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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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NHS4ALL CAMPAIGN - Healthcare for Everyone

The Parliamentary Petition

 

99 NHS Clinical Commissioning Groups, that decide on NHS services, are set to merge. More will follow -  NHS England wants only one per Integrated Care System. These non-statutory partnerships are cutting hospital services, driving patients to rely on under-resourced “care closer to home”.

 

Integrated Care Systems have no legal power to make these unpopular moves. Clinical Commissioning Group mergers are a way round this problem. One in each Integrated Care System could take legal responsibility for the “partnership’s” decisions - while overriding local objections to the loss of services.  

 

We demand a halt to the reduction in CCGs and a full public consultation on each merger proposal.

 

YOU CAN ADD YOUR NAME HERE: SIGN THE PETITION TO STOP CCG MERGERS

 

Scroll down to see a very short video about WHY we need to stop the mergers.

To find out more about the ongoing developments of Integrated Care visit our sister website

- CK999 - where regular in-depth investigative articles are posted. Click the LOGO...

WHY CAMPAIGNERS AND PUBLIC SHOULD SIGN

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Stop all NHS Clinical Commissioning Groups’ mergers

STOP CCG MERGERS

"Extra” NHS funding this year will disappear into paying off the debts accumulated by NHS hospitals and commissioners over years of savage underfunding. Providers are having to borrow from the Department of Health to pay for basics like staff and resources because of this lack of funding.

 

Clinical Commissioning Groups, that plan and buy NHS Services, are all focusing on "balancing the books" which simply means meeting the extreme control totals imposed by NHS England.

 

One consequence of this is a rash of proposed mergers of the NHS Clinical Commissioning Groups.

As many as 8 or 9 Clinical Commissioning Groups (CCGs) will merge into one, serving populations of up to 2.2 million.

 

So far 99 Clinical Commissioning Groups are planning to merge by April 2020, reducing their number to 22, with a further 6 proposing to merge into 2 by April 2021. The mergers are rushing ahead without heeding the legal requirement that Clinical Commissioning Groups must ask individuals to whom they provide health services (the Public) for their opinions on the proposed mergers,  and set out those views and make it clear ‘the extent to which the CCG has taken them into account’. (1)

 

(1) http://www.legislation.gov.uk/uksi/2012/1631/pdfs/uksi_20121631_en.pdf - Regulations 7 and 9 and Schedule 2 and 3: factors NHSE must take into account before agreeing to mergers or constitutional amendments include ‘The extent to which the CCG has sought the views of individuals to whom any relevant health services are being or may be provided, what those views are, and how the CCG has taken them into account.’

Sustainability and Transformation Partnerships and their planned successors - Integrated Care Systems - are

NON STATUTORY bodies. They have no legal basis. Yet these are now the bodies making collective decisions about the NHS in your area.

 

Not being statutory organisations means technically they have no power to make decisions that are binding on all NHS ‘partners‘ in their area. But they need this power, in order to deliver the NHS Long Term Plan.

 

Having one statutory Clinical Commissioning Group per Sustainability and Transformation Partnership or Integrated Care System would get round this problem. They could take the legal responsibility for the decision making,  strategic planning and contracting decisions. Including cuts and restrictons to services!

 

These mergers are a typical “work around” by NHS England’s Chief Executive Simon Stevens, to reorganise the NHS in a top-down fashion, without changes to legislation through the democratic process. Allowing a Clinical Commissioning Group to assume legal responsibility means there is no need to pass legislation with parliamentary debate.

 

WHY DO THEY NEED TO MERGE?  

AN NHS BASED ON BUSINESS PROFITS NOT CLINICAL NEED

Under the NHS Long Term Plan, Sustainability and Transformation Partnerships/ Integrated Care Systems are now required to impose cheaper, market-based financial and clinical models imported from the USA’s Medicare/Medicaid system. This provides “managed” or “accountable” care, designed to reduce patients’ access to costly hospital services.

 

And we have to ask ourselves what does that mean for patient and staff safety?

 

And one merged Clinical Commissioning Group covering a large area and large population, means that local accountability - local as in districts, towns' hospitals - would be reduced. Decisions would be made by a committee of people who may not have knowledge or interest in your local area.

 

One good example of why this is not a good idea is Lewisham Hospital. In Lewisham, the Clinical Commissioning Group joined with campaigners to keep the hospital open; this would not have happened if Lewisham Clinical Commissioning Group had disappeared into a much larger Clinical Commissioning Group, as is now proposed.

 

For these reasons we demand a halt to the reduction in Clinical Commissioning Groups and a full consultation on each merger proposal.

 

 

YOU CAN ADD YOUR NAME HERE: SIGN THE PETITION TO STOP CCG MERGERS

 

 

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If you would like to add your group's support contact us: info@999callfornhs.org.uk

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