DONATE facebook-icon-copy twitterICON

999 Call for the NHS

A grassroots NHS campaign. Not affiliated to any of the political parties.

999logofinal_Pill_straight_360 999 Blog

By 999 Call for the NHS, 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.




By 999 Call for the NHS, Jul 26 2016 08:08PM


Is it SAFE?
Is it SAFE?

I've just spent the best part of 2 hours laid flat on my back with my mouth forced wide open with plastic and metal while the dentist drilled, sprayed and drilled repeatedly to complete the dreaded minor surgery that is the Root Canal. It's fairly hideous. First the injection to numb, then the pick, then the drill. Drills. Slow sledgehammer to ultra-thin needles to scrape and purge the nerve. 45mins of NHS torture which will cost me £53.80. Bargain.


But it's not over. Disinfectant which lets the back of your throat know what the toilet bowl feels being sprayed by Harpic. Finally the filling and the joy of prepping the tooth for a crown. Irony. You drill for 45mins. Fill the hole. Then drill again!


What's all this got to do with the NHS I hear you ask? Well... as an NHS patient I had to decide what quality of crown i wanted - or rather which grade of crown I thought was worth paying for. A standard NHS crown was £200. I didnt go into great detail but that basically would be a strong but incredibly ugly piece of metal. The slightly better one was £400 and this would have been very strong and durable but not white. Then the final option - the "best" - was the £500 Zirconium ( i think I cant honestly remember because I'm still reeling at the price three weeks after being told) which is strong and made to match the colour of your own teeth.


Throughout the whole ordeal of bleach and burning enamel


I was thinking long and hard about the nature of the NHS we could lose and find ourselves lumbered with. The menu for treatment is a reality we have all gotten used to with the dentist. And it will become that way with NHS clinical treatment too. We won't lose the blue logo or the idea of the NHS but we will lose the "comprehensive and universal" element. It wont cover all emergencies and it won't cover everyone - just those who can afford to pay.


You'll turn up at A&E, or your consultant appointment and you will presented with a menu of options - Patient Choice no doubt will be the branding - and you will have to select what you think you can manage to cope with financially. Don't worry if you're not prepared with insurance or a fat bank balance - the basic will still be paid for by the general tax payer community. The basic cover. If you want a nice finish or a comfortable bed with breakfast and decent follow up care you might just need to go for the top-up options.


It has to be this way because the new model of NHS being imposed on us now by NHS England and NHS Improvement (love that name) needs to keep the internal market in control of our NHS. It has to be Sustainable you see... find out about Sustainability


How else are private providers going to keep increasing profits year after year?


In the USA the medical insurance profession has produced a system that gives them the most profit. Obamacare and Medicare cover the basics of healthcare - even then you really have to fight for it - and then if you can afford it you can pay dividends, top-up fees. It's a "pay-as-you-go-if-you-can" system. And, to use the American venacular, it SUCKS!


According to Investopedia : A study done at Harvard University indicates that this is the biggest cause of bankruptcy, representing 62% of all personal bankruptcies. One of the interesting caveats of this study shows that 78% of filers had some form of health insurance, thus bucking the myth that medical bills affect only the uninsured.


Read more: Top 5 Reasons Why People Go Bankrupt | Investopedia http://www.investopedia.com/slide-show/top-5-reasons-why-people-go-bankrupt/#ixzz4FXWecRym


This makes even worse reading : CBNC REPORT



Here in the UK the government know it would be political suicide if they declared an end to the NHS. So it's safer to keep the blue logo flying. Safer to disguise the layers of "pay-if-you-can" and pretend it is still the NHS that is the public's head - free at the point of use unless you want "the best". But if you watch and listen carefully they are telling us. It's coming to the end.


Jeremy Hunt in this video (courtesy of our friends KOSHH): Keep Our St Helier Hospital


And Sir Bruce Keogh, NHS MEDICAL DIRECTOR, in his Report on Urgent Care said: "We already have a two tier system and all we (NHS England) are doing is formalising that and bringing an inconvenient truth to the attention of the public". LINK


But the reality is, as NHS campaigner's are fully aware, we could lose everything that is caring about our NHS. The ability to provide what was once the world's best healthcare, the best medical training of nurses, doctors and clinical staff, the best research, the best influence and control on the mammoth financial monster that is the pharmaceutical drug industry.


If you can understand how the system works for the dentist you'll understand where the new NHS is heading. NHS Basic, NHS Better, NHS Best. Depending on what you think you can afford.


Oh... I'm lucky. I have a credit card. I chose the best. I'll be paying for it for the next six months.


But we can stop it. We need the Best NHS - an world-class institution founded once more according to Bevan's vision of a society caring for its citizens' health. A return to a fully public NHS - funded by us, run by us and accountable to us - can only happen if we pressurise our MPs to act out our wishes.


And this is why we need more fighters. Find a campaign group near you, talk to your friends, your neighbours, your workmates. Together the public really could make a difference. The best difference.


FIND A CAMPAIGN GROUP




999 Bloggers

We need your help!

We are all volunteers and there is no polite way to say it. We always need some money to help make 999 a effective success.

 

Please think about donating.

No matter how big or small the amount every penny will go towards the Campaign

FIND OUT MORE

REMEMBER

We are not aligned

to any political party.

 

We never have been.

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.

 

So to all MPs and politicians -   If the policy fits, we'll support it.  

CONTACT US

ADD YOUR VOICE

 

If you have an article to share, a blog item you feel we could use please do get in touch.

 

This space was always intended as a grassroots venue for campaigners to raise their voices.

 

Contact Steve for more details.

RSS Feed