“Integrated Care Systems” and the Health and Care Bill 2021
Scroll down this page for:
1: Bad news for patients and staff – Integrated Care Systems and the Health and Care Bill 2021
2: “Integrated and Caring”? Definitely not.
3: Opposition to the Health and Care Bill
4: The passage of the Health and Care Bill through Parliament
⇒ Sign the “We Own It” and “Keep Our NHS Public” petitions
⇒ Email your MP
⇒ Liaise with political groups and trade unions (model motions)
⇒ Circulate leaflets / provide information
⇒ Share social media
6: Tyneside street theatre with a serious message
7: The views of campaign groups
8: National KONP responds to the Government
9: Links – newspaper items, opinion pieces, reports
10: Map of “North East and North Cumbria ICS”
11: Contextual information: The NHS Long Term Plan (2019), the White Paper (2021) and the NHS “Consultation” on ICSs (2021)
12: “STPs” and “ACOs” – remember them?
George Monbiot: “People are amazed that the government is going ahead with a massive “reorganisation” of the #NHS, despite the chaos caused by the pandemic. But this is to misunderstand disaster capitalism. It’s going ahead now BECAUSE of the chaos, hitting when the NHS is least able to resist”. 12th July 2021 @GeorgeMonbiot
Bad news for patients….
22nd July 2021 – Sunny day, dark news: Spreading the word to NHS staff, day patients and visitors outside the RVI, Newcastle-upon-Tyne
“Integrated and caring”? DEFINITELY NOT.
More like “UNDERFUNDED, UNDEMOCRATIC, UNFAIR, UNSAFE”…..
This year, MPs are faced with a vote on the Health and Care Bill (2021) which, if passed, would confirm what are known as “Integrated Care Systems” as “NEW NHS BODIES”. These will divide up the NHS into approx. 42 pots of money with limited ‘population health budgets’ designed to find more ‘efficiency savings’ or, as we know it, CUTS. The number of commissioning organisations would be reduced from almost 200 to just 42 ICSs – this requires merging (and eventually abolishing) local “Clinical Commissioning Groups” (established as public bodies by the Health & Social Care Act 2012).
Here, in the North East, we sit within the “North East and North Cumbria Integrated Care System”, which covers a huge geographical area from Cumbria in the west, to Berwick in the north and to Whitby in the South – scroll below to see the map and the organisations involved. This (and a number of other ICSs across England) is already in place as a partnership organisation, but without legal status and statutory powers, and with no public accountability; if the provisions of the Health and Care Bill 2021 are voted in, then this huge organisation would have statutory powers.
One of the major objections we have to ICSs is that they will lead to increased privatisation. Proposals for this top-down re-organisation include tight financial control from the centre and with even less public accountability. The result will be massive new opportunities for private companies through the ‘Health Systems Support Framework’ (HSSF) – set up to facilitate easy contracting by ICSs. The Framework consists of organisations accredited by NHS England to support the development of internal structure and management of ICSs, and, potentially, also to play a long-term role in direct management of ICSs. A quarter of the 83 organisations approved by NHSE to take on contracts with ICSs, and potentially also take seats on decision-making Boards of ICSs are American-based, offering expensive data-based systems designed to benefit US insurance companies and private hospital chains.
Additionally, NHS England argues that existing law, such as the Health and Social Care Act (2012), does not provide a sufficiently firm foundation for the work of ICSs, so they propose scrapping Section 75 of the Act, which, for example, requires commissioners to put any contract worth over £615,278 out to tender. Removing Section 75, by itself, won’t reverse the marketisation of the NHS. Worse still, it would involve revoking Procurement, Patient Choice and Competition Regulations, so turning the NHS into an unregulated market. The proposals also recommend that NHS services be removed from the scope of the Public Contracts Regulations 2015, allowing commissioners more discretion when procuring services. It means that ICSs would be able to choose whether to award a contract directly to a provider or go through a more formal procurement process. Such flexibility massively increases opportunities for cronyism.
