Skip to main content

To: Sajid Javid, Secretary of State for Health and Amanda Pritchard, CEO NHS England

STOP the new plans to dismantle our NHS.

STOP the destruction of our NHS. Call a halt to the Sustainability and Transformation Plans now rebadged as Integrated Care Systems, NOW

Why is this important?

This is the biggest attack on the NHS you've never heard of.

For the last few years the news has been full of winter and summer crisis in the NHS, with A&E's closing their doors and ambulances unable to discharge their patients.(1) In late 2015 the Chief Executive of NHS England, Simon Stevens, created a plan to solve this by CLOSING more A&Es. He thinks if you close hospitals people will stop using them. (2)

Called Sustainability and Transformation Plans he has split England into 44 areas - called 'footprints'. Each 'footprint' was told in late December in 2015 that they must have a plan by 30th June 2016 to completely change the way the NHS works. To work they had to be able to prove they could clear their massive debts within a year.

To do that they have to close services and sell land and hospitals.

Has a hospital closed near you? Is it under threat? Simon Stevens says that to make the NHS affordable we, the public, must get used to no longer having a major hospital within easy reach. This was planned in 2013, but shelved until after the 2015 election as being 'politically sensitive'. It looks like the STP has taken that off the shelf and that is very bad news. In 2013 there were 140 full A&E hospitals in England. We could be be left with between 40-70 A&Es. Closing A&Es is very bad for your health. (3)
There was a link to TTIP.
Jeremy Hunt hired Simon Stevens to take over NHS England in 2014. Before that he was President of global operations for United Health of America where he was a lobbyist for the Transatlantic Trade and Investment Partnership. He didn't oppose it. He fought to open up public health services like our NHS to US private health corporations. We know TTIP and the NHS are top campaigns for 38 degrees members. (4)

Now he's in charge of our NHS! He is driving through a change which will eradicate our NHS and replace it with a US style health service. These new organisations could even be run by US corporations, holding the budgets and deciding what care will be provide and who can get it. This is what the Sustainability and Transformation Plans are doing to our NHS. See and Updates, below.


We think this is the last big battle to save our NHS. If you want it to be there for your children and grandchildren in their time of need then fight now. (6)








Another dreadful week for Jeremy Hunt:

I've also grouped them together on a page here:

Find out which 'Footprint' you are in by scrolling down to the map here:-




2021-10-29 19:06:27 +0100
Have a look at this video and the website.
What do you think?

2021-09-10 19:17:56 +0100

The Conservative Party backed Centre for Policy Studies has concluded from a study of the evidence gathered from the most advanced Integrated Care Systems soon to be statutory bodies if the Health and Care Bill is passed, that there is no compelling evidence of overall improvement!!
It calls on the Government to drop plans to put ICS on a statutory footing until there is a more robust evidence base.

2021-08-11 21:27:25 +0100

The changes to the NHS that the Health and Care Bill will legalise, are already happening, so people are getting less and less care already, while hospitals argue about who is going to pay for transport between 2 different ICS locations .

2021-07-30 19:13:22 +0100

Only 219 MPs voted to #ScraptheNHSbill. 356 voted to continue with a second reading. This dismantling Bill is now in the Committee stage. This is not a party political issue. There is no centre ground. You either support a traditional public NHS or you don't. 356 seem to not support that! Can that be right? Here's more info:-

2021-07-20 16:39:33 +0100

Amy's story is mentioned here too.

2021-07-20 16:35:59 +0100

How can we trust private companies - whose primary aim is to make profit - to look after vulnerable #NHS patients properly? Tania & Amy’s story is proof that we can’t. The government’s NHS Bill would give more power to these companies - it must be stopped! #ScrapNHSBill

2021-07-14 17:00:27 +0100

Apologies to Dr Seuss?

2021-07-14 16:57:50 +0100


2021-02-28 13:06:46 +0000

Just WHY would a subsidiary of US sub-prime insurer Centene, be interested in running GP surgeries in London? WHY are 2 of the directors former employees of NHS England, and WHERE is Operose (the name of the UK subsidiary) going to look for its next takeover bid?

2021-01-15 14:24:52 +0000

The (Very) Long Term Plan for the NHS, explained by Public Matters, here:-
This is about the laws that govern how the NHS is run and how it affects the care you get.

New legislation is due, promised for this year, and it takes us another step in de-nationalising the service and bringing the private sector into an ever closer role in making decisions about what care you get and how and when you get it.

It's far closer to a US style Medicare model than to anything like the public service model we had when the NHS was created.

A consultation on one part of the proposed legislation closed last Friday 8th January. But there will be more opportunities to have a say, and there's even a campaign to demand that last week's stays open for responses longer. (see

2021-01-14 16:25:02 +0000

Primary Care Networks are the building blocks of the Integrated Care Systems. GPs are being asked by the BMA to vote on the contract. However they vote, it looks like patients are the losers.

2020-12-18 14:37:37 +0000

NHS England is consulting on new legislation to finalise the NHS 'Transformation'.

Multinational Companies (Transnational Capital) helped write that legislation. Here's Deborah Harrington from the think tank Public Matters, to explain how.

2020-07-18 16:36:54 +0100

With 9 months to go before all the 42 STP areas are due to be fully functioning Integrated Care Systems, with a single budget for all health related services and jockeying one presumes, by different areas for their share of the sterling pie, West Yorkshire and Harrogate ICS has met to talk about their 'stabilisation and reset' plans. Guess what! More cuts.

2020-05-16 11:29:12 +0100

14 May 2020: Four new ICS announced.

Hertfordshire and West Essex
Humber, Coast and Vale
South West London

All four were previously sustainability and transformation partnerships, with Sussex and East Surrey STP becoming Sussex ICS. East Surrey has joined the Surrey health system.

