Integrated Care Systems

Scroll down this page for:
1: An NHS for people, not profit
2: Our major concerns about ICSs …. and ways forward
3: Email the Chair of “North East and North Cumbria Integrated Care System” (NENC ICS)
4: Copy in key people and liaise with political groups and trade unions
5: “North East and North Cumbria Integrated Care System” (NENC ICS)
6: “Integrated Care Systems” – Bad news for patients and staff
7: “Integrated and Caring”?  Definitely not.
8: Impact on the pay, terms and conditions of NHS staff 
9: Impact on local decision-making and democracy 
10: Private sector healthcare providers on the NENC ICS Board?
11: “Integrated Care Systems” – our recent Actions and Campaigns in the North East; Formal questions to seven NE Councils | Durham Miners Gala | Morpeth celebrates and protests | July Rally at the Monument | KONPNE writes to ICS Chair | 1562 people in NE contact the Chair of the ICS
12: North East opposes the Health and Care Bill
13: Links – newspaper items, opinion pieces, reports
14: STPs” and “ACOs” – remember them? 

ICS 3


 

1:

An NHS for people, not profit

Our NHS was reorganised on 1st July 2022. England was geographically divided into 42 health units called “Integrated Care Systems” (ICS). In our region, “North East and North Cumbria Integrated Care System” (NENC ICS) is now responsible for commissioning all health care in the North East and North Cumbria.
There remain a number of important issues to be worked on, and it is CRUCIAL that residents of this region make their views clear to the Chair and Board of the new NENC ICS.
“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
Please remember: If we don’t fight to protect our NHS, we will always lose. But if we fight we have a chance of winning.
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2:

Our major concerns about ICSs …. and ways forward

There are eight major areas of concern, as identified below, together with our proposals about possible ways forward. Please discuss and review these important issues with your colleagues, political groups, social groups and Unions, and do all that you can to keep these issues on the agenda – it is OUR NHS, and they need to be resolved. Please also pick out some of these and write to the Chair of “North East and North Cumbria ICS” (see Part 3, below).
Each ICS is controlled by a Chair and a Board of Directors, with a duty to provide healthcare for people in this area – but with some flexibility in the way that they operate.  In short, the 2022 reorganisation of the NHS provides our local NHS leaders with an opportunity to reset the direction of travel of our NHS.
1: Maintain a free, comprehensive health service, available for all
The introduction of ICSs must not mean any departure from the provision of a comprehensive health service for anyone who needs health care and treatment, regardless of where they live.  The H&CA does not define the people for whom an ICS has ‘core responsibility’, so this must be included in the ICS constitution.
A commitment written into the ICS constitution that North East and North Cumbria ICS will maintain a comprehensive health service, free at the point of need, accessible to anyone residing in that area – including homeless people – at the time when they need health care or treatment.
2: No private sector representatives on any ICS bodies
A government amendment now included in the Act excludes those involved with private healthcare from ICBs and committees or sub-committees if the chair believes they “could reasonably be regarded as undermining the independence of the NHS”: this is open to wide interpretation by the chair and could still mean private company representation at Board level, let alone the committees, subcommittees and provider collaboratives which will have delegated powers and budgets – and where the real power lies.  Given their vested profit-making interest, private sector representatives should not have a say in decisions about what NHS services are provided and by whom and must not, therefore, sit on any ICB or committees.
⇒ ICSs should not include private sector representatives on any ICS boards or committees or any bodies with delegated powers from the ICB.
3: NHS as the default provider
The legislation allows for new procurement regulations, which are expected to allow contracts to be awarded, extended, or rolled over without any tendering process, which could open even more NHS services to be taken over by the private sector.
⇒ A commitment that NHS providers are the default providers of health services, care and treatment, and that as contracts with private sector companies come up for renewal the default position is that they will be awarded to NHS providers.
⇒ If any contracts do continue to be awarded to the private sector, there must be vigorous scrutiny to ensure that this is conducted in a transparent and accountable manner.
4: Emergency care
The Health and Care Act does not include the requirement for an ICB to commission emergency/urgent services for everyone who needs them, including those who do not reside in the ICS area.
By contrast, the current legislation in force until the Act is enacted and implemented requires each Clinical Commissioning Group to ensure the provision of emergency care for everyone present in their area. The Health and Care Act makes no reference to emergency care.
During the debate on the Bill, Lord Kamall, government spokesperson, said in the House of Lords that it gives NHS England the power “to publish rules that determine the people for whom each Integrated Care Board is responsible and those rules must make sure that everyone registered in the area, or everyone who may have need of services, is looked after”. However, he also said: “It would not be reasonable to expect providers to provide services regardless of whether they were funded by an Integrated Care Board to do so, and it is important that Integrated Care Boards should be able to make decisions about with whom they contract and where they prioritise their resources.” 
⇒ A commitment that anyone who needs emergency or urgent services while present in the ICS’s geographical footprint will receive the necessary treatment, whether or not they are registered with, or permanently reside within, the ICS area.
5: Democratic accountability and representatives with expertise
The legislation specifies that the main decision-making ICB must include one representative of NHS trusts/foundation trusts, one representative of providers of primary medical services and one local authority representative.  It is up to the ICS to decide on other members and how they are to be appointed and to include this in its constitution. A Government amendment requires at least one member with knowledge and experience in connection with services relating to the prevention, diagnosis and treatment of mental illness.
For the Integrated Care Board to include a councillor from each local authority covered by the ICS, not just one representative covering all the local authorities in an area.
A commitment that the Integrated Care Board must include representatives of professionals from Mental Health, Community Health, Maternity, Primary Care and Public Health, as well as from Acute services.
A commitment that Integrated Care Boards, Integrated Care Partnership body, place-based bodies, committees and sub-committees will include representatives of patients’ groups and of NHS staff trade unions.
6: Meetings involving the public with right to ask questions and receive answers
The legislation says that an ICB must make arrangements to involve individuals, and their carers and representatives, to whom services are being or may be provided, by consulting with them or providing information.  This relates to the planning of commissioning and the development and consideration of proposals for changes in commissioning where this would have an impact on the manner in which services are delivered or in the range of health services available.
A commitment that all meetings of Integrated Care Boards, Integrated Care Partnership bodies, place-based bodies, committees and sub-committees will be held in public, papers must be available in advance, and observers – from the public, trade unions, patients’ groups – must be allowed to ask questions and be entitled to written answers to those questions.
7: Discharge of patients and assessment of social care needs
The legislation repeals the requirements of the Care Act 2014 that a social care needs assessment be carried out by the local authority before a patient is discharged from hospital. It also revokes the provisions, which enable the NHS body to charge the local authority where a patient’s discharge from hospital has been delayed due to a failure of the local authority to arrange for a social care needs assessment. A government amendment only requires the Trust to take any steps that it considers appropriate to involve the patient and any carers, and to have regard to guidance from NHS England, which the government indicated will be developed with Carers UK.
There must be a commitment to ensure, before a patient is discharged from hospital, that it is safe to do so and that any unpaid carers expected to look after the patient are both willing and capable to do so, and that the operation of the discharge policy will be audited.
8: Workforce Issues
The legislation does not provide any help in filling the thousands of staff vacancies in the NHS and social care, so ICSs will need to develop their own plans. The Commons have twice rejected amendments for the Secretary of State to make regular reports to Parliament with independent evidence on staffing, demand for care, and how these will be addressed.  Recruitment and retention are not only linked to good pay and conditions but also to staff knowing there are sufficient resources so that they can provide services safely without risk to themselves or service users, as the Ockenden report demonstrated for maternity.
The ICS Constitution must specify that nationally agreed pay, terms and conditions, including pensions, as negotiated with the NHS staff unions, will apply to all staff employed by any NHS provider within the ICS area.
There must be discussion with NHS staff unions about safe staffing levels and what is needed to ensure they can be implemented.
Many thanks to national KONP / ICS Working Group for preparing the above information

