“Axe Valley healthcare campaingers launch website”

“The campaign to safeguard healthcare provision across the Axe Valley has taken a step forward with the launch of a new website.

Progress on Seaton Area Health Matters’ action plan to maintain and improve medical services in the area can now be followed at

www.seatonhealthmatters.co.uk

where residents can also express their views.

The group has identified a list of priorities to safeguard healthcare provision across the local area. A ten point plan was

agreed following a series of meetings between representatives from statutory and voluntary health groups along with local councillors.

These are:

* Taking an area approach for the Axe Valley, not just Seaton.

* Improving communication and co-ordination between voluntary organisations.

* Maintaining and extending NHS services in GP practices and at Seaton Hospital.

* Meeting the challenges in older age groups – addressing chronic diseases, loneliness and isolation.

* Meeting the challenges in younger age groups – drug and alcohol addiction, housing, poverty.

* Providing mental health support.

* Tackling transport difficulties to access services.

* Promoting health and wellbeing.

* Communicating what is available.

* Dealing with co-ordination and ownership to tackle the challenges.

Steering group chairman, former Seaton Town Mayor Cllr Jack Rowland said the new website would help them to keep people informed and also receive their input.

He told The Midweek Herald: “Broadly the challenges involve trying to establish a health hub to extend the number of clinics and services at the Seaton Community Hospital site and co-ordinating the information to show the range of voluntary groups involved in providing health and wellbeing support in the area.

“We welcome input on these important issues and the website enables this to happen.”

* The new website will also post news about its discussions with the Royal Devon and Exeter Trust and the Clinical Commissioning Group as well as news from council meetings at town, district and county level.”

http://www.midweekherald.co.uk/news/seaton-area-helath-matters-group-is-now-on-line-1-5762437

Twiss gets his words into a twist – ANOTHER reason we need independent councillors!

This time from the blog of DCC EDA councillor Martin Shaw.

“Conservative County Councillor for Honiton, Phil Twiss told Devon County Council on 4th October that ‘Sonja Manton [Director of Strategy for the Devon Clinical Commissioning Groups] said at the Health and Adult Care Scrutiny Committee the other week that there no plans to close any community hospitals in our area. We were talking about Seaton, Honiton and Axminster at the time.’

I was surprised that he should give us this good news in passing, and that the CCG had made no announcement of something so obviously important. So eventually I watched the webcast of the Health Scrutiny meeting on September 20th. Although Sonja Manton spoke several times, I couldn’t find her saying anything like what Phil said – indeed anything about community hospitals at all.

So I emailed Sonja and she confirms she didn’t speak about the hospitals. As for the issue, all she would say was, ‘I can assure you that our continued focus remains on planning and commissioning services and support to meet the needs of the Devon population in the best possible way. We recognise how strongly communities feel about community hospital buildings and will continue to work with communities and stakeholders to modernise and evolve the way our services are delivered and where they are based to make sure we make best use of all our resources and public estate.‘

So was Sonja more forthcoming at another, presumably private, meeting, Phil? Or was what you said wishful thinking?”

@philtwiss’claim that @SonjaManton said ‘there are no plans to close any community hospitals in our area’, not backed up by @NEWDevonCCG. What’s the explanation, Phil?

Why we need independent councillors

From the blog of Claire Wright. The review would NOT be happening without Claire’s dogged persistence (and similar action by EDA Independent Councillor Martin Shaw. Without them these issues would be kicked into the very, very long grass!

“A Devon wide review of how carers are coping will take place, following my successful proposal at last month’s Devon County Council Health and Adult Care Scrutiny Committee meeting.

I had been carrying out research into this area since January, when I asked for more information on a scrutiny report, which suggested that carers may be struggling.

I had a meeting with officers and asked for a report of a focus group that was carried out last autumn (2017). …

The results (which I was asked not to publish) were worrying. In almost all areas carers who took part indicated that they were worse off, or saw services being poorer.

What came out strongly to me that the three key areas of health, financial support and respite care, were all deemed as being poorer, according to the carers who took part.

I proposed a review at the June scrutiny committee meeting but chair, Sara Randall Johnson suggested a meeting with Devon Carers staff first, at the Westbank League of Friends. Devon Carers is commissioned to provide support for carers in the Devon County Council area.

This was a useful meeting. What emerged for me, among other issues, was that under the Care Act 2014, the bar has been raised by the government for both financial support and for respite care so it is now harder to access. I am quite certain that this is partly the reason that carers are finding things tougher.

I asked for a further agenda item for the September Health and Adult Care Scrutiny Committee meeting. I invited two carers who had asked for my help – Maureen Phillips and Mary Hyland, who gave powerful and moving presentations of their experiences of caring. Maureen, for her father and Mary for her partner.

Mary said there is no respite care available. And that overnight she became a carer, she was thrown into it, she knew nothing about it and had to give up her job. She has no support and finds it hard to even leave the house. Previously, she was a very outgoing person, even having her own programme on BBC Radio Devon. She said she was there on behalf of all local carers. Everyone is finding things hard.

The committee was silent.

