Nick Clegg lies about the NHS

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Image of David 'Pinoccio' Cameron and Nick Clegg. Image is originally from the UK's Mirror newspaper. Looks like Bliar doesn't he? Cameron seems to be apingning/copying Bliar's public image ~ speeches aligning himslf with Bliar ... and of course ... who Bliar aligned with ...Nick Clegg has made a deceitful and evasive speech on the NHS. Deceitful since he suggests that all will be well and hiding the fact that the Destroy the NHS bill is intended to reduce the scope of the NHS. Evasive by avoiding any mention of privatisation or the role of private providers. It’s a feel-good speech intended to reassure people that everything is OK, that there is no need to worry, that he, Cameron and Lansley can be trusted to look after the NHS. The lying, evil sods.

We know from the experience of tuition fees and V.A.T. that Nick Clegg is a shameless liar. We know that he lies to decieve people. We know that he’s a slippery shit in the tradition of UK politicians.

Some of the lies and evasions I pulled from his speech today:

“When Beveridge first proposed a nationalised health service in 1942, he didn’t prescribe exactly how it should work.

 

He called for a comprehensive service to ensure every citizen can get “whatever medical treatment he requires in whatever form he requires it.”

Care, free at the point of use, based on need and not ability to pay.

No government worth its salt – certainly, no government of which I am a part – will ever jeopardise that.”

That’s a lie. The current coalition government – of which Clegg is a part – is intending to do away with a comprehensive health service free at the point of use.

“The comfort of knowing that the NHS will always be there for you.

If you’re in an accident, if you get ill, if your family need treatment.

And it will always be free. No bills, no credit cards, no worries about money when you’re worrying about your health.

That’s why I have been absolutely clear: there will be no privatisation of the NHS.”

There are a few lies here.

Firstly, GP consortia will commission services. They decide which services will be available. With cuts to spending they will cut the range of services available. There will also be some expensively ill people that will likely not have a GP. This means that the NHS will not “always be there for you”.

Secondly, perhaps not an outright lie but certainly intended to mislead and give a fase impression: “it will always be free …”. No it won’t always be free. If you need a treatment that is not provided by your local GP commissioning group, you will have to pay or go without.

Thirdly, again perhaps not an oughtright lie:“there will be no privatisation of the NHS”. There will be private provision of services not offered by a reduced NHS. There will be private providers within the NHS. It will not be wholly privatised but there will be hugely increased involvement of private providers.

Clegg continues by saying “The NHS has always benefited from a mix of providers, from the private sector, charities and social enterprises, and that should continue.”

Notice what’s missing? The public sector. Is he saying that the public sector should not continue to play a role in the NHS?

Charities and social enterprises are private providers in a sense. They certainly are not public sector.

“People want choice: over their GP, where to give birth, which hospital to use.

But providing that choice isn’t the same as allowing private companies to cherry-pick NHS services.

It’s not the same as turning this treasured public service into a competition-driven, dog-eat-dog market where the NHS is flogged off to the highest bidder.”

Choice. People don’t really want choice. They want a good service that doesn’t unduly inconvenience them e.g. having to travel to a distant hospital.

Clegg is deliberately misconstruing the argument, putting up a straw-man by saying that the NHS will not be sold off to the highest bidder. It’s about providing a restricted health service where you will have to pay – or go without – services that are not provided.

[27/5/11 edit: It’s also the first stage in the process of privatisation and transition to a private insurance-based health service on the US model.]

“I’ve heard people suggest that our reforms could lead to politicians washing their hands of our health services, because of the way the Bill is phrased.

So we need to be clearer – the Secretary of State will continue to be accountable for your health services.

This is your NHS; funded by your taxes and you have a right to know there is someone at the very top, answerable to you. With a public duty to ensure a comprehensive health service, accessible to all.”

Clegg is employing the worn-out argument that they have failed to properly explain the proposed changes. The truth is that the more people understand, the more they object.

He’s defending the Health Secretary no longer being responsible for providing the health service, arguing against what Colin Leys said ‘The bill removes the secretary of state’s responsibility to provide a national health service and doesn’t assign it to anyone else. She or he would only be charged with “promoting” it.’

Clegg suggests that this is merely phrasing when it is crucial. If it is only a matter of phrasing, then we’ll have the phrasing that the Health Secretary will provide a health service.

“opening up”

Clegg is defending the Bill to abolish the NHS contrary to the instruction of his Spring Conference. He needs to be dumped asap.

Continue ReadingNick Clegg lies about the NHS

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Nick Clegg is demanding the following changes to the Destroy the NHS Bill: These are are from a paper from Clegg to Prime Minister Cameron. It’s immediately noticable that there is not a demand that the Health Secretary continues to be responsible for providing a comprehensive health service – the Bill relieves the Health Secretary of that responsibility.


