We recently held discussions with councillors and the LA re the Leeds Health and Care Plan and West Yorks and Harrogate STP.
We had a response to a letter to the Pudsey councillors re the Outer West Community Committee. We had a meeting to share concerns with Rebecca Charlwood, Chair of the Health and Wellbeing Board, Helen Haydon, Head of adults and Health Scrutiny Board, Paul Bollom and Tony Cooke from the LA who are responsible for System Integration and presented our list of Health & Social Care plan ASKS:
1. Insist on figures and evidence – where are the “savings” coming from , what is going to go and with what impact on whom.
2. With the public – TELL NOT SELL and be pro-active.
3. Don’t agree to Sustainability and Transformation Plans that involve cuts and closures of services in other areas. Leeds shouldn’t collude in plans for downgrading or closing services elsewhere, comfortable in the knowledge that Leeds may well profit from others’ loss.
We should insist changes are clinically not financially driven, based on sound evidence and subject to proper consultation with the affected populations.
4. Resist the setting up of Accountable Care Systems/Organisations, which have no legal status, no proper governance, no mandate from the public or Parliament and carry major risks of fragmenting health care and eroding the NHS. There is plenty of scope for developing more seamless and integrated care, better prevention of illness, promotion of wellbeing etc without ACOs
5. Don’t give contracts to private firms and don’t set up Special Purpose Vehicles or pursue other “in house” outsourcing as is happening throughout Yorkshire with Facilities and other non- clinical, hospital staff.
Privatisation of health and social care is wrong, unnecessary, wasteful and creates massive instability. (just look at Wakefield’s Academies!)
6. Be very wary of Naylor report/ Phoenix project plans to sell off NHS estate. It is one off fundraiser and there is no guarantee that monies raised will be ploughed back into local health services. With the NHS in dire straits financially, monies can just be sucked up to cover deficits. There is also pressure and incentives to make quick sales, which may not be the best deal, to vacate buildings which have a high sales value regardless of whether the building is needed and to use PFI to bring buildings up to a reasonable standard to put on the market
7. Join up and stand firm with other Councils to tell the Government Rumpelstiltskin isn’t real! You can’t knit good health and social care out of split hairs.