STP – Slash, Trash and Privatise

davies

‘Defend the NHS – Wirral’ and ‘999 Call For The NHS’ have contacted us to share their concerns about ‘Sustainability & Transformation Partnerships’ (STP). Of course we’re suspicious of anything with ‘Transformation’ in the title. And certainly anything touched by the dead hand of Wirral Council leader Cllr Phil ‘Power Boy Pip’ Davies.

Therefore we proudly present a crash course kindly provided by the above pressure groups as to why we all need to be concerned about  STPs.

The STPs are the vehicle to ‘slash, trash and privatise’. You can find all the gory details here:http://www.stopthestps.org.uk/mad-as-hell/4593267514

The story of Wirral Council’s leader and his steps from willing participant to Damascene conversion to unconversion along the road to health and well-being (taken from published minutes inter alia).

Step 1: 9th March 2016 Health & Wellbeing Board. Phil Davies in the chair.

“The Board discussion included a focus on: How the Wirral Plan and 20 Pledges related to the work of the Board; How the Plan related to the emerging NHS Sustainability and Transformation Plan; and How the Board could add value to help deliver more effective and efficient partnership working to achieve our priorities.

The Board agreed that a follow up discussion was required to understand and agree, within the Wirral Plan and emerging strategies:- Which strategies were top priorities for the Board; and Which strategies does the Board wish to; Lead; Influence; or be kept informed – included in Figure 1 of the report.

To help inform the follow up discussion, the report brought together some supporting information. This aimed to draw out the strategic linkages between the draft Health and Wellbeing Strategy and the Wirral Plan in order to help partners agree the future focus, priorities and strategic direction for the Board. 

Councillor Phil Davies cautioned against duplicating work and suggested the focus be on how, as a Board, members could add value to the whole agenda.”

Step 2: 13th July Health & Wellbeing Board. Phil Davies in the chair.

“Jon Develing, Chief Officer, Wirral CCG presented the report to brief members of the Health and Well Being Board on sustainability and transformation plans for Cheshire and Mersey and how this would be informed by a local delivery services plan for Wirral….…Members welcomed the report and agreed it would be a good framework and focus for the Health and Wellbeing Board with helpful ties to the Wirral 20:20 Plan.
Resolved – That the development of the Healthy Wirral Local Delivery System Plan and the mechanism by which this will feed into the wider development of the Cheshire and Mersey STP be noted and endorsed.”

Step 3: 16th November Health & Wellbeing Board. Phil Davies in the chair.

This is the day the STP was officially published. Board papers included the milestones and timetable for the Sustainability and Transformation Plans and associated operational plan. Apparently glitches on the CCG web site were disrupting further dissemination. Item 4 on the agenda was the sustainability and transformation plan (STP) and a verbal report from Graham Hodkinson, Director for Health & Care. Councillor Davies refused both to take the item and to allow any questions or comments from the audience. The exchange is available on video via https://www.youtube.com/watch?v=eTvIQwwwUWw  about two minutes in.

Step 4: Wirral Globe 21st November

Sit down before you read this…Leader of Wirral Council Phil Davies says: “we are extremely unhappy that elected members and officers have not been involved in the process of producing STPs and we will not sign up to any of the proposals until we have had an opportunity to discuss the contents of the STP and effective arrangements put in place to engage our residents.”  READERS FALL OVER IN AMAZEMENT…

Step 5: November: Angela Eagle, MP for Wallasey (Wirral) statement:

”Yesterday I sat down with Phil Davies, leader of Wirral Borough Council, to discuss the Tory government’s plans for a billion pound in cuts to our local NHS. These cuts threaten the future of acute care across the whole of the Wirral. It became clear very quickly that the plans are yet another top-down set of cuts and reorganisations, imposed by the arrogant Tory government, on the Wirral, and that neither Phil nor I have had any say on the plans at all. It is wrong for the Government to act in complete defiance and without any consultation with local people, workers and their representatives. Sign our petition today at www.savewirralnhs.com to register your concerns.”

