For some time now, My Black Cat has been keeping a watch on what Dr Grumble is reading. It’s there for everyone to share as a feed at the top right hand corner of his blog.
MBC picked up on something and followed it up till she reached what seems to be the origin of what we were ranting about in our last post.
“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”
“Privatisation was ‘never his intention’? Someone should tell that to Mark Britnell, a former high-flyer in the Department of Health, now global head of health at KPMG, and recent appointee to David Cameron’s “kitchen cabinet” of health experts to advise on health service reform. Just six months ago, Britnell told a conference of private healthcare executives1: “In future, the NHS will be a state insurance provider not a state deliverer.” In case there was any ambiguity in that, Britnell explained to conference delegates (in a session called ‘Reform Revolution’): “The NHS will be shown no mercy and the best time to take advantage of this will be in the next couple of years.”
And then My Black Cat clicked agin to find the original source of Mr Brittnell’s quote.
It’s here. You can download it as a PDF.
It was an Apax Global Healthcare Services Conference held in New York in October 2010.
Who then is Apax?
Apax partners LLP is a global private equity and venture capital firm based in London. Apex invests exclusively in certain business sectors including telecommunications, information technology, retail and consumer products, media, healthcare and financial and business services.
One of the objectives of the conference was concerned with turning challenge into opportunity.
Prior to the conference some opinions were sought from those invited to attend.
Here are two of the questions:
“What is the main driving force behind your attempts to adapt to healthcare reform?”
85% agreed with the following:
“Global healthcare reform creates a positive environment for business and adapting to change is key.”
“How would you view increased consumer engagement in your business?”
97% gave a positive or very positive reposnse to this answer;
“Consumerism in healthcare has arrived. That trend will continue/accelerate in the next five years, and will have significant impact on businesses across the healthcare spectrum”
When it came to discussing the UK, the dilemma as always related to demographic change and increasing expectations for healthcare. The existing regime was financially unsustainable so they said.
It seems the NHS is “a regime,” My Black Cat…….
Mark Britnell, former Director-General for Commissioning and System Management for the NHS who is now KPMG’s Global Head of Health said:
“GPs will have to aggregate purchasing power, and there will be a big opportunity for those companies that can facilitate this process.”
And here is the paragraph that has been picked up by the media over the past few days
“From deliverer to insurer
“The other change that Britnell sees in the UK is even more fundamental: ‘In future, The NHS will be a state insurance provider not a state deliverer.’ In future ‘any willing provider’ from the private sector will be able to sell goods and services to the system. Britnell comments: ‘The NHS will be shown no mercy and the best time to take advantage of this will be in the next couple of years.’
The monolithic arm of state control will be relaxed which will provide a huge opportunity for efficient private sector suppliers.”
Incidentally, Ruben Toral CEO, Medinet asked a question:
“Medical tourism is like buying a holiday on Expedia and the options are no longer local, they are global. Is healthcare inherently different to buying a car or vacation online?”
So, it seems we are consumers, not patients, and global companies are poised to opportunistically take their place in the global health marketplace.
David Cameron may be under a lot of pressure from his advisors and from the markets – and there is a degree of intertwinglement between the two.
Will he dare to backtrack to any great extent on the reforms?
Can he, My Black Cat?
a red apple ……………………
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