Maureen said she had been the carer to her father for eight years. Life is exhausting, demanding, frustrating and isolating, she said. Maureen said specialist support workers are required. She said both she and her father need emotional support. She asked who she should turn to when things get tough. There is a shortage of care workers. In the last eight years she had one holiday. She had to take her father with her. Maureen said she had to fight for every bit of support. She has turned to the services of a solicitor in desperation.

When I made the proposal for a spotlight review at the September meeting, it was seconded by the chair and agreed by the committee. I hope to have a date for the first meeting soon.

We need your help! If you would like to take part by giving your story to the spotlight review, please get in touch at claire@claire-wright.org – many thanks

Here’s the webcast: You can see Mary’s and Maureen’s presentation under public participation – https://devoncc.public-i.tv/core/portal/webcast_interactive/359701

The agenda item itself is under number 12..”

http://www.claire-wright.org/index.php/post/scrutiny_review_to_take_place_into_how_devon_carers_are_coping

Clinical Commissioning Group merger for Devon – good or bad?

Owl says: a bigger group fo DCC NOT to scrutinise – right….

“There are claims a planned merger between two NHS bodies in Devon will result in a less accountable system with no guarantee of improved healthcare for patients.

At present, there are two clinical commissioning groups – or CCGs – which plan and buy healthcare for local people. There’s one covering the North, West and the East of the county – NHS NEW Devon CCG – and the other covering Torbay and the South – NHS South Devon & Torbay CCG. Health bosses want them to merge into one big organisation, claiming this will save money and result in a stronger service. They say there’s already been benefits from the two organisations working more closely together.

But GPs in Torbay have voted against the move and local councillor in the Bay, Swithin Long, is also worried…”

https://www.bbc.co.uk/news/live/uk-england-devon-45865015

“Optum CEO resigns from top NHS Job, Optum partner replaces him”

“This is an everyday story of the sordid revolving door between US Health insurance company United Health and the NHS.

In the UK, United Health’s subsidiary Optum sells the NHS what it needs in order to morph into a version of United Health – the previous employer of NHS England’s boss Simon Stevens.

With NHS England’s blessing, Optum is all over the NHS, installing their technology & redesigning the NHS through its use.

Optum sells the NHS:

Commissioning support services
Scriptswitch decision support for GP prescribing (which United Health UK acquired in 2009) is in most GP surgeries.
Referral management services
GP Empower (accelerating large scale GP practices

Integrated Care Systems support: “Optum® brings practical hands-on experience having delivered integrated care for over 20 years in the US. Our tried and tested approach has helped systems deliver proven results.” This updates an earlier brochure on accountable care systems/organisations which is no longer available. However NHS For Sale quotes Optum’s now defunct webpage: “We currently operate 26 accountable care organisations in the U.S., and are supporting sustainability and transformation partnerships in the U.K. to manage population health risk and deliver care as an integrated group of providers.”

The overall aim is to control, sideline and override doctors’ treatment decisions – as we can see through NHS England’s consultation on stopping funding numerous elective care treatments and its mandatory Integrated Urgent Care Services specification. This removes patients’ direct access to clinicians and redirects them through NHS 111 to a clinical advisory service that works off the algorithms in a clinical decision support tool.

And now it has its finger firmly in the National Institute of Health and Care Excellence pie – the organisation responsible for providing evidence-based guidance and advice to the NHS.

The revolving door that connnects United Health, Optum and the National Institute of Health and Care Excellence

This concerns:

former United Health Director Andrew Witty
Lord Darzi (head of the Imperial College department which is partnered with OptumLabs, a United Health business); and
a new public-private partnership in the National Institute of Health and Care Excellence called the “Accelerated Access Collaborative“, that’s about pushing new technology and drugs through the NHS.
It puts Optum centre stage in the Accelerated Access Collaborative. Now there’s a surprise. Or not. If you have been following United Health’s relatively rapid takeover of the NHS.

As a result of these shenanigans, we would treat any new recommendation from NICE with a pinch of salt.

Here is a short Witty timeline:

March 2017 – Andrew Witty leaves CEO position at Glaxo Smith Kline
August 2017 – Witty joins UnitedHealth’s Board of Directors
November 2017 – Following the Accelerated Access Review, the Department of Health appoints Witty as head of the Accelerated Access Collaborative. The job is to fast track drugs & technology into the NHS, to start April 2018
March 2018 – United Health announces Witty to be new Optum CEO, to start July 2018
Andrew Witty must have been rumbled somewhere along the line as he graciously resigned from the Government position in March 2018, due to the enormous conflict of interest of him starting as Optum CEO in July 2018. Ignored of course was the huge conflict of interest in hiring Witty in the first place while he was a Director of UnitedHealth.

And who replaced him? Lord Darzi.

Who is Lord Darzi

I am tired of writing about Lord Darzi. He stalks the NHS like a zombie. He was behind the New Labour government’s massive, failed and costly privatisation of elective NHS services in the horrible Independent Sector Treatment Centres – one of which totally messed up my son’s broken wrist – twice, before an NHS hospital fixed it for him.

