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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 14 2018 10:52AM

Steve at it again


You know that feeling of "today I am NOT going anywhere near the NHS campaign".


Yeah that one.


So of course after 30mins of washing up last night's dishes while the coffee brews, a quick Duck Duck Go and a hop onto FB/Messenger and a whole flurry of NHS Bullshit sweeps me into a frenzy - yet again - and before I know it I'm trawling through the mire...


This is going to be brief. I want my life today.


SIMON STEVENS

Why cant we make the shit stick to this man? It's a mystery to me.


Is it that the public don't like personal attacks on an individual? What magical charm does he possess to woo all those around him? This is the quote that started it all off.




It kept appearing all over the place in relation to the muddle of media posts from 2017 that said things like "NHS BANNED 36 TREATMENTS". Shock tactics that journalists appear to need to use in order to keep their jobs no doubt as readership falls. So let's clarify that one while we're here. They didn't BAN 36 items that could be prescribed by GPs. They issued a statement to CCGs with a list of 36 items that could be purchased over the counter. It's explained here in PULSE MAGAZINE


Anyway... i stared at that quote.


Furious at first then irony popped in to say hello. And it made me chuckle. Yes "there is still waste and inefficiency that CAMPAIGNERS are determined to root out". It's you Mr Stevens and your bunch of crooks on the board of NHS England, Improvement, Digital, Innovation, Cream Tea, Uncle Tom Cobblybollox and all!





What better present could we ask for than to remove all the nasty corporate greed from our once "world's most efficient" public service NHS?


So the Shit-free Stevens factor. What is it that allows the obvious facts to be brushed underneat the rug that is soon to be pulled from under our feet? When Mr Stevens returned from USA to become the CEO of NHS England many eyebrows were raised - and UNITE the UNION raised a bit more with questions that don't appear to have been answered.





THE MEDIA MACHINE


Gulping coffee, my eyes were opened (again) to the enormity of the media machine we are up against as that quote cut'n'pasted neatly from the NHS England website - alongside another longtime fave Sir Bruce Keogh - was used and abused by the national papers and local rags up and down the country. Here's Bruce Bozo doing one of his hilairious routines about cutting A&Es by half in 2013.





What really caught my attention though was the sheer amount of press & media that had taken that first quote from the NHSE site and plastered it across all the nationals and local rags (so many more now being part of chains with less independence). CLICK HERE you'll see what I mean.


And that lazy cut'n'paste journalism is what we are up against and why we have to keep taking great joy in repetition. Cos that's what NHS England and the government do all the time, over and over. Repeat shit till it sticks. In people's minds. It's a bit like postering at Edinburgh Festival - As soon as we see their poster we stick ours over the top.



#NHSDetectives


As far back 2015 we were trying to get people to take a deeper look into the mysterious Mr Stevens who had started out under Blair but found himself as President of Global Strategy for United Health (one of the biggest health insurance providers in the USA) for 9 years before Jeremy Hunt in the midst of stirring his marmalade had a wheeze to bring him back to head up the "Transformation" of the NHS...


It's not so much the man himself. There's no rescuing him as he sold his soul long ago. Apparently on his office he has a drawing one of his children created based on his other quote of wisdom " THINK LIKE A PATIENT, ACT LIKE A TAX-PAYER" - aimed at the middle classes no doubt to reinforce the subliminal AUSTERITY message that we have to tighten our belts... blah blah


Simon Stevens is worth exploring because his career tells you so much about the nature of the corporate beast that now sits on the planet gobbling what it can and shitting on everything else that it doesn't see any value in. Like ordinary people wanting a fair and decent chance of a fair and decent life.


Stevens is in with the top brass of global healthcare - a massive humungous industry for the players with their hands on it. Not surprising really after 9 years of Global Strategy... those in the know will tell you all about the World Economic Forum where he and many other corporate strategists plotted and wrangled how best to provide efficient (profitable) healthcare on a global scale. Here's the list of Steering Group members.


I realise also it's not worth spending huge amounts of time on. Just keep reminding ourselves that our local campaign work - tackling the obscurity and deviousness of local council planning, Clinical Commissioning Groups & Hospital Boards - what we face stems from the root of the problem. The corporate model that is now our NHS. The Quangos that are full of business consultants who have no other way of thinking except old economic arguments and the pure belief that PRIVATE BUSINESS knows best.



Anyway...


Here is his rather lengthy CV


And here is our 2015 page - huge thanks to those who joined us then. NHSDetectivesCase#1


For us it was an eyeopener. Time to open the files again and see what pops out. Have fun. The corporate clowns are in the ring. But they're #NOTfunny. Time to (As Mr Stevens would say) "root them out" of our NHS.





By 999 Call for the NHS, Aug 9 2018 12:35PM

Steve Carne keeps getting dragged into the pit...



