Posts tagged ‘biopsychosocial (BPS) model of assessment’

Independent Researcher Blasts Secretary of State Coffey over DWP Indifference to Preventable Harm


 

 

 

 

 

Mo Stewart Author of Cash not Care and Independant Researcher, who has been a continued supporter of disabled people, being a Disabled Veteran and Health Professional herself, has lashed out at the continued injustice metered out to disabled people via  her ‘Preventable Harm Project’ over the last decade.

 

In the evidence recently given to the WPSC, the DWP Permanent Secretary celebrated the success of the roll out of Universal Credit (UC).

Apparently, all is well, ‘customers’ are quite happy with their experience, and the Secretary of State uses her much celebrated PhD in science to analyse various aspects of UC that will help people chose their dream job and improve their ‘careers’…. Oh dear….

https://parliamentlive.tv/Event/Index/d8df2ad7-4c03-45be-a922-b077d4c0e537   (WPSC live evidence session 16th Oct 2019)

Now Therese Coffey’s claiming that ‘Universal Credit is the biggest change programme in Europe, and the UK is seen as a world leader in welfare…’

https://www.theyworkforyou.com/wms/?id=2019-10-31.HCWS66.h&s=welfare+reform#gHCWS66.0

 

Time for a reality check, so I dropped the Permanent Secretary a line.

Letter to Peter Schofield

DWP Permanent Secretary

https://www.mostewartresearch.co.uk/wp-content/uploads/2019/10/REDACTED-letter-Peter-Schofield-DWP-Permanent-Secretary-DWP.pdf

To look at her website please click the link: https://www.mostewartresearch.co.uk/

Health Transformation Programme – The Next Step


 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reader Trigger Warning for those with sensitive disposition >>>>

Since March 2019 the mutterings of  merging assessments has been muted which sent shivers through people with disabilities as they felt another onslaught was coming and saw this as a negative move. Its linked in part to Health and Work Programme too, which Department of Health combined to help design,  to enable DWP plans to close the disability employment gap and get more people into work. This doesn’t exclude other groups in society as it all part of welfare reforms and part of Universal Credit  and Social Prescribing is likely to be part of this complex joined up thinking by the government.

Contracts were first noticed in 2019 when the then Minister was Amber Rudd made a statement  on Improvements to Universal Credit, so when I went looking and  it’s part of ‘Intergrated Health Assessment Services’ Contract.

I remembered reading about it in the government 2016  ‘Improving Lives’ the work,health and disability Green Paper,which like most things are slipped in under the radar, by the DWP Ninja’s with the date of 2021 start date. I also recall IDS flunky Charlotte Pickles writing about it and Dame Carol Black in think tank reports way back.  This week Theresa Coffey the new minister being grilled about  by the DWP Select Committee about universal failures of Universal Credit, where she lost the plot when Frank Field  challenged the minister ,and she blurted out they were not uncaring they were trying to make things better quoting the previous ministers statement, which jogged my memory. So off I went down the rabbit hole which is my archive documents to search for these mutterings. I recall Alex Tiffin Campaigner also wrote something on it at the time.

OBR & Rudd

“The idea of of this was the cost involved in repeat assessments which were costing the DWP millions when 72% of PIP appeals were overturned according to Rudd and ESA appeals on top were also very successful,which seriously highlighted the administration of this in turn cost the taxpayer a small fortune. Contracted assessors should have been shown the door and financially penalized, but no this government instead extended those contracts to continue carrying out the assessments while they still were getting the majority wrong. The OBR report showed:

The admission, quietly revealed in the Office for Budget Responsibility’s (OBR) economic outlook report, suggests the DWP never had sufficient staffing levels to carry out the repeat assessments for personal independent payments (PIP) alongside its other workloads.Repeat assessments to check eligibility for PIP, a benefit intended to help pay for extra living costs as a result of having a disability or long term condition, have been labelled “unnecessary and stressful” for claimants.

Those transferring from DLA to PIP were also being failed adding to the pressure in the dept and like it or not Rudd was one of the better ministers to hold this post before quitting over Brexit.”
The issue is as Coffey announced they are looking at more reforms, the new forms designs, the IT structure to enable this project will cost more taxpayers money but also cost disabled people a lot more in terms of stress. Is it for instance one assessment which means you are eligible for both benefits as suggested by many in field, or is it really one assessment lose all scenario as that could potentially mean PIP is going to become means tested which it currently isnt? Lots of disabled people also just get one of these benefits for instance and work already. many severely disabled people with chronic illnesses get both as they are deemed unfit to work, and others can be looking for some limited type of work they could manage. The last ten years have left many traumatised by the DWP and sadly some have taken their lives over DWP tyranny inflicted upon  the disabled community as a whole as fighting for what they are genuinely entitled to.
Many DWP projects are dressed up as the dept being helpful and inclusive with IDS mantra of ‘Work Sets You Free’ ideological warfare, this is unlikely to be a positive experience either.
Only last week they were caught red handed asking people to downplay their illness to make them more employable and use positive statements and avoid using certain words to describe their disability or Illness. What many have failed to spot is the managed migration of those deemed too ill to work date also starts in 2021-23 is the date coincidence, I doubt it!
Rudd stated

