Leaflets & Documents-Welcome to Sheffield Save Our NHS
Our Leaflets, Docs and PPTs
Please write to your MP and local Councillors to express your concerns about our NHS. Keep Our NHS Public have produced standard letters although you may prefer to write your own. Find your MP here and your Councillor here. The letter for Councillors is here
, and the one for MPs is here
The main concerns KONP raises about Accountable Care are:
- They are being introduced without adequate public involvement or consultation; and where NHS and social care services are seriously underfunded;
- They are being implemented beyond any legal framework, creating problems of governance and accountability;
- They have no robust evidence base to support their use in the context of the English NHS;
- They will help strip NHS assets, such as land and buildings, so ending the social ownership of much of the NHS estate while allowing private companies to profiteer from it;
- They will apply unprecedented cuts in spending(£22 billion by 2020, compared with 2015 levels) and transfer the NHS’s funding shortfall to new local, self-contained areas.
- They incentivise rationing of services and – even more concerning – denial of care and so are fundamentally at odds with social solidarity and the values of equity and universalism that underpin the NHS;
- They increase the potential scope of NHS privatisation. For example, multiple procurements will be replaced by a single, major, long-term contract to provide health and social care services for an entire area. The draft model contract for ACOs published by NHSE allows for, and is likely to attract, bids from multinational corporations.
- They rely on unrealistic expectations, for example about collaboration and risk-sharing between private and NHS providers.
- They entail ‘transforming’ the NHS workforce, replacing experienced clinicians – including doctors and nurses – with technologies, and introducing new lower skilled and lower paid roles, such as ‘physician and nurse associates’. ACOs are likely to under-deliver required skill levels and undermine NHS terms and conditions of employment.