NHS news review

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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.

I’ll do a proper NHS news review later – I have to go out and do some nonsense. Just one article featured for now.

 We have two weeks to save the NHS, say leading academics

Literary festival hears rallying cry against ‘Bill that will kill the health service’

 Leading health academics Colin Leys and Allyson Pollock yesterday issued a rallying call to everyone who wants to save the NHS. This is, they both said, a crucial fortnight. With the Liberal Democrat conference looming, which they both saw as a last-chance opportunity to stop the Lansley reforms, they largely ignored their brief from the Bath Festival of Literature – to talk about the long-term future of the service at an Independent Voices debate entitled “Is the NHS sacred?” 

“This Bill will destroy the NHS,” said Ms Pollock, London University professor of Health Policy and Health Services Research. “If you care for the future, you need to focus now on stopping the Bill. This is a terrifying, Big-Bang moment, because Lansley and his team are moving us to a mixed-financing system similar to that in the US.”

“It will be the end of free care for all,” said Mr Leys, emeritus professor of political science at Goldsmiths’ College. The future he foresaw would be one in which “community care will contract and decline, everyone who can afford to will go private and all we’ll be left with is a much-reduced service for the poor”.

<original posting snipped >

 

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.

dizzy

Continue ReadingNHS news review

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.

 

David Cameron talked nonsense to Tory party loyalists about destroying the NHS. I don’t think that they anticipated the overwhelming and almost universal opposition to their plans.

David Cameron has said he does not care about “taking a hit” on the government’s radical shake-up of the NHS in England, vowing there was no going back on the reforms.

I expect that the Conservatives and the ‘Liberal-Democrat’ Conservatives will take a hit over their destruction of the NHS. The public will side with health workers almost universally opposed to their viscious attack against lying politician scum with hidden vested interests.

NHS fairness tsar urged to quit by doctors over ‘conflict of interest’ following £799,000 payment for U.S. private health giant

The head of the NHS regulator that is meant to ensure fairness when private-sector firms bid for public contracts is also the chairman of a huge company whose Health Service business is worth £80 million a year – and set to increase massively.

As the chairman of the NHS Co-operation and Competition Panel (CCP), Lord Carter of Coles is paid £57,000 for two days’ work each week. But his other role, as chairman of the UK branch of the American healthcare firm McKesson, is more generously rewarded. Last year it paid him £799,000.

Even this is not the end of Lord Carter’s private healthcare interests. He is chairman of the Bermuda-registered Primary Group Ltd, a private-equity investment company that owns big slices of other healthcare firms.

And he is an adviser to Warburg Pincus International Ltd, another investment fund with large health interests. His income from these sources is not publicly disclosed.

Radiologists join call for NHS reforms to be axed

 

The chorus of opposition to the coalition’s NHS reforms has got louder, with the Royal College of Radiologists joining a growing list of medical bodies denouncing the health and social care bill.

The professional body for experts in diagnostic imaging of disease and injury, which includes cancer specialists, called on ministers to withdraw their plans for a radical shake-up of the NHS in England following a survey of its 8,800 membership.

The college said on Friday that a substantial majority – 76% of the 37% who voted – called for the bill to be abandoned rather than continue to press for amendments. Its announcement came a day after the British Medical Association warned that the government’s reform programme would cause irreparable damage to the relationships between doctors and patients and would irreversibly harm the NHS.

Jane Barrett, president of the Royal College of Radiologists, said: “The RCR has always had grave concerns about many aspects of the bill. We have sought, and, with others, attained many changes to the draft legislation. Despite those amendments, our concerns remain and we feel this move of position is necessary.”

NHS Risk Register Probe By Information Commissioner To Begin

 

A Government appeal will be heard on Monday against a ruling which says it must publish a risk assessment of its controversial NHS reforms.

In November, the Information Commissioner concluded there was a “very strong public interest” in disclosing the risk register, which details the potential impact of the Health and Social Care Bill.

The Department of Health had earlier refused a freedom of information request to publish the register, saying there is a stronger public interest in withholding the register from public scrutiny than in publishing it.

The department told the commissioner it must be able to use the register without fear the information will be put in the public domain “in an unmanaged way” while its policy continues to be developed.

The commissioner rejected those arguments and ordered the register be published.

On Monday, the Information Rights Tribunal will hear the Government’s appeal against the commissioner’s decision.