“The corporate empire will be able to rake in millions of pounds more from the ‘Work Capability Assessment’ – to pave the way for a massive shake-up in 2021.Benefits outsourcing giant Maximus will have its contract for hated ‘fit-for-work’ tests extended by more than a year, ministers announced today.

The corporate empire’s benefit testing firm will carry out ‘Work Capability Assessments’ for ESA payments for a further 16 months to July 2021.

The extension – the second since the contract began in 2014 – will allow the firm to rake in millions of pounds more taxpayers’ money from the tests.

But ministers insist it is a temporary measure to ensure “stability” ahead of a huge shake-up of disability benefit tests to help claimants.

Two separate tests will be merged into “one unified, integrated service” from 2021, Work and Pensions Secretary Amber Rudd announced.

The tests are Work Capability Assessment for Employment and Support Allowance (ESA) or Universal Credit – run by a subsidiary firm of Maximus called Centre for Health and Disability Assessments Ltd – and separate assessments for Personal Independence Payments (PIP), run by Capita and an arm of Atos. Today’s extension comes despite more than two-thirds of appeal tribunals (68%) overturning fit-for-work tests last year.

Yet confirming the contract extension, Ms Rudd argued it would pave the way for “a more joined-up claimant experience” in future.She added: “This will allow for a safe and stable service now, and as we transition to the new integrated service.” The announcement came ahead of a wide-ranging speech by Ms Rudd vowing to improve the disability benefit system after years of warnings it is throwing people into destitution.She admitted disabled people feel “put on trial” by the DWP process and “we need to do more” to “close the gap” between intentions and reality. She said the enormous rate of appeals ruling against the government – 72% for PIP last summer – is “of particular concern” and the number is “too high.” according to The Mirror in March this year.”

IDS in 2015 when he launched Universal Credit claimed 

“I have said many times that I believe work is the best route out of poverty.

It provides purpose, responsibility, and role models for children.

As a one nation government, we believe everyone in the country should have the chance to benefit from the security and sense of purpose that comes with being in work.

That is why our guiding principle has been to place work at the heart of everything we do in our reforms.

Getting people into work is more than just earning a salary and certainly more than balancing the public purse.

These matter, of course, but they are not the primary reasons.

For culturally and socially, work is the spine that runs through a stable society.

Let me be clear – a decent society should always recognise that some people are unable to work because of physical or mental ill health – or both.

It is right that we protect these most vulnerable people in our society. And that support is there.

For despite the scaremongering, it is worth reflecting on the fact that we in this country spend more on sick and disabled people than the Organisation for Economic Co-operation and Development (OECD) average.

To put that in perspective – and according to the OECD, the UK spends more on incapacity than France, Germany, or Japan.

However, we are also ensuring that the resources are in place to support people into work.

I’m proud that we are providing significant new funding for additional support to help claimants into work – £60 million in 2017 rising to an additional £100 million a year by 2020.”

This will no doubt strike fear into the heart of the disabled community as it will many other groups who will be targeted on Universal Credit,via its Health & Work Programme and its Social Prescribing of  Intergrated Health Asessment Services. No Guidance is currently available. Its been a very long journey for many of us campaigners ,who are also trying to inform and support many as well as look after their own health and manage their own disabilities, but it appears that this journey still has still a long way to run.
“DWP under the Health Transformation Programme (HTP) are exploring the future delivery of Health Assessments with the objective to transform the health and disability assessment services provided for people with disabilities and health conditions.
The Health Assessments help by providing advice to DWP Decision Makers to determine eligibility for benefits paid to claimants across a range of benefits including Personal Independent Payments (PIP) Employment Support Allowance (ESA), Universal Credit (UC) and a number of smaller benefits.
Currently the services are delivered through a multi health assessment provider base with varying commercial and delivery operating models. The aim of the transformed service will be a more effective, efficient integrated service for customers.”
Please try to read some of the links provided below as I know this blog has been a long one for those who cannot deal with Info overload.

