Following a successful fundraiser in the Parochial Hall Dewsbury, The New Picture House will be hosting a film exploring the ‘insurance led’ ‘health industry’ in America.
Free film show
Friday, 26 May 2017: 7:30pm
Doors open 6:45pm
The New Picture House
Church Street Dewsbury WF13 1LB, next to Heron Foods
‘Sicko’ a film investigation into the healthcare system in America. What could a future without a universal NHS, be like?
Licensed bar, food (veggie curry £4, cakes) tea, coffee etc for sale.
Free entry but seats limited so to reserve your place
Enter your name and how many reservations you want
in the comments box at:-
Your details will not be visible.
Free Film Programme
6:45pm doors open. Order drinks and food if required, at the
bar, ready for the interval.
7:30pm Introduction and Film begins, ….showing until the
food, drink, comfort break, for 10 to 20 mins
10:30pm approx, film ends, retire to bar for drinks and
questions, if desired.
Reserve your seat using the comments box on this site, leave your name and how many seats you need reserving.
Next Phase of Mid Yorkshire Hospitals Trust acute reconfiguration.
No definitive timeline was given in the Full Business Case, although it was expected that all the changes would happen by the end of May 2017.
The assumptions made in 2013 about ‘Care Closer to Home’ reducing the number of people having to stay in hospital for treatment were wrong. More people than planned for, are needing to stay in hospital for medical care. The failures in the Care Closer to Home(CC2H) programme have been exacerbated by the ‘drive time of ambulances’ whatever that means ..presumably what campaigners said all along, that journey times from Dewsbury to Pinderfields were unacceptable (compounded by the changes to service sites at Leeds Teaching Hospitals so now, Leeds specialisms are further away than Pinderfields, for Morley patients according to Deborah Turner). The North Kirklees CCG Governing Body member Deborah Turner, admitted at the meeting of Governing Body North Kirklees CCG in parallel with Wakefield CCG, on 6thApril 2017, “Drive time of ambulances has also impacted on the inability to reduce beds.”
Yorkshire Ambulance Service(YAS) has had “input into the ‘model’ before it went to the Star Chamber”, said Jo Webster, CEO of Wakefield CCG. But did the Star Chamber look at aspects of staffing at the Ambulance Trust? Deborah Turner said that there was a risk of reduced staffing in the hospitals although there were no financial restraints on staffing at Mid Yorks and it has been actively recruiting, not least because a number of EU nurses have returned home.
The members of the Governing Bodies at the meeting had to approve the recommendations of the Star Chamber looking into the problems surrounding the full business case(FBC) of 2013.
It is recommended that the Governing Body approve the recommendations of the the Star Chamber held on the 23rd March 2017
To agree that hospital beds cannot be taken out of the system as originally planned to enable medical reconfiguration, as per Meeting the Challenge Full Business case, at this time
To agree the system mitigation is robust to support additional beds in the system
Agree deferral of the planned medical reconfiguration
Support the proposed phasing of changes between April 2017 and September 2017, subject to further QIA and Star Chamber process to assess the risks and mitigation of full implementation of the hospital frailty model, changes to acute inpatient services and critical care prior to implementation
Support the proposed reduction in the surgical bed base acute inpatient services and critical care prior to implementation
Support the proposal to develop enhanced rehabilitation services at Dewsburyand Pontefract, including rehabilitation for patients with fractured neck of femur in line with national best practice guidelines and with the commitments set out in the original FBC.
Dr Phil Earnshaw, Chair of Wakefield CCG was very keen to stress that this is ‘Phase One only’ that the CCGs were supporting at this meeting, because the implementation of the Multispeciality Community Provider model, due to be coming soon, would change the landscape yet again.
The Star Chamber process is ‘designed to assure patient safety’. So that’s all right then!
The notes on the background to this meeting say “Dewsbury Hospital now has a Children’s Assessment Unit (CAU) open 10am to 10pm.” This was no use to the woman on the bus traveling home from Pinderfields with her toddler, who had fallen and cut his face, just above the lip. She had presented with him at Dewsbury A&E and was sent straight to Pinderfields for which she had to hire a taxi.
