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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Fight the freeze, meetings this winter, Leeds Summat and LGI lobby

Latest minutes

If any of you can brave the cold we would love some support for a Leeds KONP stall this Saturday 19th from 11-12.15ish on Commercial St near Accessorize, just along from Boots.

We may have a few tunes to keep us warm!

We are  planning to have a couple of workshops at “Leeds Summat” on March 9th
We thought we would show the Kirkstall museum film and have some discussion  but focus on practical activities like making placards for the demo, making up chants, even singing  to try to encourage the involvement of new and maybe even younger people !  Space 2 are also collecting stories about the NHS for their NHS 70th project as well as making a banner.

 

We are  thinking about calling another one of our lobby/ events outside LGI ( by the A&E roundabout ) to combine highlighting the  lack of staff and beds in the hospital with thanking staff for the brilliant job they do despite being 110,000 short and putting across some clear messages re the inadequacy and spin in the 10 year plan.

Spread the word about our annual Yorkshire Health Campaigns  Together demonstration and rally on Saturday 30th March. Assemble 11.30 outside Leeds Art Gallery. It gets a little mention in the latest Health Campaigns Together  newspaper which you can download from the website https://www.healthcampaignstogether.com/ .

And if you fancy sitting in the public gallery of a few meetings these are coming up :

  • Wed Jan 30th 2-5, Leeds CCG in Pudsey Civic Hall
  • Mon 11th Feb 10.30am Joint Scrutiny Board West Yorks & Harrogate, venue tbc Halifax Town Hall
  • Thursday 28th Feb. 1.30 – 4pm Leeds Health and Wellbeing Board

Next Meeting of Leeds Keep Our NHS Public will be on Wed 23rd Feb 6.30 – 8pm in the Victoria Hotel. We will be setting aside 30/40 mins to talk about what we want the NHS to look like ! Hope to see a good crowd there !

Yorkshire Health Campaigns Together this Friday

1.30 – 3.30pm, in Unison’s regional office, Commerce House, Wade Lane, LS28NJ

Please remember to come to the door at the back of the building http://www.unison-yorks.org.uk/contact.html

We are hoping that campaigners from Scarborough can make this meeting. They have launched a magnificent campaign against local cuts and closures and have 26,000 signatures on an on line petition.

Suggested items for the agenda include

1. Updates from recent events round the region

999 Call for the NHS JR Appeal Hearing 21.11

HCT’s national Social Care Conference 24.11

South Yorks and Bassetlaw Group , including their lobby 20.11

70th Birthday poetry book launch 24.11

Save Scarborough and District Hospitals Campaign

Hands off HRI

Harrogate

and any other groups wanting to pitch in with news

2. Progress with specific issues and what more needs to be done e

Wholly Owned Subsidiaries

Mental Health

Resisting Integrated Care Partnerships/ Systems, particularly trying to make more impact on Scrutiny Boards and Councillors

3. What next ?

Maxing opportunities provided by the winter crisis to highlight bed and staffing shortages, safety issues and state of social care / neglect

Maxing opportunities provided by the Brexit debacle to highlight desperate staffing shortages

Exposing privatisation and its costs both in health and social care

Continuing to fight cuts and closures on the ground and supporting each other across the region as much as possible.

NB Wirral ‘s recent victory resisting closure of walk in / urgent care centres

4. Upcoming events

Yorkshire march for the NHS; proposed date 30thMarch in Leeds ?

999 NHS Judicial Review in London next week 20-21st November

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.

Leeds rally at initial hearing https://bit.ly/2JKoauQ

More: https://www.crowdjustice.com/case/justice4nhs-stage5-courtofappeal/

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!

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

Northern Health Campaigns Together action points and CHPI presentation

Vivek Kotecha of the Centre for Health and the Public Interest (CHPI) presentation with a sound and simple critique of the NHS England Five Year Forward View

NHS England Five Year Forward View – do the numbers add up?

Action points from the Northern HCT Meeting

Galvanisng Labour
1. Need to brief councillors re NHS developments – they don’t always have the info. ( KONP and 999 have briefings on ACOs) HCT paper carries useful info and examples where Councils have made a stand. These important to build
confidence.
2. Pledges can be useful. Local elections will provide opportunity to put candidates on the spot.
3. Press for consistency between Composite 8 at national Conference and local policy making – blatant gap round
ACOs etc
4. Labour leadership needs pressure to give guidance. John Ashworth has spoken out but generally seems to need a rod up his back? Work on/with some good local Labour MPs where poss.
5. Where campaigners are in the Labour Party, get resolutions through local branches and Constituencies to put direct pressure on MPs and councillors
6. Attend and challenge at Board and Committee meetings. Health and Wellbeing crucial. Scrutiny Boards don’t always allow questions but can ask to speak or present case for Scrutiny. Community Committees are another route for the public to access their councillors.
7. Note not all areas have strong Labour groups. Have to work with politicians of other parties too!

