Campaigning for key values
I write on behalf of Keep Our NHS Public North East, which is a group of North East health clinicians and, mostly, members of the public who care for the future of the NHS.
We are very aware that the development of high quality health and social services is a challenging process when faced with continued under-funding from central government.
A clear understanding of proposals, transparency and the full involvement of a local population are fundamental ways forward in this decision-making process.
The so-called Sustainability and Transformation Plan presented to the North East in November 2016 purportedly outlines a vision for the future, but furnishes us with a blur of mixed messages and uncertainty.
There is much rhetoric about the draft STP being jointly developed between CCGs and local authorities, but local politicians have not been involved in developing the plan and, even now, are minimally involved. Our recent contact with MPs shows that they are similarly in the dark.
We believe the plan is lacking in specific, clear detail as to how it could work in practice. Much is written in vague, inaccessible language, with reference to projects which means very little to a person outside NHS management.
To assist our engagement and understanding, our campaign team has requested CCGs to provide more information about what we feel are key operational issues. Unfortunately, responses from all North East CCGs are far from satisfactory.
They have not provided sufficient information about finances and we are informed that details around staffing, safety and risk management will be considered at some later stage. It appears that transparency is lacking.
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The public and councillors are being asked for an opinion, but without the full critical information.
The plan appears to be a vehicle for delivering massive and unprecedented cuts to the NHS. It identifies the requirement to save £641million in the North East over the next five years, with these savings being carried out whilst apparently introducing new and improved models of care.
We take exception to a plan in which a slashed NHS is hidden behind a notion of improved services. A massively reduced budget and sustained under-funding inevitably leads to an overall reduction in the quality and accessibility of health services.
Sadly, the situation we find ourselves in is common across England and has led a number of local authorities to reject their draft local STP. Keep Our NHS Public North East requests our councillors to respond in a similar way.
We will continue a campaign in which an adequately funded, accountable and transparent NHS are seen as fundamental values.
Co-ordinator Keep Our NHS Public North East