Whose Health and Care
Content
JG: at national level we are talking sloppily about
integration and not giving it enough thought. If it is
the answer, what was the question?
GC: Finding other options rather than privatisation to
improve services will save money that can go to
patient care - abortive GEH privatisation cost £500k!
Joining up services
GC: Impact of bank bailouts is being felt across the
international community, not just by UK
LPH: Mansion Tax etc. contributes to investment fund
for integrated care
Integration is reorganisation - how will this not affect
people's jobs?
LPH: Give H&WBB the authority and budget to
improve services
JC: HWBBs not given many levers of power
LPH: Principally talking about care for older people
Is this for all age groups - works less well for children
Labour's ability to reverse coalition cuts?
The cost of healthcare
LPH: Labour still committed to cutting deficit but
slower to make money available
How do we keep people at the centre? Even when we
need to save money. Putting people before profit.
How do we measure how much we are saving?
JC: Have to make difficult calls to meet statutory
requirements on critical care
CAMHS
Protecting services like STAR
Whose Health & Care?
Need to restore democratic accountability in NHS
Models from children's social care which can work,
e.g. Every Child Matters
LPH: Impact of disintegration of services on people agencies fighting each other to give people support.
GC: Care is determined by the people who are
providing it - they have been demoralised. Specific
steps can be taken to give them back pride in their
work - 4:1 ratio of NHS workers to patient.
Is there a need for some top-down reform?
Care Homes
Direction of the NHS now?
Labour started programme of privatisation!
Francis Report - impact of market
Why is Labour equivocal about TTIP?
GC: CHC's were sometimes unrepresentative
JG: evidence on major structural change suggests
structural changes don't achieve objectives or save
money or make things better - make people feel
threatened and reluctant to take accountability
LPH: We cannot afford another restructuring
What NHS do we need now?
Clive Efford's Private Members' Bill...
LPH: Need to bring back Community Health Councils
LPH: We will not sign it if NHS is included in TTIP
LPH: Necessary to reduce waiting times
GC: Level of engagement decreases when users are
satisfied
Why are NHS trusts excluded from H&WBB
Longer term arrangements for hospices e.g.
LPH: CCG governance will be reviewed, end structure
of expensive continuous contracting
LPH: CCGs are handing over commissioning of
services to the private sector - that's the issue
Role of the third sector - more than just a provider
Will CCGs remain? Will commissioning continue?
LPH: Pull together all Trusts. Get rid of competition.
Construct the NHS as one organisation. Advantage
of FT model is their governance
Position on Foundation Trusts?
Introduce combined budgets and integrated working,
not tariffs which encourage disintegration
JC: looking at membership to make sure it is fit for
purpose
LPH - accountability will sit locally. e.g. hospitals will
not be solely accountable for systemic problem of
A&E waits
integration and not giving it enough thought. If it is
the answer, what was the question?
GC: Finding other options rather than privatisation to
improve services will save money that can go to
patient care - abortive GEH privatisation cost £500k!
Joining up services
GC: Impact of bank bailouts is being felt across the
international community, not just by UK
LPH: Mansion Tax etc. contributes to investment fund
for integrated care
Integration is reorganisation - how will this not affect
people's jobs?
LPH: Give H&WBB the authority and budget to
improve services
JC: HWBBs not given many levers of power
LPH: Principally talking about care for older people
Is this for all age groups - works less well for children
Labour's ability to reverse coalition cuts?
The cost of healthcare
LPH: Labour still committed to cutting deficit but
slower to make money available
How do we keep people at the centre? Even when we
need to save money. Putting people before profit.
How do we measure how much we are saving?
JC: Have to make difficult calls to meet statutory
requirements on critical care
CAMHS
Protecting services like STAR
Whose Health & Care?
Need to restore democratic accountability in NHS
Models from children's social care which can work,
e.g. Every Child Matters
LPH: Impact of disintegration of services on people agencies fighting each other to give people support.
GC: Care is determined by the people who are
providing it - they have been demoralised. Specific
steps can be taken to give them back pride in their
work - 4:1 ratio of NHS workers to patient.
Is there a need for some top-down reform?
Care Homes
Direction of the NHS now?
Labour started programme of privatisation!
Francis Report - impact of market
Why is Labour equivocal about TTIP?
GC: CHC's were sometimes unrepresentative
JG: evidence on major structural change suggests
structural changes don't achieve objectives or save
money or make things better - make people feel
threatened and reluctant to take accountability
LPH: We cannot afford another restructuring
What NHS do we need now?
Clive Efford's Private Members' Bill...
LPH: Need to bring back Community Health Councils
LPH: We will not sign it if NHS is included in TTIP
LPH: Necessary to reduce waiting times
GC: Level of engagement decreases when users are
satisfied
Why are NHS trusts excluded from H&WBB
Longer term arrangements for hospices e.g.
LPH: CCG governance will be reviewed, end structure
of expensive continuous contracting
LPH: CCGs are handing over commissioning of
services to the private sector - that's the issue
Role of the third sector - more than just a provider
Will CCGs remain? Will commissioning continue?
LPH: Pull together all Trusts. Get rid of competition.
Construct the NHS as one organisation. Advantage
of FT model is their governance
Position on Foundation Trusts?
Introduce combined budgets and integrated working,
not tariffs which encourage disintegration
JC: looking at membership to make sure it is fit for
purpose
LPH - accountability will sit locally. e.g. hospitals will
not be solely accountable for systemic problem of
A&E waits
