Campaigners in the UK say get Palantir out of the NHS

Spread the love

Original article by Ana Vračar republished from peoples dispatch under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA) license.

Source: Talia Woodin/Medact

Health workers and activists ramp up their campaign to oppose surveillance company Palantir’s role in managing NHS data

Health workers and activists in Britain are intensifying their campaign against US-based surveillance and data company Palantir, as Keir Starmer’s government accelerates its push to involve the notorious firm in managing National Health Service (NHS) data.

Palantir first gained a foothold in the NHS during the COVID-19 pandemic, securing contracts outside standard procurement processes and enjoying popularity among high-ranking health officials. The company, infamous for its involvement in operations such as the US-led invasions of Afghanistan and Iraq and migrant persecution under the US Immigration and Customs Enforcement (ICE), soon expanded its role in Britain. By last year, it had won a £330 million (USD 417 million) contract to implement the Federated Data Platform (FDP), intended to modernize medical data management across England.

Not all NHS institutions are currently able to share data because of differing systems. Both Conservative and Labour governments have identified this as the main reason for bottlenecks in the health system and claimed that resolving the problem would lead to improvements to care. However, organizations like Medact, Just Treatment, and Corporate Watch warn that entrusting this task to Palantir could deepen issues rather than solve them.

Similarly, many health experts have highlighted how the FDP would effectively lock the NHS into dependency on Palantir. The company’s systems are designed in a way to make data extraction difficult and integration with industry-standard analytics costly and complicated, so users are compelled to keep using them. “Palantir’s system pushes people to its own proprietary systems; and switching costs [for the NHS] will be very high,” Doctors’ Association and Foxglove warned in a 2023 report.

The current government is pushing forward with this form of private sector expansion in the NHS despite warnings from trusts and experts that the results will fall far short of expectations. In fact, some NHS organizations being forced to adopt the FDP under Labour’s administration have said that the new platform could result in a loss of functionality compared to the systems they currently rely on.

Read more: Labour considers expanding private sector role in NHS, undermining the already fragile public health system

While there is general agreement among analysts that data sharing and usage within the NHS could be significantly improved, they argue that these improvements can and should be achieved through local and regional initiatives. In contrast to the top-down model ushered in by the FDP, these initiatives would build on existing systems and expertise, avoiding handing over control to a private company with a track record of human rights abuses.

Concerns that the FDP could make the NHS entirely dependent on Palantir are sharpened by fears over how patient data might be used. As one of the world’s largest public healthcare systems, the NHS holds an unique health dataset. While such data has immense potential to strengthen public services, entrusting it to corporate partners poses great risks. For instance, it could be exploited for purposes such as tracking and criminalizing migrants—a practice that has been systematically pursued under Britain’s hostile environment policies.

Read more: Should health workers work with counter terrorism agencies?

Palantir takes pride in finding new applications for data, specifically to reinforce Western dominance. Given that the full scope of the FDP remains unclear, there is significant concern that NHS data could also be exploited to boost Palantir’s surveillance tools. These tools are already being deployed in Israel’s ongoing genocide against Palestinians in the Gaza Strip.

Palantir’s leadership has been outspoken in its support for Israel, openly aligning with Benjamin Netanyahu’s government even as it proceeded to kill tens of thousands of Palestinians. The company is actively testing—or rather, showcasing—its artificial intelligence (AI) models through Israel’s attacks in Palestine and Lebanon. This indicates a clear intent to monetize these tools further by marketing them to other states preparing to go on killing sprees.

Handing over NHS medical data to Palantir would deepen the Starmer administration’s complicity in Israel’s war crimes, health justice organizations warn. Such a move risks staining the NHS’s reputation, turning its dataset into a tool for oppression internationally while undermining public trust in the healthcare system at home.

Many had hoped that a change in government in July would mean an end to the FDP. However, “instead of hitting reset, Labour hit accelerate,” Just Treatment remarked during a No Palantir in the NHS meeting in November. This response reflects Labour’s priorities when it comes to the public healthcare provider. “If the government were setting out to implement reforms in the way that our data is held to improve health outcomes and improve the NHS, they would be going about it in a way that maximizes public trust, maximizes public and health service and health worker support for those initiatives,” the organization remarked during the meeting.

Instead, the government appears more interested in using national health data for economic gain. This approach aligns closely with recommendations from neoliberal policy advisors, such as those at the Tony Blair Institute for Global Change, who have recently called for the use of NHS data as a means to boost Britain’s economic standing.

