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Conservative election poster 2010

A few recent news articles about the UK’s Conservative and Liberal-Democrat(Conservative) coalition government – the ConDem’s – brutal attack on the National Health Service.

Pulse reported yesterday that Tower Hamlets CCG (Care Commissioning Group) have called on the government to drop the Health and Social Care / Destroy the NHS Bill. This huge news story has received very little attention by the corporate press.  From the Guardian’s NHS reforms live blog.

Breaking news – and it’s another plea for the government to drop the health and social care bill altogether, not simply amend it further. Tower Hamlets clinical commissioning group in east London has become the first CCG to ask for the legislation to be withdrawn.

While a growing list of medical organisations has already adopted the same position, including the BMA and various medical royal colleges, this CCG’s action is significant because David Cameron has sought to portray the spread of CCGs across England as evidence of GPs’ enthusiasm for the NHS shake-up.

Plus, this particular vote of no-confidence has been authored by no less than Dr Sam Everington, a widely respected GP who used to advise Andrew Lansley, and whose Bromley-by-Bow surgery in Tower Hamlets hosted the health secretary’s first speech soon after the 2010 general election.

Pulse, the magazine and website for GPs, has an exclusive story that reports that Everington, the chair of the NHS Tower Hamlets Clinical Commisisoning Group, has written to the prime minister asking for the bill to be scrapped because his “rolling restructuring of the NHS compromises our ability to focus on what really counts”. Efforts to further improve patient care through clinically-led commissioning – a key element of the bill – could still be made “without the bureaucracy generated by the bill”, Everington adds.

As Pulse reports: “The moves marks the first time a CCG has publicly called for the bill to be withdrawn and comes after Pulse revealed last month [that] some commissioning leaders were concerned that the government had ‘lost the narrative’ on the reforms.”

The letter states: “We support a strong role for clinical involvement in commissioning decisions that lead to better health outcomes for our patients. We do this already in Tower Hamlets. An Act of Parliament is not needed to make this happen.”

In what Pulse deputy editor Steve Nowottny calls “a big blow to the government”, Everington goes on to say that his CCG does “share the concerns” about “the long-term implications of the bill made by our professional representative organisations, the Royal College of GPs and the British Medical Association”. As both those bodies are now firmly in the “drop the bill” camp, his deliberate association with them makes Everington’s letter even more embarrassing for ministers and Number 10.

Lib-Dem Deputy Prime Minister Nick Clegg and Shirley Williams wrote a joint letter yesterday to Liberal Democrat parlimentarians. They’re demanding further changes to the Destroy the NHS Bill having been scared by Lib-Dem activist demands. I’m bored with this – read about it here.


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The Royal College of Physicians (RCP) , representing hospital doctors, has chosen to ballot its 26,000 members on the Health and Social Care / Destroy the NHS Bill.


At the Royal College of Physicians, we believe the NHS bill is beyond repair

We were told that this bill will make the NHS less bureaucratic, more cost effective and provide more choice for patients. It won’t

Today the Royal College of Physicians joined the growing ranks of opposition to the government’s health and social care bill.

We were told that the bill would make the NHS more efficient and more cost effective. It won’t. Management costs in the NHS are about 5% of the total budget. In the US healthcare system, where the market rules, they are above 25%. If the bill is passed, management consultants such as McKinsey and KPMG will make millions from the NHS budget “advising” clients on both sides of the purchaser/provider split, with additional contracts “advising” government and health regulators how to cope with the tangled web of contracts the new system would create.

We were told that the bill would make things less bureaucratic. It won’t. It will replace three layers of management in the NHS with at least six new ones, and a seventh if you count the health and wellbeing boards to be established at the local authority level. For example, 152 primary care trusts will be replaced with well over 200 clinical commissioning groups. Almost half the staff of primary care trusts have already gone, but many are returning to work for the commissioning groups and commissioning support services, often as consultants on a higher rate than their previous salaries.

We were told that the bill was essential to control spiralling healthcare costs. It isn’t. Britain spends less per head on healthcare than most other European Union countries, and far less than the United States. Market competition in health is inherently wasteful, because it implies the existence of spare capacity in the system. It is likely to drive up costs for each patient, as charges for healthcare have to rise to ensure that providers can carry the costs of under-used people, building and equipment.

We were told that the bill means more choice for patients and more control over their healthcare. It doesn’t. Instead, it will strain to breaking point the essential relationship of trust between doctors and their patients. GPs in particular will be put in the invidious position of having on the one hand to diagnose their patients and recommend the best course of treatment, and on the other hand to refuse to supply it because as commissioners their budgets are under pressure.

For all these reasons and others, doctors, nurses and other health professionals have finally concluded that the bill is beyond rescue. Opinion polls show that view is shared by a large majority of the British public.

NHS care to be severely rationed. People will need health insurance like the United States.