https://www.gov.uk/government/speeches/work-health-and-disability

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/564038/work-and-health-green-paper-improving-lives.pdf

https://www.gov.uk/government/news/millions-awarded-to-help-people-with-health-conditions-stay-in-work

https://www.gov.uk/government/news/40-million-personalised-support-package-for-long-term-unemployed-disabled-people-launched

https://inews.co.uk/news/dwp-quietly-admits-never-had-capacity-pip-reviews-pensioners-disabilities-dwp-benefits-505474

https://www.mirror.co.uk/news/politics/dwp-extends-maximus-fit-work-14089513

https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2019-04-11/HL15269/

http://www.pulsetoday.co.uk/news/gp-topics/legal/government-could-automatically-access-gp-patient-data-for-benefits-assessments/20038333.article

https://www.independent.co.uk/news/uk/home-news/dwp-benefit-claims-medical-data-sharing-nhs-healthcare-doctors-charities-a8797991.html

https://www.theregister.co.uk/2019/02/19/dwp_health_data_tool/

https://www.digitalmarketplace.service.gov.uk/digital-outcomes-and-specialists/opportunities/8859

https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-03-05/HCWS1376

https://www.huffingtonpost.co.uk/entry/dwp-universal-credit-pip-and-welfare-reform-outsourcing-contracts-bill-revealed_uk_5c17a7a9e4b05d7e5d84273e

https://blog.sense.org.uk/2019/03/is-combining-pip-and-esa-assessments-really-a-good-idea/

https://www.gov.uk/government/speeches/closing-the-gap-between-intention-and-experience

https://www.theguardian.com/society/2019/oct/08/jobseekers-told-to-call-their-depression-low-mood-on-applications

https://www.contractsfinder.service.gov.uk/Notice/359865b3-b1e1-4071-8bc6-f02067c9f216?p=%40FQxUlRRPT0%3DNjJNT08%3DU&fbclid=IwAR1l0AvqucHKCGYBU-cWx0V-0YwBSP0zV2id_2kh4UhgudPu4K6c7t9u9b4

 

 

 

 

 

 

 

Will UBI Be The Right Solution?


 

 

 

 

 

 

This Week Labour has been talking about the prospect of UBI if a Labour Government came to power.

A report by Guy Standing for the Progressive Economy Forum UBI Pilots who is deemed the expert in this field published his ideas on how the UK could make this work.  This blog will about that discuss this and the flaws in his argument.

Firstly his claims that other pilots have been successful is a matter of opinion, I cant see how this claim can be made,  given each of the pilots mentioned operated very differently so therefore are not comparable as they would need to be identical in operational terms. Many have been scrapped and reported as failures.This idea has been around since C 1200 yet none of the previous UK governments have implemented it , even though it has been discussed many times. Why because it was deemed it wouldn’t work.  Are Labour digging up a corpse?

The Pilots suggested by Guy Standing are as following:

Five types of basic income pilot that are
recommended:
• Model A. Under this variant, a sample of people – a whole community defined
as a locality – would be provided with basic incomes, with additional separate
benefits for those with special needs. The basic income would be provided
instead of existing means-tested benefits, with the exception of housing
benefit, which should be retained (or be replaced by an equivalent to
compensate for any loss of the housing element of Universal Credit).
Provisionally, it is proposed that every adult in a selected community would be
provided with £100, with £50 for each child, and with additional separate
benefits for those with disabilities. As indicated later, the selection of the
community should be random and be drawn from a group of low-income
communities.
Bearing in mind that existing benefit levels have been allowed to fall in real
terms and that there is nothing optimal about existing tax rates, this model
should be regarded as realistically aspirational, in that it the test would be to
see the impact on the population, recognising that funding such a scheme
nationally would involve a significant cost that would have to be met by tax
increases, diversion of public spending from other uses (such as subsidies and
tax reliefs) or the establishment of a national commons fund as described
earlier. A primary purpose of this Model would be to determine whether the
benefits of such a scheme – such as improved health, reduced stress, more
work and less crime, as found in pilots elsewhere – would merit consideration
of this option in the future.

• Model B. Under this variant, a sample of people – again, preferably all members
of an identifiable locality – would be provided with basic incomes of £70 per
week for working-age adults, and £20 per week for children on top of Child
Benefit. Tax codes for every recipient would become BR, thus imposing the
basic rate of income tax on all earned income below the higher rate tax
threshold. Means-tested benefits would be left in place, and basic incomes
would be added to the means taken into account in their calculation, so each
recipient household’s means-tested benefits would be automatically adjusted
downwards, and their means-tested benefits would also be automatically
adjusted upwards by the changes in net earnings brought about by the tax
code change. Administration of the scheme would be possible if the recipient
community were to be defined by postcode boundaries and the government
was able to instruct HMRC and DWP to make the necessary changes within
the recipient community.

• Model C. Under this variant, a sample of people – again, preferably everybody
in a local community – would be provided with basic income as a supplement
to their existing state benefits. This would be firmly in the spirit of common
dividends, and the per capita amount could be less than in the first case. One
option might be to provide every adult in a community with a tax-free £50 per
week for one year that was not taken into account in determining access to
means-tested benefits. This would strengthen income security and be
progressive, since the amount would represent a larger proportion of the
income of a low-income person than for others.

