Showing posts with label 'Andrew Lansley'. Show all posts
Showing posts with label 'Andrew Lansley'. Show all posts

Wednesday, 26 June 2013

‘Nothing short of corruption’: Lobbying Debate Highlights Healthcare Links in Parliament for First Time

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.

In the debate, he asked the leader of the House of Commons, Andrew Lansley how he thought the public would react ‘when they find out that, one in fourConservative peers…have recent or current financial linkswith private health care? Will the Bill address that?’

Andrew Lansley, whose office was part-funded by an individual investor in healthcare when he was shadow health secretary replied with this: ‘I have no idea of the specifics of what the hon. Gentleman talks about or of what precisely he means by what he said, but what I would say is that transparency is important. If Members of this House have financial interests in companies, they should be very clear about them in the Register of Members’ Financial Interests and they should be very clear that they do not act in Parliament in a way from which they could personally benefit through their relationship.’

Andrew Lansley like so many of his fellow MPs fail to recognise that to simply register your interests is not enough, it is the interests themselves that is the problem. What does Andrew Lansley think Mr Morris meant by informing him of these vested interests?

The specifics are easy to understand, parliament is riddled with corporate interest. The implications are that our so-called ‘public servants’ represent corporations, who help write policy and then lobby to ensure MPs and Lords vote on legislation that will open up revenue opportunities for them. This happened in the Health and Social care bill, and companies connected to MPs and Lords have since made moneythanks to their vote.

Reform

In addition to the extraordinary amount of vested healthcare links, Mr Morris brought to the House's attention, the influence that think tanks have on policy and their lobbying. Mr Morris chose to focus on Reform, a free market think tank seen by the Conservative Home blogas being a part of the Conservative movement.

He rightly pointed out Reform’s links to big corporations and that so many of these businesses also employ MPs and Lords. His reasonable assessment of Reform caused the Conservative MP for Folkestone and Hythe, Damian Collins, to offer a word of caution. Mr Collins who has worked in both marketing (M&C Saatchi) and political communications (Lexington) before becoming a MP said the House needs to ‘take care, in defining who lobbyists are’, he suggested and that ‘Reform’ are ‘an independent think-tank with a cross-party board‘. This according to Mr Collins is ‘very different’ from someone who is a paid-for corporate lobbyist working for a professional lobbying company or an individual company.’

The warning was enough to make a slightly uncertain Mr Morris retract slightly ‘Perhaps I could have selected a better example. If I was wrong, I acknowledge that.’

In fact Mr Morris had chosen the perfect example.

Corporate policy writing

Damian Collins assertion that Reform’s setup is somehow different to a ‘paid-for corporate lobbyist working for a professional lobbying company or an individual company’ is wrong. Until recently, Nick Seddon was the deputy director of Reform, having moved from his previous position as Head of Communications at private health company Circle Health.

When at Reform, he lobbiedSir Stephen Bubb, who was the head of the Choice and Competition part of the NHS Future Forum, set up during the health bill pause. His role was clearly to push for competition to remain in the bill but that was not all he did.

Seddon wrote articles regularly including in the Telegraph. As a former head of communication you might expect this, but his articles were part of a network, which included Reform, the Telegraph and a healthcare lobby group who joinedforces to ensure the Telegraph’s editorial hosted pro-market opinion pieces direct from the lobbyists, which included Seddon.

Presumably Nick Seddon’s work for Reform was remunerated, which firmly places him in the ‘paid-for corporate lobbyist’ camp.

Now Reform to the discredit of the Charity Commission are a charity, so Damian Collins is right on a technicality that they are not a company, but they are certainly professional and they certainly lobby.

Over half of their corporate sponsors are private healthcare companies, they write reports that are used as vehicles to lobby assisted by their corporate partners. These reports that are often big on recommendations and small on research promote one thing consistently. Privatise. The government often base policies on Reform and proudly launchthe policy at Reform events.

The answer to all this was for Cameron to hire Seddon into the health policy unit up until the next election. This move is evidence enough that Cameron has little intention to draw in lobbying.
Collins claim that Reform are independent is also false. The use of the word ‘independent’ is frequently used by think tanks in order to appear politically balanced in order to gain charity status. But research into the power base of Reform, shows they are entirely linkedto the right and almost entirely to the Conservative party.

The think tank writes policy with the input of the corporations under the tagline that ‘
their expertise is often left out of the Whitehall policy discussion.’ This clear falsity has been discreditedseveral times through research into a few of the individual companies that make up Reform’s corporate partners. These companies in fact represent some of the biggest businesses in the U.K. and are not left out of Whitehall discussion; in fact many of them also employ Lords and MPs.

