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999 Call for the NHS

A grassroots NHS campaign. Not affiliated to any of the political parties.

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By 999 Call for the NHS, Aug 7 2018 08:33PM

Steven Carne mulling over the mystery of the URLs

If you have the stomach for it, Roy Lilley's ditty today on his daily "mantra" that goes out every morning to NHS managers and their minions is quite enlightening. It's all about the inevitable journey we are all going to have to take to the ultimate cul-de-sac Rue de Digitech...


Mr Lilley, darling of the NHSWhiteCollars says at one point:


Technology is no respecter of tradition, Royal Colleges or trades unions. Babylon is attracting patients in their hundreds and primary care, in the home counties and commuter belts, will be hollowed out.


It is a deep concern that we have shared for many months now as campaigners in West London have battled with Babylon which licenses it's technology to virtual GP surgery providers like GP at Hand - protestors including GPs gathered in East London recently to oppose the expansion of the virtual service seen as another chisel in the NHS Chipaway toolbox. PROTEST IN EAST LONDON


Not only is the Bablyon App causing havoc in terms of Clinical Commissioning Groups funding (what happens when thousands of extra patients register in your CCG area on a digital app? Well NHS England step in of course...)


The smartphone virtual GP is also creating deep concerns about safe triage and patient welfare given that algorithms and tickboxes are replacing the human skills involved in high quality care. Surprising then to see at the very top of Monsieur Lilley's tosh a big advert for the CEO of Babylon, a certain "proud to be a disruptor" Ali Parsa who is giving a talk at the Royal College of Medicine about - well here's the pic



A sell-out indeed!

I'd be very surprised cos it's not actually AT the Kings Fund.


And here is a taste of Mr Ali Parsa in action. He is a supreme marketing wizard creating PR Editorial that is probably the envy of every clinical PR agency in London. It's easy to do but difficult to make it stick. Parsa is a master. Watch his interview as a panel member on the shipwreck that is BBC Newsnight. The video shows you his tricks very clearly.





There is of course never a mention of Ali Parsa CEO of CIRCLE who failed miserably in taking over Hinchingbrooke Hospital in Cambridgeshire 2013 - not enough money in it! So gave the hospital back to the NHS after just three years of a ten year contract


Anyway I thinks to meself after visiting the events page : Why is Roy Lilley, lover of the NHS, advertising Ali Parsa the man who wants to disrupt it with digitech apps that will totally undermine the idea that is the Art of Caring? Well... turns out the event is organised by something known as UK HealthGateway.



This rings a bell...


this is a little known company UK HEALTHGATEWAY LTD which is a company advising and presumably getting some dosh in return for advice and consultation on how best to peddle your wares in the ever growing competitive market being plonked on the unsuspecting NHS and the public who love it so. Mr Lilley is a Director of this company. But he loves the NHS. Doesnt everyone?


So - back to where we began - this lot also produce something called NHSManagers.net which sends out the daily email Newsletter from Mr Lilley.. this is a supreme example of just one miniscule maze of digital wonder and URL Hide-Behinds.


Bear with me, it is confusing because if you type in the URL NHSManagers.net you actually get taken to something called Institute of HealthCare Management and if you scroll down the ABOUT US page to the last paragraph it is frightening to see some of the names on the Advisory board..


Former Chair of NHS Improvement, Ed Smith,

Sam Jones, recently stepped down as Head of New Models of Care at NHSEngland,

Peter Homa, until January 2018, CEO of Nottingham Universtiy Hosptalsl NHSFT

Fabulous! Oh there is an Academy of Fabulous Stuff apparently! But that's a whole other URL...


So... After seeming to regret the Babylon App in his desktop mantra - turns out he's organising the blessed event at the Royal College of Medicine... ironically where the late Prof. Stephen Hawking gave one of his most powerful speeches about the role of private companies destroying the NHS. I wonder what he would make of Babylon Apps and other piranha fish digi-tech companies?


Suffice to say that whilst Senor Lilley, a Director in the Institute/UK HealthGateway/Fabulous Academy likes to talk about defending the NHS and welfare of manager (mostly) and patients, he can't quite shake the fact that he's really saying "the future is digital so shut up and get on with it". And he of course implies that any pesky campaigners or ne'er-do-wells who dare to question the role of hi-tech, smartphone apps and Artificial Intelligence in the future of healthcare is plainly a moron.


Well we can face it - technical advances are inevitable and should be welcomed into creating a better healthcare service for the future. The NHS before the market years was NEVER afraid of innovation and often led the way in research and new technology.


It's not the tech we're worried about. It's more the worry that the massive glut of entrepreneurial digital start-ups and Community Interest Companies, often partnered with dubious parent companies, are beginning not only to shape the future of healthcare but also manipulating it to meet their needs (profits) and not those of patients. And how accountable are these new digi-techs all hiding behind URLS of gateways, academies, institutes and .nets?


