Look back in anger: Monitor and EY put Hospital PFI investors above people of Calderdale and Kirklees

Just a reminder, in case one is needed, about how the government, its quango Monitor (now renamed NHS Improvement) and the management consultancy company EY have worked hand in glove to put PFI investors’ interests above the healthcare needs of the people of Calderdale and Huddersfield.

Here’s how the story has unfolded over the last 4 years.

In 2014, Calderdale and Huddersfield hospitals Trust’s finances fell into “deficit”, as a result of impossible underfunding combined with a £20m+ transfer over 2 years of Calderdale and Huddersfield NHS Foundation Trust funding to Calderdale Council to prop up its cash-starved adult social care services, via the Better Care Fund.

This fund was introduced in 2014 to allow local authorities and NHS clinical commissioning groups to pool budgets and jointly commission social care services that would take pressure off hospitals. But it did not bring any new money. Instead it required Clinical Commissioning Groups to redeploy money from supposedly ringfenced NHS funding. NHS England 2013 Guidance said this meant:
 
‘hospital emergency activity will have to reduce by 15%’

This is what happened next.

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Two Towns, One Fight – why we have to keep both A&Es open 24/7

This is the first Plain Speaker report on the hospital cuts plans that are scheduled for public consultation, starting at the end of February.

In it you can find out about:

  • Key elements of the plan – called Right Care Right Time Right Place
  • Why we need the NHS Reinstatement Bill
  • Why we need to keep both A&Es open
  • Lack of evidence that the proposals will deliver health care to the required standards
  • How successive governments have prioritised bailing out the bankers above properly funding public services for their own people
  • How Monitor (the NHS “market competition” regulator) and management consultancy company Ernst and Young (with a vested interest in NHS privatisation) are behind the CCGs’ proposal
  • A pattern of sacrificing publicly owned hospitals to protect PFI bankers’ profits

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Who’s holding the smoking gun? Questions about A&E and hospital cuts for 20th Jan public meeting

The public can ask questions at the Calderdale and Greater Huddersfield Clinical Commissioning Groups Governing Bodies meeting at 1.30pm, Wednesday 20th January at Briar Court Hotel, Halifax Road, Huddersfield HD3.

My question is about whether the decision to make Calderdale Royal Hospital the acute/ A&E hospital is down to the need for the hospitals Trust to maximise the value of the CRH PFI contract. Continue reading

Halifax people tell Monitor, sweep profiteering Ernst and Young out of our hospitals

On Saturday 28th November, hundreds of Halifax shoppers were shocked to discover that global accountancy company Ernst and Young (EY) is calling the shots over the future of Calderdale Royal Hospital and Huddersfield Royal Infirmary – at a budgeted cost to the hospitals Trust of £1m for 3 months work. Continue reading

Sweep Ernst and Young out of our hospitals on Saturday 28th November

On Saturday 28th November, Calderdale and Kirklees 999 Call for the NHS are taking to the street in Halifax, to protest against global management consultancy company EY (aka Ernst and Young) calling the shots over the future of Calderdale Royal Hospital and Huddersfield Royal Infirmary.

999 Call for the NHS activists and supporters are going to sweep EY out of our hospitals between 11am-1pm, on Southgate, Halifax outside Wilkinsons. Or in the arcade side entrance to borough market if it’s raining.

Members of the public will be able to find out to help stop the hijack of the NHS by global management consultancy companies and their health insurance corporate cronies, and to support the NHS Reinstatement Bill. This cross-party Bill has its 2nd reading in the House of Commons in March 2016. Continue reading

Ernst & Young calling the shots over Right Care Right Place Right Time scheme

The clinical model for the proposed Right Care Right Place Right Time scheme, that NHS commissioners and the Calderdale and Huddersfield hospitals have finally agreed after arguing about for two years, could be thrown up in the air yet again by a cost-cutting 5 year hospitals financial plan that is being drawn up by Ernst and Young (EY), at a cost of £0.5m to the deficit-ridden hospitals Trust.

Screen shot 2015-11-16 at 10.58.27Our hospitals may be broke, but the global management consultancy company EY had a global income of $US28.7bn in the financial year ending 30 June 2015. This is its fastest growth since 2008, an 11.6% increase over 2014. Obviously clearing up the mess from the 2008 bankers crash of the world economy is good business for EY and its ilk. Continue reading

Covering #Calderdale Royal Hospital PFI contract costs could force shrinkage of #Huddersfield Royal Infirmary

At the 21 October Joint Health Scrutiny Committee meeting, Councillors tried to find out what the NHS competition enforcer, Monitor, actually meant by stating that the hospitals Trust needs to:

“maximise the value of the Calderdale Royal Hospital (CRH) PFI contract”.

As a result of the government trying to force hospitals into making massive “efficiency” cuts, that were impossible to carry out because this would have endangered patient safety, Calderdale and Huddersfield NHS Foundation Trust (CHFT) is one of scores of Trusts across the country that are now in deficit and under Monitor’s special measures.

Calderdale Councillor Martin Burton asked how the Trust could maximise the value of the CRH PFI contract. It was like trying to get blood from a stone. Continue reading

Monitor has hospital in stranglehold – hospital cuts and changes consultation on hold

As expected, both Calderdale and Greater Huddersfield NHS commissioners today agreed to postpone the public consultation on proposed hospital cuts and changes. The consultation had been scheduled to start this month.

One burning issue for the public is what NHS bosses want to do to our A&Es. A slide presented at the meeting showed we could end up without a full A&E at either hospital. The slide said that one emergency centre or specialist emergency centre is planned – but draft specifications from NHS England say that only specialist emergency centres provide full A&E care.

The delay to the public consultation is because the Clinical Commissioning Groups don’t know if the hospitals Trust will be financially viable in five years time and are waiting for it to produce a Five Year Financial Plan.

The Trust – along with half the Foundation Trusts in the country – is in deficit. It is under special measures from Monitor, the NHS competition enforcer and financial regulator. Monitor is telling it to make big spending cuts, since Foundation Trusts are not allowed to operate at a loss. Continue reading

MP says future of Calderdale Royal Hospital is a “moveable feast” now it’s in special measures

The future of Calderdale Royal Hospital is a “moveable feast” since Monitor has put it into special measures as a result of its deficit, Craig Whittaker MP said at his open surgery in Mytholmroyd on Saturday 18th July.

Monitor is the organisation charged with enforcing market competition in the NHS. Its boss David Bennett (previously a Senior Partner at McKinsey, the management consultancy company that’s made a killing out of the corporate capture of the NHS under both the New Labour and Coalition governments) recently warned that if NHS Foundation Trusts don’t bring down their deficits, they will lose their freedom to decide their own strategy and the way they run their services. Continue reading

Hospitals Trust calls for Monitor investigation into award of £238m contract to Locala

Calderdale and Huddersfield NHS Foundation Trust (the hospitals Trust) has told staff that it is lodging a formal complaint with Monitor (the NHS competition enforcer) about the Clinical Commissioning Groups’ (CCGs) award of the £238m Kirklees community health services contract to Locala.

The hospitals Trust had also bid for the contract, in partnership with the three Federations representing GPs across Kirklees (PHH, Rowan and CURO), Mid-Yorkshire Hospitals Trust and Forget Me Not Children’s Hospice.

Once Greater Huddersfield and North Kirklees CCGs had publicly announced that Locala had got the contract, Owen Williams, the hospital Trust Chief Executive, emailed staff: Continue reading