September 2025 blog
Whistleblowers
All duplicious Health Ministers say "we welcome whistleblowers to expose safety issues"
but all support Trusts who crucify whistleblowers "to preserve their reputation..."
Chris Day whitleblower crucified: bad judgement
Chris Day Covert audio Costs Threat
10 year plan
The whole much vaunted 10 year plan is totally unfunded, no delivery plan, has absolutely no workforce plan
anf is designed to pacify the ignorant...
Total aim is to replace real Doctors by "trained to task" unqualified PAs and ACPs.
The 2012 Lansley Monster Act was passed with many ignorant MPs allowing it through-especially the LibDems-fearing another election...
Milburn "Any Qualified Provider"
Cameron and Lansley allowed anybody to use the NHS logo-to fool patients that there was still an NHS, rather than an atomised collection of profiteering providers...
The UnAccountable NoCare DisOrganisations (DisIntegrated NoCare Boards, ICSs )
-took over decisions and procurement
-deciding what services to provide, what services are free-rather than a comprehensive
Nation Health Service...
Devolution-another bloody stupid idea (but at least, Streeting can only destroy the Health Service in England.
Adding extra NHI contributions-another bloody stupid idea-to employers (like Hospices, Dentists,NHS employers
SoS Health Secretary no longer has duty to provide
but duty to promote- a vacuous phrase...
The Bevan system has been destroyed by Lansley and Milburn...
Background forces
The IEA, Kate Andrews, right wing think tanks, McKinsey etc,
Trump, Farage, Palentir, Thiel, Wes Streeting, many on GDC, DHSC believe anybody
can practice medicine
-want to rewrtite the Medical Act,
-amagamate all real Doctors and unqualified quacks into "the medical workforce"
-private profiteer providers first duty is to make a profit, to shareholders,
and pay salaries to CEOs, Directors at many levels-NOT brilliant care...
Accountable Care Organisations can be seen as a form of Public/Private partnership going beyond PFI. Accountable Care also called managed or integrated care-restriction of access to expensive hospital or specialist care-delivered now by overloaded, underfunded GPs
harks back to Darzis Polyclinics, now called Community hubs...Privately owned, privately run, stuffed with unqualified PAs, ordering dozens of scans...
PFI-Public Finance Initiatives:
first dreamt up to evade EU borrowing limits-keep off the government balance sheet...
Private Finance-PFI, PFI2 etc
Alyson Pollock points out that the interest rate is index-linked upwards, and over thirty years, the hospitals pay SEVEN TIMES the original cost.
She points out that PFI is the main reason for HOSPITAL CLOSURES-not HOSPITAL BUILDING...
Ian Murray (Public Sector Finance Experts) "a lot of these deals were
modelled on a low inflation, low interewst rate environment..."
all reversed now due to Labour policis, privatisation of gas, electric, water...
Is there a way you can structure these ripoffs to get the desired outcomes?
YES! the munificent banks give a 30 year no interest
gift-with no maintainance rip off-£700 to change a lightbulb...
to repay the taxpayer for bailing out their casino gambling.
As usual-Youseff El-Gingihy foresaw all this in "How to Dismantle the NHS in 10 Easy Steps...
Purchaser/provider, allows an health insurance company to buy the services from the NHS they are unwilling to provide-Intensive Care, A & E etc
Private health insurance after Streeting, Farage, IEA, Kate Andrews...
When private medical health insurance is imposed, there will be many level
of contract
- the very richest will be able to buy top rank cover
(like my US brother- who pays, with his firm, $24k a year, and gets computer
milled crowns, advanced perio treatment, cover inc pregnancy, for his wife and
child
-to middle cover- with denials, copayments, top ups, lack of cover for x,y,z
treatments
(Superman actor had to pay when spinal injuries not covered
-to “uninsured”, who get Medicare- basic UnAccountable NoCare DisOrganisations,
who make profits through treatment denied, wriggle outs…
A tax collected, low admin costs system is the most efficient, equitable system
as long as the wealthy pay a linear rate on income and accrued assets!
The NHS
-should not include private profiteer providers taking NHS money into profiteer
organisations --should not ration treatment by ACOs/ DisIntegrated No Care Systems
who decide what treatments should be provided, by who, and what should be free,
what patients should pay
The US system has the most expensive admin costs,
Purchaser provider by any qualified provider the highest admin in EU
Thatcher and Regan started the sod the poor, reduce services, privatise everything, lower tax strategies (Electricity costs in the UK the highest- steel making has no chance!)
A 76 yo pays BUPA £800 a month-they cannot provide comprehensive, ambulance,
A & E as above:
a RTA, stroke patients still dials 999 and gets, eventually, an NHS ambulance,
A & E, ITU...
Death of NHS dentistry
When "going private", a dentist can choose
laser £25k
computer milled crowns £25k
several staff-each with increased NHSI payments
high lab charges
or basic
good private standard-better
Harley Street private standard-best
Pre 1990 NHS dentists chose to set up in poorer areas, and could just scrape a living from NHS fees.
Now, going private, they chose rich areas, with enough rich patients to pay their private fees: an absolute reversal of strategy!
None of these can be done under the NHS feescale
government cut expenses adjustments
cut DDRB recommendations
fees kept low for crowns, chromes, bridges, veneers (and threw out keen dentists
who spent too much on excllent treattments)
all done at a loss...
A dentists can say "no NHS appointments this month"
but come in this aftenoon, next week, next month privately...
Private fees of £1000 for a crown, £600 for a chrome denture, £200 for a large acid etch bonded white filling,etc are unaffordable to many poorer patients
The NHS needs a new item of service for basics only-fillings, extractions,
plastic dentures...
This was suggested to Blair-but politicians wanted to continue the lie that
NHS denristry was high quality, comprehensive-without paying fees fairly.
Private Finance Initiative
Alyson Pollock debunbked this whizzy scheme, originally to get past EU borrowing rules, keeping borrowing off Government accounts
Cost SEVEN times the original capital cost
Index linked over thirty years
The Hospital has to be smaller-to get throgh the Treasury hoops
Fewer Doctors, Nurses, Midwives, beds...
Totally undersized for the population served
Private Finance wants to make fat profits for the Consotium
A competant government would have less total borrowing, take more tax, aspend
less-so it could provide funds for infrastructure improvements
Queen Elizabeth hospital held up by Acrow props (STILL!!!)
and cheap RAAC cheap constructions need massive rebuilding...
Alyson Pollack:
This PFI was billed as "the greatest hospital building program"-but was, in fact, the "greatest hospital closing program ever...!."
Reform: Farage wants to end the NHS-Private
Energy costs of living affects everybody-inc NHS and Care workers...
Everybody pays more with cost of living..
Electric privatised- ceo salaries, shareholders
Water
Gas
Dentist fees
Private health fees
Increased NHI contribution
Firms lay off workers
Council tax rises
Food prices rise
Ukraine not helped, Russia unchallenged, Trump tariffs!!!
Israel raising Palestine to dust
Taxes rises
Food prices,
so NHS workers, Junior Doctors, Nurses, Midwives need Full Pay Restoration to survive-never mind a mortgage...!!!