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FOR SALE OUR NHS 1.7 billion of "reforms" will unleash wholesale Privatisation.

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The Condem changes to the NHS will make it easy for private companies to pour into the system seeing the end of the NHS as we know it. We will end up with the American model or worse were millio… Read More
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6y, 9m agoPosted 6 years, 9 months ago
The Condem changes to the NHS will make it easy for private companies to pour into the system seeing the end of the NHS as we know it.

We will end up with the American model or worse were millions go without health care while any spending on health just piles money into the coffers of massive private health care companies

The NHS in England has set aside nearly £1.7bn this year for reorganisation - more than seven times what it aims to save on management, the BBC has learnt.

Seems to me with the continual claims that we need to save money now and cut services everywhere, that this move shows the real agenda of this government is about attacking public services regardless of the cost.

If they were consistent and truthful they would not be going through with this expensive reorganisation in the middle of what they suggest is a debt crisis.

Reform of the NHS planned under the government's white paper will cost around £3bn without saving money or improving patient care, a leading academic has warned in the British Medical Journal.
- WoolyM
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6y, 9m agoPosted 6 years, 9 months ago
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#1
#2
It's just a ploy to allow private companies to get their foot in the door. Several big American Healthcare companies have expressed interest in partnering with GP's in setting up 'consortia'. When they clear out the bureaucracy (as they like saying), doubtless the admin shortfall will be picked up by more private companies.
#3
its old hat, the pcts are always split up and then made bigger blah blah blah

so this time they are splitting up in to 3 groups, just be an excuse for the problems of the NHS for the next 2 years................
#4
Am i the only one who reads the title as condoms.
#5
Yes and yes to ^^^^^ continuing the Thatcher stategies but not even she would have gone this far.
Dogma and repugnant ideology which should have been consigned to the 19th century.
Prepare for the NHS to go the same way as the railways, the utilities and, soon, education.
ConDem Nation indeed. I hope the LIb Dems never get another vote from anyone.
#6
I don't understand why this hasn't got people marching on bleeding Number 10. Only a few months ago people were calling for that Tory MEP's head on a stick for calling the NHS a 60 year failed experiment on Fox news in America.

From the Guardian at the time of that scandal.
"Hannan was rapidly slapped down and branded an "eccentric" by Cameron, who has pledged to preserve the health service, and to increase spending on it, without subjecting it to radical structural reform."

Can anyone find a list of the Co-Authors of Daniel Hannans book 'Direct Democracy: An Agenda for a New Model Party' in which he called for the end to the NHS, I know Michael Gove is one.
#7
You get what you vote for.
#8
People still have a little while to make it known we don't want this.
#9
Ungreat
Can anyone find a list of the Co-Authors of Daniel Hannans book 'Direct Democracy: An Agenda for a New Model Party' in which he called for the end to the NHS, I know Michael Gove is one.

This is the best that I can track down by googling - scroll down!
Times Online article
[mod][Moderator]#10
ro53ben
You get what you vote for.

+1

Think this is the end of the NHS, spent 22 years ( all my working life ) as a frontline member of staff in the NHS, it has it's faults nobody can deny, but it was and still is at the moment the finest health care provider in the world, we needed some changes, but this is just a hatchet job.

RIP NHS
#11
Same Old torrie stunt.
#12
People need to start facebook campaigns, online petitions, writing to your MP anything and everything.
#13
Some of the authors of Direct Democracy appear to be .......
The key figure behind the pamphlet is Daniel Hannon, the 34-year-old South East MEP and a former adviser to Michael Howard. But while he is from the Right of the Party, there are also people from the Left such as Greg Clark, MP for Tunbridge Wells and a former Tory policy director.

Also involved are the new MPs Douglas Carswell (Harwich), David Gauke (Hertfordshire South West), Robert Goodwill (Scarborough & Whitby), Michael Gove (Surrey Heath), Nick Herbert (Arundel & South Downs) and Adam Holloway (Gravesham); and unsuccessful candidates including Kwasi Kwarteng (Brent East) and Andrew Griffiths (Corby).

tory-mps-back-nhs-dismantling
[helper]#14
This is basically GP fundholding re-badged from the early 90s.

This quote is from Health Policy in Britain by Chris Ham (a leading indepedent expert on the NHS)

A contract based system was more expensive to administer than the integrated system it replaced. The scale of increase in management costs was difficult to quantify with precision, although one estimate suggested that the reforms had result in an additional expenditure f £1.5 billion on management. Much of this increase derived from the need to employ staff to negotiate and monitor contracts

Looks like the Tories either have very short memories, are stupid or both.....
#15
Some idea of the agenda behind reform


Ungreat is so right that this is an absolute betrayal of the continual promises by the Tories to leave the NHS alone. However they have tried desperately to play the "things are worse than we knew" card. The problem is the money they are laying out for this reform gives a lie to any idea they are doing it to bring down the debt quickly.