It remains clear that ICSs will be instrumental in further developing privatisation and, indeed, opening up the NHS to very large-scale (ICS-size) takeovers by multinational corporations and institutions.
A second major objection we have to ICSs is the lack of democracy and accountability; there will be little scrutiny by our local Councils and it will be much more difficult to oppose any decisions to ration NHS services or deny access to care. The huge ICS organisation would be more remote from the needs and concerns of any local community. This point has been powerfully argued by the all-party Local Government Association (LGA), which represents the leaders of 335 of England’s 339 local authorities. Their response (29th December 2020) to the recent consultation states:
“We are concerned that the changes may result in a delegation of functions within a tight framework determined at the national level, where ICSs effectively bypass or replace existing accountable, place-based partnerships for health and wellbeing…. Calling this body an integrated care system is to us a misnomer because it is primarily an NHS body, integrating the local NHS, not the whole health, wellbeing and social care system.”
ICSs will be statutory NHS bodies and, as such, limited in their ability to work in partnership with others, such as with local authorities in addressing health inequalities.
“In contrast to local authorities, ICSs are not subject to democratic control. NHSE’s proposals will give them the power to create publicly unaccountable joint committees, potentially including representatives from private business, to make legally binding decisions about major resource allocation and service provision….Although ICS Boards will supplant existing public bodies, there appears to be no requirement for them to meet in public, publish their Board papers and minutes, be subject to the Freedom of Information Act, or to have any democratic participation from the communities they cover.” Keep Our NHS Public comment is here
Thirdly, KONP rejects the assumption, repeated frequently throughout ‘Integrating Care’, that social care might be managed through NHS ICS structures. KONP campaigns for a publicly provided national care and support service. At local level, we argue it is essential that social care continues to be managed by local authorities, retaining essential links to wider local authority responsibilities such as housing, education and leisure.
In its response to NHSE’s proposals, the Local Government Association (the national voice for local government) raises concerns that ICSs won’t be a partnership of equals across the broader health, wellbeing, and social care system. Instead, ICSs will be NHS-led, allowing a power grab that brings LA resources such as capital assets and funding for social care and public health under ICS (and thus NHS) control. There is also a risk that power won’t be devolved to local systems. Rather, central control will remain, with missed opportunities for real collaboration between the NHS and LAs to address the wider determinants of health, such as affordable housing and a safe environment. Local Government Association response is here
Integrated and caring? Definitely not.
“Our concerns, based on hard facts, are widely shared by councillors, senior NHS management, GPs and seasoned analysts. NHS England’s proposed changes threaten to make the NHS less locally responsive, less accountable, more dominated by US and other management consultants and contractors, and more focused on policing cash limits than meeting the needs of patients. NHS England’s priorities should be on strengthening the NHS in alliance with local government and communities, not creating new remote bodies or adopting systems meant to maximise profits of private health insurance” National KONP, January 2021
“It is really important to understand that ‘integration’ as in Integrated Care Systems means ‘disintegration’, centralisation, loss of public accountability, opening door wider to private companies, driving down quality to reduce costs, rationing, and a fundamental shift way from a universal service providing comprehensive care to all, free at the point of use” Dr John Puntis, KONP Co-Chair, 7th February 2021 here
“These proposals are incoherent, de-regulatory, off-target, and badly timed. They will do next to nothing to remedy the serious shortcomings highlighted by the pandemic: a depleted NHS, a privatised social care system, with over-centralised, fragmented and part-privatised communicable disease control and public health systems. Joined-up legislation is needed to revitalise local authorities and to rebuild public services” Professor Allyson Pollock and Dr Peter Roderick, Newcastle University, 11th February 2021 here
“The NHS is not a ‘religion’, as some would sneeringly suggest, but a hard-won right to receive medical care unconditionally when we are in need. It’s a right that we are losing fast” Deborah Harrington, Public Matters, 12th February 2021 here
Opposition to the Health and Care Bill 2021
There has, understandably, been much opposition to the Bill to date and we need this opposition to increase even further, as the Government pushes the Bill through Parliament. This government is not a friend of our NHS.
