Give the public a say before selling off the NHS, demands Burnham

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andy burnham, Coalition, consent, Conservative, contract, David Cameron, Democrat, dishonest, full, government, health, Jeremy Hunt, Labour, Lib Dem, Liberal, long term, Mike Sivier, mikesivier, National Health Service, next, NHS, Parliament, people, permission, politics, privatisation, privatise, public, reverse, sale, say, sell-off, sick, term, tie, top down reorganisation, Tories, Tory, unacceptable, voice, Vox Political

Scheming, lice-ridden vermin: All the airbrushing in the world could not erase the brutal, calculating dishonesty of the Conservative 2010 election poster.

This guy has been impressive from the get-go: Today (Tuesday) Andy Burnham will call on the Coalition to put its plans for further NHS privatisation on hold until there is clear evidence that the public wants the health service to be sold off.

The speech in Manchester is being timed to take place before the Conservative-led government signs a series of new NHS contracts that will – underhandedly – tie the hands of a future government.

Sly little devils, aren’t they?

The British public has never given its consent for far-reaching and forced privatisation of services – and that’s what Mr Burnham will be saying.

He will point out that the forced privatisation of the NHS is entering new territory and becoming harder to reverse: Contracts are being signed that will run throughout the next Parliament and beyond, tying the hands of the next government in a crucial area of public policy.

Not only is this unacceptable to Labour, but it has never been accepted by the public, and Mr Burnham will say that comedy Prime Minister David Cameron needs to be reminded that the NHS does not belong to him but to the British people – and he never received our permission to put it up for sale.

He will remind everybody that Cameron was dishonest about his privatisation plans before the last election. Cameron said there would be “no top-down reorganisation”.

If he wants to continue to force privatisation through, he should seek the consent of the public at the 2015 Election, Mr Burnham will say.

And he will contrast the increasingly fragmented and privatised travesty that Cameron wants to force on you – where service has become a postcode lottery dependent on the cost-effectiveness of providing certain forms of healthcare in your locality – with a public, integrated NHS as Labour intends to re-form it.

It was confirmed last week that NHS spending on private-sector and other providers has exceeded £10 billion for the first time.

“For all its faults, it is a service that is based on people not profits,” Mr Burnham will say. “That principle sets our health service apart and was famously celebrated two years ago at the Opening Ceremony of our Olympic Games.

“When his reorganisation hit trouble and was paused, David Cameron explicitly promised that it would not lead to more forced privatisation of services. But… on his watch, NHS privatisation is being forced through at pace and scale.

“Commissioners have been ordered to put all services out to the market.

“NHS spending on private and other providers has gone through the £10 billion barrier for the first time.

“When did the British public ever give their consent for this?

“It is indefensible for the character of the country’s most valued institution to be changed in this way without the public being given a say.”

Among the long-lasting agreements due to be signed by the Coalition in a bid to tie the next government into its privatisation of services are two contracts for cancer care in Staffordshire lasting no less than 10 years and worth a massive £1.2 billion; a five-year contract worth £800 million for the care of older people in Cambridge; and a contract in Oxford and Milton Keynes set to begin a month before the General Election for medical staffing.

The last of these is using a ‘reverse auction’ process where the lowest bidder wins, confirming fears of a ‘race to the bottom’ culture and contradicting claims from the Government of no competition on price in the NHS.

Once again Labour shows us that there is no depth to which the Cameron administration will not stoop. This time they are using the summer Parliamentary recess to sign contracts intended to prevent any future government from restoring our health service and reversing the appalling damage they have done so that they and their friends can profit from the suffering and sickness of the poor.

They could not do more damage if they were a filthy, sickening, scheming plague of lice-ridden vermin; in fact, that is exactly what they resemble.

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Shame of British press as private health’s failure is blamed on the NHS

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Another Angry Voice, anti, babies, baby, backlash, blame, company, Daily Telegraph, David Cameron, drip, failure, firm, health, ITH Pharma, Jeremy Hunt, liquid feed, Mike Sivier, mikesivier, National Health Service, newspaper, NHS, people, poison, politics, press, Press Complaints Commission, private, propaganda, public, right-wing, shame, Vox Political

Daily Telegraph headline this morning: “15 babies poisoned by NHS drips”.