KONP logo

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3:

Email the Chair of “North East and North Cumbria Integrated Care System” (NENC ICS)

KONP logo

Please email the Chair of “North East and North Cumbria Integrated Care System”, Professor Sir Liam Donaldson, at necsu.nenc-icb.contactus@nhs.net 
The national office of “Keep Our NHS Public” has provided a template letter as a guide – but try to put the issues into your own words. The template letter lists the issues identified above to put to the ICS chair to try to get firm commitments about the way that the ICS will be run and services provided.  The proposals could alleviate some of the worst aspects of the legislation.
The draft template letter is here and information about the above eight issues is here
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4:

Copy in key people

It will take around 10 minutes to email the Chair of NENC ICS – and the impact of your email will be magnified by copying in key people in the North East. National KONP suggest some possibilities here. We need to ensure that all people involved in NHS decision-making know that we need an NHS run for the public, not profit.
You don’t need to copy your email to all the people on this link. Pick the ones who are most important in your area and/or with whom you already have contact. Their responses will be crucial if this is to have any impact on the Board and Chair.
This is democracy in action – please ensure that your voice is heard. 
The email addresses of all North East MPs, local councillors and local Healthwatch groups are located on our links page here.

and liaise with political groups and trade unions

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. 
Please adapt these motions to reflect the recent changes re the Health and Care Bill now attaining royal assent and has become law:
“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 CLPs” – this can easily be adapted for use by other political parties and organisations – click here
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5:

“North East and North Cumbria Integrated Care System” (NENC ICS)

North East and North Cumbria Integrated Care System (NENC ICS), is the largest ICS in England. The ICS is sub-divided into four Integrated Care Partnerships (ICPs) , with each Partnership area being further divided into places:

ICS Boundary-Maps-Oct-2019

>> Integrated Care System:
“The North East and North Cumbria Integrated Care System (ICS) is a partnership of organisations including local councils, voluntary and community services that provide health and care across our region. Led by the NHS Integrated Care Board (ICB) we are working collectively, joining up resources and expertise to provide the best health and care for our local communities”. NENC ICS website July 2022
“Our Integrated Care System is led by our NHS Integrated Care Board (ICB), a statutory organisation with responsibility for NHS budgets, functions and performance and an Integrated Care Partnership (ICP). It takes over the responsibilities currently held by the eight clinical commissioning groups in our region. Over time it will also take over some of the of the functions currently held by NHS England for the commissioning of primary care and acute services”. NENC ICS website July 2022
>> Four regional Integrated Care Partnerships:
“Four local Integrated Care Partnerships based around the main centres of population.
-North Cumbria ICP
-Central ICP (County Durham, Sunderland and South Tyneside)
-North ICP (Gateshead, Newcastle, North Tyneside, Northumberland)
-Tees Valley ICP (Darlington, Hartlepool, Middlesbrough, Redcar and Cleveland and Stockton-on-Tees)
These local ICPs will develop a strategic picture of health and care needs from their constituent local authority ‘places’ working with a wide range of partners including existing health and wellbeing boards. These provide a vital forum for the NHS, local councils and other partners to assess the needs of local people and set local priorities for health and care improvement”.    NENC ICS website July 2022