• Model D. Under this variant, a sample of welfare recipient adults would just
have existing conditions for entitlement to existing means-tested benefits
removed, so as to make the benefits closer to a basic income, notably by
removing forms of behavioural conditionality that permeate Universal Credit
and other benefits at the moment. This type of experiment is close to what is
currently being tested in The Netherlands and Finland, as described in
Appendix A. It would have minimal net cost, and might even save public money.

• Model E. A fifth type of experiment is very different from all the others. This is
sadly relevant to the austerity era, and would be a refinement of an approach
taken in the City of London some years ago. As described in Appendix A, the
gist of the policy was that a group of homeless were given a cash grant instead
of the various measures made available, and it led to most of them obtaining
places to stay, and thus actually saved the council considerable money over
the longer term. Given the horrifying growth of homelessness across the
country, this experiment should be repeated in a few other, randomly chosen
places. It should not be made a national policy, but the results could be taken
into account in formulating and implementing a national basic income system.

To make UBI work in the UK it would take some radical changes not just in thinking ,but with certain groups in society who cannot work such as Disabled People,Carers ,Elderly for a variety of reasons. One annoying trait with all governments is the focus on getting people into jobs, which isn’t a bad idea in itself if they can , but with total disregard to those who cannot, as if it is like some sort of Utopian world view where work is the be all and end all of life. With many on low wage zero hr contracts and not enough FT jobs or skilled workforce to fill current vacancies. Many people are working less than 3 hrs a week but classed as employed by government ,yet complaining about the welfare cost rising and counted as claimants too . Many are grandparents/ parents who are picking up childcare for example or carers which actually saves Governments an absolute fortune in service provision.

For any UBI scheme to work in the UK  these marginalized and demonized groups need to be included and additional bolt ons, like disability premiums,PIP, AA,Carers Premiums,Child Elements,Housing Benefit must be retained and set at a realistic level  and to cope with modern society after Brexit,  if that happens, with rising costs and inflation etc. The figures quoted by Standing are unrealistic in the modern world with AI creeping into the workplace and less than current payments on Universal Credit for some and in Scotland even less money.

A flat rate fits all approach will fail without doubt and plunge many into a worse situation than they are currently facing under Universal Credit. we shouldn’t throw the idea out altogether but if Labour wants this to work, it first needs to Listen to those on the receiving end of the policies put forward not just so called experts. Sanctions and Behavioral Conditionality,  the awful WCA/PIP assessment processes  that currently are costing a fortune both monetarily and with reported deaths of claimants should be abolished as promised and the rapid rise of homelessness. There should be a claw back process for those who gain employment set at a certain threshold ie: 50k.

Disabled people in particular have higher costs (500mth) because of disability and social care needs, we need to make it possible for those who can work to get jobs, keep mobility vehicles to enable them to get to work , eat healthy food, put clothes on their backs and pay their bills  and even a holiday which will all benefit long term costs in other areas as well as make them healthier both mentally and emotionally and  initial costings will in the  long term cut costs in other areas.

Critics on all sides make wild claims for and against this idea but if well thought out , it might just work! Piloting different approaches are not helpful in some ways as they are costly on both sides of the argument, but a well thought out UBI might work for the many and not the few .

I’m still wary of ‘False Prophetic’ claims of a brave new world of welfare state, in fact I may not live to tell the tale, but this has to be done properly for the generations to come who need support of a safety net just because they Can’t!

 

For those wishing to read Standings report: https://www.progressiveeconomyforum.com/wp-content/uploads/2019/05/PEF_Piloting_Basic_Income_Guy_Standing.pdf

 

Independant Researcher Mo Stewart Challenges DWP Cheif Medical Officer


 

 

 

 

 

 

 

 

 

 

Independant Researcher Mo Stewart today challenged the Chief Medical Officer at the DWP Prof Dame Sally Davies in a letter  at the research that she and many others have done over many years, regarding the preventable harm committed by the state on disabled people in the UK.

 

The DWP are found wanting on many levels as the truth is becoming more transparent to many people who circumstances means they need state support, under the falsehood of Austerity.  After years of welfare reforms and the terrible consequences of these policies in the media cannot be hidden any longer,although the press have colluded in this failing to report such cases. Disabled people have taken to direct action and doing research which has been presented to the UN who were scathing of the Government reforms and treatment of disabled people In UK, stating ‘Grave and Systemic Violations of disabled people in the UK’.