Where is the resistance? It’s right here: ⇒Keep Our NHS Public ⇒The BMA ⇒Open Democracy ⇒Peoples Assembly ⇒EveryDoctor ⇒National Pensioners Convention ⇒Public Matters ⇒Socialist Health Association ⇒999 Call for the NHS ⇒Health Campaigns Together ⇒We Own It. All standing up against the government’s “Corporate Takeover Bill” that would open up our NHS to more privatisation.
Please scroll down to see links to a number of newspaper reports and articles, plus the views of Campaigning organisations.
From the British Medical Association:
14th July 2021: The British Medical Association (BMA) has “overwhelmingly” voted to oppose the Health and Care Bill ahead of its second reading today. The group, which is the main group representing doctors in the UK, called on MPs to block the bill, warning it poses “significant risks” to the NHS.
See the press release from the BMA here: ‘Wrong Bill at the wrong time’ – BMA council calls on MPs to reject Health and Care Bill (14th July 2021)
See the report in openDemocracy here: Protestors and doctors’ union call on MPs to block new English health bill (14th July 2021)
and on twitter (14th July 2021):
14th July 2021: Shadow Health Secretary Jonathon Ashworth: “This top down reorganisation allows the private sector a direct say in the design and delivery of local health care. After a year in which cronyism and outsourcing has seen billions wasted on duff PPE and failing contact tracing, patients and staff know this is the last thing the NHS needs. Labour will be fighting NHS privatisation and urging MPs to vote against this bill.”
From Prof Kailash Chand:
22nd July 2021: And thankyou, we couldn’t agree with you more @KailashChandOBE Fellow of the Royal College of GPs, Visiting Professor of Health and Wellbeing, Honorary Vice President of the British Medical Association, Non Exec Director of NHS Greater Manchester…. (twitter, 22nd July 2021)
From Unite the Union:
26th July 2021:
Oppose the NHS Bill
“Unite is joining other health unions in calling on MPs to reject the Health and Social Care bill, which received its second reading in the House of Commons on 14 July. The bill brings in widespread legal reforms to the NHS, including reducing its legal duty to provide care and putting power firmly in the hands of big business, at a time when five million people are waiting for treatment and the health service faces a recruitment crisis and a third Covid wave. Under the bill, two statutory bodies – an integrated care board and an integrated care partnership – will be formed, with only one GP being required on the board. It does nothing to address the chronic under-resourcing and funding, the crisis in social care and a huge shortage of staff”.
The passage of the Health and Care Bill through Parliament
> First Reading – 6th July 2021: The Health and Care Bill was introduced in the House of Commons. The First Reading is the first stage of a Bill’s passage through the House of Commons and is a formality; it takes place without debate.
The Bill, plus commentary, is here (12th July 2021)
House of Commons Research Briefing (12th July 2021) is here
> Second Reading – 14th July 2021: The Second reading is the first opportunity for MPs to debate the main principles of the Bill. The Bill passed its second reading, with Conservative MPs voting for it in a final tally of 359 for and 218 against. This undoubtedly takes us further down the route of a profit-driven, American-style healthcare system – this vote was a shameful move from elected politicians.
Click here to read the Hansard record.
Watch the two-minute video from We Own It here
> Committee Stage – Current: The Bill is now at the Committee Stage, where detailed examination of the Bill takes place. The committee is able to take evidence from experts and interest groups from outside Parliament. Amendments for discussion are selected by the chairman of the committee and only members of the committee can vote on amendments during committee stage. Every clause in the Bill is agreed to, changed or removed from the Bill. Once the committee stage is finished, the Bill returns to the floor of the House of Commons for its report stage, where the amended Bill can be debated and further amendments proposed. The Committee is expected to report to the House by Tuesday 2 November 2021.
