NHS Privatisation

Text of above linked PDF, to whose writer this post is attributable important information that difficult to find so here . links in main doc above.

This article sets out some of the main ways that privatisation impacts on the NHS including the issues listed below THE EXTENT OF PRIVATISATION OF NHS SERVICES

The missing tax £billions PRIVATE SECTOR ROLE IN THE NHS GP and other primary care services;
STP plans for GPs and primary care; Private care in NHS hospitals; NHS care in private hospitals;
Community services; Drugs; Ambulance services; Prisons and secure facilities; Learning disability;
De-professionalising healthcare; Hospital catering, cleaning and security; Rationing and denial of treatment;
OTHER ISSUES Migrant charges and ‘health tourism’; Developing new systems to support charging – a prelude to insurance-based healthcare Privatisation failures and Campaign successes;

Politician links to private healthcare companies; Revolving doors THE EXTENT OF PRIVATISATION IN CLINICAL SERVICES

The 2012 Health and Social Care Act has led to a sharp increase in NHS privatisation. Information about the extent of privatisation relies heavily on independent research and willingness of CCGs to respond to FOI requests.

The best resources are probably the BMA’s 2016 and 20171 reports of their own surveys of CCGs, together with The NHS Support Federation website which is a mine of information about private companies with significant NHS contracts, an invaluable resource for campaigners. Both sources have been used extensively in this article.

Other easily accessible sources with basic registration information about the private companies involved in healthcare are Companies House3 and the Care Quality Commission (CQC)4 which regulates all health and social care providers. The BMA’s 2017 report into privatisation revealed:

Between 2013/14 and 2015/16 the amount spent on Independent Sector Providers (ISPs) (ie private, for-profit providers) rose by £2.1 billion, from £6.6 to £8.7 billion, an increase of 33%.

These figures exclude general practice, dentistry and community pharmacy which are predominantly delivered by the private sector5

NHS spending on non-NHS and independent sector provision has grown each year (there was an increase of £2.6 and £2.1 billion respectively between 2013/14 and 2015/16); • The proportion of the total Department of Health budget spent on ISPs increased from 6.1% in 2013/14 to 7.6% in 2015/16; 1 https://www.bma.org.uk/collective-voice/influence/key-negotiations/nhs-funding/privatisation-report 2 http://www.nhsforsale.info/private-providers/private_providers02.html 3 https://www.gov.uk/get-information-about-a-company / 4 http://www.cqc.org.uk/ 5 https://www.ft.com/content/297e7714-089f-11e7-97d1-5e720a26771b 2

Most of the spending on ISPs is in the community health sector; in 2015/16: • 44% of NHS spending on ISPs was spent on community health services; • 25% on general and acute services • 11% on mental health and learning disability • 2% on primary care

The BMA also found that the NHS relies very heavily on a small number of ISPs despite acknowledged risks from individual ISPs having an excessive market share;

CCGs which spent a higher proportion of their budget on ISPs received worse ratings from NHS England than their counterparts.

The BMA’s 2017 table reproduced below sets out details of contracts over £50,000 from the 73 CCGs who responded to FOI requests for data.

Provider Contracts
Largest Average size Number Total value

Arriva 3,603,182 1,270,135 9 11,431,216
BMI 8,796,508 1,478,861 52 76,900,797
BUPA 4,978,539 1,092,828 23 25,135,042

Cambian 3,102,397 585,465 24 14,051,148
Care UK 6,769,000 1,602,823 26 41,673,404 Circle 21,976,373 2,829,829 14 39,617,609
Cygnet Healthcare 1,491,000 328,440 13 4,269,721
Four Seasons 1,393,787 462,848 16 7,405,575
Nuffield Health 8,243,491 1,639,233 26 42,620,053 Ramsay 16,806,000 3,016,575 28 84,464,099 Spire 12,184,000 1,419,562 49 69,558,517 Virgin 18,534,115 5,711,336 7 39,979,351

Tax: the missing £billions

Many private companies with NHS contracts are part of larger corporate structures, including partners based in tax havens across the globe.