“All they did was glue it and put a plaster on” she said. “They could have done that at Dewsbury.” Keep All Services At Dewsbury hospital asks
So where is the 24/7 minor injuries unit in Dewsbury Hospital now?
Is there an age limit for accessing this Minor Injuries Unit facility?
Is the denial of care at Dewsbury part of the ‘managed care’ strategy which would see a low income or ‘strapped for time’ family, choose not to hire a taxi to get to Pinderfields therefore not get their child seen? Or just lack of staff?
In the ‘80s and ‘90s, there was much chatter in the press about negligence in families and great encouragement to present children who had experienced accidents, to medical facilities to be ‘checked out’. Has this attitude been abandoned on the alter of commercial decisions? Who decided that?
Is this a deliberate attempt to run services down, so that a Multispecialty Community Provider in a GP clinic somewhere, appears better?
The documents also state “Dewsbury Hospital has a new purpose built midwife led birth centre.” However in answer to a question about numbers of transfers to Pinderfields, from the Birth Centre, North Kirklees CCG Quality and Safety Officer Deborah Turner said “the Bronte Birth Centre is operating at a low threshold at the moment so there are more transfers.” This chimes with stories we have heard where women in labour, are whisked to Pinderfields without it being explained properly. Why? The documents state “ More than 100 babies have been born at the new midwife led unit at Dewsbury and transfer rates are consistent with the original plans.” It was revealed much later than the Meeting the Challenge Consultation, that MYHT was expecting a transfer rate of 30% to Pinderfields, however, it seems that Deborah’s answer indicates the papers are out of date at the time of this meeting on 6th April!
Other out of date examples are the mentions of complex colorectal surgery, which according to anecdote must be available occasionally rather than routinely, and the children’s example of the cut lip..
Have you been ‘Consulted’ about the changes to stroke services highlighted in the Sustainability and Transformation Plans…now Partnerships?
Jo Webster of Wakefield CCG assured the Joint Scrutiny Panel for all the councils in the ‘West Yorkshire Footprint’ STP in Leeds on 23 January 2017, that no changes will take place until there has been a Consultation.
The April 6th 2017 meeting discussed the development of rehabilitation services for both stroke and fractured neck of femur patients at both Pontefract and Dewsbury Hospitals. The Star Chamber supported the proposal if they were assured that
the model will be a partnership between medical staff, nursing and therapies
staffing models will be developed to ensure sufficient capacity to meet the needs of patients
Pathways will be designed in such a way that patients would be transferred to beds on each of the hospital sites according to their place of residence transfer will take place when the patient no longer needed surgical intervention and could be safely managed by the medical rehabilitation team.
This last point chimes with something that was said by Martin Barkley at the MYHT Board Meeting on 13th April 2017. Apparently the Clinical Lead on Stroke services at MYHT is not happy about the changes to stroke services SO Mid Yorkshire needs to make Pontefract a ‘Centre of Excellence’ for Stroke rehabilitation as an antidote. Sad then that patients who live in Dewsbury will not be at a centre of excellence! Sandra Cheseldine Lay member for Wakefield CCG said that they must make sure patients don’t go to Dewsbury who live in Pontefract but her question where do Wakefield patients go was not satisfactorily answered as far as Keep All Services at Dewsbury Hospital was concerned.
Deborah Turner, in the meeting in parallel said that monitoring where patients go is a central part of the plans. Fatima Khan-Shah lay member for public engagement at North Kirklees CCG, said ‘engagement needs to be done to keep the public up to speed.’
Watch out then for the Look North slots, leaflets at the Al-Hickma Centre and Ravenshorpe community groups. “If 500 people get to hear about the changes then they then spread the news” said Fatima Khan-Shah. Dr David Kelly, Chair of North Kirklees CCG said that GPs also need to be involved in ‘engagement’. Have you been engaged with or ‘Consulted’ about any of this? What happened there?
