Centene takeovers and share purchases concentrate corporate control over Greenwich NHS and its patients

  • The recent purchase of a Greenwich GP practice by a Centene Corporation UK subsidiary means some Musculo Skeletal (MSK) patients in the Borough are likely to have all stages of their care provided by companies that are fully or partially owned by  Centene.
  • The Greenwich GP Practice, the MSK service and a private hospital that the MSK service refers NHS patients to are all under full or partial control of Centene Corporation’s UK subsidiaries.
  • This is the result of a run of corporate takeovers and purchase of voting shares that is concentrating control over NHS services in the hands of a few companies, with little or no public knowledge.

South East London NHS Commissioners need telling, “The NHS belongs to the people.”

The NHS Constitution starts,

“The NHS belongs to the people.”

South East London Clinical Commissioning Group needs telling. Because they’re busy selling off the NHS to what looks like a cabal of interconnected companies.

On 10th December 2020 the Clinical Commissioning Group’s Primary Care Commissioning Committee approved a transfer of control of 7 South East London GP practices to the Centene Corporation UK subsidiary, Operose Health. In a private meeting that excluded Councillors and the public, the Committee decided there was no need to reprocure the contracts by putting them out to tender, on the basis of unpublished legal advice that the change of control did not amount to Operose Health being a new contractor.

The interconnected companies gobbling up NHS contracts in Greenwich

Greenwich MSK service is run by Circle Health Ltd. They send patients to the BMI Blackheath Hospital, among others. The Hospital is owned by Circle Healthcare.

Circle acquired BMI Healthcare around the time that Centene Corporation’s subsidiary, MH Services International Holdings (UK) Ltd Group, bought 20.1% of voting shares in Circle, with Centene Corporation’s money. The purchase increased the Centene Corporation subsidiary’s voting shares in Circle Healthcare to approx 40%.

In this way, MH Services International Holdings (UK) Ltd Group “became invested” in BMI hospitals.  (info source: MH Services International Holdings (UK) Ltd Group Annual Report 2019 .)

Former NHS England New Care Models Director now directs 16 Centene Corporation UK subsidiaries – including one that’s just taken over a Greenwich GP Practice

One of the two Directors of MH Services International Holdings UK Ltd is Samantha Jones, formerly the NHS England New Care Models Director. She is now a Director of 16 Centene Corporation UK subsidiaries – including Operose Health.

This includes her position as one of three Operose Health Directors of AT Medics Ltd, the big London GP company which recently fell under the total control of the Centene subsidiary after it purchased AT Medics Ltd’s holding company for an undisclosed sum.

As part of the deal, which was approved by South East London Primary Care Commissioning Committee on 10 December 2020, Operose Health has also taken full control of AT Medics Ltd, which holds around 37 GP contracts for practices across London.

Thamesmead Health Centre in Greenwich is one of the former AT Medics Ltd GP Practices now controlled by Operose Health.

Greenwich NHS patients referred from Thamesmead Health Centre to the Circle MSK service, and on to BMI Blackheath Hospital, will be treated solely by these profit-making, interlinked companies that are all under the direct or indirect control of Centene Corporation’s UK subsidiaries.

Some interesting facts about AT Medics Ltd contract for Thamesmead Health Centre

The AT Medics Ltd Alternative Provider contract for Thamesmead Health Centre has been extended for 5 years from 1 April 2020, subject to the implementation of an improvement plan. At their 10 December 2020 meeting South East London Primary Care Commissioning Committee noted that AT Medics had carried out almost all the improvement plan except the Thamesmead Health Centre patients’ very high A&E attendance and Urgent Care Center usage. This matter was deferred until financial year 2021/22.

AT Medics Ltd took over the Thamesmead Health Centre in 2015 in an urgent caretaking arrangement. NHS England commissioners agreed to fund up to £50K of provider additional expenditure resulting from the need to mobilise within only 1 month. AT Medics Ltd claimed £57,820, but at their 10 December 2020 meeting South East London Primary Care Commissioning Committee noted it had not been possible unable to fully evidence this as additional expenditure. AT Medics Ltd had later claimed £38,827,

“but, of the invoices included, only £4,033 could be fully validated as expenditure over and above that which would normally be incurred during mobilisation.”

https://selondonccg.nhs.uk/events/reduced-agenda-internal-december-2020-pccc-meeting/

South East London CCG officers have agreed to offer a goodwill total payment of £10K as a full and final settlement.

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