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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.


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.


By 999 Call for the NHS, Jan 4 2017 09:58AM

Steven Carne

NHS Campaigner with 999 Call for the NHS

Happy New Year. 2017.

Like many I tried, and with some surprise succeeded, in taking a break from the campaign mindset. You know the one.  The constant nagging, niggling, stabbing voices in your head that don't shut up no matter how hard you try to quieten them with books, television or phone calls to friends. Every activity only serves to reawaken them and echo their constant drone.

Christmas. Three days of loved ones sharing good food and a little drink here and there; three days putting the terror and horror of what is happening in both our domestic and international politics to one side; three days to focus on our human relationships; three days to remember who we are deep down, who we used to be before NHS campaigning and fighting for the good society took over our lives.

I jumped in the sea at Portreath on Christmas Day.

A windy cold grey Cornish day with "mizzle" in the air. I didn't have to work very hard at "getting in" as the six foot waves  quickly covered me before I had to walk too far into the frothy tide. Surfers in wetsuits and dogwalking emmets (tourists) watched bemused as a 17.5stone hairy ape in hawaii swimshorts headed towards the ocean.

Diving headfirst and feeling that cold rush all over was a great way to refresh the system, leave London and "upcountry" behind and remember the elemental aspects of my old homeland. I grew up on a surfing beach and knowing how to dive and survive 9ft waves is something that stays inside like riding a bike. Concentrating on the water flow and my breathing as the cold wrapped my lungs there was no room for Clinical Commissioning Groups, lying Chief Execs, duplicitous businessmen and women who smile  too much, vicious political activists who refuse to listen, journalists who don't seem able to understand,  ineffectual MPs, local councils that don't know their arse from their Scrutiny Committee... all this was washed away in the icy salty wash.  And I loved it. Freedom.

Three days of simple social activity - smiling, walking, laughing, sleeping, old friends, old memories, - three days over and I dip my toe in the social media swell. Familiar waves of information, comment and opinion wash over my feet. I'm just paddling because i need to know the water. Even the smallest waves can lead to a sudden freak wave that hits you before you can steady yourself to dance with it.

Familiar ripples roll gently in - hospital cuts, stories of wonderful NHS Staff, local tragedies, newspaper articles and then there it is... tugging at our feet, the familiar undertow of anger, rage and frustration  that we all feel gripping from within and threatening to pull us under, dragging us helplessly into the murky depths of cold icy desperation. It's a dark ugly unseen force you have to fight hard to stay upright, one slip and you'll topple and find yourself on your back being swept along with the drag and pull of the outgoing tide. A very different kind of swimming.

2017 - Our winter of discontent. The ocean swell is huge, dark grey black stormclouds froth heavy on the horizon. And we stand on the shore witnessing the chaotic and jagged waves of political disaster - a government led by pure greed and self-interest, an opposition of weak, confused, embittered politicians who have lost  their moral compass and any guts to fight for us. It’s ugly and battling it is ugly. Ugliness abounds in the boardrooms of NHS England, the meeting rooms of Parliament, the sleepy benches of the Lords. Ugly.

But we have to remember ourselves, know who we are and understand that together we can swim in those waves and survive them. We have grace and beauty within us as well as rage, horror, dark knowledge and despair. And reading the waves it’s time to dive in and swim.

We must build our own opposition right now, lock our feet in the sand and stand up to the waves of corruption that are rushing over us. Otherwise we lose all that is precious to us. We lose the caring society we all thought we had, we lose the safe world we thought our kids and grandkids would enjoy for a long time ahead.

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We know it's going to take political legislation to bring back the NHS into public hands but we remain independent of all the parties in order to lobby and pressure all the parties. We are about people and the NHS they should be able to keep.


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