Radio Bradford: http://podcast.canstream.co.uk/bcb/ Drive Time Friday 14th February, 5-6pm Guests interview runs from 29.15 – 37.10 minutes
Friday 17th 1.15 – 3.30 at Unison Regional office, Commerce House, Wade Lane, Leeds LS28NJ
There will be hot drinks and some sustenance available from 1pm.
Saturday 8th February 11-4 – next national meeting of Health Campaigns Together affiliates, Unite offices on Thoebalds Road in London
Saturday 4th April, also at Unite, annual AGM of HCT will be in the same venue on Sat 4th April.
Apologies – now updated link:
From Healthwatch and Public Involvement Association:
Primary Care Networks: Frequently Asked Questions
Please find below a number of frequently asked questions about Primary Care Networks that have come through various engagement sessions. If your question is not listed below, you can send this to the Primary Care Network national team who will share a response email@example.com
These frequently asked questions are also available as a PDF document: Primary Care Networks: Frequently Asked Questions
A primary care network consists of groups of general practices working together with a range of local providers, including across primary care, community services, social care and the voluntary sector, to offer more personalised, coordinated health and social care to their local populations. Networks would normally be based around natural local communities typically serving populations of at least 30,000 and not tending to exceed 50,000. They should be small enough to maintain the traditional strengths of general practice but at the same time large enough to provide resilience and support the development of integrated teams.
General practice is at the core of any PCN and £1,799 billion will be made available to GP practices in PCNs via the Network Contract DES by 2023/24 as well as an additional £14,000 each year that a typical practice will receive from April 2019, in return for their initial and then continued active participation in a Primary Care Network. We are committed to 100% geographical coverage of the Network Contract DES by 1 July 2019. PCNs will need to sign up to the Network Contract Directed Enhanced Service to be able to benefit from the investment to be allocated through it.
Primary care networks will be expected to have a wide-reaching membership, led by groups of general practices. This should include providers from the local system such as community pharmacy, optometrists, dental providers, social care providers, voluntary sector organisations, community services providers or local government.
Primary care networks will provide proactive, coordinated care to their local populations, in different ways to match different people’s needs, with a strong focus on prevention and personalised care. This means supporting patients to make informed decisions about their own health and care and connecting them to a wide range of statutory and voluntary services to ensure they can access the care they need first time. Networks will also have a greater focus on population health and addressing health inequalities in their local area, using data and technology to inform the delivery of population scale care models. As an example, this will be supported by the introduction of a new Tackling Neighbourhood Inequalities Service Specification to be delivered by PCNs signed up to the Network Contract DES from 2021/22.
Primary care networks will also help ensure that the NHS designs support and services to get the best possible value out of their funding for their local communities.
As of 30 November 2018, 93.4% of practices across England considered themselves to be part of a network. This is based on CCG responses to the monthly GP Forward View Monitoring Survey. In light of the more detailed information included in the Long Term Plan and “Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan” about the role and requirements of PCNs, groups of practices will be reviewing their position. PCNs will exist formally once they have met registration requirements for the GP contract Network Directed Enhanced Service (DES) and been approved by their commissioner. The Network DES will start from 1 July 2019. Information is available in the recently published “Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan”.
Membership of a primary care network will be down to local agreement, dependent on the needs of the local population. However, each PCN should have a boundary that makes sense to: (a) its constituent practices; (b) to other community-based providers, who configure their teams accordingly; and (c) to its local community, and which typically covers a population of at least 30,000 and not tend to exceed 50,000. Each PCN will be required to appoint a named accountable Clinical Director who does not have to be a GP. Information is available in the recently published “Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan”.
The core characteristics of a PCN are:
- Practices working together and with other local health and care providers, around natural local communities that geographically make sense, to provide coordinated care through integrated teams
- Typically a defined patient population of at least 30,000 and tend not to exceed 50,000
- Providing care in different ways to match different people’s needs, including flexible access to advice and support for ‘healthier’ sections of the population, and joined up care for those with complex conditions
- Focus on prevention and personalised care, supporting patients to make informed decisions about their care and look after their own health, by connecting them with the full range of statutory and voluntary services
- Use of data and technology to assess population health needs and health inequalities; to inform, design and deliver practice and populations scale care models; support clinical decision making, and monitor performance and variation to inform continuous service improvement
- Making best use of collective resources across practices and other local health and care providers to allow greater resilience, more sustainable workload and access to a larger range of professional groups.