Rules

One of the problems not discussed in the debate was the fact that Members of both the Commons and the Lords can vote regardless of whether their financial interest conflicts with the legislation they are about to vote. They can also amend legislation despite these interests and they can become patronsof organisations, without having to register their interests. These loopholes do not exist at local level whereby councillors with such interests are banned from voting and debating at the discretion of the chamber.

So praise indeed to Grahame Morris who has raised the issue of healthcare vested interests into parliament for the first time. As Grahame Morris rightly pointed out, “The links with private health care companies are wide and extensive in this House“ and not justwith the Conservatives. So extensive are the interests they amount to over 200 parliamentarians with these links, which represents every part of the healthcare chain.

This is ‘democracy’ in Britain today, and a situation that according to Grahame Morris is ‘nothing short of corruption.’

Petition

There is a petition to highlight this point and to stop MPs from voting when they have a financial interest that conflict with the legislation. I urge you to sign it.


Thursday, 26 July 2012

NHS Partners Network – who are they?


The start
The NHS Partners Network formed in 2005 to provide a voice for private health companies, and was initially made up of organisations involved in the government’s Independent Sector Treatment Sector programme (ISTC). The ISTC initiative was to open up non-emergency treatments to the private sector that would operate (no joke intended) from treatment centres based within NHS hospitals.    

When a leaked document from the Health care Commission raised questions over the quality standards within the ISTCs, the NHS Partners Network used its influence to make sure a report on ISTC’s was less critical than otherwise would be.

In 2007, they were voted on to the NHS confederation, the main representative organisation for organisations offering NHS services.  Since the initial ISTC days, the Network has expanded to include companies and organisations providing services to the NHS.

Social Investigations conducted Lords research
Why do they have influence?
The NHS Partners Network is largely made up of private healthcare companies, with a couple of non-profit organisations thrown in. Their current members list contains 7 companies with financialconnections to MPs, Lords or former MPs.


A few examples of this are:
Alliance Medical Limited: 
www.alliancemedical.eu.com– Alan Milburn Alliance Medical runs diagnostic services for the NHS, including in Birmingham and Falkirk. UNISON reportedthat services were giving patients sub-optimal care, losing the NHS money because of below-capacity uptake, and pressurising hospitals into using private sector treatments.
Care UK: 
www.careuk.com– Andrew Lansley John Nash the Chairman of Care UK gave donations of £21,000 to run Lansley’s office when he was shadow health minister. Bridgepointwho have Lord Patten of Barnes on their books purchased Care UK.
Circle: 
www.circlehealth.co.uk– Mark Simmonds MP is a strategic advisor - the self-styled “social enterprise” that became the first private company to take over the management of an NHS hospital, is owned by companies and investment funds registered in the British Virgin Islands, Jersey and the Cayman Islands. SeeCorporatewatch ‘An unhealthy business’
The full list of members is below.
How have they used their influence?
When you have connections like they have it certainly provides a platform to being able to obtain high-level meetings.

According to their 2007/08 annual report, they held ‘Major high-level’ meetings with
  • Andy Burnham the Minister of State for Health. 
  • Mark Britnell, who was then the Director-General of Commissioning and System Management for the Department of Health. Mr Britnell has since moved to the private sector as Global Head of Health for business service giant KPMG, He famously said in 2010, while discussing reforms to a private healthcare conference: “In future, The NHS will be a state insurance provider not a state deliverer”, and that “The NHS will be shown no mercy and the best time to take advantage of this will be in the next couple of years'.
  • Mark Simmonds as Conservative junior minister for Health Spokesman

The latter raises some serious questions as to what part of the draft bill was influenced by the network. In addition to this according to their 2007/08 Annual Report, in October 2007, they held 'informal conversations with Andrew Lansley' and the Conservative party conference, and perhaps more importantly, held a 'meeting with Lansley on the Conservative party's draft bill.'

The latter suggests that they had advanced warning of the bill and parts of its content which they may have influenced. When we consider who their members are (listed below) this might be considered to be giving them an unfair advantage and certainly more notice that the public were given.What was said? Did they put in anything to do with competition? Lansley had competition in mind when writing the White Paper, he just didn't bother telling the public who he is meant to represent.

Health and Social Care bill
In 2008 they had a Meeting with then shadow health secretary, Andrew Lansley, on matters to do with the Conservative party’s draft bill.
In October 2010, Simon Burns (the Minister for Health), Earl Howe, and Andrew Lansley’s Special Advisor, Bill Morgan, attended two meetings with David Worskett, the director of the NHS Partners Network. In the meetings, the ministers reassured the lobby director that opposition to parts of the bill increasing competition would soon ‘dissipate’.

A further meeting head with Earl Howe and Simon Burns on the 19th May, 2011, went well. Earl Howe offered a ‘depiction’ of the ‘Government position’, that meant ‘“choice” was a non-negotiable.’ This view led Mr Worskett to say: ‘He could have been delivering a prĂ©cis of our briefing notes (which of course he had already seen)’. No wonder then that later in the day at a National Stakeholder Forum, Earl Howe ‘endorsed [Mr Worskett’s] arguments twice during the session on competition and regulation’.

