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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, Nov 9 2016 03:55PM



The latest spurt of Killer Clowns made me smile as 999 had just produced another batch of Corporate Clown cards. I kept hoping one would appear outside the Dept of Health where the real killer clowns live. Maybe one day.


Then one of the network sent me a link to a rather wonderful activitst blog from 2012 and that made me chuckle in an even darker way. And it's a distinct reminder that good people, informed people have been fighting this battle - stopping the privatisation by stealth of our NHS - for many many years. In the last 6 months we've met retired consultants who have been battling since the 1980's, retired nurses who have been fighting since the 90's, ordinary folk who have - like most of us - accidentally fallen into the NHS universe of corporate hell and won't let go. Not until we have won. And we will.


Because the darkness is too much to subject our kids and grandkids to. The lies and deciets employed by successive governments of the last 25yrs are too great to let go unanswered. People will be punished for their criminal acts. Destroying a public institution with corporate smiles and the suits of KPMG, Ernst& Young, Price Waterhouse Cooper & McKinsey plus that entourage of corporate killer clown siblings - they wlll be pulled short. And on the whole - once you've swallowed the blue pill - you can't give up, you can't unsee the awful clever cheating that the corporate killer clowns are carrying out.





And there are many different ways of fighting back. Humour is one way that thankfully is on our side. This blog from 2012 is a really fun (dark I warn you) way of highlighting the problems. And it may inspire you to do something similar.


Have fun.

Steven Carne

xx


Going private?

My reply to a job offer from a private health company (July 2012)


What the heck is this? I’ve been trying and failing to stop the government from privatising the National Health Service for years, and now a private healthcare company has contacted me about a job!


The email from Care UK says they are “seeking a Media Relations Executive for our Head Office based in Colchester and your skills and experience appear to be a good match.” Huh? They are offering a “competitive salary, 25 days holiday and corporate discounts.”


Here’s what I have replied:


Dear Laura,


Thank you for your unexpected email about the Media Relations Executive job with Care UK. I am very interested. Since Care UK is possibly the leading private healthcare company making inroads into the NHS, I would relish the opportunity to publicise what it does – indeed, this is precisely what I was trying to do in my previous job as information officer for Keep Our NHS Public (on a much smaller budget, I’m sure). That must be what you were referring to when you said my skills and experience are “a good match”.


As you can imagine, I am brimming with ideas. If you don’t mind, I would like to set them out here. First of all, I think much more needs to be done to let the public know what Care UK is. Hardly anyone realises just how big a chunk of the NHS you now run, from GP surgeries and walk-in centres to treatment units doing things like bunions. If I were your Media Relations Executor I would promote this aggressively to build the brand. I think the public has a vague idea about NHS privatisation, but they aren’t yet able to put a face to the name, so to speak. Care UK’s name could be that face. As a profit-making healthcare company owned by a private equity firm you are perfectly positioned.


READ ALEX NUNN's brilliant BLOG in FULL :


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