NHS for Sale: Myths, Lies & Deception (40 page)

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Authors: Jacky Davis,John Lister,David Wrigley

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38
Trust Special Administrator. 2014. ‘Securing sustainable NHS services:
the Trust Special Administrator’s report on South London Healthcare NHS Trust and the NHS in south east London; (Vol. 1, p. 15ff;
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213341/TSA-VOL-1.pdf
.

39
One unfortunate side effect of this successful challenge was that there has still never been a proper external appraisal of the viability of the TSA’s proposals and their total cost.

40
http://www.midstaffspublicinquiry.com/
.

41
This is discussed in greater detail in Chapter 4.

42
Yorkshire Post.
2013. ‘Anger over £6m taxpayer bill for NHS advisors’, 15 March,
http://www.yorkshirepost.co.uk/news/main-topics/general-news/exclusive-anger-over-6m-taxpayer-bill-for-nhs-advisors-1-5501372
.

43
This is discussed in greater detail in Chapter 4.

44
Department of Health. 2013. ‘Investment in mental health in 2011 to 2012: working age adults and older adults’;
https://www.gov.uk/government/publications/investment-in-mental-health-in-2011-to-2012-working-age-adults-and-older-adults
.

45
Large, Z. 2014. ‘Major failings’ in CAMHS Tier Four services, a new review reveals, YoungMinds, July available
http://www.youngminds.org.uk/news/blog/2137_major_failings_in_camhs_tier_four_services_a_new_review_reveals
.

46
http://www.nhsconfed.org/Networks/MentalHealth/LatestNews/Pages/Nick_Clegg_launches_action_plan.aspx
.

47
‘The A&E departments at Ealing and Charing Cross hospitals must be sustained until further work to inform a final decision on the future of these two local hospitals has been completed and the alternative services that will provide a safe, high quality urgent emergency care system for local residents are in place.’ (p. 6 of IRP report), available:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/358743/000_LNW_report_13.09.13.pdf
.

48
This and the following two paragraphs are based on information in Costly Savings, a report researched by John Lister for East Midlands Region of UNISON in spring 2014.

49
Baker, K. 2014. ‘Virgin boss Sir Richard Branson bids to take over cancer and end of life care in NHS privatisation deal worth £1.2bn’, Mail Online, 6 November
http://www.dailymail.co.uk/news/article-2823946/Sir-Richard-Branson-bids-NHS-privatisation-deal-worth-1-2billion.html#ixzz3N7k6F3f9
.

50
BBC News. 2014. ‘Extreme worry’ over NHS Kernow £75m procurement plans’, 25 June:
http://www.bbc.co.uk/news/uk-england-cornwall-28025139
.

51
Watt, N. 2014. ‘Income from private patients soars at NHS hospital trusts’,
The Guardian
19 August, available
http://www.theguardian.com/society/2014/aug/19/private-patient-income-soars-nhs-privatisation

52
Association of Directors of Adult Social Services. 2013. ‘Social care funding: ‘a bleak outlook is getting bleaker’, 6 May;
http://www.adass.org.uk/index.php?option=com_content&id=914&Itemid=489
.

53
Audit Commission. 2013. ‘Social care for older people Using data from the VFM Profiles’, July
http://www.audit-commission.gov.uk/2013/07/audit-commission-analyses-cost-of-social-care-for-older-people-in-a-value-for-money-briefing/
.

54
Thomson A, Sylvester R. 2014. ‘This is going to hurt: it’s patients who pay as money runs out’,
The Times,
13 October,
http://www.thetimes.co.uk/tto/health/news/article4234741.ece
https://nhsreality.wordpress.com/2014/10/13/this-is-going-to-hurt-its-patients-who-pay-as-money-runs-out/
).

55
Lister J. 2014. ‘Behind the Smoke and Mirrors, neither Hinchingbrooke nor Circle are what they seem’, UNISON Eastern Region;
http://www.unisoneastern.org.uk/assets/library/document/s/original/smoke_and_mirrors.pdf
.

56
Available
http://www.nhsstaffsurveys.com/Caches/Files/NHS_staff_survey_2013_RQQ_full.pdf
.

57
Maude F., Lamb N. 2014. Mutuals in Health: Pathfinder Programme, Letter to foundation trusts, 24 July, available:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/343507/Letter_to_Foundation_Trusts_and_NHS_Trusts.pdf
.

58
Department of Health. 2014. Application pack:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/343503/Mutuals_in_health_pathfinder_programme_application_pack.pdf
.

