What is an Integrated Care Organisation? Stalybridge public meeting on 22 September will find out!

The Public Meeting organised by Tameside Keep Our NHS Public on Thursday 22 September at Stalybridge Civic Hall, in the District Assembly Room, starts at 18.30, with doors opening at 18.15. It will end at 20.00.

This meeting about Tameside Integrated Care Organisation is very useful for Kirklees and Calderdale  people, because Tameside NHS bosses have gone ahead and done what Calderdale and Kirklees Clinical Commissioning Groups and Health & Wellbeing Boards are still talking about doing – imposing a new form of public/private partnership on our NHS; and this time, not for new buildings, but for NHS treatments and services.

Tameside has now become an Integrated Care Organisation, with little explanation to or involvement of the public. “Seismic changes” are underway in Health and in Social Care, which will affect both patients and workers. It is important that local residents have the opportunity to hear about this and have their say. They are also entitled to hear the views of those who work in these vital services.

Speakers will include Milton Peña, former Consultant Orthopaedic Surgeon at Tameside Hospital, now a campaigner for the NHS; a Junior Doctor in psychiatry; a Social Worker with adults, and Paul Dunn, North West Operational Manager for the Royal College of Nursing.

If you’re planning to go please RSVP to: Konp.tameside@gmail.com

Integrated Care Organisations – another name for Accountable Care Organisations

Here’s info about Integrated Care Organisations from Monitor (since changed into NHS Improvement) , Ealing and Harrow Integrated Care Organisation and from the Kings Fund – which shows that Integrated Care Organisations are just another name for Accountable Care Organisations.

In American, an Accountable Care Organisation – aka a Health Maintenance Organisation – is a form of health company that provides managed care ( ie care that follows set protocols and pathways on the basis of a capitated budget (ie a fixed cost amount for each person in the area served by the ACO) for a private health insurance company.

Health Maintenance Organisations (HMOs) were promoted by President Nixon through the HMO Act of 1973, before he resigned in 1974 to escape impeachment for obstruction of justice, abuse of power, and contempt of Congress.  John Ehrlichman – later imprisoned for his role in the Watergate scandal – persuaded Nixon that HMOs were the future for American healthcare on the grounds that:

“All the incentives are toward less medical care, because the less care they give them, the more money they make.”

Jeremy Hunt, the Secretary of State for Health, advocates that the NHS turns itself into  Accountable Care Organisations or systems based either on the American Kaiser Permanente system or the Spanish Alzira/Valencia model.  The Alzira ACO model is a private/public partnership – like PFI but for NHS services as well as buildings. The Northumbria ACO was set up via a Special Purpose Vehicle – the same financial arrangement as for  NHS hospital PFI schemes.

ACOs/Integrated Care Organisations are clearly a route to the further NHS privatisation that is required as a condition of the Sustainability and Transformation Plans.


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