More Local Privatisation of the NHS

The recent revelation that a proposed private mini-hospital in Catterick Garrison could syphon away at least £1 million a year from Friarage Hospital, is yet another example of the privatisation of the NHS by stealth under the Tories. This undemocratic Conservative administration, elected by just 26% of UK voters, has long had a policy of allowing private NHS providers to "cherry pick" easy to provide services, which undermines the feasibility of public hospitals like the Friarage.

Apparently, the plans for a £4 million extension to the Harewood Medical Practice (Northern Echo 2/11/15) was drawn up without other medical practitioners being aware of it. The Hambleton, Richmondshire & Whitby Clinical Commissioning Group (HRWCCG) is a privatised Tory invention to facilitate this widespread privatisation of the NHS. The expensive process of fragmenting the NHS into privatised bits has directly contributed to the funding crisis in the NHS, along with successive Governments' reluctance to train sufficient UK doctors and nurses to work in the NHS, preferring instead to recruit medical staff overseas and through expensive private agencies.

I urge supporters of the NHS to book themselves onto the next HRWCCG patients forum (held in a Tory supporter's offices in Leyburn) on 25th November by ringing 01609 767600 and telling these running dogs of capitalism what they can do with their privatisation of the NHS.

Virgin on the Ridiculous!

I recently attended a patients' forum put on by the Richmondshire, Hambleton and Whitby Clinical Commissioning Group (RHWCCG), the very name of which indicates just how cumbersome this Tory monster has become.

The main aim of the forum appeared to be to get patients to volunteer to do the jobs previously done by paid NHS staff.

One of the CCGs other admissions was that the NHS budget was going to have to stretch to cover social care as well, something not publicised by the Con Dems when they foisted this unlooked for change in the NHS upon us. A NHS re-organisation was expressly excluded from the manifestos of both the Conservatives and the Lib Dems, so watch out for further nasty volte-faces if, (God forbid) we get another right wing coalition after the election. For me, this betrayal of Lib Dem promises on the NHS was probably worse than their notorious lie about abolishing tuition fees.

RHWCCG also announced that they had awarded Virgin Care a multi-million pound contract to supply Whitby Out of Hours and Community Care. This was after an 18 month procurement process that did not include any NHS run bid, but did cost hundreds of thousands of pounds (including costly legal advice). As part of their justification, the RHWCCG spokesperson said that Virgin had told the CCG that they would not make a profit in the first two years. Not surprising as Virgin Care appear to be avoiding tax by taking their profits offshore!

You may have read about this in the recent story in the Guardian newspaper (http://www.theguardian.com/society/2015/mar/21/ow-lucrative--deals-go-to-firms-that-use-tax-havens), which detailed the tax arrangements of Virgin Care.

According to this article and a recent report from Unite the Union, Virgin care has a complicated structure of 13 intermediate holding companies between Virgin Care Limited and its ultimate parent company, Virgin Group Holdings Limited.

The company’s main offshore links are with the British Virgin Islands where its ultimate parent company is based. The way in which Virgin is structured, with multiple holding companies in locations that provide a high level of secrecy, means that it is very hard to get a clear view of the group’s finances.

These structures are wholly inappropriate for a company in receipt of hundreds of millions of pounds worth of public sector contracts in the National Health Service. Virgin Care Limited should urgently reform its corporate structures and tax arrangements or negotiate the speedy return of its NHS contract back to the RHWCCG.

RHWCCG should itself revisit any contracts with private companies indulging in tax avoidance measures. It should also look more closely at Virgin Care's chequered history.

In 2012 a NHS watchdog accused a Virgin Care urgent care centre of putting patients' health at risk by using receptionists with minimal medical training to assess how unwell arrivals were. http://www.theguardian.com/society/2014/feb/04/nhs-watchdog-virgin-care-croydon-hospital The Care Quality Commission (CQC) report criticised the operation of the urgent care centre at Croydon hospital in south London, which was run by Virgin Care.