It is time for defending all our public services and the quicker this government collapses the better.
[helper]#16
Plum
It is time for defending all our public services and the quicker this government collapses the better.

Things would only be marginally better with Labour.........I don't think the govt will collapse until next year when the Lib Dems lose their referendum.......
#17
What happens if a hospital or Consortia fail as the white paper says they will not be bailed out?
#18
I cant quite get my head around how being able to go to any GP is supposed to work.
I imagine that some patients cost the GPs more than others. As such that suggests to me at least that GPs will not be as open to taking on all kinds of patients.
I also imagine that GPs in areas of poorer health will possibly have to opt for cheaper forms of treatment rather than the best to help budgets stretch further.

If I am getting this wrong I would be glad if someone could explain in more detail what effect this is likely to have on patients.
#19
NHS staff facing potential redundancy or a change in their roles as a result of the government’s reform plans will be informed by the end of September.
Linky
#20
WoolyM
I cant quite get my head around how being able to go to any GP is supposed to work.
I imagine that some patients cost the GPs more than others. As such that suggests to me at least that GPs will not be as open to taking on all kinds of patients.
I also imagine that GPs in areas of poorer health will possibly have to opt for cheaper forms of treatment rather than the best to help budgets stretch further.

If I am getting this wrong I would be glad if someone could explain in more detail what effect this is likely to have on patients.


I honestly couldn't tell you. You may well end up with GP's closing their patient lists to save cash and have lines outside with people waiting to get on an NHS list like with dentists.
#21
Whether my thoughts are correct or not it seems I am not the only person to wonder such things
Read the comments section below the article


Health White Paper
#22
Adam2050
Same Old torrie stunt.

Bet you had to type that very carefully.
#23
Reform of the NHS planned under the government's white paper will cost around £3bn without saving money or improving patient care, a leading academic has warned in the British Medical Journal.
Click


The healthcare that I had been receiving recently was very good. Now I fear that I may no longer recieve the best treatment. As far as I can see the only winners will be the private companies that make a few bucks out of the contracts. If you cant afford to buy the best healthcare or have got a complex health condition that insurers wont pay for then you may well be left high and dry.
Caring conservatism at its best - propped up by a liberal party that is being used to shoulder much of the bad news.

As suspected
Handing power to GPs will divert money from patients with the weakest voices
#24
From the Guardian:
http://www.guardian.co.uk/commentisfree/2010/jul/17/tories-are-demolishing-the-nhs

"Examining the NHS white paper, analysts are aghast at the sheer scale of risk of a serious crash. Everyone – Andrew Lansley, the King's Fund, the British Medical Association – agrees this is the most radical NHS reform yet. Sir David Nicholson, the NHS chief executive, warns it will cost £1.5bn – many estimate more. Remember, this has been devised at breakneck speed: it is not the more careful plan in the coalition agreement that kept primary care trusts in place.

All 150 PCTs and 10 strategic health authorities will be scrapped and replaced by GP commissioning consortiums. How many? Lansley doesn't know. The white paper hints at around one per 100,000 patients to keep it local, which means maybe 600. But on Newsnight he said it may be fewer: if so, they won't really be run by local GPs. Let's assume, say, 300. How will staffing twice as many commissioning bodies be cheaper, each sending out contracts and bills? Yet Lansley has promised a 45% cut in NHS "bureaucracy" – as well as an eye-watering £20bn "efficiency savings".

Even the rightwing thinktank Civitas warns the disruption will set the NHS back one to three years. The best managers will depart, the rest will not be constructive in the handover. More worrying, without any strategic oversight, no one knows what will happen to financially weak hospitals. Stronger ones will refuse mergers that risk their balance sheets. Yet every beloved local hospital and A&E has been promised no closures.

Here are just a few contradictions: if GPs think they will be free to commission who they like among trusted local consultants, think again. Monitor is to become a competition regulator, whose first duty is to enforce a free market. Opening everything to the market means all NHS contracts fall for the first time under EU competition law, so tenders must be advertised internationally. GPs favouring local providers can be challenged in court if their consortium rejects a cheaper offer from a loss-leading large company: cue extreme disruption for local hospitals losing out to private bidders.

What of patient choice? Patients can't choose a local hospital that has just gone bankrupt. Nor is it clear whether the patient or the commissioning GP does the choosing. The GPs' new contracts will have "powerful incentives" to hit commissioning targets. So how does a patient know if they are being prescribed the best or just the cheapest treatment?

