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

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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:

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.

#HCT2017 notes

See also hashtag #HCT2017, videos, presentations of sessions from the day will be uploaded later onto healthcampaignstogether website

Opening speakers included chairs of Hammersmith & Ealing Councils – both of whom have rejected the STPs – they were described as fraud by Conservative government. Ealing & Hammersmith cover area / population the size of Leeds – if the A&Es close it would be like Leeds without an A&E.
We cannot forget the previous attempts by NHS England to try and close our hospitals up here and the great support from Leeds politicians of different political parties.

Ken Loach thanked NHS campaigners around the country. He said that he & others come to campaigns for information and advice. He wants campaigners to support Corbyn to reinstate the NHS with NHS employees fairly paid, working for the NHS and an end to privatisation.

Dr Chaand Nagpaul, Chair of BMA spoke of how the BMA votes every year for the founding principles of the NHS. Says 1 in 3 GP surgeries have permanent unfilled vacancies.

“If CQC wants to give to special measures, it should give to government”

Workshops

Different objections to PFI from policy makers / politicians – all info in CHPI report

https://chpi.org.uk/papers/reports/pfi-profiting-from-infirmaries/

PFI profits leave NHS and not invested back, go to offshore funds in Jersey.

​One campaigner found her pension in 4 PFI funds asset managed in Jersey.

Naylor report not well written – doesn’t allow for sequential testing of NHS estate review. For example if deciding that not for clinical use, consider social benefit, social housing (think of numbers of NHS staff and vulnerable patients in poverty or lack of social care and using foodbanks) on estate. This can save NHS more money e.g with stepdown care rather than private companies trying to house people in the community for greater cost).

There needs to be one public estate strategy which includes NHS and all public sector estate. Familiar territory to councillors and sequential testing provides a possible process. Property law attendees at the conference today compiling a brief.

International campaigns – fantastic stories from a Canadian province – holding public referendums and stopped private clinics / independent treatment centres from being established. They have a coalition with 450 member organisations, health professionals, legislators and many other individuals. Engage with USA physicians for an NHS and Bernie Sanders campaign. Patients are not widgets and neither is care.

North Devon held referendum and did a red line protest against CCG refusal to draw red lines around healthcare. Got mainstream media coverage with campaign going from 50 to 4/5000 and lical Tory MPs gave support after that. Also in Chelmsford in area with Tory MP.

Book recommendations

  • Plot Against the NHS – Colin Leys
  • NHS PLC – Allyson Pollock
  • This is going to hurt – Adam Kay
  • NHS for Sale – Myths, Lies and Deception – Jacky Davis, John Lister, David Wrigley
  • NHS SOS – Raymond Tallis
  • Rethinking Corporatization and Public Services in the Global South – David McDonald
  • The New Poverty – Stephen Armstrong

Closing remarks

Thanks from SamFairbairn of Peoples Assembly to every local #NHS campaign for their work in organising largest NHS demo in history earlier this year – planning a bigger one in March 2018. Establishment planning celebrating NHS – yes but because of founding principles so keep and celebrate those !

John Lister – ACO – Accountable Care Organisations are a failure – not accountable, don’t care and not well organised!

Notes changes in consideration about removal of competition in local market – now joining up in larger organisations. Think tanks are thinking!  Reiterates that private sector operates on profit, not ideology. United Health investing $2.2bn in Chile at the moment. When services unprofitable, are abandoned. Only profitable bits are bedfilling at the moment – previously in Germany they had more beds than patients and went to other European countries trying to fill beds. Now interest in Germany in NHS concept. in UK, the public doesn’t want privatisation, wants an NHS.

Unprecedented to have NHS CEOs, NHS Providers speaking out – saying mission impossible.

Don’t let councillors off the hook,force them to stand up for our NHS, to reverse the failures in the privatisation of social care and NHS dentistry. Labour keen to work with Health Campaigns Together – work to reinstate the NHS, end privatisation, reduce health inequality.

From a meeting in Massachussets where many private health companies are based. A speaker said that

the NHS is a light to other countries in the world, brings hope of what can be done

 

Why we need legislation to reinstate the NHS

From a legal specialist member of Leeds KONP:

https://leedskeepournhspublic.files.wordpress.com/2017/09/konp-leeds-mps-briefing-powerpoint-amended-23-sept-17-1645pm.pdf

In summary:

  • The repeal of 2012 Act is part of a wider movement against the neo-liberal policies of the past 40 years
  • Without fully repealing the 2012 Act we will end up with a privatised health system
  • The moral principles of a properly funded and accountable public health service need to be renewed and re-articulated
  • The next Labour Party Manifesto should set out NHS policies for the 21st century that are socially just and economically efficient

NHS no1 again in CommonWealth Fund Report, US healthcare is bottom

Just as in 2014, our NHS again is no 1 in the world for healthcare. Health leaders need to listen and learn that privatisation of healthcare leads to an ongoing series of expensive, unnecessary failures that damage patients, damage staff, damage the economy and lead to loss of life.

Take Action Now!
• Urge your MP to oppose cuts, press the Government to fund the NHS to provide top quality care and support the NHS Reinstatement Bill. This will scrap the 2012 Health & Social Care Act and restore a publicly funded, publicly provided and accountable National Health Service
• Resist plans for £22 billion more NHS cuts to services across Yorkshire.
• Stop contracting out NHS employees.
• Stop the sell-off of NHS Land and Assets
• Support fair pay for NHS staff and the re-instatement of the bursary for nurses and other key health workers.

Leeds KONP and Durham KONP at Durham Miners Gala

Join us tomorrow, 6.30pm O’Neills 

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.