A bill to prevent the privatisation of NHS services and to reinstate the NHS in England, supported and written by Newcastle University academics, is scheduled to be debated on 24 March 2017.
On Friday 24th March, the NHS Reinstatement Bill should be presented in the House of Commons by Margaret Greenwood, Labour MP for Wirral West.
It is the result of a body of work by Newcastle University academic Professor Allyson Pollock and colleague, barrister Peter Roderick.
Professor Pollock, the newly-appointed Director of the Institute of Health and Society, Newcastle University, said: “The NHS has been one of the UK’s greatest achievements and for almost 70 years it has provided a cost effective, universal health service. Yet this has been eroded.
“I believe the Health and Social Care Act 2012, forced a commercialised model on the NHS in England as the first thing it did was remove the duty on the Health Secretary to provide services throughout England. In effect this makes commercial tendering virtually compulsory.
“The result is billions of pounds of NHS money and thousands of health services put out to commercial tendering,removing scarce resources from the system and putting them into the private sector instead.
“The aim of today’s Bill is to force the issue into the open,and allow debate on what I consider as a momentous failing to society.”
The Bill proposes that the NHS should be restored as a public service by reversing marketization in the NHS, by abolishing the purchaser-provider split ending contracting and re-establishing public bodies and public services accountable to local communities.
The academic team believe this is necessary to stop the dismantling of the NHS under the Health and Social Care Act 2012.
Allyson Pollock was professor of public health research and policy at Queen Mary University of London, and set up and directed the Centre for International Public Health Policy at the University of Edinburgh before moving to Newcastle.
Her research at Newcastle University will focus on health inequalities, the privatisation and marketization of health services, pharmaceuticals and clinical trials and will build on her well-respected work on sports injury, in particular head injuries.
The Bill was co-written with the help of Peter Roderick,Principal Research Associate within the Institute of Health and Society.
He said: “In writing this bill, we are reinstating the founding principles which made the NHS. These have been eroded and they will not be restored unless Parliament passes a law to do so.”
MP Margaret Greenwood took up the Bill because of growing public concern about the state of the NHS and she is calling on people concerned about the NHS to write to their MP to ask them to support the Bill.
A key supporter of this Bill is also MP for North Tyneside, Mary Glindon.
Pollock AM (2016). How Marketisation and Privatisation Is Being Used to Abolish National Universal Health Care Systems and What Must Be Done to Restore Them.REVISTA DEL CLAD REFORMA Y DEMOCRACIA (64) 5-50.
Pollock AM, Roderick P (2015). Why the Queen’s Speech on 19 May should include a bill to reinstate the NHS in England.BMJ vol. 350,
Pollock AM, Price D (2014). Loss of population data sources when health systems are not responsible for geographically defined populations: implications of the Health and Social Care Act of 2012 in England.Evid Based Med vol. 19, (1) 4-5.
Do you remember back in the day, when the campaign group Save Our Local Hospital Services (SOLHS) was struggling to do just that, by holding a march round Dewsbury, lobbying Meeting the Challenge ‘consultation events’ and giving presentations to the Joint Kirklees and Wakefield Overview and Scrutiny Committee? The Joint Scrutiny Committee was not convinced the changes were in the best interests of the local people and referred the matter to the Secretary of State. The Secretary of State was Jeremy Hunt, that failed marmalade salesperson and he referred the matter to the Independent Reconfiguration Panel (IRP). This process is presumably to ‘persuade’ the public into thinking there is some kind of democracy in this country and that local people elected as Councillors, have a say.
However, SOLHS discovered that the ‘Chair’ of the IRP was a Conservative Party Peer, Lord Ribiero. The question then was, ‘Is a Conservative Peer going to overturn policy decisions of the Conservative Government?’ It transpired that he was not, so the appeal was rejected and the changes started to happen.
The Dewsbury Hospital downgrade was one of the first to be implemented and many more are now following. The Kirklees and Calderdale Joint Scrutiny Committee have decided not to refer the proposed Huddersfield hospital closure and demolition plans to the Secretary of State, so far. Why not?