Terrifying – and entirely inaccurate.

Oh, 15 babies were poisoned by drips – and one has sadly died as a result – but the contamination is believed to have come from liquid feed manufactured by a private, London-based health company called ITH Pharma Ltd, and not from any equipment provided by the National Health Service.

Lazy reporting – or part of an ongoing campaign against the NHS by the privatisation-crazy right-wing press?

If the latter, it clearly backfired – as the public backlash against the story demonstrates.

Look at the ‘Comment’ column following the article. ‘Cochranereturns’ wrote: “Another headline from the DT trying to pin blame on the NHS when the fault lies outside the organisation. I complained to the Press Complaints Commission under clause one of their charter about the following headline last week: “NHS breaks promises after staff torture patients at Winterbourne View”: the PCC responded within 24 hours (and the DT removed the link I’d complained about). I suggest people do the same about this article.”

‘Cydee’: “Bad reporting.”

‘Mynydd’: “This is the result the right wing media, and Mr Cameron/Hunt’s philosophy that private companies through competition will always produce the cheapest product, quality, and quality control is of secondary importance.”

‘Percypottamus’ warns: “Much more blatantly Tory-inspired anti-NHS propaganda like this and I will be cancelling my subscription.” Good for you, Sir!

‘Ostercy’: “Odd how you try to blame the NHS for this and not private medicine.”

‘NitroFan’ raised another aspect of the ongoing NHS saga – the too-close relationship between private health firms and the MPs they sponsor, and to whose parties they donate. Or, as ‘NitroFan’ put it: “I would be extremely interested (doubt I am alone) to know who owns ITH Pharma Ltd and the basis on which their contract was awarded! And who awarded it!”

Wouldn’t we all?

On the Vox Political Facebook page, coverage of the story was universally condemned as well. “As usual blame socialised medicine and not the private company contracted to provide the service (devices) in the first place,” commented ‘The Bullingdon Club’.

Sean Young picked up on the obvious inconsistency in the way the story was presented: “Clearly the way to stop such terrible deaths caused by the incompetence of a private company is to increase privatisation!” Riiiiight…

And that’s just the reaction to the story in the Daily Telegraph. The image at the top of this article presents our favourite Angry Yorkshireman’s opinion of the Murdoch Media version of these events.

It won’t change the way these ignorant right-wingers try to influence your thinking but it is encouraging to see that the once-impressionable British public is having none of it.

The worm – it appears – has turned.

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‘Cheques like confetti’ as ‘redundant’ NHS managers are rehired at cost

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Andrew Lansley, andy burnham, cheques like confetti, Coalition, Conservative, Dan Poulter, health, hire, Jeremy Hunt, Julie Hilling, Labour, manager, National Health Service, Never Again, NHS, Nicholas Timmins, nurse, Oliver Letwin, Parliament, pay off, pay rise, question, re, redundant, restructure, social care, Tories, Tory, waste

Bad budgeting: The NHS has spent far more money firing and re-hiring pen-pushers than it is willing to give in increased pay to nurses. In what twisted system is that fair? [Image: BBC]

The Coalition’s ‘reformed’ NHS has been spending a fortune on re-hiring managers it had previously given large redundancy payments – while Jeremy Hunt has been telling us there is no money to give nurses a pay rise.

Tory health minister Dan Poulter (the Health Secretary himself was nowhere to be heard) had to admit that 3,950 staff whose jobs were made redundant after May 2010 have since been hired back, in response to a Parliamentary question from Labour’s Julie Hilling. The figures cover a period up to November last year, so the true number may be even more.

These are managers who received large payoffs as part of the £3-4 billion ‘restructuring’ of the National Health Service that began before Andrew Lansley’s Health and Social Care Act was passed by Parliament.

The aim, as revealed in Nicholas Timmins’ Never Again: The Story of the Health and Social Care Act 2012, was defined by Oliver Letwin as “encouraging staff to quit public sector employment while selling their services back through social enterprise”. In other words, after losing their jobs in the ‘old’ NHS – and receiving large redundancy settlements for the inconvenience – managers were to be re-hired at high cost to the ‘new’ NHS.