Research into tax avoidance reveals how UK tax rules and complex trading structures make it possible for companies in the UK to show no profit, and hence pay no UK tax, while their partner companies shore up collective billions in tax havens6

Consequently we have no way of knowing either the true extent of profit made from NHS budgets, or the extent of tax avoidance by private companies with NHS contracts.

https://www.icij.org/investigations/paradise-papers/ 3 Virgin is one company with a complex financial set-up. Companies include Virgin Care Services Ltd, Virgin Care Ltd, VH Community Services Ltd, Virgin Care Corporate Services Ltd and several limited liability partnerships (LLPs).

The combined turnover of the companies for the year ending March 2016 was over £215 million.
According to the accounts none of these companies paid tax in this year

. For example, Virgin Care Ltd had turnover for the period of £40.5 million, with a loss of £10.5 million and no tax was paid.

Virgin Care’s income is entirely derived from NHS contracts and from work in the UK.

The holding company Virgin Healthcare Holdings Ltd reported a loss of £1.4 million for this year. Virgin Healthcare Holdings is a subsidiary of Virgin Group Holdings Ltd, which is registered in the British Virgin Islands . Virgin points out that it complies fully with UK and international tax requirements,

PRIVATE SECTOR ROLE IN THE NHS GP and other primary care services Across the country, the traditional model of GP surgeries run by a sole or small group of independent GP contractors whose primary commitment is to their patients is gradually being replaced by commercial companies with profit making intent and a traditional corporate management structure.

The Practice Group – which is majority owned by the US company Centene8 – lists 37 GP surgeries on its website as well as other NHS services including complex care, ophthalmology and in immigration removal.
Care UK provides over 60 NHS primary care services, including GP and walk-in services, 11 NHS outof-hours services, providing health advice and support for over 10 million people, and 13 NHS 111 services handling on average 240,000 calls a month covering a population of over 11.0 million people.

Practice Assist is Care UK’s ‘latest, innovative service designed to help practice partners run their surgeries more effectively and efficiently. With our background in urgent care and our tried and trusted network of healthcare professionals we are ideal partners, helping to bring resilience to any practice. Working in partnership with GPs across the country, we are helping practices to enhance their call-handling and appointment prioritisation Privatisation is also changing the shape of primary care services, with a range of new approaches constantly being trialled, though often with little success.
Some examples include: Walk-In Centres / Urgent Care Centres:

By 2010 there were around 200 NHS Walk-In Centres in England, mainly privately run, staffed mainly by nurses and healthcare assistants and often using a strict protocol-based assessment. These centres typically advertise that ‘any member of the public can simply walk-in and see a clinician at the centre for advice and treatment for common illnesses that are urgent but not life threatening’.

The intention was to relieve pressure on GPs, and, more 7 http://www.nhsforsale.info/private-providers/virgin.html N 8 http://www.nhsforsale.info/private-providers/the-practice-plc.html 4 importantly, to create an alternative to A&Es.
many walk-in centres face closure as research has found little reduction in A&E attendances .

Family doctors in Bournemouth have set up the first private GP service at which people who pay up to £145 a time will be seen faster and get longer appointments than their NHS patients
In November 2017, North-Central London announced the introduction of a new NHS 111 app, offering ‘fast, free, urgent health advice in one easy-to-use app …. powered by Babylon’.

A few days later these plans were withdrawn after tests of the system found that patients were using the app to speed up access to GPs, rather than as a symptom checker.

Babylon and the like won’t go away, though. The 5YFV makes it clear that people will increasingly be expected to ‘self-care’ with the help of apps. Another Babylon-app-based ‘GP at Hand’ alternative to a traditional GP is the subject of a legal challenge. Patients using the Babylon service will have their GP medical records transferred to the service. There is an extensive list of patient conditions such as frailty, pregnancy and mental health conditions that are the essence of general practice and which GPs deal with every day, but which are not eligible for this service.