In Lincolnshire, a Conservative led Council, the Scrutiny Committee has referred the overnight closure of Grantham A&E to Jeremy Hunt who in turn has referred the issue to the IRP.
However, local Lincolnshire campaigners have discovered that Lord Ribiero is also an advisor on hospital reorganisations, for Price Waterhouse Cooper. Not only that, but Price Waterhouse Cooper have a contract with South Lincolnshire CCG for the clinical workstream of their Sustainability and Transformation Plan called Lincolnshire Health and Care.
“So the Independent Reconfiguration Review Panel whose Chair advises PricewaterhouseCooper is going to investigate the Scrutiny Committee’s referral of an A&E overnight closure, which is part of the Sustainability and Transformation Plan which PricewaterhouseCooper has been paid to work on.”
According to the report above, Pricewaterhouse Cooper also has links with the Care Quality Commission, (CQC), the standards regulator for GPs,surgeries, Care Homes, hospitals etc, and NHS Improvement (NHSI) , the NHS Trusts regulator . According to Private Eye 1438 (p15) last October 2016 a coroner found the London Bridge Hospital, run by US healthcare giant HCA, was negligent and led to the death of a heart patient, after an essential humidifier which ensured his airways were kept clear, was switched off and successive nurses, did not notice for 19 hours. In spite of this, the CQC issued the hospital with an ‘outstanding’ rating, three months later.
How can the citizens of North Kirklees believe the assurances made on 2 February 2017 by the CEO of Mid Yorkshire Hospital Trust, that wards will be opened and services installed in Dewsbury Hospital because assumptions made at the Meeting the Challenge consultations had been wrong. The public knew in 2012/3 the assumptions were wrong. The CQC has closed down services before on the grounds of safety and could do so on someone’s whim, in Dewsbury.
Campaigners from the region met today 23 December 2016, in Leeds to mark the day contracts for two years, were handed in to NHS England in a great rush, three months earlier than normal and valid for two years rather than the traditional one year.
Christmas carols with appropriate words for explaining the Slash Trash and Privatise plans were sung
by the sizeable crowd gathered at the NHS England headquarters at Quarry House, Quarry Hill, Leeds, before the hand in of a letter signed by hundreds of people. G4S security at the door, went to the offices of NHS England to let them know there was a letter waiting, but NO ONE was prepared to come down to receive it. What did they think would happen? Campaigners recognised that this was their Martin Luther King moment but in the absence of a nail and a wooden door to bang it into, resorted to tying the letter to a pillar before leaving to blend in with the throngs of Christmas shoppers.
The text of the letter is available to read here:-http://www.stopthestps.org.uk/open-howl-at-stp/4593415239
The North Kirklees NHS Support Group met first on 23 November 2012 as the Health and Social Care Bill was struggling through Parliament. Following the official start of the North Kirklees CCG in April 2013 campaigners met with CCG members and told them that they were a vehicle for the privatisation of the NHS and they were either set up to fail, or to morph into something else.
Lo and behold it has come to pass. The North Kirklees CCG’ s “functions need to change” and it is handing much of its commissioning responsibility to a Multispeciality Community Provider, (MCP) or as the Secret Theft Plan (STP) calls it, a ‘New Model of Care’. Plans for the associated GP Forward View are due to be finished next week but there will not be time to bring them to the CCG Governing Body meeting, as they need to be submitted to NHS England on 23 December 2016. The Quality and Safety Officer asked the Governing Body for permission to delegate the scrutiny of the plans to the Quality Performance and Finance Committee (QPFC) which does not sit in public. This was granted, but I hope the North Kirklees CCG does not make the mistake that Wakefield CCG made. According to a letter seen by the HSJ, GPs in Wakefield are very unhappy that there has been ‘inadequate’ consultation about the MCP plans that Wakefield CCG has drawn up. According to the HSJ, Wakefield and district GPs can not move forward with the plans until their concerns about the ‘virtual model’ developed by the CCG, have been addressed. Where that leaves the submission on 23 December is anyone’s guess but we hope they are feverishly working away to sort it out.