 

Now Universal Credit the flagship policy  by Iain Duncan Smith is causing widespread criticism and hardship has hardly been out the headlines due to it endemic failures of administration which is cumbersome to say the least, let alone very costly to the public purse and the savings forecast at its launch will be unlikely to emerge  . The Government’s cavalier attitude ‘carrying on regardless’ attitude is a failure of the state to protect the very people they said would be protected and who thus far have born the brunt of savage cuts to welfare spending than any other group in society so far.

 

 

Link : Mo Stewart letter

 

Redacted Letter Prof Dame Sally Davies 3rd MAY 2019 by Gail Ward on Scribd

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

https://www.scribd.com/embeds/403999299/content?start_page=1&view_mode=scroll&access_key=key-Jj5snwwqSUkSKkijC8SX&show_recommendations=true

 

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.kingsfund.org.uk/sites/default/files/media/commission-appendix-uk-private-health-market.pdf

https://www.nhsconfed.org/resources/key-statistics-on-the-nhs

https://www.thetimes.co.uk/article/benefits-staff-want-permission-to-trawl-through-patient-records-qgfx3qwv6?fbclid=IwAR2_NnYlbY30iDY0R7A5g1kDduyMYQyz3jSVSEtwvuHDauSi2qFIBjQT7GI

https://www.digitalhealth.net/2019/01/hancock-gp-it-systems-shake-up/

https://digital.nhs.uk/services/gp-systems-of-choice?fbclid=IwAR17Oz6RjrDf3JwafPgYKoYNZpZaer6PccQ6CAfpp3F1UCILUbM0yM_NQ5Y

Scotland : https://bjgp.org/content/67/660/294

https://www.hsj.co.uk/policy-and-regulation/all-gps-expected-to-sign-up-to-network-contracts/7024128.article?fbclid=IwAR2n3-PhhNIqkIyk7koL68UUJgbjRvwfUk7oozFRn0r9sKT4j6a4hqkuQl4

https://calderdaleandkirklees999callforthenhs.wordpress.com/2019/02/16/large-scale-integrated-primary-care-networks-what-lurks-beneath-the-buzz-words/?fbclid=IwAR1UKBhGpV9lrEyZNHJAlrbIUhn4gyf1LTZzUhzwgXZY2zBeUDDl5RKvhDI

https://www.gov.uk/government/news/nhs-can-move-towards-more-coordinated-and-continuous-care?fbclid=IwAR1dV1Lsx0UW-eryC0hphKqR9H_kV8g7urVdcWRBRo8eMI14U1oueyonVi4

https://www.gov.uk/government/news/nhsx-new-joint-organisation-for-digital-data-and-technology?fbclid=IwAR2ekyJayhEU-K3qMZWBETmBEnj3JpLWxEDbhfjOADCSL-MrM85Fdu0nH9E

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.theregister.co.uk/2019/02/19/dwp_health_data_tool/?fbclid=IwAR1fIqnGW0naqOcwRhVigQvi7RELPmbsnkcL58r8_dKMY8R9r-rhbqEKFvY

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://kittysjones.wordpress.com/2019/02/15/the-dwp-is-trying-to-co-opt-gps-in-forcing-ill-people-into-work/?fbclid=IwAR1DcTZFX3tIyJ4ogkvYaSf-p-y3zktL7W1mPqUYcRYVlZcmWotLlJe2I30

http://www.pulsetoday.co.uk/news/hot-topics/gp-contract-2019/20/all-the-headlines-from-the-2019/20-gp-contract-at-a-glance/20038181.article?fbclid=IwAR3mfOnFVg97TfSd0z2MwbdC_3SlFDzhi45MX350SynIJihZl3Ij7GpCw5U

https://www.independent.co.uk/news/health/tory-austerity-deaths-study-report-people-die-social-care-government-policy-a8057306.html?fbclid=IwAR2A_EzuW0s_CCrblXJMqvI5MlVwj6aT8Ca5GVeXiyGmp53lqvSz6aJNBKA

http://www.pulsetoday.co.uk/physician-associates-can-do-gps-work-more-cheaply/20009818.article#.XGgjirXD-vI.mailto

The Death of the Welfare State-Joining the Dots Series -Part 3


 

 

 

 

 

 

 

 

 

 

By blueannoyed and Paula Peters

So here we are  with the Tories in power and the many Welfare Reform Bill’s that have been passed  in full swing including the introduction of a further change called Universal Credit in 2013 , which was to be rolled out later across UK  to those on certain Income related benefits, including story after story of people being denied benefits unlawfully and their hardship or worse still the fatal consequences in some cases being highlighted across the HOC by MP’s from all sides. This caused outrage  except with the general public who had not a clue what was happening  thanks to the Tory propaganda machine hiding it all and the media colluding in it except for a few exceptions of some journalists, like Frances Ryan,Patrick Butler, Amelia Gentleman,Sonia Poulton and a few others. to those claiming it was like living in a Orwellian nightmare they had no chance of escaping.

