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Privatised and Unprepared: the NHS Supply Chain
Privatised and Unprepared: The NHS Supply Chain This report is co-published by the University of Greenwich and We Own It Written by Prof David Hall Visiting professor at PSIRU, University of Greenwich Dr John Lister Visiting Senior Lecturer at Coventry University, Co-editor of The Lowdown and the We Own It team With additional material by Dr Helen Mercer Keep Our NHS Public Contents 1. Introduction 3 2. The Problem: Lack of PPE and Preparedness 5 A. Four Decades of Creeping Privatisation B. Continuous failure on PPE C. Rationing Demand instead of Boosting Supply 3. The Structure of NHS Supply Chain: How Does it Work? 10 A. Fragmentation and Outsourcing of Procurement B. Designating Approved Suppliers C. Monopoly suppliers of masks and gowns D. A Complex Web of Contractors E. Further Privatisation Failures: Stockpiles and Emergency Initiatives 4. Why Outsourcing Has Failed 22 A. Loss of Accountability and Public Interest B. Public Risks of a “Just in Time” Business Model C. No Gains in Efficiency or Expertise 5. The Solution: An NHS Supply Chain that Works for Us All 26 A. The Public Sector B. The Private Sector C. A Surge of Local Initiatives 6. Conclusion 31 7. Annexe: NHS Supply Chain Contractors 33 A. CTSPs: DHL, Vizient, Akeso, Foodbuy (Compass Group) B. Logistics and IT Contracts: Unipart, DXC Technology (formerly CSC, EDS) C. Other Major Contracts: Movianto, Clipper Logistics, Deloitte, Serco, Edenred 2 Privatised and Unprepared: The NHS Supply Chain 1. Introduction Months after the arrival of the Covid-19 pandemic, huge numbers of UK health and care workers still lack adequate personal protective equipment (PPE). -
Urgent Calls to Fix 'Incoherent' Health and Social Care
The lHeaolth newsw and analysids to inforom and emwpower NHSn staff and campaigners Urgent calls to fix ‘incoherent’ health and social care staffing A build-up in staff shortages in both the NHS and so - wellbeing lead, told the Health and Social Care select cial care due to mistakes made over the previous committee: “Health and care staff suffered stress and decade by the Conservative government has now led work-related anxiety before the pandemic but it is now to such high levels of burn-out rates and staff continued on page 2... turnover that the services are in danger of not work - ing properly, a cross-party committee of MPs has been told. Also in this issue... The burn-out resulting from chronic workplace stress Mega lab: news blackout at Leamington Spa site? p3 results in some to take time off sick, others to reduce Data grab: GP patient records plan meets resistance p4-5 their working hours, resign or take early retirement, which Bed capacity: hospitals struggle as demand rises p6-7 in turn makes the situation worse for those left. Health visitors: jobs under threat in Staffordshire p11 Dr David Wrigley, the British Medical Association’s Going private: NHS trust takes over Circle Health site p12 https://lowdownnhs.info [email protected] number 47 – 15/06/2021 2/ ...continued from page 1 “Filling registered nurse vacancies with those who are far more serious and we believe the current level of staff not registered nurses is not filling those vacancies,” said burnout and stress presents a worrying risk to the future RCN Acting General Secretary & Chief Executive Pat functioning of the health and care system and safe pa - Cullen. -
Healthpolicyreform.Pdf
Health Policy Reform Global Health versus Private Profit Health Policy Reform Global Health versus Private Profit John Lister First published in 2013 by Libri Publishing Copyright © John Lister ISBN 978 1 907471 78 0 The right of John Lister to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act, 1988. All rights reserved. No part of this publication may be reproduced, stored in any retrieval system or transmitted in any form or by any means, electronic, mechan- ical, photocopying, recording or otherwise, without the prior written permission of the copyright holder for which application should be addressed in the first instance to the publishers. No liability shall be attached to the author, the copyright holder or the publishers for loss or damage of any nature suffered as a result of reliance on the reproduction of any of the contents of this publication or any errors or omissions in its contents. A CIP catalogue record for this book is available from The British Library Design by Carnegie Publishing Cover design by Helen Taylor Printed in the UK by Ashford Colour Press Libri Publishing Brunel House Volunteer Way Faringdon Oxfordshire SN7 7YR Tel: +44 (0)845 873 3837 www.libripublishing.co.uk Contents Acknowledgements ix Preface xi Chapter 1: Introduction 1 Chapter 2: A framework for analysing changes 19 Chapter 3: The World Health Organization 53 Chapter 4: The World Bank and the International Monetary Fund (IMF) 79 Chapter 5: Other organisations shaping health reforms -
