Control of community care in Nottinghamshire falls to controversial US company

“NHS Protectors’ worst fears are being realised as USA’s Centene is likely to control Greater Nottingham Accountable Care System, by taking over the NHS Commissioner’s role in a £206m community services contract.

At the very time that its discredited subsidiary Ribera Salud – which is being kicked out of Spain by the Valencia Green/Podemos/Socialist government – has appointed former New Labour Health Secretary Alan Milburn as a Director and has sent lots of executives to UK to help Centene UK with its plan of buying primary care and mental health companies.

The UK subsidiary of Centene – a US sub-prime health insurance profiteer that has got rich off managing Obamacare’s publicly-funded Medicaid programmes which provide health insurance for people on a low income – is likely to take over the NHS commissioner’s role in the £206m, 7 year contract for out-of-hospital community services, that Nottingham City Clinical Commissioning Group recently awarded to Nottingham City Partnership Community Interest Company. …”

This seems to bear out NHS protectors’ worst fears that Accountable Care Systems or Organisations are Trojan horses designed to import US companies into key controlling positions in these new types of local NHS and social care services.

Centene UK, assisted by executives from its discredited Spanish subsidiary Ribera Salud, is also studying the acquisition of primary care and mental health companies in the United Kingdom, according to recent reports from Valencia Plaza.

Ribera Salud recently appointed the former New Labour Health Secretary Alan Milburn to its Board of Directors, to help it “continue with its expansion plans.” In addition, during the recent visit to Valencia of the United Kingdom’s ambassador to Spain, Simon Manley, a British manager of Ribera Salud contacted him to explain the company’s plans. …

Nottingham City Clinical Commissioning Group will become part of the Nottinghamshire/Greater Nottingham Accountable Care System. This will be:

“a single risk bearing entity to managing [sic] the entire care continuum. The successful provider must form part of the ACS and…will be expected to help shape and deliver its part of the single risk bearing entity.”

This sounds like the Accountable Care Organisation contract – which NHS England is not approving now and which is the subject of two Judicial Reviews in the Spring and a public consultation at some unspecified point in time.

The contract notification says that when the Accountable Care System is implemented, this will require a contract variation which:

“will require the successful provider to provide its consent to the potential future transfer of the CCG’s role under the contract.”

This contract variation will mean transferring the contract from Nottingham Clinical Commissioning Group to another provider, or the Care Integrator (Centene UK).

It seems that Nottingham City Clinical Commissioning Group has taken a gamble on the likelihood that NHS England will be approving the Accountable Care Organisation contract by the time the Sustainability and Transformation Partnership has figured out its business case to consider the options for partner organisations in managing the Accountable Care System components and has secured legal and procurement support to advise on this.”

https://calderdaleandkirklees999callforthenhs.wordpress.com/2018/03/19/usas-centene-to-take-over-nhs-commissioners-function-in-206m-community-services-contract-as-accountable-care-system-sets-up/

Devon County Council: the place democracy goes to die

Facebook post by DCC Lib Dem Councillor Brian Greenslade

Late last year we started to learn about plans by the Health Secretary Jeremy Hunt and NHS England to introduce by the 1st April Accountable Care Organisations to replace CCG’s in the Health Service. These organisations would provide health and social care services. Bringing these services together makes sense but democratic oversight appeared to be an after thought. ACO’s seemed to be based on similar type Organisations in the US.

What was clear was that little or no public scrutiny of these proposals had happened. Congratulations to Sarah Wollaston MP Chairman of the Health Select Committee who then intervened to stall this initiative to allow the Parliamentary Health Select Committee chance to scrutinise the proposals. The same was true at Devon County Hall where nothing about this was brought to the attention of members of the Health Scrutiny Committee.

Opposition to ACO’s started to brew up so then suddenly the Government and NHS England started to talk about integrated care systems instead which apparently are different. How different is not clear and I am concerned that this could be a back door attempt to introduce ACO’s.

Yesterday at the DCC Cabinet a report by the Chief Executive about Integrated Care Systems was considered. It failed to answer key questions but it was clear that changes from April were on the way.

My Lib Dem colleagues and I hotly contested the recommendations and called for time to have this report sent to Scrutiny first. This was voted down by the Tory majority.

We reacted to this by calling in the Executive decision for scrutiny. This as the effect of delaying any decision on this being made until 11th April at the earliest to consider representations by Scrutiny.

Amazingly the Tories are rushing scrutiny through by making it an urgent item for the Health Scrutiny meeting on the 22nd of March giving little time for consideration of this critical issue for the health of the people of Devon.

Democratic standards that the Lib Dem’s stand for mean little to Devon’s ruling Tories!”