A GP federation is generally a group of practices that come together to deliver services whereas a PCN is a broader collaboration of practices and other health and care partners’. There is also published material from the BMA and RCGP about the different structures federations can take. These are not mutually exclusive and can co-exist to deliver a broader set of integrated out of hospital services for their local communities. Work is underway to better understand/set out the relationship between PCNs and federations using practical examples.
PCNs will typically serve populations of at least 30,000 and not tend to exceed 50,000. This is because they need to operate at a level which maximises economies of scale, but is small enough to ensure understanding of local population needs. PCNs can be bigger than 50,000 if they meet all the registration requirements under the Network Contract DES but in reality, may require organising themselves into smaller neighbourhood teams within the 30,000 to 50,000 population size. But it would create extra bureaucracy to require each of these internal teams to register as a separate network.
The guidance around PCN size is provided to help areas early in their journey of developing PCNs have some structure to work around. It is anticipated that those PCNs with very different sizes will be able to articulate a clear reason why; and how they are working in a network way with other partners.
PCNs will typically serve populations of at least 30,000 and not tend to exceed 50,000. This is because they need to operate at a level which maximises economies of scale, but is small enough to ensure understanding of local population needs.
In exceptional circumstances commissioners can agree to vary the 30,000-population floor most likely where there is a low population density across large rural and remote areas.
PCNs can be bigger than 50,000 if they meet all the registration requirements but in reality, may require organising themselves into smaller neighbourhood teams within the 30,000 to 50,000 population size.
The Network Contract will be implemented as a Directed Enhanced Service (DES) for GP practices. It will start from 1 July 2019, subject to primary care networks having met the registration requirements and been approved by their commissioner. The DES Directions and DES Enhanced Contract Specification will be published by 31 March 2019. Supporting guidance and information will be published at the same time.
The Network Contract will be a Directed Enhanced Service held by GP practices, and underpinned by a Network Agreement between them. Practices with an in-hours (essential) primary medical care contract will be eligible to sign-up to the DES as part of their network. Federations cannot hold the Network Contract DES.
If a PCN doesn’t have a core set of GPs and practices, it isn’t a PCN – the Network Contract DES is a mechanism for flowing funding to PCNs, and general practice is expected to be the core around which PCNs are built upon.
The Network Contract DES is contractually practice-based. It will be the collective responsibility of the PCN GP practices to deliver.
Every practice will have the right to join a Primary Care Network in its CCG, but the Network Contract DES remains voluntary. Close working is needed between Clinical Commissioning Groups and Local Medical Committees to help ensure 100% coverage is achieved.
In the highly unlikely event that a practice doesn’t want to sign-up to the Network Contract DES, its patient list will nonetheless need to be added into one of its local Primary Care Networks to ensure all patients have access to network services. That PCN then takes on the responsibility of the Network Contract DES for the patients of the non-participating practice through a locally commissioned agreement. The practice remains responsible for delivering core contract services to its registered list,
From 1 April 2019, a new SFE Network Participation Payment will be introduced, payable for practice activity to support the delivery of network services to its population, thereby achieving 100% coverage of the population within a PCN. A typical practice will receive over £14,000 each year (this is a practice size of approximately 8,000 patients). This payment will only apply to practices who sign-up to the Network Contract DES on an ongoing basis as an active participant. The payment will be payable from 1 July 2019 following commissioner approval and will be backdated to 1 April 2019.
- If funding is to flow at a network level, what is to stop the highest performing practices joining together to get the gains – resulting in a two tier system where lower performers are forced to buddy with similar practices?
We anticipate that practices will work together in geographically coterminous areas, rather than because of historic performance. The ongoing development of PCNs should be reinforced by strong system leadership, which should dispel some of this fear locally.
All Primary Care Networks will have a Network Agreement, even those with one large practice. This is because the Network Agreement is both the means by which the Primary Care Network describes how the practices will work together to discharge the Network contract but also how it will partner with non-GP practice stakeholders. It is needed for the PCN to claim its financial entitlements and deliver national and local services to its whole Network list and area. Delivery and achievement of the contract requirements will depend on collaborative working by network members.