Privatised and Unprepared: the NHS Supply Chain
Privatised and Unprepared: The NHS Supply Chain This report is co-published by the University of Greenwich and We Own It Written by Prof David Hall Visiting professor at PSIRU, University of Greenwich Dr John Lister Visiting Senior Lecturer at Coventry University, Co-editor of The Lowdown and the We Own It team With additional material by Dr Helen Mercer Keep Our NHS Public Contents 1. Introduction 3 2. The Problem: Lack of PPE and Preparedness 5 A. Four Decades of Creeping Privatisation B. Continuous failure on PPE C. Rationing Demand instead of Boosting Supply 3. The Structure of NHS Supply Chain: How Does it Work? 10 A. Fragmentation and Outsourcing of Procurement B. Designating Approved Suppliers C. Monopoly suppliers of masks and gowns D. A Complex Web of Contractors E. Further Privatisation Failures: Stockpiles and Emergency Initiatives 4. Why Outsourcing Has Failed 22 A. Loss of Accountability and Public Interest B. Public Risks of a “Just in Time” Business Model C. No Gains in Efficiency or Expertise 5. The Solution: An NHS Supply Chain that Works for Us All 26 A. The Public Sector B. The Private Sector C. A Surge of Local Initiatives 6. Conclusion 31 7. Annexe: NHS Supply Chain Contractors 33 A. CTSPs: DHL, Vizient, Akeso, Foodbuy (Compass Group) B. Logistics and IT Contracts: Unipart, DXC Technology (formerly CSC, EDS) C. Other Major Contracts: Movianto, Clipper Logistics, Deloitte, Serco, Edenred 2 Privatised and Unprepared: The NHS Supply Chain 1. Introduction Months after the arrival of the Covid-19 pandemic, huge numbers of UK health and care workers still lack adequate personal protective equipment (PPE). -
Towards Health-Equitable Globalisation: Rights, Regulation and Redistribution Final Report to the Commission on Social Determinants of Health
Globalization and Health Knowledge Network: Research Papers Towards Health-Equitable Globalisation: Rights, Regulation and Redistribution Final Report to the Commission on Social Determinants of Health Globalization Knowledge Network Final Report to the Commission on Social Determinants of Health 1 Preface The Globalization Knowledge Network (GKN) was formed in 2005 with the purpose of examining how contemporary globalization was infl uencing social determinants of health. It was one of nine Knowledge Networks providing evidence-informed guidance to the work of the World Health Organization’s Commission on Social Determinants of Health (2005-2008): like most of the Knowledge Networks, its operations were fi nanced by an external funder (in this case, the International Affairs Directorate of Health Canada, Canada’s national ministry of health). The GKN conducted two face-to-face meetings to debate, discuss, outline and review its work, and produced thirteen background papers and a Final Report. These papers and the Final Report underwent extensive internal and external peer review to ensure that their fi ndings and policy inferences accurately refl ected available evidence and scholarship. This GKN publication series was prepared under the general editorship of Ronald Labonté, with assistance from Vivien Runnels and copy-editing provided by Wayne Harding. All views expressed are exclusively those of the authors. A complete list of titles in the publication series appears on the inside back cover of this monograph. Acknowledgments and disclaimers This report is the product of some 16 months’ work by a large number of people. The efforts of all writing groups (see pages 81-84); a large number of external reviewers (see page 85); and Corinne Packer, Vivien Runnels, Kirsten Stoebenau, Elizabeth Venditti and Joëlle Walker at the Institute of Population Health Hub have been indispensable. -
“The Welfare State, Which Gives Us Public Health Care, Public Education