Although the implementation of the FDP is progressing, activists argue that it is not too late to stop it—especially if local groups escalate their efforts. They emphasize that by increasing pressure, health workers and activists could not only push for the cancellation of Palantir’s FDP contract but also demand the termination of all agreements with companies complicit in Israel’s occupation. While Palantir is currently a key focus, the organizations highlighted that this campaign is just the beginning, serving as a starting point for broader action.

Original article by Ana Vračar republished from peoples dispatch under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA) license.

Continue ReadingCampaigners in the UK say get Palantir out of the NHS

Labour considers expanding private sector role in NHS, undermining the already fragile public health system

Spread the love

Original article by Peoples Health Dispatch republished from peoples dispatch under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA) license.

Protest against privatization of the NHS in the UK, February 25, 2023. (Photo: We Own It) 

The UK Labour government is considering increasing the role of private healthcare providers, weakening NHS capacities

The Labour Party is considering a major expansion of the private sector’s involvement in the National Health Service (NHS) as it attempts to reduce waiting lists in the United Kingdom. Recently, the Independent Healthcare Providers Network (IHPN) wrote to Keir Starmer’s government, stating that private providers are ready to spend £1 billion to accommodate more NHS patients—if the government guarantees them long-term work.

While the offer has been welcomed by officials from the Department of Health, health activists have raised alarms over the plan. The We Own It campaign warned that a resurgence of the Private Finance Initiative (PFI) policy, as essentially proposed by the private sector, would lead to higher debt, staffing shortages, and diminished NHS training capacities.

Read more: The NHS at 75 years: A sharp turn needed to fight health inequities

This wouldn’t be the first time private capital has been welcomed by a Labour administration. When Tony Blair was Prime Minister, PFI entrusted the private sector with financing the construction of hospitals to fill gaps in the NHS network. The NHS would then pay back the costs of building such infrastructure—with interest—over the course of 25 years or more, eventually becoming the owner.

However, earlier reports indicated that while the NHS gained £13 billion in assets through PFI, it also ended up with £80 billion in debt. This meant that until at least 2022, some NHS trusts spent more on servicing debt to the private sector than on medical supplies.

There is no indication that the current government would introduce stronger safeguards when implementing a new phase of the initiative, dubbed PFI 2.0. If anything, the situation might worsen. While the previous round of PFI left some infrastructure for the public sector, PFI 2.0 foresees nothing of the sort. The additional capacities would be entirely private, with the only public involvement being the money paid to them.

“PFI 2.0 would not only drastically expand private provision in the health service, it will also dramatically increase how much is sucked out of the NHS in profits,” We Own It suggested in its analysis. Currently, private companies siphon £10 million weekly from the NHS. Guaranteeing even more private contracts would add to that burden, leaving fewer funds to invest in the NHS’s own capacities.

Labour fails to grasp importance of publicly-owned NHS

According to a recent inquiry, these capacities are in dire need of strengthening, as health activists have claimed for decades. The inquiry indicated that years of austerity have left a deep mark on the NHS, and it was this—not staff inefficiency—that led to the crisis. Unfortunately, the inquiry failed to underline the importance of breaking ties with the private sector and keeping the NHS publicly-owned, according to the group Keep Our NHS Public.

Even if it did, it is highly likely that Health Secretary Wes Streeting would not understand the importance of such a strategy. Speaking at a party conference in September, Streeting expressed enthusiasm about “reform,” a code word used by governments for “anything but public investment in public capacities.”

“Reform or die. We choose reform,” the Health Secretary said. His approach has left activists understandably worried that the government is sticking to a vague health reform agenda instead of making material commitments to protect the NHS.

Rather than pursuing a shift from “analog to digital,” Keep Our NHS Public argued, the government should pledge to move away from underfunding, fragmentation, and outsourcing. As health workers and their trade unions have raised multiple times, a true strategy to protect the NHS must also include a commitment to improving working conditions and ensuring fair salaries.

If the private sector’s role is expanded, this would not be a realistic option. “The private sector does not have its own staff,” We Own It warned. “They steal staff, trained at huge public expense, from the NHS.”

