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By 999 Call for the NHS, Nov 11 2019 09:33PM

999 Call for the NHS has been calling for the Renationalisation of the NHS since we marched for the first time in 2014. We've seen, and supported, FOUR attempts at getting the NHS Reinstatement Bill on the parliamentary table and now in 2019 the issue of Renationalisation/Reinstatement comes around again as we enter the election campaign period where after decades of Austerity...

The two main parties are now both the investors of the future and have sudden access to billions of pounds with which to show just how much they love the NHS and promise to keep it alive.

Labour are currently sitting on the most recent version of the NHS Reinstatement Bill, reworking it apparently. But are they talking about the "Renationalised with NO PRIVATE CORPORATE involvement" that we are calling for? How will we reinstate the NHS as a public service?

Easy answer. End contracts for outsourced clinical services. But there are difficult questions. What about the embedded web of "invisible" services that stretch throughout the NHS, beneath and behind the blue logo? For example...

"What the hell is this?" we hear you say.

Well... since the NHS was fragmented by the internal market brought about by the last Health & Social Care Act 2012 healthcare became a business model not a care model. The new Clinical Commissioning Groups (budget holders)made up of health people, knew next to nothing about auditing, tendering, legal technicalities? So they needed an advisory support service.

In 2015 this was known as the Lead Provider Framework - an easy to comprehend network of Commissioning Support Units divided into 9 geogprahical streams with a list of companies that was already fairly unpleasant.

As things progressed in 2017 with the NHS moving ever closer to the American model, based on the likes of Kaiser Permanante and United Healthcare , with an array of new "innovative and disruptive" models of care from federations, hubs, integrated neighbourhoods, multispecialty community providers, primary care homes and networks never mind a literal headfuck of contracting and financial measures designed to confuse everyone it seems.

But have no fear the Lead Provider Framework is here! Naturally shapeshifting in order to meet the needs of poor commissioners out of their depth in the mire of transformational change. Now so much more than legal, auditing and backroom services. Below is a hint of the changes in 2017/18 - End to End Commissioning... take note of the third red column.

Late last year the transformation of the Support Services became much more complex - reflecting the complex top down restructuring being forced by NHS England and all encompassing as the new 2019 NHS Long Term Plan continued to push the envelope of what is called the LEFT SHIFT - more care in the community, closing A&Es, centralising acute services, selling off public buildings... plus the major onslaught of Digital, Apps all tied up with allure of data trawling for profit.


This is part of NHS England's description:

The Health Systems Support (HSS) Framework provides a quick and easy route to access support services from innovative third party suppliers at the leading edge of health and care system reform, including advanced analytics, population health management, digital and service transformation... The Framework focuses particularly on services that can support the move to integrated models of care based on intelligence-led population health management. This includes new digital and technological advances that help clinicians and managers understand a population’s health and how it can best be managed.

The HSSF is divided into ten LOTS. Opening the lots is like opening Pandora's Box of USA & Global Corporates.Take a look at just one LOT No.6 - Transformation and Change Support

It is a shock but no real surprise to see some usual horses of the Apocolypse in there - KPMG, McKinsey, PriceWaterCoopers and Optum the subsidiary of United Healthcare of America (where SIMON STEVENS spent 9 years as President of Global Strategy) but then dig deeper into the "smaller names" and you discover more USA and global connections.

BDO, Capgemini, Centene, DGX Technology, GE Healthcare Finnamore Ltd are worth a look and even Moorhouse Consulting Limited looks innocent enough until you wonder what they are as "An Expleo Company" more of the same...

And what is Lot Number 6 all about?

Well NHS England kindly provide a description. Provision of a range of expert advice, analysis, transformational and change management capability to design and build the necessary infrastructure for an ICS / STP function effectively. Services include but are not limited to (edited list):

Patient pathway optimisation and care model design

Specialist advice on organisational redesign, governance and payment and contract reform

Communications and engagement

Primary Care at scale support

Is this supporting or twisting the arm of the NHS? Seems a great deal more significant that mere back room services.

Make up your own mind with THIS LINK

Our ask is simple. We know the task is epic and complex in its operation. But how are we going to rid the NHS of the corporate vultures? How do we remove the web of private providers who have now set up home in the framework? It can be done. But we need a government with the will to take it on. And that WANTS to see the NHS restored to a unified public service of support for all.