Step 6: 28th November Wirral People Overview Scrutiny Committee:

Rejected the Cheshire & Merseyside STP.

The plan was also rejected by Cheshire West and Chester Health and Wellbeing Board on 16th November, by Sefton Council on 17th November, and by the Liverpool Health and Wellbeing Board on 1st December. These have all been widely reported. Knowsley Council have joined the opposition.

Step 7: December 2016 full Council meeting:

 “agrees to write to the Secretary of State for Health and call on the government to withdraw these Plans immediately with a view to holding urgent discussions with key partners, including local Councils, on how good quality health and social care services can be provided going forward [sic] based on continuing to provide a National Health Service which is properly funded and free at the point of need.”  

There is no evidence that the letter was written or a reply received.

Step 8: July 2017 Phil Davies writes:

“I don’t see any sign that STPs are going away, although they have been re-badged as Five Year Forward View Delivery Plans. Locally, we have committed to integrated commissioning, and that naturally leads to the question of how the providers are going to respond.  There have been a series of workshops, led by Price Waterhouse Cooper (PWC), to explore what our view is about accountable care on Wirral.  What has come out of that is that there are a number of options, ranging from a single ‘organisation’ through to an ‘alliance of providers’ and a couple of stops in between.  The very strong view currently expressed by the providers (and that includes the GPs) is that they do not want a single Accountable Care Organisation, so we are talking about an Accountable Care System…”

Meanwhile…

The cuts have already started – Wirral CCG ran something called a ‘consultation exercise’ late in 2016. It’s part of the STP but they don’t say that too loudly. And it asked the public for their opinions on proposals to cut a whole list of medical services. [And they’ve already been ending contracts for valuable work.]

So, rather than simple clinical decisions, the public were invited to vote in some kind of treatment beauty contest. People in other parts of the country are being asked to vote on different lists. The local NHS is becoming a postcode lottery.

Meanwhile the cuts have been happening for years because we and the NHS are being ROBBED.

Last year US drug giant Pfizer increasing the price of 100mg packs of an anti-epilepsy drug from £2.83 to £67.50.

We are being robbed by the PFI (private finance initiative) – hospitals built and then leased back to the NHS at eye-watering rates of interest, often by firms which also blacklist trade unionists.

And it’s happening close to home. Not many Wirral residents know that 20 of their local GPs are in cahoots with Richard Branson. Yes, the tax ‘avoider’ Richard Branson runs Virgin Care – and they are in a surgery near you. It’s not a huge contract BUT Branson is biding his time until the NHS collapses and he and his collaborators are asked to pick up the pieces and run a service on the cheap ‘in the community’.

We’re being robbed by accountancy firms like Price Waterhouse Cooper, brought in and paid £300,000 by the Cheshire & Merseyside STP to identify where the STP can make cuts.

Most of all we’re being robbed by the madness of running something we never used to have – an NHS market. Thousands of managers, administrators, lawyers, accountants, inspectors, regulators employed simply to oil the wheels of awarding contracts to private firms. Privatisation does NOT save money. The cost of running the NHS commissioning ‘market’ takes about 15% of the total budget.

So hospital waiting lists get longer and you can’t get an appointment with your GP despite the fantastic efforts of NHS doctors, nurses, paramedics and other staff whose wages have been frozen and whose conditions get worse. Medicines previously available on free prescription now have to be bought.

Why? Not because we need to ‘save’ money. The NHS is almost the cheapest health service in the developed world.

So why the problems?

Because there have already been billions and billions of pounds worth of cuts.

Because of the robberies listed.

Because staff aren’t been recruited and trained.

But most of all because this government WANTS to destroy the NHS and force us into some US-style insurance scheme.

That’s the emergency in brief.

 

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Told You So

Told You so

If there is one maxim that you should live by it is this : Wirral Leaks is always right.

But this is getting a bit tedious now.

With depressing predictably Wirral Council have seemingly come to the conclusion that their ‘People and Overview and Scrutiny and Overview Committee’ is not fit for purpose or rather they’ve been told by external experts :  ‘ WTAF is going on here? – AGAIN!’