> Parliamentary process: You can keep track of the Parliamentary process and find more info on the progress of the Health and Care Bill by clicking on the Parliament website here
The Bill still has to proceed through various other parliamentary stages – in the coming weeks and months we will continue to ramp up our campaign to fight this corporate takeover of our NHS. General information from the Open University about how a Bill moves through Parliament is here
Scroll down this page for links to newspaper items and reports.
Sign the “We Own It” and “Keep Our NHS Public” petitions,
Email your MP,
Liaise with political groups and trade unions (incl model motions) and
Circulate leaflets / provide information
Share social media
Please read on for information about each of these actions, get involved with the Campaign, and let us know how you get on….we’re at firstname.lastname@example.org
⇒ SIGN THE “WE OWN IT” and “KEEP OUR NHS PUBLIC” PETITIONS
This Bill will mean MORE American-style privatisation of our health service. The plans will give private companies BIGGER roles in decision-making and MORE contracts without any checks and balances. This government is hellbent on involving the private sector in our health service further. But they know this isn’t popular. That’s why they’re putting this spin on these reforms. It’s smoke and mirrors.
THE REALITY: These new plans would 1) Allow private companies like Deloitte to sit on boards that make decisions about how to spend NHS money 2) Introduce the American model into our NHS where unaccountable decision making bodies prioritise profit margins and making savings over caring for people’s health. This model is likely to lead to cuts and closures of NHS hospitals and A&E 3) Push more people to go private as cuts are made. Patients have already been promised greater rights to choose private treatment and have it paid for by the NHS 4) Open the door to more cronyism – yet more contracts would be given to government pals like Serco, as we’ve seen in the pandemic, but without any competition – that’s what the government means by ‘reducing bureaucracy’ 5) Encourage private companies to take the NHS to court if they’re unhappy.
What we actually need is a national high quality, well funded, public NHS for everyone. 3 out of 4 of us want our NHS reinstated as a fully public service after the pandemic. We want an NHS run for the public, not profit. And we are going to fight for it.
To sign the “We Own It” petition
We have to stop the Health and Care bill passing through parliament right now before it damages the NHS we know and love. It will mean the handing out of NHS contracts to private companies with friends in the government. We have seen this happening during the pandemic and it’s been a disaster. For example, £37 billion was wasted on a ‘test and trace’ service that simply didn’t work.
To sign the “Keep Our NHS Public” PROTECT THE NHS petition
⇒ EMAIL YOUR MP
It will take around 10 minutes to email your MP, requesting that s/he is proactive in opposing the Health and Care Bill 2021. Please feel free to highlight some of the issues identified above, and ask for a response to your email.
Alternatively, here is a model letter from national KONP, devised to send to MPs. Please do not hesitate to copy and paste, and amend this, as required. It is crucial to keep the pressure on.
Whilst emailing your MP is the absolute priority, if you have time it would be great to go one step further and send copies to local Councillors. The names and email addresses of your ward councillors can be found on your Councils website; if you already know the names of your local councillors, then their email addresses are listed on our links page here. If possible, please also copy in the Chair of the Councils Health and Wellbeing Board, and the Chair of the Councils Health Scrutiny Committee – they can be identified through your Councils website, and their email addresses can be found on our links page. For good measure, please also copy in your local Healthwatch group – on our links page here.
If needed, the email addresses of all North East MPs are located on the same page here.
This is democracy in action – please ensure that your voice is heard.
⇒ LIAISE WITH POLITICAL GROUPS & TRADE UNIONS (incl model motions)
It would help greatly if supporters liaise with any political groups or trade unions they may be a member of – it is crucial that they hear your views about these issues.
“Oppose Integrated Care Systems in the English NHS: Model motion for trade unions” – click here
“Oppose Integrated Care Systems in the English NHS: Model motion for Labour branches and CLPs” – this can easily be adapted for use by other political parties and organisations – click here
Much respect to Morpeth and Pegswood Branch Labour Party. “Oppose Integrated Care Systems in the English NHS”, the above motion, was debated and was unanimously passed by the Branch at their meeting in mid-March 2021. It was clear that what is needed is legislation to bring about a universal, comprehensive and publicly provided NHS, fit for the 21st century… It is great that this motion is supported in Morpeth and by many other Branches and CLPs – and, indeed, by other political parties, Unions and organisations throughout England. Not yet passed by your group? Please do everything you can to move this forward. THE PROPOSED ICS LEGISLATION MUST BE STOPPED.