It is NHS England's intention that all STP areas are fully functioning Integrated Care systems (formerly called Accountable Care Systems) known as ICS, with powers transferred from NHS England even though they are not statutory bodies, by 2021.

2020-01-09 16:15:37 +0000

The Yorkshire Evening Post has printed a story about 3 Yorkshire GP practices where the majority owner is US's Centene.

Read more stories here:

2019-12-03 20:26:50 +0000

Areas in England where the US Multinational Optum has been having an influence.
West Midlands, Birmingham, Solihull, Coventry, Warwickshire, Herefordshire and Worcestershire. It has also gone into partnership with GP “super-practice”, Modality, Cumbria; Cambridge and Peterborough; South East London, Staffordshire and Norfolk, Bedford, Luton and Milton Keynes. Read the whole article here:-

2019-11-16 09:17:36 +0000

So much happens that we are unaware of till later...
In 2018 NHS England published "Driving Forward System Working A Snapshot of early progress in collaborative Commissioning"
Optum International representative, Martin McShane is one of 5 "National Thought leaders." Now who thinks there will be a HUGE conflict of interest there?

The other 4 are Paul Corrigan, Ben Dyson, Nigel Edwards and Michael (opportunities for private providers) Macdonnell.

2019-08-14 14:55:51 +0100

A taste of things to come. Warrington and Halton Hospitals Foundation Trust have, under pressure from anger from the public, temporarily suspended their self-pay option. This is what happens when you divorce the NHS from the politicians to whom it used to be accountable. Bring back the Secretary of State's Duty to provide and secure health services an MPs accountability to their constituents for healthcare.

2019-08-12 15:43:56 +0100

Hi Please consider supporting this walker as he travels 400 miles for the NHS.

2019-08-09 15:59:35 +0100
55 CCGs have been trained up to shrink the NHS, the United Health of America way!.

2019-07-27 14:53:36 +0100

71 years ago the National Health Service was set up for patients. It is presently not national, and more and more set up to be run by for profit companies who take the easy uncomplicated cheap to deal with patients. So where do the complicated cases end up? When there is only one pot of money for example in an ICS, who decides to spend the limited resources where? This is Bevan speaking about the function of the National Health Service.

2019-07-23 12:49:14 +0100

19 June 19 Three more ICS areas announced
Buckinghamshire, Oxfordshire and Berkshire West - two parts of which, Bucks and Berkshire West, were already separate ICS. The leader of the ICS is Fiona Wise.
The North East and North Cumbria - the largest sustainability and transformation partnership, and now ICS, covering more than three million people, and the existing Cumbria ICS.
South East London - the first ICS in London, covering about two million people.
They join the current 14 ICS, and leave 28 STPs remaining. No new ICS have been announced since spring last year, but NHS England has said all areas will be covered by an ICS by April 2021.
The three additions mean 21 million people will be covered by an ICS.

2019-06-05 07:58:13 +0100

We have to remember that US Health Multinational Corporations are already embedded behind the scenes in the NHS with existing or completed contracts for Commissioning Support and/or Transformation and 'partnerships' with Foundation Trust hospitals in London and just about every other area of England. Hansard quotations from as far back as 2003 here:-

2019-06-04 19:07:03 +0100

The US Ambassador admits that the US wants the NHS included in the trade deal after Brexit.

2019-05-15 03:22:19 +0100

The STPs are an attack on the whole NHS. The hospital closures are well under way. They are coming for Primary Care that is, GP surgeries, now. Here's a letter to a GP, expressing grave concern. Please consider writing to your own GP when you have read it.

2019-05-10 18:24:24 +0100

In spite of Matt Hancock's statement "there's no privatisation of the NHS on my watch" billions of pounds of public money are to be offered to 'Providers.' The article to reveal this, is explicit that the private healthcare sector is central among those now being offered control of at least £2billion of mental health cash.

2019-02-25 15:38:19 +0000

Regulations governing how GPs work are being changed

with no opportunity for debate or discussion by our elected MPs.

The proposed changes seem to allow ANYONE to provide GP services through an Integrated Care Provider contract. The Department of Health’s Directions about this explicitly note the OMISSION of any list of those who are ineligible to provide primary care services.

Centene - assisted by executives from its Spanish subsidiary Ribera Salud - is looking to acquire primary care and mental health companies in the United Kingdom. Last year Ribera Salud appointed the former New Labour Health Secretary Alan Milburn to its Board of Directors, to help it “continue with its expansion plans.”

2019-02-17 20:46:12 +0000

Well for 2019 there's the stepping up our #Justice4NHS campaign

and asking the Supreme Court for permission to appeal.

After discussions with the legal team we don't think the Court of Appeal has properly

got to grips with the issues we have raised about the new payment arrangements

within the contract.

2018-11-13 21:51:20 +0000

2018-11-13 21:46:15 +0000

#Justice4NHS - Stage 5 - Court of Appeal

Last-minute scheduling because the Court of Appeal has expedited our hearing due to its urgency and public interest. So this means finding an available slot for us - rather than the normal process of scheduling, which would involve a long wait.

Join us at a rally outside the High Courts of Justice
1. 20th Nov - 8.30am rally & Press Photo
2. 21stNov - 4.00pm rally to mark the end of the case

There is also space inside the court for people to attend on each day. In Leeds the courtroom was packed with campaigners and this was very inspiring.

If you’d like to take part in the rally outside court and/or attend the court hearing, email [email protected]

2018-10-22 15:44:31 +0100

2018-10-22 13:52:19 +0100

2018-10-05 15:26:21 +0100

This is the last chance to stop Accountable Care contracts. We cannot let this chance slip away.
The Judicial Review into the Accountable Care Contracts is on....
We need to reach our initial target of £12,000 by the 21st of October. So we appreciate all your help.

