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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, 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.



HEALTH SUPPORT SERVICES FRAMEWORK


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.


Simple.








By 999 Call for the NHS, Aug 30 2019 11:11PM

999 Call for the NHS supports the campaign with WeOwnIt & Keep Our NHS Public to really get our NHS ‘off the table’ in any trade talks with Trump.



A trade deal with Donald Trump is a danger to our NHS.


The only way to get the NHS off the table is for Parliament to urgently create legislation - along the lines of the NHS Reinstatement Bill - that entirely removes privatisation and competition, closes the door on US healthcare giants and protects our regulatory standards.


What YOU can do

- make sure Johnson feels the big oomph! to legislate NOW to take the NHS off the table in Trump trade talks.


Visit the WeOwnIt site ( address at the end of this blog below) where they've made it easy to make your voice heard. Start by inserting your postcode and the rest is simple.


Successive governments have starved the NHS of funding


all the better to create pressure to sell off 70 years worth of unique patient data to global companies.


A recent EY (Ernst & Young) consultancy paper trumpets the NHS’s “significant data assets” that cover the entire UK population from birth to death. Current data held by the NHS today amounts to 55 million GP patient records and an estimated 23 million patient-episodic care records that are held by hospital trusts and include details on admissions and medical interventions in accident and emergency departments.


The EY money grabbers, anxious to feed their corporate clients, reckon that the value to a commercial organisation of the curated NHS dataset could be as much as £5bn per annum.


They attempt to sweeten the nasty taste of stealing patients’ confidential medical data to sell to profiteering companies with the suggestion that, sold off to commercial organisations, this could:


“deliver around £4.6bn of benefit to patients per annum, in potential operational savings for the NHS, enhanced patient outcomes and generation of wider economic benefits to the UK.”


This is cobblers. The NHS is capable of delivering benefit to patients on the basis of data in our patient records. There’s NO NEED to sell it off to commercial companies. And it’s probably not even lawful to do so.


EY’s recent paper confirms what we've known about the consultancy company’s intentions for some time. For at least the last 7 years EY's been advising its corporate clients about ‘capturing value from the human body as data platform’.


As in its 2012 Global Life Sciences Report, . Progressions – the third place: health care everywhere


And in its 2018 paper https://www.ey.com/en_gl/digital/when-the-human-body-is-the-biggest-data-platform-who-will-capture-value



In a CK999 "revolving door" blog it is clear that there are meshed corporate and government interests in the NHS England Long Term Plan



We need an updated NHS Bill 

to prevent the hijack of the NHS by life sciences, big pharma and digital technology companies. We are calling for an update to the NHS Reinstatement Bill.


We think it's common sense. The landscape of the NHS has been altered so radically and

in the face of NHS England's proposed legislative changes for Accountable Care Organisations (now rebranded as Integrated Care Providers), we are loudly advocating for an updated NHS Reinstatement Bill that puts medical innovation including DIGITAL & AI into public hands – in order to protect the NHS from the real agenda of Accountable Care: what Ernst and Young calls "capturing value from the human body as data platform.


You could call this the "Facebook model" of healthcare where an apparently free service is monetised by capturing users’ data. In pursuit of this goal, the NHS is being broken up and massively redisorganised into a testbed for life sciences and digital technology corporations’ “disruptive innovations” (their positive spin).


Post-Brexit, the government’s aim is to export these disruptive innovations to China, India, Saudi Arabia, Africa, leaving NHS patients stranded high and dry with a rump service, while the huge wealth of 70 years of millions of patients’ confidential medical data is mined for the profit of life sciences and digitech companies.


You just have to watch NHS England’s Director of Transforming Health Systems Michael Macdonnell jump ship to join Google’s Deep Mind Health.


His job will be to strengthen DeepMind’s partnerships in the NHS and overseas with the aim of applying AI to clinical practice.


Accountable/Integrated Care business and clinical models – whatever rebranded names they may go by – serve the interests of life sciences and digital technology companies, not of NHS frontline staff, patients and public.


The recent Darzi/Institute for Public Policy Research report makes this clear.


And so does May’s speech about the promised £20bn extra NHS funding by 2023.



To prevent the hijack of the NHS by life sciences, big pharma and digital technology companies, we suggest that an updated NHS Reinstatement Bill must bring the development of drugs and life science/medical technologies into public ownership through the establishment of a National Health Innovation Authority, and at a regional level, should replace Academic Health Science Networks with regional Health Innovation Boards.


This would restore evidence-based, clinically effective practices and cut costs by ending profiteering. It would redesign medical innovation as “Health Innovation as a public good”, driven by public health needs and social justice. This must be transparent and accountable to the public; deliver products and interventions that improve health outcomes, and that are accessible and affordable to all; and it must contribute to the progressive realization of the right to health.

There should be clear guarantees about data protection for patients’ confidential medical data and a refusal to put this on the market for purchase by private companies. This huge unparalleled source of health data must remain in public ownership for the public benefit.


Tony O’Sullivan, Co-Chair of Keep Our NHS Public, agrees


"The future of the NHS is more uncertain than ever as we face the threat of a No Deal Brexit and rushed through trade deals with the US. In [this] context, the risk that the commercial exploitation of NHS data is 'on the table' for negotiation, is chilling.”


Add your voice. Visit the WeOwnIt website now. It takes no more than 2minutes.




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