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The Effects of Sustainablity & Transformation Plans

Already the STPs mean withdrawal and restriction of treatments - particularly so-called “over the counter” products like special feeding for the frail and elderly, and treatments like hip replacements and cataract removal, that are not life saving but if not provided, leave people in pain and with disabilities.

Closing/downgrading A&E and other acute hospital services

STPs are not just about closing or downgrading a full accident and emergency unit or other acute hospital cuts and closures - although a Health Service Journal survey of clinical commissioning groups shows that a “substantial minority” of STPs will do this.

Destroying the patient-doctor relationship

There will be far fewer hospital beds, and more care at home via interactive digital technology, etc.  The whole patient - doctor relationship will be undone - GP and community services that include many services formerly provided in hospitals will be delivered by huge “ GP Federations” in a number of “hubs” that cover very big populations and provide standardised “care pathways” or “managed care” for various illnesses.  

Copying American private health  insurance companies’ schemes, “care pathways” tell doctors what treatments they must give - undermining their vocational skills in identifying the best course of action based on an understanding of and empathy for their patients' situation.

 

This enables care to be delivered by new grades of less skilled, cheaper staff.

The Footprint 3 STP says workforce spending is to be cut by £42.9m compared to

the amount that would be spent if there weren’t the funding shortage.

 

The STPs place a big reliance on unskilled voluntary sector people,

family and friends, as well as on patients themselves managing their own care.  

The cost savings from this will be big - meaning more profit. 

Patient self management 

STPs divide patients into groups according to their risk of hospital admission.

The lowest risk groups will be subject to “preventive” care aimed at changing their behaviour to become more healthy and teaching them to “self manage” their illness - ignoring all the social, environmental and economic determinants of ill health and the fact that these are outside individuals’ control.

 

Already GPs are “inviting” their patients to register for self-management courses run by companies like Self Management UK

 

 

 

 

 

 

This is about taking the “care” out of health care, to cut costs.

But we are the sixth richest country in the world and the government funds corporate welfare to the tune of about £93bn/year.

We can perfectly well afford a proper NHS.

 

The only good thing about being ill is that someone kind & knowledgeable looks after you. Take that away and what have you got left?

Someone shouting at you to look after yourself. How unkind is that?

SELF CARE 1 SELF CARE 2

Incentive to cherry pick most “cost effective” patients

The "care closer to home" schemes in the big GP/community hubs that replace many hospital services will be funded on a per capita basis for a given population. This is copied from US private health insurance companies that are notorious for offering "managed care" to only the most “cost effective” patients.  

 

This will allow the organisations that hold the contracts for the care closer to home schemes and primary/community care hubs to make a profit.  It also undermines the principle of a comprehensive health service.

And are GPs on board with all this?

Recently (Nov.1st) BMA London Region said that half of the members had never even heard of STPs.

 

 

 

 

A twitter survey of GPs and Practice managers found that 84% didn’t know what is in their area’s STP about General Practice/Primary care. No one else knows either - if we are to believe replies from Council Leaders to members of the public who have asked them to publish the STP for their area.  

 

Of course, NHS England and almost all the NHS & Local Authority organisations involved in the STPs are spinning them as being about improvement to the quality of NHS and social care services and reduction of health inequalities through preventive care.

 

Don’t believe the spin.

BMA GPs & STP

STP FLATPACK

Constantly updated Stop The STPs DIY flatpack campaign materials.

Put a Spanner in the Works!

ACOs - what are they? STP SQUARE GOLD GET YOUR FLATPACK

Accountable Care

Organisations (ACO)

It can be incredibly difficult to decipher the new terms, acronyms and language that NHS England likes to throw at us.

 

Find out about Accountable Care Organisations - ACOs. A major feature of the STPs.

URGENT - LOBBY CORBYN & LABOUR PARTY

We support this petition and happy to host it. It calls for the Labour Party to do their job and be an opposition to the dismantling of our NHS.

 

Add your name by clicking on the link

NHS BILL PETITION