Posted by: Witch Doctor | May 15, 2011

Mark Britnell: Following the trail

Yesterday The Guardian published this article

DAVID CAMERON’S ADVISER SAYS HEALTH REFORM IS A CHANCE TO MAKE BIG PROFITS

“A senior adviser to David Cameron says the NHS could be improved by charging patients and will be transformed into a “state insurance provider, not a state deliverer” of care.

Mark Britnell, who was appointed to a “kitchen cabinet” advising the prime minister on reforming the NHS, told a conference of executives from the private sector that future reforms would show “no mercy” to the NHS and offer a “big opportunity” to the for-profit sector.”

So, the NHS will be transformed into a “state insurance provider” not a “state deliverer of care.”

This was close to the point Dr No picked up upon in a recent post where he detected that the wording of the Health and Social Care Bill currently going through parliament indicated that the government was abdicating from its responsibility for the delivery of care for the first time since the inception of the NHS.

It is worth reading this post again.

THE SECRET NAIL IN THE NHS COFFIN

Several important people are now alerted to this wording of The Bill. My Black Cat is of the opinion that although the words were always there, no-one noticed them and the implications passed by most of those who did those who did read it. She is also of the opinion, and The Witch Doctor tends to agree with her, that these “important people” were only alerted to this because they read Dr No’s post.

Far fetched?

I don’t think so.

The Blogosphere has clout. It only takes seven people (the magic witching number) to read a post and, if they are the right seven people and the content if important, it can spread like wildfire by word of mouth!

So what else did Mark Brittnell say?

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

And, this needs to be repeated seven times; for seven is the magic witching number:

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

“Future reforms would show ‘no mercy’ to the NHS and offer a ‘big opportunity’ to the for-profit sector”

My Black Cat might follow more on the Mark Brittnell trail later – if she can be bothered’

LINK TO MY BLACK CAT’S INTERTWINGLEMENT BLOG

LINK TO WITCH DOCTOR’S INTERTWINGLEMENT BLOG

redapple.jpg a red apple ……………………

The Witch Doctor – Link to a random page

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LINK TO UK MISSING KIDS WEBSITE

LINK TO MISSING PERSONS WEBSITE

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Responses

  1. WD – Thanks for mentioning ‘Secret Nail’. It is probably the single most important change the Bill would bring about, because it paves the way for everything else – including the insurance based, top-up fee Americanised HMO based system. Dr No covered this at the end of his post ‘If It Walks Like a Duck…‘ but here for quick reference is the key passage:

    “As the saying goes, if it walks like a duck… The core feature – HMOs contracting with their choice of provider – of the American system will be in place. And if it walks like a duck and swims like a duck, before too long it might start quacking like a duck. Although consortia will be statutory bodies, and so have statutory functions, given the vacuum created by the removal of the minister’s duty to provide a comprehensive health service, there is no bar that Dr No can discern to the establishment of a parallel insurance based health care system; the once registered NHS patient reborn as an HMO enrollee…as long as they, or their employer, can afford it.

    Far-fetched, even preposterous? Dr No thinks not. We already have a dental service run along these lines: glossy private practices funded mostly from insurance, alongside a destitute and creaking NHS funded service – and already that makes use of top-up payments. And then consider what has happened in higher education: once free tuition, now increasingly topped up by fees. The precedents are all too plain to see.

    The Health and Social Care Bill, if enacted in its present form, will not only kill of the golden NHS goose, it will also pave the way for an American duck – or does Dr No mean turkey? – of a health care system, a system in which the rich buy frivolous care, while the uninsured poor suffer in destitution and depravity.”

    Britnell’s remarks confirm that this is indeed exactly what he and his pals have in mind for the NHS.

    They need to be stopped!

  2. ““important people” were only alerted to this because they read Dr No’s post.”

    Gobsmacking, isn’t it! Considering all your Royal Colleges, your other distinguished organisations, the Nurcing RC, etc, etc, AND The BMA, all with their ‘esteemed’ legal departments and highly paid specialist personnel whose job it is to ‘read’ then ‘report’ on such important matters ‘before’ it is too late. Yet it passed them ‘all’! It took only ‘one’ frontline non political doctor, who cares, to find it! He must’ve read the full document under a microscope too! Speaks volumes about your leadership!

    Well, now that it was found, what now,? … the government’s ears are listening now but are going deaf soon ….

    • Sam,

      I know it seems far fetched, but due to My Black Cat moving behind the scenes in many feline mysterious ways, The Witch Doctor has knowledge that the implications arising from the wording of The Bill were not on the radar of most MPs. It was not on the radar of most doctors either. If the important people in the colleges had indeed picked up on it, then they failed to highlight it to the MPs ie the most important people of all – because they are the ones who would vote for or against the bill.

      It is discussed openly now by “important people” but as far as I can see there was silence about it before it appeared on the blogosphere.

      The Lords will now be aware of it too.

      The point I am trying to make is that we bloggers often feel we are banging our heads against brick walls, and that only a few people read our posts, but if they are the right people we can have considerable influence on important matters.

  3. For the record, Dr No was not the first one to spot/air the removal of the SoS’s duty to provide a comprehensive health service. However, he did feel the point was more significant than most commentators appeared to think it was, and furthermore, it tended to get lost in academic and/or 101-things-wrong-with-the-reforms articles and posts, many of which are excellent, but there is an inevitable diluting effect when lots of things are covered all at once.. He felt it needed a single post that focused on that single point, backed up with some research into changes to the National Health Service Acts over the years – and that was how Secret Nail came to be written.

  4. “The point I am trying to make is that we bloggers often feel we are banging our heads against brick walls, and that only a few people read our posts, but if they are the right people we can have considerable influence on important matters.”

    I think you are all being read, even I think that sometimes I get read too! … but that puts a responsibility to put forward ‘realistic’ opinions on all of you. Opinions with possible ‘solutions’ which can be taken seriously by the ‘important’ fellows and ‘maybe’ if reasonable enough they would act upon them too. Big duty … so keep it going!

  5. […] 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 […]

  6. […] Remember this, […]


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