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The Future of the NHS

Dear keith,

Many of you will know that last Friday, EveryDoctor revealed new information on our map of privatisation, detailing the private ambulance companies that are infiltrating the NHS. Our team has been working extremely hard on this project, and some of the examples have been shocking. A private security company (that you might have already heard of) called G4S and a private commercial property company are both running ambulance services.
It is incredibly important that everyone understands what politicians are doing to the NHS, and so we asked our network to help us to raise public awareness about the situation. The response from our network was incredible- within hours, #NHSPrivateAmbulances was the 3rd trending topic on Twitter in the UK. Over 20,000 tweets were written, and our case examples were shared far and wide.
This work is crucial; the government has no mandate to privatise the NHS, and in order to push back against what they are doing, everyone needs to
understand what’s going on. Please will you join EveryDoctor as a member
today, to support our work? Just click below, it takes one minute to join!
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This is just the beginning; over the coming weeks the EveryDoctor team will be sharing more information about privatisation which is infiltrating the NHS in various ways. I’ll update you at every stage of the project, so that we can ensure that as many people hear about this as possible.​

**Upcoming EveryDoctor events**

As you probably know, we run free online events every week for EveryDoctor members! There’s going to be a really interesting session about private ambulance companies next Tuesday, as well as our next healthcare documentary session next Thursday. We’re letting you know now so that you can pop the dates in your diary!​
 
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Dear keith,

Our research into NHS privatisation is revealing some *incredibly concerning* information. We found one example last week of a private company called “HealthShare”. The company runs over 70 NHS services, and is owned by 4 of the biggest banks- Natwest, HSBC, RBS and Barclays.
If that wasn’t bad enough, we’ve now discovered that Lloyds Bank is involved in NHS privatisation too, because they own a private company called “ConnectHealth”.

Big banks have no place in the NHS, and NHS privatisation is bad for everyone. It’s bad for patients, bad for staff, and bad for the future of the NHS. We’ll be putting all of this information (and much more) onto our ground-breaking map of NHS privatisation very soon.
The good news is that our work is reaching larger audiences than ever before. We’ve just started making short videos with updates about our NHS privatisation research, and they’re being watched hundreds of thousands of times across social media platforms.
Our team is working harder than ever- because NHS privatisation is accelerating, and it is crucial that everyone understands what’s going on. Please consider joining us as an EveryDoctor member today to support our work. We need everyone who cares about the NHS to come on-board.
Become an EveryDoctor member today
 
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Dear keith,

Our research into NHS privatisation is revealing some *incredibly concerning* information. We found one example last week of a private company called “HealthShare”. The company runs over 70 NHS services, and is owned by 4 of the biggest banks- Natwest, HSBC, RBS and Barclays.
If that wasn’t bad enough, we’ve now discovered that Lloyds Bank is involved in NHS privatisation too, because they own a private company called “ConnectHealth”.

Big banks have no place in the NHS, and NHS privatisation is bad for everyone. It’s bad for patients, bad for staff, and bad for the future of the NHS. We’ll be putting all of this information (and much more) onto our ground-breaking map of NHS privatisation very soon.
The good news is that our work is reaching larger audiences than ever before. We’ve just started making short videos with updates about our NHS privatisation research, and they’re being watched hundreds of thousands of times across social media platforms.
Our team is working harder than ever- because NHS privatisation is accelerating, and it is crucial that everyone understands what’s going on. Please consider joining us as an EveryDoctor member today to support our work. We need everyone who cares about the NHS to come on-board.
Become an EveryDoctor member today
No political party will ever scrap the NHS. It would be political suicide.
 
No political party will ever scrap the NHS. It would be political suicide.
They won't 'scrap' it, they'll just nibble away at it until it is hollowed out. Then they'll put it out of its (and our) misery. There is rising dissatisfaction with the NHS - rising wait times, difficulties in getting GP appointments. People are being softened up to welcome what comes next as an improvement on what we now have. By and large it escapes public notice that the present parlous state is a result of deliberate government mismanagement. Covid is serving as a very handy scapegoat for the woes of the NHS, and if you banged pots on a Thursday night, you should be up in arms about it.
 
