The Resource Cabinet is an A to Z of issues from Ageing and the NHS to International health systems, from Privatisation to Weekend effect. The source is mainly weblinks and there are some documents to view and/or download from our site. We would be happy to receive suggestions for adding to this resource, which clearly has to be a dynamic source.
Please let us know what you think about this resource and let others know about it if you agree it is useful.
The NHS is again undergoing radical reorganisation in 2017/18, this time at breakneck speed and without parliamentary consent.
Our aging population is often cited by those seeking to privatise the NHS as grounds for dismantling the current system. It is a myth that the NHS cannot continue to be publicly funded because we are living longer and we have compiled a factsheet and some articles supporting that assertion.
Community based care literally refers to care in the community (e.g. outside hospitals) this can include home support, nursing, physiotherapy and other rehabilitation services. Part of the Government's proposal for the NHS is to shift more care into the community. Research suggests that this will be damaging to patients.
- Updated references on evidence on impact of community-based care and integrated care. November 2017
- The Nuffield Trust, Shifting The Balance of Care 2017
- The National Audit Office, 2017
- The King’s Fund, Mental Health Under Pressure 2015
- The Nuffield Trust, Evaluating Integrative and Community based Care 2013
Please follow the links below for NHS hospitals and service currently under threat.
Devolution refers to the devolving of powers and funds from central government to local government. The potential impact on the NHS includes loss of national overview and terms & conditions. Fragmented services and loss of national responsibility will escalate post-code inequalities of service provision.
It is important where possible to scrutinise past and current Government & NHS England (NHSE) and NHS Improvement (NHSI) policy and guidance, including their plans are for the future of the NHS. We include here some key documents (2014 onwards) that outline some of their strategies.
- Next steps on the NHS Five Year Forward View. March 2017
- Naylor Review: NHS Property and Estates – recommending £5bn-plus sell-off of NHS estates. March 2017
- Delivering the Forward View NHS Planning Guidance 2016
- NHS Operational Planning and Contract Guidance 2017-2019. NHSE and NHSI September 2016
- NHS England, Implementing the 5 Year forward view and mental health 2016
- NHS England Planning Guide 2016/17-2020/21. December 2015
- Department for Communities and Local Government, Better Care Fund 2014
- NHS England Five Year Forward View Oct 2014
Below, you can find links to health union websites (BMA and RCN are currently not TUC affiliates)
Integrated health and social care delivered to patients and families is an important ambition. Enforced administrative integration of budgets, management and organisational forms, without consultation, guarantees of adequate funding and commitment to fully public service provision, funding and management, can be very damaging - an evidence base must be presented.
Sources to enable comparison of the NHS with the healthcare systems in other countries in terms of resources, funding, performance and outcomes.
- Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better US Health Care
- Is the Commonwealth Fund’s Mirror, Mirror report a distorted lens? July 2017. Ormerod
- Health at a Glance 2016 OECD Indicators
- Health at a Glance 2015 OECD Indicators
- Health at a Glance 2014 OECD Indicators
- International Profile of Health Care Systems 2015
- Mirror, Mirror on the Wall, How the Performance of the U.S. Healthcare System Compares Internationally 2014
Keep Our NHS Public actively supported the Junior Doctors during their historic industrial action including strikes against the imposition of new contracts by Jeremy Hunt in 2015/16.
Government policies have led to systematic underfunding of the NHS alongside privatisation. Please see a variety of links relating to funding levels and funding streams for the NHS.
- Local Government Association, Public health funding in 2016/17 and 2017/18
- Lords Select Committee, NHS Sustainability Committee publications 2016
- NHS England, Indicative 2020/21 funding including transformation 2016
- How badly is the NHS underfunded? NHAP, 2016
- NHS Support Federation, NHS For Sale
- NHS Support Federation, NHS Funding
- Health at a Glance, 2015 OECD Indicators
- Department of Communities and Local Government, Better Care Fund 2014
- Centreforum, Hypothecated taxation and the NHS 2014
- Department for Communities and Local Government, Better Care Fund Policy Framework 2014
- Closing the NHS funding gap, how to get better value healthcare for patients 2013
- Globalization and Health, Does investment in the health sector promote or inhibit growth? 2013
There are many myths propagated in order to justify privatisation and STPs. Below are some KONP resources and others to highlight what these myths are.
The NHS's structure changed significantly with the Health & Social Care Act implemented April 2013. Clinical Commissioning groups replaced Primary Care Trusts and are responsible for their local area. Below is an in depth guide to the structure of CCG's and a paper detailing what, exactly, a Health and Wellbeing board are.