2018-10-05 13:23:57 +0100

The march to the Court of Appeal against the Integrated Care Provider Contract has begun...
How you can help

We need to raise £18,000 to cover the costs of our #Justice4NHS Appeal.

Over 1400 people have helped get us this far, by crowdfunding the costs of our Judicial Review & Application for Permission to Appeal.

We hope you will help us continue with the fight for our NHS.


give what you can, every penny helps
share this page with friends, family and social media networks
consider working this legal challenge into your campaign group’s actions, if you’re part of one

This is a vital matter of public interest. The more we stand together, the better our chance of protecting our NHS.

2018-10-05 13:21:58 +0100

2018-08-12 14:23:54 +0100

The BBC has made payments to the Institute of Economic Affairs (IEA) to which the new Secretary of State for Health and Social Care has links and which campaigns against the NHS. CHPI think tank asked an FOI question. {Plus it seems the BBC confused The Nuffield Trust, with Nuffield Health (not a thinktank but used for employees)}

2018-08-12 14:11:07 +0100

The move to centralise Hyper Acute Stroke services is going on in all the STP rebranded as Integrated Care Systems/Organisation areas.

2018-07-31 20:16:51 +0100

Matt Hancock is the new Secretary of State for Health and Social Care. He likes tech and has received substantial donations from a think tank the IEA which opposes a publicly funded healthcare system.

2018-07-31 20:15:14 +0100

2018-06-09 21:21:48 +0100

Jeremy Hunt is now the longest serving Health Secretary in history.
Dr Louise Irving who came a close second in his constituency at the last election, gives an interview on Sky.

2018-06-09 10:43:13 +0100
The team who launched the Judicial Review against the new NHS contract published last August, is seeking permission to appeal the ruling it got on 24 April 18.

2018-05-31 20:37:14 +0100

2018-05-31 20:34:45 +0100

Simon Stevens supported the TTIP proposals for US involvement in the NHS. The NHS has a huge infrastructure of hospitals and buildings. These have previously been 'owned' by the NHS and they were not for profit ie. no rent needed to be paid. Now there are Public Private Partnerships and these are for profit, and rent. Why?

2018-05-25 21:57:37 +0100

....Along with legislative efforts to reinstate statutory responsibility for the health of people across England – which was essentially torn away by Andrew Lansley in 2012 - the case forms part of a several-year-long campaign to restore public healthcare (as set out in the NHS’s founding charter) as well as to uncover what transatlantic interests have planned for it.....

2018-05-25 20:29:35 +0100

Peter Roderick, in an e-mail from the claimants said on 24th May 2018:

"After hearing our argument that the ACO policy is unlawful - and NHS England's and the Secretary of State's arguments that there's no policy outside the proposed contract which is just another contract, that there's no duty of transparency in these circumstances, and that the judicial review challenge is both too early and too late - Mr Justice Green reserved judgment.

Jenni Richards QC for the claimants made clear that the case raises fundamental questions about the future of the NHS, rather than being about the technical issues emphasised by the defendants, and the judge said he wouldn't be rushing to put out a judgment, so it'll be a while yet before we know his decision."

2018-05-15 19:02:00 +0100

The odds were not in the claimant's favour in the Judicial Review. The ruling displays too many serious flaws.
Problems: 999campaign wanted the hearing over 2 days like the JR4NHS, but was only allocated a half day in the end. This truncated hearing left the judge to ask himself the wrong question! And more.... Read a full account here:-

2018-04-28 08:55:38 +0100

How the JR went.

The Choir

2018-04-25 11:06:20 +0100

The Judicial Review happened yesterday and we are now waiting for the ruling which could take weeks. Both this review and the next one to be heard on 23rd and 24th May have significantly slowed NHS England's plans for dismantling the NHS evidenced by the fact that the Dudley contract has not been awarded and the Manchester one also is on hold. However, there is an ominous development, mentioned in this article which intimates Government is going to announce changes to Health and Social Care later this year.

2018-04-21 10:48:30 +0100

Why is there a Judicial Review on 24 April 2018? Here's an explanation.

2018-04-13 15:39:03 +0100

Coming up on 24th April 2018, the first National Judicial Review challenging the contract NHS England developed for the 'New Care Models'

2018-04-05 13:58:45 +0100

Graham Winyard, one of the people bringing the JR4NHS legal challenge says...
"Yet because ACOs are to be established by a commercial procurement process their legal form cannot be specified. They can be partnerships that include private health and care providers, and private insurance and property companies, which will make money from charging. We could easily end up in a situation where it is in the financial interest of an Accountable Care Organisation to progressively reduce care provided free from public funds, in favour of means tested care packages."
These on the map were due to 'go live' this month (April) but NHSE has mandated they are not to issue the new contracts until after the Judicial Reviews and consultation.

2018-03-20 15:06:35 +0000

GPs are now at risk from NHS funded, for profit companies who cherry pick their healthy patients, and thus reduce their lists and therefore funding. Please read this useful leaflet from Keep Our NHS Public.

2018-03-20 15:00:04 +0000

GPs are now at risk from for-profit companies cherry picking their healthy patients and reducing their lists (and therefore funding,) to those who need more services. When they can not afford to stay open, more GPs surgeries, especially in London, will close. Please read this very useful leaflet from Keep Our NHS Public.

2018-03-20 14:56:03 +0000

GPs are now at risk from NHS funded companies who cherry pick healthy patients. Keep Our NHS Public has produced an explanatory leaflet. Boycott GP at Hand.

2018-03-16 12:16:27 +0000

Hospital chiefs said that some highly-paid surgeons had been out of action for four or five weeks because of the cancellations.