As set out in Investment and evolution: a five-year framework for GP contract reform to implement The NHS Long Term Plan, there will be a registration process whereby PCNs will need to be recognised and meet minimum requirements to sign-up and participate in the Network Contract DES and be eligible to claim financial entitlements. The core characteristics of a primary care network are set out in the PCN reference guide (available in draft at https://future.nhs.uk/connect.ti/P_C_N). Practices should refer to the reference guide to help guide the development of their network and to help provide further details about some of the core components of a PCN. The guide is intended to give a sense of the starting point for a network and each step along the way as practices begin to work together.
It is a requirement of the Network Contract DES that every primary care network would have a named accountable Clinical Director who does not have to be a GP. However the governance structure within a PCN will be determined locally and recorded as part of completing a nationally mandated Network Agreement. We anticipate there will be a variety of staff engaged in the structure of each network.
Each PCN will be required to appoint a named accountable Clinical Director. A description of the role is available in the recently published “Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan”. Work is currently underway, as part of the national support offer, to review the core characteristics and skills needed for this role and further information will be made available shortly.
A Primary Care Network must appoint a Clinical Director as its named, accountable leader, responsible for delivery.
Together, the Clinical Directors will play a critical role in shaping and supporting their Integrated Care System. They will help ensure the full engagement of primary care in developing and implementing local system plans to implement the NHS Long-Term Plan. These local plans will go much further than the national parts of the Network Contract DES in addressing how each ICS will achieve the commitments set out in the Long Term Plan.
In recognition of the importance of this role and as a contribution to the costs, each Network will receive an additional ongoing entitlement to the equivalent of 0.25 FTE funding per 50,000 population size. The amount will vary in proportion to network list size. The legal entitlement under the Network Contract DES starts from 1 July 2019.
PCNs are a critical building block for the development of the NHS to a population focus for health and care improvement. They need to align with and support work at neighbourhood, Place, and System levels. For this reason, it is important that whilst they should develop in a way that meets their specific local needs, they must also provide a consistent level of support and integration with the wider health and care system. The maturity matrix is designed to enable local innovation within a national framework. All systems should use the provided maturity matrix in the first instance to assist with assessing relative maturity of their networks. We are aware that in some instances, building on this maturity matrix and adapting it for local use has led to positive engagement of all networks, which we would encourage. All PCNs will need to consider the evolving requirements of the Network Contract DES as they mature and plan for this.
The maturity matrix is not an assurance vehicle for PCN performance. It is a key tool to be used to assess both current maturity and provide direction to developing PCNs. PCNs will need to consider the evolving requirements of the Network Contract DES as they mature and plan for this.
The Network Contract DES will support practice/partnership to achieve collaborative working and the Network Agreement will set out how they will do this.
Joint working between practices is nothing new. The new Network Contract DES provides significant funding to support practices to formally work together, irrespective of their individual motivations for doing so.
There have been a number of reports conducted into the sustainability of primary care networks all over the world.
A selection of these can be found below:
- National Association of Primary Care (2015). Primary Care Home: An Overview
- Dunbar R (2010). How many friends does one person need? London: Faber and Faber
- Ham C (2010). GP budget holding: Lessons from across the pond and from the NHS University of Birmingham HSM
- Martin S, Rice N, Smith P (1997) Risk and the GP Budget Holder York: Centre for Health Economics
- Bachmann M, Bevan G (1996) Determining the size of a total purchasing site to manage financial risks of rare costly referrals: computer simulation model British Medical Journal
The development of PCNs does not take away the need for a local neighbourhood ‘presence’ in terms of a GP practice, it enables a local focus set in the context of collaborations that bring together those services that need to be provided at scale. A PCN approach will drive continuity of care for those patients with complex long term conditions as ultimately it will ‘free up’ GP time to focus in more complex areas whilst using alternative practitioners to see those with routine needs. A PCN’s role is about looking at the population health needs and this is will involve working with patients and the public to understand their needs and requirements to deliver the best solutions to meet these. This will involve balancing for example choice and convenience of services and the scale the services are delivered at.
To read about the research completed on continuity of care and primary care networks
- How can we get better at providing patient centred care: does continuity matter?
- Divided we fall: getting the best out of general practice.
- Personalising care for patient sub-groups in general practice.
We are working with local teams to develop an appropriate approach that helps provide the right level of assurance. This will initially focus on confirming practices are all part of a PCN by the end of June 2019.