“We need to be open and honest , encourage GPs to work at scale get value for money and hope the finances come together!” said an enthusiast on North Kirklees CCG. The evidence is, however, that patient satisfaction is greatest when they can have their own GP on a General Medical Services (GMS) contract and that the worst patient experience is delivered by the Any Providers Medical Services (APMS) contract. (link to follow) The CCG chair stressed, for the benefit of assembled members of the public that they would do what is right for patients, however a GP said “Define ‘what is right for patients’!”
This is pertinent. Another layer of bureaucracy, the MCP ensures money is diverted away from Patient Care, into managers, lawyers, consultants, and shareholders pockets. It’s not about what you need, it’s about whether you can be persuaded you don’t actually need it!
A good number of people gathered outside Dewsbury Hospital Main entrance on 3 Dec 2016 to explain to passers by that the new plans for the NHS were all about cutting services and privatising what was left. NHS England guidelines show that Clinical Commissioning Groups (CCGs) will be judged on how well they have outsourced, or as STP Lead Rob Webster put it ‘delegated’ services into the private sector and if CCGs are found wanting in that regard, they will be taken over by NHS England itself.
The engagement in Batley Town Hall last week was all about the local STP, now called the Kirklees Health and Wellbeing plan. Views of small charities and service providers with regard to what services smokers and obese people should be allowed, was the focus this time. There were one or two members of the public there also. The whole thrust of the new plans is to sort people into the ‘deserving’ and ‘undeserving’ and the move to a ‘decision maker’ not a clinician who will ever meet you, deciding what treatment you get, if any. This system is used in the US, so that Insurance Companies can refuse treatment because you are too fat, too thin, too short, too tall, too young, too old. It is called Managed Care. The North Kirklees CCG is in the first wave of this system which is being rolled out across England. Here it is known as RightCare. There is not another word in the whole of the English Language which has been degraded as much as the word ‘care’.
We got lots of hoots from passing vehicles and more people were stopping to talk than we had expected. Many thanks to all who turned out.
Response to the STP update at the Health and Wellbeing Board meeting on 24th November 2016.
Dear Cllr Viv Kendrick
Further to the Health and Wellbeing Board (HWBB) meeting and the update by STP Lead Rob Webster, I would like to take this opportunity to make a few points about his statement and also pose some questions.
He says in the briefing, that the local Healthwatch is involved “to plan how best to meet the needs of local people, thus ensuring local people have a strong voice”. Please answer how this can be?
Healthwatch compiled an award winning report a couple of years or so ago about the lack of NHS dentistry in Dewsbury. Everyone involved complained, it was not good enough, an MP called for more provision! Has this addressed the needs of local people, was their strong voice heard. Emphatically, No! There is still no NHS dentistry in Dewsbury and indeed there is a rumour that the third world charity which was doing some emergency dental work, has left to go to Bradford. Rob Webster’s own mental Health Trust at it’s Consultation on it’s move to Care Closer to Home in March 2015, said that they could not match the Locala single point of access time of 2 hours between phone call to home visit and it would have to be 4 hours. There was no room for negotiation. The SWYPFT Care Closer to Home, involving nurses traveling to patient’s houses 4 times a day to give drugs, was challenged as an expensive way to carry on at the time, and the answer was that they were not doing it to save money. So why were they doing it? Why are they going to be doing it? They could not give an adequate answer at that Consultation about the change but the hospital beds are still being removed as far as I know, even though Rob Webster gave an undertaking on 24th, to have no patients moved out of area.
Dr Kelly at the HWBB meeting challenged the discrepancy in underfunding figures given in the report. We have no way of knowing which assumptions were made about what and can have little concept of the financial underpinning of the plans, until the spreadsheets are published. At a Kirklees CCG meeting earlier in the year, the STP transformation budget revealed then, amounted to around £2m which spread between 11 CCGs is peanuts. So how can we have ‘a strong voice.’