If you agree that NHS contracts should not go to tax dodgers, then please sign a petition to tell Virgin Care to pay their taxes and protest against the continuing privatisation of the NHS! http://action.peoplesnhs.org/page/speakout/virgin-pay-your-tax?js=false

Green Candidates Back NHS Reinstatement Bill

Leslie Rowe, the Green Party Parliamentary Candidate for Richmond (Yorks) and one hundred other Green Party candidates for the May General Election have given their clear support for the NHS Reinstatement Bill 2015 [1] and there is no sign of that support slowing down. This impressive wave of support reflects the Party’s core commitment to public services which are not privatised, but are true to their founding principles and can safely continue to be publicly owned for the future. Leslie Rowe commented: "The NHS is facing its biggest threat in sixty years, with the Tories and Lib Dem coalition championing the privatisation of the NHS through their Health and Social Care Act 2012. Another ConDem government will turn the NHS into nothing more than a logo for a privatised health service. The NHS Reinstatement Bill will reverse the privatisation process and protect the concept of a publicly funded, publicly provided health service." More candidates are adding their support all the time [you can see what the candidates in your area say here]. The NHS Reinstatement Bill frames a clear mechanism to protect the NHS against the damage of privatisation, in overturning key aspects of the Health and Social Care Act 2012 and earlier legislation that set the NHS in England on the road to fragmentation – often without public consultation, and nearly always without their full awareness. As such, it reflects Green Party policy towards the NHS and other public institutions which have been threatened by privatisation and now stand on the brink of collapse as successive governments sought to sell them off for ideological reasons, and despite growing evidence that there is no strong financial argument supporting the privatisation agenda [2]. Far from being yet another ‘top-down, centralised, re-structuring’, crucially the NHS Reinstatement Bill hands responsibility for provision of service back to the Secretary of State for Health, something the HSCA severed [3] – thereby effectively uncoupling ultimate responsibility for the NHS from Parliament. It also spells out how, if the NHS is to be saved, it must: • Reinstate the government’s duty to provide the NHS in England. • Re-establish NHS England as a special health authority. • Re-establish District Health Authorities, with Family Health Services Committees to administer arrangements with GPs, dentists and others. • Abolish marketised bodies such as NHS foundation trusts, as well as Monitor, the regulator of NHS foundation trusts and commercial companies [4]. • Allow commercial companies to provide services only if the NHS could not do so and otherwise patients would suffer [5]. • Abolish competition [2]. • Re-establish Community Health Councils to represent the interest of the public. • Stop licence conditions imposed by Monitor on NHS foundation trusts. These will reduce the number of services that they currently have to provide from April 2016: the end of the universal service. • Bring the terms and conditions of NHS staff back under the NHS Staff Council [6]. • Prohibit ratification of treaties like the Transatlantic Trade and Investment Partnership (TTIP) without the approval of Parliament if they would cover the NHS [7]. Jillian Creasy is Health spokesperson for the Green Party, and prospective parliamentary candidate, Sheffield Central: “I fully support the NHS Reinstatement Bill. I qualified as a doctor in 1982. I have worked through the marketisation and privatisation of the Tory and Labour years and now the Coalition. Bringing in private providers does not only fragment services and leach money out of the public economy, it threatened the whole ethos of public service. Staff across the board have been forced to concentrate on prices and targets, instead of thinking about how to maximize the quality of care. Nothing short of complete reversal of privatisation will restore the NHS we know and love.” Professor Allyson Pollock worked with Peter Roderick, a lawyer, on the NHS Reinstatement Bill: “We’re delighted so many Green Party candidates have voiced their support. It’s encouraging to see candidates for a party which stands for responsible public ownership and an eye to the legacy we leave our descendants say they are behind us. Members of the public, parliamentary candidates, health professionals: all are coming forward to say enough is enough – and this Bill is the way back to a future health service we can be proud to think of protecting. Please, if you do nothing else before this election, ask your parliamentary candidates to say what they think of the NHS Reinstatement Bill and let us know.” Editors’ Notes [1] The Campaign for the NHS Reinstatement Bill is a non-partisan campaign and has a wide range of support across the political spectrum (http://www.nhsbill2015.org/our-supporters/ ). It encourages the public to contact prospective parliamentary candidates in their constituency, determine their views on the Reinstatement Bill, and gain their support for it wherever possible: http://www.nhsbill2015.org @nhsbill2015 The Campaign’s press officer is Alan Taman: 07870 757 309 healthjournos@gmail.com http://www.nhsbill2015.org/press-contact [2] The belief that ‘competition is always best’ does not work when applied to healthcare. A comprehensive and universal health service is best funded by public donation, which has been shown to be far more efficient overall than private-insurance healthcare models. [Lister, J. (2013) Health Policy Reform: global health versus private profit. Libri: Faringdon. [3] The HSCA has removed the Secretary of State for Health’s responsibility to provide as well as promote a universal, comprehensive health service in England. In effect, this has compromised parliament’s ultimate responsibility for the NHS. [Pollock, A. and Price, D. (2013) In NHS SOS, ed by Davis, J. and Tallis, R. Oneworld: London, 178-181.]The NHS Reinstatement Bill [http://www.nhsbill2015.org/the-bill] would restore this founding principle of the NHS, which has been undermined largely for ideological reasons and despite the evidence that inequalities in health are growing in the UK as a direct result of wider inequalities fostered by the same ideology [Dorling, D. (2013) Unequal Health: The scandal of our times. The Policy Press: London, Chapter 1]. [4] The Bill would ensure that any handover of employment for NHS staff from NHS FTs, CCGs and NHS trusts to the new NHS bodies was conducted with the full participation of Trade Unions and would require the Secretary of State for Health to make regulations setting out the terms and conditions of transfer. Overturning the current situation where long-established agreements with the workforce are being systematically overturned, to the detriment of many NHS staff. [5] The NHS has always used private firms, partnerships and individual traders to provide services it could not easily or as cost-effectively provide for itself, eg some legal services and construction of or repair to NHS buildings. What the NHS Reinstatement Bill does is end the current obligation on NHS services to use tendering to determine which organisation delivers front-line healthcare: this is pro-privatisation engineering and is an ongoing threat to the comprehensiveness of NHS care. [6] The Bill would ensure that any handover of employment for NHS staff from NHS FTs, CCGs and NHS trusts to the new NHS bodies was conducted with the full participation of Trade Unions and would require the Secretary of State for Health to make regulations setting out the terms and conditions of transfer. [7] The TTIP, if enacted as it stands currently, would make it very difficult for future governments to reverse the provision of healthcare by private organisations if they could show this would prove commercially damaging to them [http://en.wikipedia.org/wiki/Transatlantic_Trade_and_Investment_Partnership ].