Shadow Health Secretary Andy Burnham had this to say: “It’s clear that people who received payoffs are now coming back to the NHS in ever greater numbers. We need to know whether the Prime Minister has honoured his promise to recover redundancy payments from people who have been re-employed by his new organisations.

“The sickening scale of the waste caused by Cameron’s reorganisation is finally becoming clear. It will infuriate people who can’t get a GP appointment or nurses who are struggling to pay the bills.”

He pointed out: “It will be utterly galling for nurses who’ve just had a pay cut from David Cameron to see he’s been handing out cheques like confetti to people who have now been rehired.

“On his watch, we have seen payoffs for managers and pay cuts for nurses.”

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Tories are using the poor for medical experimentation

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approve, chemical, chemist, companies, company, Conservative, deprived, drug, experiment, firm, guinea pig, health, ill, Jeremy Hunt, licence, life, live, market, medical, medicine, national, office, ONS, pharmaceutical, poor, profit, secretary, short, statistics, Tories, Tory, trial

Seal of approval: We asked TV doctor House MD whether he foresaw any problems with the Early Access to Medicines scheme. “Nuh-uhrr,” he replied.

Concern has been raised over a plan announced by Health Secretary (and misprint) Jeremy Hunt to give new medicines to people who are severely ill, years before they are licensed.

In comparison, little has been said about findings by the Office for National Statistics (ONS) showing that people in deprived areas live shorter lives and spend more of those lives in poor health.

There is an obvious conclusion to be drawn from this:

If poorer people spend more time in ill health, then they are more likely to be given experimental drugs before those treatments are clinically proven.

In other words, the Conservative-led government is using the poor as guinea pigs for drug trials.

The BBC quoted Mr Hunt: “What patients want is sometimes to try medicines that may not be clinically proven to be effective but are clinically safe. We are streamlining the process so these medicines can be used much earlier – particularly if they have early promise – and that is something which will bring hope to a lot of patients.”

How does he know these medicines are safe? How does he know that people want them? How does he know that they’ll do what they say? He doesn’t.

This shows what he wants – to make the UK a profitable place for pharmaceutical companies by giving them a market for drugs that could be completely useless – or could have unforeseen effects.

It’s more marketisation for our once-great NHS.

Long-term readers will be aware that Mrs Mike has been receiving treatment from the NHS in England, including injections to alleviate the severe back pain from which she suffers.

I asked her if this announcement was worrying for her – as a poor person who has spent much of her life in ill-health.

“Nuh-uhrr,” she said. That seemed conclusive, so I threw her lunchtime slab of raw meat into the cage and locked the door before she could reach me.

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Is anyone stupid enough to fall for this Tory tax bribe?

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additional, allowance, Atos, balance, bank, BBC, bribe, burden, Coalition, companies, company, Conservative, cut, David Cameron, debt, deficit, efficiency, employment, ESA, firm, fiscal, government, health, household, Iain Duncan Smith, IB, IFS, Incapacity Benefit, Institute, insurance, Jeremy Hunt, long term economic plan, medical record, Mike Sivier, mikesivier, National Health Service, NHS, OH Assist, people, politics, population, premium, private, privatisation, public spending, spending, Studies, support, tax, Tories, Tory, Vox Political, waste, WCA, work capability assessment

So David Cameron wants us to believe further public spending cuts will be used to ease the tax burden on the proles, does he?

He must think you’re stupid. Are you?

Exactly one month ago (February 5), the Institute of Fiscal Studies reported that Cameron’s Coalition government will be less than halfway through its planned spending cuts by the end of the current financial year, as Vox Political reported at the time.

These are the cuts that the government considers vital in order to bring the nation’s bank account back into some kind of balance in the near future.

If Cameron abandons the “long-term economic plan” his Tories have been touting for the last few months, in a bid to bring voters back on-side, it means he will want to make even more cuts if he is returned to office in 2015.

We can therefore draw only two possibilities from his claim:

There will be no tax cuts; he is lying, in the same way he lied about keeping the NHS safe from private companies – the same way Jeremy Hunt has lied about your medical records being kept away from companies who will use them to raise your health insurance premiums, and the same way that Iain Duncan Smith has been hiding the true extent of the deaths caused by the Atos- (sorry, OH Assist-) run work capability assessments.

