easter Sunday) and 21 April (Easter Monday).
"At the Strike Rally on the 18th April our members voted for a further 14 day period of strike action, subsequently through the auspices of ACAS, UNISON negotiators met with representatives of Care UK to try and reach a resolution to the dispute. Regrettably, Care UK were not prepared to negotiate they merely restated their position and said they were not prepared to make any concessions. In a letter sent after this meeting to local MP’s they made outrageous, misleading and inaccurate claims to have made concessions on their initial proposals and even went as far as to claim that ACAS supported their view. This has been categorically denied by ACAS and our lead negotiator has written to Care UK asking for an explanation of just what ‘concessions’ they think they have offered."
The Doncaster, District and Bassetlaw health branch has launched an appeal to help members who are taking action. Please make donations payable to Doncaster, District and Bassetlaw Health Branch 20511, and send them to the UNISON Office, Jenkinson House, White Rose Way, Doncaster DN4 5GJ. Send solidarity messages and requests for speakers to: firstname.lastname@example.org Click here to download an updated collection sheet. Obviously there will be collections at the Saturday events.
For more info see here and here
Visit the strike Facebook page ‘Doncaster Supported Living Unison Strike’
Meanwhile in Bradford there is another problem involving Care UK and caused by competitive tendering.
1) Bradford: Private Provider muddle
1000 people have signed a petition started by a teenager to save the Eccleshill health centre in Bradford which offers NHS services but is run by Care UK under contract to Bradford CCG. The contract expires on July 7th. The contract was put out to tender and the CCG judged that no bid was acceptable including a renewal bid from Care UK. According to the local MP, LIb Dem David Ward, the CCG have stated that they are looking at all alternative options to ensure that the current services provided by the Treatment Centre continue to be provided for patients within the area.
This illustrates another ridiculous and dangerous side of the competitive tendering system. Unless the CCG is actually trying to cut the services we have a situation where the process is just going to leave a blank. It's not surprising that local people are upset but I imagine few of them are clear whether they are campaigning for the NHS or for Care UK. The CCG hasn't managed its communications well either, probably not helped by the commercial confidentiality around the procurement process. The CCG should be able to say clearly why the tenders were not acceptable - then people would know if it was something to do with Care UK - like what is happening in Doncaster.
Wednesday, 5 March 2014
One Person supported by people acting as One Team from organisations behaving as One System
and is available on the Labour policy website Your Britain
Most of the team are from an NHS background, including Professor Hilary Chapman, Director of Nursing at Sheffield Teaching Hospitals. Two are from local government (though one of these is a trained nurse) and one from the Alzheimer's society. At first glance the thrust of the review seems to move towards bringing social care into the NHS structure.
In the introduction the review comments " The emphasis of this report is recommendations for an incoming government in 2015. They are built on three themes: giving meaningful power to people using the health and care system; reorienting the whole system around the true needs of the population in the 21st century; and, addressing the biases in the established system that prevent necessary change happening. For too long health and social care have been considered separately. They are inextricably linked. However we do not believe the answer includes yet another major structural reform at this time. The scale of recent reforms so damaged the NHS and care system that we believe it would not survive intact from a further dose of structural change. We are not saying that the current structures are right, or that they won’t need to change in the future – they aren’t and they will. We reflect some of that in our recommendations on national organisations. However, relationships and culture trump structures. We should not focus now on what the structures are, but the relationships among them, the people who work in them, and what they do. This is the essence of care and what really matters. These changes may not be as tangible and headline grabbing as scrapping and creating organisations. Arguably they are, taken together, more radical."
The recommendations are significant, far reaching and controversial. They include the renaming of NHS England as Care England which would be the strategic lead behind which other NHS organisations including Monitor should aligned themselves. The report recommends that the S75 regulations (on competition) be abolished.
The report is 92 pages and needs careful reading but the issues it raises are probably worth openly debating in the city. Comments and more information are welcome.
