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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 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.





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