He will make a few tax cuts (probably in the March budget) but any benefit will be clawed back as soon as the Tories have secured your votes and won another term; the only people they want to help are rich – and you don’t qualify.

According to yesterday’s (March 4) BBC report, “every efficiency” found could help provide a “bit of extra cash” for households.

But we already know from the BBC’s article about the IFS that “additional spending, population growth and extra demands on the NHS meant more cuts were needed”.

Cameron even contradicted himself in his speech! At one point he said, “Every bit of government waste we can cut… is money we can give back to you.” Then he went on to add: “If we don’t get to grips with the deficit now, we are passing a greater and greater burden of debt to our children.”

Which are you going to do, David? Give money back to the people in tax cuts or tackle the deficit? If you want to achieve your goals within the time limit you have set yourself, you can’t do both!

Not that deadlines mean anything to him, of course. As noted in the earlier Vox Political article, it is more likely that the Conservatives have been working to give themselves an excuse for more cuts, rather than to restore the economy and balance the books.

And if he does cut taxes, what public services will we lose forever as a result?

Think about it.

Don’t let this liar make a fool out of you.

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The end of patient confidentiality as NHS information is sold to insurers

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Americanised healthcare: It is appropriate that the only appropriate image I could find features dollars instead of pounds – because it is clear that the Tory government is changing the NHS into an Americanised insurance-based service.

Confidential information on NHS patients has been sold to insurance companies who used it in combination with information from credit rating agencies to identify customers and “refine” their premiums – increasing the costs of policies for thousands of customers, despite all the Tory-led government’s assurances to the contrary.

According to the Daily Telegraph, “a major UK insurance company… was able to obtain 13 years of hospital data – covering 47 million patients.

“As a result they recommended an increase in the costs of policies for thousands of customers last year.”

The revelation comes only days after plans to sell the confidential medical information of every NHS patient in England were put on hold amid a public outcry.

The care.data system, also called variously the General Patient Extraction Service (GPES) or the Health and Social Care Information Centre, was dreamed up as a money-spinning device by Jeremy Hunt’s Department of Health.

The aim is that, if you are an NHS patient in England, your GP will be forced to provide your confidential records, showing every medical condition you have ever had and providing intimate details of your current state of health, to a huge national database.

From there, your information may be sold on to private healthcare and pharmaceutical companies for “research”. The government has said the information would be “pseudonymised”, in an attempt to reassure you that you cannot be identified from the information to be provided to outside organisations.

Only last Friday the BBC was reporting that critics of the scheme were “scaremongering”.

The Corporation – which has failed to report the new development – quoted Tory MP George Freeman, founder of Patients4Data, which represents charities and drug companies (and not patients, apparently) as follows: “We cannot let opponents peddling scaremongering myths stop patients benefiting from this quiet revolution of modern medicine.”

And last month, NHS England categorically stated: “No data will be made available for the purposes of selling or administering any kind of insurance.”

Vox Political has made it clear from the outset that this is not true, and in fact it will be entirely possible to trace your medical information back to you. Now we have proof.

NHS England has delayed compiling the new database of English NHS patients until the autumn. You could help sink the scheme altogether, if you don’t want your government – and your NHS – to sell your information into the wrong hands. Just opt out of the data sharing scheme, using a form designed by the medConfidential website.

Make no mistake – the Conservative Party and the Liberal Democrats in Parliament have betrayed you.

They have already sold hospital patients’ information to insurance companies, and there can be no doubt that the intention is to do the same with GPs’ confidential records, with a consequential increase in insurance costs to people across the country.

They are turning your beloved National Health Service into an insurance-based scheme, on the same lines as the vastly more expensive American system.

They have been lying to you.

They intend to profit from selling your information – to companies that intend to profit by using it against you.

Are you going to sit there and let them?

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Stalled – the plan to share NHS patients’ confidential information with big business

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Freudian slip: The BBC’s article on the care.data delay was accompanied by this picture of a hand drawing on a diagram of a pair of breasts. Is this a tacit implication that the Department of Health has boobed? (Sorry, ladies) [Image: BBC]

A plan to sell the confidential medical information of every NHS patient in England has been put on hold after it caused a public outcry.

