Thursday, 20 January 2011
Well Don't Say I Didn't Warn You!
KMPG Health has won a contract with NHS London, worth.... well who knows? You see, even though, some of that cash, is mine (and yours), it is now a commercial 'secret', between the new 'pathfinder' consortia, and those with whom they contract, for services. If I believed for one moment that this would be a helpful development, or one that would yield cost savings, or efficiencies, I would be applauding. But I am not.
Allyson Pollock of the huge cost of PFI projects in the NHS, which has driven up costs for Trusts out of all proportion to the benefits involved. Or indeed the £12.4 billion squandered on the NHS IT project that never worked, and likely will be entirely cancelled. The 'big four' were heavily involved in the design and execution of all of these failed policies, reaping enormous fees for them and 'bugger all' for the NHS and the taxpayer. Only last June, Gary Belfield, Mark Britnells successor at the DofH also left to join KPMG, no doubt rubbing his hands with anticipation of Lansleys plans and how he might ' turn a dollar' from the opportunities that were now available to commercial providers, in the 'new dawn' of GP Commissioning.
This is just one of the 'buzzards' circling, to see that which they can pick off from the, dying carcase of the NHS, to their own advantage of course. Serco, the company that provides services for Government and the Military, formed a partnership only last year, with Guys and St Thomas' Hospital, to undertake pathology work for itself and other Hospitals. A year down the line, concerns are being voiced about governance, security, and other problems, especially one of cost increases, that had to be paid to the new body as a result of increased demand, amounting to some £2 million (as reported by Private Eye). Increased demand, is endemic in hospital laboratory testing, simply due to the nature of the beast. So long as the NHS, continues to treat for prevention, with surrogate end points and markers, it's patient cohort, it will have to test to prove they are being achieved. It's the climate that surrounds QOF protocols, that drives this. A sort of convoluted, payment by results system, that eats money and will continue to do so, for as long as health care is tied to this barmy concept.
Only yesterday, it was revealed that the estimated cost of overhauling the NHS, to favour GP Commissioning, over that which exists, will be £1.5 billion. This vast sum, will no doubt go to largely to the 'big four' because it always seems to. They will be heavily involved, without doubt. The revolving door between Government and them will see to that. Oh, and of course, we should not lose sight of the fact, that the 'big four' were complicit in the Banking crash, we are all paying for. They helped to design some of the models of profligate lending, and audited the results without demur.