Watching the NHS Detectives
By Steve Carne, Apr 22 2016 09:26AM
We began NHS Detectives as a bit of a joke late in 2015. In a way it was something creative and "fun" to relieve the relentless onslaught of awful news we were being bombarded with from NHS England, NHS Confederation, NHS Employers, NHS QUEST, NHS Providers - the list just goes on and on. That's not even close to the daily news we recieve from local hospital campaign groups who are fighting desperately to keep their services in place.
Our work to "Connect.Organise.Inspire" has been arduous but it's working. Campaign groups are now in touch with one another and we have encouraged this from the very start. We always dreamed that people would fight locally because that is vital - but they would understand that their local situation was a duplication of exactly what was happening across the country. A&E's downgraded, Maternity Wards moved due to safety, Paediatrics the same... all part of the national pattern of wilful destruction of the NHS by Simon Stevens' Five Year Forward View. A rather glamorous "caring sharing" sounding document that set out a plan to rescue and "transform" the NHS that was fast becoming unsustainable and suffering a crisis of monumental proportions.
Simon Stevens, former Blair advisor, former President (9years) of Global Strategy with American private-for-profit health corporation United Health, Simon Stevens who lobbied in Washington DC to pressure the TransAtlantic Trade & Investment Partnership... Simon Stevens the boss, CEO of NHS England as of 2014... Simon Stevens became our first case. THe case is now open again and the NHS Detectives are re-examining the evidence. Simon Stevens is not the saviour of a broken NHS. He is the designer of the coffin.
Next came an exercise in mapping the private companies (THE MAP). Twitterers and FB'rs sent in info and we began to build a map. It's a bit rough round the edges. It became a huge task. (If anyone is interested in helping to continue building let us know.) But even after only one week of building it began to provide a fearful picture of just how far we have let our NHS be eaten into by private companies - not just in providing services, that is not the real problem. The real deathknoll for our public NHS is the strategic position many of these companies have squeezed themsleves into. They are now advisors, support, managers, planning and strategy formulators working quite happily with Simon Stevens' 5YFV (catchy title).
It works just like breaking up a company - too big to take over all at once, break it up into pieces then take over each of those little bits. THEN - here comes the clever bit.... tell us all what's needed is "joined up care" , "integrated care" that the division between all the NHS Trusts, Foundation Trusts, the Providers, the Commissioners is in need of cleaner, safer, smoother process and it can be fixed by making it more connected, more integrated - sort of the way it used to be twenty five years ago only this time with the private companies inside the fabric, inside the net we always thought was there for our safety.
Clever. Break it up. Move in. Take over. Stick it back together with few new Acute Care models thrown in, close or downgrade the hospitals and services that you dont want as they won't make any money, drag charities in to do the "face" damage (no one likes to criticise a charity), and force communities to be more resilient. Clever.
All the while campaigners struggle with the mindboggling question. Are these corporate business types evil people who have nothing in their heads but the right hand column of the accountsl spreadsheet? Or are they misguided in their belief that they are doing the right thing to help our nation stay healthy? Stupid? Evil? That's the question.
The more you investigate the more that question grows and the overriding feeling that there must be an awful lot of confused, mentally conflicted individuals who, even now whilst you are reading this, are sitting in meetings sitting politiely listening to a speaker rabbiting on about Improvement, Care, Quality, Future Health and Transformation, Sustainability. The evil process of privatisation we fight is complex, multi-faceted and in places subtle and ethereal. It's imbued in designer graphics, photographs of arthritic pensioners, mainstream media stories of NHS Staff unable to cope, pamphlets, patients groups, and good people doing good things... Like the Health Foundation who can criticise a charity who want better health?
We call it the 4Point Click. 1 - Go to a site. 2 - About Us. 3 - Governance 4 - Board/NonExec and there these evil twisted mentally conflicted individuals sit, usually smiling at you in a way that is chilling. Give it a go. Follow the link below. Try the 4 point click. Let us know what you start to dig up.
Your Mission if you wish to accept it... CLUE - McKinsey
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