Liberal Democrat NHS Betrayal

The Conservatives promised before the 2010 general election not to impose a top-down reorganisation of the NHS. What followed was one of the most fundamental NHS reorganisations yet envisaged, which generated especially widespread "opprobrium" (quote from Wikipedia). This Path to Privatisation was achieved with the active help and support of the Liberal Democrats and by building on the privatisation started under New Labour. (Remember the great PFI scandals?) Now more than a third of doctors on the new clinical commissioning groups have links with private health-care companies. The Liberal Democrats in government have become notorious for reneging on their manifesto promises. Whilst their disgraceful volte-face on both tuition fees and electoral reform are well known, it is their betrayal of the NHS that is most unforgiveable in my opinion. The Liberal Democrats pledged to "cut NHS centralised targets and bureaucracy" and improve waiting times (Lib Dem Manifesto 2010). We now know the exact opposite has happened, with Accident and Emergency departments across the country crumbling after the coalition government, including the Liberal Democrats, reduced their funding to just one third of what they need. NHS England (created as part of this mammoth reorganisation) reports that it missed its four-hour waiting-limit target by 2.4% for the last quarter of 2014. The money wasted on this reorganisation, along with direct cuts in the Accident and Emergency budget, has led to 133,000 people waiting more than four hours and NHS performance dropping to its worst level for a decade. Now here is a pledge that will not be broken. The Green Party will take the NHS back into public ownership and ensure it is adequately funded. This means an extra £8bn by 2020, funded in part by cancelling Trident. Here are some of the Green Party health policies: The Party will continue to support the principle that the NHS is a national service, free at the point of entry and fully funded by taxation. Opposition to third-way health reform, so we actively oppose and seek to reverse any public-service health-policy reforms that lead to: • a two- or multi-tier health service with uneven standards and service provision, • further disconnection of the service from public accountability – via local, regional or national government, • the undermining of a fully integrated NHS, publicly funded and committed to high-quality universal provision with free services at the point of use, or • creeping privatisation. What can you do to campaign to keep the NHS public? Join the national events in February 2015, which can be found easily on the Keep Our NHS Public website http://www.keepournhspublic.com/index.php. I also recommend you read NHS SOS, available from the publishers, One World. Proceeds from NHS SOS will go to Keep Our NHS Public. The May 2015 election will be vital in deciding the future of the NHS. NHS SOS shows that the Conservatives (supported by the Lib Dems) clearly wish to privatise the NHS, have already started the process and will continue to do so. They appear to be lining up their friends in private companies for lucrative contracts. The book also highlights Labour’s involvement in privatisation and the Private Finance Initiative. The Green Party is the clear choice if you want to keep the NHS public. “A free health service is a triumphant example of the superiority of the principles of collective action and public initiative against the commercial principle of profit and greed.” Aneurin Bevan, In Place of Fear.

