Posts Tagged ‘British Journal of General Practice’

Private Eye’s Demolition of Fraudulent New Labour Pro-NHS Privatisation Paper

August 5, 2020

This is another piece I found in an old issue of Private Eye, for 15th-28th October 2004. New Labour was as keen as the Tories to privatise the NHS, all in the name of introducing into it the supposedly greater efficiency and management skills of private enterprise. They were heavily influenced by the American private healthcare company, Kaiser Permanente, which was used as a model for their NHS reforms. But the report comparing the supposedly greater performance of Kaiser Permanente to the NHS was biased and fraudulent, as Private Eye’s article ‘NHS Privatisation – Kaiser bill’ revealed in that issue’s ‘In the Back’ section. The article runs

LAST WEEK’s NHS modernisation Agency conference on the much-hyped treatment centre programme – the mix of private and NHS one-stop units springing up around the country to offer quick and relatively easy diagnosis and surgery – struck a self-congratulatory note.

But a study published this summer suggests there is no evidence that bringing private companies into the NHS is increasing efficiency or reducing costs. Quite the opposite in fact.

This news will not please the government, which has always promoted health secretary John Reid’s favourite private US healthcare providers, Kaiser Permanente, citing a seven-page research paper in the British Medical Journal in 2002 which purported to show that Kaiser offered “better performance at roughly the same costs as the NHS”.

This conclusion, extolling the benefits of competition, was manna from heaven for health minister who had been criticised for closing 10,000 NHS beds since Labour came to power. But it seems it was all nonsense.

For a start, two of the report’s three authors,used to work for Kaiser; and their paper triggered a storm of protest in the US and from the medical and scientific community here, highlighting its flawed analysis and conclusions. It emerged that Kaiser’s costs were deflated while NHS costs were inflated; Kaiser patients were the “working well” but NHS patients included the poor, elderly and chronically ill; and individual Kaiser charges for visits and treatment were ignored.

Nevertheless, the protests were ignored and the paper – described by one leading academic as “not worthy of a first year student” – went on to form British government policy, featuring in the 2002 review of NHS funding by Derek Wanless and the subsequent white paper on how to deliver the NHS plan. The department of health even joined forces with Kaiser in “learning from Kaiser Permanente” projects managing chronic conditions and care.

In the summer, however, the scientific record was finally put straight with a paper in the British Journal of General Practice which comprehensively exposed that the Kaiser paper was propaganda masked as science. It detailed the way in which authors used counting tricks including a curious foreign exchange currency conversion which had the effect of almost doubling NHS costs. Despite this evidence the Kaiser paper has still not been officially withdrawn. Instead it is still promoted on health department websites.

Allyson Pollock, professor of health policy at University College London and one of the authors of the critical BJGP paper, said: “There is no evidence that introducing private companies increases efficiency or quality or reduces costs. Indeed all the evidence goes the other way. Markets – even those underwritten by the state – do not deliver comprehensive universal healthcare. Research in the US has shown how private health providers select the profitable patients, treatments and conditions and at a greater cost than public providers.”

Professor Pollock is a very long-time opponent of NHS privatisation. I think I put up another article from Private Eye from nearly 20 years or so ago, in which she led a campaign against the New Labour closure of a hospital in Wyre Forest. She’s also one of the contributors to Jacky Davis’ and Raymond Tallis’ book attacking the privatisation of the NHS, NHS – SOS.

But New Labour continued in their piecemeal privatisation of the NHS, and this has been followed by the Tories. Boris Johnson wants to include it in a trade deal with the US, but has kept it and the rest of the deal secret. Jeremy Corbyn revealed what the Tories were doing, and our mendacious, scumbag media howled that he was lying. But it’s the Tories who were.

Corbyn promised to renationalise and revitalise the NHS. That was one of the reasons the right-wing political and media establishment hated and reviled him and his supporters: he threatened to return the Labour party to its working class, socialist roots, empowering ordinary people and restoring the welfare state. And dismantling the zombie economics of Thatcherism. And that really couldn’t be tolerated. Hence the smears of him as a Communist, Trotskyite and anti-Semite.

Now we have Keir Starmer instead, another Blairite, who seems determined to restore the power of the Thatcherites in the Labour party. And carry on with their failed, destructive policy of NHS privatisation.