We called out this particular Committee out in July 2016 (and indeed way before that) :

People Who Need People……

However a ‘Council representative’ or rather an anonymous no-mark tells us:

“The council is working towards a major programme of integration with the NHS to improve adult social care and support and a detailed improvement plan is in place to support children’s services following last year’s Ofsted inspection.This work needs extensive oversight and support and members need to have the time and capacity to provide it. This is why it is being proposed the current ‘People’ overview and scrutiny committee is expanded, allowing for the creation of a dedicated committee to scrutinise, oversee and support children’s services and a further committee to provide the same support to adult social care.”

http://www.wirralglobe.co.uk/news/15222928.Council__People_Committee__broken_up_in_bid_to_improve_Wirral_s_inadequate_child_safeguarding/

Yet more specious doublespeak from a Wirral Council ‘representative’ . There is a proposal that the ‘People Overview and Scrutiny Overview Committee’ is being  ‘expanded’ is it?. Not torn asunder as it should have been a long time ago ? Of course not ! – we’re so pleased Wirral Council’s press office is still spinning out of control as it gives us an opportunity to get our moneysworth out of our BS detector. The red light also came on at the words ‘Oversight’ and  ‘Scrutinise’? – oh come on which dictionary are they working from and are they sure it’s in English?

And Tory Councillor Paul Hayes get off the belated bandwagon .

“The need to break up the so-called ‘People Committee’ has been obvious almost from the day it was created.”

Jeezus where have ‘opposition’ councillors been since July 2013?  ‘The People Committee’ is but the bastard offspring of the Families and Wellbeing Policy and Performance Committee ( no pun intended!).

We called it out way back then that it was doomed to fail and indeed the chair of the committee was the proud recipient of a Leakys 2014 Award for that exact reason

Comeback of The Year –

After being responsible for an appalling lack of scrutiny and poor governance during her previous tenure as overseer of adult social services which resulted in eye-watering toxic debts ,financial abuse and appalling failures to safeguard vulnerable people which were identified in a series of damning reports Matron McLaughlin crawls her way back to become Chair of Families and Wellbeing Committee. And so having failed so catastrophically McLaughlin now has an even bigger and more unwieldy portfolio than before – incorporating as it does Children and Families and Public Health. What a reward for failure – way to go Wirral Council!

https://wirralleaks.wordpress.com/2015/01/02/the-leakys-2014/

Talk about set up to fail!

 

New Term at St.Frank’s Academy

DUNCE

September always has an air of ‘back to school’ about it and so it is that after the summer break the cycle of Wirral Council meetings resumed this week.

Things kicked off with a meeting of Cabinet on Monday at 10 am . All the better to ensure it gets less coverage than Tom Daley’s swimming trunks and the prying eyes of the public are kept away. Although to be honest these meetings are more stage managed than a Busby Berkeley production number. It’s usually a case of  Council leader Phil “Power Boy Pip” Davies handing over to  deputy Cllr Ann McLachlan  who recounts how everything on Planet Wirral is “going forward” despite the “Tory cuts” . Then assorted cabinet members chime in with gushing good news stories about their portfolios whilst using either the words “Wirral Plan” “20/20 Vision” or “Pledges” (they haven’t quite co-ordinated a consistent approach yet).

However we understand that an absentee from yesterday’s meeting was Cllr George Davies as it was left to Power Boy Pip to reveal Davies’ grand plan for the Lyndale School site. Yes  – what a surprise it’s going to be a property developer’s  paradise. And so it came to pass  with cruel circularity and sickening similarity to the Wirralgate story as George finishes off what Foulkesy started with the former drawing up the final plans for the disposal of Lyndale School after the latter chaired the original “consultation” meeting proposing the closure.

One councillor that did manage to turn up and nod approvingly at everything that was said was Cllr Stuart Whittingham who will be attending  an event “The impact of congestion on bus passengers” in London on 14 September 2016. Although a) you would think Cllr Whittingham, as a bus driver with Arriva, would know this already… and b) the only congestion to be experienced on Wirral is when there’s badly co-ordinated roadworks as recently experienced by the poor people of Hoylake and West Kirby.