Dr Richard Vautrey from the British Medical Association said: “This approach risks undermining the quality and continuity of care and further fragmenting the service provided to the public.”13. STP plans for GPs and primary care Government plans,

echoed within England’s 44 Sustainability and Transformation Plans, could reduce the number of GP practices from around 7,500 replacing them with just 1,500 ‘super hubs’, each with dozens of GPs and delivering care for 40,000 patients

. Detailed plans are yet to emerge, however they involve the need for development new premises, financed through a new public private partnership (PPP). In the government’s long-term vision for the future NHS, these GP hubs will be an integral part of the overreaching contract for a local Accountable Care Organisation.
Dorset, for one, is considering plans to reduce the number of GP surgeries from 131 to as few 36 surgeries15 Private care in NHS hospitals 9 http://blogs.lse.ac.uk/politicsandpolicy/nhs-walk-in-centres-are-popular-but-they-dont-relieve-pressurefrom-aes/ 10 https://www.theguardian.com/society/2017/feb/08/two-tier-nhs-gps-allow-patients-pay-jump-the-queuebournemouth 11 http://www.pulsetoday.co.uk/your-practice/practice-topics/it/babylon-gp-appointment-pilot-ditched-afterpatients-manipulated-system/20035712.article 12 http://www.bmj.com/bmj/section-pdf/955381?path=/bmj/359/8130/This_Week.full.pdf 13 http://www.bbc.co.uk/news/health-41884142 14 https://www.gponline.com/gp-practices-merge-1500-super-hubs-nhs-reforms/article/1427573 15 http://www.nhscampaign.org/news-and-views/blog-archive.html 5

Prior to the Coalition Government’s 2012 Health and Social Care Act, hospitals were only permitted to make 2 per cent of their income from private sources, but the 2012 Act raised that limit to 49 per cent.

Five years on, the Independent found: In 2016/17, the NHS made nearly £584m from private patients, up nearly 29% from 2011/12. This global figure masks the scale of change in major metropolitan hospitals16: Different hospitals use different approaches.

The Royal Marsden has an ‘integrated model’ with beds used by both NHS and private patients. Its income from private patients has risen by 105% to £91.9m – nearly a third of its total funding.
Other private hospital provision is managed separately from NHS provision yet still located within NHS Foundation Trusts.

Just one provider, HCA Healthcare (formerly known as Hospital Corporation of America) runs private hospital facilities at several NHS Foundation Trusts including Christies NHS Trust in Manchester, ‘Harley St at Queen’s’ Hospital in Romford (BHRUH NHS Trust), ‘The London Gamma Knife Centre’ at Barts Health NHS Trust, ‘Harley St at University College Hospital’ and ‘Private Care at Guy’s’.

Many consultants treat both private and NHS patients on the same site and it is common for NHS junior doctors, nurses and other staff to be asked by consultants in charge to provide support to their private patients in NHS hospitals, and NHS hospitals frequently provide diagnostics, including Xray, CT and MRI scans, on-call services and ITU facilities17

NHS care in private hospitals Private hospitals are used by the NHS to reduce lengthy waiting lists. They undertake many routine ‘elective’ (non-emergency) procedures such as hip or knee replacements and cataract operations. Most private hospitals operate strict exclusion criteria; they only accept patients with no complex conditions and deemed to be low risk, leaving NHS hospitals to manage patients with complex needs or other risk factors. CQC inspectors have raised many concerns about private hospitals, including insufficient preoperative checks, poor incident handling and inadequate arrangements to cover emergencies.

18 out of 54 BMI hospitals were rated as ‘requiring improvement’.

A senior Surgeon at one of BMI’s hospitals is also accused of both fraud and carrying out unnecessary and substandard operations.

In the wake of scandals involving surgeons at private hospitals, the independent thinktank the Centre for Health and Public Information (CHPI) has identified a number risks to patients in many hospitals, including failure of private companies to take responsibility for monitoring activities of surgeons, anaesthetists and physicians who work at their hospitals; lack of facilities to deal with situations where a patient’s life becomes endangered following operation; reliance on a single junior doctor working alone on extreme shift patterns to provide post-operative care for patients; absence 16 http://www.independent.co.uk/news/uk/politics/nhs-privatisation-health-serviceexposed-private-cancer-patients-hospitals-treatment-work-government-a7974096.html 17 https://chpi.org.uk/blog/nhs-hospital-subsidies-private-hospitals/ 18 https://www.thebureauinvestigates.com/stories/2017-02-23/bmi-hospital-rated-unsafe-put-patients-atrisk-of-harm 6 of requirement to adhere to the same reporting requirements as NHS hospitals; absence of legislation ensuring CQC-registered managers are fully liable for all services.19