The image of vicious piranhas fighting for flesh, (made in desire for a dramatic context I confess in yesterdays blog about Babylon), seems to be ever more relevant and continues to grow as more corporate quibbling and quarreling now truly "disrupts" every layer of the once public service NHS.


Including the basics of supplies and logistical planning that supports the once joined-up network of hospitals and healthcare NHS units (clinics etc.) All under the guise of greater integration of course and using the Carter Review 2015 which called for something called the Procurement Transformation Programme (PTP) which has led to the Future Operating Model (FOM!) and its new rather confusing logistical planning landscape.


NHS Supply Chain Logistics is now being revamped (not a top-down reorganisation you understand nobody likes them do they?) at the end of September it seems - after DHL have run it since 2006.


And even though Health Care Supplies Association (HCSA) in 2016 thought that the commercial procurement arrangements with the outsourced service NHS Supply Chain were working well and should be extended NHS and they warned that "New NHS PRocurement structures may be disastrous" - NHS Procurement, NHS Improvement and Uncle Tom Cobblybollox and all have decided that it's best if NHS Supply Chain is revamped into something called the Future Operating Model (FOM) and 'has been designed to realise £615m of savings in real terms over the next 3 years (2018-21).'


ELEVEN TOWERS


Yes apparently the new structure is all about Towers. Category Towers. Stick with me as I attempt to climb the dark staircase...


So NHS resources - things to buy, sorry PROCURE - are now divided up into these Eleven Category Towers (which Lord of the Rings numpty thought that one up I wonder?) So below, courtesy of Dept of Health info pdf is a simple chart of these Eleven Categories. Bottom Right is interesting...






The Health Care Supplies Association (HCSA) says "the eleven tower system is hard to understand" - but they shouldn't be alarmed because apparently there are 200 very intelligent people employed to become the Intelligent Client Coordinator... fingers crossed.



Still with me?


Blimey so... what this is supposed to do (apparently) is save money through making more resources flow through less broken up chains of command - we assume. Sort of what it must have been like before the tendering competitive market moved in - back in the 90's - and festered until getting the boost it needed in 2012 with the Health & Social Care Act that did all the damage. The Dept of Health kindly offer a nice graphic to help us get the picture.



Trouble is ...


this is where the piranha-profit fish now get really pissed off cos they are missing a meal and they see other corporate piranhas munching into their prey. And DHL are pissed off enough to take the Dept of Health to court claiming that the tendering process is faulty because they haven't been given a big enough slice of the dish.


You see to make it fair the Dept of Health thought best if procurement companies were only allowed to take hold of THREE TOWERS at a time (joined-up thinking see?). DHL already have three towers - the procurement of large diagnostic capital devices, ward-based consumables, and infection control /wound care.


But what they are really pissed off about is the fact that after 13years of being the logistical handler of the NHS Supply Chain they have now lost out to UNIPART.


And it's a fairly big contract... look. Estimated £730million over 5 years...




So Unipart are happy no doubt trolling about twixt towers. And they do have good experience in the "Unipart Way" - oh yes that old Toyota Car Factory chestnut the Lean Management System is something they are enormously proud of. I expect NHS Managers up and down the country will be clapping their little hands because they understand that after their three-day "how can we show Compassion whilst burning the workforce" training course.




Well Unipart can keep their hands well away from my bottom thank you very much.


The whole point is...


What the hell are we doing letting all these multi-national businesses scramble our public services in search of ever-more profit? Just like piranhas the smell of blood money is overpowering and will dominate their motives and actions. How can they be allwwed to hold to ransom the Department of Health? Or any of our government departments?


How this all fits into the other NHS restructures and redisorganisations is the next step to understand. Campaigners are often told by politicians on both sides of the House that the NHS can't afford another Top-Down ReOrganisation. Seriously we can't afford not to once and for all take the big step and bring the NHS back into public control. The poor NHS has been and still is (frontline staff will tell you) being attacked and thrown into chaos by more and more corporate top-down changes usually requiring yet more top-down levels to provide muddy transparency.


The shrinking, cutting and slashing we have all seen over the last four years (more I know now) is nothing more than the government desired move to a reduced, poor-quality NHS based on the USA system with corporates like DHL and Unipart taking more control and more money out of the system with their in-fighting and board room battles.


And once companies learn they can use the courts to fight their commercial interests and "bugger the conequences" there is no stopping them. After all they can afford it. And the prize is probably worth it. Eventually local councils, public departments will have to give in just because they can't keep on paying costs.


Meanwhile people die. Paramedics and many many NHS staff watch them die. And they know there is a better way. It's not the Unipart Way. It's the Reinstatement of the NHS Way. There has never been a more urgent time for campaigners and public alike to understand that we are about to hand over the NHS to a bunch of piranhas.


The only way now is renationalise the health system - bring back the values of a healthcare system based on equality and the improvement of people's lives. In that there is hope of a better society and future.


The public service model NHS used to be a world leader in that.



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