Clegg demands health reform changes as price of Lib Dem support – UK Politics, UK – The Independent

  • * “We must ensure that GPs only get involved in commissioning decisions once they are ready and willing”
  • * “The removal of any suggestion that we are pursuing a dogmatic obsession with competition [rather than] the best healthcare system in the world”
  • * “Preventing the cherry-picking of services by private providers to make sure NHS providers are not needlessly pushed into financial trouble and NHS research and training can thrive”
  • * “Enhancing governance and local accountability so decisions are transparent to all”

Clegg’s paper also reads “It is clear that the NHS does need to be updated if it is to meet patients’ needs and provide world class health care in the future. But the reforms as originally set out would not achieve that goal, would not protect and sustain our NHS and have clearly very little support among NHS staff or the wider public. I will not ask my parliamentary colleagues to support legislation on the NHS until I am personally satisfied that the reforms have been substantially changed to ensure our NHS is secure for the future.”

Without the Health Secretary continuing to be reponsible for providing a comprehensive health service, the NHS is not “… secure for the future” and is to be abolished.

This article is a very good summary should you need to get up to date on the proposed changes.The NHS Bill: take action on an unprecedented pause | openDemocracy

Increases in waiting times are blamed on cuts

Conservative election poster 2010

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

Clegg demands health reform changes as price of Lib Dem support – UK Politics, UK – The Independent

Nick Clegg has warned David Cameron he will not ask Liberal Democrat MPs and peers to support the Government’s health reforms unless they are “substantially changed”.

In a paper sent to the Prime Minister and seen by The Independent, Mr Clegg demanded four radical changes to the NHS and Social Care Bill during the “pause” the Government has called as it tries to allay fears about the reforms.

He warned that ministers must kill the impression that they have a “dogmatic obsession with competition” inside the NHS. And he said GPs should not be forced to commission services until they are ready – which would mean abandoning the Government’s April 2013 deadline for this to happen.

Mr Clegg’s strongly worded demands reflect his determination to claim credit for the changes expected to be announced next month as he seeks to convince his party and the public that the Liberal Democrats enjoy real influence on a key policy area.

The NHS Bill: take action on an unprecedented pause | openDemocracy

Professor Wendy Savage argues that the pause in the passage of the Health and Social Care Bill, which claims to reform the NHS, is just a cynical PR exercise — but citizens should exploit it and act now to save the NHS.

The white paper ‘Equity and Excellence: Liberating the NHS’ was published in July 2010. The 6000 responses to the flawed consultation have not been published but many, if not most, of the responses were critical of the Bill. The Bill had it first reading on 10th January. Its second reading on 31st January was passed by a majority of 86. Voting was strictly on party lines with Labour voting against the Bill and coalition MPs voting for it — apart from one Lib Dem, Andrew George, who abstained.

NHS budget squeeze to blame for longer waiting times, say doctors | Society | The Guardian

Doctors are blaming financial pressures on the NHS for an increase in the number of patients who are not being treated within the 18 weeks that the government recommends.

New NHS performance data reveal that the number of people in England who are being forced to wait more than 18 weeks has risen by 26% in the last year, while the number who had to wait longer than six months has shot up by 43%.

In March this year, 34,639 people, or 11% of the total, waited more than that time to receive inpatient treatment, compared with 27,534, or 8.3%, in March 2010 – an increase of 26% – Department of Health statistics show.

Similarly, in March this year some 11,243 patients who underwent treatment had waited for more than six months, compared with 7,841 in the same month in 2010 – a 43% rise.

NHS chiefs ‘care more about costs than lives’ – Health News, Health & Families – The Independent

Health service chief executives care more about managing their budgets than saving the lives of their patients, the head of the country’s medicines watchdog said yesterday.

Professor Sir Michael Rawlins, chairman of the National Institute of Clinical Excellence (Nice), said NHS managers would prefer that some new drugs were not invented at all so they wouldn’t have to pay for them.

He was backed by Sir John Bell, President of the Academy of Medical Sciences, who described the NHS as a “repulsive force to innovation”.

Speaking in his capacity as head of the Academy’s working party on health research, Sir Michael said: “The traditional attitude of an NHS chief executive when he hears there is a new drug [which] may save lives but is going to cost him money is: ‘Oh my God another new drug, another hit on my budget and I really wish that the company who manufactured it had never done so.'”

Lansley guarantees cancer networks (From Your Local Guardian)

Health Secretary Andrew Lansley has guaranteed the future of key teams of cancer experts after heavy criticism that his NHS reforms would put them at risk.

