whilst you were distracted with BREXIT the NHS shrunk

WHILST YOU WERE DISTRACTED.....THE NHS SHRUNK..

In 2016, Labour Peer Lord Patrick Carter was asked to carry out a review by the then Conservative health secretary Jeremy Hunt as part of Hunt's aim to make the NHS a more efficient healthcare system.

Ten years earlier, Jeremy Hunt and others wrote about how this 'efficient healthcare system' was to be implemented in a Tory policy paper titled 'direct democracy'.

The policy paper called for the NHS to be replaced by an insurance system "breaking down the barriers between public and private providers, effectively 'denationalising' (privatising) the NHS in England".

The ball was rolling, all was needed was support,,,,, from anywhere and any party.....

As per Hunt's wishes, Labour peer Patrick Carter [lord Carter of Coles] spent 18 months visiting hospitals across England reviewing productivity to ensure the NHS gets the best value from its £102 billion annual budget and help the NHS to implement Jeremy Hunt's 7-day service, much hated by junior doctors and NHS staff .

Pathological Traitor?

As a reward, Lord carter of Coles, 73, become a non-executive director of the regulator NHS Improvement in April 2016 and was given carte blanche to transform how pathology should be reduced to a hub and spoke model, vastly cutting hospital pathology labs and replacing them with one or two county-wide labs serving smaller clinics/hospitals. A model VERY similar to that in the USA.

Since 2016, Labour peer Lord Carter has been adviser to Health Secretary Jeremy Hunt and the link below shows his final report.

In his review, Lord Carter looked at healthcare systems abroad, including the United States, to see how savings made in the private healthcare sector could be introduced into the English NHS.

Following on from Carters US healthcare 'efficiency savings' ambitions, NHS England are in the process of 'transforming' the NHS into a system used in the USA called Accountable Care Organisations (ACOS).

The CEO of NHS England is non other than ex Labour councillor and adviser to Tony Blair 'Simon Stevens'. Mr Stevens spent 10 years working for American private healthcare firm United health, and moved back to England in 2012 to implement what he had learned from the private sector into the NHS in England.

WIKI
Simon Stevens was educated at a state comprehensive, St. Bartholomew's School, and won a scholarship to Balliol College, Oxford University where he was president of the Oxford Union in the same academic year as friend Boris Johnson.

Simon Stevens 'healthcare manager'?
https://en.wikipedia.org/wiki/Simon_Stevens_(healthcare_manager)

Lord Carter's Review - cuts and shrinkage of the NHS in England
https://www.gov.uk/government/news/review-shows-how-nhs-hospitals-can-save-money-and-improve-care

outpatient services to be fragmented across private clinics

Bulk of hospital outpatient services to be fragmented across private clinics...

Lancashire County Councils 'Health scrutiny committee' have agreed as an accurate record a report in the previous minutes about the 'integrated care system' (ICS) proposed for Lancashire (and south of Cumbria). The ICS system consists of a mean-spirited 'up front loaded' budget that will be 'demand managed' by a plethora of private/public bodies with little accountability to the public.

The ICS was established in an attempt to curtail the demands placed on hospitals and the NHS budget after the introduction of 'GP-led clinical buying and selling groups' (clinical commissioning groups or CCGs for short).

The minutes from the 5th Feb 2019 meeting say "The proposals to change the [hospital] services provided aimed to improve public health and wellbeing and therefore reduce the demand on hospitals".

Those pushing the ICS however do not reveal just 'how' the closure of hospital outpatient services would result in improvements to the health and wellbeing of the public.

This does mean though a large bulk of hospital outpatients services, those in demand by the private sector, will be closed and shipped out of hospitals into private-public run clinics cited in CCG literature as 'Multi-specialty Community Provider' (MCP) clinics.

Currently, the hospital services are provided by Lancashire Teaching Hospitals NHS foundation Trust who recently declared a substantial deficit along with its hospitals in Chorley and Preston being found 'requiring improvement' overall for the second year running by the Care Quality Commission.

NHS campaigners fear that due to its large deficits the hospital trust may agree to any scheme CCGs propose, including selling off NHS hospital land, buildings, and NHS service contracts.

The proposal to close many hospital services tallies with an earlier report from a task group named the system design team setup by the local CCGs to analyse feedback from public events regarding proposed radical changes to local GP, hospital, and socially provided and means-tested services...

In Feb-2017 the system design group proposed moving 80% of patients currently seen in an acute [hospital] setting will not be seen there in future. source: Solution Design Event 5 Feedback Document. Exercise 1: Modelling Assumptions with Locality and Hospital Care group validation

Subsequently, in a news article out yesterday about long hospital waiting lists the Lancashire Teaching Hospital NHS 'foundation' trust say they are looking at sourcing 'alternative providers' in an attempt to reduce the backlog of 'NHS' patients waiting for elective operations.