Local managers are being forced to slash NHS budgets and replace existing hospital and community services with unproven ‘new models of care’ (inspired by, and attractive to, the corporates.).
And local managers are effectively being forced to lie to the public that this will improve care.
They will have to do so in new ‘Sustainability and Transformation Plans’, demanded by NHS England’s annual and innocuous-sounding 2016-17 NHS Planning Guidance (1). In fact, it signals a complete and total reorganisation of the NHS.
The NHS is reorganised into 44 ‘footprints’ (each covering a number of CCGs and an average of 1.2million people).
We’re told the project is about ‘strengthening local relationships’ and building on ‘local energy and enthusiasm’ to achieve ‘genuine and sustainable transformation in patient experience and health outcomes’.
But in fact, the Guidance contains some very specific requirements that will test these new collaborations to the limits and usher in a new wave of privatisations and huge cuts.
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