Health Secretary Andrew Lansley has said it would be “completely misleading” to publish the register, which was put together before changes were made to the Bill and had been intended as an “internal mechanism”.

He said that, to be effective, a risk register requires all those involved to be frank and open about potential risk.

Labour argues that full disclosure is needed and local risk registers already show the scale of damage that could be done to the NHS by the Bill.

The NHS Support Federation on the risk register

 

Damaging assessment

There are some possible indications for why Mr Lansley is so reluctant to publish the reports, as some leaked elements of the risk register are said to paint a damning picture of the affect his reforms will have on the health service. The Green Benches blog by Dr Eoin Clarke carries segments which are said to have come from the risk register, and his assessment is

‘The chief warning in the report is that Lansley’s reforms will spark a surge in health care costs and that the NHS will become unaffordable as private profiteers siphon off money for their own benefit. The report specifically warns that GPs have no experience or skills to manage costs effectively.’

The issue of costs is also raised in the NHS London’s Risk Assessment, which was published on its website, and warned that the reforms could lead to the financial ‘failure’ of some NHS organisations, worse care for patients, and threats to maternity services, children’s safety and public health.

Interestingly, these are the kinds of regional assessments which were sent to the Department of Health to make up Strategic Risk Register, which the department is unwilling to publish. Certainly, if that report came to similar conclusions, Andrew Lansley’s reluctance would be understandable.

NHS reforms live blog – Monday 5 March

Live coverage as the Department of Health appeals against a ruling by the information commissioner that it must publish the risk register for the controversial health and social care bill

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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.

Hackney CCG has followed Tower Hamlets CCG in opposing the Health and Social Care / Destroy the NHS Bill.

City and Hackney’s CCG announcement comes just days after the shock move by Tower Hamlets CCG, which is led by GP Dr Sam Everington – who was once a vocal supporter of the government’s plans – to call for the bill’s withdrawal.

… In a letter written by the City and Hackney CCG today (Thursday), the group’s chairwoman Dr Clare Highton and chairman Dr Haren Patel, told David Cameron: “Like most NHS staff, we are afraid the NHS will be damaged beyond recognition in a few years if the Bill is passed.”

The letter asks Mr Cameron to “withdraw” the bill, because the CCG is already undergoing “huge disruption and a very bureaucratic process” as a result.

Liberal-Democrat activists are continuing in their efforts to have an emergency motion calling for the NHS bill to be “withdrawn or defeated”.

http://www.bbc.co.uk/news/uk-politics-17218403

Lib Dem activists will press for a vote on axing the NHS bill at next week’s spring conference – despite Nick Clegg’s efforts to reassure his party.

The deputy PM put forward changes on Tuesday which he said should allow the bill to proceed and reassure Lib Dems.

But activists will press for a motion urging the “deeply flawed” bill to be “withdrawn or defeated”.

Labour’s Andy Burnham said Lib Dems were “right to challenge the leadership of their party” on the issue.

But sources close to Mr Clegg told the BBC they believed the motion would be defeated, if selected for debate, once activists see the level of support for the amended bill among Lib Dem MPs and peers.

The motion says the Health and Social Care Bill for England, cannot be made “fit for purpose” by further amendments.

 

Yesterday’s statement by the BMA’s GPs committee.
NHS reform bill ‘complex, incoherent and not fit for purpose’, say doctors

BMA letter opposing NHS reforms

Continue ReadingNHS news review

NHS news review: Letter from BMA’s GPs committee to all English GPs

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.

 

The British Medical Association’s general practitioners committee has agreed a motion opposing the ConDem government’s Health and Social Care / Destroy the NHS Bill. The resolution represents a hardening of the BMA’s opposition to the bill. The letter can be read here. Here is the resolution that was passed.

“That the BMA’s general practitioners committee, which represents all GPs in the UK:

• Formally reaffirms its opposition to the NHS health and social care bill

• Believes that if passed the bill will be irreversibly damaging to the NHS as a public service, converting it into a competitive marketplace that will widen health inequalities and be detrimental to patient care

• Believes the bill will compromise the role of GPs, and could cause irreparable damage to the relationship between GPs and their patients.

• Believes the bill to be complex, incoherent and not fit for purpose, and almost impossible to implement successfully, given widespread opposition across the NHS workforce.

