Good Health In Bad Hands

DONHS 2 012

Apologies for the delay in publishing this but it landed in our spam. This is feedback from the Defend Our NHS (DONHS) Wirral meeting that we previously plugged. 

In the mean time it seems that local politicians have been belatedly gegging in on the action , most particularly in relation to the now ‘temporary’ closure of Eastham NHS Walk-in centre. This week’s Adult Care Health Overview and Scrutiny Committee was a humdinger with NHS head honchoes – Simon Banks ( NHS Wirral Clinical Commissioning Group) and Karen Howell ( Wirral Community NHS Foundation Trust) getting a good mauling.

Acting chair  Cllr Moira ‘Matron’ McLaughlin took the opportunity to say that it was “important that the decision-makers are held to account.” Yes, those words actually came out of her mouth. My, how we laughed. And then we cried such bitter tears.

She also took the opportunity to plug a prospective Labour councillor who had organised (yet another) petition.  We note that campaigning for next year’s local elections has already started then !

However more concerning for us was an issue that received  zero press coverage and caused considerably less outrage among councillors and that was the closure of  Thorn Heys, an NHS respite service for people with learning disabilities and mental health needs.  Somebody remind us what was that Wirral Plan ‘pledge’ about ‘protecting the most vulnerable’ again?

What is most apparent is that ‘partnership’ working between Wirral Council and its NHS counterparts is not what it should be – the power struggles and the safeguarding of ever diminishing budgets was there for all to see – although of course some highly paid public servants and consultants still seem to be doing okay out of it ! As ever the only people to suffer are those who pay for what appears the deliberate (?) and ongoing (mis)managed decline of a once great institution !

Dear friends of the NHS

Are you angry? The packed audience at our public meeting on Thursday were angry. But they were also full of ideas for the fight back to defend our NHS. There was a spirited and constructive discussion after superb inputs from national campaigner Steve Carne and from a number of local campaigns on our own patch.

Why are people angry? Read the list below* and then come back here.

Are you angry yet? You should be. And if you are you can do something! This is what Thursday’s meeting decided. You can do some or all the following now.

  1. Let us have email addresses of others who might want to join the fight.
  2. Read AND act upon AND share the ‘to do’ list (in the ‘Files’ section on our Facebook page and attached to this message):https://www.facebook.com/groups/defendournhs/files/
  3. Come along to the many NHS meetings and protests (some on the ‘to do’ list but starting with the Eastham event on Monday detailed below). Some important events are shown. PLEASE COME!
  4. Shadow Health Secretary, Jonathan Ashworth will be in Eastham to meet with members and people affected by the closure.
    If you are available, and if you know anyone who is concerned about the closure, please bring them along.
    When? Monday September 11, 2017 at 11am – 1pm. Where? St David’s united reform church Eastham Wirral ch62 9dg
  5. STOP THE STP! Wirral Council has the power – and has already said it opposes the STP. Why doesn’t it do it? Wednesday 13th September 6.00pm at Wallasey Town Hall. Let’s make this the biggest lobby ever! Arrive early! http://democracy.wirral.gov.uk/ieListDocuments.aspx?CId=819&MId=6118&Ver=4
  6. Attend the Wirral CCG AGM @Tranmere Rovers 28th September from 1.00pmhttps://www.wirralccg.nhs.uk/news/wirral-ccgs-annual-general-meeting-2017/ It’s the CCG which has the local purse strings and makes the cuts.
  7. Share your experiences on Facebook or by email.

Thanks and best wishes on behalf of Defend Our NHS

…………………………………………………………………………………………

* That list:

  • The closure at short notice last week of the Eastham NHS walk-in centre.
  • The simultaneously announced end of the Eastham-Arrowe Park bus service.
  • The ‘pilot’ closure of the Clatterbridge dermatology ward.
  • A further near ONE BILLION POUNDS of cuts in the pipeline for Cheshire & Merseyside.
  • The payment of £300,000 to Price Waterhouse Cooper to compile the list of cuts to be made locally.
  • The payment across England of £21 MILLION POUNDS to firms like PwC for similar ‘work’.
  • The news that PwC and other ‘tax management’ outfits are being given the job of organising NHS service commissioning.
  • All this part of the 44 awful ‘sustainability and transformation partnerships’ (STP) including one here in Cheshire & Merseyside.
  • The STPs and everything else above comes from the brain of the head of NHS England Simon Stevens who now effectively controls the whole of our NHS. (Jeremy Hunt has washed his hands, Pontius Pilate-style.)
  • The revelation that Simon Stevens came to the NHS from US health ‘corporation’ United Healthcare.
  • The revelations of the anti-patient and anti-doctor business behaviour of United while Stevens was a boss.
  • EVERY local council has rejected the STP. Wirral Council has the power to stop the STP in its tracks and voiced its opposition last December – BUT it took the leader of the Council, Phil Davies, EIGHT MONTHS to write the letter to Jeremy Hunt.
  • Meanwhile the cuts have got worse, the waiting lists longer, the appointments harder to get, the adverts for American-style health services appear on GP notice boards – yet wonderful NHS staff continue to offer a fantastic service despite all this and despite years of effective pay cuts.

 

 

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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.