chorley & south ribble hospital campaigner's choir delivers the...

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Our Facebook page: http://bit.ly/AnE008 Email: [email protected] Chorley & South Ribble Hospital Campaigner's Choir delivers the goods After months of preparation (well, three practises and two outdoor performances), the combined voices of Singitbig and our own NHStival singers, all under the incredibly talented direction of Karen Strickland and Debbie Jones-Randall (of Blues and Jazz band 'Tipitina'), had a professional recording made of our performance of Coldlpay's “Fix You”. This was then 'mixed' with similar hospital choirs from around the country to produce our 'single' to show the Communities' support for our National Institution (the NHS) that the present Government is hell-bent on destroying through privatisation. The full final recording, with accompanying video footage, can be seen/heard via this link .. http://bit.ly/NHStival Our special thanks go to the choirs of Lincolnshire, Devon, Oxfordshire and Huddersfield for helping us celebrate 69 yrs of our glorious NHS. Image: Jean Maighread Photo credit: Barbara Barrow Photo credit: Facebook – Party in the Park (Astley) Photo credit: Andy Humphreys, at the Summer Soirée concert Logo design: Jean Maighread August 2017 Issue

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Page 1: Chorley & South Ribble Hospital Campaigner's Choir delivers the …btckstorage.blob.core.windows.net/site15477/Newsletters/... · 2017-08-31 · Chorley & South Ribble Hospital Campaigner's

Our Facebook page:http://bit.ly/AnE008

Email:[email protected]

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Chorley & South RibbleHospital Campaigner'sChoir delivers the goods

After months of preparation (well,three practises and two outdoorperformances), the combined voicesof Singitbig and our own NHStivalsingers, all under the incrediblytalented direction of Karen Stricklandand Debbie Jones-Randall (of Bluesand Jazz band 'Tipitina'), had aprofessional recording made of ourperformance of Coldlpay's “Fix You”.

This was then 'mixed' with similarhospital choirs from around thecountry to produce our 'single' toshow the Communities' support forour National Institution (the NHS) thatthe present Government is hell-benton destroying through privatisation.

The full final recording, withaccompanying video footage,can be seen/heard via this link ..

http://bit.ly/NHStivalOur special thanks go to thechoirs of Lincolnshire, Devon,Oxfordshire and Huddersfieldfor helping us celebrate 69 yrsof our glorious NHS.

Image: Jean Maighread

Photo credit: Barbara Barrow

Photo credit: Facebook – Party in the Park (Astley)

Photo credit: Andy Humphreys, at the Summer Soirée concert

Logo design: Jean Maighread

August 2017 Issue

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What are Sustainability &Transformation Plans?44 Sustainability and TransformationPlans - each covering an area of Englandthat NHS England has defined as“footprints” - outline how the NHS andsocial care in each area are to:

• obey harsh new financialcontrols and sanctions that will eliminatethe current huge hospital andcommissioner “deficits”, that are theresult of government underfunding of theNHS since 2010

• redisorganise the entire NHS soit is cheaper to run and sticks within thelimits of a funding shortfall of around£25.5bn by 2020/21- without anypossibility of running further “deficits”• radically increase opportunitiesfor private and third sector companies inthe NHS, by operating it as a set ofpublic/private partnerships like PFI, butfor services as well as buildings.

They have to follow NHS England andNHS Improvement instructions, so will allbe more or less the same, apart from localdetails Withdrawal and restriction oftreatments

Withdrawal and restriction oftreatments

Already the STPs mean withdrawal andrestriction of treatments - particularly so-called “over the counter” products likespecial feeding for the frail and elderly,and treatments like hip replacements andcataract removal, that are not lifesavingbut if not provided, leave people in painand with disabilities.

Closing/downgrading A&E andother acute hospital services

STPs are not just about closing ordowngrading a full accident andemergency unit or other acutehospital cuts and closures -although a Health Service Journalsurvey of clinical commissioninggroups shows that a “substantialminority” of STPs will do this.Destroying the patient-doctorrelationship

There will be far fewer hospitalbeds, and more care at home viainteractive digital technology, etc.