There were no beds for recovering patients, the article says, but even so, up and down England the move to reduce bed numbers still further, continues.

2018-03-08 11:20:48 +0000

The Health Select Committee invited representatives from groups challenging the newly named Integrated Care Systems (formerly Accountable Care Systems) to present evidence.
Said someone afterwards, " It was not a meeting of minds." See what happened here.

2018-03-03 21:48:47 +0000

NHS Improvement, which is being set up with its values and culture, by KPMG according to Private Eye, has gone into partnership with US Virginia Mason Institute.

2018-02-28 13:29:02 +0000

Are SubCos a secret way to transfer £millions of buildings and land into private companies?

2018-02-28 13:26:29 +0000

Sustainability and Transformation Partnerships’ ‘Care Closer to Home’ schemes have
 fuelled a £10m corporate purchase of a doctorpreneurs’ out-of- hours/urgent care company
 that provides services to over nine million patients across England.

2018-02-24 09:24:53 +0000

Watch from 9 minutes as a campaigner explains the impact of hospital closures in Devon.

2018-02-21 19:14:15 +0000

We call for a ban on the outsourcing (privatisation) of NHS services, and stop the renewal of any outsourcing contracts already signed. Companies should not be profiteering from NHS contracts, when every pound of NHS budgets is desperately needed for more doctors and nurses, and to pay them more.
Please sign this petition.
Integrated Care Systems, which is what the footprint plans are now known as will increase outsourcing to services out of hospitals.

2018-02-15 14:01:45 +0000

2018-02-15 13:57:56 +0000

New tinyurl for the petition
Please tweet and use on leaflets and letters to the papers. Thank you.

2018-02-07 21:15:03 +0000

Is an A&E being closed or downgraded near you? This is what will be lost if so.

2018-02-07 15:42:00 +0000

Like I said,

Who has taken back control exactly?

2018-02-05 20:57:59 +0000
Donald Trump tweeted about the demonstrations... he's very interested in getting more contracts in the NHS, for United Health, Hospital Corporation of America and exporting so-called expertise from Virginia Mason hospital Seattle. We say no thanks!

2018-02-04 16:37:19 +0000

LATEST DEVELOPMENT!!!! The HSJ (Health Service Journal) reported on 2 Feb that NHS England has 'rebranded' Accountable Care Organisations as Integrated Care Organisations or Systems.

2018-02-01 17:47:14 +0000

Utterly brilliant...
Campaigners were waiting to meet Jeremy Hunt when he arrived in Brighton today.

2018-01-28 14:22:47 +0000

Twitterstorm #PublicDuty promoted by the NHA 8pm: 28 Jan 2018

2018-01-28 14:20:32 +0000

Rally at Southend on 27th Jan 2018

2018-01-27 16:36:36 +0000

2018-01-24 11:42:19 +0000

This blog examines how multinational corporations have gained control of health policy making....

2018-01-24 11:35:08 +0000

A courageous junior doctor speaks out.

2018-01-23 11:03:36 +0000

The RCN is supporting members in England, to attend the march in London on Feb 3rd.

2018-01-19 11:46:17 +0000

Actual wow! Watch the Tory politician on the #BBCqt panel get destroyed by an audience member as she stands up for the NHS

2018-01-17 11:25:15 +0000

2018-01-15 15:38:22 +0000

Nationally it is rumoured that 15,000 beds have been cut since 2010 and more to go.

2018-01-13 21:51:33 +0000

The new crowd fund page has gone live, to raise 12k for the Judicial Review . Please support if you can.

The Judicial Review will take place at Leeds High Court on Tuesday 24th April 2018

2018-01-10 09:48:35 +0000

2018-01-10 09:45:46 +0000

2018-01-08 20:20:43 +0000

Jeremy Hunt MP has been reshuffled to the minister for Health and Social Care. So he is minister for Accountable Care Organisations, (ACOs) of which we know there are 31 now.

2018-01-08 20:11:10 +0000

We need to use all available means to protect and safeguard the NHS and healthcare for everyone. This is why we are launching our “act local, think national” #NHS4ALL resource page for January - April.

Local NHS groups around the country are already taking action in all kinds of ways to protect the #NHS4ALL. We hope the #NHS4ALL campaign resources will be helpful.

2018-01-06 17:53:35 +0000

Another wholly owned subsidiary of an NHS Trust goes ahead.

It seems that these Subcos as they have been called are very fashionable and a way of making the savings from ....
workforce “efficiency”
sharing corporate services eg procurement, pathology services, estates and facilities management, informatics and other infrastructure ....
called for in Carter’s review of Operational Productivity.

2017-12-28 10:31:43 +0000

On Thursday 21st December 999CallfortheNHS lawyers, Leigh Day, informed them that a judge had considered their papers and those of NHS England... and granted permission for their JUDICIAL REVIEW to go ahead at some time after 16th February 2018! This is wonderful news and a real present just before Christmas.

2017-12-19 19:49:56 +0000

2017-12-12 20:07:23 +0000

This is an explanation of Accountable Care Systems using Cornwall as an example but it could be many other places with similar demographics.

2017-12-12 19:56:02 +0000

26 Sustainability and Transformation Partnerships now due to be Accountable Care Systems in the not so distant future:-

2017-12-07 03:19:37 +0000

Twitterstorm Thursday 7th. Find out more about ACSs: not instigated by us but worth a look.

2017-12-07 03:15:04 +0000

A new IPSOS MORI poll

2017-12-06 19:46:51 +0000

Thanks to information people have sent us we now know of 24 Sustainability and Transformation Plans which are due to turn into Accountable Care Systems in the near future.
What we believe this means for patients is articulated here:-

2017-12-05 21:09:19 +0000

2 more areas now on the list for fast tracking to Accountable Care Systems (ACS) are West Yorkshire

and Cornwall....

