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Private Eye

December 14, 2010

Holding GP Pathfinder Consortia to Account
Filed under: Private Eye — Dr. Phil @ 12:09 pm

Below are the 54 GP Pathfinder consortia who are apparently leading the way in GP commissioning. The plan is that GP consortia will eventially manage £80 billion of NHS funds, which seems an awful lot. So it’s important to keep them on their toes. Ask to see the published minutes of all their meetings and accounts for how the money is being spent. You may, rather depressingly, have to file a Freedom of Information request to get them. Let me know how you get on.

East of England:

CATCH (Cambridgeshire)

East Suffolk Federation

Fortis Group

Health East CIC, Great Yarmouth and Waveney

Hunts Health

Ipscom (Ipswich)

The Red House Group Hertfordshire

East Midlands:

Principia

Bassetlaw Commissioning organisation

Nene Community Interest Company

London:

Bexley Clinical Cabinet

Ealing Commissioning Consortia

Great West Commissioning Consortium

Kingston Consortium

Newham Health Partnership

Redbridge

Southwark Health Commissioning

The Sutton Consortium

North East:

Newcastle Bridges GP consortia

Langbaurgh

County Durham

North West:

Cumbria Senate

Salford PBC Consortium

Stockport Managed Care

Manchester (three consortia: north, central and south)

West Cheshire Consortium

Wirral GP Consortium

Eastern Cheshire Commissioning Consortium

Trafford Commissioning Consortium

Fleetwood Community Commissioning Group

Wirral NHS Alliance

South Central:

Buckinghamshire

South East Hampshire

Bracknell Forest

South

[…..] Read More





December 8, 2010

Medicine Balls, Private Eye Issue 1277
Filed under: Bristol Pathology Inquiry,Private Eye — Dr. Phil @ 8:15 am

A Pathological Mess

In the 18 months since the Eye reported allegations of serious errors in pathology reporting at University Hospitals Bristol (UHB) (Eye, June 8 2009), the chief executive has resigned, the head of pathology and medical director have moved on, a new paediatric pathologist was appointed and then changed her mind, and an entire team of three specialist breast pathologists at nearby North Bristol Trust (NBT) have handed in their notice. Bristol’s pathology services are clearly in a mess and yet report of the inquiry triggered by the Eye has been repeatedly delayed.

In June 2009, the Eye was sent a copy of a letter written by a senior consultant to his medical director outlining fifteen serious histopathology errors that had occurred at UHB. These were ‘examples where patients have suffered or died as a result of misdiagnosis and included missed cancers which became fatal and benign diseases treated as cancer. There were also concerns that UHB pathologists were reporting ‘in an unsafe way’ by not double-checking difficult diagnoses or releasing slides to NBT pathologists for a second opinion. The letter was dated June 2007 and in two years, there had been no independent investigation of the

[…..] Read More





November 25, 2010

Medicine Balls, Private Eye Issue 1276
Filed under: Private Eye — Dr. Phil @ 8:44 am

Buying Silence with Public Money

Should the concerns of whistle-blowing NHS staff who’ve signed silencing deals with their employers now be made public? In 2008, a staff survey by the Healthcare Commission found that Liverpool Women’s NHS Foundation Trust (LWNFT) had the second highest national rate for bullying of clinical staff by management, with a high percentage of staff wishing to leave their jobs. In 2009, after a long freedom of information battle, it was revealed that the Trust had signed twelve silencing deals (or ‘compromise agreements’) with staff over ten years, at a cost of £392,000. All contained gag clauses preventing the staff from going public with any concerns they may have had about medical care or mismanagement.

The agreements were drafted and negotiated by Liverpool solicitors, Mace & Jones. Since 2006, the Chairman of Mace & Jones has been Roy Morris, who has also been a non executive director of the Liverpool Women’s trust since 2005. He denies any conflict of interest. Mace & Jones were instructed by the Trust to ensure that any names of silenced employees are not revealed under information law, a view challenged in a recent Information Tribunal hearing1.

The trial heard evidence

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November 11, 2010

Medicine Balls, Private Eye Issue 1275
Filed under: Private Eye — Tags: — Dr. Phil @ 4:35 pm

Neutering NICE

The demotion of the National Institute for Health and Clinical Excellence (NICE) from NHS head-teacher to somewhere between a dinner lady and a classroom assistant caught the quango by surprise. An e mail sent by chief executive Sir Andrew Dillon to NICE committee members suggests he wasn’t in the loop: “I am sorry that speculation on the future of the appraisal programme has appeared without me being able to forewarn you. We were also taken by surprise.”1 But the neutering of NICE started with health secretary Andrew La-La Lansley’s pre-election pledge of a cancer drugs fund to pay for drugs that doctors and cancer patients wanted, but NICE didn’t think were cost effective for the NHS. If NICE’s judgements can so easily be bypassed by one politician, there is no point in making them mandatory for the rest of the NHS.

In 2006, as chair of the NICE conference, MD invited then shadow health secretary Lansley to say: ‘There is, and has to be, rationing in the NHS.’ (Eye 12.12.06 ). He duly obliged, and the NICE hierarchy relaxed, safe in the assumption that they had devised the fairest system for rationing the NHS had ever seen,

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October 29, 2010

Medicine Balls, Private Eye Issue 1274
Filed under: Private Eye — Dr. Phil @ 9:58 am

Failing Children (again and again)

Sir Al Aynsley-Green, Professor Emeritus of Child Health at University College London and former National Clinical Director for Children and Children’s Commissioner for England, has written to the Eye to expose the continued neglect of children in the NHS: ‘We have failed, are still failing and are likely to continue failing far too many children and young people through inadequate health services’.

‘Ten years ago, the Bristol Inquiry was cataclysmic in its condemnations (1), saying that children had been the ‘Cinderella’ service in the NHS for far too long. Lord Laming’s equally devastating conclusions followed from his Inquiry into child protection triggered by the murder of Victoria Climbie (2). Both uncovered the care of children being subordinated to the demands of adult services; lack of concern for vulnerable individuals; failure to protect children’s rights; quality of care less than it should be; failure of communication, effective planning and partnerships with professionals and parents, and lack of responsibility for children with ineffective leadership.’

‘Even before the financial crisis, the UK ranked bottom of the 21 richest countries for the well being of children. (3,4) Sir Michael Marmot’s recent review (5) on health inequalities documents highlighted

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