Click here to listen to Margaret Greenwood MP : “I’ve called on the government to pause its plans for a major reorganisation of the NHS. It’s just plain wrong in the middle of a pandemic when staff are exhausted and public meetings can’t take place” 24th February 2021.
The following excerpt is from the Labour Policy Forum, 3rd February 2021. The Health and Social Care Policy Commission develops Labour policy and thinking on areas including the future of the NHS, mental health, public health and social care.
“Although successive Labour Party conferences since 2016 have voted to actively oppose NHS England’s integrated care systems and Long Term Plan, Labour has not yet implemented this policy. It was therefore very good news that at the Health and Social Care Commission on 27.1.21, Jonathan Ashworth (accompanied by Rosena Allin-Khan) committed labour to actively repeal all legislation enabling or supporting integrated care systems. This should now be urgently translated into action by all members of the shadow front bench, the PLP and Labour councillors, to actively oppose all national and local arrangements and/or policies aimed at facilitating integrated care systems and/or facilitating the Long Term Plan (LTP). It has been clearly established that the LTP originated in papers drafted by McKinseys at the Davos World Economic Forum in 2012. The overall aim was to undermine and eventually privatise public health care systems throughout the world. Successive governments have developed proposals of this sort since the 1980s; NHS England’s forthcoming proposals for legislation on integrated care systems will finally achieve it unless Labour actively opposes this”
Alex Scott-Samuel, 3rd February 2021: click here
Whilst KONPNE members support a range of political organisations and parties (or none), we are clear that KONPNE as a campaign group is not aligned to any trade union, political party or organisation. Our attention is focused solely on the NHS, and KONPNE members come together to actively campaign for a publicly funded, publicly provided and publicly accountable NHS. We are happy to report on any initiatives that fit with these beliefs.
⇒ CIRCULATE LEAFLETS / PROVIDE INFORMATION
A key Campaign intervention is getting the word out about what is happening – and there are a range of leaflets provided by national KONP for you to print out and circulate, or for you to share electronically. Information is key – so please share with all friends and contacts….
> A5, 2 sided leaflets for public: click ICS-leaflet-for-patients
or click on
> A5, 2 sided leaflets for staff: click ICS-leaflet-for-staff
or click on
> A slightly older leaflet: A4, 2 sided info sheet: click ICS info sheet A4 2021
or click on
> A slightly older leaflet: A5, 2 sided flyer leaflet: click ICS flyer leaflet A5 2021
or click on
⇒ SHARE SOCIAL MEDIA
Please share this We Own It video (click the facebook icon at the bottom right hand corner)
and also please share this video from Public Matters
TYNESIDE STREET THEATRE WITH A SERIOUS MESSAGE
17TH JULY 2021: Forming part of the national Day of Action called by the campaign group “We Own It”, members of “KONP North East” and “KONP Sunderland” met in a very hot and sunny Newcastle city centre, rolled up their sleeves, and demonstrated how the government’s new proposed NHS legislation (The Health and Care Bill 2021) is, in fact, a tug of war between private companies and our NHS in England. The usual suspects were represented – Centene, Virgin, Serco – plus the local newcomer, Livi, which is a private healthcare company offering virtual appointments in GP practices in North Tyneside….for info, Livi claims to be Europe’s largest digital healthcare provider….currently with a one-year contract in North Tyneside primary care…. (see here) This must be stopped.
Johnson was also at the Monument, attempting to appease NHS staff with a miserly 1%, and even HRH couldn’t help with the George medal; the medal was appreciated – but it doesn’t pay the bills…..