CCGs (or NHSE local teams for the small number of CCGs without delegated primary care commissioning), will be responsible for overseeing the Network Contract DES registration process and ongoing assurance of PCNs’ delivery against the requirements of the DES. A new Primary Care Network Dashboard will be introduced from April 2020 to support the assurance process. CCGs, working with LMCs, must ensure all practice lists are covered by a Primary Care Network in their area for the provision of network services.
The PCN development offer will provide support to the system to meet policy commitments and enable the creation of effective and sustainable PCNs. It will have a focus on providing capacity to local teams and building capability in two key areas:
- Leadership development (including relationship management)
- Organisational development (including team development and change management)
Delivery options for the development support offer are still being agreed.
We have carried out significant engagement with the system and continue to do so as we develop the PCN offer. Our aim is to ensure that we secure ‘the right’ support and that it gets to ‘the right’ place based on need. The support must add value and not duplicate offers that are already available. Understanding the local context is essential to this, hence the focus on engaging with the system and regions.
The process to access the PCN development support offer is still in discussion. However, it is likely that funding will flow to ICS/STPs for them to draw down specific development support from a nationally agreed framework based on their local needs.
The national team have engaged with a range of stakeholders which has included local LMC representatives, regional teams, CCGs and primary care staff, including GP federations and practice managers in designing the primary care networks development programme.
There is a lot of health and care wider work being implemented in relation to PCNs, however some areas are broader that – working with schools, community development, fire service etc. When NHS England talks about funding and support, are we talking specifically about funding general practice to develop PCNs, or is this funding for systems to develop integrated working?
Any funding specific to PCN development will need to be used based on the needs of the local system. Nationally we would support using the development funding to support integrated working, however the decision about this will be for local determination.
All practices and partners within a PCN, in line with local context and need.
Work is underway to determine the best way to deliver the development support needed by the system. It is likely that there will be a ‘menu of support’ covering a number of elements which will be provided by a variety of providers.
This is about giving teams the space to discuss the sort of environment that they would like to work in, what values are important to them so that local teams can develop a culture whereby staff feel valued and supported and are aligned with the values of the NHS. By behaviours we mean leading by example, whatever role you may be in, it is about treating others with dignity and respect.
Many ICSs have recognised that much of the PCN maturity matrix (especially stages 2 and 3) is dependent on developing population health management skills and capability. Will there be any provision for this in the support offer?
Support is already being provided to ICSs to help them build population health management capabilities to turn data into actionable insight for primary care networks and integrated teams. The learning from this early work is being bought together to provide a range of practical resources and further advice and support. To access the practical guidance and learning to date, please email england.STGPHM@nhs.net to join the PHM Network.
Are there opportunities for networks to help improve workforce health and wellbeing (which might be challenging at practice level), and is this something that would be supported as part of the development support offer?
Yes, this is integral to the development offer that is being developed based on feedback from the recent workshops and is exactly where we want to focus resources.
How will the time for care programme be used going forward to support the OD and QI skills to be developed across general practice? Will the programme be continued beyond March 2019, and in what context?
The Time For Care Programme is continuing in 2019/20 and beyond. The programme will continue to focus on quality improvement and change management working with practices, groups of practices and PCNs depending on local need.
NHS England has worked with NAPC to provide support to local areas to develop Primary Care Homes (PCH). The NAPC Primary Care Homes approach has created a number of strong demonstrators of how excellent PCNs will work in the future and has informed our approach to designing PCNs, but it is not the only model. The NHS England PCN development programme will be designed to offer a range of support whereby ICS/STPs can draw down support relevant to them and their local PCN needs. Local systems should work with the partners who can best support the approach to PCN development that fits with local ambitions.
Is consideration being given to core contracts development for dentistry, pharmacy and optometry so they dovetail with what is being asked of medical primary care to align strategic direction of travel for all?
The national PCN programme team are linking with a number of stakeholders to ensure all future planning is aligned.
Further examples and case studies are available on the NHS England website at www.england.nhs.uk/pcn. Information is also being shared via weekly webinars involving presentations from local areas who are already working as part of primary care networks. Full details are listed on the above web page.
Additional resources and guidance related to the development of primary care networks are also available on the primary care networks FutureNHS site at https://future.nhs.uk/connect.ti/P_C_N/grouphome and further documents are being produced. Please email firstname.lastname@example.org to request an invitation to join to platform.
