Leeds Hospital Alert minutes March 2019

Care Homes warning in the Guardian if Interserve go into administration on Friday

Outsourcing: – full discussion postponed until next time but the report from the New Economic Foundation has been e -mailed to everyone. Also, Jenny Shepherd and 999 NHS are keeping up the pressure.  The sheer volume of contracts with Interserve as, it was with Carillion; highlights the dangers of current policy. (update cf. the Guardian Saturday March 16)

NHS 10 Year Plan: – many good things in the plan but a glaring omission is services for children. The plan has scant regard for how it will relate to schools.  Mental health support teams will work in schools but will be managed by clinical commissioning staff.  The conclusion of the first Children’s Commissioner for England is that we cannot continue to fail so many children.  Beatrice to contact Lisa Mulherin.

No deal Brexit:  letter sent to Theresa May signed by the great and the good of the NHS.

Alex Sobel is continuing to ask questions in Parliament about insulin supplies.

Digital services in the NHS: – patients will have the right to online and video consultations by April 2021. For further information see Specific Improvements – primary care on line. 8 specific improvements in total. An app a day will keep the doctor away. 25 % of doctor’s appointments will be via app by July 2019.  The accent is to be on DIY healthcare.

Already experimenting with robot doctors!!

IN addition, by 2023 – 2024 an army of social prescribers will be handling approximately 900,000 patient appointments a year.

NHS agreement to extending the Babylon service outside of London to Birmingham is cause for concern.  Believed that Leeds will be its next target.  Richard Vautrey chair of the BMA’s GP committee said ‘ We are incredibly disappointed with this decision, which is not only premature but flies in the face of place based care delivered by practices embedded in local communities, which the recent changes in the GP contract are committed to deliver’   Are patients going to be warned that by signing up to Babylon they will automatically lose their local GP service.  Who is going to monitor Babylon?

N.B. it is estimated 90,000 people in Leeds have no internet service

Questions are being asked about the role of OPTUM which is a subsidiary of United Health (another big American Company) Leeds CCG doesn’t have any contracts with them but NHS England has a contract with them for 4 sites across England to develop staff capability in the use of data to better support front line teams and planners.

Yet another new name.  This time Accountable integrated Care Partnership. WE must monitor developments.

GP At Hand complaint

Babylon GP at hand – please be aware of Dr John Puntis and many other doctors’ complaints:

The leaflet from ‘GP at Hand’ is being distributed through letterboxes in parts of London. As you see, it promises an instant recovery (“Get well now”) for patients with symptoms. GP at Hand has been destabilising practices by taking out young, well individuals from GP lists, and reducing practice income needed to look after complex and chronically ill patients. Despite an ongoing independent evaluation of the service not yet being completed, Babylon Health has recently had the go ahead to expand from London into Birmingham. GPs have expressed concern over fragmentation of care and patient safety and have pointed out that the service flies in the face of the place-based care delivered by a practice embedded in the local community that is the focus of the new GP contract.

I have lodged the following complaint with the Advertising Standards Authority:

‘Babylon GP at Hand’ have produced a flyer being hand delivered to residential addresses in Islington. I was given a copy of this flyer yesterday. It implies that symptoms will resolve instantly (“Get well now”) with a telephone consultation. It does mention that to register with the ‘GP at Hand’ service patients will need to de-register from their current GP, but does not explain that this will cause considerable problems if the need for urgent care arises.

The flyer also states: “prescriptions delivered to the pharmacy of your choice within an hour” which disguises the fact that prescribing without seeing and examining a patient is extremely poor medical practice and fraught with risk for both doctor and patient. My complaint is that this flyer gives a mistaken impression of the benefits of using ‘GP at Hand’ and fails to point out inherent risk. There are also wider risks to the NHS from young, well and tech savvy patients being registered with ‘GP at Hand’ and removed from GP lists thus reducing the practice income that is required to look after older and more complex patients with chronic conditions.

Babylon GP At Hand leaflet