59
See the response from UNISON Eastern Region to the various plans for hiving off community health services, available
http://www.healthemergency.org.uk/workingwu/TCS4pager.pdf
.

60
http://www.kingsfund.org.uk/blog/2014/07/staff-led-nhs-improving-patient-care-engaging-staff-and-devolving-decision-making
.

61
Lister J. 2007.
Fragmenting the NHS,
UNISON Oxfordshire Health Branch;
http://www.healthemergency.org.uk/workingwu/SocialEnterprisepamphlet.pdf
.

62
Landale J. 2011. Plans to outsource public services ‘scaled back’, BBC News, 3 May,
http://www.bbc.co.uk/news/uk-politics-13273932
.

63
Estimated at £1m.

64
BBC News. 2014. ‘Jarrow March’ ends in pro-NHS rally in London, 6 September,
http://www.bbc.co.uk/news/uk-england-29094093
.

65
Stoye G. 2013. ‘Public payment and private provision: the changing landscape of healthcare in the 2000s’, IFS May 2013, available
http://www.nuffieldtrust.org.uk/publications/public-payment-private-provision-2000s
.

66
http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf
.

Chapter 2

1
BMJ2011;342:d566.

2
It also uses data from the Organisation for Economic Co-operation and Development and from the World Health Organisation. No one challenges its credentials.

3
http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
.

4
BMJ2014;348:g3063.

5
http://www.telegraph.co.uk/health/10550335/UK-has-fewer-doctors-per-person-than-Bulgaria-and-Estonia.html
.

6
EF
http://www.telegraph.co.uk/health/healthnews/10768844/Hospital-bed-shortage-exposed.html
.

7
www.bmj.com/content/348/bmj.g3129
.

8
O’Dowd A. Balance between GP and hospital doctor numbers may need to shift, says new NHS chief. BMJ2014;348:g3037.

9
BMJ2014;348:g3129.

10
http://www.pulsetoday.co.uk/political/political-news/dh-to-hand-over-22bn-underspend-to-treasury/20004042.article#.VF9UTWIgGK1
.

11
http://news.rapgenius.com/Noam-chomsky-the-state-corporate-complex-a-threat-to-freedom-and-survival-annotated#
.

12
http://www.reform.co.uk/resources/0000/1069/The_cost_of_our_health__the_role_of_charging_in_healthcare.pdf
.

13
http://www.theguardian.com/commentisfree/2014/mar/31/10-pounds-each-save-nhs
.

14
BMJ2014;348:g3498.

15
Scotland, Wales and Northern Ireland have not followed the English NHS down the path of marketisation. The prospect of a marketised NHS being imported across the border into Scotland was used to encourage a ‘yes’ vote for independence in the Scots referendum.

16
http://www.publications.parliament.uk/pa/cm200910/cmselect/cmhealth/268/26803.htm
.

17
BMJ2012;344:e2868.

18
BMJ2013;347:f5550.

19
BMJ2013;347:f5550.

20
BMJ2013;347:f5550.

21
ref
http://www.bmj.com/content/347/bmj.f6246
.

22
BMJ2013;347:f5862.

23
BMJ2013;346:f1733.

24
http://www.pulsetoday.co.uk/commissioning/commissioning-topics/ccgs/first-ccgs-under-investigation-for-breach-of-competition-regulations/20004715.article#.VJLtlPmsWHk
.

25
In New Zealand an experiment in getting rid of the purchaser/provider split resulted in improved care for patients and a reduced demand on hospital services. GPs and consultants came together to improve decision making instead of competing with each other for funds.

BMJ2013;347:f5503.

26
BMJ2014;349:g4515.

27
A Comres poll in 2014 reported that 60 per cent of those who expressed an opinion would be prepared to pay more income tax if it was ring-fenced for the NHS, a sign of the high value the public places on the service.
http://www.theguardian.com/society/2014/aug/15/voters-tax-fund-nhs-poll
.

Chapter 3

1
http://www.telegraph.co.uk/news/politics/6060421/David-Cameron-the-NHS-is-safe-under-the-Conservatives.html
.

2
http://www.england.nhs.uk/ourwork/gov/choiceandcompetition/
.

3
For more details of the early NHS see: Lister J. 2008.
The NHS After 60: for Patients or Profits?
Faringdon: Libri Publishing.

4
‘What lies beneath?’
HealthInvestor,
8 September 2010.

5
http://www.margaretthatcher.org/document/107565
.