2017-12-04 14:23:45 +0000

Is this a TTIP type legal suit about loss of future earnings? Virgin Care gets undisclosed sum for not being awarded an extension to it's contract!

2017-11-30 21:02:02 +0000

And here is news of a 'partner' in the West Yorkshire Sustainability and Transformation 'Partnership', soon to be Accountable (or Accountant-led) Care System (ACS).

2017-11-30 20:58:43 +0000

Here is a 'partner' in the Surrey Sustainability and Transformation 'Partnership'.
How is this fair?

2017-11-20 14:46:05 +0000

2017-11-15 19:36:22 +0000

Having to go home in a taxi following open heart surgery would be dangerous and a possible outcome may be sudden readmission. What have we become, to condone this?

2017-11-15 19:29:21 +0000

At the meeting the CEO representing the 3 Leeds CCGs commented that the 3 Leeds GP Federations, were going to remain 3 Federations and not combine or merge in the same way as the Leeds CCGs were working together. However he hinted that there may be on overarching 'umbrella' organisation, to keep then together, in the future. Why did I think of Sodexo facilities management company, in the meeting? Strange!

2017-11-13 14:45:28 +0000

Are you in one of the 8 areas fast tracked to being an Accountable Care System or Organisation?
South Yorkshire and Bassetlaw
Frimley Health;
Blackpool and Fylde Coast;
Luton, Milton Keynes and Bedfordshire;
West Berkshire; and
This is what it means for patients.

The 3 Leeds CCGs are discussing the move to become an ACS at their Meeting in at 1pm in the Civic Hall Leeds 14th November 2017

2017-11-13 14:34:17 +0000

A packed public meeting in Ludlow where people tell Philip Dunne MP that they do not want the closure of their local Ludlow hospital.

2017-10-29 22:02:14 +0000

2017-10-26 19:54:20 +0100

Stage 2 of a legal challenge, to stop the new contract for the STPs as they become Accountable Care Systems and Organisations, also called Multispeciality Community Providers..

2017-10-26 19:52:35 +0100

Southend Hospital backs off 'Airbnb beds' plan

2017-10-26 11:00:18 +0100

The latest money making STP wheeze in Southend seems to be driven by conflicts of interest.

Southend Save NHS campaign says "The Care Rooms company is advised by former NHS England Director Mike Bewick – who co-incidentally is also the Independent Chair of the Mid and South Essex Success STP. This is just another example of our local STP attempting to cut costs at the expense of people’s care. "

2017-10-26 10:48:06 +0100

Campaigners buoyed up by the success of the Horton Hospital Judicial Review.
Can this be replicated elsewhere?

2017-10-08 13:50:29 +0100

How come in the US in 2014, the third most likely cause of death was preventable medical error? Concerned Doctors trying to improve outcomes there, always come up against the stumbling block of 'Commercial Confidentiality.' Companies will not disclose their procedures or practices in case a competitor sees them, therefore scrutinising doctors on examining committees, do not know how they can put these said practices right. This may begin to happen here in England, as more and more services are 'outsourced'.

2017-10-04 20:53:31 +0100

Listen to a member of the public talking eloquently about Dorset cuts.

2017-10-01 10:50:57 +0100

In West Yorkshire 3 members of the local 999 Call for the NHS group, handed in a letter to the West Yorkshire and Harrogate Joint Health Overview and Scrutiny Committee, which should be scrutinising the STP plans, asking them to meet!

2017-10-01 10:47:15 +0100

Hospital closure plans continue. Dorset, currently has 3 acute hospitals, all with A&E and Maternity, and they need them. There are 13 Community Hospitals with beds across what is a large County much of it rural with very poor public transport links.
On 20th September Dorset CCG voted to close Poole A&E and Maternity (the one with the highest footfall in the middle of the County), require Dorset County Maternity in Dorchester to share their consultant and paediatric beds with Yeovil Hospital in Somerset, close Ferndown and Alderney (Poole) Cottage Hospitals, reduce Wareham and Portland Community Hospitals to 'hubs' with no beds, and close the 15 bedded Linden Mental Health unit in Weymouth.

2017-09-18 14:39:15 +0100

This is a brilliant video about the Save Rothbury Hospital campaign and the shockingly devious and negligent actions of bosses in the Clinical Commissioning Group and local NHS hospitals Trust.

The fight to save our community hospitals is every bit as important as the higher profile fights to save our District General Hospitals and their A&E departments.

It is particularly important in rural areas like Northumbria and Dorset and Devon, as this video shows through moving pat... See more

2017-09-18 14:37:49 +0100

2017-09-13 18:49:31 +0100

"So far privatisations has increased NHS costs for no therapeutic benefit." Martin S
Thanks Martin. It is a measure of how much NHS England do not want us to know the costs of 'marketisation' that they have no mechanism of how to calculate the costs or even to know what companies are working under the NHS logo. Academic Allyson Pollock who has expertise and resources to study such things, can only estimate between 12-30% on transaction costs of the market and that is without PFI costs and the high price of drugs.

2017-09-10 20:24:55 +0100
How the US pays more for fewer services...
US ACOs brought public sector losses after Obamacare. £6,500 average spend per head of America ACOs that lost money. £7,700 average spend per head of ACOs that retained a surplus. £2,057 average per capita spend per patient in England's NHS BEFORE PLANNED REDUCTIONS! source

2017-09-08 20:21:35 +0100

A GP writes: "NHS England's grandiose claims that its deeply flawed sustainability and transformation plans will improve care and outcomes, while further reducing capacity and quality, are bordering on delusional." Or some might say, are plain lying

2017-09-04 10:20:19 +0100

2017-09-04 10:13:33 +0100

Dr Tony O'Sullivan introduced as co-chair of KONP BBC News Channel, in studio to debate the NHS Provider appropriately placed bombshell that the Govt must find urgent £250-350m to stave off winter disaster.
The KONP interview follows the interruption.