icp

>> Place-based teams:
“As well as strategic functions, ICB staff also work at place level with local health and wellbeing boards in each of our 13 local authority areas. These teams also work alongside our 64 primary care networks which are groups of local GP practices, social care teams and other community-based area providers”.   NENC ICS website  July 2022
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>> Contacts / Information for NENC ICS:
Professor Sir Liam Donaldson, Chair, NENC ICS       Leading Health Care    (4th January 2021)     Professor Sir Liam Donaldson appointed Chair for the Integrated Care System for the North East and North Cumbria
Sam Allen, Chief Executive Officer, NENC ICS        NENC ICS website     (11th November 2021)   Chief executive appointed to North East and North Cumbria Integrated Care Board
Click here for a pdf of the Constitution of NENC ICS, which is also available on the NENC ICS website page here
Please read this Constitution in the context of this very helpful article from 999 Call for the NHS  (2nd December 2021) Responding to draft NHS Integrated Care Board Constitution public consultations – we have circulated this article to all North East MPs, councillors, Healthwatches and, of course, the new ICS 
NENC ICS website: https://northeastnorthcumbria.nhs.uk
NENC ICS email: necsu.nenc-icb.contactus@nhs.net
NENC ICS website here confirms the availability of a Procurement Register, as follows: NENC ICB maintains a register of procurement decisions and contracts awarded, which also includes a record of any related conflicts of interest as appropriate.  The register of procurement decisions will be published on a quarterly basis”. 
Information about current procurement and commissioning can be found at the GOV.UK website at https://www.find-tender.service.gov.uk/Search
NHS England website for ICSs across England: https://www.england.nhs.uk/integratedcare/

>> Associated NENC ICS documents / links:
Health Service Journal (17th January 2022) Councils squirm over NHS ‘power grab’
North Tyneside CCG Annual Report 2020/21   (1st June 2021)    Our Vision, Plans and Priorities (pp11-14)
ICS Strategic Five Year Plan    (20th January 2020)     Joint Overview and Scrutiny Committee presentation
In addition to our huge concerns, as identified in Part 3 (above), dissatisfaction has been voiced by Sunderland City Council leader Graeme Miller, who queried “how having an ICS that runs from the Scottish border down to the south of Yorkshire is going to deliver place-based service delivery to residents in Castle ward in Sunderland…..   This is a car crash coming, but the NHS will force it through. What we’ve got to try and do is get them to see sense, and hopefully listen to us and understand that the local authority structure is a very good partner for them. But they’ve got to then treat us like grown-ups. We’re not there as a tick-box exercise.”   Full article: Health Service Journal (17th January 2022) Councils squirm over NHS ‘power grab’
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6:

Bad news for patients….

The Health and Care Bill has now gained Royal Assent and has become law – this provides statutory powers to 42 Integrated Care Systems throughout England. The following gives an overview of what we are faced with:

 

and staff….

 

H and C Bill 2


 
The following video from Pubic Health Matters gives a good overview:

 

 
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7:

Integrated and caring”?   DEFINITELY NOT.

More like “UNDERFUNDED, UNDEMOCRATIC, UNFAIR, UNSAFE”…..

 
April 2022 saw the Health and Care Bill gaining Royal Assent and becoming law – confirming “Integrated Care Systems” as new NHS bodies. From July 2022, the NHS will be divided into 42 pots of money with limited ‘population health budgets’ designed to find more ‘efficiency savings’ aka CUTS. The number of commissioning organisations is 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 upwards 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; in July 2022, this huge organisation will 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
“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
 

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
 
“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
“This bill will help ease the way for more private funding and provision of health services. MPs and local authorities will have little influence over the decisions”    Professor Allyson Pollock and Dr Peter Roderick, Newcastle University   7th December 2021
Read the recent Opinion article in The Guardian by Prof Allyson Pollock and Dr Peter Roderick (Newcastle University) : 7th December 2021   If you believe in a public NHS, the new health and care bill should set off alarm bells    
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8:

Impact on the pay, terms and conditions of NHS staff

NHS staff

The Health and Care Act carries significant dangers for the NHS workforce. 
A ‘flexible’ (or malleable) workforce? The ‘flexible working’ envisaged would require NHS staff to move as required, and in some instances rapidly, to different organisations and locations. This could prove highly disruptive for individuals’ working and personal lives, especially bearing in mind the large geographical area most ICSs will cover. 
Nor is there any sense of concern that the lack of a stable workforce in any location could not only be hugely stressful but create a barrier to the kind of team building that is fundamental to good patient care and work satisfaction. It’s also a matter of concern that the kind of workforce flexibility expected could serve to undermine effective trade union work and so, over time, pose an indirect threat to employment terms and conditions.
Professional regulation?   What the Act does include are provisions for deregulation of the professions. And despite a recommendation from NHSE (and in contrast to the Health and Social Care Act of 2012 that ostensibly put clinicians at the centre of planning services), there is no statutory requirement in the Act for a seat on each ICS Board for a medical or nursing representative.  This absence seems consistent with the Act’s focus on professional deregulation.
The Act gives powers to the Secretary of State for Health to use secondary legislation to remove a healthcare profession from regulation, and abolish the regulatory body for that profession.  One of the stated objectives behind this move, outlined in the policy paper Health Care Bill: professional regulation is to support the development of a flexible workforce…..
Pay, terms and conditions?   Insecurity for staff is implied by the Act requiring each of the 42 ICSs to draw up its own constitution (to be approved by NHSE), setting out how an ICS Board (ICB) will carry out its functions, including how the terms and conditions of its employees will be determined (our emphasis).
Rachael Maskell (MP) picked up this point during the Bill’s second reading, apparently referring to provisions for the transfer of staff when CCGs are abolished. She expressed concern that the proposed legislation would allow an ICS to alter the terms of Agenda for Change (AfC), the national framework for ensuring equal pay for equal work for NHS staff.
The Health and Care Bill will have long-term and worrying implications for the NHS, not least for its staff. It potentially enables new structures and ways of working that will threaten pay, terms and conditions, undermine job satisfaction and patient safety, and devalue skills and experience while weakening professional autonomy and unionisation.
MANY THANKS to national KONP for the above analysis – the full article is available on the national KONP website here. To avoid confusion, we have replaced the word “Bill” with “Act”.
From Sharon Graham, UNITE General Secretary (22nd September 2021):
“The government’s new Health & Care Bill is a Trojan horse for more privatisation, cronyism, austerity and a licence for politicians to run down and sell off the NHS. Attempting to drive this through whilst we are still in the middle of a pandemic and without a care for staff and patients is a disgrace, Unite is opposed to this disgraceful bill and we will lead a serious and effective campaign to ensure this bill is stopped. We need you all to act now, wherever you work, whichever sector, community, retired, or young members we need you all to get involved and defeat these plans that will give our NHS to profiteers at the expense of staff and all patients.
If this Bill is passed, all of us will be impacted – we need you all to act now and write to your MP to demand they oppose this Bill. NHS staff and patients will be left in a vulnerable position with this Bill leaving the door wide open for Alternative Provider Medical Services (APMS) to cherry pick services and undermine current working practices. APMS contracts have been described by legal professionals as “the private sector’s gateway to providing primary health care to NHS patients”. They allow companies that are not owned or controlled by medical professionals to run GP surgeries.
This Bill is deeply flawed and creates pathways for health systems that are based on models developed by the private insurance industry in the USA and elsewhere, controlled for profit against patient care. We must not let this Bill pass and destroy the universal and patient care driven service we all cherish.
Our NHS needs investment not more privatisation – help us defeat this Bill and take action now.  Thank you
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9:

Impact on local decision-making and democracy in the North East

The North East and North Cumbria integrated care system (ICS) is the largest ICS in the country, covering a 3.5 million population spanning Northumberland, Tyne and Wear, County Durham, Tees Valley and North Cumbria – see map above. There is much concern locally about its size and the Bill says nothing about how “place” based decisions will be made for such a large population. Local participation on the ICS Board and Partnership Board appears to be minimal. In addition, the Secretary of State stands to acquire 138 new powers to intervene in local matters.
There is a real danger that local voices may not be heard at all under the current proposals – it will be much more difficult to oppose any decisions to ration NHS services or deny access to care. Currently, changes to health service provision are discussed and agreed between health, Local Authority and other stakeholders at the local “Health and Wellbeing Board”, and changes are scrutinised by local Councillors sitting on the “Health Scrutiny Committee”. All this will change, with much less input from local Councillors, our elected representatives, and thus decreased local democracy.
The point that huge ICS organisations would be more remote from the needs and concerns of any local community 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.”
The Health Service Journal recently reported (27th July 2021) that 9 councils in Cheshire and Merseyside have recently set up a series of “red lines” and pre-conditions which they say must be met for an integrated care system to be successful. The fact that these Councils in the North West feel the need to set out any “red lines” is an indication that the Bill’s proposals will largely sideline local authorities and should be seen as an attempt by Councillors to ensure genuine collaboration to meet their responsibilities and determine outcomes.
In November 2021, all Conservative councillors in Oxfordshire County Council voted for a motion that was critical of the Health and Care Bill. See the motion here
……and, on 17th January 2022, dissatisfaction from Sunderland City Council leader Graeme Miller, who queried “how having an ICS that runs from the Scottish border down to the south of Yorkshire is going to deliver place-based service delivery to residents in Castle ward in Sunderland…..   This is a car crash coming, but the NHS will force it through. What we’ve got to try and do is get them to see sense, and hopefully listen to us and understand that the local authority structure is a very good partner for them. But they’ve got to then treat us like grown-ups. We’re not there as a tick-box exercise.”   Full article: Health Service Journal (17th January 2022) Councils squirm over NHS ‘power grab’

 

Pams letter

November 2021: Letter by Dr Pam Wortley, Sunderland and District KONP
The Lowdown      (6th February 2022)     NHS reorganisation proceeds before health bill has been passed
Health Service Journal     (17th January 2022)   Councils squirm over NHS ‘power grab’
999 Call for the NHS    (2nd December 2021)   Responding to draft NHS Integrated Care Board Constitution public consultations
The Lowdown    (20th September 2021)   Gaps in Bill question level of local control
Keep Our NHS Public    (2021)    Local Authority Scrutiny of NHS Provision
Health Service Journal    (27th July 2021)  HSJ- Council Red Lines
British Medical Association    (14th July 2021)    ‘Wrong Bill at the wrong time’ – BMA council calls on MPs to reject Health and Care Bill 
The Lowdown    (9th July 2021)     New Health & Care Bill will gag local voices 
Local Government Association    (29th December 2020)       LGA response to NHS England and NHS Improvement consultation on integrated care systems
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10:

Private sector healthcare providers on the NENC ICS Board? 

