Monday 15 July 2013

The Doctor Will See You Now: So Too Will the Advertisers



Patients are about to be targeted like never before by advertising companies as face recognition software merges with information screens to profile your interests as you wait for your doctor.
 
Lord Sugar is on the verge of selecting one more hard-nosed apprentice to his entrepreneurial stable as his Apprentice programme reaches its latest conclusion this Wednesday. Quite what work the eventual winner will undertake is unclear but a previous winner was selectedto run the sales of a project that profiles patients in the NHS as they sit and wait for their GP.

Amscreen Plc is part of Lord Sugar’s Amshold Group of companies, which is basedin the tax haven of Jersey and is overseen by his son Simon Sugar, who is the CEO. The company, which launched in 2008 when Lord Sugar bought Comtech M2M, provides T.V screens into places where there is a captive audience and places targeted marketing alongside the other content the organisation may use. These screens are placedin GP surgeries, hospitals and dentists throughout the UK and in Europe and also in petrol stations, convenience stores.


The way it works is like this. Amscreen will place a screen for free in say a GP surgery, which allows the surgery to inform patients on matters such as surgery opening hours or flu jab reminders. The money they get is by selling the other space on the screen to advertisers which will be part of a pre-packaged programme that will reach the captive audience waiting to be seen by their doctor.

Amscreen distributes its screens in two main ways:  by either funding the screen and installation at a client's premises, allocating some airtime to that client alongside the preloaded advertising, or by selling screens to a client and enabling  them to control their own media network (in return for a small monthly fee) where they have 100% control of the ad content.

Amscreen health has expanded their operation so that around 850 screens now exist in 695 GP surgeries, Pharmacies, Hospitals, and Dentists. Amscreen offer various packages depending on their target audiences, which are tailored towards over 55s, health charities, mother & baby, pharmaceuticals and private health. Amscreen is mainly in the UK, but is expanding into Europe and around the world.

In partnership
Three years ago, Amscreen and private hospital group, BMI Healthcare agreed a two-year partnership, which involved BMI Healthcare providing live weatherfeeds to advise patients on their ‘healthcare choice’. Quite how many meteorologists exist within the hospital network is unclear, but what is known is that this platform also allowed for the company to reach out to millions of patients advertising their services.

Nigel Moon, the Head of Marketing at BMI Healthcare said at the time “This advertising and sponsorship package provides us with a great opportunity to feature BMI Healthcare, our local hospitals and services to a highly targeted audience at a key time in the patient journey.” BMI Healthcare are just one of many other private health companies listed as ‘established relationships’, which include Baxter, GSK and Pfizer and Bayer healthcare, who are able to reach captive audiences in GP surgeries across the healthcare network. Apart from the healthcare corporates regularly cited on Amscreen's website, Care UK and Bupa have also been clients.

However, take up of the Amscreen product has not been as successful as he would like. In an interview with marketing company 'Campaign Live', Lord Sugar said ‘I don’t get them…I don’t understand why these people don’t say: ‘Bloody hell, I’ve got a captive audience of hypos [hypochondriacs] sitting there and I’ll bang my Anadin vs Panadol  [messaging] on the screens non-stop’. The Labour Peer, according to the marketing website believes ‘all over-the-counter drugs should use Amscreen’s screens in health environments.’ This method according to their own material, will drive an 'uplift in prescriptions.'

Face recognition
In order to improve the sales of Amscreen, the company has now teamed up with a face recognition company called Quividi. This technologywill be able to ‘determine the gender, age, date, time and volume of the viewers’ that look at the adverts and give real-time feedback to the advertisers. Lord Sugar’s son Simon reckons “brands deserve to know not just an estimation of how many eyeballs are viewing their adverts, but who they are, too.”

Alan Sugar, who was given his peerage in 2009, is a Lord largely in name only. In the last year he has taken part in 3 debates and has voted in 3.74% of votes, which given his outside interests is unsurprising. In addition when Lord Rea put forward a motion to shelve the Health and Social Care bill, Mr Sugar didn’t bother to turn up. However, he is of use to the Labour party who have gladly received £333,650.84 in donations from the ‘noble’ peer since 2001.

