‘innovation’, ‘better use of technology’, managers given more autonomy to ‘develop’ local services. This is not the exhaustive list of course. Lansley destroyed Primary Health Care, Streeting will do the same with Hospital services while pushing for greater numbers of non-doctor personell to treat primary care patients rather than GPs being the first line for treatment and referral. The reason Streeting is hedging his bets on social care is because he knows he can’t drive full insurance based funding until his hedge fund provided advisors come up with a “phased in” reform acceptable to private providers. Too high premiums and take up will not meet thresholds, too low premiums and profit and dividends will be deemed “uneconomical” by providers. A bit like when they bleat on about the national living wage being “unaffordable”. Let’s see when Streeting will start telling us how he has to deal with “realities” rather than be driven by “ideology”. ]]>
How the word changed.mmmm
]]>Processing people like we work in a factory.
Not allowed to do our job as we are micromanaged to the hilt .
Health hold the power and they always will . ]]>
The adage “services by one public authority are to be treated as those of the other” are the binding words of the, then, s25s Agreements and now the s75 Agreements ~ competitive rivalry amongst Primary and Tertiary Care making the actual cash transfers almost impossible to navigate.
The transparency needed by Councils to understand the impact of the ‘contract carve-uos’ (as they’re called) is missing completely and much is agreed including de-commissioning ‘offline’ and almost in secret between the LMC’s and their health partners.
Councils, as a whole, retaining the responsibility for scrutiny only ~ direct provision obligations has been whittled away through the manipulation of secondary legislation which has more recently been inserted into the face of primary legs across all vulnerable groups services.
Giving notice of significant changes itself is now more about being seen to have ratherthan actually having done so. If Councils are to reestablish themselves as the go to direct services provision then Elected Members most demonstrate that they are actually a ‘local authority’.
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