Author Page

Author Archives: Brian Fisher

Thanks to Radiance Health for this useful graphic.  It’s focussed on South London, but the principles are of wider application, and there are many areas with similar problems. It shows that there is no NHS deficit. The NHS saved £3bn last year. The NHS is in surplus – and the money was given to the Treasury. There is a strong argument for saying that all surpluses should be ploughed back into the NHS, not given up. The NHS should not be paying for procedures of little value.  We are committed to evidence based medicine. However, the Labour Party showed that PCTs […]
Read More

Tagged |

 SAVE LEWISHAM HOSPITAL CAMPAIGN’S RESPONSE TO THE TRUST SPECIAL ADMINISTRATOR’S DRAFT REPORT INTO THE FAILURE OF SOUTH LONDON HEALTHCARE TRUST (SLHT) AS REQUIRED UNDER S18 OF HEALTH ACT 2009 Principles We note the first principle of your report that patients’ interests should always come first so that they have the necessary access to the services on which they rely. We do not see in the report any convincing evidence that proves a case for the closure of facilities at Lewisham. We are convinced that the plans outlined in the report will lead to worsening health care and for that reason […]
Read More

Tagged |

By Brian Fisher in a personal capacity I’m a GP in Lewisham and have been involved in the campaign as clinician, resident and Clinical Commissioning Group worker. I have never seen so much involvement, enthusiasm and passion for a health issue. Through impressive organisation and a superb comms and press team, we have triggered deep feelings of anger and resistance. People in the borough see a distant political machine riding rudely over our services, our interests and our health. The unfairness seems blatant and the attitude casual and dismissive. You can feel the top-down reorganisation. The campaign has been organised […]
Read More

Tagged |

David Colin-Thome, Independent Healthcare Consultant and Visiting Professor, Manchester Business School, Manchester University, UK and School of Health, University of Durham Brian Fisher, GP and Patient and Public Involvement Lead, NHS Alliance Key message If Health and Wellbeing Boards are to make a real and lasting impact on the health and resilience of the populations they serve, they must revitalise the principles of community-oriented primary care, with its values of health protection, social justice and community development. Why this matters to us When I (Brian) started GP practice in 1976, I found a community-development programme a few steps from the […]
Read More

Tagged |

There has been a strange two-handed legal dance going on for the last year or so. Ministers, and Monitor officials and pretty much anyone in the DH or NHS England you come across says that there is nothing to fear from the Health and Social Care Act. The Act may say that competition will be a key aspect of the NHS and s75 gives it legal force – but ministers and Monitor continue to say that we are all misguided and paranoid. Just wait for Monitor’s formal guidance and you will see there is nothing to fear. Well, Monitor’s guidance […]
Read More

Tagged |

AIMS: To support theCCG to subvert the Health and Social Care Act To support the views of the population being heard by the CCG and being responded to by the CCG. MAIN BODIES WHICH COULD BE INFLUENCED The CCG Board: these meetings are open. Items could be put on the agenda. It would also be possible for a public presence for some or all items. Other committees in the CCG: Strategy, Finance, and so on. The whole CCG is in principle open to local people being involved. Nonetheless, a clear case would need to be made and the presence of […]
Read More

Tagged |

Taken from the Health Service Journal The NHS is drifting into a world where key principles are under threat, patient care is increasingly fragmented and commissioning is contorted by the market. Criticism of the government’s reforms often centres on the threat of “privatisation”. The Socialist Health Association distinguishes between privatisation and marketisation and highlights marketisation as the most dangerous. Marketisation means a system where relationships and behaviours are driven by competition and profit. In the NHS it applies to both private and state enterprises, and competition and marketisation is almost always dangerous in healthcare. Patients are not customers The consequences of […]
Read More

Tagged |