They won't 'scrap' it, they'll just nibble away at it until it is hollowed out. Then they'll put it out of its (and our) misery. There is rising dissatisfaction with the NHS - rising wait times, difficulties in getting GP appointments. People are being softened up to welcome what comes next as an improvement on what we now have. By and large it escapes public notice that the present parlous state is a result of deliberate government mismanagement. Covid is serving as a very handy scapegoat for the woes of the NHS, and if you banged pots on a Thursday night, you should be up in arms about it.

Various services of the NHS such as cleaning etc have been outsourced since the days of Tony Blair. Every contract is renewed by competitive tender normally on three year cycles. This is not takeover, it is outsourcing and there is a massive difference.

The UK public can take most things but the NHS is all but a sacred cow and will not be slaughtered. However it does make lovely subject for the chattering classes.
 
Various services of the NHS such as cleaning etc have been outsourced since the days of Tony Blair. Every contract is renewed by competitive tender normally on three year cycles. This is not takeover, it is outsourcing and there is a massive difference.

The UK public can take most things but the NHS is all but a sacred cow and will not be slaughtered. However it does make lovely subject for the chattering classes.
Your response makes you seem clueless and gullible MickP. And lacking in imagination. ( Or perhaps you or your pals are invested in some way in the out-sourcing game?)

I have a friend who today manages a local authority's estates and maintenance dept. in England. Much of the grounds maintenance work is "outsourced" (AKA privatised). Under the 3-year (some 5-year) contract rules, the worst sanction he can impose on a company who fails to deliver is to with hold 10% of their payment. 10%! That is; If they do nothing at all, they get 90% of their fee, guaranteed for 3 years.

In addition, the private contractors are deemed to have completed all of their jobs, if they can evidence that 60% of them have been done. Not only that, any remaining uncompleted work is up to the local authority to "prove", in a court of law, that it was not done.

The local authority now has a back-log of hundreds of undone jobs, over several years. So much man-power is tied up in unravelling these "disputed" jobs that the L.A. has just agreed an "amnesty" with the various companies, involving paying them handsome lump-sums, to clear the slate and get these disputed jobs completed.

Not only that; the IT system ( out-sourced natch.) which was bought in order to manage the monitoring of the scheduled maintenance programme, has been so useless and buggy, that it has been scrapped and a new system contracted-in to replace it, at great expense. The IT firm producing the shite IT have been paid off in full (plus years of bug-fixing work) and found to have met all their obligations under the terms of the "contract".

All costs paid for by tax payers. All profits to private co's, many of whom are based in off-shore tax jurisdictions.

The private firms have better and nastier lawyers that the local authority. The "contracts" are laughably in favour of the private co's, whose political friends in government smooth the way for this wealth extracting grift.

I fully expect that the above "system" operates in NHS "outsourcing" programs too.
 
Various services of the NHS such as cleaning etc have been outsourced since the days of Tony Blair. Every contract is renewed by competitive tender normally on three year cycles. This is not takeover, it is outsourcing and there is a massive difference.

The UK public can take most things but the NHS is all but a sacred cow and will not be slaughtered. However it does make lovely subject for the chattering classes.
Sorry, but outsourcing is just another word for privatised, it is no protection against privatisation, it is privatisation. The bottom line is that this privatisation has been going on for decades, it is increasing.

No political party will actually scrap the NHS, but they will, and they’ve told you they will, hold the door wide open to privatisation.

At some point there will be a skeleton NHS for the very poorest, but, like dentistry, most people will have to go private.

Our political parties see the NHS as a golden goose, not a sacred cow.

Frankly, anyone who thinks the NHS is safe has not been paying attention.
 
Mick is certainly not ill informed !! NHS supply chains have indeed been outsourced for decades , portering services for decades and of course GP services are privately owned and the NHS commissions all these services . Many private hospitals are now using spare capacity to deal with huge back log as services are commisioned . My good friend recently had a cateract done at private hospital on the NHS . it was free at the point of need

Dentistry deserves another thread though , thats a national disgrace , one chap on the forums having to pay 3k for care , folks dying of mouth cancer because they cant find a dentist to look at them . Why is it my elderly friend could see the optician and receive a phone call offering him a cateract referral in about 3 days

However if he was in agony with rotting teeth he would have to wait weeks ... something wrong here
 
The government has ‘effectively told the profession it cannot afford NHS dentistry’ as it prepares to impose an approach to pay, says the British Dental Association (BDA).