Also worth noting at this meeting was the rubber -stamping of the Public Health ‘commissioning intentions’ which included a £7,709,379 contract with with  drug and alcohol support provider ‘Change, Grow , Live’  – no questions asked.

http://democracy.wirral.gov.uk/documents/s50036101/APPENDIX%20ONE%20-%20PUBLIC%20HEALTH%20COMMISSIONING%20INTENTIONS.pdf

A meeting to look out for later this week is the “People  Overview and Scrutiny Committee”

http://democracy.wirral.gov.uk/ieListDocuments.aspx?CId=760&MId=5758

Curiously for a committee which pays so much attention to inclusivity it is surprising to see an exempt item on the agenda. Could it be another report that the the people on the People Committee don’t want the people of Wirral to know about?……

 

 

 

People Who Need People……

Einstein -People

…….are the unluckiest people in the world.

Well judging by the fact that Wirral Council have a fancy new Scrutiny Committee called “People” anyway ( the other two Scrutiny Committees are called “Business” & ” Environment”)

Yes really.

We know the first meeting of the People Overview Scrutiny Committee was held last week and we note that some of the same people involved in the biggest safeguarding failure of vulnerable people in Wirral’s history were back at the helm as  DASS Manager Amanda Kelly made a recommendation to the chair Matron Moira McLaughlin that Wirral councillors should get involved in monitoring Wirral’s care homes – because let’s face it Mother Kelly’s team haven’t been doing a great job have they? – judging by the number of home closures and a series of damning Care Quality Commission reports (yet two more homes they announced who require improvement this week are Hilbre House and Seabank House).

Also in attendance was Dr. Sue Wells. “Who’s she?”  we hear you ask.

She’s the one who appears on the leaflet that was recently pushed through your door asking you to sign up to The Wirral Care Record – a single digital confidential care record which by spring 2017 will mean that YOUR information will be shared by Wirral Community NHS Trust , Cheshire and Wirral NHS Foundation Trust and Wirral Council.

Would you trust (no pun intended) any of these  organisations to keep your personal information confidential?.Would you trust them full stop?

We wouldn’t! – we advise our readers to visit healthywirral.org.uk and submit an “opt out” request or call 0151 541 5440 and ask to be opted out.

However we were particularly drawn to the attendance of former Crime Reduction Initiative (CRI) employee  CLLR ANGELA DAVIES  who asked some innocuous question about laptops ( because laptops are so much less problematic than vulnerable people).

Hey Councillor Davies – how about asking “People” about your former employer now known as “CHANGE, GROW, LIVE”  (CGL). No,seriously – this must the  worst rebranding since Wirral Partnership Homes became “Magenta Living”.

http://www.changegrowlive.org/

According to our sources CGL appear to be having a problem with the “LIVE” bit of their acronym  based on the following messages we’ve received :

“CRI, now CGL is an absolute shambles. Broken promises to service users and 65 service user deaths since takeover. An increase of nearly 300% compared to NHS. Commissioners have a lot to answer for…..”

” (£) 24 m contract they were given. Still haven’t opened a hub in New Ferry 18 months in. Everything done on the cheap. Volunteers/ recovery champions falling off the wagon left right and centre…..”

There are many good people that work there. I wouldn’t want to cause them any problems . There are also plenty of idiots there too. Commissioners need to be grilled…..”

We’re sure that the People Overview Scrutiny Committee will want to answer these questions next time they meet in September!. Perhaps the Committee’s “Independent Person” could do us all a favour and ask them on our behalf as Cllr Davies seems curiously reluctant to perform her public duties. Yeah just keep banking the cheque and expenses Cllr Davies – what a fine exemplar of public service you seem to be.

We can’t help feeling (and not the first time) that vulnerable people deserve so much better than the people on the “People Scrutiny Overview Committee” !………….