Posts Tagged ‘Kaiser Permanente’

NHS Privatisation: Cuts to My Local Health Centre

June 19, 2016

NHS SOS pic

Visiting our local health centre the other day, my parents, along with the other local people enrolled there, were handed a letter, explaining that due to funding cuts the health centre was having to cut back on services. It also advised its patients that if they wanted to raise their concerns about the restriction in their service they could contact:-

1. NHS England at FAO Linda Prosser, Director of Assurance and Delivery, NHS England South West (BNSSG), 4th floor Plaza, Marlborough Street, Bristol BS1 3NX
2. your local MPĀ at the House of Commons, Westminster, London SW1A 0AA
3. Jeremy Hunt, Secretary of State for Health, via his website http://www.jeremyhunt.org

Unfortunately, this is happening to the NHS and GPs’ services all the country. It is no accident, and it is certainly not the fault of the many dedicated doctors, nurses and other health professionals working in the NHS.

It is the result of over 30 years of privatisation begun with Margaret Thatcher. Thatcher and her former Chancellor, Nigel Lawson, denied that they wanted to privatise the NHS. They merely stated that they wanted to include more private provision in the NHS. This is a lie. Released cabinet minutes showed that Thatcher and Geoffrey Howe wanted to privatise the NHS along with abolishing the rest of the welfare state. They were only prevented from doing so because the rest of the cabinet realised that this would be the death knell for the Tory party. And a fact-finding mission to the US to see how their private healthcare system worked by Patrick Jenkin showed that it was massively inefficient.

Nevertheless, the amount of private healthcare in the NHS was expanded, and state provision duly cut by successive governments. It was Maggie’s government in 1989 that ended the state support for care for the elderly in nursing homes. As a result, the families of those, who need this kind of care, are forced to fund it themselves, often through selling or remortgaging their homes because of the immense expense. It was also Maggie’s government that ended free eye tests, and picked a feud with the doctors that saw the majority of them leave the NHS.

This privatisation has continued under Tony Blair, Gordon Brown and now David Cameron and Jeremy Hunt. Blair and Brown were deeply impressed with American private healthcare firms such as Kaiser Permanente, and wished to reform the NHS on their model. The ultimate intention was to replace the publicly owned and operated NHS with private healthcare funded by the state, but administered by private health insurance companies. As a result, NHS work has been given to private hospitals and clinics, and private healthcare companies have been given NHS hospitals to manage. Alan Milburn, Blair’s health secretary, wanted the NHS to become merely a kitemark – an advertising logo – on a system of private healthcare companies funded by the government.

This has been carried on the current Conservative government. And they have used the same tactics Margaret Thatcher did to force private healthcare on this nation. The dispute with the doctors over contracts a few years ago was part of this. It has left the majority of NHS GPs wishing to leave. Yet elements within the Conservative networks responsible for foisting these demands have seen this as an opportunity for forcing through further privatisation. Penny Dash, of the National Leadership Network, and one of those responsible for the NHS privatisation, has looked forward to the remaining GPs forming private healthcare companies. Furthermore, an report on the Care Commissioning Groups now in charge of arranging healthcare in the NHS by one of the private healthcare companies also suggested that they could form private healthcare companies, and float shares on the stockmarket.

Further privatisation has come with Andrew Lansley’s Health and Social Care bill of 2012. This exempts the state and the Secretary of State for Health from their statutory duty, as the ultimate leaders of the NHS, to provide state health care. It is carefully worded to disguise its true meaning, but that is what has been intended by the bill. Dr David Owen, one of the founders of the SDP, now part of the Lib Dems, has tabled amendments trying to reverse this despicable bill. He and many others have also written books on the privatisation of the NHS. One of the best of these is NHS SOS, by Jacky Davis and Raymond Tallis, published by Oneworld.

This process cannot be allowed to continue, and I strongly urge everyone to resist the creeping privatisation of the NHS, Britain’s greatest public institution.

From 2002: Kaiser Healthcare Lobbies for NHS Work

January 31, 2015

Private Eye published this article below in their edition for 12th – 25th July 2002. It discusses the lobbying of the then-Labour government for NHS contracts by Kaiser Permanente, a US private healthcare company. As a private company, Kaiser Permanente did not provide cover for the poorest fifth of the US population. This is pretty much indicative of the companies now queuing up for access to the health service, now being privatised piecemeal by the Tories. And if this continues, this is how British healthcare will look after the NHS is privatised.

Hail Kaiser!

While health ministers inside the House of Commons continue to accuse the Tories of intending to privatise the NHS, outside the Commons they themselves are showing increasing sign of sympathy with moves to, er, privatise the NHS.
In
Eye 1056 we referred to a paper in the British Medical Journal by American doctors pointing out the advantages of Kaiser Permanente, a huge private health organisation in California with keen ambitions to expand in the UK.

On 20 June the annual lecture of the Office of Health Economics, financed entirely by the drugs industry, was delivered in the prestigious headquarters of the Royal College of Physicians. The speaker was David Lawrence, departing chief executive of Kaiser Permanente. He outlined the tremendous advantages of providing health care the Kaiser way, without making any effort to deal with the chief objection: that as a private organisation financed by private insurance, Kaiser cannot and does not provide health care for the poorest 20 percent of California’s population.

The NHS, on the other hand, does not exclude anyone on grounds of income or wealth. The Eye’s many spies at the lecture, which was packed with representatives of the drug companies (though the health department was conspicuous by its absence), describe Dr Lawrence’s performance as “long on charm, short on facts.”

Almost simultaneously, and naturally by coincidence, the authors of the original pro-Kaiser paper in the BMJ have replied in that journal to the loud and almost universal criticism of it from defenders of the NHS. Somehow, rather like Dr Lawrence, the fails to deal with the main and obvious criticism that Kaiser does not provide health care for the poorest (and therefore usually the sickest) fifth of the population.

In his speech Lawrence referred several times to his cooperation with and admiration for “Don” – believed to be a reference to Don Berwick, a keen American medical privatiser who has just been appointed by the government to the National Health Service modernisation board.

Meanwhile more news about Kaiser comes to the Eye from the Los Angeles Times whose 17 May issue carried the curious headline: KAISER CLERKS PAID MORE FOR HELPING LESS. The paper revealed that in 200 and 2001, call centre clerks working for Kaiser could earn bonuses of up to 10 percent of their salaries if they spent less than three minutes 45 seconds on the phone per patient.

The call centres were available to Kaiser’s three million members in Northern California. The bonus system was denounced by the California Nurses Association, representing Kaiser’s registered nurses. They complained that the call centre system allowed unlicensed telephone clerks to make decisions about scheduling appointments or referring patients to medical advice nurses. The association claimed such a task was restricted by state law to “licensed medical personnel”. The newspaper also quotes a doctor at one of the call centres describing the system as “a barrier between patients and their clinical providers”.

While a substantial section of the medical establishment sucks up to Kaiser, there are increasing signs of the close relationship between the government, the Labour party and the private health and drugs industries. On 27th May, for instance, health minister Lord Hunt, a champion of PFI in the health service, opened the spanking new High Wycombe Centre for the drugs company Pharmacia; and the Fabian Society, a constituent part of the Labour Party , whose founders proclaimed the advantages of public ownership, is running a monthly lecture (plus the usual buffet lunch) as part of its Health Policy Forum, proudly inaugurated last October by health secretary Alan Milburn.

The forum is in association with (and mostly paid for by) the enormous French drugs company Aventis, whose annual turnover is $18bn.

Ed Miliband has made it clear he intends to reverse the Tories’ privatisation of the NHS. He needs our support, and provides hope that the NHS can be saved.