And our message was, obviously, well-received in the North East. Huge thanks to people in Newcastle who jumped at the opportunity to join in and clearly knew which tug of war team to join. It is crucial that we continue to join forces to bring an end to the lucrative contracts to healthcare companies which, of course, involves a cut of the cash going to the pockets of shareholders. And, it is also crucial that the professionals who work in our NHS receive a fair wage – the 1% offer is, in short, an insult.
Some street theatre, but with a very serious message. Back in Parliament, the government is pushing ahead with its Health and Care Bill. The NHS needs us more than ever: this legislation includes so many dangerous changes….like letting PRIVATE COMPANIES sit on NHS boards, where they’ll have a say on people’s care and how NHS money is spent ?!?! Unbelievable – but true.
The NHS has just turned 73 – and if you want it to be with us for another 73 years, then this Bill must be amended. Write to your MP now, sign the petitions, download and share the leaflets: all available above on this page
We were not alone!! See Tug of War report and photos from across the country here!!
THE VIEWS OF CAMPAIGN GROUPS
“Integrated Care Systems” (or “Accountable Care Organisations” as they are known in America), an integral part of the Health and Care Act 2021, have no place in our NHS.
These two videos, statements and articles from national “Keep Our NHS Public” and “999 Call for the NHS” clarify the situation we face in 2021….
National Keep Our NHS Public:
“The Bill will break the national NHS into 42 separate “Integrated Care Systems” (ICS), each with its own tight budget forcing cuts in care. Local NHS provision will be tied to a plan written by the ICS Board, open to the private sector, dragging local authorities into a financial project without real democratic accountability or public control. The Bill will be promoted as an end to privatisation. It is the opposite, a transition to an unregulated market in healthcare.”
– National KONP: Statement on the Health and Care Bill 2021 is here
– National KONP: An overview of the Governments White Paper proposals and why we need to campaign against these proposals can be found here
– BBC News: Click here. Keep Our NHS Public’s John Lister on how the Government spin on its white paper is false. The crisis has revealed more and more privatisation and outsourcing plans, not less.
– RT News: Click here. Keep Our NHS Public’s co-chair Tony O’Sullivan on why the Government it really trying to force through NHS reorganisation now, in the middle of the pandemic. And reversing privatisation is not the reason.
– Many thanks to KONPNE Steering Group member John Kennedy, who has brought together some of the main themes, proposals and questions in his paper here.
999 Call for the NHS:
We Own It (7th April 2021) More privatisation, less accountability – this government’s plans for the NHS
National KONP (18th February 2021) 2021 NHS White Paper: government seizes on the pandemic as an opportunity
National KONP (6th February 2021) Government used crisis to increase privatisation – NHS white paper will endorse
National KONP (January 2021) Integrated Care Systems Summary Briefing
Click here for many links to articles about ICSs at “The Lowdown.”
999 Call for the NHS (January 2021) Integrated Care – the US Danger
999 call for the NHS (7th January 2021) We say NO! to proposed NHS legislation that would restrict access to care and profit global companies
National KONP responds to the Government
Keep Our NHS Public was provided with an opportunity to present evidence on the proposals put forward in the Government’s White Paper “Integration and Innovation: working together to improve health and social care”. Here is what National KONP said to Parliament.