Please email email@example.com and a member of the team will be in touch.
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 :
- The whole of England is to be covered by integrated care systems in just over two years, with ICS “central to the delivery of the long-term plan”.
- The 30 worst financially performing NHS trusts will be subject to a new “accelerated turnaround process” as part of plans to bring the provider sector into the black by 2020-21.
- The NHS is asking the government to rip up key parts of the Lansley Act on competition, with the regulator consulting with “clinicians and NHS leaders” to present government with a “provisional list” of requests for changes to legislation.
- GPs will sign new “network contracts”as part of NHS England plans to extend the scope of primary and community services.
- Formal regulation of senior NHS managers could be introduced to improve their standing and help fill the most difficult jobs, with the NHS to consider “the potential benefits and operation” of a professional registration scheme.
- The NHS and government will look at funding key public health services from the NHS budget, including considering ”whether there is a stronger role for the NHS in commissioning sexual health services, health visitors, and school nurses, and what best future commissioning arrangements might therefore be”.
- More doctors will be encouraged to train as generalists rather than specialisingin a specific area of medicine in an effort to shift away from the dominance of “highly specialised” medicine and to ensure medics are better able to provide care to patients who have more than one long-term condition.
- No commitment made on when the service will get back to meeting its core statutory access targets, although the document pledges to speed up access for the sickest patients.
- Patients will have “a new right” to switch from their existing GP to a “digital first” provider and all patients in England will have access to a “digital first primary care offer”, such as online or video consultations, by 2022-23.
- The target for all secondary care providers to move to digital records has been pushed back to 2024.
- Specific waiting time targets for emergency mental health serviceswill be introduced from 2020, while a new national waiting time for children and young people’s services and access standards for community mental health will also be introduced.
- A new “same day” model for emergency departments and a further cash boost for primary and community services are to be set out in the NHS long-term plan, being launched today.
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.
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.
999 now have confirmation that their judicial review will be heard at the Royal Courts of Justice in the Strand, London on 20-21st November.
Please support 2 rallies, one from 8-9.30 am on Tuesday 20th Nov and one around 4.30 on Wed 21st when they expect the Appeal to have finished.
Hopefully London activists will turn out in good numbers but if you have any reason or excuse to be in London or fancy a trip, they will be delighted to see you.
Good luck, thank you and loads of solidarity to all the feisty 999 crew!
Hope to see you in O’Neill’s tomorrow at 6.30pm ( Directly behind the Town Hall)
You will be able to pick up bundles of NHS birthday postcards to distribute and I’ll also have some A3 Happy Birthday cards on foamboard – see attached. We want to fill these up with messages for NHS staff then hand them in to the hospitals on the NHS’s birthday on Wed 5th . If you can take one into work or pass round friends and relatives and get it back to me for 5th ( or arrange for us to pick it up) that would be great .
Next Events needing support :
Tomorrow ( wed) 12 – 1ish outside Leeds Market on Vicar Lane: Giving out postcards and gathering comments on the birthday cards
Unfortunately the forecast is poor. If is raining more than a few drops we will postpone, please contact us.
Saturday 1st Some of us will be joining the health section of the NOT ONE MORE DAY#TORIES OUT demonstration in London. assembling at 12 noon at Broadcasting House, Portland Place and marching to Parliament. See http://www.thepeoplesassembly.org.uk/not_one_day_more_toriesout_national_demonstration . Leeds TUC has organised a coach: see https://www.eventbrite.co.uk/e/not-one-day-more-leeds-tuc-transport-to-national-toriesout-demonstration-tickets-35633828741.
Unite are also organising coaches but I expect these will be for member and families although they may offer out any extra space. The contact for Unite coaches is Sharron.Lucas@unitetheunion.org
Sunday 2nd 11.30 – 1pm Leeds KONP stall outside Boots on Albion St. with the birthday cards, balloons etc
Wednesday 5th NHS Birthday
7.30am – 9.30am beside the multi- storey car park and mini roundabout outside the Jubilee/ A&E entrance to LGI. We will have a big birthday banner, placards, balloons, bunting etc to welcome staff and public. As I ‘m sure we’ll will want to sing happy birthday if not other songs, it would be good if people can come along with musical instruments. Trade Union banners also very welcome. After a brunch break we’ll take all the kit across to St. James main entrance for 12noon so if it is easiest to come at lunchtime please join us
12 – 2 at the main entrance to St. James Hospital on Becket St.