The pockets of deprivation mentioned in the plan, are definitely in North Kirklees and some areas of South Kirklees. While mentioning the deprivation and affluence determining life chances, the plan says nothing about social conditions and environmental pollution which are determinants of ill health. Closing the so-called Gap needs bullying, isolation, poverty, poor quality food, lack of education, air, water and food pollution to be removed, and good quality, safe, accessible parks and green space put in. The plans look at a small silo of measures for prevention but until they address the wholeness of these aspects of life in a deprived area, are the outcomes going to be any better? Especially in formerly wealthy, healthy areas in North Yorkshire and Denby Dale area, now designated as suitable sites for fracking and all the likelihood of pollution attendant on that. (Sellafield had accidents at first and milk, land and sea, were affected by radioactivity so do not believe claims it is not possible.)
I challenge the paragraph, beginning “It’s great news that people are living longer.” There is then an exposition “the reality is” but the paragraph is not talking about a reality, because the end of the paragraph is “2/3 of people COULD spend their retirement years in ill-health” (my capitals) They could, or they could not! The whole construction of this paragraph, is to mislead. The truth is that the majority of people use the NHS most in the last 2 years of their life, whether that life finishes at age 50 or 90.
Are you tired of being blamed for the underfunding of the NHS? I am. An aging population! It is an excuse. It is not my fault that my parents wanted a child.There are an increasing number of babies and young children too by comparison with the 1980s.
Working together differently means outsourcing NHS services in the same way that Care Homes and social care has been outsourced. Can you hand on heart say that such a move has been an unmitigated success? (see the link at the end.)
I hope you rise to the challenge Rob Webster has repeated again, about Health and Wellbeing Boards providing a way of ensuring local people have a strong voice and not only that, but that it is listened to and acted upon.
How are you going to support the West Yorkshire Council Leaders who refused to endorse the STP in their letter to NHS England and also how are you going to put into effect the Council’s unanimous rejection of the STP at a recent council meeting?
As we have learned at the Meeting the Challenge, and also at the Right Care Right Time Right Place, by the time a Consultation is launched, all the ‘Authorities’ can do in response to public outrage, dissent or disagreement, is decide what colour the door is. Your support is very valuable. Thank you.
The so called Sustainability and Transformation Plans are dressed up as 2 things, the first as a way to implement Simon Stevens, Boss of NHS England’s 5 Year Forward View and second as a way to cut costs due the huge underfunding of the NHS, lied about consistently by both Hunt and May. https://www.hsj.co.uk/topics/finance-and-efficiency/statistics-authority-intervenes-over-government-nhs-spending-claims/7013488.article?blocktitle=Most-popular&contentID=-1
What they will actually do, is being kept secret. In spite of the STP Lead Rob Webster from the West Yorkshire Footprint number 5, saying it is not a vehicle for privatisation, the guidelines from NHS Improvement show that there will be a significant emphasis in the evaluation of CCGs performance, on their success in ‘outsourcing.’ Rob Webster talked at the Health and Wellbeing Board on Thursday 24 Nov about ‘delegating’ and for the delegates to be still under your control, but we all know that this costs money, involving a huge amount of oversight by contract, performance, governance and operational experts.
And still Serco managed to defraud the NHS on more than one account. There are questions surrounding dubious practices at a company locally and the US arm of one of the companies with contracts for both Commissioning Support AND providing services in and around Brighton and Hove, has been successfully prosecuted for fraud in the US. The opportunity for conflicts of interest has never been greater.
More information about STPs and their effects here:- http://www.stopthestps.org.uk/stp-effects/4593180601
If you’ve never been to anything like this before, give it a go, especially if you have a ‘phone which takes photos. Drop by and tweet one. We are looking to make lots of tweets. #stoptheSTPs
Resistance to publishing the financial, activity and workforce appendices to the STP plans is widespread, and even an FOI has been rejected. Even Chairs of Health and Wellbeing Boards do not realise appendices exist.
The shift away from NHS accountability to the public is obvious. People need to know. That’s why we’re organising a get together outside Dewsbury Hospital for an hour and give out leaflets to passers by on the National Day of Action, 3 December 2016, at 11:30am, although other actions start from 10am. (Look out for other actions on the facebook page, there are actions in Barnsley and Halifax so far). This will be a few days before signing of the 2 year contracts happening on 23 December.
