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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 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.




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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