Executive Summary Lessons Learned on the UK Experience of Privatization of Public Services Background For some time, the Ontario Liberal government has been getting advice from Britain’s Blair government and their consultants on restructuring government services. Last year, one of Blair’s key advisors was flown in to make a presentation to the Ontario Cabinet. McGuinty speaks highly of the British experience. “The welfare A delegation from the Ontario Federation of Labour, state, which including OFL leaders along with representatives gives us public from CUPE, CUPW, ETFO, OECTA, and OPSEU, health care, studied the “Transformation of Government” agenda in Britain firsthand as it became evident that the public Ontario Liberals are looking across the ocean for education, inspiration on restructuring and privatizing public systems important public services. delivering The study tour included sessions with leading hydro, water academics, union leaders, and community activists. and They all told a part of the story of the fall-out from this restructuring. Briefly, here are some of the transportation, lessons learned from this tour. is the great- unopened Setting the Stage for Fragmentation and Privatization oyster.” As aptly put by Professor Allyson Pollock, the welfare state, which gives us public health care, public education, public systems delivering hydro, water and transportation, is the great-unopened oyster. Health and education alone account for up to 20% of western countries’ gross domestic profit (GDP). Profit-making companies around the world see this as money for themselves. Report of the OFL Delegation on the UK Experience with P3s - 2 - Also, wealthy countries are wrongly convinced that “The only ones they will have a trade advantage and economic who benefit benefit by developing the template for moving to from these competitive and private models for delivering public services, with a view to making profits from the schemes are export of the model. -
Towards Health-Equitable Globalisation: Rights, Regulation and Redistribution
Towards Health-Equitable Globalisation: Rights, Regulation and Redistribution Final Report to the Commission on Social Determinants of Health Globalisation Knowledge Network Ronald Labonté (Chair) Ted Schrecker (Hub Coordinator) Final Report Writing Group: Ronald Labonté (lead author) Chantal Blouin Mickey Chopra Kelley Lee Corinne Packer Mike Rowson Ted Schrecker David Woodward Drafting Assistance: Patrick Bond Giovanni Andrea Cornia Carlos Correa Corinna Hawkes Meri Koivusalo John Lister Vivien Runnels David Sanders Kirsten Stoebenau Sebastian Taylor Zoë Wilson Additional Technical Assistance: Joëlle Walker Elizabeth Venditti Globalisation Knowledge Network final report, 29 June 2007 2 Globalisation Knowledge Network final report, 29 June 2007 3 Table of contents Table of acronyms 5 Acknowledgements and disclaimers 8 Executive summary 9 1. Introduction: Globalisation’s challenges to reducing health inequities 21 1.1 Focus on the global marketplace 22 1.2 Globalisation and social determinants of health: Mapping the linkages 24 1.3 The importance of being clear about policy goals 26 1.4 Globalisation’s contested gains: It all depends 28 1.5 What is left out 31 2. Globalisation’s role in increasing health inequalities: An overview 34 3. Globalisation and health (in)equity: Key pathways and policy implications 43 3.1 Globalisation magnifies asymmetries in power and resources 43 3.1.1 Initial endowments and primary commodity traps 45 3.1.2 Global labour markets 46 3.1.3 Global market integration and national policy space 53 3.2 The global -
A Picture of Health
A PICTURE OF HEALTH THE NHS AT 70 AND ITS FUTURE Edited by Jonathan Ashworth MP Fabian Ideas 646 The Fabian Society is Britain’s oldest political think tank. Since 1884 the society has played a central role in developing political ideas and public policy on the left. Through a wide range of publications and events the society influences political and public thinking, but also provides a space for broad and open-minded debate, drawing on an unrivalled external network and its own expert research and analysis. The society is alone among think tanks in being a democratically-constituted membership organisation, with over 7,000 members. During its history the membership has included many of the key thinkers on the British left and every Labour prime minister. Today it counts over 200 parliamentarians in its number. Member-led activity includes 70 local Fabian societies, the Scottish and Welsh Fabians, the Fabian Women’s Network and the Young Fabians, which is itself the leading organisation on the left for young people to debate and influence political ideas. The society was one of the original founders of the Labour party and is constitutionally affiliated to the party. It is however editorially, organisationally and financially independent and works with a wide range of partners of all political persuasions and none. Fabian Society 61 Petty France London SW1H 9EU www.fabians.org.uk Fabian Ideas 646 First published July 2018 ISBN 978-0-7163-0646-7 Editorial director: Kate Murray Editorial assistant: Vanesha Singh This pamphlet, like all publications of the Fabian Society, represents not the collective views of the society but only the views of the authors. -
Is Health Care in England Really on the Road to Privatization?