The care.data system, also called variously the General Patient Extraction Service (GPES) or the Health and Social Care Information Centre, was dreamed up as a money-spinning device by Jeremy Hunt’s Department of Health.

The aim is that, if you are an NHS patient in England, your GP will be forced to provide your confidential records, showing every medical condition you have ever had and providing intimate details of your current state of health, to a huge national database.

From there, your information may be sold on to private healthcare and pharmaceutical companies for “research”. A new proposal backed by NHS England (a body set up largely to support the increasing privatisation of the NHS, if my information is correct) would give non-NHS bodies including private companies the right to ask for access to the data.

The government has said the information would be “pseudonymised”, in an attempt to reassure you that you cannot be identified from the information to be provided to outside organisations. This is not true, and in fact it will be entirely possible to trace your medical information back to you.

The government claims the information will help experts assess diseases, examine the effects of new drugs and identify infection outbreaks, while also monitoring the performance of the NHS.

In fact, it seems far more likely that this is a widespread invasion of privacy, with the information likely to be used (for example) to sell you health insurance that you should not need.

We are told that NHS England organised a mass mailing to every household in England, explaining its version of what the planned system will do – but a BBC poll of 860 people last week found that fewer than one-third of them could recall receiving it.

Concern that people are likely to end up allowing their information to go into commercial hands without ever knowing about it has led to the scheme being halted – for the time being.

NHS England has accepted that its communications campaign must be “improved”, although we do not yet know how. A propaganda campaign on TV and radio seems likely.

Every NHS patient in England has the right to opt out of the data sharing scheme, and many have already chosen to do so. You can do it right now, using a form designed by the medConfidential website.

While NHS England and the Department of Health will continue trying to justify this scheme, there is no justification for selling your private information to commercial organisations.

It is to be hoped that this six-month pause will end with the abandonment of the scheme.

If the organisations that want the information genuinely intend to use it for humanitarian concerns, it would be fully anonymised and they would not be buying it.

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A&E fears fall on deaf ears

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A and E, A&E, accident, admission, afford, ambulance, andy burnham, breakdown, Care Quality Commission, CCG, clinic, clinical commissioning group, Coalition, competition, Conservative, cost, cost of living, CQC, crisis, Democrat, doctor, eat, elderly, emergency, frail, government, health, heat, hypothermia, increase, Jeremy Hunt, law, Lib Dem, Liberal, listening exercise, malnutrition, Mike Sivier, mikesivier, National Health Service, NHS, pause, people, politics, poverty, prescription, pressure, queue, rickets, scurvy, sick, Social Care Act, spin, Tories, Tory, trust, Victorian, Vox Political

Andy Burnham, Shadow Health Secretary: He’d rather listen to real doctors than spin doctors.

The title of this article should seem brutally ironic, considering that the Coalition government famously ‘paused’ the passage of the hugely controversial Health and Social Care Act through Parliament in order to perform a ‘listening exercise’ and get the views of the public.

… Then again, maybe not – as the Tories (with the Liberal Democrats trailing behind like puppies) went on to do exactly what they originally wanted, anyway.

Have a look at the motion that went before the House of Commons today:

“That this House is concerned about recent pressure in Accident and Emergency departments and the increase in the number of people attending hospital A&Es since 2009-10; notes a recent report by the Care Quality Commission which found that more than half a million people aged 65 and over were admitted as an emergency to hospital with potentially avoidable conditions in the last year; believes that better integration to improve care in the home or community can relieve pressure on A&E; notes comments made by the Chief Executive of NHS England in oral evidence to the Health Select Committee on 5 November 2013, that the NHS is getting bogged down in a morass of competition law, that this is causing significant cost and that to make integration happen there may need to be legislative change; is further concerned that the competition aspects of the Health and Social Care Act 2012 are causing increased costs in the NHS at a time when there is a shortage of A&E doctors; and calls on the Government to reverse its changes to NHS competition policy that are holding back the integration needed to help solve the A&E crisis and diverting resources which should be better spent on improving patient care.”