• Believes that passing the bill will be an irresponsible waste of taxpayers’ money, which will be spent on unnecessary reorganisation rather than on patient care, as well as increasing the running costs of the NHS from the processes of competition, and transaction costs

• Believes that GPs’ participation in CCGs does not equate to support for the bill, but that GPs are there to defend their patients’ interests and mitigate the adverse impact of the bill

• Supports clinically led commissioning believing this will lead to improvements in patient care in the NHS, and believes this can be more effectively achieved within existing legislation

• Calls upon the coalition government to withdraw the bill and instead enter into productive dialogue with the BMA to agree a way forward for clinically-led commissioning.

 

 

Continue ReadingNHS news review: Letter from BMA’s GPs committee to all English GPs

In other news: disability and workfare

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Independent living for disabled at risk from cuts, say MPs

Independent living for disabled people is being put at risk by the combined impact of cuts to social care and benefits, MPs and peers warned today.

Cuts to care and different benefits are interacting in a “particularly harmful” way for disabled people and many service users fear they will be forced into residential care as a result, Parliament’s joint committee on human rights said in a report.

It cited increases in eligibility thresholds for social care, the closure of the Independent Living Fund to new claimants, cuts to housing benefit and the replacement of disability living allowance by personal independence payment, which will see 500,000 people lose out on the benefit.

The committee called on the government to assess the cumulative impact of these cuts on disabled people and consider the introduction of a right to independent living.

Your top ten disability cuts

1) Scrapping disability living allowance and replacing it with the personal independence payment from 2013 for working-age adults. This reform, which will include a new assessment system, is designed to cut the number of claimants by 20%, meaning 360,000 people will lose out on support, saving the government £360m in 2013-14 and £1.075bn in 2014-15.

2) Scrapping the mobility component of disability living allowance – worth up to £50 a week –  for publicly-funded care home residents and children in residential special schools. This money pays for transport for residents to leisure activities or to visit friends. It will affect 80,000 people, saving the government £135m a year.

3) Cutting social care support for severely disabled people through the Independent Living Fund. The ILF is now closed permanently to new clients. This means that people who would previously have had their council social care packages topped up by the ILF will have this no longer. The ILF itself will be scrapped from 2015 onwards, raising questions about the future funding of existing claimants.

4) Social care cuts. Councils with social services responsibilities in England face average cuts in their budgets of 4.7% next year on the government’s figures. Many are increasing eligibility thresholds or means-tested charges, both of which will hit disabled people’s access to care and income levels.

5) Supporting People cuts. Councils are planning average cuts next year of 17% from their funding of supported housing schemes for groups including people with learning disabilities or mental health or substance misuse problems, a survey has found.

6) Welfare cuts for incapacity benefit claimants following reassessment. 1.5m incapacity benefit claimants will be reassessed on their fitness to work from 2011-14, using the controversial work capability assessment. The government expects 23% to be deemed fit for work, meaning they will be transferred to jobseeker’s allowance, meaning they will lose £25 a week or more.

7) Cuts for employment and support allowance (ESA) claimants. This is a big one. The government expects to save £2bn in 2014-15 by time limiting ESA (the successor benefit to incapacity benefit) for some claimants to one year. Those losing out will be those found to have some future prospect of working, with support, who claim ESA on the basis of national insurance contributions not on the basis of their low incomes. This comes in from 2012.

8) Cutting the rate at which benefits increase each year. This apparently technical change – it means the value of benefits will increase in line with the consumer price index rather than the typically higher retail index – will net the government almost £6bn a year. This will affect DLA, attendance allowance, carer’s allowance and employment and support allowance and make many disabled people and their carers poorer than they would otherwise have been.

9) Cutting mortgage interest relief. The National Housing Federation has estimated that 64,000 disabled homeowners could be at risk of losing their homes due to the government’s decision to reduce support with mortgage interest payments for them by cutting the interest rate at which support is given.

10) Housing benefit. Many disabled people will be affected by the cuts to housing benefit, and there have been warnings that many will be driven into further poverty and possible homelessness. An estimated two million disabled people live in the private rented sector and many will be affected to the cuts to the benefit, which include capping payments and cutting housing benefit levels by 10% for those who have been on jobseeker’s allowance (and many more disabled people will be on JSA due to point 6 above).

