This post is an update on the original page published in June 2021
THE NHS IS BEING PRIVATISED: THE EVIDENCE
It is a
commonly said that the NHS is being privatised, changed from being a service
owned and run by and for the nation. Politicians often try to deny this or
muddy the water, so here are the plain facts in a very brief summary.
1. In 1987 Margaret Thatcher
introduced the “Internal Market” in the NHS, by creating a division between purchasers
and providers of care services. This immediately increased complexity into the
NHS, with huge amounts of administrative work needed to calculate (or estimate)
the costs of everything from brain surgery to a cardboard bedpan. This
administrative work has imposed a serious cost burden on the NHS.
2. The Private Finance Initiative
which used private money to build hospitals, ran from 1992 until 2018. It
provided £13bn, but will cost £80bn by the time the debt is repaid. This
benefits the private sector, but cripples the NHS.
3. Foundation Trusts were introduced
by a Labour Government, which breaks the NHS down into smaller chunks which can
be sold off. This was attempted in the case of Hillingdon Hospital, but the
experiment failed.
4. GPs have been re-organised into
consortia, which again are capable of being marketed.
5. Lansley’s Health and Social Care
Bill in 2012 removed the responsibility for the Secretary of State for Health
to care for the NHS, and obliged NHS Trusts to put contracts out to tender.
Since then, contracts worth billions have gone to the private sector. In the
five years to 2015 the private sector was awarded the majority of the contracts
for: Pharmacy, patient transport, diagnostics, GP out of hours.
6. In the course of negotiations of
a post-Brexit trade deal, US corporations are very keen to reduce the ability
of the NHS to control drug prices. Their plans could increase the cost of drugs
to the NHS by a massive £27 billion.
7.
Integrated Care Systems were introduced in 2017,
and are very similar to US Accountable Care Organisations. Their aim is to
reduce spending. If a private partner in the ICS manages to reduce spending, it
is allowed to keep the savings. This is an incentive to cut corners.
8.
Sir Simon Stevens, (until recently, CEO or head of
NHS England), has introduced Sustainability and Transformation plans. These aim
to reduce NHS beds (the UK has among the lowest ratio of beds to population in
the developed world), save £5 billion a year in NHS spending, and reduce the
number of A&E departments in the UK from 144 to 50. Sir Simon opposed
Obamacare when he was CEO of a US healthcare corporation.
9.
Car parks, cleaning, portering and catering have all
been privatised.
10.
Hospitals are increasingly renting space and
facilities to private health care organisations.
11.
Increasing numbers of private centres are being set
up to do things like hip replacement surgery, which are simple and relatively
predictable. If anything goes wrong subsequently, the NHS is expected to put
things right, not the private corporation who did the operation.
All of this is clear evidence of
a gradual process of privatisation of the NHS.
On the next page we discuss the
debate about privatisation.
The Debate about NHS
Privatisation
Conservative ideology holds that
private is good, public is bad. This is based on the philosophy of
individualism, which insists that politics must be based on the individual.
This philosophy is false, because Homo sapiens is a social animal. Sadly, health
corporations can persuade politicians to see things their way by giving
donations to the Conservative Party.
This article https://tinyurl.com/teombsu
lists no less than 70 MPs, mainly Conservative, who have received serious money
from health corporations, or have had other connections.
Politicians argue that GPs, pharmacists, dentists and opticians have
always been independent sub-contractors. This is true, but this arrangement was
stable, whereas since 1987, the changes that Conservatives (and to a lesser
extent, Labour and LibDems) are creating is causing the role of private agencies
to be steadily expanding.
Politicians argue that
privatised healthcare is more efficient than care provided by the NHS. This
is just plain wrong. Private provision is far more expensive because of all
the bills and invoices which have to generated. Different sections of the NHS,
which just used to cooperate, now have to send each other itemised bills. In
the US, administration costs amount to about 40% of total healthcare costs; in
the UK before privatisation began, administration costs were 6%. In
addition to administrative costs, private corporations will cream off some of
the money they get from Government as profits to give dividends to their
shareholders.
Politicians argue that it
does not matter who owns the bricks and mortar of the place where treatment
takes place, so long as the treatment is delivered. PFI (see other side)
proves this to be wrong. It is more efficient for the NHS to own its own
hospital than to pay rent or interest to a corporation.
Politicians argue that
health care costs are rising unsustainably. Rising costs of health care is a
universal problem in the modern world, and the NHS is placed in the middle the
range in international comparisons regarding cost. Privatisation will only
add to the cost. Health care in the USA is about twice as expensive as the NHS.
Social and economic reform will reduce health costs, not privatisation.
If we do not stop the process of
privatisation, we will be left with a rump NHS that does emergency care while
anything that is remotely profitable will have been sold off. Private care
facilities may be able to perform procedures from cataract surgery to hip
replacement, but they do not have A&E departments. Any emergencies in these
facilities are shunted over to the NHS to be sorted out.
At the end of the privatisation
process lies insurance-based health care. Insurance is always based on risk
assessment, which means that high-risk patients will be left to fend for
themselves.
The NHS is our NHS. We paid for
it with our taxes. Now it is being privatised.
Protect Our NHS is conducting an
opinion poll in North Somerset. You will have received a polling slip with this
page.
Please join in and cast your
vote, so that we can tell your MPs exactly how much local opposition there is
to the Government’s NHS Privatisation Plans.
Everyone can help to resist the privatisation process by opening a correspondence with your MP>
This vote will be carried out in North Somerset, but if you are interested in running a poll in your area, get in touch via the comments