In a U-turn arising from the Government’s “pause” on the widely criticised Health and Social Care Bill, he announced England’s 28 NHS cancer networks would be funded beyond 2012.

Previously he has refused to guarantee their future, despite criticism from cancer campaigners and doctors, saying it would be up to the proposed new GP consortia to decide whether to commission the networks’ expertise.

The networks, consisting of up to 15 cancer specialists, provide GPs and hospitals with targeted advice and support on improving care.

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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NHS news is dominated by a speech given by David Cameron yesteday. He claims that the NHS must change but that does not justify the privatisation and withdrawal of services that he proposes.

He mentions a crisis of funding. 38 Degrees and UK Uncut are clearly showing how to resolve that issue – by combating tax avoidance by rich tax avoiding Capitalists.

17.05.11: Steve Bell on David Cameron's NHS reforms speech
17.05.11: Steve Bell on David Cameron's NHS reforms speech

He engages in “It’s because I love the NHS so much that I want to change it.” emotionality which attracts many comments. I wonder if Craig Oliver was drunk when he came up with that one.

Cameron repeatedly claims that the NHS is safe in his hands BUT the Health and Social Care Bill does away with the government providing a comprehensive health service

and

it has received near total opposition from healthcare professionals. Cameron claims to be willing to listen to doctors and nurses BUT they are calling for the bill to be abandoned.

Many groups and individuals respond to Cameron’s speech.

Conservative election poster 2010

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

My love for the NHS is why I want change… » Hospital Dr

(Text of Cameron’s speech)

PM has still not made case for NHS reforms | News

David Cameron’s speech today on NHS reform has one familiar element: the extent of his personal attachment to the health service.

“It is because I love the NHS so much that I want to change it,” he says. That is an argument familiar from the election campaign, when Mr Cameron emphasised that the NHS was safe in his hands precisely because he had personal experience of its excellence during the tragic illness of his late son, Ivan. Indeed, it underlay the Tories’ commitment not only to exempt health from spending cuts, but to increase its funding.

Few doubt the NHS needs reform and that spending at present levels is unsustainable given the demands of an ageing population and the expansion in expensive new treatments. But accepting the need for reform is not the same thing as welcoming the Government’s health bill. This is a complicated set of proposals in one piece of legislation, which gives GPs more control over spending and commissioning services and at the same time seeks to take out layers of bureaucracy and increase competition. Many people, including health professionals, who would happily give GPs a greater say in the service, baulk at the extension of commercial competition. And Mr Cameron’s decision to “pause” the reforms – but not, as he says today, to stop them – is a measure of the public disquiet about the Bill and its implications.

UNISON Press | Press Releases Front Page

Commenting on David Cameron’s speech on the Health and Social Care Bill, at Ealing Hospital, in London, today (16 May), Christina McAnea, Head of Health at UNISON, which represents more than 450,000 health workers, said:

“David Cameron is taking the ‘national’ out of the health service and turning it into a fragmented, money-spinning operation.

“The Prime Minister is using extreme examples to paint an untrue picture. He admits the NHS is providing the best service it has ever done, with reports saying it is the most efficient and equitable health system.

“Cameron’s call to crack down on waste in the NHS is a smokescreen for a move to a wholesale market, which opens the NHS up to privatisation. The real waste is the time spent on the fatally flawed reforms, which will force NHS patients to the back of a very long queue.

“He talks about having more choice and protecting budgets, but health workers are seeing their jobs axed and wards, services and even entire hospitals lost without any arrangements to protect continuity of patient care.

Unite questions how Cameron’s ‘substantive’ changes to NHS bill are going to happen

David Cameron’s pledge to ensure ‘substantive’ changes to the NHS ‘reform’ bill should be probed to discover what he actually means, Unite, the largest union in the country, said today (Monday 16 May).

Unite said that the deeply flawed Health and Social Care bill should be scrapped and a rtoyal commission set-up to investigate the future of the NHS.

Unite pointed out the discrepancy between the prime minister’s ‘vision’ and the fact that tens of thousands of NHS jobs had been or were going to be lost in the near future. Wards are already closing, waiting lists growing and services being axed or reduced.

Unite national officer for health, Rachael Maskell, said: ”David Cameron in his speech today was long on rhetoric, but short of specifics. This was a PR exercise in verbal gymnastics due to the political pressures he is under, especially from his Liberal Democrat allies.

”David Cameron wants it both ways with the Health and Social Care bill. He said today there will be no privatisation, no ‘cherry picking’ of services by private companies and no up-front costs for care, but we question how the prime minister’s ‘substantive’ changes are going to be incorporated into the legislation.