2017-09-03 16:08:04 +0100

As a beneficiary of the fantastic people at the NHS University Trust Hospitals in Birmingham, I am completely horrified that they are contemplating changing to the US two-tier system by installing private beds that will be run by a US private healthcare company. This is NOT what staff and patients want

Deb Y.

Thanks Deb. The really scary thing is that American HCA healthcare, will potentially have a say in how the whole system for Birmingham is organised, not just the hospital.... so lobbying to have NHS facilities in all fields downgraded, to suit their business model would be easy. Let's stop it!

2017-09-01 20:31:05 +0100

University Hospitals Birmingham Foundation Trust can now proceed in its deal with American private company HCA Healthcare to build a £65m new hospital on trust land.
The Competition and Markets Authority has cleared the move. So Birmingham has, potentially a new US provider on it's STP Programme Board, driving the changes to local provision with a fixed budget. Who gets first dibs at the profits do we think, patients, or shareholders?
The complex financial structure likely to be involved as a PFi type deal and additional bureaucratic costs needed to service it, point to a poor financial outcome for the NHS Trust as a result, but it does fulfill the recommendations of the Naylor Review, because HCA Healthcare is to build the new hospital at the Trust’s Edgbaston campus!

2017-08-28 21:52:58 +0100

Care in the community was a phrase that got damaged because of mental health care not being there, but now, we're being told hospitals for other illnesses are 'old fashioned.' What rubbish.

2017-08-28 21:47:31 +0100

2017-08-28 19:56:21 +0100

2017-08-25 16:32:58 +0100

2017-08-25 16:30:38 +0100

Barbara S says " - personally I have just received a letter from a private company inviting me for a private costly health screening. The way my address is presented suggests that the local GP surgery may be behind this. Doubly concerning: Did they sell addresses? Are they no longer offer screening as part of preventative medicine? "
We say this is a question which you need to ask. It seems that surgeries and pharmacies can sign patients up to electronic delivery of prescriptions without their knowledge and med-confidential is very sceptical of the SystmOne GP online prescription ordering service.

2017-08-25 14:24:49 +0100
Stephen Hawking says, "The question is whether democracy can prevail and the public can make its demands for proper funding and public provision undeniable by any government."

2017-08-25 14:22:40 +0100

The HSJ has just revealed that the East Midlands, Nottinghamshire and Nottingham STP has recently contracted Capita to help with the setting up of its Accountable Care System. Remember 'accountable' means for the money, not people's treatment. Capita has in turn subcontracted part of the contract worth £2.7m to a company called Centene, which is part of a major insurance company Centene Corporation which sets up care plans for Medicare and Medicaid in the US. It has worked with the Spanish Healthcare provider Ribera Salud on its Alzira ACS in Valencia, according to the HSJ.

2017-08-20 20:51:35 +0100

2017-08-20 20:44:15 +0100

Northumbria Healthcare Trust Foundation Group’s “strategic partnership” with Ribera Salud
It's all about the 'marketing'.
Ribera Salud is the health management holding company for the Special Purpose Vehicle Ribera Salud Unión Temporal de Empresas consortium

We've heard about Special Purpose Vehicles(SPVs) in relation to new build Hospital, Public/Private Finance Initiatives (PFI) which have proved to be such poor value for the taxpayer.

2017-08-20 17:29:54 +0100

20,000 signatures reached

2017-08-19 10:59:12 +0100

At last, ......concrete evidence that the Government is instigating hugely costly and inefficient Public Private Finance Schemes for medical services as well as buildings, maintenance and cleaning etc. through the STP arrangements.

2017-08-12 14:07:12 +0100

Here is where you can see NHS England's spreadsheets with their criteria for assessing STP progress, and their ratings for the progress of each STP. They are now "Partnerships" not "Plans" and the "advanced" ones will soon been "Accountable Care Systems", on the way to becoming "Accountable Care Organisations", and the rest are to follow in their footsteps.

2017-08-12 13:42:24 +0100

"Members of Southend's successful campaign to stop the downgrading of their local A&E department join forces with the Buzby and the Fruit & Veg Kids to create an anthem of hope for our beloved NHS and all the fantastic people who work for it.
Please download it from iTunes and share this post wherever you can - Available from iTunes for ONLY 79p -
Let's see if we can get this in the charts by next Sunday!! (20th August)"

Here's a link to a sample of the tune on Youtube [

2017-08-11 21:52:13 +0100

The adult congenital heart service at the Manchester Royal Infirmary has 'collapsed' under the government's supposedly beneficial STP's. Please sign our petition.

2017-07-31 15:51:49 +0100

Shocking news...28 July 2017
Savage cuts could 'bring the whole NHS into disrepute.'
44 NHS Improvement staff working on the controversial cuts programme – with an annual salary bill of more than £4.5m

2017-07-16 19:27:52 +0100

NHS holds on to top spot in healthcare survey’

However this report, is the US trying to increase access for the poor and vulnerable in America. Simon Stevens, CEO of NHS England is on the board of the Commonwealth Fund, which is a private foundation.
In this report, what is arguably the most important measure of all, healthcare outcomes, the NHS come next to bottom, just above America which scores worse than any of the 11 countries used for comparison.

2017-07-14 09:42:21 +0100

Dorset is one of the 8 Sustainability and Transformation Partnerships that NHS England has fast tracked to turn into an Accountable Care System. It is planning savage hospital cuts and the imposition of unevidenced care in the community instead. Hunt recently pitched up Poole and Bournemouth Hospitals to discuss the Dorset Sustainability Plan but refused to meet press and public. So much for democratic accountability.

