{"id":10612,"date":"2016-11-17T14:54:09","date_gmt":"2016-11-17T14:54:09","guid":{"rendered":"http:\/\/unitelive.org\/?p=10612"},"modified":"2016-11-17T14:54:09","modified_gmt":"2016-11-17T14:54:09","slug":"cash-not-secret-reforms-call","status":"publish","type":"post","link":"https:\/\/unitelive.test.igniteamt.com\/?p=10612","title":{"rendered":"Cash not secret reforms call"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p>Frontline staff and patients are being left out of secret plans to shrink NHS services and cut costs, a new report has warned.<\/p>\n<p>&nbsp;<\/p>\n<p>An <a href=\"https:\/\/www.kingsfund.org.uk\/publications\/stps-in-the-nhs\">investigation<\/a> by the King\u00e2\u20ac\u2122s Fund think tank shows that NHS England has told local health authorities to keep their <a href=\"http:\/\/unitelive.org\/stps-slash-trash-and-privatise\/\">Sustainability and Transformation Plans<\/a> (STPs) under wraps from the public and the media until they have been finalised and approved.<\/p>\n<p>&nbsp;<\/p>\n<p>NHS England has even instructed officials not to grant access to STPs, which could lead to the closure of A&amp;E departments and hospitals, under Freedom of Information laws.<\/p>\n<p>&nbsp;<\/p>\n<p>The report said the speed at which STPs have been rushed through has excluded doctors, service users and the public from being involved.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bIt is clear from our research that STPs have been developed at significant speed and without the meaningful involvement of frontline staff or the patients they serve,\u00e2\u20ac\u0165 the report said.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bPatients and the public have been largely absent from the STP process so far.\u00e2\u20ac\u0165<\/p>\n<p>&nbsp;<\/p>\n<p>One local health manager involved in the development of an STP commented, \u00e2\u20ac\u015bI&#8217;ve been in meetings where I&#8217;ve felt a little bit like, you know, &#8216;where are the real people in this?&#8217;.\u00e2\u20ac\u0165<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>\u00e2\u20ac\u0098Ludicrous\u00e2\u20ac\u2122<\/em><\/strong><\/p>\n<p>Another described the secrecy ordered by NHS England as &#8220;ludicrous&#8221;.<\/p>\n<p>&nbsp;<\/p>\n<p>The report also highlighted the issue of local health authorities being forced into secrecy.<\/p>\n<p>&nbsp;<\/p>\n<p>It said, \u00e2\u20ac\u015bAs well as the timeline creating a barrier to meaningful public engagement, national NHS bodies had also asked STP leaders to keep details of draft STPs out of the public domain.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bThis included instructions to actively reject Freedom of Information Act requests to see draft plans. Two main reasons were given for this.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bThe first was that national NHS leaders wanted to be able to &#8216;manage&#8217; the STP narrative at a national level &#8211; particularly where plans might involve politically-sensitive changes to hospital services.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bThe second was that national leaders did not want draft proposals to be made public until they had agreed on their content.\u00e2\u20ac\u0165<\/p>\n<p>&nbsp;<\/p>\n<p>A number of local authorities have gone against NHS England\u00e2\u20ac\u2122s orders and published their STPs, which proposed hospital, A&amp;E and maternity unit closures, as well as the merging of services.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Slash, trash, privatise <\/em><\/strong><\/p>\n<p>While the government is insisting that STPs &#8211; which will be enacted throughout England to reduce a record \u00c2\u01412.45bn <a href=\"http:\/\/unitelive.org\/tag\/nhs\/\">NHS<\/a> deficit &#8211; will help improve services, Unite says their real aim is to \u00e2\u20ac\u015bslash, trash and privatise\u00e2\u20ac\u0165.<\/p>\n<p>&nbsp;<\/p>\n<p>Unite national officer for health, Sarah Carpenter said, \u00e2\u20ac\u015bWhat the NHS needs are not more secretive \u00e2\u20ac\u0098reforms\u00e2\u20ac\u2122, but a massive injection of \u00e2\u20ac\u0098new\u00e2\u20ac\u2122 money when chancellor Philip Hammond \u00e2\u20ac\u0098resets\u00e2\u20ac\u2122 the economy in his autumn statement on November 23.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00e2\u20ac\u015bWe also need more openness about STPs as they appear, under the mantle of improved services, to mask a culture of cuts. Unite will be writing to all councils to ask them to publish the STPs for their respective areas as a matter of priority and not sign them off without full consultation with staff, the trade unions and the public.\u00e2\u20ac\u0165<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Frontline staff and patients are being left out of secret plans to shrink NHS services and cut costs, a new report has warned. &nbsp; An investigation by the King\u00e2\u20ac\u2122s Fund think tank shows that NHS England has told local health authorities to keep their Sustainability and Transformation Plans (STPs) under wraps from the public and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1984,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[17],"tags":[29,632],"wps_subtitle":"NHS: Staff and patients excluded from cuts plans","_links":{"self":[{"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/posts\/10612"}],"collection":[{"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10612"}],"version-history":[{"count":1,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/posts\/10612\/revisions"}],"predecessor-version":[{"id":10613,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/posts\/10612\/revisions\/10613"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=\/wp\/v2\/media\/1984"}],"wp:attachment":[{"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/unitelive.test.igniteamt.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}