Competition in the bill
A newly discovered document has revealed the lobby group held a ‘lengthy’ discussion with the chair of choice and competition of the NHS Future Forum Sir Stephen Bubb, during the Health bill ‘pause’.

In the meeting according to the document which was intended for the eyes of the Network’s members only, Mr Worskett had ‘agreed on the approach he (Mr Bubb) would take, what the key issues are, and how to handle the politics.’ He has, he concluded, ‘not deviated from this for a moment throughout the period.’ Perhaps it is this influence that they are referring to in the annual summary 2010/11 report where they say, one of their ‘main activities’ involved ‘influencing the development of the NHS reforms’.

The NHS Partners Network are not finished lobbying yet, having recently responded to the first stage of the health regulator’s (Monitor’s) review into the fair playing field for NHS providers. They held a meeting under the auspices of the right-wing think tank "Reform" with David Bennett, the head of Monitor who are running the review. The room was full of ‘like-minded’ people. The NHSPN’s press release announcing their submission to the review states: ‘We look forward to working with Monitor throughout the consultation process.’


NHS Partner Network members and connections
3Well Medical: 
alma.3well.info/home
Alliance Medical Limited: 
www.alliancemedical.eu.com– Alan Milburn Alliance Medical runs diagnostic services for the NHS, including in Birmingham[15] and Falkirk.[16] UNISON reported that services were giving patients sub-optimal care, losing the NHS money because of below-capacity uptake, and pressurising hospitals into using private sector treatments 
Alliance Surgical Plc
: www.allsurgical.co.uk/
Assura Medical Limited
: www.assuramedical.co.uk - Baroness Morgan of Huyton Ex-director of failed care home, Southern Cross, is a member of the advisory committee board of Virgin Group Holdings Ltd. Virgin Healthcare Holdings is a subsidiary of them, who took over Assura Medical Limited and renamed them Virgin Care. Vivienne Mcvey is a board member/Director of Virgin Healthcare holdings and has represented NHS Partners Network when giving evidence on behalf of the Care Quality Commission (CQC). Ms McVey is a member of the CQC Providers Advisory Group and was a part of the NHS future forum and is also a member of an 'Independent' Panel set up by Lansley in March  to look at the impact of the NHS Constitution.

Barchester Healthcare: 
www.barchester.com– Baroness Ford – Chairman - Chairman of Grove Ltd, a holding company for for Barchester Health.  Mike Parsons the Chief Executive was voted 2ndmost influential person in healthcare by the HealthInvestor members.
Baxter Healthcare: www.baxterhealthcare.co.uk/
Bupa Home Healthcare: 
www.bupa.co.uk/home-healthcare– Baroness Bottomley is a director, Lord Edmiston has shares, Lord Leitch is a non-executive director, Baroness Liddell is an Associate member
Care UK: 
www.careuk.com– John (now Lord) Nash the then Chairman of Care UK gave donations of £21,000 to run Lansley’s office when he was shadow health minister. Bridgepoint who have Lord Patten of Barnes on their books purchased Care UK.
Circle
: www.circlehealth.co.uk– Mark Simmonds MP is a strategic advisor -
Connect Physical Health: 
www.connectphc.co.uk
General Health Group
: www.generalhealthcare.co.uk
Harmoni CPO Limited: 
www.harmoni.co.uk
Healthcare at Home: 
www.healthcare-at-home.co.uk
InterHealth Canada: 
www.interhealthcanada.co.uk
Medical Services: 
www.medicalservicesuk.com
Nuffield Health
: www.nuffieldhealth.com


Oasis Dental Care Limited
: www.oasisdentalcare.co.uk– the recently deceased Baron Newton of Braintree
Pfizer Health Solutions UK: 
www.phsownhealth.co.uk–  Owen Smith: MP for Pontypridd. A former UK lobbyist for the American pharmaceutical giant Pfizer, where he was head of government affairs from 2005-2007. Lord Goldsmith: Partner in International law firm Debevoise & Plimpton LLP, whose clients include Pfizer.
Primecare Primary Care: 
www.primecare.uk.net
Ramsay Health Care UK
: www.ramsayhealth.co.uk
Spire Healthcare: www.spirehealthcare.com- Cinven purchased them and Cinven are connected to Patricia Hewitt
The Horder Centre
: www.horder.co.uk
UK Specialist Hospitals Limited
: www.uk-sh.co.uk
UnitedHealth UK: 
www.unitedhealthuk.com
Vanguard Healthcare Solutions Ltd: 
www.vanguardhealthcare.co.uk