Now have a look at the amendment that was passed:

“That this House notes the strong performance of NHS accident and emergency departments this winter; further notes that the average waiting time to be seen in A&E has more than halved since 2010; commends the hard work of NHS staff who are seeing more people and carrying out more operations every year since May 2010; notes that this has been supported by the Government’s decision to protect the NHS budget and to shift resources to frontline patient care, delivering 12,000 more clinical staff and 23,000 fewer administrators; welcomes changes to the GP contract which restore the personal link between doctors and their most vulnerable patients; welcomes the announcement of the Better Care Fund which designates £3.8 billion to join up health and care provision and the Integration Pioneers to provide better care closer to home; believes that clinicians are in the best position to make judgements about the most appropriate care for their patients; notes that rules on tendering are no different to the rules that applied to primary care trusts; and, a year on from the publication of the Francis Report, notes that the NHS is placing an increased emphasis on compassionate care, integration, transparency, safe staffing and patient safety.”

Big difference, isn’t it?

From the wording that won the vote, you would think there was nothing wrong with the health service at all – and you would be totally mistaken.

But this indicates the sort of cuckooland where the Coalition government wants you to live; Jeremy Hunt knows what the problems are – he just won’t acknowledge them. And he doesn’t have to – the media are run by right-wing Tory adherents.

So here, for the benefit of those of you who had work to do and missed the debate, are a few of the salient points.

Principal among them is the fact that ward beds are being ‘blocked’ – in other words, their current occupants are unable to move out, so new patients cannot move in. This is because the current occupants are frail elderly people with no support in place for them to live outside hospital. With no space on wards, accident and emergency departments have nowhere to put their new admissions, meaning they cannot free up their own beds.

Health Secretary Jeremy Hunt had nothing to say about this.

Andy Burnham, who opened proceedings, pointed out the huge increase in admissions to hospital accident and emergency departments – from a rise of 16,000 between 2007 and 2010 to “a staggering” 633,000 in the first three years of the Conservative-Liberal Democrat Coalition government.

Why the rapid rise? “There has been a rise in people arriving at A and E who have a range of problems linked to their living circumstances, from people who have severe dental pain because they cannot afford to see the dentist, to people who are suffering a breakdown or who are in crisis, to people who cannot afford to keep warm and are suffering a range of cold-related conditions.”

He said almost a million people have waited more than four hours for treatment in the last year, compared with 350,000 in his year as Health Secretary; the statement in the government amendment that waiting times have halved only relates to the time until an initial assessment – not total waiting time. Hospital A and Es have missed the government’s targets in 44 of the last 52 weeks.

Illnesses including hypothermia are on the rise, and the old Victorian ailments of rickets and scurvy are back, due to increased malnutrition.

Hospitals are filling up with the frail elderly, who should never have ended up there or who cannot get the support needed to go home because of a £1.8 billion cut in adult social services and support. This, Mr Burnham said, was “the single most important underlying cause of the A and E crisis”; ward admissions cannot be made because the beds are full. The number of emergency admissions of pensioners has topped 500,000 for the first time.

Ambulances have been held in queues outside A and E, unable to hand over patients to staff because it is full. That has left large swathes of the country — particularly in rural areas — without adequate ambulance cover.

The government is downgrading A and E units across the country into GP-run clinics, while pretending that they are still to be used for accidents and emergencies – in the middle of the A and E crisis.

People in England are reducing the number of drugs they are taking because they cannot afford to buy them. Families are choosing between eating, heating or other essentials, like prescriptions.

Competition rules have been stifling care, Mr Burnham said: “The chief executive of a large NHS trust near here says that he tried to create a partnership with GP practices and social care, but was told by his lawyers that he could not because it was anti-competitive.”

He added: “Two CCGs in Blackpool have been referred to Monitor for failing to send enough patients to a private hospital. The CCG says that there is a good reason for that: patients can be treated better in the community, avoiding costly unnecessary hospital visits. That is not good enough for the new NHS, however, so the CCG has had to hire an administrator to collect thousands of documents, tracking every referral from GPs and spending valuable resources that could have been spent on the front line.”

And the health trust in Bournemouth wanted to merge with neighbouring Poole trust, but competition rules stopped the merger taking place.

Mr Burnham demanded to know: “Since when have we allowed competition lawyers to call the shots instead of clinicians? The Government said that they were going to put GPs in charge. Instead, they have put the market in charge of these decisions and that is completely unjustifiable. The chief executive of Poole hospital said that it cost it more than £6 million in lawyers and paperwork and that without the merger the trust will now have an £8 million deficit.

