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Centre For Health And The Public Interest
The Centre for Health and the Public Interest (CHPI) is a London think tank founded in 2012 to defend "the founding principles of the NHS". It is a registered charity. Professor Colin Leys was involved in its foundation. Research It has produced several reports on the Private finance initiative in the English NHS. It said in 2017 that PFI companies had made pre-tax profits of £831m in the past six years which could have been spent on patient care. In 2022 it pointed out that expenditure on staff, equipment and other capital projects can be cut by an NHS trust, but not their PFI payments. It warned councillors in Newham that NHS sustainability and transformation plans were untested. Its scrutiny of the role of markets and competition in the NHS found that information about quality and safety in private hospitals was not available in the same way as with NHS providers so it was not possible to compare the two. Only seven contracts with private providers had been terminated by c ...
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Think Tank
A think tank, or policy institute, is a research institute that performs research and advocacy concerning topics such as social policy, political strategy, economics, military, technology, and culture. Most think tanks are non-governmental organizations, but some are semi-autonomous agencies within government or are associated with particular political parties, businesses or the military. Think-tank funding often includes a combination of donations from very wealthy people and those not so wealthy, with many also accepting government grants. Think tanks publish articles and studies, and even draft legislation on particular matters of policy or society. This information is then used by governments, businesses, media organizations, social movements or other interest groups. Think tanks range from those associated with highly academic or scholarly activities to those that are overtly ideological and pushing for particular policies, with a wide range among them in terms of th ...
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Colin Leys
Colin Temple Leys (born April 8, 1931) is a British political economist who is emeritus professor of political studies at Queen's University, Canada, and an honorary research professor at Goldsmiths, University of London. From 1956 to 1960 he taught at Balliol College, Oxford and then became the first Principal of Kivukoni College in Dar es Salaam, before holding chairs at Makerere University, Uganda, and the universities of Sussex, Nairobi, Sheffield, and Queen's. Until his retirement from Queen's in 1996 his research focussed mainly on African development. He has since worked mainly on the political economy of Britain, but from 1997 to 2010 he was co-editor with Leo Panitch of the ''Socialist Register''. From 2000 onwards he became involved in the defence of the British National Health Service (NHS) against successive government attempts to marketise and privatise it. With Stewart Player he co-authored two books on the NHS and was one of the founders of a respected think tank ...
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Private Finance Initiative
The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 1992 by Prime Minister John Major, and expanded considerably by the Blair government, PFI is part of the wider programme of privatisation and financialisation, and presented as a means for increasing accountability and efficiency for public spending. PFI was controversial in the UK. In 2003, the National Audit Office felt that it provided good value for money overall; according to critics, PFI has been used simply to place a great amount of debt "off-balance-sheet". In 2011, the parliamentary Treasury Select Committee recommended: In October 2018, the then-chancellor Philip Hammond announced that the UK government would no longer use PFI; however, PFI projects will continue to operate for some time to come. In 2021, Robert Naylor warned ...
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English NHS
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation (plus a small amount from National Insurance contributions), and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR). Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the Labour government in 1948. Labour's Minister for H ...
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Newham
The London Borough of Newham is a London borough created in 1965 by the London Government Act 1963. It covers an area previously administered by the Essex county boroughs of West Ham and East Ham, authorities that were both abolished by the same act. The name Newham reflects its creation and combines the compass points of the old borough names. Situated in the East London part of Inner London, Newham has a population of 387,576, which is the third highest of the London boroughs and also makes it the 17th most populous district in England. The local authority is Newham London Borough Council. It is east of the City of London, north of the River Thames (the Woolwich Ferry and Woolwich foot tunnel providing the only crossings to the south), bounded by the River Lea to its west and the North Circular Road to its east. Newham was one of the six host boroughs for the 2012 Summer Olympics and contains most of the Olympic Park including the London Stadium, and also contains the Lond ...
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Sustainability And Transformation Plan
In England, a sustainability and transformation plan (STP) is a non-statutory requirement which promotes integrated provision of healthcare, including purchasing and commissioning, within each geographical area of the National Health Service. The plans were introduced in 2016 but by 2018 had been overtaken by progress towards integrated care systems. Establishment In March 2016, NHS England divided the geographical areas of England into 44 sustainability and transformation plan areas (or footprints) with populations between 300,000 and 3 million, which would implement the Five Year Forward View. These areas were locally agreed between NHS trusts, local authorities and clinical commissioning groups. A leader was appointed for each area, to be responsible for the implementation of the plans which are to be agreed by the component organisations. They were to "work across organisational boundaries to help build a consensus for transformation and the practical steps to deliver it". ...