Wednesday, 26 February 2014
To ensure that the concerns of the BMA, RCGP, Healthwatch and other groups are met, NHS England will:
• Begin collecting data from GP surgeries in the Autumn, instead of April, to allow more time to build understanding of the benefits of using the information, what safeguards are in place, and how people can opt out if they choose to;
• Work with patients and professional groups – including the BMA, RCGP and Healthwatch – to develop additional practical steps to promote awareness with patients and the public, and ensure information is accessible and reaches all sections of the community, including people with disabilities;
• Look into further measures that could be taken to build public confidence, in particular steps relating to scrutiny of ways in which the information will be used to benefit NHS patients
The gathering protests also led to the current Health Select Committee inquiry which met yesterday (25thFeb) to get the background. It will get some written evidence and then hold at least one more session to look at proposals for improving the system.
There are several version of why the postponement took place, one being that if the policy was successfully challenged in the courts it would be GPs who would be held liable for permitting the data to be collected rather than NHS England.
GP reaction has varied from trying to opt out all their patients (resulting in threats - late withdrawn - to suspend the GP), some actively contacting patients to tell them about opting out, and others making it pretty difficult to opt out.
It's worth stating that this is a really important issue and the potential value for patient care of the database has led many of those involved to ignore some of the difficulties about setting it up. For a sensitive discussion by Ben Goldacre (and various comments)
There are two issues: one about care data; and one about the arrogance, evasion and apparent incompetence of some types of senior NHS management.
1) Care Data:
Stones are now being rolled back revealing a lot of thoughtless and possibly murky practice. This includes the failure of the new Health and Social Care Information Centre to start this process without having developed and consulted on a code of practice as required by the 2012 Act; the possibility until assurances given this week that even if people opted out, some data would have been extracted; the failure of NHS England to communicate with properly with GPs, let alone the public; and last year's decision of the NHS Information Centre which preceded the new organisation to give the contract for extracting data from GPs to ATOS. It is quite incredible that NHS information managers could have given ATOS the contract to extract data even before pseudonymisation, however fast they were going to transfer it to the 'safe haven' of the HSCIC. If, as was said yesterday, it is technically difficult to psuedonymise the data before or when extracted, then the contract should not have been given to an organisation which has a clear conflict of interest. No way is this in the interests of patients as required by law. The managers also appeared unable to give the Select Committee any firm assurances that the DWP would not be able to access this personal medical data. Both of these factors might well influence a decision to opt out unless further protection is built in.
At least with the Select Committee's involvement, revised plans for care data collection will be opened to public scrutiny and to direct challenge by organisations like Medical Confidential.
All this is a gift to the right wing press like the Telegraph and the Mail which can refer to the NHS thought police. The Telegraph secured an added scoop by revealing (under a misleading headline) that hospital care data for millions of patients was sold (at cost) to representatives of insurance companies who were able to match it up with credit rating information from Experian and use it to raise premiums. What's more the Tories are claiming first that patients were never given the chance by the previous government to opt out from the centralisation of this data (true but the significance of the data is different) and secondly that this was only possible under the previous regime and it cannot happen under the safeguards of the Health and Social Care Act 2012 (something challenged by Medical Confidential and not convincingly defended by the minister and NHS witnesses yesterday).
2) NHS England and the Secretary of State.
Although the Secretary of State remains formally accountable under the 2012, it was clear that it was NHS England on to which the ordure was being shovelled. As one Committee Member pointed out, the Ministerial witness, Dr Dan Poulter, was pretty silent and not able to answer matters of detail.
Evidence is emerging that some of the national organisations set up under the Act are not doing too well. For instance the staff survey of Public Health England reveals very low morale and its head has failed to demonstrate his independence from government. Meanwhile NHS England is affected first by the departure of many skilled staff because of Lansley's reorganisation and cuts, secondly by the pressures being put on those who remain and are in an entirely new structure, and thirdly by an increased tendency, when under pressure, not just to take short cuts but to preserve some of the dictatorial trends of previous centralised NHS regimes. We have already complained about the lack of transparency and accessibility of the local NHS England office. The implementation of the Friends and Family Test is also proving dubious.
The senior managers at HSCIC(some with past private sector involvement) seem to have let their obsession with getting hold of data and their lack of principle in determining end users, get in the way of any understanding of how the public might perceive it. They ostensibly agree that a person's health records are their property but don't take on the implications. They also hide behind the relatively recent creation of the HSCIC to deny any responsibility for or even access to the decisions of the previous NHS Information Centre. As one MP commented, their actions have threatened the doctor patient relationship and discredited the NHS.
