วันศุกร์ที่ 10 กุมภาพันธ์ พ.ศ. 2555

NHS reforms live blog - Wednesday 8 February

live coverage, including health and benefits bills the House of Lords

2:37 p.m.:


. A phone call I was torn from the blog. But things heat up. Comment is Free, Ali Parsa, founder of the Circle of Health became the first company to take over management of an NHS hospital, has its critics

concern for independent companies that compete with the public sector often focus on accountability and profit. It is true that some have lost their way in recent years in pursuit of profit. Result of a business is like oxygen, food and water for the body: it is necessary to sustain life, but not the point of life. Like all public sector can not be convicted of failure to Mid Staffordshire Hospital, it is wrong to judge all non-state operators based on the actions of a few guilty. The key here is accountability for all operators to public scrutiny.

In fact, the search for new solutions in health care gives us an excellent opportunity to create a more just society. So far, only two square miles of the city and Whitehall - control 90% of our assets. This concentration of ownership is unique among developed countries, and has unacceptable consequences. For example, the richest region of Germany is twice as wealthy as the poorest in France the proportion is four times the United States five times. In Britain, there is a 10 times embarrassing

health professionals should be able to set their own solutions. GPS provides an excellent example of how health professionals can be released to the property and offer their own services. Are established and own their practices, and sell their services back to NHS few solo practitioners or small firms. This model could be extended to nurses, midwives, hospital consultants and many others, so that professionals in many others may find new solutions to their patients that they control.

However, a strong aftershock Ian Greener, Professor of Social Policy at the University of Durham, writes: "Why Ali Parsa is wrong on health (and the NHS)." He writes in a language more moderate than some commentators, the following:

Firstly, the NHS is facing an economic efficiency, not a deficit, and this is a political decision, not a lack of funds. This is a political decision on the amount of money the NHS is not based on the market. They see that many patients than ever - there is less demand

Secondly, the NHS is better funded than in the past. However, it started from a low base, and remains one of the worst funded health systems in the developed world. Has been consistently underfunded for much of its existence. To say that it is not viable is simply wrong - that is, without doubt, in terms of how much it cost and service providers, the health care system more efficient in the world


Third, why British industry both property abroad is due to the openness of our economy, not because we were protecting. Will Hutton has done this right from the mid-1990s (and earlier). Germany and France are protected against hostile takeovers overseas - is simply wrong on this point. The city of London seems to be to punish the property to concentrate is an important advantage of this, while at the same time is also an example of what he considered to give examples for us of how Great Britain is. There is no contradiction after contradiction.

Fourth, the idea that the concentration of capital leads to inequality is mass confusion. This is not the world of difference between the jobs most public sector organizations provide and those provided by the City of London - to combine the two is ridiculous. Regional differences in income and wealth are important - but imagine a better break the NHS is very strange. The problem is that the rewards that stupid to allow work in the city of London, not ownership of the NHS. The problem is that inequalities of income and wealth, not public property.

Finally, freedom for all health care suggests that it is clear from his argument is totally irrelevant. Health is not sustainable, and the public about the virtual monopoly that has become increasingly affordable in the UK. As I have said repeatedly in this blog entry by other suppliers means that we must maintain open integrals providers (such as the Circle received less Hinchingbrooke), which means that suppliers can not fail while while claiming that competition is introduced. There is no real failure if private providers can not fail. If there is no competition.

Health Service Journal (paywall) has this story and not timely Circle

Circle will reduce costs in health care Trust Hinchingbrooke 10 percent if it is to balance next year, it emerged. The private sector company took over management of trust in Cambridgeshire last Wednesday - the provision of this kind in the NHS. A progress report on the business plan 2012-13 Circle, presented to the Board of confidence last week, predicted revenue would amount to £ 98.7m next year. Meanwhile, costs will increase slightly, leaving the trust with a hole of 10.1 million pounds. "Based on the most likely scenario, the savings required is about 10 million pounds in 2012-13. This represents about 10 percent of total revenues of confidence," says the report.


may transfer or assign the services to NHS organizations outside the control of the health service? This question is timely, given the unity of the coalition for private teams and volunteers to provide medical care through the introduction of "any qualified provider." Today marks the beginning of a case of test in the High Court in London, which could have a major impact on the ability of the NHS to outsource some services.

Denis Campbell reports:

Michael Lloyd, a railway worker retired from Stroud in Gloucestershire, Gloucestershire challenges the decision of the Primary Care Trust to transfer some key patient services for a company interest community created specifically called CIC Gloucestershire care services. Lloyd was held in the two-day hearing, because the ICC is not an agency of the NHS and its staff are not employees of the NHS, the new provision is likely to be provided contrary to local interests to patients long term.


district nursing, physiotherapy and community services after hours medical and pharmaceutical industries are among those who moved to the CIC, and sexual health services, dental services and operation of community community hospitals. The value of these services is estimated at about 80 million pounds per year, according to the Lloyd's lawyers, Leigh Day & Co.