The Board of the NENC ICS is set out in the Constitution at point 2.2.3, as follows:
“The board is therefore composed of the following members:
a) Chair
b) Chief Executive
c) Two Partner member(s) NHS and Foundation Trusts
d) Two Partner member(s) Primary medical services
e) Four Partner member(s) Local Authorities
f) Four Non Executive Members
g) One Executive Finance Director
h) One Executive Medical Director
i) One Executive Chief Nurse
j) One Executive Chief People Officer
k) One Executive Chief Digital & Information Officer
l) One Executive Director of Strategy and System Oversight
m) Two Executive Directors of Place Based Delivery – North and North Cumbria and Central and South
n) One Executive Director of Innovation
o) One Executive Director of Corporate Governance, Communications and Involvement
Other board-level Director roles of the ICB (attending as participants rather than voting members) will be at the discretion of the Chair and Chief Executive.
and, as far as disqualification criteria for Board membership is concerned, point 3.2.2 states:
“A person whose appointment as a Board member is considered by the person making the appointment as one which could reasonably be regarded as undermining the independence of the health service because of the candidate’s involvement with the private healthcare sector or otherwise”
and 4.6.6
“All members of committees and sub-committees that exercise the ICB commissioning functions will be approved by the Chair. The Chair will not approve an individual to such a committee or sub-committee if they consider that the appointment could reasonably be regarded as undermining the independence of the health service because of the candidate’s involvement with the private healthcare sector or otherwise”.
and 6.6.6
“As required by section 14Z30 of the 2006 Act, the ICB has made arrangements to manage any actual and potential conflicts of interest to ensure that decisions made by the ICB will be taken and seen to be taken without being unduly influenced by external or private interest and do not, (and do not risk appearing to) affect the integrity of the ICB’s decision-making processes”
Let-out clauses…..
Given the above, and as far as private sector involvement on the Board is concerned, KONPNE remains very concerned about Board membership….. obviously, the words “reasonably”  and “unduly” in the above Constitution can be open to interpretation.
Members of KONPNE were pleased to collaborate with the national campaign group “We Own It” in their “Rebuild Our NHS” campaign. Altogether, a MASSIVE 1,562 people from across the North East contacted Sir Liam Donaldson, Chair of the new “North East and North Cumbria Integrated Care System” to demand the pledge: NO PRIVATE COMPANIES ON ICS BOARDS (scroll down this page for Campaign report).
Click here to read the formatted letter from “We Own It”.
Sir Liam Donaldson, Chair of NENC ICS, provided the following response on the NENC ICS website here:
HEADING: “Thank you to people who contacted our Integrated Care Board (ICB) about the role of private organisations on the North East and North Cumbria ICB”.
CONTENT: Thank you for your email regarding the opportunities ahead for Integrated Care Systems, and in particular the role of the NHS within them. I fully share your desires for local communities and citizens to have a central role in the way we develop services and support for people across the North East and North Cumbria.
Your specific views about NHS contracts and conflicts of interest are noted. I would like to reassure you that the NHS must comply with national rules and laws around procurement and competition. We will seek to ensure all decisions made by the ICB are compliant with those rules, whilst robustly managing any real or perceived conflicts of interest. Our integrated care board exists to significantly improve health outcomes for people who live in our region by working collectively to provide the best health and care for our local communities
The ICB has no plans to delegate any of its functions to bodies or committees that include private healthcare providers. Our Constitution contains criteria for board membership which include specific safeguards against conflicts of interest regarding involvement in the private healthcare sector.  Members of the ICB and its related committees will be required to publicly declare interests, and they will be recorded and managed in line with the ICB’s conflicts of interest policy. Where and when any interest conflicts with the interests of the ICB, that person will play no part in decision making on that matter.
Healthcare services will be arranged in a transparent way, and decisions around who provides services will be made in the best interests of patients, taxpayers, and the population.
We are keen to hear the views of local citizens on a range of topics related to integrated care.  Please use this link to our website to find out further information about opportunities to get involved and have your say.
Yours sincerely,
Sir Liam Donaldson, Chair, North East and North Cumbria Integrated Care Board
Thus, at present, there remains no explicit ruling which absolutely disqualifies a person with professional or financial connections to private healthcare from involvement with the Board and Committees of NENC ICS…. and, with this, lies much scope for further campaigning. A start has been made, in that a huge number of people in the North East and Cumbria now know about this issue, hundreds have contacted the ICS about it, and NENC ICS know that we are closely scrutinising their operational structures and decision-making processes. Yes, definitely much scope for further campaigning – there is absolutely no place for private sector healthcare on ICS Boards and Committees. 
Read this article: Turning Calderdale Green      (July 30th 2022)     Government by diktat: adult social care companies must have decision making powers about NHS and social care commissioning
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11:

Integrated Care Systems” – our recent Actions and Campaigns in the North East 


 

>> Summer and Autumn 2022 – Formal questions to full Council meetings re ICS – Durham, Sunderland, Newcastle, North Tyneside, Northumberland, South Tyneside and Gateshead

