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By Steve Carne, Aug 7 2018 08:33PM

Steven Carne mulling over the mystery of the URLs

If you have the stomach for it, Roy Lilley's ditty today on his daily "mantra" that goes out every morning to NHS managers and their minions is quite enlightening. It's all about the inevitable journey we are all going to have to take to the ultimate cul-de-sac Rue de Digitech...


Mr Lilley, darling of the NHSWhiteCollars says at one point:


Technology is no respecter of tradition, Royal Colleges or trades unions. Babylon is attracting patients in their hundreds and primary care, in the home counties and commuter belts, will be hollowed out.


It is a deep concern that we have shared for many months now as campaigners in West London have battled with Babylon which licenses it's technology to virtual GP surgery providers like GP at Hand - protestors including GPs gathered in East London recently to oppose the expansion of the virtual service seen as another chisel in the NHS Chipaway toolbox. PROTEST IN EAST LONDON


Not only is the Bablyon App causing havoc in terms of Clinical Commissioning Groups funding (what happens when thousands of extra patients register in your CCG area on a digital app? Well NHS England step in of course...)


The smartphone virtual GP is also creating deep concerns about safe triage and patient welfare given that algorithms and tickboxes are replacing the human skills involved in high quality care. Surprising then to see at the very top of Monsieur Lilley's tosh a big advert for the CEO of Babylon, a certain "proud to be a disruptor" Ali Parsa who is giving a talk at the Royal College of Medicine about - well here's the pic



A sell-out indeed!

I'd be very surprised cos it's not actually AT the Kings Fund.


And here is a taste of Mr Ali Parsa in action. He is a supreme marketing wizard creating PR Editorial that is probably the envy of every clinical PR agency in London. It's easy to do but difficult to make it stick. Parsa is a master. Watch his interview as a panel member on the shipwreck that is BBC Newsnight. The video shows you his tricks very clearly.





There is of course never a mention of Ali Parsa CEO of CIRCLE who failed miserably in taking over Hinchingbrooke Hospital in Cambridgeshire 2013 - not enough money in it! So gave the hospital back to the NHS after just three years of a ten year contract


Anyway I thinks to meself after visiting the events page : Why is Roy Lilley, lover of the NHS, advertising Ali Parsa the man who wants to disrupt it with digitech apps that will totally undermine the idea that is the Art of Caring? Well... turns out the event is organised by something known as UK HealthGateway.



This rings a bell...


this is a little known company UK HEALTHGATEWAY LTD which is a company advising and presumably getting some dosh in return for advice and consultation on how best to peddle your wares in the ever growing competitive market being plonked on the unsuspecting NHS and the public who love it so. Mr Lilley is a Director of this company. But he loves the NHS. Doesnt everyone?


So - back to where we began - this lot also produce something called NHSManagers.net which sends out the daily email Newsletter from Mr Lilley.. this is a supreme example of just one miniscule maze of digital wonder and URL Hide-Behinds.


Bear with me, it is confusing because if you type in the URL NHSManagers.net you actually get taken to something called Institute of HealthCare Management and if you scroll down the ABOUT US page to the last paragraph it is frightening to see some of the names on the Advisory board..


Former Chair of NHS Improvement, Ed Smith,

Sam Jones, recently stepped down as Head of New Models of Care at NHSEngland,

Peter Homa, until January 2018, CEO of Nottingham Universtiy Hosptalsl NHSFT

Fabulous! Oh there is an Academy of Fabulous Stuff apparently! But that's a whole other URL...


So... After seeming to regret the Babylon App in his desktop mantra - turns out he's organising the blessed event at the Royal College of Medicine... ironically where the late Prof. Stephen Hawking gave one of his most powerful speeches about the role of private companies destroying the NHS. I wonder what he would make of Babylon Apps and other piranha fish digi-tech companies?


Suffice to say that whilst Senor Lilley, a Director in the Institute/UK HealthGateway/Fabulous Academy likes to talk about defending the NHS and welfare of manager (mostly) and patients, he can't quite shake the fact that he's really saying "the future is digital so shut up and get on with it". And he of course implies that any pesky campaigners or ne'er-do-wells who dare to question the role of hi-tech, smartphone apps and Artificial Intelligence in the future of healthcare is plainly a moron.


Well we can face it - technical advances are inevitable and should be welcomed into creating a better healthcare service for the future. The NHS before the market years was NEVER afraid of innovation and often led the way in research and new technology.


It's not the tech we're worried about. It's more the worry that the massive glut of entrepreneurial digital start-ups and Community Interest Companies, often partnered with dubious parent companies, are beginning not only to shape the future of healthcare but also manipulating it to meet their needs (profits) and not those of patients. And how accountable are these new digi-techs all hiding behind URLS of gateways, academies, institutes and .nets?


Take the fearful Artificial Intelligence company Alphabet Inc. the mother company of GOOGLE... well their little Artificial Intelligence exercise DeepMind was the subject of an Independent Review which Bloomberg reported as saying:






But guess what? The Independent Review was carried out by a panel of independent Reviewers HIRED BY DEEP MIND. So this review sounds rather hollow... THE PANEL


It's clear now all the moves towards Accountable Care Organisation models of care (call them what you like, quack quack) with all the nasty cuts and reconfigurations being made to fit the template, with more funding flowing directly into IT and Digi-tech Life Science companies, it is clear our NHS healthcare is becoming a feeding frenzy. We used to say the vultures are circling but vulutres only eat dead flesh.


The NHS is being kept alive on a drip and being forced to become the foodsource of the piranhas that are the Life Science and Digi-tech companies so eager to take a large bite.


So Mr Lilley. Chew on that.




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