23rd December is the government-imposed deadline for NHS Commissioners to sign off Sustainability and Transformation Plan contracts for 2017-19.
Please would you send an email to Calderdale Clinical Commissioning Group Governing Body members, calling for a halt to the contract negotiations?
This is in order to stop the West Yorkshire & Harrogate Sustainability and Transformation Plan before it:
- Slashes nearly £1bn funding from the region’s NHS and social care by 2020/21, compared with what is needed to maintain current levels of both services
- Restricts NHS treatments and cherry picks patients whose treatments will provide value for money – abandoning the core NHS principle that its treatments are equally available to all who need them
- Further reduces public ownership and management of the NHS by bringing in profiteering private companies to provide both NHS services and private funding for the NHS
Here is what the email says
Re: West Yorkshire and Harrogate STP and 23rd December operational contracts
I live in Calderdale and I object to the Sustainability and Transformation Plan.
It would be against the public interest to proceed with the final negotiation of 2017-19 contracts to deliver the STP, with its drastic financial controls and destabilisation of the local NHS including your own CCG.
So far, there has been no consultation with the public, councillors, NHS staff and their trade unions on the West Yorkshire and Harrogate STP as a whole, the principles that underlie it or its devastating effects on the NHS and social care.
Appendices with details about STP finances, workforce and other key issues have not been published and the Kirklees HWB Chair says she is still awaiting a decision about when they will be published.
Engagement exercises do not constitute consultation, nor is it possible to consult without transparency, including the full financial details of your plans.
The 8th Dec Governing Body meeting heard that the engagement officer doesn’t know how the CCG can consult on West Yorkshire & Harrogate system-wide changes that the STP will make.
The West Yorkshire & Harrogate Sustainability and Transformation Plan has changed the position of the Clinical Commissioning Groups to such an extent that Calderdale CCG Governing Body heard at its meeting on December 8th that its assurance framework is no longer fit for purpose, since many risks are now system-wide and so outside the control of the CCG.
The contracts which you are negotiating with providers will enforce your share of the cuts inherent in the STP. You and the other West Yorkshire and Harrogate CCGs have yet to disclose the details, but it is not possible to take around £450m out of the WY & Harrogate NHS & social care budgets in 2017/18 and £690m in 2018/19 (the funding shortfalls identified a table on p20 of the WY&H STP, that dwarf any contribution from the Sustainability and Transformation Fund), without severe consequences.
It seems clear from Governing Body meetings that the STP financial control totals threaten the ability of the CCG to provide equal access to available treatments for all patients with a clinical need for them – so destroying the basic principle of the NHS.
All this will potentially or actually place patients in jeopardy and at risk of avoidable serious harm and is not in the public interest. It contravenes the duties of nurses and doctors as defined by their statutory regulatory bodies.
In the circumstances, I ask you to suspend your contract negotiations and disclose the full detail of your 2017-19 operational plans.
Then the public, elected representatives, NHS staff and their trade unions can all decide what is the best way forward for the NHS.
As health professionals, you will want to and indeed must act in the best interests of patients. I call on you to do so.
A 999 Call for the NHS summary and analysis will be online shortly.