To the Business, Energy and Industrial Strategy Secretary:
For Clarity - Attempt 563:
563) The Inquisition Had Its Instruments Of Torture.
Dear Mr Clark,
The Inquisition had its instruments of torture we have the National Framework for NHS CHC and NHS Funded Nursing Care's Diagnostic Support Tool or DST.
Diagnostic?
A survey by Parkinson's UK suggests that 80% of professional healthcare workers would disagree. As for the remaining 20% one can only shake one's head in disbelief.
Thanks to Monty Python we probably know more about the Inquisition (the Spanish variety) than we do about the National Framework (or NF for short).This is no doubt due to a lack of academic research, media coverage and transparency and accountability of those who lie to, rob, cheat and abuse the sick, the elderly and the dying on a daily basis.
Imagine; you get up in the morning look at yourself in the mirror and then head off for a nice day of lying to, robbing, cheating and abusing the most vulnerable members of our society. And all paid for by the taxpayer.
The CEO of Livewell Southwest Ltd has declined to name his Anonymous Desk Top Reviewer or provided us with an explanation for that individual's one line sentence decision in our late father's case. Neither did we receive all the information we requested from our Data Protection Act request.
This is not an acceptable standard of transparency or accountability in a country that has supposedly, "taken back control."
David Oliver's article, "NHS continuing care is a mess" does attempt to redress the imbalance in reporting and gives us a glimpse of the reality behind the, "diagnostics."
"- Disputes, delays and bureaucracy mushroomed as organisations battled to avoid taking on the increased costs.
- More patients were left waiting in the system, unable to move on.
- Unseemly disputes arise about just how quickly a patient is likely to die and whether its soon enough to access funding.
- Huge variations remain in the time taken to make assessments and decisions.
- I've witnessed plenty of gaming and retreat to organised interests."
He believes that politicians;
"should simplify the arbitrary rules around funding between health and social care."
That this appalling system is somehow salvageable.
(www.bmj.com/about-bmj/freelance-contributions/david-oliver)
This seems unlikely.
Organised vested interests are set to dominate decision making. Too much money is at stake. As for the gaming - there would appear to be no rules. Diagnostic tool? It's like turning up to knife fight armed with a pair of boxing gloves and a copy of the Queensberry Rules tucked under your arm.
Fleur Perry's findings are really deeply concerning for those who care. Politicians and CCG policy makers appear set to turn the NF into an inquisitor's rack.
She made 212 Freedom of Information Act requests in an attempt to uncover just how CCGs arrived at their NHS CHC decisions and received 122 responses. 90 didn't bother. 53 CCGs said they had drawn up their own policies and she found that 44 of them contained, "concerning" phrases that suggested CCGs would move disabled people into institutions against their wishes even if the cost of the homecare package was only slightly more expensive than residential care.
Fleur Perry said, "This research shows that in many areas of the country, I'd have been forced into a care home against my will a long time ago. I find that a very disturbing thought. Each of these policies would have to have been signed by a board of perhaps a dozen people. This means that there are likely to be more than 500 people working for the NHS who would not object to me, or someone like me, being moved (into an institution) against their will."
For example, Southampton City CCG policy made it clear it had been developed to make, "effective use of finite resources" and for care packages to be, "cost effective."
(www.disabledgo.com/blog/2017/01more-than)
Rationing in other words.
Clinical Commissioning Groups (CCGs) would appear to be little better than Organised Crime Syndicates (or OSGs.) with the Extortion Racket they are secretly redefining set to become yet even more inhumane.
In the past people were forced into workhouses against their will, the modern-day variant appears to be warehouses and the enforced warehousing of the disabled also against their will. Quite a prospect when you stop to consider that each and every one of is likely to become disabled at some point in our lives especially if we live long enough.
These 500 anonymous healthcare professionals and policy makers bear a striking resemblance to Nurse Ratched in Ken Kesey's, "One Flew Over The Cuckoo's Nest." She was also a healthcare professional who according to the novel's narrator, Chief Bromden, was always, "calculating," "mechanical," a "little white knot of tight smiled fury" and who did not, "tolerate challenges to her authority."
A study in cold inhumanity.
For her what mattered was the total control of her ward. For the 500 what counts seems to be the total control over, "finite resources." In doing so they undoubtedly launched a second National Health Lottery - the lottery of NHS funded nursing care.
It is abundantly clear the CCGs - OCGs - see Freedom of Information Act and data Protection Act requests as a challenge to their unaccountable authority and treat them with cold, clinical contempt , either ignoring them totally or grudgingly handing enquirers carefully doctored scraps of information.
Nye Bevan would be mortified.
Q. Mr Clark, doesn't it sum up the true nature of our shared society that we must rely upon courageous individuals like Fleur Perry and her freedom of information act requests, to challenge the vested interests of NHS CCGs in a desperate attempt to uncover what the plotters are plotting?
Q. Mr Clark, why are NHS CCGs - OCGs - so secretive, opaque and unaccountable and how can any of this be good for our shared society and our democracy?
Q. Mr Clark, have NHS CCGs modelled themselves on the RICS "appointed" company - OS:Property?
Yours sincerely,
Steve Gilbert.
The Ombudsmans61percent campaign is at: www.blogger.com
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