By Steve Carne, Apr 22 2018 01:55PM
We are taking NHS England to court
As we make our way to Leeds Combined Court on Tuesday (24th April) this seems a good time to make that clear statement.
Not the NHS
We love the NHS - the one that used to exist before the (joke) fair-trade competitive market was allowed to sneak in back in the 80s and is now ripping its greedy claws into it since the 2012 Health & Social Care Act (2012 HSCA) gave it full permission to do so at every level.
NHS England is a QUANGO.
An arms length body (the lovely sounding ‘ALB’ abbreviation) that has NOTHING to do with delivering care just commissioning it. This means purchasing specialised NHS services and some Primary Care plus overseeing its Clinical Commissioning Groups which in turn purchase local health services from providers (sellers) of healthcare - thus creating that infamous phrase PURCHASER PROVIDER SPLIT.
NHS England was set up as an “independent body with executive powers and exceptional responsibilities” - part of the 2012 HSCA. Plans for it were prepped in 2011 and its full title is the The NHS Commissioning Board for England. The title says it all. Nothing to do with providing actual frontline patient care.
Interesting point to note is that the bill (Health & Social Care Act 2012) that created the demons NHS England, NHS Improvement - and the Clinical Commissioning Groups - was not mentioned anywhere in any party manifesto leading up to the 2010 election.
You could say there has never been a public mandate to carry out the massive top-down 2012 restructuring of the NHS that has resulted in administrative and bureaucratic chaos with over 200 Clinical Commissioning Groups purchasing healthcare from a wasteful and costly internal market involving a dazzling array of private companies and yet more accountants, lawyers and consultants all grasping the opportunity to make money out of the once world-leading public service NHS.
The NHS England Quango produced the 5 Year Forward View (5YFV) which gave birth to the Sustainability & Transformation Plans/Partnerships which in turn gave rise to the notion of (intended to morph into?) Accountable Care Organisations - encouraging the mantra of “integration” and “doing nothing is not an option” that has so successfully turned the heads of middle management, think tanks like the Kings Fund and Health Foundation, plus MPs and local councillors across the entire political spectrum.
It’s clear that “integration” in QuangoSpeak focuses on management integration (consolidating more control to one organisation and pooling or aligning budgets) and has very little to do with ‘joined-up’ delivery of actual patient treatment services. It’s about money and changing the shape and nature of the NHS which is seen by those seeking profit as “unsustainable” - QuangoSpeak means “makes no money”.
Campaigners all over the country are seeing the continued fragmentation and breakup of services. Management and finance are getting stronger, patient safety and care are being decimated.
What the Duck?
And don't be bamboozled by the everchanging NameChange Lingo Bingo that is going on. You know the saying - if it looks like a duck, quacks like a duck...
So we are challenging NHS England the arms length QUANGO at Leeds Combined Courts on Tuesday 24th April. They have set the agenda to introduce an Accountable Care Organisation contract using what is known as a Whole Population Annual Payment (WPAP) which will dictate a whole new way of funding the NHS and a whole new way of behaviour by providers of care.
Take a minute to read this and think.
What’s your answer? We know what ours is: This will lead to a culture of care based on finance considerations and profit, forcing providers to act and think like insurance companies. It will also lead to a two tier health system based on the USA Medicare model - providing basic minimum treatments for those too poor or sick to be allowed private health insurance.
Talking of money do we know how much the QUANGOS are costing us? Take a peek.**Comes with a heart safety warning. THE SHOCKING COSTS OF QUANGOS
This is not the NHS we want. And right now nowhere in legislation does it say that NHS England can radically alter the NHS as we know it. If they and the government want to change the NHS to a more USA style setup then they need to publicly and democratically say so.
It’s time to explore the Q-FACTOR - the QUANGO - the Quasi Autonomous Non Governmental Organisation regime that has been allowed to grow on our political system like the fuzzy mould on that piece of cheese in the fridge that stays there in the hope you might use it in cooking. You know it should go in the bin right? Or at least cut the mould off!
We are proud to have so many campaigners from a round the country joining us at 9am on Tuesday for a rally before going into Leeds Courts. This is a case that really does affect us all.
Please support us in any way you can.