”The bill is so flawed that it should be scrapped. The whole bill is designed on the premise of Monitor’s role as an economic regulator and the concept of ‘any willing provider’ i.e. private companies. If the prime minister is serious about these changes, it will mean a new bill.

Macmillan Responds To The Prime Minister’s Speech On NHS Reform, UK

Responding to David Cameron’s speech on NHS reform today, Mike Hobday, Head of Policy of Macmillan Cancer Support, said:

“We welcome the Prime Minister’s reassurance that the relevant healthcare professionals will be involved in key decision-making about the commissioning of NHS care and the commitment that patients will receive high-quality and coordinated care, rather than the NHS being subject to an unbridled free market. This is a key safeguard to ensure that care for cancer patients does not suffer under the proposed NHS reforms.

“Cancer is a set of highly complex diseases and GPs tell us that they will need specialist help to commission cancer services. This is why it is vital that cancer networks should continue to be used to inform decision making about the commissioning of cancer services, and why the Government must commit to fund them at least until GP consortia are up and running in 2014.

“We hope the ‘listening exercise’ results in a long-term commitment to clinical networks, and are encouraged by the David Cameron’s comments today that this will be the case.”

BMA Comment On Prime Minister’s Speech On NHS, UK

Commenting on the Prime Minister’s speech on NHS reform in England today (Monday 16 May, 2011), Dr Hamish Meldrum, Chairman of Council at the BMA, said:

“We agree with the Prime Minister that the NHS needs to change. There needs to be greater integration, greater efficiency, and more emphasis on prevention. However, the Health Bill as it is currently written would make these improvements far harder to achieve, leading to a more fragmented health service, with many hospitals at risk of closure. Whilst we welcome his commitment to listening to staff and to taking them with him, most doctors will not feel able to support this Bill unless it is radically amended.”

The Prime Minister also highlighted the fact that alcohol misuse and obesity place significant burdens on the NHS. Dr Meldrum added:

“Unfortunately the government has often ignored the advice of health organisations on how to tackle alcohol misuse and obesity, preferring to listen to and rely on the views of industries which have a vested interest in selling unhealthy products“.

Labour – Cameron’s Reforms Will Leave NHS Fragmented, Taking it Backwards – UK Politics – News on News

John Healey MP, Labour’s Shadow Health Secretary, has hit out at David Cameron’s plans for NHS reform, saying they will leave the service fragmented and take it backwards.

Labour has also released a document on the lack of coherence in the Tory-led Government’s plans and showing the level of concern and opposition to them throughout the NHS.

John Healey said:

“This is the Prime Minister’s third launch of his NHS plans. He’s made his ‘I love the NHS’ speech before but today he said nothing to clear up the confusion and chaos around his ideological, top-down reorganisation. He made the case for change in the NHS, but not for his change.

“David Cameron’s plans will fragment the NHS, with a free market free for all undermining the quality, integration and public accountability of NHS services. As even the Tory-led Health Select Committee has said, the legislation as it stands will make better services and better value for money harder not easier to achieve. It will take the NHS backwards.

“David Cameron talks of his love for the NHS, but he has broken his promise to protect the NHS. If he really wants an NHS with no privatisation, no new charges for patient services and no competition for its own sake, he must make fundamental changes to his NHS plans because his Health Bill allows exactly this.”

Ignore his denials: Cameron, like Blair, wants to turn ‘NHS’ into a kitemark | George Monbiot | Comment is free | The Guardian

The difference between David Cameron and Tony Blair is that Blair was better at disguising his intentions. He would never have announced, for example, the sale of public forests. Instead he might have promised “a world-class forest estate” in which “walker-led beacon-foundation woodlands” would be managed through “partnerships with a plurality of recreational providers”. Ten years later we would discover that our forests had mysteriously fallen into the hands of timber companies, and were being felled in the name of customer choice.

Nor would he have done anything as stupid as this government’s attempt to transform the NHS in one bill. Cameron sought to dig himself out of his hole on Monday, but too late. His claim that “there will be no privatisation … no cherry-picking from private providers” reminds us that privatisation and cherry-picking are the likely outcomes of his bill. Blair would have allowed private interests to keep spreading through the health service as slowly and quietly as dry rot. In their book The Plot Against the NHS, Colin Leys and Stewart Player show that Cameron’s health and social care bill consolidates a plan that has been fermenting for many years.

The Plot Against the NHS #1

The Plot Against the NHS #2

 

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The Plot Against the NHS #2

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The plot against the NHS
The plot against the NHS

Selected excerpts from ‘The Plot Against the NHS’ by Colin Leys and Stewart Player. Chapter One is available here. I highly recommend this book available from Merlin Press for £10.

p.148~154 References in the original.