NHS campaigners in the North East are putting formal questions to seven North East councils to determine each Councils stance on NENC ICS – given that the ICSs are under instruction from NHS England, our local Councillors are our representatives regarding this new programme, and we need to ensure that they are accountable in standing up for our NHS.
How does your Council shape up??  Go to our Campaign page here to see our questions and Council responses

 

>> 9th July 2022 – Sharing information about the ICS at Durham Miners Gala

Although it was baking hot in the marquee, one of the happy perks of campaigning by the side of the stall was that it proved to be a focal point for all our NHS friends and supporters – local and from across the country – and also a place to make connections with people who, we know, we will work together with in the future…. here’s to the future….!
Holly Johnston, a nurse and member of the GMB Union, spoke to the Gala crowds. Holly has been a nurse for 18 years and is currently a nursing sister at a cancer hospital. She nursed cancer patients during the pandemic and she, herself, was hospitalised after she contracted Covid. She continues to suffer the effects of long Covid, and is still unable to return to her previous full-time hours. “I am extremely proud of the work all key workers do. It is people like us who have kept the country going, but we are now facing attacks on our conditions. There has never been a more important time to join a trade union. We must use our collective power to force change” – Holly Johnston.

 

>> 2nd July 2022 – Morpeth celebrates and protests

Morpeth Labour and KONP (2)

Excellent joint work by KONP / Morpeth and Pegswood Labour Party Branch –  a great joint team action, out and about in Morpeth to celebrate 74 years of NHS healthcare – and to protest some of the key features of the new “North East and North Cumbria Integrated Care System” (NENC ICS). This new body is now responsible for all health commissioning in the region and, yes, not many people had heard about it….
There was an excellent response from the Morpeth public – all leaflets went, the NHS birthday card was covered in messages, and many people scanned the poster/board’s QR codes and sent emails on the spot to the Chair of the new NENC ICS. Unsurprisingly, many people were outraged. It’s OUR NHS. It is not, as yet, totally privatised – but this new ICS holds many dangers.
For info about “Integrated Care Systems” – go to our ICS page here
Does your party or group want to get involved / need a speaker at your Zoom / require more information??? Contact KONPNE at konpnortheast@gmail.com

 

>> 2nd July 2022 – The Integrated (?) Care (?) System (?) commences in the North East and Cumbria

NHS Rally 2nd July 2022

Yesterday saw the start of the deeply flawed and curiously named “Integrated Care System” – it is a sad day that we now no longer have a “National Health Service” but, instead, 42 localised and stand-alone “health systems”….. together with their much baggage and many, many problems – see here
North East and North Cumbria Integrated Care System is now responsible for commissioning all healthcare across the region – a “development” which is hugely significant but one which is not widely known nor reported on. 
So…to inform and enlighten…health campaigners and community organisations took it upon themselves and were out in force in Newcastle-upon-Tyne city centre, to get across HUGE concerns. Hosted by “Keep Our NHS Public North East”, we thank speakers from a wide range of community organisations – Dr Helen Groom (Patients Not Passports), John Harrison (Disabled People Against Cuts), Sean Fahey (North East Pensioners Association), Angela Robinson (NHS Nurse – retired), Caitlin Southern (North East Peoples Assembly), Dr Gerard Reissmann (Newcastle GP – retired), Jan Shortt (General Secretary, National Pensioners Convention) and Jude Letham (Keep Our NHS Public North East). Watch this space and our social media for quotations and resumes of the speeches. Many thanks, one and all.
North East Poet Harry Gallagher was, of course, greeted very warmly. His book “Northern Lights” is a love letter to the people of the North, a region often buffeted and battered by stormy conditions – this new “North East and North Cumbria Integrated Care System” being no exception. Harry Gallagher, the People’s Poet, engaged the crowd with his dry humour, brutal honesty, and passionate conviction...and, starting and ending the rally, we were also very fortunate to welcome musician JohnE Thornton. JohnE has worked in the NHS for 10 years, and is now well-known on the Newcastle and coastal scene for the music gigs he hosts and plays in. Many, many thanks to both Harry and JohnE. 
We mustn’t forget that Tuesday next week marks 74 years of healthcare from our NHS. There is no celebratory gateau this year…we reckon 42 separately baked, cut-price cupcakes would be a more accurate motif….but that menu can be changed. Please sign the petition, email the Chair of the ICS, liaise with your local Councillor, contact your MP, link up with your Healthwatch, get involved in our actions and speak up – we need to fight to reinstate our NHS.
….and, so, it is now over to all people living and working in the NE to get involved with the Campaign and to continue the fight in this region. Click here for details of the Integrated Care System….and please be active – click here to find details about our forthcoming Campaigns.
If you want an NHS, you need to be an NHS activist.  

 

>> 26th June 2022 – HUGE CONCERNS: KONPNE contacts Chair of NE Integrated Care System

NENC ICS

There are, of course, HUGE concerns regarding the curiously-named “Integrated Care System” – a misnomer, if ever there was one.
It is a sad day indeed that there is no longer a unified national health service but, rather, a collection of 42 separate health divisions across England, each responsible for making decisions about treatments and commissioning services for their geographical area. “North East and North Cumbria Integrated Care System” (NENC ICS) is now responsible, as from 1st July this year, for the healthcare in the North East.

