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The current list of all of England's healthcare re-organised into 42 Integrated Care Systems is provided below. Each of them will have a CEO with annual salaries of £250,000 to £270,000 and that is just for starters. Each ICS will have an ICS Partnership Board and associated salaries yet to be determined by NHS England. To date, the salaries alone of the ICS CEO's will cost the NHS £11,340,000 That is over £11 million less to spend in actual healthcare of patients within the newly formed and legislated for by the Health & Care Bill currently going through the committee stages in Parliament. Here is the current list of ICS which may not be the same once the Health and Care Bill becomes law. Each of these can merger, be taken over by US Healthcare companies, or set themselves up as limited companies! This is the final nail in the coffin of the NHS in England and removes it from the NHS structures and from NHS control.
The NHS website explains the bare minimum of what Integrated Care Systems are about: Subject to the views of Parliament, it is expected that these measures will come in to effect in April 2022." However, this must be read in conjunction with the NHS Long Term Plan previously reported by Unionsafety and available from the E-Library here
Currently Virgincare sits on at least one ICS Board - Bristol, and a partnership organisation with University of North Carolina Health - The Northern Care Alliance run by Salford Royal NHS Foundation controls and runs services in Greater Manchester and Merseyside and Cheshire! It's Chair Prof Michael Luger was previously an employee of UNC. Now the Northern Care Alliance is at the centre of a controversy about an “unfair” tender process in which NHS England is withdrawing specialist surgery for intestinal failure from multiple hospitals, including those in Cheshire and Merseyside. The Health and Care Bill itself is not the determining factor as to what ICS are all about: that is detailed in the NHS Long Term Plan, which provides the detail of the aim of privatisation of healthcare in this country; but worded in such a way that this ultimate aim is vague. This is what the NHS England website says on the CEO job application form about the CEO of the ICS Board's role. It needs to be read very carefully: Integrated care systems (ICSs) are partnerships of health and care organisations that come together to plan and deliver joined up services and to improve the health of people who live and work in their area. They exist to improve outcomes in population health and healthcare; tackle inequalities in patient outcomes, experience and access; enhance productivity and value for money and support broader social and economic development in their area. As CEO of the ICS’s Integrated Care Board (ICB) you will work with your colleagues, your community and your partners to deliver a long-term strategy to achieve this. There are now 42 ICSs covering the whole of England, each serving between 500,000 and three million people. Each ICB will hold a substantial budget for commissioning high quality patient care and the authority to establish performance arrangements to ensure this is delivered.
With the NHS calved up into 42 autonomous ICS with their own budgets, management boards and constitutions, and with full involvement of private healthcare companies in the UK and the US; the end of the NHS as a national body providing regulated and national healthcare as in the 1948 Act, will be completed in April 2022. Private healthcare insurance across all ICS will be the next step and a two tier healthcare system mirroring the US system will be born! Source: HSJ / NHS / Unionsafety / Calderdale and Kirklees 999 Call for the NHS See also: NHS Privatisation News Archive |
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Bath and North East Somerset, Swindon and Wiltshire
North East and North Cumbria
The NHS Long Term Plan document goes into detail about flexible working of clinical staff between hospitals and clinics in each separate ICS, local pay rates for staff which dismisses national pay rates, and allows for the private sector to be on both ICS Boards and ICS Partnership Boards!