After publicly accepting the independent pay review body’s recommendation of a pay increase of 6%, the BDA says the Department of Health has refused to reflect the soaring operating costs of delivering NHS care.

It is imposing a rock bottom uplift of 3.23% to cover expenses. This leaves a total uplift in NHS contract values of 5.13%.

Based on survey data measuring the costs facing practices, the BDA estimate a total uplift of 8.3% as a bare minimum requirement. This would allow the service to stand still with the promised 6% pay rise.

In its conversations with the government the BDA say officials categorically accepted that its figure of 3.23% is not based on hard evidence of the levels of costs facing practices, but rather reflects what the government felt it could afford.

It broke from its usual model of using CPI inflation to establish the costs of delivering NHS dentistry, which would have generated an uplift of 8.7%. Instead, the department chose another measure – the GDP deflator. The BDA dubbed it ‘a cynical measure designed purely to keep costs down’.

Forced move to private

The uplift leaves a gap of more than £100m in the NHS budget. In its warnings to ministers, the BDA argues that this will only accelerate the push to private.
 
I just came back from my dentist and saw the above post. It's a dentist in Wimbledon.

There's a big sign outside saying "New NHS Patients Welcome."

I mentioned it to the dentist. She confirmed that they were definitely looking for new NHS patients, that she thought that although it may be true that it's hard to get an NHS dentist in some parts of the country, here there's no problem. Please pass on the information to anyone who wants an NHS dentist . . . .

I think I've lucked out. I live near an excellent teaching hospital, I've had nothing but excellent service from my GP and dentist and optician. Posts in this thread indicate that the situation isn't so rosy elsewhere.
 
My good friend recently had a cateract done at private hospital on the NHS . it was free at the point of need
That is a model for turning the NHS into a fund provider, not a health provider.

When the role of the NHS has ceased to be a health provider, and the funding becomes more expensive and the ‘cost to the taxpayer’ goes up, as it will, where will the funds come from?
 
you make a good point KS , however this 91 year old got his op in record time enabling a few months more of life . if he had to wait a year then he would never have made it to get the op . Is it not better to mop up spare capacity from the private sector ?

Of course many will argue they cherry pick as if things go wrong with private ops very often the nhs has to step in and sort it out . Got a good friend rehabilitating in local NHS hospital now after a private op got infected . its a tricky situation
 
Of course many will argue they cherry pick as if things go wrong with private ops very often the nhs has to step in and sort it out . Got a good friend rehabilitating in local NHS hospital now after a private op got infected . its a tricky situation
And what should happen in that situation is that the NHS gets to bill the private sector for the work it does to care for the private patient. There's logic in a private sector which takes care of elective stuff, maybe specialisations such as orthopedics, sports medicine, cosmetic and reconstructive stuff, stuff like that. And the private sector won't need acute care, emergency facilities and so-on, and should be able to call upon the NHS resources - where these things should reside - as and when needed. But they should pay for that in exactly the same way that the NHS pays for private care when its own capacity has been exceeded.
 
you make a good point KS , however this 91 year old got his op in record time enabling a few months more of life . if he had to wait a year then he would never have made it to get the op . Is it not better to mop up spare capacity from the private sector ?
But that is the real point. The NHS has been underfunded so is not able to provide Care on time. However, the NHS is paying out for a private health care company to do the operation *and* for that companies profits.

This is not a sustainable model for the NHS unless the government increases its funding. Something that government has so far been unwilling to do.
 
all good points , i was sitting next to a senior NHS director recently as he liased with a big well known private hospital chain

I do see your side but if an elderly person waits 3 years for a hip op and consumes vast amounts of pain killers and GP time in that 3 years , does it not make sense financially to get that person done quick in a private place . and save £££££ in pain killers and GP resources ? not to mention quality of life
 


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