Save our health service!

Success in Kendal

THE NHS SOS campaign in Kendal, led by local Socialist Party members
Andrew Billson-Page and Colin Henderson, has achieved tremendous success
in saving some vital local services. Andrew Billson-Page, chair of the
NHS-SOS campaign, reports.

IN RECENT months, various services have come under threat including
Accident & Emergency, Maternity, Medical admissions wards, mental health
services and some elderly wards.

Following January’s NHS SOS march in Kendal, which attracted 2,500
people, Morecambe Bay Primary Care Trust’s managers have agreed NOT to
axe the only adult mental health unit in the area. Morecambe Bay
Hospitals Trust have also agreed that A&E and the award-winning
maternity services will stay in place.

This is a great victory for our community and a testimony to the
energy and efforts of our Socialist Party members. The Primary Care
Trust (PCT) appeared shocked by the public anger directed towards them
over the cuts and admitted that the so-called consultation process had
in many ways been "unsatisfactory".

They conceded that the management has lost the public’s trust and
have been perceived negatively. At the board meeting NHS SOS’s immense
contribution was recognised and activists felt that our success was due
to the community being willing to make a stand for its local NHS.

There’s still work to do. The PCT unfortunately decided to press
ahead with its proposed closure to ward 2, an elderly mental health
ward, and we will keep making the case for the need for an elderly
inpatient setting.

There is still a threat to medical wards (which will mean patients
facing lengthy trips to Lancaster or Preston) and from the Hospitals
Trust’s plan to turn the hospital into a "centre of excellence" (at
which "excellence" may be provided by private agencies). We will still
oppose plans which put finances before patients.

Local people legitimately fear creeping privatisation and are angry
at New Labour’s contradictory policies which have undermined a hospital
of which the community should be justifiably proud.

Local politicians want to jump on the bandwagon. Some of our
hypocritical "representatives" had the nerve to come on our
demonstration days after voting to close one of the wards! We on the
other hand are continuing to promote a socialist alternative relevant to
the people’s needs.

Who’s ripping off the NHS?

PEOPLE IN Britain are getting more pessimistic about the National
Health Service. A new Mori poll says that 44% of people interviewed
thought the NHS would get worse in the next few years as opposed to 22%
who felt it would improve.

That’s not surprising when, as well as cuts and closures, evidence is
growing of private companies ripping off the NHS. Channel 4 News says
Independent Sector Treatment Centres (ISTCs) are being paid millions by
the NHS for operations that haven’t been carried out.

Yorkshire and Trent primary care trust awarded Partnership Health
Group (PHG) a 21-month contract to carry out 7,048 operations. Only
5,435 were performed but PHG charged the NHS £7 million for the 1,613
remaining operations.

Last December the socialist reported that a private company, Netcare,
was overcharging the NHS £115 for each cataract eye operation. In a
six-month period, West Oxfordshire primary care trust forked out
£225,000 for £40,000 worth of work. Netcare charged for about 500
operations and assessments but only 93 were carried out.

Clinical problems are arising from ISTC treatments. Some patients are
referred back to the NHS after botched operations, causing patients
health problems and costing the NHS more money to remedy the situation.

NHS hospitals are having to repair damage done through sending
patients to private centres for hip and knee replacements. The NHS
expects failures of hip replacements at approximately 1% a year and knee
replacements at 1.5%. But some ISTCs have failure rates of 20%; some
contracts specify just one type of artificial joint and give staff
inadequate training. No wonder 100 consultants accuse the ISTCs of
having "destabilised the NHS".

The government said the ISTCs would expand NHS capacity and reduce
waiting lists. But ISTC contracts cost up to 27% higher than equivalent
operations performed within the NHS. This gross overcharging is
estimated to cost £100 million of the current £800 million NHS debt.

We say:

• Rebuild the NHS as a service free at the point of use. End health
  privatisation. For a publicly funded NHS with immediate cash to end
  the crisis of under-funding and to stop cuts and closures.
• Unite the many campaigns already in existence to defend the NHS.
  For a national demonstration to build support for industrial action.