Privacy
Patients are surely entitled to be able to enter a GP surgery without being targeted by advertisers. Patients largely trust their GP and if drugs appear on the screen in front of them, then they may think that the GPs had control over the content.  This is certainly recognised by Amscreen who explicitly say the positioning of advertising in a GP surgery is a ‘perceived endorsement’ of a product by the GP.

The idea that you will be having your face analysed by advertisers as you sit waiting for your Doctor is surely an invasion of your privacy, despite assurances that faces are detected rather than captured. Many people going into the GP will presumably be concerned over their health, which is a matter not overlooked by Amscreen. In their promotion materialit points out ‘Our high impact screens will provide advertisers with an opportunity to communicate with a broad audience in a receptive mind-set when mental and physical wellbeing for themselves, their families and the community is top of mind.’

Breach of Trust
This all means that a patient without their knowledge or permission is providing information for free to advertisers in the perceived trusted environment of their surgery. Although other important information is imparted on the screens, the local surgery is acting in partnership with whoever the advertisers happen to be over the contractual period. All this amounts to a situation in which patients are being taken advantage of in a vulnerable moment, which is a clear breach of trust by the GP surgery, hospital or dentist, whether privately run or NHS. Such a practice should stop and if you see a screen when you're waiting for your appointment next, then you may need to assume you're being watched.

Tuesday 2 July 2013

Social Investigations News Roundup



1. Change the NHS from within: New research conducted by Social Investigations has revealed a Head Hunter firm with financial links to a Conservative Baroness has been able to gain revenue directly from changes that took place because of the Health and Social Care Act on which the Baroness voted. Furthermore, the Chairman of the company has funded the Conservative party in a process that changes the NHS from within. Full story...

2. “Nothing Short of Corruption”: The House of Commons have just hosted a second debate on lobbying, following the recent scandal to envelop parliament and once more soil the already tarnished reputation of UK politics. In the debate, which was on the introduction of a statutory register of lobbyists, the Labour MP for Easington, Grahame Morris, chose to highlight the breadth of healthcare interests held by MPs and Lords; the first time this research has entered into parliamentary discussion. Full story...


3. 2020health Think Tank:Documents released by the Department of Health under the Freedom of Information Act reveal a healthcare think tank with multiple links to coalition peers wants to turn the NHS into an “asset” of “UK Plc” - and which suggests the government needs to “charm” private healthcare “international corporations”.
Full story...

4. Earl Howe: The Parliamentary Under secretary for Health Earl Howe, who led the Health and Social Care bill proceedings in the House of Lords, was listed as a patron for pro-market think tank 2020health, just before the elections. Full story...

5. Lobbying Moves In-House - Nick Seddon: Number 10 welcomes Nick Seddon, former lobbyist and private healthcare advocate, into Downing Street to lead on health policy formation. What does this say about Cameron’s real attitude to the lobbying game he has publicly decried? And what kind of policies will Seddon be pushing now? There are good reasons to be concerned. Full story...

6. Breaking the code – the Healthcare Chain: The Members’ financial interestsrepresent every stage of the healthcare value chain: from private equity firms that fund private healthcare companies, to holding shares in those same companies. They are Chairmen of companies who run NHS estates, are involved in PFI deals, are partners in legal firms that seal those deals, advisers to private hospitals, they also represent companies in pharmaceutical media, medical equipment, care homes, lobbying, and health insurance. Full story...

7. Healthcare Coup: The Lords didn’t save us the first time: In early 2012 the Lords voted in favour of the Health and Social Care bill, the final step in turning it into an Act. As the Lords sat in the house to debate and vote on the bill, research conducted by Social Investigations revealedthe Lords were riddled with private healthcare interests across all parties. Despite these recent or present financial links to private companies involved in healthcare, they were allowed to debate and vote. Full story...
8. Unhealthy Influence: The Rise of  then NHS Partners Network: The transformation of a small private healthcare trade association into a powerful and influential lobby group provides a clear indication of the direction the NHS has taken.  Today the NHS Partners Network has some of the most powerful private healthcare companies as members and is a trustee on the NHS Confederation board. Social Investigations journalist Andrew Robertson examines the development of one of the best-connected and most persuasive privatisation cheerleaders. Full story...

