Join the Socialist Party Join us today!

Printable version Printable version

Facebook   Twitter

Link to this page: https://www.socialistparty.org.uk/issue/977/26677

From The Socialist newspaper, 10 January 2018

Closure of Nottingham unit shows dismantling of NHS

Small charities vulnerable to collapse have stepped in to cover the gaps left by NHS cuts, photo by EMAS NHS Trust (CC)

Small charities vulnerable to collapse have stepped in to cover the gaps left by NHS cuts, photo by EMAS NHS Trust (CC)   (Click to enlarge)

Chris Jackson, Nottingham Socialist Party

Nottinghamshire Healthcare Trust is planning to shut down a unit for people suffering from serious alcohol and drug addiction issues. The closure of the 15-bed Woodlands Unit at Highbury Hospital in Bulwell is the latest cut to mental health services in Nottinghamshire, and may force patients to be sent to local A&E departments.

It comes as a direct result of using 'competitive procurement' (the market) to determine the future of services. No local NHS provider is able to provide a safe and viable service at the market average rate of 239 per occupied bed day, and the trust is looking outside the NHS to find an organisation able to provide a service at this rate.

Vunerable users

In October 2013, a report by the Centre for Health and the Public Interest stated that "the experience of the introduction of social care markets in England over the last two decades is that competition has driven costs down, reduced the quality of services, led to the casualisation and deprofessionalisation of the workforce, and left care users and their families vulnerable to a major provider collapse."

While this report refers to the care sector, there is evidence that these findings are being replicated across the NHS with the increasing use of market competition. Users of the Woodlands Unit are now at risk of similar failings.

The future of the unit was discussed by the trust at a secret meeting in August 2017. Framework, a local housing charity, has been in discussions with the trust about taking over the service, undercutting NHS providers. If this goes ahead, the service will be threatened with similar issues which have undermined services in the care sector:

Casualisation of the workforce - Framework is offering worse pay and conditions than the NHS and only one person out of the 20 existing staff is planning to stay on and work under these conditions. While not exactly casualisation, the effect will be that the valuable skills and experience of NHS trained staff will be lost. This will inevitably lead to:

Reduction in service quality - Woodlands was a centre of excellence when it opened. But a report by the Care Quality Commission has revealed that almost three quarters (72%) of private providers inspected were failing in at least one of the fundamental standards of care.

Vulnerability to provider collapse - if Woodlands were simply being left to close, there would be a public outcry, and the possibility of a campaign similar to that which helped keep the Glenfield heart unit in Leicester open. There are no guarantees that Framework will be able to maintain the service long-term.

As well as demonstrating the hollowness of the government's aim to provide 'parity' for mental health and other services, the prospect of Framework coming in to take over the service shows the role charities are being forced to play in dismantling the NHS. Framework, a homelessness charity, itself struggling to survive at a time of cuts to local services, has diversified from providing hostel accommodation to providing mental health support services, advice and guidance, and support into employment.

Charitable organisations which were set up to meet a certain need are being forced to follow the money and shift to meet other needs to fill the space left when statutory services are no longer funded. The government's justification for introducing the market is to increase quality and improve patient choice, but in fact the whole strategy is a step towards privatisation, whose real aim is to provide profits.

Why not click here to join the Socialist Party, or click here to donate to the Socialist Party.


In The Socialist 10 January 2018:


What we think

Sustained mass movement needed to stop Tories wrecking our NHS


International socialist news and analysis

Movement challenges Iranian regime

Sweden: School strike against deportations


Socialist Party news and analysis

Cabinet chaos as shambolic reshuffle underlines Theresa May's impotence

Bigot Toby Young quits - now scrap the new uni regulator driving privatisation

Teacher recruitment falls by a third - cut workload, not funding

Them & Us


Socialist Party workplace news

McDonald's strike wins biggest pay rise in ten years

RMT rail members buoyed by coordinated action

Amy Murphy for Usdaw president - vote for a fighting and democratic union

Newham academy strikes spread to Cumberland school

UCU members balloting for action on pension cuts


Socialist Party reports and campaigns

2017 was the best fighting fund total this century!

Socialist sales highest in years as mistrust in capitalist media hits record levels

Hoxton: "Stop this unwanted development"

Closure of Nottingham unit shows dismantling of NHS


Socialist Party comments and reviews

Art can help expose sexual harassment

Debate: should tower blocks form part of socialist housing policy?

The Socialist Inbox


 

Home   |   The Socialist 10 January 2018   |   Join the Socialist Party

Subscribe   |   Donate   |   Audio  |   PDF  |   ebook






Related links:

NHS:

triangleYork health workers say no to privatisation

triangleMarch to save threatened Liverpool Women's Hospital

triangleSocialists and campaigners protest Leicester NHS cuts

triangleThe Socialist inbox

triangleBig drugs companies dodge 3 billion pounds in tax

Nottingham:

triangleThe Socialist inbox

triangleLecturers strike around country in defence of pensions

triangleNottingham hospital black alert

triangleNottingham Socialist Party: How do we save the NHS?

Market:

triangle10 years since the financial crash - the socialist answer to capitalist crisis

triangleSocialist nationalisation: what it is and why we need it

triangleMay's EU speech kicks the can down the road

Health:

trianglePOA walkout over government failure to make prisons safe

triangleThem & Us

Mental health:

triangleSelf-harm soars among young: fight the mental health crisis

Nottinghamshire:

triangleFracking companies backed by government and courts

Hospital:

triangleLeicester lobby calls for consultation on NHS closure plans

Privatisation:

triangleReading council plans privatisation - set a no-cuts budget instead!

Homelessness:

triangleUniversal credit causes £24m rent arrears

Healthcare:

triangleTrump v NHS

Cuts:

triangle4m children in homes that can't afford fruit and veg

Reports and campaigns

Reports and campaigns

20/9/18

Black

London Socialist Party meetings for Black History Month

19/9/18

RMT

Strikers ready to up the ante over rail safety

19/9/18

Huddersfield

Huddersfield Socialist Party opposes racist EDL

19/9/18

Newcastle

Hundreds of Newcastle United fans attend Mike Ashley Out meeting

19/9/18

Leicester

Socialists and campaigners protest Leicester NHS cuts

19/9/18

Liverpool

March to save threatened Liverpool Women's Hospital

19/9/18

The Socialist

Join our Socialist sales drive for issue 1011

19/9/18

Liverpool

Liverpool airport workers demand decent pay

19/9/18

York

York health workers say no to privatisation

19/9/18

Birmingham

Birmingham home carers' protest demo

19/9/18

UCU

University pay ballot: vote yes for strike action!

19/9/18

Hull

Socialist Students campaigns at Hull freshers fair

19/9/18

Lewisham

Lewisham: binning the rates rise

19/9/18

Leicester

Leicester UCU fights redundancies

14/9/18

Prisons

POA walkout over government failure to make prisons safe

triangleMore Reports and campaigns 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: info@socialistparty.org.uk

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

Regional Socialist Party organisers:

Eastern: 0798 202 1969

East Mids: 0773 797 8057

London: 020 8988 8786

North East: 0784 114 4890

North West 07769 611 320

South East: 020 8988 8777

South West: 07759 796 478

Southern: 07833 681910

Wales: 07935 391 947

West Mids: 02476 555 620

Yorkshire: 0114 264 6551

ABOUT US

ARCHIVE

Alphabetical listing


September 2018

August 2018

July 2018

June 2018

May 2018

April 2018

March 2018

February 2018

January 2018

2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999