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Clinical Commissioning Group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022. Establishment The announcement that GPs would take over this commissioning role was made in the 2010 white paper "Equity and Excellence: Liberating the NHS". This was part of the government's stated desire to create a clinically-driven commissioning system that was more sensitive to the needs of patients. The 2010 white paper became law under the Health and Social Care Act 2012 in March 2012. At the end of March 2013 there were 211 CCGs, but a series of mergers had reduced the number to 135 by April 2020. To a certain extent they replaced primary care trusts (PCTs), though some of the staff and responsibilities moved to local authority public health teams when PCTs ceased to ...
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Social Care In England
In England, social care is defined as the provision of social work, personal care, protection or social support services to children or adults in need or at risk, or adults with needs arising from illness, disability, old age or poverty. The main legal definitions flow from the National Health Service and Community Care Act 1990, with other provisions covering disability and responsibilities to informal carers. That provision may have one or more of the following aims: to protect people who use care services from abuse or neglect, to prevent deterioration of or promote physical or mental health, to promote independence and social inclusion, to improve opportunities and life chances, to strengthen families and to protect human rights in relation to people's social needs. Since the 1990s, local commissioners (mainly based in councils) oversee a market with many different types of social care provision available, either purchased by public bodies after assessments or accessed on a sel ...
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United Kingdom Government Austerity Programme
The United Kingdom government austerity programme is a fiscal policy that was adopted for a period in the early 21st century following the Great Recession. The term was used by the Coalition and Conservative governments in office from 2010 to 2019, and again during the 2021–present United Kingdom cost of living crisis. The Conservative Party (UK), Conservative-led government claimed that austerity served as a deficit reduction programme consisting of sustained reductions in public spending and tax rises, intended to reduce the Government budget balance, government budget deficit and the role of the welfare state in the United Kingdom. Some commentators accepted this claim, but many scholars have observed that in fact its primary, largely unstated aim, like most austerity policies, was to restore the rate of profit. Successive Conservative governments claimed that the National Health Service and education have been "Ringfencing, ringfenced" and protected from direct spending c ...
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The Guardian
''The Guardian'' is a British daily newspaper. It was founded in 1821 as ''The Manchester Guardian'', and changed its name in 1959. Along with its sister papers ''The Observer'' and ''The Guardian Weekly'', ''The Guardian'' is part of the Guardian Media Group, owned by the Scott Trust. The trust was created in 1936 to "secure the financial and editorial independence of ''The Guardian'' in perpetuity and to safeguard the journalistic freedom and liberal values of ''The Guardian'' free from commercial or political interference". The trust was converted into a limited company in 2008, with a constitution written so as to maintain for ''The Guardian'' the same protections as were built into the structure of the Scott Trust by its creators. Profits are reinvested in journalism rather than distributed to owners or shareholders. It is considered a newspaper of record in the UK. The editor-in-chief Katharine Viner succeeded Alan Rusbridger in 2015. Since 2018, the paper's main news ...
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HCA Healthcare
HCA Healthcare is an American for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owns and operates 186 hospitals and approximately 2,000 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 21 states and the United Kingdom. As of 2021, HCA Healthcare is ranked #62 on the Fortune 500 rankings of the largest United States corporations by total revenue. The company engaged in illegal accounting and other crimes in the 1990s that resulted in the payment of more than $2 billion in federal fines and other penalties, and the dismissal of the CEO Rick Scott by the board of directors. By conducting large-scale clinical research with partners including the Harvard Pilgrim Institute and the CDC, and using data gathered from their patients, HCA Healthcare has published several medical studies in peer-reviewed journals, including the REDUCE MRSA s ...
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Private Providers Of NHS Services
The private provision of NHS services has been controversial since at least 1990. Keep Our NHS Public, NHS Support Federation and other groups have campaigned against the threat of privatisation, largely in England. The 1997 Labour Party manifesto made a specific commitment to end the Conservatives’ internal market in health care, but in government they retained the split between purchasers and providers of healthcare. In 2000 the Labour Government agreed ''A Concordat with the Private and Voluntary Health Care Provider Sector'' with the Independent Healthcare Association. The intention was to increase capacity, particularly in elective care, where private provision was used to bring down waiting lists, in critical care, and in intermediate care facilities. This was followed, in April 2002,by the introduction of prospective payment with nationally set prices for acute, elective activity under ‘payment by results’. Under patient choice, patients could opt for treatment by a pr ...
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