9. Tax Haven? No Contract: The message proffered by David Cameron when he spoke at the World Economic Forum in Davos was tax avoidance would become a priority of the UK’s presidency for this year. In reality, the government acts in the opposite manner, rewards those companies who channel money to tax havens with further contracts paid for by the taxpayer. Full story...

10. Rights for Shares: No Mandate, Unwanted Rejected: George Osborne has maintained his stance to weaken worker protections in exchange for shares. In doing so he exposes himself as utterly undemocratic, and highlights the need for the unions to regain some strength. Full story...

11. Healthcare Contracts Connecting Lords and MPs and Their Companies: This list represents private healthcare companies that are financially linked to Lords and MPs from all parties that have won contracts since the government announced the white paper Equity and Excellence: Liberating the NHS, which in turn led to the Health and Social Care Act. Full story...

12. Lord Help Us – Tory Donor Made Peer Reveals A Broken System: When it was announced that John Nash would become a life peer of the House of Lords, I added his name to the listof over 200 parliamentarians who have recent past or present financial links to companies involved in healthcare. Full story...


13. Labour Used Virgin ‘Restricted’ Report to Open NHS to Healthcare Companies: A hitherto restricted report commissioned by Labour back in 2000 has revealed how Virgin overstepped their remit – advice on improving customer service in the NHS - by promoting an increase in the use of private companies. Further inclusions written into the report by mystery authors also reveal a fledgling policy idea that would later become part of Virgin’s expansion into the healthcare market. The document also sheds light on New Labour’s wider programme of marketising the NHS – the job the Coalition has now seen to conclusion. Full story...

14. Half Billion Tax Haven Transfer: A private outsourcing company who are in receipt of one of the highest government spends have channeled over half a billion pounds into an offshore tax haven. One of the group of company directors, part-funded David Cameron’s leadership campaign in 2005 with two £10,000 payments. Full story...



Monday 1 July 2013

Baroness Headhunter Company Making Money from Her Vote



New research conducted by Social Investigations has revealed a Head Hunter firm with financial links to a Conservative Baroness has been able to gain revenue directly from changes that took place because of the Health and Social Care Act on which the Baroness voted. Furthermore, the Chairman of the company has funded the Conservative party in a process that changes the NHS from within.

Baroness Bottomley is the Chair of the Board and CEO practice of Odgers Berndtson and also holds shares in their holding company Broomco Ltd.

The head hunter company works in thirteen industry areas including Healthcare, and been heavily involved in vetting key personnel into the new NHS

Their website boasts of their ‘unparalleled reach across the NHS, (and) private sector healthcare...(which) enables us to attract inspirational candidates others might never find.’

A key part of the Health and Social Care Act was to move commissioning responsibility for NHS services from Primary Care Trusts to the newly formed Clinical Commissioning Groups (CCGs).



In early 2012, Odgers produced a report titled ‘Leadership and management Challenges in Clinical Commissioning Groups’, which stated how ‘Making intelligent appointments to (CCG)…Boards, and, subsequently to management teams, through open and rigorous processes, will be the major determinant of success in the effort to develop leadership cultures in CCGs.’

The new ‘intelligent appointments’ vetted by Odgers & Berndtson and accepted by the relevant departments will act as the new drivers in the CCGs and change the NHS from within. ‘Through thought-leadership seminars and networking’ they claim to ‘bring the rising stars of the NHS together to inspire best practice and help shape a vision for the future.’ 

CCGs
Despite having only been in existence since April, several CCGs have already spent over £350,000 on recruitment services provided by Odgers & Berndtson. These revenues, which were made possible due to the changes imposed by the Health and Social Care Act, occurred in part thanks to the vote of Baroness Bottomley.

