A very long thread on aspects of the recent history of the NHS. 😊😊😊

The first attempt at removing democratic control of the #NHS was by Kenneth Clarke, when he was health secretary, 1988 - 1990. But that failed completely.
So we move on to Virginia Bottomley, who succeeded in removing the last vestiges of democratic control during the reorganisation of the NHS, prefigured here: "Health of the Nation" api.parliament.uk/historic-hansa….
Are you sitting comfortably? Area Health Authorities, 1973 - 1982 were replaced by District Health Authorities, 1982 - 1996. Thereafter no more input from those elected, the Health Authorities were entirely managed by "professionals", & are listed here: en.wikipedia.org/wiki/Health_au….
These were the fledgling designs for the so-called "NHS Trusts", which themselves were precursors to the modern Integrated Care Systems, which are set up to become Private Limited Companies. A map(The turquoise ones are complete. HSJ are saying that the ICSs are failing.):
2002: In 2002, the existing regional health authorities were renamed and merged to form 28 new strategic health authorities, under the National Health Service Reform and Health Care Professions Act 2002.
This was the first time that the regional tier in the NHS reported directly to the centre rather than having a board and non-executive members.
The SHA chief executives were appointed after a wide-ranging search and selection process and did not represent continuity with the previous regions, not least because CEOs were allocated to areas they were not generally familiar with.
A number of the new CEOs had previously been health authority CEOs or CEOs of large trusts, rather than arriving on the traditional path. Thus was both expertise and experience trashed.
The final nail in the coffin of the NHS was the Health and Social Care Act 2012. A new executive agency of the Department of Health, Public Health England, was established under the act on 1 April 2013.
The proposals are primarily the result of policies of the then Secretary of State for Health, Andrew Lansley.
Clive Peedell (co-chairman of the NHS Consultants Assoc. & a clinical oncologist) compared the policies with academic analyses of privatisation & found "evidence that privatisation is an inevitable consequence of many of the policies contained in the Health and Social Care Bill".
Lansley said that claims that the government is attempting to privatise the NHS are "ludicrous scaremongering". And so, in 2013, after enormous arguments about Primary Care Trusts, the 28 SHAs were replaced by new, shiny Clinical Commissioning Groups.
From 2021 the CCGs are to be merged into Integrated Care Systems and formally abolished in 2022 if the government's proposed NHS legislation goes through.

Ends ... 😁

#NHS #NHSReinstatementBill

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More from @MerryMichaelW

26 May
"Γ€ la recherche du temps perdu"

We are living through an era, analogous to 1868 - 1924, when the Labour Party was formed.

The Whigs fell apart from internal corruption(sounds familiar?), and while the Liberals were formed, many of the same people were involved.

thread 1/8
Subsequently, Lloyd George was also hugely corrupt, and the Liberals themselves fell.

The Labour Party entered Parliament in 1924, nearly one hundred years ago.

Ramsey McDonald was merely another carpetbagger, and it took another World War to see real change under Atlee.
Many "great" men, and some women entered the Labour Party, and for a while, Harold Wilson held them together, rather in the manner of a circus ringmaster.

But Roy Jenkin's ego got the better of both him and the situation.
Read 11 tweets
7 May
The seat of Hartlepool includes the town of Hartlepool itself and the nearby villages of Hart, Elwick, Greatham, Newton Bewley and Dalton Piercy.
The by-election was called following the resignation of sitting MP Mike Hill, and is the first since the current Parliament was elected in 2019.

There were sixteen candidates on the ballot paper - the most for any UK Commons by-election since 2008.
These are the results in full:

The Turnout for the vote was 42.55 per cent.

Jill Mortimer (Conservative) - 15,529
Paul Williams (Labour) - 8,589
Samantha Lee (Local Independent) - 2,904
Read 8 tweets
15 Feb
Friends, subjects, countrymen, lend me your ears;
I come to bury Labour, not to praise it.
The evil that men do lives after them;
The good is oft interred with their bones;
So let it be with Labour. The noble Keith
Hath told you Labour was ambitious:
If it were so, it was a grievous fault,
And grievously hath Keith disinterred it.
Here, under leave of Mandrakesom and the rest–
For Keith is an "honourable" man;
So are they all, all "honourable" men–
Come I to speak in Labour’s funeral.
Labour was my part, faithful and just to me:
But Keiths says he IS ambitious;
And Keith IS an "honourable" man.
He hath sent many lefties home to Coventry
Whose subs did the Party coffers fill:
Did this in Corbyn seem ambitious?
Read 7 tweets
6 Feb
Does anybody have an interest in the #NHS ? πŸ˜ŠπŸ˜‰

Now I have your attention, may I show you @AllysonPollock 's superb #NHSReinstatementBill ?

It's here: allysonpollock.com/wp-content/upl…

It's complete. But the previously tabled attempt in 2018 was gerrymandered into submission ...
The Bill would:

β€’ reinstate the government’s duty to provide the NHS in England,
β€’ re-establish NHS England as a special health authority with regional committees and
modified functions,
β€’ re-establish District Health Authorities, with Family Health Services Committees to administer arrangements with GPs, dentists and others,
Read 9 tweets
4 Feb
We REDS are no longer πŸ˜‰
Under your bed -

in your local WARD!!! 😊😊😊

***LOCAL ELECTIONS, May 2021***

Communist Party plans biggest electoral campaign since 1983

Opposition to cuts – investing in public services and sustainable jobs in manufacturing.

Implementing a Zero-Covid strategy.

Restoring power to education authorities.
Ending privatisation in the NHS, making the case for a pay rise for NHS workers and restoring publicly-provided social and elderly care.

#NHSReinstatementBill by @AllysonPollock

A concerted programme of investment in home-building – led by local councils.
Read 14 tweets

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