Resource Cabinet

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.

Ageing and the NHS

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.

Campaigning documents

If you are unsure how best to get your voice heard please use these resources to help you.

Community based care

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.

Devolution

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.

Integration

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.

Junior Doctors

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.

NHS Estates

NHS Property Services manages 3,500 properties. In 2016/17, a change was made in the way rent is charged, based on Market Based Rental charging on all freehold properties. The threat to sell-off of NHS estate is rapidly increasing.

NHS Myths

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.

NHS Organisation

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.

NHS performance

Reports and outputs from independent think tanks and regulators are a good way of discovering data on how the NHS is performing.

NHS Reinstatement Bill

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.

NHS Scrutiny

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.

NHS staff - workforce data and planning

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.

Party Political Health Policy

The Conservative Government's plans for the NHS (underfunding, devolution, privatisation) are dominant since May 2010. Please see alternative health policies of other parties below.

Personal health budgets

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

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).

Privatisation Failures

The articles below provide examples of where privatisation has had a direct and negative impact on care and/or where contracts have failed.

Racism and Health

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

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.

STPs - Sustainability and Transformation Plans

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.

Trade Agreements (including CETA & TTIP)

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.

Weekend effect

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.