10 year plan for the NHS – Leeds KONP

The plan sets out how the NHS will use the extra £20.5bn a year by 2023-24 to drive improvements in the service over the next 10 years.

  • investment in “world class, cutting edge treatments,” including genomic tests for every child with cancer and artificial intelligence to potentially improve stroke diagnosis
  • a renewed focus on prevention to stop an estimated 85 000 premature deaths each year, including new dedicated alcohol and tobacco treatment services in hospitals, and an expansion of the diabetes prevention programme
  • a new guarantee that investment in primary, community, and mental health care will grow faster than the overall NHS budget2; the plan says this will include £4.5bn to fund integrated care across England
  • the “biggest ever” investment in mental health services, rising to at least £2.3bn a year by 2023-24,3 will include an expansion of community based services, including in schools, to help 345 000 more children and teenagers
  • a package of upgrades to improve neonatal services, including more specialists and expert nurses in units
  • extra investment in early detection in areas such as cancer and respiratory care
  • “every patient will have the right to online ‘digital’ GP consultations, and redesigned hospital support will be able to avoid up to a third of outpatient appointments – saving patients 30 million trips to hospital, and saving the NHS over £1 billion a year in new expenditure averted. GP practices – typically covering 30-50,000 people – will be funded to work together to deal with pressures in primary care and extend the range of convenient local services, creating genuinely integrated teams of GPs, community health and social care staff.”
  • The document warns that the H&SCA is damaging the NHS and stopping it from making vital improvements to the care patients receive.

Health Service Journal :

KONP website:

Rationing plan for 17 NHS treatments no longer to be commissioned by CCGs. Trusts are also urged to ‘grow their external (non-NHS) income’ and ‘work towards securing the benchmarked potential for commercial income growth’. They must set up systems to raise money by charging patients for treatment (‘overseas visitor cost recovery’) – a policy recently denounced by several medical Royal Colleges because of its impact on individual and public health.

The 44 discredited Sustainability and Transformation Plans, re-branded as Integrated Care Systems, will hold the regional budgets to control NHS Trusts. ‘Planning assumptions’ in each STP area are to be agreed by 14 January. Neither the STPs, nor the ICSs, nor the Long Term Plan has been mandated by an Act of Parliament, let alone by patients or healthworkers.

The private sector could gain control of individual ICSs through long term contracts to manage the entire health system within one region.

John Lister:

A depressing re-run of previous plans and gimmicks: the only novel proposals are for more central control and less accountability, for trusts to run more like and with private businesses seeking profits, and to raise money by undermining the principles and values of the NHS.

There is no reason to believe this plan, with even less local accountability and no serious plans for public consultation, will prove any more acceptable to the public or successful in implementation than the secretive STPs in 2016 or other previous failed efforts.

Campaigners have yet to see anything to recommend the new plans, or any indication NHS England is willing to come to grips with the crisis fuelled by chronic austerity limits on funding – or demand an end to chaos and fragmentation of the Health & Social Care Act.”

Kailesh Chand (GP; BMA)

Continuation of the NHS 2000 modernisation plan of the Tony Blair government. The end game is one where ‘NHS’ will simply be a ‘kitemark’ attached to institutions and activities of a system of private providers.

The whole of England is to be covered by integrated care systems (ICSs) in just over two years, with ICSs ‘central to delivery of the long-term plan’ which is essentially a market model of health care that can be taken over by the likes of Virgin and United Health.

ICSs and their focus on population health are seen as central to the plan: ‘triple integration’ – of primary and specialist care, physical and mental health services and social care. The private sector will be licking its lips at the prospect.

£20.5 billion funding will barely make up for eight years of austerity that have crippled the NHS and social care and undermined public health. The gap between policy rhetoric and supply has never been starker.

There is nothing in the plan’s outlined aspirations – keeping people out of hospital, caring for the vulnerable in the community, earlier diagnosis of treatable disease – that any right minded person wouldn’t want to do or make happen. The question is how are we going to meet the challenge? Where will the money and the personnel come from?

Analysis by the King’s Fund, the Health Foundation and the Nuffield Trust suggests the health service could be short of more than 350,000 staff if it continues to lose employees and cannot attract enough from abroad.

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Snug in or out – join us in November, no time to lose

Don’t miss Leeds Teaching Hospitals Trust consultations re their grand plans for development at LGI:

Friday 9th Nov 10 –3 and Monday 19 Nov. 4-8pm, Carriageworks, Millennium Square.

We want to know:

Where their money will come from?

If, where and how there will be bed reductions?

Will there be private sector developments of eating and retail facilities?

Also happening:

Come along to one of the official NHS or LA Board meetings which the public can attend as observers and often put brief questions:

  • Tues 6th Nov 11-1 West Yorks & H’gate Joint CCGs mtg, Junction 25 Conference & Mtg Venue, Kirkdale House, Armytage Road Brighouse, HD6 1QF ( short space for questions from the public at the beginning)
  • Tues 6th Nov. 1.30 – 4ish Leeds Adults, Health and Active Lifestyles Scrutiny Board at Leeds Civic Hall.
  • Wed 28th Nov 2-5 Leeds CCG Board Meeting at the Old Fire Station , Gipton Approach LS9 6NL ( space for questions, usually at start and near end.)
  • Wed 5th Dec 10.30 West Yorks and Harrogate Joint Scrutiny Committee Venue tbc – prob not Leeds ( short deputations allowed at beginning)
  • Wed 12th Dec at 1.30 Leeds Health and Wellbeing Board ( venue tbc ) ( questions at beginning)
  • A working meeting/ group to look at mental health services and plans in Leeds and West Yorks. Date to be fixed , probably late Nov. Hoping some Leeds Hospital Alert members will join us. Please let me know if you are interested
  • NHS 70th birthday poetry book launch on Sat Nov 24th2pm at York Library , organised by Christine Hyde from Dewsbury KONP with readings and a performance of Defend Our NHS York / Anne Leonard’s NHS “ Mystery Play” with walk ons from 2 of our Leeds KONPers ! See https://www.hopesmith.org.uk .

Next Meetings of Leeds KONP both in the Victoria Hotel, Great George St. directly at the rear of the Town Hall:

Wed 14th Nov 6.30 – 8pm – ordinary meeting

Wed 28th Nov 6.30 until 8.30/9 extra-ordinary meeting / social

2018 – We are asking Leeds Council

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.