The case is important because, as Leigh Day & Co about to leave, "the government's policy is to separate the NHS Commissioners [PCT] providers of NHS hospitals [] by applying PCT transfer their service provider organizations. "Activists hoped that a victory for Lloyd help stop what some see as a breakdown, or the gradual privatization of the NHS in England. Members of campaign group against Stroud Cortes met in the High Court this morning to show their support for Lloyd during the judicial review hearing.

Leigh Day & Co added: "The lawyers argue that the proposal made by the NHS Gloucestershire to contract with a company like SAP to the provision of community services for the NHS, without any process fair and transparent, it is illegal for reasons of public policy and EU procurement reasons.

"The PCT is legally able to transfer his services to the community to another NHS body, without undergoing a recruitment process of the preferred option of the applicant. However, if you opt for the PCT to provide NHS services to non-NHS organizations have to undergo a recruitment process fair and adequate, with the possibility of other potential suppliers, particularly from the perspective of the claimant to other NHS organizations with proven service delivery community. "

Rosa Curling, a lawyer for Lloyd, added: "It is clear that the decision of the PCT process has not been open and transparent and does not sufficiently take into account the options open to it, to allow services to be provided by an NHS body. The PCT is clear about the legal rights to do so and failure makes the decision to contract with GCS illegal. "

Lloyd wants the Supreme Court to declare the contract illegal PCT with CIC and force him to reconsider his decision, causing a new tender.


Kailash Chand, a doctor who was a critic of the reforms of the coalition, sent by email to notify them of ePetition " drop the bill "now has more than 50,000 people have registered.

Dr Chand hopes his petition will get the 100,000 signatures needed to force a debate in the House of Commons, which would add further delay to the progress of the parliamentary bill. So far it has been retweeted by Rio Ferdinand, Jamie Oliver, Stephen Fry and John Prescott.

If you're so inclined sign here.


Twitter There's a storm that develops around Clare Gerada, the highly respected physician leader was a fierce critic the bill of health from the government. In today's story on Bill cover independent health written by the editor Jeremy Laurance Health and Whitehall journalist Oliver Wright, there are indications that the opposition is behind the financial gain for Dr Gerada. This material may be explosive or could be a smear.

The relevant paragraphs are:

An investigation by The Independent shows that one of the most frequent criticisms of the bill, the president of the Royal College of Physicians Clare Gerada could gain financially if they were abandoned. Dr Gerada is a partner in one of the largest health centers in London, the Hurley Group, which manages 13 practices across the capital and could face increased competition offered by private Bill. Ms Gerada condemned the reforms, saying it will result in a service "fragmented, costly and bureaucratic" health.

But some of his colleagues at the Royal College questioned whether it is "practice what you preach" against the competition. A statement on his behalf by the Hurley Group said competition would help improve the NHS "in the appropriate" but "forced competition" in all areas not.

The blow is on Twitter is remarkable for what it approached the plate. Richard Horton, editor of The Lancet. David Rose is the former health journalist who now works at the new Times office. John Rentoul is chief political commentator for The Independent. Toby Young ... so that it does not need to introduction.


24:18: My colleague Andrew Sparrow is Ed Miliband and David Cameron, who slugged in the NHS. Here are excerpts from the instant analysis of Sparrow:

Milband said the Reform Group Conservatives voted against the bill. This is something that even the conservatives do not trust the Conservatives in the NHS .... Miliband said that the number of people waiting over 18 weeks increased by 43%. Cameron knows in his heart that the bill is not a success. That's why people say Lansley should be taken and shot.

Cameron said that the career prospects are better than Miliband Lansley. Miliband, made a mention of that to help their own leaders.

Miliband quotes of what Cameron said at the end of the pause in health expenditures. Cameron said he was "taking people with us." Why did it fail?

Cameron said that 95% of the country is covered by the medical application of health reforms. Right now 50 foundation trusts has developed materials to support reforms and to oppose the plans work. Anne Campbell, former Labour MP for Cambridge, signed the letter, he says, because it addresses a trust.

Miliband said it was nice to see Lansley on the camera. Lansley is "some distance" from Cameron. Cameron wants "the voice of doctors to be heard" in the NHS. Why not listen?

I have just taken

Cameron called the Labour amendment to allow hospitals to raise extra money from patients in private hospitals by 5%. This would bring the neighborhood income Royal Brompton. "A crazy idea, the left wing," the Prime Minister. Instead, the coalition wants a ceiling of 49% in the private patient income - that says it's work too big a step towards privatization of the NHS


I have a reliable source of Tory on the phone. Apparently, one out of fear ran through the office of Andrew Lansley, when the BBC Nick Robinson said in the news that another major health body that come in against the reforms. A sigh of relief was heard when he realized that the health visitors. Tin hats anyone?

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