Take the fearful Artificial Intelligence company Alphabet Inc. the mother company of GOOGLE... well their little Artificial Intelligence exercise DeepMind was the subject of an Independent Review which Bloomberg reported as saying:






But guess what? The Independent Review was carried out by a panel of independent Reviewers HIRED BY DEEP MIND. So this review sounds rather hollow... THE PANEL


It's clear now all the moves towards Accountable Care Organisation models of care (call them what you like, quack quack) with all the nasty cuts and reconfigurations being made to fit the template, with more funding flowing directly into IT and Digi-tech Life Science companies, it is clear our NHS healthcare is becoming a feeding frenzy. We used to say the vultures are circling but vulutres only eat dead flesh.


The NHS is being kept alive on a drip and being forced to become the foodsource of the piranhas that are the Life Science and Digi-tech companies so eager to take a large bite.


So Mr Lilley. Chew on that.




By 999 Call for the NHS, Apr 22 2018 01:55PM

We are taking NHS England to court

As we make our way to Leeds Combined Court on Tuesday (24th April) this seems a good time to make that clear statement.


Not the NHS

We love the NHS - the one that used to exist before the (joke) fair-trade competitive market was allowed to sneak in back in the 80s and is now ripping its greedy claws into it since the 2012 Health & Social Care Act (2012 HSCA) gave it full permission to do so at every level.


NHS England is a QUANGO.

An arms length body (the lovely sounding ‘ALB’ abbreviation) that has NOTHING to do with delivering care just commissioning it. This means purchasing specialised NHS services and some Primary Care plus overseeing its Clinical Commissioning Groups which in turn purchase local health services from providers (sellers) of healthcare - thus creating that infamous phrase PURCHASER PROVIDER SPLIT.


NHS England was set up as an “independent body with executive powers and exceptional responsibilities” - part of the 2012 HSCA. Plans for it were prepped in 2011 and its full title is the The NHS Commissioning Board for England. The title says it all. Nothing to do with providing actual frontline patient care.




Interesting point to note is that the bill (Health & Social Care Act 2012) that created the demons NHS England, NHS Improvement - and the Clinical Commissioning Groups - was not mentioned anywhere in any party manifesto leading up to the 2010 election.


You could say there has never been a public mandate to carry out the massive top-down 2012 restructuring of the NHS that has resulted in administrative and bureaucratic chaos with over 200 Clinical Commissioning Groups purchasing healthcare from a wasteful and costly internal market involving a dazzling array of private companies and yet more accountants, lawyers and consultants all grasping the opportunity to make money out of the once world-leading public service NHS.


The NHS England Quango produced the 5 Year Forward View (5YFV) which gave birth to the Sustainability & Transformation Plans/Partnerships which in turn gave rise to the notion of (intended to morph into?) Accountable Care Organisations - encouraging the mantra of “integration” and “doing nothing is not an option” that has so successfully turned the heads of middle management, think tanks like the Kings Fund and Health Foundation, plus MPs and local councillors across the entire political spectrum.


It’s clear that “integration” in QuangoSpeak focuses on management integration (consolidating more control to one organisation and pooling or aligning budgets) and has very little to do with ‘joined-up’ delivery of actual patient treatment services. It’s about money and changing the shape and nature of the NHS which is seen by those seeking profit as “unsustainable” - QuangoSpeak means “makes no money”.


Campaigners all over the country are seeing the continued fragmentation and breakup of services. Management and finance are getting stronger, patient safety and care are being decimated.


What the Duck?

And don't be bamboozled by the everchanging NameChange Lingo Bingo that is going on. You know the saying - if it looks like a duck, quacks like a duck...




So we are challenging NHS England the arms length QUANGO at Leeds Combined Courts on Tuesday 24th April. They have set the agenda to introduce an Accountable Care Organisation contract using what is known as a Whole Population Annual Payment (WPAP) which will dictate a whole new way of funding the NHS and a whole new way of behaviour by providers of care.


Take a minute to read this and think.




What’s your answer? We know what ours is: This will lead to a culture of care based on finance considerations and profit, forcing providers to act and think like insurance companies. It will also lead to a two tier health system based on the USA Medicare model - providing basic minimum treatments for those too poor or sick to be allowed private health insurance.


Talking of money do we know how much the QUANGOS are costing us? Take a peek.**Comes with a heart safety warning. THE SHOCKING COSTS OF QUANGOS


This is not the NHS we want. And right now nowhere in legislation does it say that NHS England can radically alter the NHS as we know it. If they and the government want to change the NHS to a more USA style setup then they need to publicly and democratically say so.


It’s time to explore the Q-FACTOR - the QUANGO - the Quasi Autonomous Non Governmental Organisation regime that has been allowed to grow on our political system like the fuzzy mould on that piece of cheese in the fridge that stays there in the hope you might use it in cooking. You know it should go in the bin right? Or at least cut the mould off!


We are proud to have so many campaigners from a round the country joining us at 9am on Tuesday for a rally before going into Leeds Courts. This is a case that really does affect us all.


Please support us in any way you can.



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