The Death of the Welfare State-Joining the Dots Series -Part 4
By blueannoyed and Paula Peters
Finally we get to to the next stage of government bullying via the NHS. How this links in to Social Security Claimants and their ability to keep some sort of financial security while fighting off the despicable onslaught of the Government who is out of control , whom have sociopathic tendancies.
Today I discussed the situation of the NHS 10 year plan , The new 5 Year GP Contract , Social Prescribing,and the needs of claimants trying to get support or access to services they need to maintain their well being, in this survival of the fittest campaign launched by their government with Dr Bob Gill, a GP who has spoken out against the great NHS heist of Privatisation.
I asked Dr Gill How he thought the relationship between patient and claimant could be damaged with the new GP Contract which every GP will have to sign up to in May 2019?
I also asked him about social prescribing and its potential impact on patients who need state support and claim Social Security?
He described to me that Patients are already coming to surgery with anxiety and depression or ill health due to hostile environment that austerity is creating, and the system is making people ill, or in a lot of cases more ill than they were. Making it unlikely they will be able to manage their conditions in same way they currently do.
He stated that perverse financial incentives for ‘sociopathic ‘ assessors are leading to really bad outcomes for claimants and pressures upon the public purse, as well as increased workload on GP’s whose patients need help with appeals etc. This contract will effectively making GP’s Gatekeepers which is not what they chose to be when studying medicine to become a GP.
He said the Government is driving a wedge between the patient and their GP and pitting them against each other, and that will most likely mean the good GP’s will leave while those without no consciousness will reap the rewards offered by the Government and DWP .
Social Prescribing, is blaming the patient for their situation and the whole treatment process of being denied to the proper care that the patient needs. I asked him about the potential that with ‘patient coaches’ (aka work coaches) who have too much power could lead to those who most need support and are extremely vulnerable ,are likely to disengage with their GP and fall through the cracks and could ultimately end in their demise which he agreed with my assumption. He stated that Patients/Claimants and GP’s are victims of a government who doesn’t care.
The definition; Sociopathic tendencies in people are often marked by lack of conscience within the person. They just care about their own needs and desires
Video:
This is the tip of the iceberg of how it could impact on claimants needing further medical evidence support, getting a Fit Note if they are off work through ill health to claim state support, which under Universal Credit they would need to do so repeatedly.
The breakdown of trust between claimants and GP or other NHS staff has the potential to cause a rise in further deaths which have happened already under its predecessor ESA. That’s without the 120,000 who died due to poor care in NHS, etc as diseases previously eradicated are now making a comeback due to austerity measures and abject poverty.
This is Government Quackery on the cheap by unqualified people, dismissing medical opinion of professionals while eroding our NHS services and underfunding essential services that patients need and a NHS they can trust and flogging it to their mates. It beggars belief that the public would allow this to continue or collude with the government by being taken in about better services and cutting waste of NHS resources, or blaming migration, when they have slashed NHS budgets for decades along with New Labour who are not blameless in this re PFI acceleration under Blair.
Below Published with Kind Permission of ck999 Blog Page which has lots more information, link is below in further reading.
Instead of caring for a few thousand patients, a primary care network will have anywhere between 30K-70K patients on its list. In order to provide out-of-hospital care, as hospitals are centralised and cut, it will “integrate” a range of services, provided by a “multidisciplinary team”.
A number of primary care networks will be linked to a “locality hub”. There are various versions of what this is, but the British Medical Association has endorsed locality hubs as “ alternative mechanisms to meet the urgent needs of patients when local practices have reached capacity”
A BMJ graphic shows other activities taking place at Locality Hubs, as well as handling GP “overspill”.
Only patients with complex needs will see GPs
Many GPs are not at all happy about this fundamental change to their role.
The way it works is that a care navigator signposts patients to other services, with no reliance on GPs. This has already been happening in GP surgeries for some time and as all GPs are forced to join Integrated Primary Care Networks, it will now become the norm.
Patients with complex needs – who are at risk of admission to hospital through A&E – will be identified through a process of “risk stratification” which segments patients into various categories.
Risk stratification requires the use of digital health technology (so called telehealth and telecare) and shared electronic patient records.
The concern of primary care networks is to cut the costs of the most expensive categories of patients
These are broadly:
- Frail elderly with complex health problems
- Mothers and babies
- People suffering from the “modern epidemics” of obesity, diabetes, heart and respiratory problems
- People with disabilities
However there is no real evidence that the “care models” designed to treat these categories of patients cut costs. Or give them better care.
Cutting most patients’ access to GPs will have extremely damaging effects on patients who need a Further Medical Examination for benefit claims, because they need access to a doctor to write letters. Without a Further Medical Examination, a disabled person won’t be able to claim benefits. This is about the destruction of the welfare state. It’s about taking rights away.
The DWP now have people in mental distress top of their target list to get back to work. Which is where Universal Credit will really come into play with this.
The mental health charity MIND won the Individual Placement Support contract – part of the DWP/NHS Health and Work Programme. Individual Placement Support is about the ‘health and work conversation’: Work is good for Anxiety and Depression. What barriers are there to you working?
This is where social prescribing link workers come into play – where they look at barriers to you working. And then prescribe self management. Self care. Via a behaviour change scheme most likely run by a cash-strapped 3rd sector organisation with no therapeutic skills.
The “work is a health outcome” programme – a dangerous partnership between DWP and the NHS – is creating a toxic environment that is compromising doctors’ ethics of Do No Harm.
This link between the DWP and the NHS needs to be broken once and for all.
But the NHS Long Term Plan has no such intention. It name checks Sheffield City Region’s “Working Win” large scale research trial.
It focusses on using a new type of Individual Placement Support to get people with mental health and musculoskeletal conditions into employment. (These are the two main conditions that prevent people from working.)
This list is in NHS England’s new Health Services Support Framework, which identifies approved suppliers that NHS commissioners and providers can hire to tell them how change to the way they work in order to fit the global corporate model of healthcare.
Unsurprisingly the approved suppliers include all the usual suspects and then some:
How did this happen?
The government and its quango NHS England – official name NHS Commissioning Board – have engineered this by drastically cutting primary care funding and driving hundreds of GP practices into bankruptcy, while GPs in droves have been taking early retirement or emigrating to places like Australia where the GP workload is far more manageable.
GP practices are folding at the rate of one a week. In the last year, tens of thousands of patients have found themselves losing a practice, or having it merged with some random practice more or less in the same neighbourhood.
Simon Stevens, the NHS England Chief Exec, has been saying for years that the corner shop version of family doctors has to go, to be replaced by a supermarket version of large scale integrated primary, community health and social care services.
Now he is making that happen.
Your NHS is on life support, welcome to the American style health care system you allowed to happen, hope you got deep wallets or insurance which is the real end game , if not you will be one of those unfortunate that will meet a early end of life because you happen to be poor and can’t afford Insurance.
Gp Contract 2019 by Gail Ward on Scribd
Further reading can be found below: Also check out my Social Prescribing Blog
http://www.hcbgroup.co.uk/is-there-a-cure-for-the-healthcare-and-wellness-marketplace-confusion/
https://www.nhsconfed.org/resources/key-statistics-on-the-nhs
https://www.digitalhealth.net/2019/01/hancock-gp-it-systems-shake-up/
Scotland : https://bjgp.org/content/67/660/294
https://www.england.nhs.uk/2016/11/back-to-work-support/