The NHS Reinstatement Bill is draft legislation co-written by Peter Roderick and Professor Allyson Pollock. It has been presented in parliament on several occasions, most recently in the session ending in April 2017 (National Health Service Bill 2016 2017). The draft Bill calls for a reinstatement of the NHS to a fully public service, ending internal markets and competitive tendering including private contracts; and a return to an NHS available to everyone equally, free of charge and publicly accountable.
It can often be difficult to sift through and discover what is actually happening. Here are some resources that can aid you in delving further into exactly what the current Government is planning for our NHS and to show others.
From the Junior Doctor's Strike to the scrapping of bursaries for nurses, the NHS staff have been hit hardest by the Hunt's policies over the last few years.
A personal health budget is an amount of money calculated to support the identified healthcare and wellbeing needs of an individual. In theory, that individual has greater freedom to decide how the money is spent. It has the impact of reducing the overall size of budgets for services to be able to plan with.
PFI stands for Private Finance Initiative. It has been the dominant way of financing new hospitals since the late 1990s. As a result, the NHS spends £2 billion in PFI charges every year for its PFI hospitals in repayment and service charges. (That is £3,700 every minute).
A mix of articles describing aspects of privatisation of healthcare and consequences for the NHS.
- London Review of Books. Short Cuts. David Lindorff compares the NHS and the US health system from personal experience. 30 November 2017
- CHPI. Recommendations to reform the private hospital sector in England following the Ian Paterson scandal October 2017
- Independent June 2017, Hunt's intention to privatise NHS staffing agency
- CHPI. How safe are NHS patients in private hospitals? 2015
- CHPI. The Contracting NHS – can the NHS handle the outsourcing of clinical services? march 2015
- CHPI. At what cost? Paying the price for the market in the English NHS Feb 2014
- NHS FOR SALE(NHS Support Federation). Proving Privatisation up to date Oct 2014
- KONP Oxfordshire. NHS Myth Busting 2013
The articles below provide examples of where privatisation has had a direct and negative impact on care and/or where contracts have failed.
Information on public health and the link between poverty and health inequality.
Accusations have increased blaming vulnerable groups, immigration, 'health tourism' and minority communities for problems faced by the NHS. These have included accusations against migrants with no recourse to public funds racking up giant NHS bills. Unpaid bills from people outside the UK cost the NHS about 0.03% of it's budget in 2016.
Social Care is another area that has been severely affected by this Government cuts, social care is closely linked to health and the NHS. Between 2010 and 2017, local authorities cost 40% of funding.
England has been split in 44 'footprints' by NHS England since December 2015. Each area has produced a Sustainability and Transformation Plan created by groups of Clinical Commissioning Groups. It heralds the implementation of draconian cost capping (£22bn by 2020/21) and further fragmentation of the NHS.
- CHPI, Can Simon Stevens’ Sustainability and Transformation Plans Save the NHS? 2016
- GP Online, Shameful pace of STP rollout risks financial meltdown 2016
- HCT STP Watch
- HSJ, STP plans are undeliverable Oct 2016
- NHS England, Delivering the Forward View, NHS planning guidance 2016/17 – 2020/21. 2015
- NHS England, Indicative 2020/21 funding including transformation 2016
- NHS England, STP Consultations 2016
- NHS England, STP Footprints 2016
Trade agreements can be a major threat to pubic services such as the NHS, unless these are explicitly, and in binding manner, excluded. CETA refers to a proposed Comprehensive Economic and Trade Agreement between Canada and the European Union. KONP has a trade agreements sub-group that have outlined the threat CETA and other trade agreements e.g. TTIP pose to our NHS as a public service.
- Economic briefing – Comprehensive guide to free trade agreements and the NHS 2016
- KONP Trade Deals Subgroup submission January 2017 to UK Trade Options Beyond 2019 Inquiry
- International Trade Committee Inquiry, letter from KONP, 2017
- CETA fact sheet 2017
- KONP Position Paper on CETA 2017
- KONP Position Paper on TTIP 2015
- TTIP Letter 2015
- Update on CETA 2017
The 'weekend effect' refers to the finding of a difference in mortality rates for patients admitted to hospital for treatment at the weekend compared to those admitted on a weekday. It was misused by Jeremy Hunt, Secretary of State for Health, to attack junior doctors and to impose a new JD contract in 2015/16.