We have a number of concerns about these proposals, namely:
– The risk of a democratic deficit
– Increased central control despite assurances of more local decision making
– The risk of prioritising constraint over collaboration
– A shift of focus for the NHS from the provision of universal, comprehensive care towards ‘demand’ management
– The risk that mere lip service will be given to redressing health inequalities
– The increased presence and influence of private companies facilitated by Integrated Care Systems
– The implications of repealing Section 75 of the Health and Social Care Act (2012) without dismantling the market in NHS services
– The emphasis on deregulation at the risk of cronyism
– New arrangements that will fragment and deskill the NHS workforce, with the possibility of deregulating some professions in future
To read the entire document of evidence submitted by KONP
LINKS – newspaper items, opinion pieces, reports
“Just Treatment” video (20th July 2021) Tania and Amy’s Story
999 Call for the NHS (16th July 2021) US Health Insurance Provider in prime position to take over new NHS Integrated Care Systems
BMA (14th July 2021) ‘Wrong Bill at the wrong time’ – BMA council calls on MPs to reject Health and Care Bill
openDemocracy (14th July 2021) Protestors and doctors’ union call on MPs to block new English health bill
The Guardian (14th July 2021) Proposed reforms to NHS ‘institutionalise cronyism’, claims Labour
The National (14th July 2021) Health and Care Bill: NHS ‘takeover’ legislation passes second reading
Allyson Pollock website (13th July 2021) Key points and questions for the Second Reading
Also here: Key points and Questions re Bill from Prof Allyson Pollock and Dr Peter Roderick (13th July 2021) Click here
999 Call for the NHS (13th July 2021) Health and Care Bill – key points and questions ahead of 14 July second reading
openDemocracy (13th July 2021) Forget the spin – new English NHS bill is all about cutting our right to healthcare
The Lowdown (9th July 2021) New Health & Care Bill will gag local voices
Mirror (6th July 2021) Tory health bill published today despite fears it puts ‘private firms at heart of NHS’
Guardian (4th July 2021) Johnson to announce controversial plans for greater NHS control
The Lowdown (28th June 2021) Tory splits on Health Bill
The Lowdown (28th June 2021) NHS Reorganisation – a never ending story
Letter from Margaret Greenwood MP to Matt Hancock (11th June 2021) is here
The Lowdown (28th May 2021) Virgin given seat on ICS Board
Leading Health Care (4th January 2021) Professor Sir Liam Donaldson appointed Chair for the Integrated Care System for the North East and North Cumbria
We Own It (11th May 2021) 16 organisations call for NHS Bill to be halted
Socialist Health Association (10th May 2021) Centene: The real agenda
Bright Green (27th March 2021) Matt Hancock’s proposals for our NHS are bad news
Private Eye (March 2021) A Practice Run
The Lowdown (21st March 2021) Bleak prospects for troubled ICSs
Laura Murrell, Secretary, KONP Sunderland and District re “Consultation” Click here (obviously some “consultation” responses are more equal than others…..)
Twitter (16th March 2021) Hancock talking about ‘the false dichotomy’ between public and private… and equating GPs with companies like Virgin Click here
The Lowdown (6th March 2021) Can campaigners unite over coming health Bill?
Labour Outlook (26th February 2021) Hancock’s NHS plans would see the ramping up of privatisation on a scale we’ve never seen before
The Lowdown (24th February 2021) The great consultancy boom – from Covid to ICSs
The Canary (16th February 2021) The reasons why Matt Hancocks proposed NHS reforms should worry us all
Tribune (12th February 2021) The Next NHS Sell-Off
British Medical Journal (11th February 2021) A new bill to reform the NHS in England: the wrong proposals at the wrong time (Prof Allyson Pollock and Dr Peter Roderick)
Stewart Player, National KONP (2021) Integrated care or healthcare imperialism?
Guardian (11th February 2021) Matt Hancock to publish plans to give ministers more power over NHS
Mirror (11th February 2021) Tories unveil plans today to unpick their own disastrous NHS reforms
Dr John Lister: “We have another massive top-down reorganisation which retains the fragmentation and chaos of outsourcing…leaves huge contracts to be allocated without any competition”
Morning Star (11th February 2021) All spin and no substance in Tories’ health and social-care plan, Unions and NHS campaigners warn
rs21 (10th February 2021) Are the Tories really reversing NHS privatisation?
Institute for Government (8th February 2021) Leaked NHS reforms would take us back to the wrong sort of future
The Lowdown (9th February 2021) White Paper: power grab, sea change or cementing in the status quo?