DPAC collected stories and sent them to the UN  asking for help and intervention to bring this to the attention of the public and others highlighting it by taking the Government to the High Court.  This UK Government is only one in history to be found guilty of ‘grave and systemic violations of disabled people’ and further visits by the UN rapporteur Philip Alston condemned them in further reports.   Meanwhile many were distracted by the fact that David Cameron called a referendum which would divide a nation  and privatization of the NHS accelerated to bring it all together to remove the welfare state under the NHS Five year Forward View,and the  Work & Health Programme which is part of Universal Credit, In 2016  The Dept of Health and DWP joined forces  the message was to cut the disability gap for disabled people to be able to work  and remove barriers to work in the green paper Improving Lives-The future of Work,Health, Disability. The catch phrase was ‘Work is a Health Outcome’  This replaced the 2010 work programme’s.

The Impact this will have now and in the future is going to see many people moving into work that can and those that cant forced into impossible situation of mandatory schemes  to get them back to work.The Work and Health Programme is a Welfare to Work programme commissioned by the Department of Work and Pensions (DWP). It is designed to improve employment outcomes for people with health conditions or disabilities and those unemployed for more than two years.

The rollout of UC has to say the least been controversial  the media stories of hardship forced many changes under various ministers (8 to date) who came and went faster than a windy day due to its failings, yet this government still refuses to scrap this dangerous policy to save face , even when it has been pointed out it wont work for so many and is cruel and twisted ideology behind it is flawed.  Even the media have called for it to be stopped, and it has been subject to the making of a few programmes which have shocked even the hardest critic of those claimants ‘Sitting on the Dole’ ‘Something for Nothing Culture’ screaming about their taxpayers money being spent on ‘Dole blaggers’! The huge increase in hate crime and towards anyone that didn’t work , homeless, disabled and the hostile environment created by this Government has had even some of its supporters  say enough is enough and it must change or stop and fix the problems, but No this government carries on regardless with claims its working and employment rates are highest they ever been which doesn’t bear scrutiny .

 

Further reading;

 

https://kittysjones.wordpress.com/2015/10/28/the-government-plan-to-nudge-sick-and-disabled-people-into-work/

https://kittysjones.wordpress.com/2017/10/22/the-connection-between-universal-credit-ordeals-and-experiments-that-electrocute-laboratory-rats/

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://www.shaw-trust.org.uk/Services/Work-and-Health-Programme

https://blueannoyed.wordpress.com/2018/11/14/panorama-universal-car-crash/

https://blueannoyed.wordpress.com/2017/11/30/iapt-the-governments-magic-cure-for-mental-health/

https://blueannoyed.wordpress.com/2017/11/04/health-work-programme-universal-credit/

https://blueannoyed.wordpress.com/2019/02/09/health-work-programme-part-2/

 

The next blog will be how the NHS changes will affect the many and how all this will link together and the effects of patients and those who will be affected by Universal Credit such as Social Prescribing , access to GP and a Interview with Dr Bob Gill who has been telling us all about the privatisation of the NHS for some years.

The Death of the Welfare State-Joining the Dots Series -Part 2


 

 

 

 

 

 

 

 

 

 

By Blueannoyed  and Paula Peters

So lets look at the next stage of where it all went badly wrong and joining up a few more dots.

Private Finance Initiative (PFI) schemes were introduced to the UK under the John Major Government in the 1990s, with the first project Skye Bridge https://www.youtube.com/watch?v=rDDTu7kZUjA .Tony Blair’s New Labour Government significantly expanded PFI as a convenient way of funding public infrastructure “off balance sheet.” Despite frequently calling for an end to “Labours flawed PFI program” whilst in opposition, in 2011 Chancellor George Osborne re-branded and continued the PFI gravy train under the “PFI 2” banner. NHS Trusts owe £80bn in PFI loan repayments and “unitary charges,” the technical term describing the extortionate ongoing running costs of maintaining PFI hospitals via PFI – where private contractors are granted 30-year monopoly rights to deliver maintenance and services.

https://www.opendemocracy.net/ournhs/joel-benjamin/seven-things-everyone-should-know-about-private-finance-initiative

In recent years reform of the welfare system in Britain began with the introduction of the New Deal programme  introduced by the Labour government in 1997. The aim of this programme was to increase employment through requiring that recipients make serious efforts to seek employment. The Labour Party also introduced a system of tax credits for low-income workers. The Welfare Reform Act 2007 provides for “an employment and support allowance, a contributory allowance, [and] an income-based allowance.”. The objectives of the Welfare Reform Act of 2007 were to increase the employment rate to 80% from 75%, to assist 300,000 single parents find employment, to increase the number of workers over 50 by 1 million, and to reduce the number of people claiming incapacity benefits by 1 million.

