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RCGP calls for health bill to be scrapped

By Gareth Iacobucci | 03 Feb 2012

The RCGP has written to Prime Minister David Cameron to formally call for the withdrawal of the Health and Social Care Bill, citing the ‘irreparable damage' it could cause to patient care.

The college announced its decision in the wake of the amendments to the bill laid down in the House of Lords yesterday, which included making it clear the health secretary and CCGs would be responsible for maintaining a ‘comprehensive national health service'.

Despite the amendments, the college said it remained concerned that the bill will cause ‘irreparable damage to patient care and jeopardise the NHS'.

The decision comes after three quarters of respondents to a recent poll carried out by the college said they thought it appropriate to seek the withdrawal of the Health and Social Care Bill, regardless of whether they were flanked by other medical Royal Colleges, who have so far stopped short of calling for the bill to be removed.

Pulse understands RCGP chair Dr Clare Gerada was subsequently granted a deferred mandate fromthe college's council to opt for outright opposition to the bill once the amendments had been tabled, based on the wave of feeling shown in the survey.

The RCGP wrote to health secretary Andrew Lansley to reiterate its concerns and call for changes to be made following the survey, but responses from Earl Howe and the health secretary, and the subsequent amendments presented to the House of Lords, have not been sufficient to quell the college's concerns.

Dr Gerada said: ‘This decision was not taken lightly, but it is clear that the college has been left with no alternative.  We have taken every opportunity to negotiate changes for the good of our patients and for the continued stability of the NHS, yet while the Government has claimed that it has made widespread concessions, our view is that the amendments have created greater confusion. We remain unconvinced that the bill will improve the care and services we provide to our patients.'

‘The concerns we expressed when this bill was at the white paper stage 18 months ago have still not been satisfactorily addressed. Competition, and the opening up our of health service to any qualified providers, will lead not only to fragmentation of care, but also potentially to a ‘two tier' system with access to care defined by a patient's ability to pay.'  

‘We support a greater role for GPs in the planning, design and delivery of services within their local communities, but as the organisation representing the views of over 44,000 GPs, we cannot support a bill that will damage the care and services that GPs deliver to patients and ultimately bring about the demise of a unified, national health service.' 

‘Our view is that what is required now is to rapidly consolidate the current organisational structure, such that PCT clusters remain, with GPs placed as the majority of the board so that we may address the serious issues facing our NHS.'

Read Clare Gerada's full statement here

READERS' COMMENTS

Anonymous, PCT,
03 Feb 2012
Well said Dr Gerada. I know some will say that I'm a penpusher and therefore I would say that but hey...she talks a lot of sense.


PCT Finance Manager
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Kailash Chand, GP Partner,
03 Feb 2012
This is the wrong reform at the wrong time. There are many in the health services who share Clare Gerada & RCGP's views, and for all of these loyal NHS workers there is one single motive – that is, to keep the NHS as a publicly funded service, for the good of the people, and not one that is only there for those with the means to access care or for those who can benefit financially from the ill of others. These reforms will pave the way for substantial privatisation of the NHS, and it will set us apart from other health services in the UK - in Wales, Scotland and Ireland. 'National' will go out of the NHS.
This bill is radically different to any health legislation since the inception of the NHS. The bill puts in place the legal framework for a commercial system in which the NHS is reduced to the role of paymaster to multiple willing providers. The bill is designed to privatise the NHS at all levels: primary care, secondary care, in community health services, and in commissioning – all of it concealed behind the publically trusted NHS logo. The reforms will increase the stake of private companies in the NHS, so that instead of GP led primary care and consultant delivered hospital services we will witness ‘Any Willing Providers’ picking up the most lucrative operations, with the NHS left to provide complex, costly care. A market-based competitive spirit will ensure that only the fittest survive. The bill allows the corporate sector such as 'The Practice PLC' and 'Chilvers McCrea Healthcare', to take over the running of general practice. The proposed relaxation of traditional GP practice boundaries will further attract supermarkets giants like Tesco and Asda. The strategy will be to employ salaried doctors to cater for generally healthy mobile young patients, whilst traditional practices are left to cope with the burgeoning elderly population with long-term conditions.
Let us all who care for the NHS unite to seek Drop the Health Bill .There is a E-Petition urging the Government to drop the bill. epetitions.direct.gov.uk/petitions/22670 Please sign
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Anonymous, GP Partner,
03 Feb 2012
I support the RCGP on this one

We must however recognise NHS cannot go on the way it is. It was set up at a time when people understood the concept of the welfare system and it's limited resources. The service was used sensibly and with a degree of compassion for their countryman.

Now the welfare system is abused and its resources not appreciated by those who are fail to see beyond themselves. Just the other day, a patient told me how she was disgusted by the NHS who refuses to prescribe glucosamine for her as it worked for her.

When will the politicians stand up and admit the welfare system can no longer afford all of its luxuries? My answer - never. Hence the back door method of privatising NHS and the "health and social bill" (see the irony in the title?)
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