Within the BMA a strong challenge emerged to the leadership’s position of ‘critical engagement’ with the government’s plans, and a demand for outright opposition. The development of serious opposition from a large part of the medical profession, and especially from GPs , was significant, because Lansley constantly claimed to have their support.

The false case for the Health and Social Care Bill

The government’s claim that the NHS was in urgent need of further fundamental reform was also becoming more and more obviously false. During the previous ten years, while the NHS was being covertly marketized, the Labour government had raised NHS funding rapidly towards the average level of spending of the other major countries of Western Europe. Spending on the NHS still remained significantly below that of the richer EU nations, and a significant portion of the new funding was absorbed by the cost of market creation. But the extra cash also produced some important improvements. Staff levels were improved, waiting times for elective care were sharply reduced, facilities were renovated or replaced.

This was reflected in the high marks given to the NHS in the Commonwealth Fund report cited in chapter 1. And by 2010 the particular charge constantly made by the marketizers, that England lagged behing European countries in the survival rates for major killer illnesses, was ceasing to be true. Lansley repeatedly declared that a wholesale restructuring of the NHS was ‘a necessity, not an option’, and David Cameron asserted that ‘pretending that there is some “easy option” of sticking with the status quo… is a complete fiction’. But in January 2011, coinciding with the publication of the Health and Social Care Bill, a paper by the King’s Fund economist John Appleby, published in the BMJ, showed tha t the marketizers’ charge was unfounded. It turned out to rest partly on the use of European data that were not comparable with the English data (and in some cases highly unreliable), and partly on selecting static data instead of trends over time. For several of the conditions usually cited English survival rates have in fact been improving so fast over the last 30 years that if the trends continue they will overtake
European rates by 2012.

The real choice

The choice is not between change and no change. It is between handing over a public service to be developed by private enterprise in the interests of shareholders, and ensuring that it develops in the interests of the public – and as the public sees those interests, not as politicians declare them to be. To maintain that there is no capacity for improvement within public provision is empty rhetoric. What evidence is there that public servcies are incapable of change and improvement (provided they are not undermined by financial starvation or market-driven disorganization)?

Around the world there are various examples of excellent public and publicly-provided health services, and all of them need to be studied for ways to improve the NHS in England – and beginning with an examination of those that are developing within the UK itself. The national media largely ignore what occurs across our nearest borders, but what is happening there, and especially in Scotland and Wales, raise crucially important questions about the future now being charted for the NHS in England.

Looking at Scotland

Even before devolution health ministers in Westminster had been too aware of Scottish sentiment to risk pushing the internal market very far there, and the Labour-Liberal Democrat coalition governments that held office in Scotland after devolution, from 1999 to 2007, recognised that voters would not support them if they followed England’s path to a healthcare market. Scotland’s Area Health Boards remained in place, foundation trust status was not introduced, nor was payment by results. The PFI was used for three Scottish hospital-building schemes, and one Independent Sector Treatment Centre was opened at Strathco in Angus. But these measures provoked intense controversy and in 2003, responding to pressure from both doctors and the public, the coalition government ended the purchaser-provider split, restoring direct administration to the NHS in Scotland and decisively closing off the market option. Also in response to public opinion, in 2002 the Scottish Labour-Lib Dem coalition made personal care for the elderly free, instead of means-tested as in England.

The 2007 elections, however, led to the formation of a minority SNP government, and yet further departures from the market-driven policy that was being pursued in England. In 2008 hospital car parking charges – a significant deterrant for families – were abolished, except at PFI hospitals, where legal reasons prevented it; and in 2010 plans were announced to abolish prescription charges from 2011. No further PFI schemes have been undertaken. Glasgow’s biggest acute hospital is being built with public funds, the ISTC at Stracathro was taken into public ownership, and plans to outsource the management of a health centre in Lanarkshire to a private company were dropped. Out-of-hours care is publicly provided.

Perhaps most significant of all for the future, in 2009 elections were introduced for the majority of the members of Scotland’s Health Boards, beginning with two pilot schemes to be evaluated after four years. This means that in addition to professional medical judgement democratic representation, rather than individual ‘patient choice’, could become a significant element in determining the direction of future change.

In face of all this the marketizers inevitably portrey Scotland’s NHS as a failure, with the usual misuse of statistics to support their claim. For example they routinely state that Scotland’s waiting times are worse than England’s, because no element of competition has been introduced into Scotland’s. In fact an analysis of newly-consolidated data concludes that since 2005 waiting times have fallen faster in Scotland than in England. In each year since then Scotland has actually had either the second shortest or (more often) the shortest waiting times of the four nations in the UK. And over the ten years from 1999 to 2008 Scotland’s mortality rates for all causes of death declined almost exactly as fast as England’s. As Dr Matthew Dunnigan, the author of the waiting times analysis, says, the objective comparison of English health statistics with those for the three devolved nations is now a very important task.