In the 2009 Welfare Reform Bill This welfare reform proposed an increase of personal responsibility within the welfare system. The reform eliminated Income support, and allocated funds over to the Jobseeker’s allowance, to encourage employment. It also encouraged increased parental responsibility by amending child support laws, and requiring births be registered jointly by both parents. This is basically how we got to David Cameron In power with the help of the Lib Dems. Building on Thatchers Legacy they all equally promoted on the capitalist world stage.

Disability campaigners saw this coming this is how the main groups in 2010 like DPAC (Disabled People Against Cuts) Black Triangle Campaign in Scotland and Spartacus Campaign,Pats Petition,WOW Debate MHRN (Mental Health Resistance Network)and many others were created to fight against the forthcoming erosion of the welfare state and austerity measures in the pipeline that was to be foisted onto the most vulnerable in society in the hope there would be little opposition, well they got that wrong! Disabled people started to take to the streets warning of what the end game was yet they were often dismissed as scaremongering by the general public but that did not deter them. When people start to die you just cannot sit and do nothing and boy did they take to social media too,  all working together behind the scenes collectively to raise awareness of what was happening to people under these new reforms .  The campaigns that hit headlines were Spartacus twitter  campaign ‘I Am Spartacus’, DPAC ‘s  Independant Living Campaign (ILF) 2010  one thing for sure disabled people were not going to suffer in silence they were going to take this fight to the government and still are! DPAC disruptive direct actions are notorious and they took their concerns to the UN over deaths that were occurring as people slipped through the cracks, while others produced hard evidence of what was going wrong and how to fix it by lobbying ministers to their plight.

ATOS  was the main contracted  outsourced provider of new Biopsychosocial model assessment regime designed by the likes of Mansell Aylward , Gordon Wadell,  (The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.)  Iain Duncan Smith and Lord Freud,Frank Field et al  grabbed this flawed research with gusto and turned it into something brutal and unrecognizable removing the safety net of the welfare state for those who need it. This government have created a hostile environment for anyone who needs state support with lies about claimants taking taxpayers money while they are working hard to pay taxes. The demonisation started by IDS et al all feeds through to the general public  via the media that those needing support via his scrounger rhetoric, lazy ,feckless , money for nothing,hard working people are just a few of the soundbites used harking back the the victorian days of blaming the person rather than state failures to provide jobs in a failing economy since the 2008 global crash.

 

Iain Duncan Smith (Center for Social Justice)  -Between 1997 and 2001, he was Shadow Secretary of State for Social Security and then Secretary of State for Defence. From 2001 to 2003, he was leader of the Conservative Party and then from 2003, having stepped down as leader of the Conservative Party, he set up the Centre for Social Justice (CSJ). The CSJ was an organisation dedicated to focussing on the problems facing those in the lowest income groups in society. It published a series of reports, perhaps the most significantly, “Breakthrough Britain: Ending the Costs of Social Breakdown”, focusing on the five pathways to poverty and a Conservative way to implement social justice and improve the quality of the poorest in society. It is also worth noting that in 2013, the CSJ published the paper on modern day slavery, “It Happens Here: Equipping the United Kingdom to Fight Modern Slavery”, which subsequently led to Theresa May enacting legislation on this matter. In 2010, Iain Duncan Smith became Secretary of State for Work and Pensions, a position he held until he resigned in a dispute with the Chancellor over his determination to reduce his expenditure on disability benefits by over £1 billion. During his time as Secretary of State for Work and Pensions, he undertook the most significant programme of welfare reform in modern times, transforming the benefit and pension systems, as well as employment services and support. Perhaps the most significant reforms were the introduction of Universal Credit, (bringing together the six unemployment and sickness benefits), the Work Programme, for the first time bringing together private and voluntary sectors to get unemployed people back into work, and the introduction of the Single Tier Pension simplifying the State Pension.

https://www.centreforsocialjustice.org.uk/

 

Many battles have been fought since then and the Labour Government started to listen and ministers started to support disabled people in their fight and Ministers from all parties started to have their surgerys full of cases where this regime change was causing preventable harm. Meanwhile the Tories continue to ignore it and dismiss it as ‘work as a health outcome’ and disabled people as scaremongering despite extensive evidence to the contrary.