ConDems Privatise the NHS

The Prime Minister lied to us again today. After claiming during the general election that there would be no large re-organisation of the NHS, he announced one today. Claiming that this did not mean privatisation, he announced that the NHS will be run by GPs, who are, ofcourse, private enterprises.

Ofcourse, GPs have no experience of running billion pound enterprises, so inevitably they will hire medical management companies to run their businesses. I predict that within three years, the NHS will effectively be managed by a handful of foreign controlled "healthcare partners" and privatisation will be a "fait accompli".

Another example of the Conservatives and Liberal Democrats saying one thing to get elected and doing the exact opposite when in power.

Budget Cuts or Green Investment?

When is a budget not a budget? The answer is when it does not address the elephant in the room. Whilst Chancellor Darling has tinkered with a few figures, he has failed to address the cause of the recession, the banks.

As Caroline Lucas, Green Party Leader commented:
"This budget is a missed opportunity to put fairness and sustainability at the centre of Britain's recovery plans. After 13 years of a Labour government, this country is more unequal today than it was when Labour came to power. Bold measures are needed, like the higher rate of 50% on incomes above £100 000 per year, abolishing the upper limit on NI contributions, and reinstating the 10p tax band. While we welcome the introduction of a green investment bank, it lacks sufficient resources to create the huge number of jobs that should be at the heart of this approach."

As a former city worker myself, I believe that having nationalised the commercial banks, the Government then stupidly allowed the bankers to pay themselves massive bonuses generated by the Government’s short-sighted policy of “quantitative easing” (printing money to you and me). In casino banking terms making money off QE was a dead cert.

As Green Guru and Green Party Candidate for Cambridge, Tony Juniper wrote in the Independent: "The Chancellor could have acted unilaterally to introduce a Tobin-style tax on international currency transactions, instead of hiding behind the countries which don't want to do it. Reckless bankers have taken so much out of our economy, and it is the poorer people who will feel the most pain in putting it right."

The only real solution Darling proposed for cutting costs was to reduce inefficiencies like cutting the level of sickness in nurses. Who was to provide this miracle cure was not specified, but I'm sure a lot of over-worked nurses would be grateful to know what it is!.
There is scope for savings in the Health Service. Bureaucratic management has doubled since Labour came to power, whereas their productivity has decreased.Taking management and accounting in the NHS back to basics will save thousands of administration jobs, who then could be redeployed to do something more useful.

There is also a very simple way to cut Local Government costs. Look on any Local Authority web site and try and work out what the Chief Executive does. Launching initiatives and giving awards seems to be the sum total of their labours. Yet Local Government Chief Executives have doubled their pay since Labour came to power. So, Alistair Darling, a quick win would be to sack every Local Authority Chief Executive in the country, thereby saving half a billion pounds and hand power back to elected councillors.