Further involvement of the private sector would also reduce the NHS’s capacity to train new staff, the group stated. The procedures usually handled by the private sector are often critical for the hands-on experience needed by medical trainees. With fewer procedures of this kind being performed in NHS hospitals, these learning opportunities would disappear, condemning new generations of health workers to lower-quality education and undermine patient care.

“If PFI 1.0 was one of the nails in the coffin of the NHS as we know it, PFI 2.0 is the true end of our NHS as a public service that works for patients, not profit,” We Own It warned.

People’s Health Dispatch is a fortnightly bulletin published by the People’s Health Movement and Peoples Dispatch. For more articles and to subscribe to People’s Health Dispatch, click here.

Original article by Peoples Health Dispatch republished from peoples dispatch under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA) license.

Continue ReadingLabour considers expanding private sector role in NHS, undermining the already fragile public health system

NHS buildings ‘falling apart’ as government sidesteps urgent funding issues

Spread the love

https://morningstaronline.co.uk/article/nhs-buildings-falling-apart-government-sidesteps-urgent-funding-issues

A general view of staff on a NHS hospital ward at Ealing Hospital in London

CAMPAIGNERS slammed the government for “not talking seriously” about health service funding today, after it emerged that the bill to fix crumbling NHS buildings has soared while patients and staff are left in harm’s way.

New figures show that the cost to eradicate NHS repairs in England jumped to £13.8 billion in 2023, up by a fifth compared to the previous year.

Costs amounting to £3bn were attributed to “high-risk” repairs, which could cause injury if left unaddressed.

NHS Providers deputy chief executive Saffron Cordery said: “Vital bits of the NHS are literally falling apart after years of underinvestment nationally.

“The safety of patients and staff is at risk.

“The list of essential repairs across the NHS waiting to be done keeps getting longer and the costs are rocketing.”

The spiralling maintenance backlog outstrips the cost of running the NHS estate itself, which also increased by 11 per cent to £13.6bn.

King’s Fund chief executive Sarah Woolnough said the backlog has grown due to the “repeated raiding” of capital budgets to shore up day-to-day running costs, coupled with “short-term sticking plaster solutions.”

https://morningstaronline.co.uk/article/nhs-buildings-falling-apart-government-sidesteps-urgent-funding-issues

Continue ReadingNHS buildings ‘falling apart’ as government sidesteps urgent funding issues

Tories Praise Wes Streeting’s Plans For The NHS

Spread the love

https://www.politicshome.com/news/article/tories-praise-wes-streetings-nhs-plans

Conservatives have praised Wes Streeting at their annual party conference, saying the Labour Health Secretary has shown “political courage” by recognising that “the NHS model isn’t working properly”.

George Freeman, the Tory MP for Mid Norfolk who has twice served as science, innovation and technology minister, was asked about the Labour government’s healthcare plans at a Monday fringe event on life sciences research.

“The new government have made very clear there’s a lot of continuity. I’m pretty cheered,” the Conservative MP replied.

He said that he had been in discussions with Prime Minister Keir Starmer and Science Secretary Peter Kyle about life sciences research and the health innovation economy. 

“I’m talking to Keir and Peter Kyle and others. They have been kind enough to say this is one of the areas they don’t view as part of the broken inheritance.”

https://www.politicshome.com/news/article/tories-praise-wes-streetings-nhs-plans

Continue ReadingTories Praise Wes Streeting’s Plans For The NHS

Calls mount for independent review into physician associates

Spread the love

https://morningstaronline.co.uk/article/calls-mount-independent-review-physician-associates

A general view of medical equipment on a NHS hospital ward at Ealing Hospital in London

LEADING medics demanded an independent review into physician associates (PAs) and anaesthesia associates (AAs) to investigate concerns around patient safety today.

Plans have been outlined to expand the number of PAs and AAs across the NHS to 10,000 by 2037.

Unlike doctors, who study medicine for five years and undertake two years of placements, medical associates qualify from a two-year master’s degree.

The roles have faced backlash over concerns that they will replace trained doctors.

This intensified after a 29-year-old woman died in 2022 after being misdiagnosed twice by a PA she thought was a GP.

The Academy of Medical Royal Colleges has written to Health Secretary Wes Streeting and NHS chief Amanda Pritchard to call for a rapid review to “clarify claims around their safety and usefulness in patient-facing roles” and examine if the roles are cost effective, efficient and safe for patients.

https://morningstaronline.co.uk/article/calls-mount-independent-review-physician-associates

Continue ReadingCalls mount for independent review into physician associates