GPs are small businesses, but most of their business is with government, not the patient. The new system brings business right into the consulting room. Once patients suspect GPs' pay depends on keeping bills low, it spells the end of trust. Dr Hamish Meldrum, head of the BMA, tells me one red line in negotiating a new contract will be for GPs to be paid for this extra managerial work with no performance-related ingredient, to prevent this conflict of interest. But that means payment regardless of results.

All Westminster politicians re-disorganise the NHS by imagining a neat market model for purchasing cold surgery in London from an array of hospitals. But most areas have limited choice – and 85% of NHS spending is not on cold surgery, but strokes, cardiac arrests or chronic patients needing a complex network of services. Great advances – and savings – in chronic care see diabetics supported by a team of GPs, nurses and consultants, keeping them out of hospital. Meldrum is not alone in pointing out that the purchaser/provider market dividing GPs from hospitals is a disaster for money-saving collaboration, when hospitals need to fill their beds.

The whole fiendishly complex NHS has been wired for demolition without Lansley having answers to basic questions about where the debris falls. It's an experiment, a game, a folly on a grand scale. He and his fellow ministers had years in opposition with a fortune for specialist advice – yet they arrive in office with last-minute sketchy plans to reorganise everything at a time of deeper cuts than ever tried in any western nation. Expect multiple train crashes."
#25
tinkerbell28
TBH, I think this govt will crash and burn long before any major changes, just my hunch.


I do hope you are right..
#26
deb8z
Am i the only one who reads the title as condoms.


Nope, that's what I thought it said as well.
1 Like #27
ConDems....condoms, they are both about cock-ups.
#28
whens the next general election?

i cant see any government not implemeting anything major over the next 5 years
#29
Was reading this on the guardians pages
/nhs-survive-lansley-volcano-ideology
together with this comment which seemed just a little too true and worrying
Polly - you'll doubtless be attacked by ConDem apologists (who have found a home at this paper since it's shameful, continued support of the Liberals) for this article.

My wife works in the NHS - I work in education. Yesterday's cuts from Gove are sweeping and terrifying. However - your article is cold-eyed and truthful about the irreversible damage just about to be wrought on the NHS by Lansley, Cameron + Clegg. There are huge numbers of practice-owning GP partners who stopped being doctors once the money started piling in and became entrepreneurs - desperate for every penny they can get their hands on.

I fear it will be even worse than you paint. This Coalition is doing more extreme things to this country than you can even predict.

And the Guardian supports this why? For the promise of a potential vote on PR?


This is another interesting piece
tories-are-demolishing-the-nhs
#30
What gets me is the constant bleating of 'the NHS is broken' and 'get rid of the bureaucracy'.

The Commonwealth Fund report
Overall health rankings of seven industrialized nations

1. The Netherlands
2. United Kingdom
3. Australia
4. Germany
5. New Zealand
6. Canada
7. United States

We even came top for efficiency suggesting these terrible bureaucrats are doing a good job.
#31
anyone know what will happen to dental services as under Labour there were major changes coming in , if any one knows hears anything let us know
#32
denandyas
anyone know what will happen to dental services as under Labour there were major changes coming in , if any one knows hears anything let us know

This supposedly shows proposed cash flows. But I cant say that I find it that easy to interpret
proposed funding cash flows
#34
Before the Election, barely a week went by without a David Cameron photo opportunity with NHS staff. This man, said his spin doctors, is a friend of the NHS.

Now he has got what he wanted, Cameron has delivered a bombshell to NHS staff. His White Paper is the biggest threat to the NHS in its 62-year history.

It will turn a fair service into a free-forall and let market forces run riot. Thousands will be out of work. The private sector is rubbing its hands. Patients will be the losers. It means the return of postcode lottery and that old Tory choice - wait longer or go private. Services will vary so much that the N in NHS will be redundant.

Earlier this year, following revelations that the boss's wife at Care UK was bankrolling Mr Lansley's private office, I wrote to David Cameron asking him what safeguards were in place to ensure there could be no perception that private health care companies had undue influence over Conservative health policy. I never received a reply.

Now we have a White Paper that has appeared with no consultation, no piloting, no evidence. GPs are unprepared for it, NHS staff don't want it and patients never asked for it


We now need complete transparency on the links between private healthcare firms and the Conservatives, and what if any involvement they had in health policy development.

The NHS needs to focus on meeting the financial challenge. Scandalously, we learn this week that the coalition may need to set aside £3bn for reorganisation. That money should be going on patient care.

So my message to patients, doctors and staff is this - get ready for the mother of all battles. Labour will run a campaign over the summer to show the strength of opposition to these plans before the Health Bill arrives in Parliament in the autumn.