They are not going to go, unfortunately, at least for the time being; so we have to hope that some of the damage can be repaired by the processes now being put in place to improve some of the technical aspects of data collection, to tell people more clearly about what is involved, and to make it much simpler to opt out if people wish. The campaign needs to go on in order to exert maximum pressure for an acceptable system. If it cannot be made acceptable, it should not happen.
Monday, 3 February 2014
During January households in England should have received a leaflet from NHS England outlining its expansion of centralised care data records by uploading everyone’s GP records into a centralised data bank. Of course if you have opted out of receiving junk mail, you won’t have got it? Or it may have got included in a bundle of commercial junk mail which you immediately recycled. Maybe you looked at it and thought what has this got to do with me and ignored it? Maybe you read it but didn’t fully understand what it was about? Or maybe you are part of a small minority of the population who read it and took a conscious decision either to permit your data to be used in this way or to opt out by contacting your GP surgery.
Details about how to opt out including a link to a form are at the end of this post.
There are good arguments for both decisions and it is one for individuals to take. The well known academic and campaigner Alyson Pollock illustrates the difficulty when she calls for opting in to data centralisation but out of data being sold. So why is it a matter for organisations which seek to defend the NHS? Why are organisations like Keep Our NHS Public calling for mass opt outs? After all, this initiative comes from the NHS.
The reason is firstly that the way this scheme has come about is a direct result of the 2012 Health and Social Care Act; secondly that the way it is being implemented (including the dreadful information campaign) is partly because of the NHS structure imposed by the Act; thirdly that it ignores the principle of explicit consent, and fourthly that the fragmentation of the NHS means that data is far more accessible to outsiders including companies which want to use it for profit. Even if the data cannot be shared for the purposes of calculating insurance, the more data which is available in any form to private sector companies with or without NHS contracts, the greater the possibility that it will be used for purposes (including marketing) which help companies to make profits for their shareholders and not for the improvement of your care in the NHS.
This post is based on emails circulated to the Sheffield SSONHS mailing list. NB So far the GPs we know of seem happy to provide further information and answer questions at their Patient Participation Groups (and possibly by other means as well). Those with websites may well have their own opt out forms which can be downloaded.
What’s the issue?
If we want our NHS to work well and for treatment to be based on the best possible evidence, then we need performance reporting and research: both of these have to be based on data. However the collection of data is normally based on a series of protocols which generally include explicit consent of the subjects, especially if the data is both confidential and identifiable.
The NHS has collected a lot of centralised data including hospital care for some time. Since 2010 it has also centralised Summary Care Records for over 32 million people. These enable remote access for NHS staff to important information about patients, namely any medicines you are taking, allergies you suffer from and any bad reactions to medicines that you have had. These are currently being viewed at a rate of 12000 per week, mainly by acute hospital pharmacy staff, but also in emergency care centres and prisons. In 2010 patients were offered the chance to opt out of having Summary Care Records created and about half a million people did opt out. If you did not opt out then, you cannot opt out now – your SCR is in the system.
Now the NHS wants to go further and put most of your GP record into its centralised system. The data will be handled by the Health and Social Care Information Centre (HSCIC) which has enhanced responsibilities under the Health and Social Care Act 2012 to reduce the burden on frontline services by acting as a 'gateway' to bodies seeking to collect data.
'Sensitive’ codes such as sexual health records, pregnancy termination, IVF, marital status, complaints, convictions, and abuse, will not be extracted as part of the care data process, but all other codes, including diagnostic codes, investigation results and information about prescriptions, will be. This could include prescription items that reveal sensitive data, such as medication for HIV or chlamydia, or hormonal treatment for infertility.
The problem is that this data will not be fully anonymised. First of all the records are uploaded from your GP's system in identifiable form before key identifiers are removed to pseudonymise the data so that it remains as an integral record but without an immediately obvious real identity. This is the data which will be most widely shared across the NHS system. However in special circumstances researchers may want access to personal confidential data. This has to be for work in the interest of NHS patients and requires special permission but not from the individual concerned who is already presumed to have consented if their care data has been uploaded. There were 31 permissions granted for the release of identifiable data between April and December 2013 according to Pulse magazine for GPs.