NHS bill: goodbye comprehensive healthcare, hello private insurance

Services are already being pulled in an unannounced, piecemeal way. If the bill passes, the health secretary won’t be accountable

Under the bill the range of what is available for free seems certain to contract further. Commissioning groups will have fixed budgets. The for-profit “support organisations” that are being lined up to do most of the commissioning for them will have a strong incentive to limit costs, and therefore the treatments to be paid for. CCGs also look likely to be free to decide that some treatments recommended by hospital specialists are “unreasonably” expensive, and refuse to pay for them, as health maintenance organisations do in the US.

A core of free NHS services will remain, but they will be of declining quality, because for-profit providers will cherry-pick the most profitable services. NHS hospitals will be left with the more costly work, so staffing levels and standards of care will be forced down and waiting times will get longer. To be sure of getting good healthcare people will increasingly take out private insurance, if they can afford it. At first most people will take out the cheaper insurance plans now on offer that cover just what is no longer free from the NHS, but gradually insurance for most forms of care will become normal. The poor will be left with a limited package of free services of lower quality.

What is available on the NHS should be determined nationally, in a transparent and democratic way, not by unelected local bodies. The bill will allow the secretary of state to deny responsibility when good, comprehensive, free care has become a thing of the past.

Majority of GPs expect to see more rationing of care in NHS

85% of family doctors think health service will have to cut back on provision

More than eight in ten GPs believe that there will be greater rationing of care in the NHS as a result of the financial challenges facing the health service.

Research published this week suggests that 85% of family doctors believe that the government will have to set out more clearly what care is – and is not – freely available on the NHS in England.

A survey of 821 English GPs carried out by the Nuffield Trust, an independent health think tank, and doctors.net.uk found that only half of GPs believe that the NHS will be able to improve efficiency enough over the next five years to avoid having to scale back on the services that are currently funded.

In addition, the vast majority of GPs (83%) believe handing responsibility to local clinical commissioning groups for setting priorities for spending NHS funds will be likely to lead to greater variations in what services are provided to patients throughout England.

Campaign group 38degrees is appealing for donations to place billboard adverts in London to make the ConDems’ attack on the NHS an issue in the elections for the Mayor of London.


Lib-Dem activists force Nick Clegg to make further demands for changes to the bill. It should be recognised that Nick Clegg is and has been fully supportive of plans to destroy the NHS.

Lib Dem activists in last-ditch attempt to scupper NHS reforms bill

Party members to press ahead with emergency motion at spring conference despite changes advanced by Clegg and Williams

Clegg breaks ranks to demand more amendments to NHS Bill

Attempt to appease party faithful comes on day PM asserts: ‘there will be no more big changes’

Tavistock service for vulnerable children at risk, expert warns


The future of a prestigious health service which helps children suffering severe abuse is in doubt because of government cuts, a mental health expert has warned.

The Tavistock’s Monroe Assessment Service provides treatment for families going through care proceedings and assesses many children subjected to sexual and physical abuse or neglect.

But a new cap on the amount of funding these expert court witnesses receive has left the prestigious service operating at a loss, and many families without adequate support, a consultant social worker has warned.

Tim Kent said: “We are seeing the highest number of applications for care orders in the family courts for a decade, but the work of expert witnesses has been hit by savage cuts.

“Cases are getting stuck in the legal system and children’s lives are on hold for longer. We fear that the risk of courts making bad decisions about the best interests of the child is growing.



27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.


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I’ve been thinking …

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… about looking at opportunities for young people to get into work.

I’ve not been thinking about poor people …

I’ve been thinking about rich people … and looking at the difficulties they face – or possibly do not – face getting into work.

In fact I’m probably going to concentrate on those people who are very rich and have a privileged backgrounds and see if any of them are forced into slave labour.

I would expect to find that they’re not and that these are the same ****s that are are so enthusiastic about slave labour.

edit: I need to look at Ian Duncan Smith’s work experience. He’s very keen on work experience. I wonder what work experience he’s got apart from being upper class.

edit: not a good target but still a tory shit


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Critic of Health Bill claims Lansley ‘smear’


An NHS chief who spoke out against the Government’s controversial Health Bill last night claimed he had been the target of political “smears” by Andrew Lansley’s department.

Professor John Ashton, the head of public health in Cumbria, who was awarded a CBE for services to the NHS, claimed that someone on behalf of the Health Secretary called his local BBC radio station to allege that he could not speak objectively because he was a member of the Labour Party.

The 64-year-old said he had been a member since he was 17, but it was an “outrageous smear” to suggest this clouded his independence as a doctor.

<original post snipped>

NHS bill opposition
Opposition to Health and Social Care Bill in context. http://www.nhscampaign.org/



Mis-sold, ill-conceived, unsupported

We have all heard about how the government’s health bill will make the NHS a better service: more clinician-led and more patient-centred. We have also been warned by the Prime Minister and his Health Secretary that their reforms are the only way to address the unprecedented financial and demographic pressures facing the NHS over the next few years. But how much of this salespitch is actually based on facts?

Below are some of the more common claims from the government – claims that simply don’t stand up to proper scrutiny. Click on any of the claims to reveal just a selection of the evidence that undermines them.

“Doing nothing is not an option.”

“We’re giving more power to GPs.”

“We’re going to cut bureaucracy.”