“The chief executive of NHS England told the Health Committee about the market madness that we now have in the NHS: ‘I think we’ve got a problem, we may need legislative change… What is happening at the moment… we are getting bogged down in a morass of competition law… causing significant cost and frustration for people in the service in making change happen. If that is the case, to make integration happen we will need to change it’ – that is, the law. That is from the chief executive of NHS England.”

The response from current Health Secretary Jeremy Hunt needs to be examined carefully.

He said more than 96 per cent of patients were seen within four hours – but this conforms with Mr Burnham’s remark; they were seen, but not treated.

He tried to rubbish Mr Burnham’s remarks about scurvy by saying there had been only 26 admissions relating to scurvy since 2011 – but this misses the point. How many were there before 2011? This was an illness that had been eradicated in the UK – but is now returning due to Coalition policies that have forced people into malnutrition.

He dodged the issue of competition rules strangling the NHS, by saying that these rules were in place before the Health and Social Care Act was passed. In that case, asked Mr Burnham, “Why did the government legislate?” No answer.

As stated at the top of this article. he did not answer the question of the frail elderly blocking hospital beds at all.

The vote was won by the government because it has the majority of MPs and can therefore have its own way in any division, unless the vote is free (unwhipped) or a major rebellion takes place among its own members.

But anyone considering the difference between the Labour Party’s motion and the government’s amendment can see that there is a serious problem of perception going on here.

Or, as Andy Burnham put it: “This Secretary of State … seems to spend more time paying attention to spin doctors than he does to real doctors.”

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Will the government really penalise GPs whose patients opt out of data sharing?

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It seems the government has found a way to dissuade GPs from letting patients opt out of having their medical records sold to private firms – the threat of penalties or even an investigation into the way they run their practice.

Vox Political revealed earlier this month that the government is planning to make a profit from selling the private records of NHS patients in England to healthcare and pharmaceutical firms.

The records are said to be ‘anonymised’, but in fact anyone buying your details will be able to identify you.

The system, originally called the General Patient Extraction Service (GPES), now the Health and Social Care Information Centre, may also be described as the care.data scheme. Health Secretary Jeremy Hunt wants you to think the information will be used for medical research and screening for common diseases, but in fact it could be used by private health companies as evidence of failures by the National Health Service, and could help them undercut NHS bids to continue running those services – accelerating the privatisation that nobody wanted.

Patients have the right to withhold their data, but they must specifically inform their medical practice of their wishes. This is why medConfidential created a web page containing a special opt-out form, along with a form letter in various formats, allowing patients to opt out themselves, their children and any adults for whom they are responsible.

Now GPs are living in fear of reprisals if they don’t deliver enough details to the new system.

According to GPonline.com, Health minister Dr Daniel Poulter failed to rule out penalising GP practices with a higher-than-average proportion of patients opting out of new NHS data sharing arrangements.

In a written answer to Labour MP and health select committee member Rosie Cooper, Dr Poulter also refused to say what level of patient opt-out from the scheme would trigger an investigation.

Asked whether practices would be penalised, who would investigate practices with a high opt-out rate, and at what threshold this would apply, Mr Poulter said: “NHS England and the Health and Social Care Information Centre will work with the BMA, the RCGP, the Information Commissioner’s Office and with the Care Quality Commission to review and work with GP practices that have a high proportion of objections on a case-by-case basis.”

Ms Cooper took this as an admission that GPs were “being threatened and bullied into ensuring patients don’t choose to opt-out”.

Reacting on Twitter, NHS national director for patients and information Tim Kelsey ruled out fines for practices where large numbers of patients opt not to share data. He wrote: “Nobody is going to get fined if patients opt out.”

None of this offers a good reason for you to leave your medical records unprotected – in fact, it gives you more reasons to opt out than before, and might provide GPs with the excuse they need to retaliate.

Doctors have been pushed further and further by the Conservative-led government’s changes to the NHS. For example, they were told they would have a greater say in where the money went, as members of Clinical Commissioning Groups (CCGs), but that was not true – they don’t have the time to take part in such decisions so they have been handed over to firms that are often part of the private companies now offering services to the NHS (for a price).

