We are facing:
- A cut of £219 million from the NHS in Derbyshire
- Cutting 535 NHS beds in Derbyshire (30% of the total)
- Rationalisation of Estates (property and land)
We must act NOW. There ARE things you can do. Read on to find out more.
Derbyshire’s Sustainability and Transformation Plan (STP) is one of 44 being presented to the government and NHS England from ‘footprints’ like Derbyshire.
An information meeting at County Hall in Matlock on 7th December was attended by approximately 50 people, including representatives from Amber Valley, Ashbourne, Belper, Chesterfield, Derby City and Matlock areas, who came to listen to Gary Thompson, CEO of Derbyshire STP and Dave Allen (Derbyshire County Council Cabinet member for Health and Communities) Labour. The meeting was called by Derbyshire Save Our NHS and chaired by Keith Venables Chair Health Campaigns Together.
Derbyshire’s STP (subtitled ‘Joined Up Care’): http://www.southernderbyshireccg.nhs.uk/publications/joinedupcarederbyshire/
was published on 18th November 2016, but without key Financial, Estates, Business Plan or Staffing appendices. These were published on 7th December just prior to this meeting. The ostensible aim of the STP is to provide joined up care closer to home.
No photographs were allowed (Gary Thompson challenged a member of the audience when he took a photo of the speakers).
No commitment was given about:
- initiating a formal consultation of the proposals;
- a route for individuals to query aspects of the STP – and get a response;
- specific plans for closing the funding gap (currently the Derbyshire STP area has ‘shortfall of £219 million) The STP ‘team’ as a whole is not accountable to the Public. The only democratically accountable voice is the Local Authority cabinet member (Dave Allen)
- when the plans will be actioned.
It’s all about Money, Money, Money . . . and Privatisation
Simon Stevens, CEO of NHS England, has asked for cutbacks of £22 billion across England following his Five Year Forward View, and will put somewhere between £6 and £8 billion back in through transformed services.
By 2021 each ‘local health economy’ must be spending on average £450 million less.
There is no need for this. Chancellor Philip Hammond says we don’t have to concentrate on balancing the books at this stage.
Two aspects of the 2012 Health and Social Care Act:
- up to 49% of a foundation hospital trust’s total income can be generated from treating private paying patients
- There is no longer any requirement for the Secretary of State for Health (currently Jeremy Hunt) to ensure that the NHS is providing health care for everyone - only that the internal market within the NHS is working effectively.
Some LA’s have refused to ‘sign off’ the STP for their area. Derbyshire’s view at the moment is to not support any changes until adequate alternative care is provided. Dave Allen stated that DCC (whilst it remained a Labour Local Authority) would not support any changes until adequate community-based care is provided.
Nationally STP plans will mean:
- More care classified as ‘social care’ - not free NHS care and so subject to charging
- No growth in NHS services despite population growth (18% in some areas)
- Replacing qualified doctors with ‘Physician Associates’ - who have 2 years’ training (compared with 6 for a newly qualified doctor)
- Replacing other healthcare professionals with unqualified ‘assistants’
- Loss of up to 25% of community pharmacies
- New structures leave the NHS vulnerable to takeover by private healthcare corporations.
What we can do
- Press the Government to adequately fund both Health and Social Care
- Press for services to remain publically accountable, not in the hands of private business
- Support the NHS Reinstatement Bill that will restore the NHS (due to get its second reading in Parliament 24th February 2017)
- Write to your MP, sign petitions e.g. on the Labour Party website, 38 degrees, http://www.nhsbill2015.org/take-action/ to support the above
- Participate in events to publicise the difficulties the NHS faces e.g. stalls, walks etc.
- Attend meetings organised by Save our NHS, Keep our NHS Public and Derby save our NHS e.g. 9th Jan at Designate, Smedley St Matlock
- Attend the DCC Health and Scrutiny Board meeting on 23rd January (at County Hall?) http://www.derbyshire.gov.uk/council/council_works/improvement_scrutiny/
There is no overarching organisation challenging cutbacks to the NHS and the impact of the 2012 Health and Social Care Act (passed into law by the coalition government of Conservatives and Liberal Democrats).
Derbyshire Save our NHS is an alliance of campaign groups and Unions across Derbyshire and Derby City Local Authority areas.