 

Youth contract ‘only helping one in ten’

Only one in ten young people will be aided by the government’s youth contract policy, the Trade Union Congress (TUC) claims in a report released today.

The report also claims the unpaid work experience scheme is not helping young people find work.

The government, it says, needs to be more ambitious if it is to reverse some of the highest rates of young unemployment in years.

Paul Bivand, who authored the report, said: “It is vitally important that actions to help young people can be shown to work. Young people themselves want to know this, so do co-workers in the workplace, and so do the employers who are placing their reputations at risk.

“We would hope that good quality work experience with training would have a small positive effect compared to Jobcentre Plus support, but the evidence needs to stand up to critique. We are not there yet.”

It recommended the introduction of a job guarantee scheme, the strengthening of regulations on apprenticeships and the establishment of a government goal that by 2020 young people in Britain should be as well qualified for jobs as those in any other developed country.

The report also claimed that 51% of young people who have been on the Work Experience program are no longer claiming benefits after 13 weeks. This figure, however, is roughly the same for all young people.

TUC general secretary Brendan Barber said that the government’s austerity policies like tuition fees and the scrapping of the EMA have made things worse for young people.

He echoed the fears that the new youth contract would not be nearly sufficient.

 

“The sanction regime remains in place”

It is reported that sanctions have been removed from the DWP’s “Work Experience” scheme, which is one of five workfare schemes which compel people to work without pay on threat of welfare sanctions. But is this another example of the DWP’s willingness to mislead the public?

There is no sign that sanctions have been lifted in the DWP’s press release which states: “The sanction regime remains in place.” Chris Grayling seems to be painting a murkier picture in TV interviews. Speaking to Sky, he first claimed “If somebody sits down with [the employer] after a couple of weeks and says ‘This really isn’t working out, I don’t want to carry on’, they wouldn’t be sanctioned. I was happy to agree to that.” But by the end of the interview, he offers an example which suggests that it will be in exceptional cases only that sanctions won’t be applied.

 

With workfare, the devil is in the detail, and until the DWP publishes some we’re inclined not to trust a department which this week has edited official documents to remove references to workfare being mandatory. If DWP Work Experience were no longer compulsory on threat of benefit sanction, then this would be a big step in the right direction, and we could expect jobseekers to receive letters like this one (currently sent to 16-17 year olds who are not mandated to take part) rather than its usual letter. But it does not seem that this is the case and either way we should beware that George Osborne said of the scheme: “Young people who don’t engage with this offer will be considered for mandatory work activity”.

Thousands of people of all ages are still forced to take part in workfare schemes that compel people to work unpaid. 850,000 people are expected to be referred to the Work Programme, which can include six months of workfare, by the end of this year alone. Another 24,000 people have already been placed on Mandatory Work Activity, and the Community Action Programme criminalises the unemployed by sentencing them to six months of unpaid community service. It is not at all clear whether today’s news affects the Work Experience component of the Sector Based Work Academies, a fifth mandatory scheme.

Importantly, today DWP also reported that they would expect people on ESA – a benefit for sick and disabled people – to begin on the Work Programme within 3 months. People placed in the “Work Related Assessment Group” by ATOS can face unlimited workfare placements.

Most people have two problems with workfare: that it is forced and that it is unpaid. There is evidence that workfare replaces paid work and no evidence that workfare schemes have created a single new job. The companies who continue involvement with the government’s schemes can afford to pay the people doing the work but they choose not to.

In fact, businesses should beware that legally they may owe jobseekers working in their stores the minimum wage. Until the last week’s cover-up, the government advice for Work Programme providers stated: “Where you are providing support for JSA participants, which is work experience you must mandate participants to this activity. This is to avoid the National Minimum Wage Regulations, which will apply if JSA participants are not mandated.” (See the chapter 3, point 14 of the guidance before and after.)

The government is clearly under pressure: in the last two weeks, thousands of people have taken action to end forced unpaid work in the UK and the campaign continues to gather momentum. Workfare affects all of us: it is replacing paid work and undermining the minimum wage. That is why this issue will not go away.

Thirty actions against workfare are taking place across the UK on Saturday 3rd March. Asda, Barnardos, British Heart Foundation, Holiday Inn, Pizza Hut, Savers and Wilkinsons are using workfare through the Work Programme. There are hundreds of others. Take action with us!

 

 

 

 

Continue ReadingIn other news: disability and workfare