Meanwhile you might like to look at a couple of Guardian articles https://www.theguardian.com/society/2017/jun/26/uk-public-are-more-dissatisfied-than-ever-with-nhs-poll-shows in which the Head of the BMA says “The Government is trying to keep the NHS running on nothing but fumes” and a piece on the Govt reneging on expanding nursing places and the disastrous effect of scrapping the nurse bursary https://www.theguardian.com/education/2017/jun/27/fund-extra-nursing-training-places-dropped-universities
NB if you want postcards or a birthday card and can’t collect tomorrow, just let us know and we will arrange.
Join us in August – October, details below
Yorkshire “Health Campaigns Together” Conference in Leeds on Saturday October 15th from 11-4pm. St. George’s Conference Centre on Great George St. next to the LGI.
Coming up soon:
Wed. 17th Aug. 6.30- 8pm Leeds KONP meets in O’Neill’s pub , Great George St.
Wed 7th Sept. 6.30 -8pm O’Neills, HCT Conference planning with other regional activists
Sat 17th September National Health Campaigns Together Conference on Challenging the Sustainability and Transformation Plans in Birmingham 11-4pm Carrs Lane Conference Centre, B4 7SX (opposite Moor St Station). To book visit http://www.healthcampaignstogether.com/
19th & 20th September Judicial Review re imposition of the junior doctor’s new contract at the Royal Courts of Justice, Strand, London. This will be held in public and there will be a gathering outside.
Saturday 24th September KONP stall. & Gig Up Our NHS with bands in the Square.
Wed 28th Sept. 6.30 -8 Leeds KONP in O’Neill’s pub
Sunday 2nd October Protest at the Tory Party Conference in Birmingham
Sat October 8th KONP stall/ event tbc
Requests for support :
Dewsbury campaigners have a petition re saving services at Dewsbury Hospital https://you.38degrees.org.uk/petitions/keep-all-servces-at-dewsbury-district-hospital/
KONP is crowd funding to employ a researcher to investigate issues new NHS developments such as STPs, submit FOIs, share results widely etc. If you can help, please contact http://www.crowdfunder.co.uk/keepournhspublic
Our NHS does not need reorganising in Leeds, West Yorkshire or anywhere else in order to meet government demanded unachievable £22bn efficiency cuts. Patients deserve better, NHS staff deserve better.
Join us to stop these illegal STPs. Make sure you ask your local MP to join the parliamentary debate next week for the NHS Reinstatement Bill
Leeds Junior Doctors began an indefinite protest outside the NHS headquarters in Leeds this week. They are determined that Health Secretary Jeremy Hunt be held to account for his appalling changes to their contracts making them unsafe for patients and unfair and for women in junior doctors in particular.
The BMA has indicated it’s willingness to call off strike action set for the 26th and 27th of April next week if Hu
nt enters into meaningful negotiations and ensure that proper funding and training is put in place to achieve to ensure that the NHS meets the needs of patients.
The empty chair is a symbol of Hunt’s inability to meet and discuss with health professionals and his reckless attitude towards both medical professionals and patients and their families.
It is important that people visit picket lines and get maximum support for the junior doctors next week.
Join us tomorrow and onwards:
Tomorrow 19th March 11.30 -1pm KONP stall in Headingley outside Sainsbury’s
Wed 23rd March 6.30 – 8pm . Leeds Keep Our NHS Public meeting – all welcome 6.30 – 8pm in O’Neill’s pub, Great George St.
Saturday 2nd April 2pm KONP stall outside Boots in the City Centre ( Commercial St. / corner of Trinity)
Wed 6th and Thursday 7th April from 8.15am support junior docs picket lines at LGI and Jimmys – more details to follow soon
Friday 8th April flashmob choir practice: 5.30 until 6.45 at The Quaker Meeting House on Woodhouse Lane but might move and morph into a more general get together with some discussion and music.
Wed. 13th April 6.30 -8pm Leeds Keep Our NHS Public meeting – all welcome 6.30 – 8pm in O’Neill’s pub, Great George St.
Sat 16th April assembling 11.30 outsisde Leeds Art Gallery. Yorkshire March for the NHS