6
https://www.thegazette.co.uk/London/issue/50154/supplement/1
.

7
Mathiason N, 2000. ‘Labour gets into bed with private medicine’,
The Observer
19 November,
http://www.theguardian.com/society/2000/nov/19/socialcare.policy
.

8
http://www.mirror.co.uk/news/uk-news/patients-occupy-clinic-save-david-3417922
;

http://www.bbc.com/news/uk-england-stoke-staffordshire-28972225
.

9
Attached to an article: ‘Figures reveal decline in use of electronic referral system that allows patients to choose location of an outpatient appointment’ Nicholas Watt, 24 November 2013,
http://www.theguardian.com/society/2013/nov/24/patient-choice-nhs-going-backwards-labour
.

10
http://www.dailymail.co.uk/news/article-2673477/EXCLUSIVE-GPs-fail-spot-cancer-named-shamed-Health-Secretary-tells-Mail-Sunday-radical-new-policy-crack-doctors-miss-vital-diagnosis.html#ixzz3NcMkOv53
.

11
10 December 2014.

12
BMJ2014;348:g2274.

13
http://www.theguardian.com/society/2013/dec/28/sexual-health-clinics-doctors-fear-future-private?CMP=twt_gu
.

14
http://www.hsj.co.uk/5063236.article?WT.mc_id=EditEmailStory&referrer=e2
.

15
Paton, Calum. 2014. ‘At what cost? Paying the price for the market in the English NHS’ CHPI,
http://chpi.org.uk/reports/
.

16
https://abetternhs.wordpress.com/2011/09/29/point/
.

Chapter 4

1
Speech, July 2010,
http://www.networks.nhs.uk/nhs-networks/qipp-network/news/andrew-lansleys-speech-on-an-nhs-driven-by-outcomes
.

2
Letter to UK GPs, 16 February 2012.

3
Quoted by Tomlinson, J. 2011.
Betrayal of the NHS must end, it’s time for doctors to fight back,
A Better NHS blog, 24 June, available.
https://abetternhs.wordpress.com/2013/06/24/betrayal/
.

4
http://www.hsj.co.uk/comment/prime-provider-contracts-are-a-solution-for-the-nhs-not-a-problem
; Corrigan P, Laitner S. 2012.
The Accountable Lead Provider,
rightcare.nhs.uk
http://www.rightcare.nhs.uk/downloads/Rightcare_Casebook_accountable_lead_provider_Aug2012.pdf
.

5
Iacobucci G. 2011. Just 5 per cent of GPs on commissioning group boards faced contested election,
Pulse
28 September, available
http://www.pulsetoday.co.uk/just-5-of-gps-on-commissioning-group-boards-faced-contested-election/12779846.article#.VKFh6DpAGg

6
http://www.nhscc.org/ccgs/
.

7
http://www.gponline.com/exclusive-sharp-rise-gps-quitting-ccg-board-roles/article/1211757
.

8
http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/clinical-commissioning-groups-report-ings-fund-nuffield-jul13.pdf
.

9
Kailash Chand, ‘Jeremy Hunt should stop GP-bashing, or hospital referrals will skyrocket’
http://www.theguardian.com/healthcare-network/2014/jun/30/jeremy-hunt-stop-gp-bashing
.

10
http://www.ealingtoday.co.uk/shared/eaaeclosures002.htm?utm_content=buffer061ef&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
;
‘The Government is on a mission to bring it [the NHS] to its knees, so total privatisation can be hailed as the big rescuer’:
http://www.mirror.co.uk/news/uk-news/jeremy-hunt-michael-gove-need-3778197
#
http://www.dailymail.co.uk/news/article-2673477/EXCLUSIVE-GPs-fail-spot-cancer-named-shamed-Health-Secretary-tells-Mail-Sunday-radical-new-policy-crack-doctors-miss-vital-diagnosis.html
.

11
http://www.bbc.co.uk/news/uk-politics-24362902
.

12
http://www.bmj.com/content/347/bmj.f4351
.

13
http://en.wikipedia.org/wiki/Nicholson_challenge
.

14
http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/FreedomOfInformation/Freedomofinformationpublicationschemefeedback/FOIreleases/DH_116520
.

15
RCS. 2011. Procedures of Limited Clinical Value, a Briefing, available.
http://www.rcseng.ac.uk/publications/docs/rcs-briefing-procedures-of-limited-clinical-value?searchterm=procedures+of+limited+clinical+value
.