Presentation to whole Council meeting 18 January 2017

http://kirklees.public-i.tv/core/portal/webcast_interactive/237932

Mayor and Councillors.

Research published in 2013 by Globalisation and Health funded by the Commission of European Communities indicates that investment in health and education, contributes to economic growth. The research concludes

These findings have important implications for policy. First, these results, taken together with other studies, corroborates existing evidence that historical prescriptions for austerity from international financial institutions have tended to exacerbate economic crises [29, 34, 35]. Second, there is a widespread consensus that investment in education and in health contribute to economic growth in the long term, by creating a healthier, better educated, and therefore more productive labour force [36]. (…)Our findings suggest that, in addition to their long-term benefits, such investments may actually have short-term, positive growth effects that make that recovery more likely”*12

Last night I saw a report from ITV news showing that the new plans for the NHS with harsh financial controls, are proposing to cut and downgrade more A&Es than ever, which are failing to meet their targets.*1 The study was funded by 38 degrees. Campaigners have been saying this since last May but only now the STPs have been published is it in black and white. When the English health service is already described as a humanitarian disaster and patients are dying on trolleys, this is a ludicrous situation.*2

Rob Webster, West Yorkshire STP Lead, told Kirklees Health and Wellbeing Board that the biggest risk to the new plans, is Social Care. Has the Kirklees Council got a big influx of cash to implement more Social Care services? No! And what about the 12% ‘costs’ in reality profits which go offshore, indicated in the LaingBuisson terms for ‘fair value’ to investors? #

In spite of North Kirklees CCGs protestations that the Care Closer to Home programme would stop people going into hospital this has not been the case, as Locala has suffered ‘Operational Pressures’ *3. That is, it hasn’t got, or can’t retain, enough staff. The service following hospital discharge is time limited, after which patients have to pay. What if they can’t afford to pay? Nor is it just the scapegoated older people who are in trouble.

On 3 December there were no Intensive Care Unit beds for children in the UK*4. It could have been your child or grandchild who had meningitis or a burst appendix. There was a wait of 9 hours and the bed could have been anywhere in the country!

At the financial crash every man woman and child in this country, paid £12,000 to the banks. Those who could not afford it are now living on the streets, have died because of DWP policy,*5 have died on a trolley in a hospital corridor, *6 or will die before 2020, however old they are, or however wealthy. Because money can not buy you an emergency bed.

The manifesto pledge from the Conservatives “we will offer you the safest, most compassionate care in the world”*6, now looks particularly absurd. Denmark, France, Sweden , Belgium, Germany spend 10 to 11% GDP,*7 Britain 6.4% *8 and with social care brings it up to around 9 to 9.5%. Beds per 1000 population Germany 8.3, France 6.3, Denmark 3.1, UK 2.7. lowest in EU says SWollaston

GPs work often 14 hour days, many work part time because of this. A pilot for GP 7 day working cost £45m to save £3m in A&E attendences for minor ailments cuts and sprains. North Kirklees CCG Curo’s own trial found there was not much demand for GPs at a weekend and shut it down*9. Government’s blame on GPs is outrageous, but predictable. Government’s persistant lie that £10bn extra funding has been put in has been corrected by Sarah Wollaston Conservative MP, chair of the Health Select Committee, to the real £4.5 bn.*10

West Yorks STP needs to cut £1bn by 2020. Actual position for 2017/18 is underfunding of around £70m. This assumes the whole area collectively meets both the anticipated and increased financial control total (ie the spending limit imposed by NHS England on all the hospital trusts, the ambulance trust and Clinical Commissioning Groups);  and that it gets all the planned Sustainability and Transformation Funding – although this depends on NHS organisations achieving targets set by NHS England and the hospitals regulator NHS Improvement. Mid Yorks is predicted to miss out, due to failing A&E wait time targets and is vulnerable to more cuts.*11

Please support the motion.

1
https://speakout.38degrees.org.uk/campaigns/1836?utm_source=email&utm_medium=blast&utm_campaign=17_1_2017_nhs_itv_share&bucket=email-blast-17_1_2017_nhs_itv_share&utm_source=&utm_medium=email&utm_campaign=blast2017-01-17

2

http://uk.reuters.com/article/us-britain-redcross-health-idUKKBN14R089

#

The Care crisis is commonly attributed to an aging popn and rising minimum wages. But according to Private Eye, (PE1434, page 39) excessive payments to firms operating the service rarely get mentioned.*4 A report by the Centre for research on Socio-Cultural Change in 2016, shows how pricing in the residential care sector, is driven by a financial model created by Health Business Consultancy LaingBuisson in 2002. It’s calculations of fair pricing based on business costs, assume a return to investors of 12%, ((which all goes offshore.)) The £53 million per year interest that Four Seasons counts as ‘costs’ (in reality profits for the investors) run at around 30% of a care home providers costs and reducing this would have a dramatic effect. A 5% rather than 12% return would cut the cost of a £550-a-week-bed, to around £440. However, homes and businesses have become playthings of the financial markets. (Four Seasons was bought by Alchemy Capital in 1999, sold to Allianz Capital Partners in 2004 thence to Three Delta in 2006 and in 2012 to Terra Firma, all these requiring enriching investors and bankers along the way.)

3

Testimony at North Kirklees CCG Governing Body meeting in public Dec 2016

4

Facebook post by doctor We are hearing that there are currently no free Paediatric ICU beds available in the entire UK. Zero.

In some places there are no level 2 beds either.”

5

Private Eye No 1435 date 13-26 Jan 2017 p5 Unfit as a fiddle: Opposition parties are calling for an independent enquiry after it emerged that ministers apparently ‘hid’ 7 confidential peer review reports into the deaths of benefit claimants, from the independent expert Professor Malcom Harrington as he prepared his report into the ‘fitness for work test’ in 2012.

6

https://www.theguardian.com/society/2017/jan/06/three-deaths-worcestershire-royal-hospital-nhs-winter-crisis

7

Private Eye No 1435 date 13-26 Jan 2017 p 15 The NHS in 2017

8

Allyson Pollock on Womans Hour December 2016

9

PPG meeting conversation August 2016 and CCG Governing Body meeting in public.

10

Sarah Wollaston MP @sarahwollaston Jan 14

7. Financial squeeze over last Parliament av 1.1% uplift /yr at a time of huge demographic/demand surge & now set to fall/head 2018/19

11

https://calderdaleandkirklees999callforthenhs.wordpress.com/2017/01/12/calderdale-plan-to-cut-63m-nhs-and-social-care-costs-by-20201-will-improve-peoples-lives/

12

https://globalizationandhealth.biomedcentral.com/articles/10.1186/1744-8603-9-43