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NHS - The Perfect Storm

A number of changes are being driven through the NHS which could be considered like the "Perfect Storm".

One most talked about the PbR or Payment by Activity. This has been accompanied by the removal or moreso phasing out of the purchaser protection adjustment. The DH was well aware of what hospitals faced difficulties, but nothing was done until too late.

The financial impact of the new consultants contract was not properly costed by the Department of Health and Agenda for Change also has a substantial impact on costs.

There is a sensible attempt to move care into primary care from secondary care, but this is being done at the same time as everything else and in a relatively insensitive manner in terms of handling staff who could be redeployed rather than made redundant.

The Costs of PFI are excessive and concealed by the use of optimism bias.

There is a bit of good news

The introduction of strong market participants in Foundation Trusts before Commissioning was fully established was the wrong way around whatever one's view about Foundation Trusts.

There is a bit of good news in that the government's pressure to move to 15% of commissioning from the private sector has disappeared off the agenda. Eastern Birmingham spends between 1 and 2% at the moment on specialist services where required. Such as Forensic Mental Health and services for people with Learning Difficulties. The 15% figure is managed through the Local Delivery Plan and the Strategic Health Authorities.

The nature of the first wave ISTC contracts such as the one in Burton where an amount of "activity" payment is guaranteed and, therefore, hhospitals such as Good Hope in Birmingham are likely to have reductions in Activity to move it to Burton. This will hit the new NE Birmingham PCT. Second wave contracts are more sensible, however.

In the mean time PCT budgets have been top sliced by SHA. In Birmingham it is about 2.6%.

The real problem lies in the reorganisation fo the PCTS. The PCTS have an aggregate commissioning budget of 64.309 billion. To put people into job uncertainty causes planning difficulties.

Meltdown occured with PbR in the Czech republic as hospitals found ways of getting extra money from the system.


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Statement re false allegations from Esther Baker

Statement by John Hemming
I am pleased that the Police have now made it clear that there has been a concerted effort to promote false criminal allegations against me and that the allegations had no substance whatsoever.
I would like to thank Emily Cox, my children, Ayaz Iqbal (my Solicitor), my local lib dem team and many others who supported me through this dreadful experience. There are many worse things that happen to people, but this was a really bad experience.
It is bad enough to have false allegations made about yourself to the police, but to have a concerted campaign involving your political opponents and many others in public creates an environment in which it is reasonable to be concerned about ill founded vigilante attacks on your family and yourself. Luckily there was a more substantial lobby to the contrary as well, which included many people who were themselves real survivors of abuse, which has helped.
I am normally someone who helps other people fight injustice. …

R v SUSSEX JUSTICES ex p McCARTHY [1924] 1 KB 256

I have only just found this one which I think is accurately reported below (but if it is not please give me an accurate report).


R v SUSSEX JUSTICES ex p McCARTHY [1924] 1 KB 256

November 9 1923

Editor’s comments in bold.

Here, the magistrates’ clerk retired with the bench when they were considering a charge of dangerous driving. The clerk belonged to a firm of solicitors acting in civil proceedings for the other party to the accident. It was entirely irrelevant that there had been no evidence of actual influence brought to bear on the magistrates, and the conviction was duly quashed.

It is clear that the deputy clerk was a member of the firm of solicitors engaged in the conduct of proceedings for damages against the applicant in respect of the same collision as that which gave rise to the charge that the justices were considering. It is said, and, no doubt, truly, that when that gentleman retired in the usual way with the justices, taking with him the…

Statement re Police investigation into Harassment and Perverting the Course of Justice.

It was recently reported that the police were not investigating the allegations of Perverting the Course of Justice that I had made. This came as a surprise to me as I had been told for some time that my allegations were to be considered once the VRR had been rejected. I have now had a very constructive meeting with Staffordshire police on Friday 29th June 2018 and the misunderstandings have been resolved. At that meeting the evidence relating to the perversion of the course of justice and the harassment campaign against my family were discussed. The police have decided to investigate both the perversion of the course of justice and also the harassment campaign. I would like to thank them for changing their decision and I accept their apology for the way in which they did that. I am also in possession of written confirmation a police force would be investigating allegations that a vulnerable witness has been harassed for trying to expose the campaign against me. I hope that the aut…