2017-07-10 21:15:46 +0100

Less than a quarter of local politicians are confident that major NHS plans to reshape local health and care services will succeed, according to a new survey by the Local Government Association.

2017-07-10 21:11:37 +0100

A small rebellion by Hospital Trusts....
"Hospital Trusts in the 14 most underfunded NHS areas have staved off about half of the £470m cuts that NHS Improvement and NHS England ordered them to make, through the new Capped Expenditure Programme that was imposed in April this year".

2017-07-10 21:08:40 +0100

A small rebellion by Hospital Trusts...

2017-07-01 13:50:39 +0100

‘Project Phoenix’- Fire Sale of NHS Land Via Public Private Partnerships

The Naylor Report expects Public Private Partnerships, being hatched way down under the radar by ‘Project Phoenix’, to be the route to private capital. These new Public Private Partnerships will be worth £3bn-5bn.

2017-06-29 09:15:16 +0100

Letter from CEO of NHS Improvement to "All Provider CEOs engaged with the Capped Expenditure Process."

2017-06-29 09:12:30 +0100

Accountable Care Organisations are now up and running in Northumberland and in the process of being introduced in North Tyneside driven by the CCG deficits due to underfunding.

Lesley S 27/06/2017 Thanks Lesley

2017-06-08 19:26:27 +0100

2017-05-29 14:26:42 +0100

2017-05-29 14:25:24 +0100

Going, going, g.........
Theresa May fully supports the proposals in the Naylor Report which incentivises Hospital Trusts to sell their land at a lower than market price. See link. These proposals must be built into the Sustainability and Transformation Plans, or the Hospital Trust will not have access to public money.

2017-05-05 16:46:11 +0100

People in Britain risk losing their “fundamental right to health” after Brexit, a barrister and public health professor have warned.

2017-04-30 09:55:04 +0100
The next phase in our campaign has begun. We are challenging the STPs in the courts. Our crowd funder is now live. Details in the link.

2017-04-24 17:04:59 +0100

2017-04-22 13:49:49 +0100

NHS detectives will be in Huddersfield on Saturday 29 April in St Georges Square HD1 1JS from 10:30am. Join us for the Huddersfield march for the NHS.

2017-04-21 17:24:42 +0100

William A said...
"We cannot let the NHS serve us with less hospitals and staff than we already have. After Brexit there should be much more funding available to the NHS so why start talking about reducing it NOW!. Join the petition if you agree."
Thanks William, good point!

2017-04-16 20:35:24 +0100

A diagram of the for-profit companies which are involved in 'commissioning' services in the NHS which was in the other link which broke, here:-
American Corporate Foxes to ransack NHS henhouse in £3bn - £5bn privatisation.

2017-04-11 21:10:48 +0100

If you see any letters in the press about the STPs let us know via our facebook page or e-mail
[email protected]
Here's one from London.

2017-04-11 20:53:43 +0100

Unfortunately for us, Mrs May is choosing not to put enough money into the NHS, but this is part of the plan to dismantle it.
Hammond's economic plan for the NHS, through the Sustainability and Transformation Partnerships as they now to bring hedge funds and international capital into its very heart. Thus draining it of life blood for very many years as the interest has to be paid...for 30 years, 60 years?
Tentative deals have been drawn up with a number of hedge funds and investment companies, reported the newspaper – but these can only go ahead with Government approval. Do we approve? WE DO NOT!

2017-04-07 19:23:35 +0100

About as close to terrorism without actually bombing your own country. It's contract killing made legal for Govt and companies to make a fast buck. What other way is there to see this? Is there no concern for the population, or the country?

Lyn V. 4 days ago
Thanks Lyn

2017-04-05 16:28:48 +0100

It should be made clear that NHS England under Simon Stevens, has embedded private companies in the deep structure of the NHS, with for-profit companies 'helping' CCGs with their commissioning roles. At the top of the list with the most influence is United Health, and American health insurance multinational, which also has a subsidiary providing services. United Health is NHS leader Simon Stevens', former employer. A parasite is an organism which the host does not recognise as a danger. These companies have specialities. One, BDO is an expert on insolvencies. Now when will that come in useful?

2017-03-29 15:23:27 +0100

In November 2016 David Mowatt MP Under Secretary of State for Community health and Care said at the National Children's and Adult Services Conference, that the Footprint STPs would not go ahead "if councils believe they have been marginalised." At least 26 Councils now oppose their 'footprint' STP. Primary complaint? They were marginalised.
Sign our letter asking David Mowatt MP.... "Have you stopped these STPs?"

2017-03-27 17:16:27 +0100
Now, how is Simon Stevens going to manage the conflicts of interest of profit driven providers compared with publicly run providers like Hospital Trusts all within ACOs, when Virgin Care Services Limited is actually suing NHS England as part of it's action against 6 CCGs and a Council following it's failure to win a £83m Children's Services contract?:-
virgin taking 6 CCGs to court

2017-03-16 16:52:53 +0000

Update March 2017

Behind the derisory £325m STP funding in Hammond’s Spring Budget (for a few “most advanced” STPs) is the plan for 50% of STP funding to be sourced from private companies via Local Economic Partnerships by 2020 – please see section below: “Strategic partnerships with the NHS and the 39 Local Economic Partnerships”

2017-03-14 10:20:32 +0000

More councils have rejected the STP plans, is yours mentioned here:-

2017-03-11 15:17:58 +0000

Although TTIP is just about defunct, CETA is still very much on the table. Now Trump has the upper hand and wants more of his Corporations to muscle in on our health care.
The STPs make this much easier for them. Stop the STPs. Tell your friends, share the petition.