Looking at Wales

The story in Wales has many similarities to Scotland’s. For the first eight years following devolution a Labour minority government was in office, only giving way to a Labour-Plaid Cymru coalition in 2007. But as in Scotland, even the initial Labour-led Welsh Assembly Government did not dare follow the English path. The purchaser-provider split remained, but Wales did not adopt foundation trusts or payment by results. Development remained based on collaboration and planning, rather than on a market system with legally enforcable contracts and all the tensions and extra administrative costs involved.

And after 2007, under the Labour-Plaid coalition, the purchaser-provider split was dropped. In 2009 a major reform resulted in the formation of just seven integrated Local Health Boards to plan and operate the NHS in Wales. These are very like the Area Health Boards in Scotland, but also have overall responsibility for all aspects of health, including public health, with a strong emphasis on linking health and social care.

The Local Health Boards in Wales are not elected but they must have members representing local primary care, community care, public health, local government and voluntary organizations, as well as lay members. In one Local Health Board (Powys) the purchaser-provider split was abolished earlier and the Board was integrated with primary care and community health service providers. Other Boards are set to follow suit – exactly the opposite direction of change from that taken in England, where even community health services have been forced into the marketplace.

Wales also declined to use the PFI for hospital-building, led the way (in 2007) in abolishing prescription charges, abolished hospital parking charges, and dealt with the vexed issue of means-tested personal care for the elderly by widening the definition of what is considered nursing care (and therefore free), and by setting a flat-rate contribution to the cost of personal care throughout the whole country.

Considerations for England

We need to ask ourselves why Scotland and Wales opted to keep the NHS as a public service, and even extend the principle of free acess. Longstanding Scottish and Welsh cultural traditions are certainly important, especially a deeply-embedded commitment to social democracy in public life, and in the medical profession, which politicians of all parties have to respect. But another key reason is cost. Next to education health is by far the most important and expensive devolved publis service. Even before the financial crisis politicians of all parties in Scotland and Wales realised that if they followed the English route, and allowed the costs of operating a market to start soaking up ten per cent or more of the health budget, health services would be liable to deteriorate, with dire political consequences for themselves.

They know that the public spending cuts imposed by the government in Westminster will hit Scottish and Welsh health services. But they also know that the effects will be smaller that they would have been had they opted for a market, and that whatever they have to do will have a legitimate foundation in public opinion, which remains at the base of decison-making about the NHS in both countries. And when the crisis has passed they will still have a public health service, not a three-tiered healthcare market and a low-risk playground for healthcare corporations and ‘doctorpreneurs’.

Scotland and Wales don’t exhaust the alternatives for the future in England. Other good models of publically-provided health services exist and deserve study. But the successful evolution of the NHS in the rest of the UK shows that Cameron’s assertion that ‘we can’t afford not to modernise’ – meaning that we have no alternative but to accept the abolition of the NHS as a public service – is pure bluster. It has no foundation in evidence and serves no interest except that of the private health industry. In the parts of the UK that the plot against the NHS couldn’t reach, people see through it. They know that good health care for all means excluding profit-making, and have shown that with sufficient public backing that principle can prevail. We need to insist that in England too the NHS is not for selling.

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Andrew Lansley’s NHS reforms are unworkable, says review chief | Society | The Guardian

Prof Steve Field, chairman of the NHS Future Forum – set up last month to undertake the coalition’s “listening exercise” – flatly rejects the health secretary’s plan to compel hospitals to compete for patients and income, which he says could “destroy key services”. The proposal, contained in Andrew Lansley’s health and social care bill, has led key medical organisations to warn that it will lead to the breakup of the NHS and betray the service’s founding principles.

It was ‘Nurse’s Day’ on Friday.

A report from the Torygraph Junk food Britain costs the NHS more than cigarettes and alcohol – Telegraph says that obesity is a huge problem to public health. Lansley consults junk-food companies on NHS policy: McDonald’s and PepsiCo to help write UK health policy | Politics | The Guardian.

There is confirmation by Mark Britnell, an advisor to Cameron that the intention of the Con-Dems’ abolition of the NHS bill is to abolish the NHS and create a health care system based on the US insurance model. He said that the NHS “will be shown no mercy” by the Coalition.

Shameless liar Nick Clegg lies shamelessly by stating that there will be no “privatisation by the back door”. The theme is picked up by the Morning Star.

Shameless liar David Cameron lies shamelessly by claiming “… it’s because I love the NHS so much that I want to change it.”