This is what his nasty scheme has come to now. Regardless, he has returned to push his idea a second time as Accountable Care – with the apparent support of the Labour Shadow Health Secretary Jon Ashworth. This time from his perch in the Institute of Global Health Innovation (IGHI) at Imperial College, London.

Which, surprise surprise, is an OptumLabs partner.

What is OptumLabs

OptumLabs (launched in 2013) is all about United Health number crunching and framing raw patient data for academics to play with to derive the “best treatments” for patients.

OptumLabs is desperate to pass itself off as pioneering and respectable in the academic research field. But reality of the profit motive and UnitedHealth’s track record of

“deception, manipulation of data and outright fraud”

(see the Ingenix case ) means their number crunching will most likely point to treatments that United Health finds most profitable, not what’s best for patients. And OptumLabs is useful cover to collect patient data.

We pointed out some time ago Optum’s invidious position as a provider of commissioning support services, able to direct Clinical Commissioning Groups to commission Optum products. Now they have their fingers in the NICE pie too.”

https://calderdaleandkirklees999callforthenhs.wordpress.com/2018/10/16/optum-ceo-resigns-from-top-nhs-job-optum-partner-replaces-him/

Report: Accountability in Modern Government: recommendations for change

The report referred to in the post below deserves attentive reading:

https://www.instituteforgovernment.org.uk/sites/default/files/publications/Accountability_modern_government_WEB.pdf

What can WE do to save our NHS?

“Greetings, KONP supporters in the South West!
Important information from Keep Our NHS Public on…

Integrated Care Providers

The Government likes to bury its plans to defund, break-up and privatise the NHS in jargon. KONP are producing a series of videos to help you understand what’s going on…

NHS England is consulting on the contract for a new model of health and social care provision that threatens the break-up of the NHS into units run by less accountable ‘Integrated Care Providers’ – or ‘ICPs’. Each of these ‘business units’ would control spend and rationing of healthcare for populations of up to 500,000. These huge contracts will be eminently open to the private sector to compete for.

The ICPs will deliver the dangerous new restructuring plans of government which could see fragments of the NHS managed by non-NHS, non-statutory and therefore less accountable bodies. They are the embodiment of government plans to disperse the NHS and its staff, drive down public funding, promote private contracts and put cost limits and profit before patient safety.

Integrated Care Provider contracts:

Dis-integrate the NHS;
Give control to non-NHS bodies potentially beyond scrutiny;
Threaten public accountability;
Hand over control to these non-NHS bodies for 10-15 years;
Manage multi-billion-pound contracts for blocks of 500,000 population;
Open the door to private companies winning these contracts.

Please watch the video above and share on social media to help spread the word about the Government’s deliberate and insidious privatisation plans.

You can also visit our website:

https://keepournhspublic.com/privatisation/icps-what-are-they/

and our Facebook Page:

https://m.facebook.com/story.php?story_fbid=167804364127012&id=172710059485626&refsrc=https%3A%2F%2Fm.facebook.com%2Fkeepournhspublic%2Fvideos%2F167804364127012%2F&_rdr

for more information, videos and links.

For a written explanation of ICPs and what the represent for the NHS please read and share this briefing (broken link) by HCT co-chair and KONP campaigner Louise Irvine.

How can you help?
1. Along with our friends at We Own It

https://weownit.org.uk

and Health Campaigns Together

https://www.healthcampaignstogether.com

we have created a petition

https://weownit.org.uk/ICP-petition-NHS

calling on the Government to;
a) Abandon the Integrated Care Provider contract model:
b) Guarantee that any Integrated Care Provider organisations will be statutory organisations i.e. NHS bodies, not private providers.
c) Focus health improvement efforts on pressing the government for:

o Sufficient funding and staffing for health and social care.
o Social care to be brought into public provision, free at point of use
o Legislation to end the failed NHS contracting system and to renationalise the NHS: the only sound basis for service integration.

SIGN THE PETITION

https://weownit.org.uk/ICP-petition-NHS

2. NHS England have launched a 12 week consultation on contracting arrangements for Integrated Care Providers. You can read the full consultation document here

https://gallery.mailchimp.com/053f4c95aa70981fdfccd7707/files/dc9643c1-bf3d-4f70-a09f-d571d49b02cd/integrated_care_providers_consultation_document.pdf

Please let them know what you think by submitting a response before the consultation closes on the 26 October. You can do this online. HCT have created a document of a sample response

https://gallery.mailchimp.com/053f4c95aa70981fdfccd7707/files/17b0a7d5-446a-4fcb-b46e-66a3fffc43ed/suggested.pdf

in case you wish to take some guidance from KONP and HCTs position.
You can also see a comprehensive written response:

https://gallery.mailchimp.com/053f4c95aa70981fdfccd7707/files/f6a7aae4-ac4d-4a5e-bf3e-862571fe3405/Consultation_response_PeterRoderick_FINAL_01Oct18_1_.pdf

to the proposed changes from the JR4NHS team who, along with the late Stephen Hawking, took Jeremy Hunt and ACOs to Judicial Review this year.

3. Share the KONP video, HCT and KONP briefing and the JR4NHS response to the NHSE consulation around your networks and on social media.