Tax issues: One in four private hospitals are registered as charities, giving them an 80% reduction in business rates, while NHS trusts must pay these in full, and face a £300m increase over the next five years. Nuffield Health, which runs a number of private hospitals is Britain’s third largest charity, and is expected to pay just £3.2m in tax over the next five years, saving £12.7m as a result of its charitable status
Community services Most private sector contracts are for community services. Virgin Care is one of the leading players. Between 2000 when it entered the healthcare market and 2017, Virgin Care has been awarded contracts worth well over £2bn, mostly for community services. At the end of 2017, Virgin Care reported that it provided over 400 services around England. With the Bath and North East Somerset contract won in 2016,

Virgin Care became the first private company to take over adult social care services, including social workers.

An Essex contract won in 2017 also contains a large chunk of social care21. This combination of health and social care services puts Virgin Care in a strong position to tender for future ACS and ACO contracts. In October 2017, following an outcry from campaigners and press, Southend University Hospital abandoned a scheme to discharge patients deemed medically fit but unable to return home into the care of untrained, unregistered local residents with spare rooms22 Drugs Poor regulation gives drug companies the power to hold the NHS to ransom over supplies. In 2017, one manufacturer Actavis UK hiked the price of ‘lifesaving’ drugs by over 12,000% compared to branded versions, the Government’s competition watchdog has alleged23. Actavis charged ‘excessive and unfair prices’ for generic versions of hydrocortisone, the Competition and Markets Authority (CMA) claimed, in a provisional ruling.

Ambulance services Ambulance trusts are increasingly using private firms amid soaring demand and staff shortages. In 2016/17, £78m was spent on private ambulances, an increase of 22% on 2014/1524. Arriva has contracts worth £3.6m pa to provide non-emergency patients transport. 19 https://chpi.org.uk/wp-content/uploads/2017/10/CHPI-No-Safety-Without-Liability-Oct-2017.pdf 20 http://www.bbc.co.uk/news/uk-40993450 21 http://www.nhsforsale.info/private-providers/virgin.html 22 https://keepournhspublic.com/news/new-nhs-funded-scheme-puts-patients-up-with-local-residents-at-50- a-day/ 23 http://www.pulsetoday.co.uk/clinical/prescribing/manufacturer-accused-of-overcharging-the-nhs-forhydrocortisone/20033486.article 24 http://www.independent.co.uk/news/uk/nhs-private-ambulances-spending-rise-80-million-hospitalsemergency-care-a7952836.html 7

Prisons and secure facilities In November 2017 Care UK website states ‘we also operate 42 prison services where we work with all types of offenders in all categories of prisons. These are a community like any other and we offer all of the health services any community needs in one place and with a single team. These range from reception health checks and regular GP services, to help with substance misuse, chronic or long-term conditions, podiatry, physiotherapy and optometry’. Care UK insist they are: ‘leading the way in this sector with a range of initiatives that are moving provision on from the traditional disease-led approach to a more holistic model focused on health and wellbeing that involves service users more fully in their own long-term recovery’.

Care UK’s rosy picture contrasts sharply with warnings from prison doctors that ‘the conditions in which they operate are so unsafe that the services would be closed down had they been outside the prison system’25 Care UK also run a Sexual Assault Referral Centre where victims of rape or sexual assault are supported in the immediate aftermath of an attack, and throughout their journey of recovery.

Learning disability

A 2017 report26 by the Centre for Disability Research (CeDR) at Lancaster University found that the Government spent £477m last year on keeping just 2,500 people with learning disabilities and autism in hospital, with more than half of those in beds provided by the private sector.
Patients who have been in care for five years generate close to a million pounds in income and therefore substantial profit for private companies.
The study found that the number of such businesses is on the rise.

De-professionalising healthcare

One hidden casualty of privatization is an increasing reliance on staff with lower levels of skills and training, using any number of job titles.

