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From The Socialist newspaper, 11 January 2017

Sustainability and Transformation plans - a repackaging of cuts

NHS staffing cuts, ward photo Yuya Tamai, scissors photo Wikimedia, both Creative Commons, composite James Ivens

NHS staffing cuts, ward photo Yuya Tamai, scissors photo Wikimedia, both Creative Commons, composite James Ivens   (Click to enlarge)

Jackie Grunsell GP

The British Red Cross has described the situation developing in A&E departments up and down the country as 'a humanitarian crisis'. So what has been the response of the government to this crisis?

You'll be delighted to know that over the past year they've been quietly developing proposals under the deceptively fluffy title of 'Sustainability and Transformation Plans' (STPs).

These plans have been drawn up largely in secret with little involvement or consultation with health staff or patients.

They involve organisations which have previously been told they should compete with each other for resources and contracts, now being told they have to work together in 44 'footprint' areas across England.

These footprints combine local authorities, Clinical Com-missioning Groups, hospital trusts and other health bodies from across areas which have previously never worked together and have no legal status or obvious democratic structures.

The areas have finally released outline information about the plans for their patch which are still lacking in detail. The stated aims are to integrate services and improve healthcare in certain key areas like cancer care and mental health.

However, the main objective is they must achieve 'financial balance' and not be in deficit if they are to stand any chance of obtaining some of the funds the government is offering as an incentive.

What this amounts to is a financially driven cost-cutting initiative which will see a further slashing of 22 billion from the NHS budget.

The closures of more A&Es are written into some plans with 'reconfiguration' and 'centralisation of services' being the mantra. STPs will see significant reductions in GP surgeries.

As a result of seeing the STP in their area, a group of over 30 GPs in east London signed a statement calling for an immediate halt to the plans. They state the plans are not possible without severe cuts to services.

The plans to move services out of secondary care into primary care, while at the same time closing GP surgeries and using cheaper, unproven models of care, will leave primary care ripe for private sector takeover.

The NHS and social care are chronically underfunded and struggling to function. GPs will be unable to cope with work being shifted out of A&Es.

But this is exactly the intention of the government - to run down our treasured health service, underfund it, and blame 'lazy, overpaid staff' for failures and difficulties, then award contracts to their private sector friends to run services.

The government is already discussing the idea of introducing charging for GP appointments or A&E attendances, and asking people to bring proof of identity to access NHS treatment. This is one step away from having to present your health insurance card to prove you can afford your healthcare.

Pressure from campaigners has already forced councils in some areas not to sign up to the STPs. More opposition is needed to stop this final nail in the coffin for the NHS.

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In The Socialist 11 January 2017:


NHS in meltdown

NHS in meltdown

NHS in meltdown from spending cuts - demonstrate on 4 March!

Sustainability and Transformation plans - a repackaging of cuts

Worcestershire hospital deaths expose NHS crisis


Socialist Party comments and reviews

Football abuse scandal: Reclaim the game for justice and accountability

Book review: Spy drama gives insight into capitalist coup plot


What we think

Strikes show workers' power


Socialist Party news and analysis

'Cash for ash' scandal set to bring down Northern Ireland government

May slams 'economic inequalities' Tory policies created

Blair's multimillion plans to fight 'populism'

Bosses earn average salary in under three days

What we saw

Them & Us: 500k house party... 50p for rent


Labour Party

Haringey: pressure grows as Labour council cuts

Sick of sham consultations - give us a real fightback

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Socialist Party workplace news

Tube strike solid in fight for jobs and safety

Support BA cabin crews' strike for fair pay

Sham Royal Mail pensions consultation - action needed

Unison legal battle looks into allegations 'Team Dave' broke rules during general secretary election

Workplace news in brief


Socialist Party reports and campaigns

Build the resistance against Trump

Socialist Party national women's meeting

2016: A record-breaking fighting fund year!

Closing of the children's centres could cost lives


International socialist news and analysis

Palestine/Israel: Everyday life under occupation


 

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Related links:

NHS:

triangleNHS in meltdown

triangleWorcestershire hospital deaths expose NHS crisis

triangleSocialist Party national women's meeting

triangleMay slams 'economic inequalities' Tory policies created

triangleNHS in meltdown from spending cuts - demonstrate on 4 March!

Cuts:

triangleClosing of the children's centres could cost lives

triangleKhan should attack bosses, not workers

triangleSick of sham consultations - give us a real fightback

triangleHaringey: pressure grows as Labour council cuts

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triangleAmazon workers living in tents

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Trusts:

trianglePrivatisation and the 'race to the bottom'

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triangleHomelessness - capitalism is destroying people's lives

Jackie Grunsell:

triangleHands off HRI charts way forward

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