Kings staff protest against ‘special measures’ and imposition of interim chair

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Unite members, staff and campaigners from four London KONP groups demonstrated their condemnation of NHS Improvement’s bully boy actions against Kings College Hospital NHS Foundation Trust outside Kings on Denmark Hill Tuesday 19 December.

Unite the Union, Hackney & Lambeth Keep Our NHS Public, Save Lewisham outside Kings College Hospital

The action was organised by Unite the Union to protest against actions taken by ‘NHS Improvement’ last week:

  • Imposition of the ‘special measures’ regime on Kings on 11 December
  • Forcing the resignation of Lord Bob Kerslake as chair of the trust and besmirching his reputation
  • Imposing Ian Smith as new interim chair of Kings: he is Operating Partner at private equity firm Trilantic Capital Partners, said to have close to £2 billion of assets in Europe. He was displaced in April 2016 as Chair of Four Seasons Healthcare, itself owned by private equity concerns, though he retains interests there.
Bob Kerslake

The chair of Kings College Hospital NHS Foundation Trust, Bob Kerslake, resigned his post on 11 December in protest at the impossible position in which Kings and other parts of the NHS have been placed. The majority of underfunded acute trusts are running at financial deficits, choosing to deliver safe care and trying to meet clinical targets. In the full media spotlight, Kerslake added his vociferous verdict to the chorus of others in stating that the NHS is being asked to do the impossible within the funds provided: he is clear that this is no longer safe.  This follows the failure of Philip Hammond to act to allocate sufficient funding to the NHS at The Autumn budget, conspicuously ignoring serious warnings from an array of NHS managers, think tanks, politicians, clinicians and campaigners (KONP 14/11/17).

Kerslake wrote a Guardian opinion piece entitled I’m quitting as a hospital boss: dire NHS funding problems give me no choice outlining that that he was resigning as “the Government … are simply not facing up to the enormous challenges that the NHS is currently facing”.

Through the article he spoke of his respect for the staff at Kings and his love for the hospital but how they had had to take over responsibility of another hospital since 2013 (Princess Royal University Hospital in Bromley with £30 million annual PFI payments) and make savings of £80 million over the last two years –  all leading to financial deficit:

After two years of delivering or getting close to the deficit target agreed with our regulator NHS Improvement, King’s has moved significantly away from its planned figure for this year. We’re far from alone – almost every hospital in London is struggling – but the scale of the deficit and the change means that we will be put into financial special measures.

Kerslake’s resignation is a massive blow to the NHS and it’s wide reportage will hopefully show the wider public what a dire predicament the NHS is in. As a crossbench (not party-aligned) member of the House of Lords, Kerslake adds his powerful voice of experience to the many now speaking out about underfunding. The former head of the civil service also quoted the Care Quality Commission from their recent draft inspection report, in his article, preempting those who will choose to defame him rather than look at what is really happening in the NHS:


The chair was held in very high regard by staff at all levels. It was apparent the chair had gained the respect of staff with people reporting their approval at how the chair promoted the highest level of probity and governance and of how he demonstrated the organisation’s values and behaviours. Under his leadership the shape of the board was said to have changed to one where the right skills and vision was present at board level.


Immediately his prediction was proved right as a coordinated response set out to imply he was incompetent all along! – ‘Bungling Bob’ etc (see our media links below).

Recently, we detailed other influential sources who have spoken out about NHS underfunding (Fund Our NHS!). NHS bosses, think tanks and MPs from both parties have called on the Government to pledge more money to the NHS. When Hammond conceded less than half of urgent NHS needs in the Autumn Budget, this meant that we would inevitably see more underfunded trusts falling foul of NHS England and NHS Improvement; accused of overspending, through no fault of the NHS staff desperately trying to deliver safe care in crisis conditions; and placed in special measures – enabling imposed outsiders to force through unacceptable cuts.

Already we see that most hospital trusts across the UK NHS are not meeting targets – and we have yet to see the worst of winter. A&E targets have not been met in England for two years.

To make matters even worse and place more strain on the NHS the Local Government Association have reported that council funding is to be further cut in half over next two years, this will have a direct and devastating impact on social care and put further strain on a nearly broken NHS.

Kerslake’s quitting is a sad day for the NHS but he has drawn attention to just how much we need to fight for it to be returned to a fully funded, provided and accountable NHS.

You can see how your trust in your area is performing as it struggles with underfunding  and tries to meet A&E, Cancer and Operations targets via the BBC NHS tracker.

You can join Keep Our NHS Public here and help us to campaign to save our NHS.

Bri English

This story gained a lot of media coverage

Here are links to a selection of articles:

The BBC – Major NHS trust put in special measures

The Times – Kerslake quits after hospital put in financial special measures

ITV – Ex-NHS Trust chairman calls for fundamental review over funding issues

The Metro – King’s College Hospital NHS Trust put into special measures

The Guardian – NHS trust will greatly miss Bob Kerslake

The Independent – NHS funding needs cross-party review, says ex-health trust chief after resignation

National Health Executive – Lord Kerslake quits as trust chair in protest against NHS underfunding

The Financial Times – Leading London NHS trust chairman quits amid funding crunch

The Financial Times – King’s College Hospital — a ‘canary in the NHS coal mine’

Huffington Post – Bob Kerslake Quits As NHS Trust Boss In Latest Blast At Government Over Underfunding

The Evening Standard – London’s hospital trusts starved of cash, says NHS boss who quit in protest

Financial Times Four Seasons replaces chairman as battles mount 6 April 2016

Some right wing news outlets chose a different (more inflammatory) angle, presumably to sully his name.

The Telegraph – Lord Kerslake was ‘asked to resign’ as NHS trust chairman two days before he quit

The Daily Mail – QUENTIN LETTS: What the BBC DIDN’T tell you about Bungling Bob, the NHS boss who flounced out over funding

The Sun – NHS trust leader who quit after blistering attack on Government was ‘asked to leave’ two days before stepping down

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1 Comment

  1. Thank you for caring for the NHS, Thanks to everyone who is trying to protect it. Let’s hope we can rid ourselves of this gvnt who, for 7 years now, has done its absolute best to destroy it.

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