Join the Socialist Party Join us today!

Printable version Printable version

Facebook   Twitter

Link to this page: https://www.socialistparty.org.uk/issue/931/24192

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.

Donate to the Socialist Party

Finance appeal

The coronavirus crisis has laid bare the class character of society in numerous ways. It is making clear to many that it is the working class that keeps society running, not the CEOs of major corporations.

The results of austerity have been graphically demonstrated as public services strain to cope with the crisis.

  • The Socialist Party's material is more vital than ever, so we can continue to report from workers who are fighting for better health and safety measures, against layoffs, for adequate staffing levels, etc.
  • We must be ready for the stormy events ahead and the need to arm workers' movements with a socialist programme - one which puts the health and needs of humanity before the profits of a few.
Inevitably, during the crisis we have not been able to sell the Socialist and raise funds in the ways we normally would.
We therefore urgently appeal to all our viewers to donate to our Fighting Fund.

Please donate here.

All payments are made through a secure server.

My donation £

 

Your message: 

 


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

Khan should attack bosses, not workers


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


 

Home   |   The Socialist 11 January 2017   |   Join the Socialist Party

Subscribe   |   Donate   |   Audio  |   PDF  |   ebook






Related links:

NHS:

triangleOn the frontline, and still fighting for the NHS

trianglePutting socialism on the map in Chichester

triangleSocial care plans: A sticking plaster instead of surgery

triangleTake the wealth off the super-rich to fund: NHS and social care, pay and benefit rises

triangleWhipps Cross hospital workers reject the 3%

Cuts:

triangleReturning to campus: Students need to fight

triangleUniversity bosses push through pension cuts proposal

triangleEnd service cuts and care charges

Health:

triangleDeaths of despair: Health crisis - capitalism in the dock

triangleSolidarity to the striking workers at Charité and Vivantes hospitals in Berlin

triangleWorkers shouldn't pay for health and social care plans

Government:

triangleClimate change, capitalism, and the struggle for socialism

triangleVigil: A nuclear sub murder mystery

Healthcare:

triangleScrap the privatising health and care bill

Trusts:

triangleUnder the microscope

Mental health:

triangleCovid, capitalism and mental health

Jackie Grunsell:

triangleTories' NHS cash insult - mass action can save our NHS

News and socialist analysis

News and socialist analysis

15/9/21

The Socialist

We need a new political party for workers and youth

15/9/21

Universal Credit

Hands off the uplift

15/9/21

Workers

What's behind the worker shortages, and what can be done about it?

15/9/21

Health

Deaths of despair: Health crisis - capitalism in the dock

15/9/21

Climate change

Climate change, capitalism, and the struggle for socialism

15/9/21

NHS

Take the wealth off the super-rich to fund: NHS and social care, pay and benefit rises

15/9/21

NHS

Social care plans: A sticking plaster instead of surgery

15/9/21

Pensions

Unite young and old to defend the pensions triple lock

8/9/21

Education

Union action needed to make schools Covid safe

8/9/21

Trade union

A pivotal moment for the trade union movement

8/9/21

NHS

NHS and social care - make the rich pay, not the workers

8/9/21

Health

Workers shouldn't pay for health and social care plans

8/9/21

Cuts

End service cuts and care charges

8/9/21

Care Homes

Families demand rights for care home residents

8/9/21

NEU

Fighting NEU leadership needed to tackle school funding crisis

triangleMore News and socialist analysis articles...


Join the Socialist Party
Subscribe to Socialist Party publications
Donate to the Socialist Party
Socialist Party Facebook page
Socialist Party on Twitter
Visit us on Youtube

LATEST POSTS

CONTACT US

Phone our national office on 020 8988 8777

Email: [email protected]

Locate your nearest Socialist Party branch Text your name and postcode to 07761 818 206

Regional Socialist Party organisers:

Eastern: 079 8202 1969

East Mids: 077 3797 8057

London: 075 4018 9052

North East: 078 4114 4890

North West 079 5437 6096

South West: 077 5979 6478

Southern: 078 3368 1910

Wales: 077 7221 5281

West Mids: 024 7655 5620

Yorkshire: 078 0983 9793

ABOUT US

ARCHIVE

Alphabetical listing


September 2021

August 2021

July 2021

June 2021

May 2021

April 2021

March 2021

February 2021

January 2021

2020

2019

2018

2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999