Minutes from last meeting

Issue

update

Junior docs contract dispute

Junior docs due to ballot on the latest offer at the end of June – result 6th July BMA organising road shows early June. There’s already much dissatisfaction re the significant shortfalls in the offer but not sure whether there is sufficient appetite for escalating action. At least one court case is ongoing and the outcome of the challenge re inequality for women might have an impact. Christine noted that GPs and Consultants are hard on the heels of the junior docs in autumn re their contracts.

Sustainability and Transformation 5 year plans to reconfigure services and cut the deficit

All new footprints ( ours West Yorks) have to submit their plans to NHS England by 30th June. Consultation has been virtually non existent. Simon Stevens has asked the Footprints to leave consultation until after they have received and examined the plans ie expect consultation after the fact and in August !! Please sign the petition insisting on consultation re STPs and raise questions at all the CCG meetings

https://petition.parliament.uk/petitions/130617

STP Questions asked at Leeds North CCG

Concerns re Sustainability and Transformation Plans – for Leeds North CCG 5.16

1 That CCGs are being forced to try to make unrealistic cost savings by a Government that has driven down the % of GDP we send on health to near the bottom in Europe – just over 8% while France Germany and the Netherlands are all near 11%. The CCG shouldn’t be colluding with the devastation of our health service. and acting as puppets on a string.

2. It is clear that the footprints are a desperate attempt to create a fast route to closing A and Es and hospital beds. This is a heavy handed top down taking of control by a Govt. who said in 2011/12 that it was introducing the Health and Social Care Act to disperse power over planning to local GPs. Now they are panicking about a 2.5 bn deficit we are back to top down control with menace ! The S&TPs feel a bit like Stalin or Mao’s 5 year plans!

3. The plans have not been tried and tested over time. Not only is there concern re the lack of independent evaluation of the recent Vanguards , what evidence there is suggests that improvements in community care ( and these are likely to be pretty limited in the current financial situation ) don’t necessarily have a huge impact on the need for hospital care and what impact there might be will manifest over time, not magic right by 2020.

4. Health bodies smarting at the Hobsons choice they / you have been given will say that at least we will get extra money if we do what we have been told. However Chris Ham from the Kings Fund suggests the most of the front loading of the £8bn promised will be swallowed up paying off deficits not creating new services and the Chartered Institute of Public Finance and Accountancy ( Cipfa) , not noted for being left wing, suggests that the shortfall in NHS spending is likely to grow by £10bn by 2020 and the 5 year forward view on which these STPs are meant to be based has already floundered.

5. One of the positive aspects of the footprints which is closer working together between Health and Social care should flash red warning lights as Social Care has been seriously degraded and largely privatised with LA budgets almost halved so the NHS is not integrating up , it is integrating down and will find itself neatly aligned with a service that already has means testing and charging at its heart. Just in the last few weeks there has been a lot of talk on the radio and in the press re charging and rationing as the Govt try to convince people we can’t a afford a decent, public health care system.

6. Care in the Community without proper funding is likely to put more pressure on families looking after their own with little help, which is most likely to mean increased burdens on women who probably form the biggest army of carers .This is quite apart from Agenda for Change pushing tasks down the chain and hoping for a barefoot army of volunteers to provide Custer’s last stand.

7. And how much do the public know about these changes or longer term vision for the CCGs to morph into Accountable Care Organisations like the Health Maintenance Organisations in the USA. Nothing I would suggest .

QUESTIONS

As I feel that the best hope for the NHS and quality patient care is that the public do understand what is happening, don’t like it and demand a change in the Government and society’s priorities to put health care pretty much top of the agenda, along with food in bellies and roofs over heads, I would like to know

  1. What the CCG is going to do about informing the public and seeing them as allies and not potential irritants to be kept quiet and

 

  1. What if anything this CCG is doing with other bodies like the H and WB Boards to tell it as it is and contest directives from NHS England and the Dept. of health, insisting on appropriate funding for the NHS before the NHs as we know it becomes little more than a rump service for the poor and most vulnerable. Some of the Hospital Trusts are now speaking out. Where are the CCGs?

Bootham Park and mental health services in York.

We went to the march in York on 12th June which had about 150 users and supporters of the mental health service. People are still being sent to Teesside for treatment and a large number of different sites are being explored for a new hospital unit.

We noted that we should give mental health a higher profile in our campaigning in Leeds.

Planned protest / stall outside Boots on Commercial St. Sat 4th June 2 – 3.30

John Puntis has put together an excellent piece on Boots drawing from the Guardian articles and sent it round staff at LTHT.

4th June is also the day for the Bursary or Bust demo in London so we will be collecting signatures supporting the nurses and other health workers who face loss of their bursaries

KONP at Triathalon Sunday 12th June

Agreed we aim for late morning on Sunday 12th ( poss 11-12. 30ish outside Brotherton Wing entrance of LGI when Millennium Square should be particularly busy

Public meeting with John Lister Wed 22nd June 7-9pm

Steady response to the facebook event invite. York Defend our NHS have said that some people from the mental health/ Bootham Park demo on 13th June have shown interest.

NHS Birthday

Tuesday 5th July

We have suggested to KONP that we try to highlight privatisation through protests outside private providers as well as doing any flag/ flower day / celebratory activities that week. Discussed a few possible targets for 4/4.30 – 6pm event on 5th . This likely to be discussed at KONP national Steering Group on Sat 11th June

There are now NO NHS dentists in Dewsbury !!

Possible Health Campaigns Together Conference in the autumn

Agreed we should offer a conference in Leeds. Adrian O’Malley’s mid Yorks Unison branch have offered to donate around £200 towards a venue. We though October good, avoiding school hols.

Next Leeds KONP Meeting Wednesday 8th June 6.30pm in O’Neill’s

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(formerly @racingshoes but not racing now)

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Posted in Leeds, local politicians, NHS, privatisation, procurement

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