There is no need to underfund the NHS, it is a political choice. We are the 6th richest country in the world, yet we already have fewer hospital beds per 1000 population than all the EU counties bar one!
Share the message.
Digest of the West Yorkshire STP:
Imposition of “new care models” based on American private health care systems,
Creation of public-private partnerships via US style Accountable Care Organisations for community/primary care, also involving Hospital Trusts in some areas.
Big changes to governance and commissioning (that will cost a lot of money spent on spent on consultancy companies)
Workforce upheaval including introduction of new low skilled grades of staff including big charities and unregistered staff and retraining existing staff to carry out new roles,
Restriction and withdrawal of services/treatments, mainly elective services and drugs/ specialised foods/drinks
7 day working – with no attempt made to address all the unresolved issues about this
Patients’ self care – to cut £1m costs
Behaviour change programmes for obesity, smoking, alcohol abuse and diabetes prevention (that ignore the social, economic and environmental determinants of these health problems)
Lots of digitech
Reconfiguration of acute hospital services – ie A&E mostly only vaguely referred to but: a cut to the number of hyperacute hospitals and referred to as centralisation.
Chrissy P had never done anything like a rally before, but gave it her best and created a huge success.
People across Kirklees and Calderdale have been writing to Councillors to ask them to refuse to endorse the STP for West Yorkshire because it has been worked up in secrecy and clinicians and GPs have had no say in it.
A new BMA survey has revealed that over two thirds of doctors say they have not been consulted on STPs. The survey also shows that a third of doctors have never heard of STPs and a fifth do not support the introduction of the plans.
BMA analysis has found that NHS sustainability and transformation plans (STPs) will have to deliver £22bn in cuts by 2020/2021 in order to balance health and social care spending across 44 ‘footprint’ areas, raising serious concerns about cuts to services and the impact on patient care.
Officials in each area have been asked by NHS England to predict in their STPs the financial hole they face in their budgets and set out how they can close it. The savings figures were found in papers from 42 of the 44 areas across England.
Campaigners for Dewsbury hospital have found that the reductions in A& E provision had been planned for much longer than had been realised at the Meeting the Challenge consultation and that the plans for further cuts had been shelved as politically sensitive before the last election in 2015. However, STPs have brought the plans off the shelf and more cuts are in the pipeline, for all areas. We have seen this in the devastating proposals for Huddersfield Royal Infirmary, which are featured in the STP.
Although the plans have been published in West Yorkshire there are no financial, activity or workforce plans in the public domain, which were also submitted to NHS England as appendices. Campaigners are asking their Councillors to press for the publication of these documents, in order for the public to be able to see the cuts and redisorganisation to come.
Model letter to Councillors.
Some time ago, I emailed you asking you to urge the West Yorkshire and Harrogate Council Leaders to publish the West Yorkshire and Harrogate Sustainability and Transformation Plan.
This STP has now been published. However, although according to NHS England guidance it is the Final STP for operational delivery of the plan in 2017/18 – 2018/19, it seems that the published version is not the complete version. It lacks any appendices with detailed information about:
the move to turn the Alliance of Acute Hospitals into a foundation group and what that will mean for the reconfiguration of acute hospitals across the region
how and when the big changes to NHS governance and commissioning are intended to take place and how and whether the proposed establishment of accountable care organisations or systems are likely to conflict with current legislation governing NHS governance and commissioning, and if so, how that is going to be dealt with.
I therefore am asking you to use your powers to make sure that publication takes place swiftly, of all the missing appendices and any other related documents covering these and other topics that have been sent to NHS England along with the published STP.
Further, since the West Yorkshire and Harrogate STP – if implemented beyond the current initial year – will have a significant effect on the area’s NHS and social care, please will you demand that a footprint – wide Joint Health Scrutiny Committee is immediately set up and that it sets about the task of scrutinising the STP at once.