The whole patient - doctorrelationship will be undone - GPand community services thatinclude many services formerlyprovided in hospitals will bedelivered by huge “GPFederations” in a number of “hubs”that cover very big populations andprovide standardised “carepathways” or “managed care” forvarious illnesses.

Copying American private healthinsurance companies’ schemes,“care pathways” tell doctors whattreatments they must give -undermining their vocational skillsin identifying the best course ofaction based on an understandingof and empathy for their patients'situation.

This enables care to be delivered bynew grades of less skilled, cheaperstaff. The 3 footprint STP saysworkforce spending is to be cut by

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£42.9m compared to the amount thatwould be spent if there weren’t thefunding shortage.

The STPs place a big reliance onunskilled voluntary sector people,family and friends, as well as onpatients themselves managing theirown care. The cost savings from thiswill be big.

Patient self-management

STPs segment patients into groupsaccording to their risk of hospitaladmission. The lowest risk groups willbe subject to “preventive” care aimedat changing their behaviour to becomehealthier and teaching them to “self-manage” their illness - ignoring all thesocial, environmental and economicdeterminants of ill health and the factthat these are outside individuals’control.

Already GPs are “inviting” theirpatients to register for self-management courses run bycompanies like Self Management UK.This is about taking the “care” out ofhealth care, to cut costs. But we arethe sixth richest country in the worldand the government funds corporatewelfare to the tune of about£93bn/year. We can perfectly wellafford a proper NHS.

About the only good thing about beingill is that someone kind &knowledgeable looks after you. Takethat away and what have you got left?Someone shouting at you to look afteryourself. How unkind is that?

Incentive to cherry pick most “cost

effective” patientsThe "care closer to home" schemes inthe big GP/community hubs thatreplace many hospital services will befunded on a per capita basis for agiven population. This is copied fromUS private health insurancecompanies that are notorious foroffering "managed care" to only themost “cost effective” patients.This will allow the organisations thathold the contracts for the care closerto home schemes andprimary/community care hubs to makea profit. It also undermines theprinciple of a comprehensive healthservice.

And are GPs on board with all this?

A twitter survey of GPs and Practicemanagers found that 84% didn’t knowwhat is in their area’s STP aboutGeneral Practice/Primary care.

No one else knows either - if we are tobelieve replies from Council Leadersto members of the public who haveasked them to publish the STP fortheir area.

Of course, NHS England and almostall the NHS and Local Authorityorganisations involved in the STPs arespinning them as being aboutimprovement to the quality of NHSand social care services and reductionof health inequalities throughpreventive care.

Don’t believe the spin.

So, what is the reality?

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The Reality of STP’s

members of the public, NHSstaff and even somepoliticians are only justbecoming aware of the gravityof the situation which isunfolding with Sustainabilityand Transformation Plans.

imposed from a directive fromNHS England just beforeChristmas in 2015 as part ofanother major shake-up of theNHS.

dramatic reorganisation ofEngland’s NHS into 44‘footprint’ areas,

with all NHS bodiescollaborating with localgovernment, social serviceagencies, private sectorproviders and charities onthese new 5 year plans

it has been suggested thatthis is NHS England’s besthope of balancing its budgetsby 2020-21 or is it?

the mismatched, changeableand unreliable series of 44STP records have clearlyfallen far short of NHSEngland chief executiveSimon Stevens’ targets

the STPs are behind schedule lack public knowledge and

support no public involvement in the

STP design process will not deliver the promised

results

no viable or sustainableplans for staffing

proposals to divert servicesaway from hospitals

services proposed are notsustainable because thereis virtually no finance inplace to implement theSTP’s

financial figures do not addup as there is lack offinancial detail

with little or no evidence tosuggest that proposals areworkable as none of themhave any tried and testedevidence that things areworkable, in practice;safely, efficiently effectively

the priorities should alwaysbe patients and staff

health and wellbeing shouldcome before cuts and theapparent privatisation of theNHS

unparalleled reliance oncharitable sector, is itmorally right to rely oncharity in this way, whilstessential services aredisappearing

unprecedented use ofprivate sector contracts

John Lister’s report for theCentre for Health and PublicInterest (CHPI) in January 2017results concludes, “when theinnovations in STPs don’t deliversavings for the NHS, NHS

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England will again resort to cutsand rationing. Indeed manyknowledgeable people see theSTPs as a smokescreen to divertattention from cuts at local NHStrust level, carving away staffinglevels, imposing smaller scaleservice reorganisations, andpreparing to push throughcontroversial closures on ‘safety’grounds (as has happened inGrantham and Chorley and isincreasingly on the cards inEaling)”.