Further reading:

https://dpac.uk.net/research/

http://www.welfareconditionality.ac.uk/2017/07/demonising-disabled-people-public-behaviour-and-attitudes-during-welfare-reforms/

https://truepublica.org.uk/united-kingdom/killed-by-the-state/

https://www.inclusionlondon.org.uk/campaigns-and-policy/facts-and-information/independent-living-social-care-and-health/ilf-one-year-on/

https://kittysjones.wordpress.com/2016/11/29/rogue-company-unum-had-a-profiteering-hand-in-the-governments-work-health-and-disability-green-paper/

https://kittysjones.wordpress.com/2015/07/18/a-brief-history-of-social-security-and-the-reintroduction-of-eugenics-by-stealth/

Spartacus Reports:

http://www.ekklesia.co.uk/search/node/spartacus?fbclid=IwAR0oZ4h1GCEG62yOm4M1V8ir_UnEPN-Oq0jJuhlXBpzLHIPgxko3Luy4H6U

https://spartacusnetwork.wordpress.com/?fbclid=IwAR1uGHwGNaggW9dMo7cbdG1WCT33SJK979fd99uQ4lENhKvi1v5bW-KLA3E

 

Social Prescribing -Whats Next at your GP Surgery


 

 

 

 

Image Courtesy of Social Prescribing Network

 

 

 

 

 

 

 

 

 

Social Prescribing  in the NHS is a part of NHS 10 yr Plan. How will it affect you?

Well here is a video and documents to explain what it is  but one thing it is leading to is Privatization on  ‘speed ‘ as the Government  implement  STP and ICS throughout NHS  and a reworking of the GP Contract. will it affect us all of course it will under this regime who are flogging the crown Jewels of to leave us with an Americanized welfare system of two tier. The insurance lobbies are waiting patiently to make a killing while many wont be able to access quality health care as under the NHS that was created as part of the Welfare State delivered to us by Nye Bevin.

 

My Interview with Dr Gill:

22/2/19

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.

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, when they have slashed NHS budgets for decades along with New Labour who are not blameless in this re PFI acceleration under Blair.

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.

 

.Dr Bob Gill speaks out : https://youtu.be/l4wQ577Me30

 

Below is the Video of Tim Owen Jones in Bromley

 

 

 

 

 

 

 

 

Link to Making Sense of Social Prescribing

 

 

For more info  :

 https://www.westminster.ac.uk/patient-outcomes-in-health-research-group/projects/social-prescribing-network

 

UC part 4 -Specialist Employment Support


 

 

 

 

 

 

 

 

 

Well folks you have all heard Amber Rudd talk about Specialist Employment Support for those who need it and are furthest away from the Labour Market. Well bless my soul here are more documents to read at your leisure because if you go on Universal Credit you need to read all these .

 

The support comes from a new £40 million fund and is expected to benefit 10,000 people.

The Intensive Personalised Employment Support programme will provide highly personalised packages of employment support for people who are at least a year away from moving into work.

People will get coaching to help build their independence, confidence and motivation, as well as work experience to help boost their career prospects.

Secretary of State for Work and Pensions Amber Rudd said:

Everyone, no matter what their background is, should have the opportunity to thrive in the workplace, and having the right support in place for disabled people is one of my greatest priorities.

To truly help people transform their lives, there can be no one-size-fits-all approach.

That’s why this new programme is designed to offer people, who may think they will never move into work, tailored support to help them overcome any personal barriers they may have in the first instance, and then to focus on boosting their skills.

There are also huge economic benefits to improving disability employment rates. More than half of disabled people are in work, but in order to realise the full potential of disabled people in Britain we want to go further and see one million more disabled people in work by 2027.

People on the scheme will get a dedicated key worker who will work with them to overcome complex barriers which may be preventing them from entering work, ensuring they have a personal support network in place.

The voluntary scheme will be rolled out across England and Wales in 2019, and applicants will receive support for up to 21 months, including 6 months of in-work support for those who get a job.

Neil Heslop, Chief Executive of Leonard Cheshire, said:

Many disabled people with complex needs face significant barriers in accessing the workplace. It’s crucial that specialised employment support is available and the government responds to the challenges people often encounter.

A more tailored approach can help reach those who are not currently receiving any employment support or skills development. The experiences of disabled people must be central for this support to meaningfully build confidence in an ongoing way, reflecting their individual circumstances and aspirations.

The Intensive Personalised Employment Support programme will support people living with a disability who are unlikely to move into work within the next year or longer and may need additional support.

https://drive.google.com/open?id=1Un4-ZVV9KqyzAUmR35nUpcoSlc9JePoW

 

UC Part 3-Health & Work Programme Provider Guidance


 

 

 

 

 

 

 

 

 

In this blog we will look at Provider Guidance for the Health & Work Programme. This information is for you to read and understand how this all works  as part of Universal Credit Programme as very few are talking about the structure and behavioural ideology behind it all. I will load slides and links to documents for people to download. Please read them ….

 

Link:

 

The following links are to the Guidance Documents

 

https://drive.google.com/open?id=14RdipcgDJ70-IOCHt9m51pwOSM7DU4yu

 

 

 

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