Renationalisation is about the stopping and rejecting of the USA Healthcare Model being promoted by NHS England, Health Secretary Matt Hancock with support from The Kings Fund, Nuffield Health and numerous other "think tanks". As an Addenbrookes innovation department staff member told us: "We're not innovating or integrating anything to do with clinical care. The only thing we're integrating is the accounts system".

So we need politicians who understand the future of our NHS rests on our ability to reject the profit & insurance model that is being foisted upon us.


By 999 Call for the NHS, Apr 26 2015 11:52AM

Can we trust the Labour party?
Can we trust the Labour party?

That would have been a ridiculous question once. But now....? Look behind the scenes and consider the following:-

Labour claims to be 'the natural party of the NHS', and cynically relies on that as its 'get out of jail free card'. Yes, Labour certainly created the health service, but it was a very different Labour party. It was the party of Attlee and Nye Bevan, sincere honest men who had the principles and courage to stand up to the rich and powerful to create our NHS. Would Blair, Brown, Balls, Mandelson, Murphy and the like have created the NHS?

Ed Milliband says he will stop the privatisation of the health service. But he also says Labour will 'cap the profits' of private companies which carry out private NHS contracts. That is NOT stopping privatisation. That just allows greedy private health firms to continue milking our NHS, while their clever accountants get round the rules.

Labour and Gordon Brown financially crippled the NHS with obscene debts for years to come by introducing the Private Finance Initiative (PFI). Labour clearly has a moral and social duty to make the necessary arrangements to remove the PFI burden from the NHS. Has the Party no shame about its role in inflicting that disgraceful plan on our health service? If the government could bail out the banks why can't a Labour government bail out the NHS?

We need to know, but we aren't being told.

The 'Reinstatement of the NHS Bill 2015' , which is needed to reverse the worst excesses of the coalition's hated 'Health and Social Care Act 2012' is strongly and widely supported by many senior NHS consultants, surgeons, doctors and other health service professionals, men and women who care passionately about the health service and know what it needs better than anyone.

Yet despite that overwhelming professional medical support the Labour party is actively hostile to the Reinstatement Bill!So why is the Labour Party against adopting the widely supported Reinstatement Bill? Who and what are influencing that Labour policy?

Who should we trust with our health service? Our doctors? Or the politicians?

Here's some food for thought:- How much of Labour's funding comes from sources with a substantial interest in NHS privatisation - the property and financial sectors, by far their biggest donors. And its third biggest private donor, a hedge fund CEO with $15 million invested in the USA's largest health care corp. United Health. Which just happens to be a prime bidder for the current £1.2 billion NHS Staffordshire sell-off and potentially a big player in the NHS stakes. And which happen to have the former United Health Europe President Simon Stevens heading up NHS England.

Some more food for thought; 37 Labour peers and 14 Labour MPs and ex-MPs now have financial interests in private health services!!! What was that about Labour being "the natural party of the NHS" ?

A far cry indeed from the party of Clem Attlee and Nye Bevan.

Could all that have anything to do with why the Labour leadership seems content to allow the private sector to maintain its hold in the NHS, provided its profits are capped at 5% as Milliband announced. The NHS privateers, with their creative accountants already ensuring minimal taxable UK profit must be laughing all the way to their tax havens.

However, the good news is that so far thirty six Labour MPs and parliamentary candidates have already stated they will personally support the NHS Reinstatement Bill 2015 if they are re-elected.

The following list is just some of the political parties and organisations which support and campaign for the NHS Reinstatement Bill 2015.

National Health Action Party. (NHA)

Scottish National Party. (SNP)

Plaid Cymru.

The Green Party.

The BMA, (British Medical Association)

The NHS Consultants Association. (NHSCA)

999 Call for the NHS. (DarloMums}

Keep Our NHS Public. (KONP)

The above list is by no means exhaustive, many prominent public figures also support the Reinstatement Bill, now known as the 'NHS Bill 2015'.

Use this link to contact all you candidates and ask them in a personal letter to support the NHS BILL 2015.


Thank you.

Ray Thompson,

Editor's Note - he sent this to us with no request from us. He was just furious. Who are we to deny him his anger?

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