CLICK HERE

to read todays email from Jude Letham (KONPNE Co-ordinator) to Sir Liam Donaldson (Chair of NENC ICS). with cc to Sam Allen (Chief Exec, NENC ICS) 

 

>> May and June 2022:  An electronic letter to the Chair of “North East and North Cumbria Integrated Care System”

 

We need to get the “North East and North Cumbria ICS” signed up to the pledge – no private companies on ICS Boards.

1562a

KONPNE campaigned jointly with “We Own It” and local residents against any further privatisation of NHS services within the new “North East and North Cumbria Integrated Care System” (NENC ICS). A HUGE total of 1562 people (1501 by electronic letter and 61 in writing)across the NE joined in the “We Own It” campaign by contacting the Chair of the new “North East and North Cumbria Integrated Care System” to demand the pledge: NO PRIVATE COMPANIES ON ICS BOARDS.
Each ICS is controlled by a board of directors with a duty to provide healthcare for people in the area – but with some flexibility in the way that they operate and with decision-making as to who sits on the Board – hence this focus.  In short, the 2022 reorganisation of the NHS provides our local NHS leaders with an opportunity to reset the direction of travel of our NHS. Instead of continuing full steam toward more and more privatisation, we demand that our local NHS leaders rebuild our NHS and get private profiteers out NOW. It is time for our NHS to stop working for private companies profiting from it and start working for local people who depend on it.
This leaflet from We Own It describes the Campaign action:
SUCCESS – following this action, the Chairs of 12 ICSs came out and pledged that private companies won’t sit on their boards.  These ICSs include Bath & North East Somerset Swindon & Wiltshire ICS  //  Bristol, North Somerset & South Gloucestershire ICS  //  Sussex ICS  //  Birmingham & Solihull ICS  //  Hertfordshire & West Essex ICS  //  South East London ICS  //  Suffolk and North East Essex ICS. 
We need to get the “North East and North Cumbria ICS” clearly signed up to to this pledge – the NENC ICS is somewhat nebulous about this…. (see above)
Remember: If we don’t fight to protect our NHS, we will always lose. But if we fight we have a chance of winning.
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12:

North East opposes the Health and Care Bill

Throughout 2021 and the early part of 2022, there has, understandably, been strong opposition to the Health and Care Bill in the North East and across the country. This Bill operationalised “Integrated Care Systems”. Despite the concerns of many NHS staff, official bodies and health campaigners, the Health and Care Bill became an Act of Parliament on 28th April 2022 – this Act detailed the structure of “Integrated Care Systems” and gave authority to ICS Boards, which commenced on 1st July 2022.
KONPNE had consistently highlighted a number of major concerns with the Health and Care Bill, including 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; and new arrangements that will fragment and deskill the NHS workforce, with the possibility of deregulating some professions in future
Unfortunately, MPs and Lords failed to significantly amend or defeat the Bill as it passed through Parliament and, with the government’s huge majority, the outcome was pretty much a done deal. This is bitterly disappointing and concerning for all of us who have fought against this Bill for many months.

CLICK HERE

for information about our Campaigning work in opposition to the Health and Care Bill and for reports, updates, photos, links, views of organisations, and for feedback from MPs, unions, medics, academics and campaign groups 
For information about the Parliamentary process around the Health and Care Bill, click on the Parliament website here

 

 

 

DSC_0087 (2)

DSC_0033 (2)
Sunny days, dark news, 2021/22: Spreading the word about the Governments plans to NHS staff, day patients and visitors outside the RVI, Freeman, and North Tyneside General, and also at Grey’s Monument (Newcastle), Whitley Bay, Consett, Blyth, and street theatre with a serious message in Newcastle, Blyth, Consett and Bishop Auckland.
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13:

