On 6 December, Labour called an Early Day Motion to debate the use of Accountable Care Organisations in the NHS. Accountable Care Organisations signal increased privatisation, and lack of accountability.
The government has been accused of keeping Accountable Care Organisations “secret”. So this move aims to put them firmly in the spotlight. But if not stopped, they could signal the end of the NHS as we know it.
What’s an Accountable Care Organisation?
Shadow Health Secretary Jon Ashworth said:
You might not have heard of ACOs but they could have far reaching implications for the NHS & how healthcare is delivered. I’ve put down this EDM calling for a full debate & vote in the Commons https://t.co/gk9B59qQog
— Jonathan Ashworth (@JonAshworth) December 7, 2017
Fundamentally change the NHS and involve a radical reorganisation of health and social services in England. They will have control over the allocation of NHS and taxpayers’ money.
But also worrying is the lack of financial accountability:
Their accountability for spending it and their obligations to the public will be under commercial contracts, not statutes.
Involve government and private insurers awarding large contracts to commercial providers to run and provide services.
Jon Ashworth said Accountable Care Organisations were “potentially the biggest change which will be made to our NHS for a decade”. But so far, there has been no public consultation about them.
The Conservative government has introduced plans for Sustainability and Transformation Partnerships (STPs) across the NHS. The Canary gave a detailed analysis of STPs here. Critics have described STPs as a “wish-list for privatisers”.
If Hunt’s changes are brought in before then, the legal framework would facilitate ACO contracts to be introduced before the public consultation.
In some areas, STP consultations have justified early implementation of Accountable Care Organisations, according to documents seen by The Canary.
The push from Labour for this Early Day Motion is vital. Because Accountable Care Organisations threaten the core principles of the NHS.
The Canary has seen documents that explain the full implications of Accountable Care Organisations. Health care professionals explained that NHS providers are currently paid for activity; the more they do the more they earn. But Accountable Care Organisations are paid per head to provide health care. And this means the less they provide, the more surplus or profit they make.
This is the brutal truth of the plans Jeremy Hunt and the Tories have for our NHS. We must act now.
– Support the fight to oppose Accountable Care Organisations.
Featured image via Fréa Lockley for The Canary
We know everyone is suffering under the Tories - but the Canary is a vital weapon in our fight back, and we need your support
The Canary Workers’ Co-op knows life is hard. The Tories are waging a class war against us we’re all having to fight. But like trade unions and community organising, truly independent working-class media is a vital weapon in our armoury.
The Canary doesn’t have the budget of the corporate media. In fact, our income is over 1,000 times less than the Guardian’s. What we do have is a radical agenda that disrupts power and amplifies marginalised communities. But we can only do this with our readers’ support.
So please, help us continue to spread messages of resistance and hope. Even the smallest donation would mean the world to us.