MARKET STALLSTILL needs volunteers to help

staff it! If you CAN spare anhour or two, please contact the

Facebook page“Chorley A+E Market Stall”

We have tombola 3 tickets £1Football card £1 per go

[winner £30]Mugs £4

T-shirts £4Hi-viz £4

Pens £1.50Donations always welcome.

Open every Tuesday and Friday1000-1430

CAR PARKINGFEES HIKE

Only 2 years ago (2015), PaulHolt, from Lancashire TeachingHospitals NHS Foundation Trust(which includes ChorleyHospital), said “its car parkrevenue was spent on operatingthe car parks which includesstaffing, maintenance, securityand CCTV, processing permits,parking space data displays, andoperating park and rideschemes”. He said: “Themaximum charge for a 24-hourperiod for any patient or visitoris £3, which is less than thenational average. Free parking isprovided for long-stay patients,cancer patients and renalpatients, as well as for visitors ofcritical care and neonatalpatients”, and added, “Parking isfree for blue badge holders andhospital volunteers, and areduced weekly £10 parkingticket is available for anyonevisiting a long-stay patient. Asan NHS hospital any surplusincome we make from carparking charges is invested inproviding patient care”.

Just 2 years later, Carole Spencer(Non-Exec Dir), for LancashireCare NHS FT (on their website),categorically stated, “In line

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with government guidance, thecurrent flat rate is being replacedwith a sliding scale of charges, sothat the amount charged reflects thetime spent in the carpark. This newcharging system is similar to otherhospitals in the region …...” - only IFyou select those hospitals verycarefully.

The guidance to which she refers isquoted, verbatim, below:

“Charges should be reasonable forthe area”.“Concessions, including free orreduced charges or caps, should beavailable for the following groups:

• disabled people (considerationshould be given to the needs ofpeople with temporarydisabilities as well as BlueBadge holders)• frequent outpatient attenders• visitors with relatives who are

gravely ill, or carers (*asofficially defined) of suchpeople• visitors to relatives who have an

extended stay in hospital, orcarers (*) of such people• carers (*) of people in the

above groups whereappropriate• staff working shifts that mean

public transport cannot be used”

Other concessions, eg for volunteersor staff who car-share, should be

considered locally.

Priority for staff parking should bebased on need, e.g., staff whosedaily duties require them to travelby car (to other sites or homevisits).

Trusts should consider installing‘pay on exit’ or similar schemes sothat drivers pay only for the timethat they have used. Additionalcharges should only be imposedwhere reasonable and should bewaived when overstaying isbeyond the driver’s control(eg when treatment takeslonger than planned, or whenstaff are required to workbeyond their scheduledshift).”

What LCFT has instigated is aHIGHLY WEIGHTED slidingscale, clearly designed toMAXIMISE the fees extractedfrom patients! Why elsewould fees be so heavilyskewed to the 1-3 hour stay –typical time for an outpatientappointment (if you includeclinic delays, add a blood testand trip to Pharmacy).You can judge relative fees in theTable opposite.

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THE FUTURE OF PATIENT(AND STAFF) MEALS AT

CHORLEY & SOUTH RIBBLEHOSPITAL

BACKGROUND

When the 'new' Chorley and SouthRibble District Hospital was underconstruction in the mid 1980s, thethen Health Authority took theinnovative decision to contact theEnvironmental Health Departmentof Chorley Borough Council foradvice.The reasons for this were twofold:Firstly, the Health Authority wishedto seek the Department'sassistance and guidance that thenew facility complied fully with allthe Food Safety and Food Hygienelegislation in force at that time.Secondly, the Authority needed toensure that all necessaryexpenditure was 'value for money'and the most effective use of itsmonetary resources.The guidance and assistancerequested was readily provided bythe specialist Environmental HealthOfficers assigned to this task byCBC.One of the benefits resulting fromthis collaboration was theinstallation and provision of the'Cook-Chill' system to the HospitalKitchen … a facility that has beenappreciated by patients, staff andkitchen workers alike.So why is this an item for ournewsletter?