We will defend our party's finest creation with everything we've got from a Bill which threatens to unpick its very fabric.



Well said Andy
#35
A private health firm is set to rake in millions from a shake-up of the NHS - eight months after the boss's wife donated £21,000 to Tory health secretary Andrew Lansley.

Care UK expects to earn a fortune in the biggest reform of the NHS for 60 years as private companies win a lucrative role in providing services to local GPs.

As one of the UK's biggest healthcare providers, it already runs GP surgeries, NHS walk-in centres and cares for half a million people a year.

And Mr Lansley faces accusations of a conflict of interest for accepting a donation from the wife of John Nash, chairman of Care UK at the time of the donation.

The row comes amid warnings that Mr Lansley's shake-up will cost thousands of jobs and represents a giant gamble with the nation's health.

There is also mounting anger that not a word of his plans was put before voters at the election.

Nor was it mentioned in the Tories' coalition agreement with the Lib Dems.

Advertisement - article continues below »

The Health Secretary accepted Caroline Nash's money in November to help pay for the running of his private office. The hand-out came just weeks after her husband predicted future Government policy would help make his company - which earns 96 per cent of its money from the NHS - even richer.

Mr Nash stood down as chairman in March, when Care UK sold out to a private equity firm, but he is still a consultant. Unite's nursing spokesman Barrie Brown said: "These dangerous and untested ConDem plans will see private companies given an even greater stake in the NHS.

"And it is particularly alarming how one of the biggest private healthcare firms out there could be so closely aligned to Mr Lansley."

Dr John Lister, of campaign group Health Emergency, added: "The fact that the man in charge of dismantling the NHS has taken cash from one of the companies looking to profit from his plans stinks." Under Mr Lansley's plans announced last week, primary care trusts will be scrapped and family doctors given £80billion to spend.

Now private companies are gearing up to help GPs manage their new roles in a market worth up to £500million.

A spokesman for Care UK said yesterday: "The donation was from our former chairman's wife, who we understand regularly makes donations to the Conservative Party."



Think its about time that Labour started to be an effective opposition party. Unbelieveable that changes on this scale can be implemented without even a whisper in public in advance. The NHS has been one of the really great things about the UK. The present governments hatred of anything public service based will totally destroy a great institution.
1 Like #36
I will make sure that everyone I know who uses email is aware of these proposals. I dont believe that even many of the people who voted for a change of government had an inkling that the tories were all about dismantling the national health service. Cutting waste is one thing but this is smashing it.
#37
WoolyM
I will make sure that everyone I know who uses email is aware of these proposals. I dont believe that even many of the people who voted for a change of government had an inkling that the tories were all about dismantling the national health service. Cutting waste is one thing but this is smashing it.


Cutting waste has nothing to do with it. The Tories have made deals with large private health companies and have in effect handed over massive portions of NHS funds by replacing admin with private companies. It's frankly insane how much this 'coalition' has announced plans and policies that would have made Thatcher blush in such a short space of time.

I also expect an announcement in the coming weeks or months that will effectively kill the BBC. They will do some form of small token cut in the licence fee, stop the BBC's commercial arm so it no longer runs at a profit, make it sell off assets (radio, web, freeview) and hand over portions of the licence to other channels (including Sky) for 'Arts programming' or some such nonsense.
#38
WoolyM
I will make sure that everyone I know who uses email is aware of these proposals. I dont believe that even many of the people who voted for a change of government had an inkling that the Tories were all about dismantling the national health service. Cutting waste is one thing but this is smashing it.


In my own area we have seen schools that the community as seen crumbling for years denied essential repairs leaving local pupils being taught in squalid classrooms.

When it comes to the NHS these "reforms" are going to remove democracy and accountability while at the same time increasing inequality in the health of the nation.

People need to remember the NHS was demanded by the population after they sacrificed many of their children to war. As we now waste lives and billions on illegal wars the Condems are trying to steal in the back door and take it from us.
#39
So much for David Camerons 'the health service is safe in our hands' lies.

So proposals turn NHS hospitals into private hositals responsible for buying and selling services. Just like deciding to shop at waitrose or tesco. If one goes bust though there will be no chance to tweak it to improve performance. WTF we are talking about healthcare here. So in this new world we all have health insurance and with that health insurance can decide who to shop with. Thats the last thing an ill person wants to think about. So the GP makes a decision for you. But he is looking after a budget so no guarantee of the best treatment, just the cheapest.

What about those already receiving care who may not be able to take advantage of the best health insurance policies or those who cant afford them.

Well you'd better be stinking rich or never get ill.
#40
http://img153.imageshack.us/img153/865/nhs.png

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