“Are We There Yet?” Is Health Care in England Really on the Road to Privatization? Alex Waddan Associate Professor School of History, Politics and International Relations University of Leicester Leicester, LE1 7RH United Kingdom [email protected] Abstract: In 2010 the Conservative led Coalition government promptly set about reform of the English NHS. Opponents denounced the resulting legislation, the Health and Social Care Act of 2012, as hastening the beloved NHS towards privatization. This was now a familiar refrain as a number of reforms from the late 1980s onwards had provoked the same critique. This paper asks whether the HSC, building on those previous reforms, did finally set health care arrangements in England on the road to privatization. This question raises the conceptual problem of measuring change, which is particularly problematic in the multi-tiered field of health policy where “privatization” means different things to different stakeholders. In order to provide an organizing framework this paper combines the literature on policy change with that on health care systems. The latter literature has identified three dimensions of health care arrangements: The financing of care, the provision care, and the regulation of care. The paper suggests that the HSC, building on previous reforms, reinforces the emergence of different policy trajectories with regard to privatization across these three dimensions 1 . “Are We There Yet?” Is Health Care in England Really on the Road to Privatization? The United States is not the only country to find its health care arrangements at the center of political debate. The United Kingdom too has seen increasing argument over whether its health system is being fundamentally re-ordered. -
Improving Equity in Health by Addressing Social Determinants
Improving Equity in Health by Addressing Social Determinants Edited by: The Commission on Social Determinants of Health Knowledge Networks, Jennifer H. Lee and Ritu Sadana Improving Equity in Health by Addressing Social Determinants Edited by: The Commission on Social Determinants of Health Knowledge Networks, Jennifer H. Lee and Ritu Sadana Acknowledgements We are grateful to the authors and members of the Knowledge Networks created to inform the work of the Commission on Social Determinants of Health (2005-2008) for their contributions to this book. We are equally grateful to Finn Diderichsen and José Carvalho de Noronha for their extensive review, insightful comments and suggestions and to Lindsey Martinez-Mackey for technical editing the chapters to provide balanced content given the range of perspectives contained. The Department of Health, United Kingdom, provided financial support in the editing and production of this volume. We appreciate the technical and managerial support that Daniel Albrecht (WHO) provided in the preparation and edition of earlier drafts of this book. The book was copy-edited by Lina Tucker Reinders. Design and Layout: Anil Kumar, Indite Global WHO Library Cataloguing-in-Publication Data Improving equity in health by addressing social determinants / edited by the Commission on Social Determinants of Health Knowledge Networks, Jennifer H. Lee and Ritu Sadana. 1.Socioeconomic factors. 2. Health care rationing. 3. Health services accessibility. 4. Health status disparities. 5. Social change. 6.Internationality. 7. Child welfare - trends. 8. Sex factors. 9. Urban health. 10. National health programs - ethics. I. Commission on Social Determinants of Health. II. Lee, Jennifer H. III. Sadana, Ritu.