Staffing
1. Unions are working together. Need to work on more joined up activity with health workers, TUs and
campaigners.
2. Resistance to the imposition of wholly owned subsidies, currently for facilities staff, is urgent as many Trusts are
ploughing ahead with implementation.
3. Important to campaign for safe staffing. It shouldn’t be difficult to get the public on board with this. Need good,
clear info. Also need to make the links for NHS workers and try to get them more engaged with the broader campaignto save the NHS. Difficult because they are ground down by it every day.
4. Need to engage more young people which may mean doing things a bit differently – creative/ interesting/ media savvy?

Accountable Care Organisations
1. Getting the messages across to the public is difficult because of terminology. Materials produced need to translate
what is happening into simple, clear messages.
2. Need to explain some of the history with McKinsey et al to help people understand the long waves of planning for
privatisation.
3. Have to try to tackle the disconnect between what Labour Councillors are doing and LP policy
4. We have to make the economic arguments against “austerity” to challenge the “ there just isn’t enough money”
argument.

Campaigning Against Cuts and Closures
1. We need to build in an inclusive, open way and recognise that there is a critical mass to get significant shift
2. Also need to try to be to be patient – we’re in it for the long haul
3. Even small groups can generate lots of activitieswhich help to build the campaign
4. Need to get message across to the public that health care is a RIGHT , they are not getting the care they should but it CAN be delivered
5. Although Labour can be very supportive, we must reach out to ALL parties and remain pan political
6. Develop relationship with local media and local politicians
7. Develop local profiles in all your localities attending local events eg fetes, carnivals etc
8. Ensure the group is financially sound and that there is accountability at every level when money is being handled.
9. Draw in local NHS staff to the campaign and approach all their unions and staff associations
10. Engage with the local CCG’s and their farcical processes as information is key, especially the detail.
11. Can the group pursue a legal challenge? Try to get free legal advice and explore any potential legal loopholes.
12. Ensure local councils are forced to use their statutory scrutiny powers and where possible secure referral to the
Secretary of State

Demos /rallies:

Feb 24th Save Bolton NHS rally 12 noon Victoria Square
March 3rd Sheffield rally 3pm on Barkers Pool then demo being planned for 28th April
March 10th NE march and rally assemble 11.45 Framlington Place, next to RVI ,rally 12 at Monument
April 14th Yorks/ Northern HCT march , assemble 11.30 Leeds Art Gallery, march 12.15, short rally
May 12th National TUC demo for workers’ rights in London . Assemble Embankment 11am
June 30th NHS 70th Birthday demo in London, starts 12 noon

Leeds NHS and KONP updates

Leeds CC have written to West Yorks STP indicating that they are not in a position to sign up to an expression of interest in a memorandum of understanding for West Yorks STP. It was also said that Leeds Plan is being developed bottom up and is not just imposing a national or regional model; it may not be right yet but will be tested as they go along. Sometimes NHS national “ interference” not helpful. They think it is important that there is a “provider” space coming together and see integration as part of a long term programme. Standing by for a position statement / red lines soon.

Leeds KONP joined workshop looking at the plans for LGI rebuild. This being seen as central to development of a new “ innovation” district around the LGI, the 2 Universities and Civic Hall. There are aiming to build a tower on the site of the old nurses home in the middle of LGI to consolidate adult outpatients, day surgery plus additional critical care. Adult services to transfer out of Cndon to consolidate the Children’s Hospital. Maternity likely to remain split tween St James and LGI sites but might go for one consultant led and one midwife led. Gilbert Scott and Brotherton building to be retained ( or at least the shells) but looks like much of these will be sold off for development of retail, restaurant, open space etc on 4/5 years timescale. Was given no reassurances re PFI / sell offs , use of income  – different procurement options to be considered.

Kirklees going in same direction as Leeds as their Scrutiny Board has just scrutinized proposals for a Kirklees Integrated Care System. There is a big gap between LP policy made at Conference and what is happening on the ground in local Councils. Calderdale LP have passed a detailed resolution to pressure the councilors and Calderdale & Kirklees 999 Call for NHS took one to Dewsbury CLP.

Further details in the minutes: