The Equalities and Human Rights Commission has published a document setting out how independent living, as defined by the United Nations’ Convention on the Rights of Persons with Disabilities, can and should be written into domestic law. The document addresses the breadth of issues relevant to independent living, including recommendations relevant to such as transport and housing. As far as social care is concerned its recommendations describe a route to a newly envisioned but financially sustainable future built to deliver independent living. What is independent living? It is first important to understand what the UN means by independent living. It […]
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The focus of the first article in this series was on Centene’s current – and anticipated – role within NHS England’s Integrated Care Systems (ICSs) programme. While brief mention was made of the corporation’s background, this article will examine it more fully, notably as the market leader within US Medicaid Managed Care (MMC), the private sector administration of state services for the poor, pregnant women, elderly adults and people with disabilities. It also provides care for 1 in every 3 children. Given the increasingly evident parallels between ICSs and MMC, it is worth looking at what the English public can […]
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The news that Sir Simon Stevens was standing down from his post as NHS England Chief Executive in July prompted some remarkable tributes from the Health Service Journal (HSJ), even by own standards. The editorial said that Stevens had managed to save the health service on no less than three occasions and has been the most important figure in NHS history since Aneurin Bevan. It also said that Stevens was “the greatest strategic health policy thinker of his generation”, and in this point at least the journal is accurate. STRATEGIC THINKING Back in May 2004 the Guardian’s John Carvel asked […]
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The recent buyout of a chain of London GP practices by the giant US insurer, Centene, prompted considerable media coverage last month with many Labour MPs and campaigning groups claiming the deal represented ‘privatization by stealth’. However, while this description may have been apt in 2005 it is now entirely outmoded as there is nothing covert nor slow about the process anymore. Instead, what is taking place – and has been for many years – is a full-blown, US-led takeover, by the same corporate interests, adopting the same instruments and organizational structures and effected by the deployment of key personnel […]
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Through the decade of austerity, the Welsh Government is to be commended for its efforts to maintain the sustainability of our social services, in contrast to other parts of the UK. Socialist Health Association – Cymru (SHAC-C) welcomes the initiatives to promote greater joint working with other key agencies such as the NHS, housing, and education. The cap on the costs of domiciliary care and the increased thresholds for residential care provides Welsh residents with a more generous provision than elsewhere. We also welcome the proposals to improve the status of the social care workforce through its increased professionalisation and […]
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Operose Health – a subsidiary of US healthcare giant the Centene Corporation, which provides health insurance to around 25m Americans – is expanding its portfolio of NHS GP practices to 58 through a ‘partnership’ with major primary care provider AT Medics. Effectively it allows Operose Health to takeover AT Medics. Operose Health already ran 21 NHS GP practices, spread from south-east England to the Midlands and north of England – and will nearly triple this figure through the deal with AT Medics. Its existing practices covered around 120,000 patients The trojan horse for this takeover is a form of general […]
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NINE TESTS OF THE AUTHENTICITY OF HOLYROOD’S COMMITMENT TO HUMAN RIGHTS Joint authors: Colin Slasberg and Peter Beresford We have previously set out why we believe the Feeley review of Adult Social Care in Scotland has the potential to be truly ground breaking. Its first and primary recommendation is that social care should be established on a human rights basis. Whilst it also makes recommendations about structural change, the report recognises that structural change without cultural change is no change at all. While the rhetoric of human rights has littered social care policy for at least two decades, Feeley is […]
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Simon Collins at HIV i-Base reports today that the Conference on Retroviruses and Opportunistic Infections (CROI) has decided to limit access to all conference materials – behind a pay wall – for up to six months after the conference. As before, copying and distribution of i-Base reports is encouraged and free. But please credit HIV i-Base as source. Here is today’s post about CROI: This year, CROI has decided to limit access to all conference materials to delegates or new subscribers for up to six month after the conference. These include abstracts, posters and webcasts. Usually, CROI has made all […]
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1. Legislating for Integrated Care Systems: Provider Selection Regime Consultations Legislating for Integrated Care Systems: five recommendations to Government and Parliament includes the Response to Public Consultation on ICS (See Pages 8-22) The consultation findings are attached above (at 2) and it is disturbing to read some of the NHSE/ NHSI conclusions. Firstly, the report appears to blur the distinction between what is regarded as an engagement seeking views and a consultation which it was described as on line. It begins by declaring that 5,171 responses from people identifying as members of the public or patients who were concerned with […]
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Something major happened in the NHS in February. No, not the new White Paper on rearranging the furniture; something else. This was the announcement, or lack of announcement, that a large number of GP Practices have been taken over by a US Health Insurance giant – Centene. AT Medics, a London based GP group, which runs 37 practices, has essentially been bought out by Centene. This means overnight hundreds of thousands of patients woke up with a new GP provider, without their consent. The acquisition makes Centene the largest provider of General Practice in England with 69 practices. The way […]
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Posted by Jean Smith on behalf of Labour Trans Equality 05.3.21 First some background. NHS England Commissions GIDS (The Gender Identity Development Service) at the Tavistock & Portman NHS Foundation Trust. GIDS accepts referrals of young people with the features of gender dysphoria up to the age of 18 in England and Wales. The service at Tavistock & Portman in London has a regional centre in Leeds and satellite clinics in Exeter, Bristol and Birmingham. As a result of representations, to the Care Quality Commission (CQC) including by the Children’s Commissioner, the CQC undertook a focused inspection of GIDS in […]
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An industrial action ballot is one of the options that Unite the union will be considering as it steps up its campaign for a fair and decent pay rise for NHS staff. Unite, Britain and Ireland’s largest union, will be liaising with other health unions as to the next steps in the pay justice campaign, as the row continues over the government’s evidence to the NHS Pay Review Body (PRB) which recommends a one per cent rise for 2021-22. The PRB is due to report in May. Unite national officer for health Colenzo Jarrett-Thorpe said: “Following yesterday’s ‘slap in the […]
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