Underplaying significance of American corporate raiders following recent annoucement of Centene's UK subsidiary takeover of GP practices ignores dominance of various US players now metastasised throughout NHS not least in @NHSEngland board 2/13 lowdownnhs.info/news/us-takeov…
#NHS privatisation started decades ago.
Mid-2000 reforms to GP contract hived off Out-of-hours care to private sector and de-coupled running NHS primary care from being NHS GP. No longer did GPs have to see patients to earn an income. Instead they could employ salaried GPs 4/13
at lower cost and pocket the surplus. The moral high ground vacated resulting in two-tier GP doctor workforce with 'entrepreneurial' GPs freed up to cash-in on further opportunities from privatisation while exploiting their colleagues, take post on Clinical Commissioning 5/13
Groups (CCGs) created by McKinsey/Lansley 2012 Health Act. CCGs replicated private health insurance funding pools & facilitated cuts & closures of hospital services with some GPs awarding themselves contracts to run substitute services. 6/13
There have been multiple top-down reforms fragmenting & outsourcing #NHS also in Five Year Forward View 2014 & NHS Long Term Plan 2019 by #SimonStevens formerly Pres. GLOBAL EXPANSION for #UnitedHealth America's largest private health insurer. Themes include down-skilling 7/13
replacing doctors with non-doctors, telemedicine barriers, hospital closures & incentivising DENIAL OF CARE in the #PrimaryCareNetwork contract railroaded through on behalf of gov't by @TheBMA on unsuspecting GPs. All goals accelerated during #pandemic #SharedSavingScheme
8/13
Profits from #NHS funding streams through private companies generated by
🔷Cheaper workforce
🔷Avoiding expensive patients (driven away by poor care or excluded)
🔷Incentivise staff to deny care
🔷Collude with providers against patients interest #DelayDenyHopeYouDie
9/13
End game in sight.
Removal of regulation & democratic oversight in awarding contracts by repeal of Section 75 HSCA 2012 presented as a reversal of market ideology will in fact enable more £multi-billion crony deals as seen with #coronavirus 10/13 nytimes.com/interactive/20…
Finally create new legal entity US-style #IntegratedCareSystem (Health Maintenance Organisation) to absorb #GP capitation budgets via #PCN contracts, hand over control to public-private partnership w US health insurers locked in via US-UK trade deal 11/13
I do agree it would be electoral suicide to admit to destroy #NHS hence the lies are so important. @pulsetoday is funded by advertising (#BigPharma, #NHS) provides useful platform for @BMA @NHSEngland to GPs.
Keeping them in the dark is essential. 12/13
130,000 #Austerity deaths
150,000 #Coronavirus deaths
18,000 bed cuts
10,000 doctor vacancies
40,000 nurse vacancies
1% nurse pay rise
£37 BILLION for privatised #testandtrace
@pulsetoday 'go to sleep, nothing to see here'
RIP #NHS 13/13
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