#NHSwhitepaper Thread:
Contrary to some of the headlines, the reforms are NOT the
‘end of privatisation’
(Will explain below)
The white paper wants to reverse legislation that mandated competitive tendering, which meant every contract had to be put out ‘to the market’....
1/
Contrary to some of the headlines, the reforms are NOT the
‘end of privatisation’
(Will explain below)
The white paper wants to reverse legislation that mandated competitive tendering, which meant every contract had to be put out ‘to the market’....
1/
Which was a nuisance
Created unnecessary beurocracy And wasted a lot of money
This legislation was brought in under Cameron’s coalition government
(Against the advice of the unions, health think tanks, royal colleges...basically everyone)
2/
Created unnecessary beurocracy And wasted a lot of money
This legislation was brought in under Cameron’s coalition government
(Against the advice of the unions, health think tanks, royal colleges...basically everyone)
2/
The suggested move away from forced competition
And towards integration is very positive
As I explained in @tortoise #publicinquiry
The barriers between services, created by the imposed ‘market’, hindered the H&C system’s ability to have an effective coordinated response
3/
And towards integration is very positive
As I explained in @tortoise #publicinquiry
The barriers between services, created by the imposed ‘market’, hindered the H&C system’s ability to have an effective coordinated response
3/
However, there are serious concerns re transparency and accountability
There is a lack of coherence and gaping holes in this #NHSwhitepaper on some key crisis areas that require urgent action
4/
There is a lack of coherence and gaping holes in this #NHSwhitepaper on some key crisis areas that require urgent action
4/
As I mentioned, This is NOT an end to privatisation
Under these reforms there is NO duty on the government to provide key services
Foundation trusts are still able to receive 49% of their income from outside the NHS
5/
Under these reforms there is NO duty on the government to provide key services
Foundation trusts are still able to receive 49% of their income from outside the NHS
5/
Moreover, these proposed ICS boards, which will hold significant power
And importantly hold the budget for all acute and community services, can have private companies as members
And private companies can also be contracted to provide services
6/
And importantly hold the budget for all acute and community services, can have private companies as members
And private companies can also be contracted to provide services
6/
Unfortunately, this white paper ignores the Health and Social Care Committee “strong recommendation”
to rule out non-statutory providers (i.e. private companies) from holding the ICP contracts
7/
to rule out non-statutory providers (i.e. private companies) from holding the ICP contracts
7/
ACCOUNTABILITY & TRANSPARENCY
As I wrote last year, over the pandemic
Over 10 billion worth of contracts have been awarded by government to companies without competition, often to companies with links to the cabinet
@thefabians
fabians.org.uk/catalogue-of-e…
As I wrote last year, over the pandemic
Over 10 billion worth of contracts have been awarded by government to companies without competition, often to companies with links to the cabinet
@thefabians
fabians.org.uk/catalogue-of-e…
Within the NHS, the current open tendering process is at least a check against corruption
The lack of detail or transparency in the white paper on how contracts will be given
Means we risk the corruption and cronyism we’ve seen during the pandemic becoming the new norm
9/
The lack of detail or transparency in the white paper on how contracts will be given
Means we risk the corruption and cronyism we’ve seen during the pandemic becoming the new norm
9/
SOCIAL CARE
Excess deaths of care home residents AND care workers is the shameful outcome of a dysfunctional system
Pre covid, over 1 mil elderly had unmet care needs (now likely to be higher)
Quite Astonishing, reforming social care is not 1st priority of this government
10/
Excess deaths of care home residents AND care workers is the shameful outcome of a dysfunctional system
Pre covid, over 1 mil elderly had unmet care needs (now likely to be higher)
Quite Astonishing, reforming social care is not 1st priority of this government
10/
Furthermore, without reform, trying to “integrate” the NHS (free at the point of need)
And social care (means tested and partly privatised) simply wont work
And could handicap the urgently needed reform of the care sector
11/
And social care (means tested and partly privatised) simply wont work
And could handicap the urgently needed reform of the care sector
11/
PRIORITIES
Structural reforms to our NHS is definitely needed
(those who follow my blog know I have been whinging about this for years)
As it underlies many of the core issues in the health system
And my inner policy geek welcomes the attention to this
HOWEVER.........
12/
Structural reforms to our NHS is definitely needed
(those who follow my blog know I have been whinging about this for years)
As it underlies many of the core issues in the health system
And my inner policy geek welcomes the attention to this
HOWEVER.........
12/
I know many of my frontline colleagues will be tearing their hair out
We are working on dangerously under staffed wards
1/3 of nurses intending to leave within the next year
1/3 GPs suffer from burnout
13/
personneltoday.com/hr/third-of-nu…
We are working on dangerously under staffed wards
1/3 of nurses intending to leave within the next year
1/3 GPs suffer from burnout
13/
personneltoday.com/hr/third-of-nu…
Over 4.5 million people are waiting for treatment
With 200,000 people waiting more than a year
(150x higher than in 2019)
I have seen first hand the devastating impact of this
People are suffering, their conditions deteriorating,
at risk of permanent disability
14/
With 200,000 people waiting more than a year
(150x higher than in 2019)
I have seen first hand the devastating impact of this
People are suffering, their conditions deteriorating,
at risk of permanent disability
14/
The failure to deal with the immediate crisis, of capacity & waiting times
And the lack of a comprehensive workforce strategy
Has dumbfounded many
Concerns government planning the renovations before putting the fire out!!
15/
And the lack of a comprehensive workforce strategy
Has dumbfounded many
Concerns government planning the renovations before putting the fire out!!
15/
Finally, our exceptionally high death rates cannot simply be attributed to government mistakes
We are the sick man of Europe
With widening health inequality
Significant proportion of the population living with health problems, at lower age than other european countries
16/
We are the sick man of Europe
With widening health inequality
Significant proportion of the population living with health problems, at lower age than other european countries
16/
Reducing health inequalities needs more than lip service
If we’re serious about reducing inequalities, this needs to be imbedded & prioritised in every part of government
Simply ‘asking the NHS to address this’ is not good enough & WONT work, it requires a cross govt agenda
17/
If we’re serious about reducing inequalities, this needs to be imbedded & prioritised in every part of government
Simply ‘asking the NHS to address this’ is not good enough & WONT work, it requires a cross govt agenda
17/
How we deliver and value health and care in this country desperately needs a rethink
To summarise, this is simply not good enough
END
18/
To summarise, this is simply not good enough
END
18/
• • •
Missing some Tweet in this thread? You can try to
force a refresh