In the absence of regulation of professional staffing, private providers have led the way in replacing professional staff with cheaper unqualified staff, often working to a strict protocol-led approach as a substitute for professional expertise. ‘Registered nurse’ is a protected term, requiring three years of education and training and registration with the Nursing and Midwifery Council (NMC), a regulatory body with the ultimate power to strike off anyone not adhering to its code of conduct. However, in the UK, ‘nurse’ is not a title protected by law or regulatory framework; anyone can be given the job title ‘nurse’ regardless of background or training. While an NMC-registered Advanced Practice Nurse will generally have a masters degree level qualification, research in 2017 found many unqualified support workers given job titles that implied high level clinical qualifications, such as ‘specialist nurse’ or ‘associate advanced nurse practitioner’27. The private sector leads the way, and the dangers are obvious. 25 https://www.theguardian.com/society/2017/aug/22/prison-healthcare-so-bad-it-would-be-shut-down-onoutside-say-doctors 26 http://wp.lancs.ac.uk/cedr/2017/06/27/a-trade-in-people/ 27 https://www.theguardian.com/healthcare-network/2017/nov/08/what-nurse-baffling-number-job-rolesleaves-patients-bosses-confused 8 But similar de-professionalisation is occurring in the NHS, with the development of a host of professional assistant roles replacing qualified healthcare professionals.
In 2015, Jeremy Hunt announced that 1,000 Physician Associates (PAs) would be introduced into general practice to assist GPs in tackling workloads; others in hospitals. In future many patients seeking a GP appointment may be referred to a PA instead. PAs undertake a 2-years post graduate diploma training, but may have no previous healthcare experience. By February 2016, it was estimated there were 260 PAs and 550 PA students in the UK. As of 2017 the PA title is still not protected and not subject to regulation. Doctors have expressed concern that PAs will be used as a cheap, and potentially unsafe, substitute for qualified doctors.

Hospital catering, cleaning and security

These services were the first to be privatised in the 1980s, and in many hospitals they remain outsourced. Researchers at Oxford University and London School of Hygiene and Tropical Medicine have argued that the savings are a false economy, and shown that outsourcing is clearly linked to increased spread of MRSA28 In July 2017, more than 700 cleaners, security guards, catering staff and porters at Barts Health NHS Trust began a dispute with Serco over low pay and job cuts. In 2016, Serco made an overall profit of £82m29 Rationing and denial of treatment If the NHS will not provide care, people who can afford to pay will turn to private provision.

In January 2017, the 18-week target for waiting lists for elective surgery was scrapped for ‘non urgent’ operations including hip or knee replacements, cataract operations and hernia repairs. CCGs are increasingly rationing treatment and considering new options for denial of treatment.

Only 27 CCGs continue to offer the NICE recommended three full cycles of IVF treatment, a reduction of 46% from 2013. In October 2017, Hertfordshire CCG announced that patients would be refused surgery if they continue to smoke or have a body mass index (BMI) over 3030. In 2015, over a quarter (26.9%) of the UK population had a BMI of 30 or above31, so would be denied surgery under Hertfordshire’s criteria. OTHER ISSUES Migrant charges and ‘health tourism’ Up until 2014, migrants living in the UK on a ‘settled basis’ were eligible for free NHS treatment. From October 2917, substantially more restrictions apply. Government portrays migrants as a drain on public resources and encourage the public to blame migrants rather than government for NHS decline. The Government has openly declared its aim to create a ‘hostile environment’ for migrants, and has openly permitted data sharing between the DH and Home Office as a way to track illegal migrants. 28 http://www.ox.ac.uk/news/2016-12-21-nhs-hospitals-outsource-cleaning-‘linked-higher-rates-mrsa’ 29 https://www.theguardian.com/society/2017/jul/11/cleaners-london-hospitals-barts-serco-seven-day-strikepay 30 http://www.telegraph.co.uk/news/2017/10/17/nhs-provokes-fury-indefinite-surgery-ban-smokers-obese/ 31 http://www.bmj.com/bmj/section-pdf/955381?path=/bmj/359/8130/This_Week.full.pdf 9
The increasingly hostile environment has the impact of greatly deterring migrants from seeking healthcare, even when they are fully entitled to it. So, for instance, many pregnant migrants are losing out on vital ante-natal care. Developing new systems to support charging The detailed systems required to check eligibility for free NHS care and to chase payments for ‘health tourists’ are likely to cost as much the implement as could be brought in by charging migrants. However, there is another, unspoken, agenda: these are the systems that are also required to support charges and transactions with private healthcare insurance. They will also be needed to bill people for a future ‘social care’ element of treatment in an integrated setting. Hence charges for migrants are being used as a Trojan Horse for implementation of systems that will support privatised future services. PRIVATISATION FAILURES There are numerous examples of poor services run by privatised companies. For instandce,