These shameless liars raise an issue of democracy. Shameless liars deliberately decieving the electorate should be held accountable for their actions. There have been similar recent incidents in UK political history with Blair, Campbell & Co and it appears that Cameron and Clegg are following that example e.g. Clegg’s “I believe” formulation.

Cameron is expected to make a speech full of shameless lies today e.g. “this Government will never, ever take risks with the NHS”.

The BMA warns on training.

Conservative election poster 2010

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

Andrew Lansley’s NHS reforms are unworkable, says review chief | Society | The Guardian

The senior doctor called in by David Cameron to review the government’s health reforms has dismissed them as unworkable and “destabilising” in provisional conclusions that could fatally undermine the plans.

Prof Steve Field, chairman of the NHS Future Forum – set up last month to undertake the coalition’s “listening exercise” – flatly rejects the health secretary’s plan to compel hospitals to compete for patients and income, which he says could “destroy key services”. The proposal, contained in Andrew Lansley’s health and social care bill, has led key medical organisations to warn that it will lead to the breakup of the NHS and betray the service’s founding principles.

In an interview with the Guardian, Field says Lansley’s plan to make the NHS regulator Monitor’s primary duty to enforce competition between healthcare providers should be scrapped. Instead it should be obliged to do the opposite, by promoting co-operation and collaboration and the integration of health services.

“If you had a free market, that would destroy essential services in very big hospitals but also might destroy the services that need to be provided in small hospitals,” says Field.

“The risk in going forward [with the bill] as it is, is [of] destabilising the NHS at a local level. It would lead to some hospitals not being able to continue as they are. If you were to say ‘we’re going to go out to competition for vascular surgery services’, University Hospital Birmingham wouldn’t be able to run their own trauma centre, for example, because you wouldn’t have the staff and the skills on site to do things and the volume of procedures needed to ensure clinical standards remain high.”

Nurses “Holding The NHS Together” – Carter, UK

The Royal College of Nursing (RCN) today praised the vital work of nurses as they marked International Nurses’ Day. Dr Peter Carter, RCN Chief Executive & General Secretary, spoke out to highlight the work nurses carry out above and beyond the call of duty, and called for their achievements to be recognised.

Nurses’ Day was also marked by The Prime Minister, David Cameron, and key figures from across the political spectrum, including Deputy Prime Minister Nick Clegg and Leader of the opposition Ed Miliband, as well as Health Secretary Andrew Lansley. The political leaders all recorded video messages pledging their support for nursing and thanking nurses for their work. Many thousands of people have also signed a pledge in support of nurses on the RCN Nurses’ Day website.

Dr Peter Carter, RCN Chief Executive & General Secretary said: “Nurses’ Day is an opportunity for all of us, whether we are patients, nurses or politicians, to reflect on the value of a profession whose worth is clearer than ever as we deal with an aging population who increasingly need care. Medical advances are helping people to live longer, but it is nursing which can help them to live well and make those extra years worth having. I am very pleased that in spite of all that is going on in the NHS at the moment, political leaders and MPs of all persuasions have made time to recognise the value of nursing.”

Junk food Britain costs the NHS more than cigarettes and alcohol – Telegraph

A rising tide of diseases caused by poor diet and couch potato lifestyles are costing the health service around £12bn a year – almost twice the £6.6bn spent on ill health linked to smoking and alcohol, according to research by experts from Oxford University and the World Health Organisation.

The paper, published in the Journal of Public Health, says obesity and poor diet now place “the largest economic burden” on the NHS of all lifestyle choices.

Experts said that while the individual health risks of smoking and excess drinking are high, resulting in billions spent treating liver disease and lung cancer, the far higher numbers of people eating a poor diet had a bigger overall impact on NHS costs.

David Cameorn’s health adviser says the NHS will be ‘shown no mercy’ by the Government – mirror.co.uk

David Cameron’s health adviser has warned the NHS “will be shown no mercy” by the Coalition.

Mark Britnell, who has been advising the PM on reforms, revealed that the NHS could turn into a US-style insurance system.

The former Department of Health bureaucrat said he believed the NHS would leave operations and other procedures to the private sector, with the taxpayer picking up the bill. Unions were outraged at the remarks and they will also anger Lib Dems who have demanded big changes to Health Secretary Andrew Lansley’s reforms.

Last month, the PM ordered a pause in the plans after Lib Dem activists voted against them at their party’s conference. Mr Britnell, head of health at accountants KPMG, visited Downing Street last week to advise on NHS policy. Speaking to bosses of private health firms, Mr Britnell said: “In future, the NHS will be a state insurance provider, not a deliverer.”