“We’re going to make the NHS better for patients.”

“We will never privatise the NHS.”

“We have listened and we have the support of NHS staff.”


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NHS news review

Spread the love

Conservative election poster 2010

A few recent news articles about the UK’s Conservative and Liberal-Democrat (Conservative) coalition government – the ConDem’s – brutal attack on the National Health Service.

There’s a warning that the illegitimate ConDem coalition government intends to lie in the coming week in an attempt to bolster support for the Health and Social Care / Destroy the NHS Bill.

Despicable ConDem scum intend to employ the lie that medical unions are using opposition to the bill to fight their seperate battle on pay and pensions.

ConDem scum also intend to push the lie that the bill will decrease health service bureaucracy.

The Standard has obtained a copy of a five-page briefing note for MPs, prepared by Health Secretary Andrew Lansley and No 10, on how to sell the shake-up which is being fiercely opposed by many doctors, nurses and health professionals.

In the briefing document, ministers accused unions of using the health reforms to fight their battle against pay and pension changes.

MPs were told to stress that the reforms, which will hand GPs more control over the £60 billion budget to commission health services, scrap primary care trusts and allow the private sector to play a greater role in the NHS, would mean:

More power to doctors and patients.

Competition to get better treatment.

Slashing bureaucracy to transfer money to the front line.

The three remaining royal colleges that do not currently oppose the bill will be voting in the next fortnight over whether to oppose the bill.

Tomorrow, grassroots members of the 26,000-strong Royal ­College of ­Physicians will attend their ­extraordinary general meeting where they will urge leaders to “kill the Bill”.

On March 8 the 25,000-­member Royal ­College of Surgeons will hold its EGM. Members will ­decide ­whether to come out in opposition to the plans. On March 9 the 15,000-strong Royal College of ­Obstetricians and ­Gynaecologists will gather to ­consider whether they should do the same.

If all three vote to oppose the Bill it will mean that all the hugely ­respected royal colleges are lined up against Health Secretary Andrew Lansley’s plans. ­Privately officials from each group say that among their rank-and-file, opposition to the ­reforms are ­growing. They say they have listened to the Government’s ­arguments but it has failed to win them over. ­Opposition to the shake-up is growing as key ­parliamentary votes on the issue loom.

Labour Leader Ed Milliband calls for support from the Libe Dems

This week the Liberal Democrats in the House of Lords must join with Labour to hole David Cameron’s health plans below the water line.

The House of Lords has the chance to puncture the arrogance of an out-of-touch Prime Minister who thinks he knows better than patients, nurses and doctors and persuade him to drop this Bill.

If they do not the betrayal by the Lib Dems in allowing this Bill through will be bigger than the row over ­university tuition fees.

They will betray not only the people who rely on today’s NHS, but also generations to come.

It will strike at the heart of Britain’s proudest institution.

Liberal Democrat president Tim Farron says that the bill should have been dropped.


Mr Farron said the legislation to implement Health Secretary Andrew Lansley’s reforms should have been scrapped or “massively changed” at an earlier stage before it progressed this far and it would be “stupid” to ignore medics’ concerns over the proposals.

He demanded that all elements of new competition in the NHS should be stripped from the bill in order for Lib Dems to support it.

Lib Dem peers have tabled a number of amendments to the Health and Social Care Bill, which resumes its difficult passage through Parliament next week in the Lords.

Speaking on ITV Granada’s Party People Mr Farron, said: “Lots of us are guilty for allowing it to get as far as it has done now.

“Basically this should have been dealt with far earlier in the cycle.”

Asked whether that meant it should have been dropped, he said: “Dropped, massively changed.”

British Medical Association to ballot doctors on strike action over pensions

Ballot on strike over NHS pension changes will be first time doctors have voted on industrial action since 1975

The British Medical Association has decided to ballot doctors for industrial action over the government’s reform of the NHS pension scheme.

The ballot will be the first time that doctors have voted on such action since 1975.

The decision followed an overwhelming rejection by doctors and medical students of the “final” offer on pensions.

The BMA said the changes would see younger doctors paying more than £200,000 extra over their lifetime in pension contributions and working eight years longer, to 68. The highest earning doctors’ contributions would rise to 14.5%.

Officials have urged the government to reopen talks with the health unions, but said neither the Treasury nor the Department of Health had signalled any change to their position.

The health secretary, Andrew Lansley, has said the NHS pension scheme is “amongst the best available anywhere”.

But a survey of 130,000 BMA members in January found almost two-thirds of the 46,000 who responded said they would be prepared to take some form of industrial action if the government did not change its offer.

27/11/13 Having received a takedown notice from the Independent newspaper for a different posting, I have reviewed this article which links to an article at the Independent’s website in order to attempt to ensure conformance with copyright laws.

I consider this posting to comply with copyright laws since
a. Only a small portion of the original article has been quoted satisfying the fair use criteria, and / or
b. This posting satisfies the requirements of a derivative work.

Please be assured that this blog is a non-commercial blog (weblog) which does not feature advertising and has not ever produced any income.


Continue ReadingNHS news review