Civil liberty campaigners have for a long time been concerned that as public service databases develop in scope and sophistication, the temptation to join them together for the purposes of government 'efficiency' becomes ever greater, the more so when certain failures of care turn out to be partly due to the right information not having been passed between agencies. On the other hand the unification of databases hugely increases the number of people of different sorts who may have access to personal information about citizens. We already know from the Snowden revelations how much electronic information and traffic is collected by the security services. Now personal medical records can potentially be included.
The possibility of your records being identifiable are first of all if they are intercepted or misrouted before pseudonymisation takes place; secondly after pseudonymisation as it has to be possible for people with administrative access to the system to trace back to the original dataset; and finally if your fully confidential details are passed on to researchers who may be within the NHS, academia, the charity sector, or even in the private sector (see below).
Why does the NHS want to do this?
Some of the reasons are explained in the leaflet and you can get more information from the official website. Some people (including a lot of medical research charities) argue the formation of this databank is a good thing because it will aid NHS planning, auditing and research into health needs.
What's the objection?
The main objection is that it is a betrayal of the confidentiality which patients expect from their doctors, using information which has in the past been given confidentially but will now be much more widely accessible without full anonymisation. See for example Medical Confidentiality and Why I have opted out. For an informed discussion of the dilemma see the Dianthus medical blog.
What will the data be used for?
The Health Care Information System explains its data use and linkage system here. This is where it gives examples of how data is used and who by (including the private sector), and outlines some of the protections. The NHS has promised that the data cannot be used for the purposes of assessing insurance.
How has the NHS handled the proposal?
The NHS has done a pretty poor job and has basically hoped that people would consent by default. WE have to opt out, not to opt in. There has been little or no attempt to engage patient organisations that we are aware of. First of all it tried to put all the burden of informing public and patients onto GPs (as if they were not busy enough already) even threatening them with prosecution if they failed to do so. Then it finally agreed to the national leaflet. And all along it has basically tried to use the formula 'We are your beloved NHS, Trust Us', without realising that what the government has done to the NHS renders it anything but trustworthy.
What should I do?
Well you could have objections in principle - either about the wider dissemination of your data itself or about it being passed in some form or another through myriad hands, including those seeking to profit from involvement with health care. Or you might feel that your data could be used against you in some way. Or you might just feel more insecure about talking to your GP at all. You might want to take a general stance against the creeping data-richness of the state. If so Opt Out before March. Probably the only way to move towards fuller anonymisation will be if sufficient people opt out and this is the action recommended by Keep Our NHS Public (see their leaflet and briefing paper.
On the other hand you could feel that all these risks are pretty hypothetical/negligible, or that you don't have anything to hide, or that having a wider pool of medical histories will be of public benefit in terms of developing treatments and that it in the long run this will help the NHS to plan its facilities more effectively. (One argument in favour of the data centralisation is that it will help improve clinical performance, whereas there is little or no available information about clinical performance in relation to sexual health because confidentiality is much tighter.)
How do I opt out?
To get an opt out form, contact your GP, look on their website or use a form designed by Dr Neil Bhatia who has an informative website http://www.care-data.info/. There is also a slightly briefer version.
Please note that there are apparently 2 levels of opt out each with a code. These are mentioned in the letter section of the form.
9Nu4 is an opt out which is a dissent from any disclosure of personal confidential information.
9Nu0 is the complete opt out from having your data passed on.
You might decide only to opt out from having your identifiable personal records passed on, and if so, ask for code 9Nu4 to be entered in your records. If you want to opt out completely then ask for both codes to be included as it says on the form.
If you go to your practice to opt out, make sure that you don't get given a form for opting out of the Summary Care Record which gives details of prescriptions, allergies etc. This will have no effect. On the other hand, if you opt out of care data centralisation now, you can always opt in at a later date. The uploading will be a continuous process, probably on a monthly basis. If you decide to opt out only at a later stage, future data won't be uploaded but the initial uploads will remain on the system.