Duncan Poundcake (5th February 2021) #NHS Not all Privatisations are equal, some are worse and some are Evil…
Health Service Journal (27th January 2021) CCG mergers must still go ahead in April, says NHS England
The Lowdown (8th January 2021) Councils concern about NHS shakeup
Chronicle (17th December 2020) City leaders back groundbreaking new partnership to transform health and social care services
CK 999 Call for the NHS (14th December 2020) US companies poised to run NHS following proposed legislation
The Lowdown (6th December 2020) NHS England pushes for “integration” … but not as we know it
KONP (10th December 2020) Dangerous NHS restructuring to go ahead despite Covid
The Guardian: Years of underfunding leave NHS ‘woefully short’ for Covid second wave (5th November 2020)
CCG mergers > ICSs: The Lowdown (September 28th 2020)
Who’s cashing in on ICS’s? The Lowdown (October 12th 2020)
CK999 Call for the NHS (2nd February 2019) What changes will patients notice when the NHS is run by Integrated Care Systems and Providers?
Further detailed analysis of the ICS proposals is given in the three part National KONP document (January 2021) linked below:
Part 1: Corporate Agenda for Integrated Care on the themes running through NHSE’s ‘Integrating Care’ including the use of digital and data to drive system working, reform of the NHS payment system, and the influence of multi-national corporates through the NHSE’s Health Systems Support Framework (HSSF);
Part 2: An alternative vision: achieving democratic accountability, addressing the lack of democratic accountability in ICSs;
Part 3: Social care: relationship to ICSs, considering threats to social care from ICSs.
All documents are linked here
NORTH EAST AND NORTH CUMBRIA INTEGRATED CARE SYSTEM (NENC ICS)
> ICS Strategic Five Year Plan: Presentation by Mark Adams to the Councils’ Joint Overview and Scrutiny Committee (20th January 2020) is here
> Map of the North East and North Cumbria Integrated Care System (NENC ICS). This is sub-divided into four Integrated Care Partnerships (ICPs) , with each Partnership area being divided further into places:
From North Tyneside CCG Annual Report 2020/21, page 12 (here):
“The keystone of the wider, regional strategic work is that of the Integrated Care System (ICS). In June 2019, the North East and North Cumbria area was confirmed by NHS England as an ICS. The North East and North Cumbria Integrated Care System (ICS) is a regional partnership between the NHS, local authorities and others, taking collective responsibility for resources, setting strategic objectives and care standards, and improving the health of the 3.1million people it serves. Our ICS is a collaboration of NHS commissioners and providers, and our partners, and not a new organisation with statutory powers. This is set to change in the future, following the publication by the Government on 11 February 2021 of a new White Paper called “Integration and Innovation: working together to improve health and social care for all”. Work has started to understand the impacts of this White Paper and this will continue at pace during 2021/22. However, the ICS will take on formal status with statutory powers”
THE NHS LONG TERM PLAN (2019)
This far-reaching, top-down reorganisation of the NHS is based on the proposals in the Long Term Plan – click here for details
….THE WHITE PAPER (2021)
….and the NHS “CONSULTATION” ON INTEGRATED CARE SYSTEMS (2020/21)
NHS England (NHSE) maintains that it has recently (Dec 2020, Jan 2021) “consulted” on their latest plans for ‘integrating care’, including changes to legislation.
HOWEVER….THIS IMPORTANT NHS “CONSULTATION” TOOK PLACE OVER CHRISTMAS AND IN THE MIDDLE OF A PANDEMIC, WITH VERY LITTLE ADVERTISEMENT AND POOR EXPLANATORY MATERIALS. THIS IS NOT ACCEPTABLE.
Have members of the public had a fair opportunity to get involved?? We think not.
Below are documents devised by the national KONP ICS Working Group; this useful information was in response to the consultation and are filed here for future reference:
KONP objections to legislative changes: KONP-ICS-legislation-proposals-responses-2021-01-03
Model responses to the consultation questions from national KONP: KONP-ICS-consultation-model-responses-2021-01-03 (2)
“SUSTAINABILITY AND TRANSFORMATION PLANS” (STPs) and “ACCOUNTABLE CARE ORGANISATIONS” (ACOs)
Remember them? For information about the forerunners to the Integrated Care System, click here