Well, the Trust has decided topull ALL food preparation out ofChorley & South Ribble Hospitaland transfer it to Royal PrestonHospital kitchen (together withany 'willing' staff – willing to addat least an hour to their workingday PLUS additional travelcosts!).So, NO food to be prepared andcooked at Chorlies – every-thingto be ferried from Preston (severaltimes per day) in (hopefully)refrigerated lorries, to bemicrowaved, or whatever, bylesser skilled (?) 'food warmers'.[Or they could just get Tesco todrop off a few hundred 'CottagePies' (at 95p each) and save afortune!What are your views on this?

UPDATE(un) Accountable Care Systems

In March 2017, NHS England(NHSE) published the ‘Next Stepson the NHS Five Year Forward

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us will be left with a very poorrump NHS, similar to the AmericanMedicare/Medicaid system.■ it’s now clear that eventually allSTPs will become ACS's.■ NHSE now want England toadopt a model of care from acountry (U.S.A.) that has just beenranked LAST in provision ofhealthcare and the UK NHSranked number one!These ACSs are strongly opposedby many organisations and weneed to keep track of them andthrow a spanner in the works atevery opportunity.One such organisation is the RoyalCollege of Paediatric and ChildHealth (RCPCH), who produced ahighly critical appraisal of theeffects of STPs/ACPs on the stateof child health, published in Maythis year. The report (entitled“State of Child Health shortreport: Sustainability &Transformation Partnerships”)was based on a review of the 44published STP plans, which revealmajor deficiencies - they arefailing to take into account theneeds of infants, children andyoung people.These deficiencies include:• Lack of a life course approach• Lack of recognition of the

needs of infants, children andyoung people• Limited engagement with

clinicians and the public

View’, renaming the plans toSustainability and TransformationPartnerships (STP) and creatingAccountable Care Systems (ACS's)in some localities such as theBlackpool & Fylde coast with aview to spreading these later to therest of Lancashire(incliding.Chorley).

As of yet, the ACS models do notmeet legal requirements since theyinvolve dismantling the purchaserprovide split thereby allowing allpartners a say in buying and selling(commissioning). In other words, itis profit driven and invites allpartners to make savings based ona fixed budget, the incentive is'savings' which are then paid backas 'bonuses' to the shareholdingpartners.ACS's are American-style modelswhere commissioners andproviders - often including but notlimited to: hospital trusts, localauthorities, GP surgeries and theprivate sector etc -They take on collectiveresponsibility for the budget,resources, and population health.Most worrying, ACS's are a moveto the American model ofhealthcare management and arefinancially driven. The ACS systemhas low fixed budgets that will notmeet the public need and willtransform the NHS into a two tierhealth system where those whocan afford it will pay and the rest of

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service.

The NHS isn’t overspending.The government isunderfunding.STPs exploit this defunding crisisto shrink the NHS and bring inhealthcare models like accountablecare organisations, from the US,where they base availability ofhealthcare on insurance and abilityto pay, not on need, as it is now.Services will be rationed. Peoplewill have to pay for some servicesor go without. If STPs go through,the NHS will no longer be able tomeet all our health needs. It willbecome more difficult to access,and a limited service of last resort.

The problem is too few beds,not too many patients!

What can you do to help?Your right to be consulted, by law,health chiefs must properly consultwith the public and patients asthese plans involve massivechanges to the ways health andsocial care services are provided.Our voices must be heard andacted upon. Let’s not make themistake of waiting to be asked forour views the NHS is depending onus.

By choosing just one thing fromthis list and acting on it, you willbe part of the fightback.

➢ · Vote for the party which is

• Workforce shortages.A more detailed Press Release(and link to the full report) can befound here ...http://www.rcpch.ac.uk/news/lack-focus-health-and-wellbeing-children-majority-stps-‘major-cause-concern’or scan this QR code ...