Now they are being told they may face reprisals if they do not betray the principle of doctor-patient confidentiality.

But you can only push a person a certain distance before they push back.

How will NHS doctors in England respond?

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Are you happy for big business to have your confidential medical records?

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approved organisation, care.data, choice, confidential, database, fail, failure, General Patient Extraction Service, government, GPES, health, HSCIC, human, identified, identify, identity, Independent, Information Centre, informed, Jeremy Hunt, medConfidential, medical, Mike Sivier, mikesivier, NHS, patient, people, Phil Booth, politics, private, pseudonymise, publicise, quality, record, Research, screening, secretary, sell, service, sick, social care, sold, Vox Political

Do you live in England? Are you an NHS patient? Have you realised that your Conservative-led Coalition government is selling your medical records to private healthcare and pharmaceutical companies? Do you know that these ‘anonymised’ records are in fact nothing of the sort, and anyone buying your details will be able to identify you?

Do you want to do something about it? It isn’t too late.

Vox Political warned last September that Health Secretary Jeremy Hunt is planning to sell records to “approved” private companies and also universities – that’s sell, mark you, to make money for the government.

The system was called the General Patient Extraction Service (GPES) – although exactly who it serves is entirely up for debate. It seems to have metamorphosed into the Health and Social Care Information Centre by now, but the purpose remains the same. You may also see it described as the care.data scheme.

Hunt wants us to believe that the information will be valuable for medical research and screening for common diseases.

In fact, the information could be used by private health companies as evidence of failures by the National Health Service, and could help those companies undercut NHS bids to continue running those services – this would accelerate the privatisation that nobody wanted.

This week, The Independent reminded us all that the system that will sell off your information will go live later this year.

The article warned: “Companies like Bupa or Virgin that already hold data on UK patients may be able to use the new anonymous data available from the centre to precisely identify where it has come from, according to campaigners.

Phil Booth, co-ordinator at patient pressure group medConfidential, said: “The scheme is deliberately designed so that ‘pseudonymised’ data – information that can be re-identified by anyone who already holds information about you – can be passed on to ‘customers’ of the information centre, with no independent scrutiny and without even notifying patients. It’s a disaster just waiting to happen.”

The information for sale to profit-making firms will contain NHS numbers, date of birth, postcode, ethnicity and gender.

Patients can opt out of the system by contacting their family doctor, but medConfidential has designed a form to make it easier.

On its ‘How to opt out’ page, the organisation writes: “Under changes to legislation, your GP can now be required to upload personal and identifiable information from the medical record of every patient in England to central servers at the Health and Social Care Information Centre. Once this information leaves your GP practice, your doctor will no longer be in control of what data is passed on or to whom.

“This information will include diagnoses, investigations, treatments and referrals as well as other things you may have shared with your doctor including your weight, alcohol consumption, smoking and family history. Each piece of information will be identifiable as it will be uploaded with your NHS number, date of birth, post code, gender and ethnicity.

“NHS England – the body now in charge of commissioning primary care services across England – will manage and use the information extracted by the Health and Social Care Information Centre for a range of purposes, none of which are to do with your direct medical care. Though the official leaflets talk a great deal about research, these ‘secondary uses’ for which your data may be used include patient-level tracking and monitoring, audit, business planning and contract management.

“In September 2013, NHS England applied to pass on your information in a form it admits “could be considered identifiable if published” to a whole range of organisations that include – but are not limited to – research bodies, universities, think tanks, “information intermediaries”, charities and private companies.

“Though you may be told that any data passed on will be ‘anonymised’, no guarantees can be given as to future re-identification – indeed information is to be treated so that it can be linked to other data at patient level – and NHS England has already been given legal exemptions to pass identifiable data across a range of regional processing centres, local area teams and commissioning bodies that came into force on April 1st 2013. The Health and Social Care Information Centre already provides access to patient data, some in identifiable form, to a range of ‘customers’ outside the NHS, including private companies.”

The opt-out form is downloadable from the medConfidential web page, along with a form letter in various formats, allowing patients to opt out themselves, their children and any adults for whom they are responsible.

This is a gross abuse of patient confidentiality for the purpose of commercial gain.

Don’t let it happen to you.

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