NHS reforms will allow private sector to make big profits, says David Cameron’s adviser | Mail Online

NHS reforms will provide private firms the opportunity to make big profits, one of David Cameron’s advisers has said.

Mark Britnell said the healthcare system will be transformed by the Government’s controversial reforms to become a ‘state insurance provider, not a state deliverer’ of care.

His unguarded comments to a conference of executives came as there were calls for Health Minister Andrew Lansley to water down reforms which will give the private sector a far greater role in patient care.

Clegg in vow to listen to medics – Health – The Star

DEPUTY PM Nick Clegg told doctors and nurses in Sheffield unpopular plans to reform the NHS would be “significantly and substantially” altered after a public backlash, writes Ben Spencer.

The Hallam MP, quizzed by staff at Sheffield Children’s Hospital, pledged there would be no “privatisation by the back door”.

The Lib Dem leader hopes to reassert his party’s independence within the Coalition Government after their disastrous performance at last week’s council elections.

He told staff: “No Government has the right to change the NHS without greater consent from people within the NHS.

A chance to move ahead / Comment / Home – Morning Star

Health professionals and patients fear NHS reforms will “destroy essential services,” senior doctor Professor Steve Field warned at the weekend.

Deputy Prime Minister Nick Clegg has vowed to veto the legislation but that’s merely as part of efforts to demonstrate a greater influence by his party following disastrous results at the ballot box last week.

It gives some perspective on his lack of understanding when he commented on a Bill that is designed to allow the backdoor privatisation of the NHS that there would be no “backdoor privatisation” of the NHS.

Health Secretary Andrew Lansley’s plans would scrap primary care trusts and strategic health authorities and give GPs control of £80 billion of NHS spending, with a remit to commission treatment and services from “any willing provider” – including private companies.

It also places a duty on watchdog Monitor to promote competition in the provision of health services and, ostensibly incidentally, removes the duty to provide a free health service from the Health Secretary’s mandate.

The clear impression is that the government is seeking to privatise the NHS. Of that there is no doubt and Prof Field made it quite clear in his comments.

“If you had a free market, that would destroy essential services in very big hospitals and also the services in small hospitals,” he said unequivocally.

David Cameron: ‘It’s because I love the NHS so much that I want to change it’ | News

David Cameron will signal his determination to press ahead with “deep change” in the NHS, warning it faces a fundamental crisis in the future if reforms are blocked.

The Prime Minister will use a keynote speech to detail some of the reworking being done of the Government’s health service shake-up to meet widespread political and professional hostility.

But he will make clear that the controversial package drawn up by Health Secretary Andrew Lansley will not be abandoned as Labour seeks to exploit tensions within the Tory-Lib Dem coalition over the plans.

Speaking at a London hospital today, the premier is expected to say: “We save the NHS by changing it. We risk its long-term future by resisting change now.

“I know that some people still have concerns. They might be listening to this and thinking: ‘OK, but if you love the NHS so much, if you don’t want to take any risks with it, why do you want to change it?

“But this is the point: it’s because I love the NHS so much that I want to change it. It needs to change to make it work better today and it needs to change to avoid a crisis tomorrow.”

Cameron to promise ‘no risks’ in NHS reform – UK Politics, UK – The Independent

David Cameron will today attempt to breathe life back into the Coalition’s faltering plans for the NHS.

In his first major speech on health since the controversial plans were put on hold, he will set out the case for radical reform while insisting that “this Government will never, ever take risks with the NHS”.

BBC News – Cameron set to stand firm on need for NHS changes

David Cameron will try to rally support for planned changes to the NHS in England, in a speech to health staff.

The prime minister is expected to focus on a need for “deep change”, warning of a “crisis” if proposals are blocked.

Medical training reforms threaten patient care | GP online

In a speech to the BMA’s Annual Conference of Junior Doctors, Dr Shree Datta, who co-chairs the BMA’s Junior Doctors Committee, said proposals laid out in Liberating the NHS: developing the healthcare workforce ‘threaten the future provision of high quality patient care as anything in the Health Bill itself’.

‘They propose to invent a new system to commission, deliver, and quality-manage training through large-scale, untested, changes to the current system,’ she said.

Dr Datta expressed concerns over the pace in which medical training reforms would be implemented. ‘I am sure many of you remember MTAS,’ she said. ‘Are we really expected to believe that, with an entirely new structure in place, the recruitment process will run smoothly in a year’s time?’

Reforms could spell the end of deaneries, leaving Health Education England in charge of training funds, Dr Datta warned. Employer-led ‘skills networks’ are beginning to appear but ‘no one knows what they are going to do,’ Dr Datta said.

‘Are employers really going to focus on investing in the long term training of doctors when they are being asked to deliver £20bn in efficiency savings?,’ she added

 

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