STPs - Slashing, Trashingand Privatising our NHSThe NHS is in crisis and desperatelyneeds more money. But the Torygovernment doesn’t care aboutpublic services and is forcing localhealth chiefs to make plans to cutNHS services - including wardclosures, cuts in bed numbers,changes to GP practices anddowngrades or closures of A&Es,maternity and children’s wards.Now, more than ever, the NHSneeds us to fight for its future.These plans are calledSustainability and TransformationPlans (STPs). They have beenprepared in secret and aim to limitNHS spending to £22 bn less thanis needed to maintain the current

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leaflets, donation buckets and mostimportantly a few people to be thereand get the word out around thedevastation currently happeningwithin Our NHS.

As we all know, the leverage anycampaign has in front of politicians,medical boards and ultimately thegovernment is people power. We notonly need to recruit support fromsurrounding areas, but we also needthe volunteers to help with thatrecruitment.

We already have fantastic, proudcampaigners who've kept the spiritgoing for an amazing 68 weeks at thegates of the hospital. I'm now askingfor dedicated members to try to get toWigan to help man the stall onSaturday 9th September from 9am-4pm. (Time dependent on stallcoverage).

If you're one of those people who can'tstand to sit back and watch thedecimation of our NHS and areavailable for a 2-3 hours, pleasecomment within this event or messageme. I'll be opening up while theYellow Army man the gates onCampaign Hill 10am-11am for whatwill be week 74 protesting on the cutsand privatisation of our NHS.

Ask yourself, "If not me, then who? Ifnot now, then when?"not now, then when?"

Solidarity

supporting ‘Our NHS’

➢ · Ask your councillors todemand that full and properconsultation takes place with thepublic about your STP.

Tell them to oppose the plans anddo everything they can to stopthem.

Contact them via:weownit.org.uk/blog/itsournhsdon’tslashtrashandprivatise

➢ · Lobby full council meetings,Health & Wellbeing Boards andScrutiny Committees. Ask them tooppose STPs.

➢ · Join up with your local NHScampaign group and be ready tojoin in demonstrations to defendlocal services.

➢ · Spread the word amongstyour friends and family.

Wigan Diggers' Festival

Celebrates the life and ideas of Wiganborn and bred Gerrard Winstanley &the 17th Century Diggers' (TrueLeveller) Movement.

This year the Chorley & South RibbleHospital Campaign have a stall to helpget the word out about the plight of ourNHS based around the immediate cutsto acute services at Chorley & SouthRibble Hospital and the knock oneffects to surrounding hospitals.

We'll have merchandise, information

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DIARYAug/Sept 2017

Please post (on Facebook page) if you canattend any of the day or night events.

Lancashire Health andWellbeing Board

Cabinet Room 'C' - The Duke of LancasterRoom, County Hall, Preston

Tuesday, 5th September, 201710:00 am-=-=-=-=-

Joint Committee of CCGs(JCCCG)

Chorley Town HallThursday, 7th September 2017

1.00 pm CHECK!!!

-=-=-=-=-

Health Scrutiny Committee

Cabinet Room 'C' - The Duke of LancasterRoom, County Hall, Preston

Tuesday, 19th September, 201710.30 am-=-=-=-=-

Chorley & Gtr Preston CCGClinical Commissioning Group

Governing Body meetingHallmark Leyland Hotel, Leyland Way,

Preston, PR25 4JX

Wednesday 27 September 201713:30 pm-=-=-=-=-

Regards - Sue, Andy, Jenny and Jim.

FACEBOOK PAGES

The Campaign has a couple ofpublic pages on Facebook, withdistinct uses.

This is primarily because of thepure volume of posts of a nationalnature being posted, and reposted,resulting in local issue messagesbeing pushed further and furtherdown the page, often meaning theyget missed.

If you have the QRcode app onyour mobile device, you can scanthe codes below for direct access.

So, our page for local issues isbit.ly/csrLOCAL

and for national press stories isbit.ly/CSRmedia

IF you are going to type the addresses into your device,CAPITALS and lowercase letters make a REAL difference.