The tentacles of Odger’s influence stretch across the NHS spectrum and they will be finding the replacement ofr current NHS Chief, David Nicholson. Odgers is part of the government’s recruitment framework and have been involved in four appointments in the Department of Health. A further freedom of information request revealed they were also involved in the recruitement of David Cameron’s former special policy adviser on health, and ex-McKinsey consultant Paul Bate to the beleaguered Care Quality Commission. Furthermore, Odgers have been used to fill seven appointments in the North-West London Commissioning Support Unit at a cost of £66,000.

Monitor
In addition to the CCGs, a freedom of Information request has discovered that many of the key positions in the new NHS regulator Monitor, have been filled using Odgers Berntdson. In total 12 senior personnel have been sourced and vetted by Odgers at a cost of nearly £200,000 of taxpayers money.

Positions filled by Monitor through Odgers Berndtson
1
Compliance Manager
2
Director of Public Affairs and Communications
3
Policy Director
4
Head of External Affairs
5
Policy Adviser
6
Policy Adviser
7
Policy Adviser
8
Non Executive Director
9
Non Executive Director
10
Non Executive Director
11
Costing Specialist
12
Medical Adviser
Total cost of services provided (excluding advertising)
£195,018.15

Since becoming a life peer in June 2005, Mrs Bottomley’s attendance rate has been just 20%, yet somehow she managed to turn up for every day of the Health and Social care bill and voted to help turn the legislation into an Act.

Richard Boggis-Rolfe
Furthermore, the Chairman of Odgers & Berndtson, Richard Boggis-Rolfe has given £207,500 in donations to the Conservative party between 2006 up until the General election. In an interview with City newspaper CityAM, he revealed the benefit of having the baroness and ex-health secretary on her books when he said ‘Everyone takes her call.’ When Baroness Bottomley rose to speak in the Health and Social Care bill second reading, the former Conservative health secretary said to her fellow peers “The role of Monitor has been excellently refined. It has allowed the transitional phases to develop, but the health service needs a bit of muscular intervention...I give this Bill an unequivocal and extraordinarily warm welcome.”  No doubt a thought shared by her chairman.

Further healthcare interests
In April 1993 Virginia Bottomley as Secretary of State for Health in the Conservative party under John Major, announced her intention to increase private company involvement in the NHS. In a speech reported by the Independent to the Confederation of British Industry, Mrs Bottomley informed us that although NHS patients will still be treated free, ‘the service should 'buy' more care from private hospitals and health care companies such as Bupa.’  

Forward wind 14 years and on the 17th of May 2007, Bupa announced the appointment of three new Non-executive Directors, one of which is Baroness Bottomley of Nettlestone.

Although having just left her Bupa post in May this year, Mrs Bottomley’s healthcare interests don’t end there. The Baroness is also a non-executive director of medical technology multi-national Smith and Nephew, a member of the International Advisory Board for Tokyo-based Chugai Pharmaceutical Company Ltd a board member of Akzo Nobel, which is listed in the NHS purchasing directory as decoration suppliers.

Is it enough that Virginia Bottomley simply registered her interests but was still allowed to vote on the Health bill? In doing so she has played a part in opening up increased revenue opportunities for her employer whose chairman also part-funded Conservative central party. Her sheer delight at the bill’s existence and her connections to companies that are already benefitting from the NHS, surely makes for an urgent need to change the rules and end the vote when there is a conflict of interest.

Councillors at local level are unable to vote with a ‘prejudicial’ interest and can debate at the discretion of their fellow councillors but no such restrictions exist MPs or Lords. The time has surely come to make them abide by the same restrictions.

There are several companies who have connections to Lords and MPs who have directlygained revenue or changed company position due to the Health and Social care Act. In totalover 200 parliamentarians have recent or present financial links to companies or individuals involved in healthcare, all able to vote on the Health and Social Care Act. This situation was recentlydescribed by the Labour MP for Easington, Grahame Morris as ‘nothing short of corruption.’