2017-03-03 14:08:41 +0000

The big NHS Demo in London tomorrow is concentrating minds....however we must not let the simple call for more NHS funding, to take our minds off the real reason for concern, which is the NHS service redesign to suit profiteers.

2017-03-03 14:05:32 +0000

Simon Stevens is getting worried and reporting that he is asking Trusts not to cut any more beds until Care in the Community can be demonstrated to be reducing hospital attendance. This was reported yesterday in the Times as well (with a paywall).

2017-02-27 16:57:21 +0000

Which company wrote the STP document for your footprint? Attain wrote the one for West Yorkshire footprint number 5 and now we find Pricewaterhouse Cooper (PwC) involved in Lincolnshire. Has your hospital reconfiguration been referred to the Independent Reconfiguration Panel(IRP),the Chair of which is hospital reconfiguration advisor to PwC it seems?

2017-02-16 04:48:48 +0000

Published today the full list of A&E downgrades and closures with some still to be decided.
As predicted in our petition started last May.

2017-02-07 20:16:46 +0000

While the press kept everyone talking with the 'dead cat' strategy of immigrant charges, news was quietly slipped out about 1 in 6 A&E closures or downgrades.

2017-02-02 16:24:06 +0000

2017-02-02 16:20:31 +0000

2017-01-20 14:38:26 +0000

38degrees new research, picked up by ITV amplifies what we've been saying since May 2016.
Watch now and share!

2017-01-11 16:17:09 +0000

Next Howl January 28th 2017
Please sign up for the 'Thunderclap'! The social media 'reach' in December was a million people! Even if you can't attend an event, your social media involvement will be very helpful.

Thunderclap link

and check event on FaceBook for updates as even if you are not signed up to Facebook, you should be able to see the page.

Please share the short urls for social media:-

event details



If you can't find a 'Howl' near you please organise one. Tell us through the petition or e-mail STP_Agony Aunt
and we'll share it.
Many thanks.

2017-01-11 16:08:23 +0000

New Howls on 28 Jan 2017.
Please share the short urls for social media:-

event details



Sharing the social media links will be a great help. Thank you.

2016-12-21 20:06:45 +0000

2016-12-21 20:02:56 +0000

We're delivering a letter to NHS England asking the Board Chair and members to resign, at the Leeds Howl. Sign it by 10pm 22 December to be included!

2016-12-18 15:34:17 +0000

Downloadable template to Heath and Wellbeing Board 'Chair' here:-

2016-12-08 02:06:55 +0000

2016-11-21 19:04:25 +0000

The map in this link is being updated daily with new STPs for areas, as they are published.
Is yours there yet?

2016-11-18 13:28:04 +0000

Watch the embedded video Jeremy Hunt drops a clanger . It's chiller . Janis T
Thanks Janis.

2016-11-09 16:19:09 +0000

This article highlights the need to be aware of appointment clerks telling you there are no appointments in the hospital of your choice, or that there is too long a waiting list, that on Choose and Book, you can choose, but can't book...We have been struggling with these issues in North Kirklees since 2013...and demanding services where we want them. Then there's the phenomenon of GPs sending patients to privately provided Audiology tests and patients not realising they can choose NHS tests (and there being money in it for the GPs allegedly.)

2016-11-07 23:07:58 +0000

Check out our website for the 'flatpack' campaign materials to customise for your area.

2016-11-07 23:05:31 +0000

Many news items are restricted to local newspapers and news sites.

2016-11-07 23:03:25 +0000

It is indicative of how much ordinary people don't know about the fragmentation and profit making companies in the NHS, when you watch this film.
How can they know about 9,000 missing NHS records and a private company's involvement:-

2016-11-02 21:00:18 +0000

2016-10-31 19:32:30 +0000

2016-10-31 19:31:54 +0000

The letter in the link above, shows that the NHS Providers, ie NHS Trusts and Foundation Trusts want to have the freedom to cease to provide comprehensive services due to the lack of money. This is like asking to abolish what the NHS was and is still supposed to be!

Today, the media storm about MP Sarah Wollaston's exposure of his erroneous claims about injecting £10bn into the NHS erupted in the newspapers and online.

2016-10-19 21:01:55 +0100

Sarah Wollaston MP, chair of the Health Select Committee, exposes Jeremy Hunt's duplicity.

2016-08-27 21:43:20 +0100

10,000 signatures reached

2016-08-06 11:02:57 +0100

The research highlighted in this report indicates that the Government's sudden shift to widespread use of the private sector is a "radical" experiment, which has the potential to go "catastrophically wrong."

2016-05-21 11:45:15 +0100

We’re told the project is about ‘strengthening local relationships’ and building on ‘local energy and enthusiasm’ to achieve ‘genuine and sustainable transformation in patient experience and health outcomes’.

But in fact, the Guidance contains some very specific requirements that will test these new collaborations to the limits and usher in a new wave of privatisations and huge cuts.

Each footprint area must agree a five-year plan locally (2)- by the end of June 2016 – which MUST include proposals to bring their area into financial balance within 2016-17. For England as a whole, this means cuts amounting to £2.3billion. The plan must achieve this by implementing new models of care as set out in the NHSE Five Year Forward View (3). Oh – and it must explain how all of this will improve clinical outcomes and patient satisfaction .

That’s clearly a nonsense.

2016-05-20 17:20:39 +0100

5,000 signatures reached

2016-05-14 07:15:43 +0100

1,000 signatures reached

2016-05-13 19:23:57 +0100

500 signatures reached

2016-05-13 16:28:35 +0100


2016-05-13 15:02:11 +0100

100 signatures reached

2016-05-13 14:28:41 +0100

50 signatures reached

2016-05-13 14:07:17 +0100

25 signatures reached

2016-05-13 13:47:13 +0100

10 signatures reached