LINKS – newspaper items, opinion pieces, reports  

Turning Calderdale Green      (July 30th 2022)     Government by diktat: adult social care companies must have decision making powers about NHS and social care commissioning
Health Service Journal   (24th June 2022)   ‘We want you to feel liberated’ says NHSE    (Liberation???  More like abdication of responsibility….) 
Health Service Journal     (22nd June 2022)   Not all ICSs are created equal
West Country Voices    (11th May 2022)   Integrated Care Systems (ICS) are here. What do they mean for you?
National KONP     (29th April 2022)      The Health and Care Bill becomes an Act: Why it matters to us all 
999 Call for the NHS   (13th March 2022)     What kind of NHS will we have in West Yorkshire come July 1st?
National KONP      (10th March 2022)      This rushed-through Health and Care Bill is a threat to a truly universal NHS
Just Treatment    (March 2022)    2 minute video     The Truth about NHS Privatisation
The Guardian     (28th February 2022)     Patients will be endangered by flaws in health bill, says NHS ombudsman
We Own It     (10th February 2022)   Sajid Javid’s new powers: A massive threat to the NHS as we know it
Somerset Live     (9th February 2022)    Private firm’s involvement in NHS body “looks and smells bad” but has no powers
Health Service Journal     (17th January 2022)   Councils squirm over NHS ‘power grab’
Natalie Bennett, Green Party Peer       (12th January 2022)         Click here for a video of comments in the Lords 
Left Foot Forward    (10th December 2021)      The Health and Care Bill means entire Hospitals can be handed over to corporations
The Guardian     (7th December 2021)   If you believe in a public NHS, the new health and care bill should set off alarm bells    (Allyson Pollock and Peter Roderick) 
Open Democracy    (7th December 2021)   Why can’t the UK government explain what its Health Bill will actually achieve?
National Pensioners Convention    (6th December 2021)   Campaigners join with NPC to call on Lords to stop this bad Health & Care Bill
Consortium News    (6th December 2021)   US Empire Seizes UK’s National Health Service
999 Call for the NHS    (2nd December 2021)   Responding to draft NHS Integrated Care Board Constitution public consultations
Tribune    (24th November 2021)   There’s Still an NHS Left to Save
The Big Issue    (24th November 2021)    Health and care bill: What threat does it pose to the NHS?
Left Foot Forward    (24th November 2021)       How every MP voted on the ‘NHS Corporate Takeover Bill
The Lowdown       (15th November 2021)       The Health and Care Bill “a wasted opportunity” – Justin Madders MP gives an insider’s view
The Lowdown    (14th November 2021)   More flaws exposed in ‘integrated care’
Morning Star    (4th November 2021)     Majority of people in England fear Tories risk extending NHS privatisation, new poll finds
Open Democracy    (28th October 2021)   Vote looms on health bill that would subject English NHS to cronyism and cuts
The Lowdown    (2nd October 2021)   Exploring flaws in the Health and Care Bill 
99% Organisation     (September 28th 2021)    Amending the Health and Care Bill     
Richard Burgon MP (Leeds East)      (25th September 2021)           click here to watch a brief 3 min video / speech in Parliament
999 Call for the NHS    (23rd September 2021)   Health Minister’s Health and Care Bill anti-privatisation amendment is a dead cat
The Lowdown    (20th September 2021)   Gaps in Bill question level of local control
The Lowdown    (20th September 2021)   U turn: No private firms to sit on new Integrated Care Boards
The Lowdown    (15th September 2021)   Sources say no private firms on ICS boards
National KONP    (15th September 2021)    The Health & Care Bill and the new NHS Data Grab
We Own It blog    (13th September 2021)    Justin Madders MP: NHS Bill opens the door to Richard Branson
The Lowdown    (9th September 2021)   Health and care bill takes deep flaws into committee stage
We Own It    (9th September 2021)    The BMA’s Dr Chaand Nagpaul just explained really simply why private companies sitting on NHS boards is such a bad idea.  
Keep Our NHS Public    (17th August 2021)    The Health and Care Bill and what it means for the pay, terms and conditions of NHS staff
Byline Times    (17th August 2021)   THE CORPORATE TAKEOVER OF THE NHS: What Does ‘Privatisation’ of Health Services Really Mean?
Health Service Journal    (12th August 2021)   Change the Health Bill to strengthen governance and democracy 
“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
Zara Sultana MP (Coventry South)      (14th July 2021)           click here  for Parliamentary speech
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
BMA    (14th July 2021)      ‘Wrong Bill at the wrong time’ – BMA council calls on MPs to reject Health and Care Bill   
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’
The Guardian    (6th July 2021)   Health bill could see NHS contracts awarded without tender process
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
National KONP     (7th May 2021)        Statement on the Health and Care Bill 2021 is here
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
We Own It   (7th April 2021)    More privatisation, less accountability – this government’s plans for the NHS
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?
National KONP    (Early 2021)     An overview of the Governments White Paper proposals and why we need to campaign against these proposals is here
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
National KONP (18th February 2021)    2021 NHS White Paper: government seizes on the pandemic as an opportunity
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”
John Lister      (11th February 2021)     PRIVATISATION IS NOT BEING REVERSED, BBC News –   Click here. 
Morning Star (11th February 2021)    All spin and no substance in Tories’ health and social-care plan, Unions and NHS campaigners warn
John Kennedy  (early 2021)      for themes, proposals and questions in his paper, click here.
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?
National KONP (6th February 2021)   Government used crisis to increase privatisation – NHS white paper will endorse
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
National KONP (January 2021)    Integrated Care Systems Summary Briefing
The Lowdown (8th January 2021)   Councils concern about NHS shakeup
National KONP  Integrated Care Systems: The threat to the NHS, social care and public health
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
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)
https://lowdownnhs.info/integrated-care/crunch-time-for-ccg-merger-bids
Who’s cashing in on ICS’s?    The Lowdown (October 12th 2020)
https://lowdownnhs.info/integrated-care/whos-cashing-in-on-icss/
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);  
All documents are linked here

 

KONPNE Briefing Papers (October 2019)
These two Briefing Papers are for use by all members of the public – copies were sent to all Councillors in the NE in October 2019 …. they were warned….
Accountable Care Organisations and Integrated Care Systems        2019 KONPNE briefing – ACO and ICS

2019 KONPNE briefing - ACO and ICS-page0001 (5)

We need to be worried about the NHS Long Term Plan, Integrated Care Systems and Primary Care Networks          2019 KONPNE briefing – We Need To Be Worried

2019 KONPNE briefing - We Need To Be Worried-page0001 (3)

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14:

“Sustainability and Transformation Plans”(STPs) and “Accountable Care Organisations” (ACOs)

Remember them? 

CLICK HERE

for information about the forerunners to the Integrated Care System

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Website notes
From the 1st of July 2022 our NHS across England will be reorganised. England will be divided into 42 new NHS bodies / “Integrated Care Systems”. Each ICS will be controlled by a board of directors with a duty to provide healthcare for people in the area.
THE REALITY: Integrated Care Systems 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.