Capita won a four-year contract from NHS England worth up to £1bn to provide a range of support services between 2015-2019 to GPs in three areas of England.

The BMA believes hundreds of doctors have been left out of pocket as a result of errors by Capita32

Circle, withdrew from its 10-year contract to run Hinchingbrook Hospital after just two years and just before publication of a damning report from CQC. An £800m contract for older people’s services in Cambridge was awarded to UnitingCare following a procurement costing over £1m. Eight months into the contract UnitingCare withdrew stating that the contract was not financially viable. Serco withdrew from delivering clinical healthcare services in Suffolk after making a £9m loss on a three-year, £140m deal33 In Nottinghamshire, the CCGs ignored warnings from consultants and appointed Circle to take over elective dermatology services. This triggered a mass exodus of consultant staff unwilling to work for Circle, and collapse of dermatology in the area. Campaign successes: In September 2017, a vigorous campaign by unions and campigners, with support from MPs forced the Government to abandon plans to sell of NHS Professionals, the state-owned agency that supplies doctors and nurses to hospitals, and estimated to save the NHS some £70m a year by supplying staff more cheaply than other agencies34. Politician links to private healthcare companies35 32 https://www.theguardian.com/society/2017/nov/03/labour-demands-inquiry-into-delayed-payments-totrainee-gps 33 https://www.ft.com/content/297e7714-089f-11e7-97d1-5e720a26771b 34 https://www.ft.com/content/e5e9b832-93a0-11e7-a9e6-11d2f0ebb7f0 35 https://www.theguardian.com/society/2015/mar/16/privatisating-nhs-staffordshire-cancer-care-harmpatients-campaigners-say 10 In 2015,

Labour research found that seven of the eleven private health firms which jointly won a £780m NHS contract for diagnostics and operations had links to the Conservatives. The seven include three companies which have been criticised for providing inadequate care to NHS patients or care home residents they were looking after.
Two of them, Circle and Care UK, have been criticised by the Care Quality Commission while a third, Vanguard, was under fire after 31 eye operations it performed under contract to the NHS last year left patients with continuing sight problems. Vanguard is majority owned by MML Capital. Rory Brooks, its founder and chief executive, has donated £300,311 to the Tories and gets privileged access to David Cameron as part of the ‘Leaders Club’ of Tory donors. Care UK’s chairman until 2010 was John Nash, who was made a peer by Cameron in 2013 and is now an education minister in the House of Lords. He and his wife Caroline have given £251,000 to the Tories. Circle, which pulled out of running Hinchingbrooke NHS hospital in what was hailed as a pioneering extension of the private sector’s role, is part-owned by Lansdowne Partners and Odey Asset Management. Their founders, Paul Ruddock and Crispin Odey, have given £843,783 and £241,000 respectively to the Tories, and Odey’s firm another £20,000. Revolving doors A series of interlocking cogwheels recycles government ministers and advisors (from all major parties) onto think tanks and healthcare company boards, as shareholders and back, often via the Lords, into new roles as government advisors and NHS managers. Here their undoubted expertise in the corporate sector is regarded as a major asset and not, as others might see it, as a blatant conflict of interest.

Simon Stevens rose from being a key advisor to the Blair Government promoting PFI and use of private hospitals, to senior positions within United Health, a major US provider of healthcare insurance, and from there to his current post as Head of NHS England. (Labour) Lord Carter of Coles founded Westminster Health Care in 1985 and has served on various boards of US and UK healthcare, insurance and technology companies.

He chaired the NHS Cooperation and Competition Panel in 2012, despite also chairing US Healthcare company McKesson, from which he earned £799,000 in 2014.

He has conducted a number of Government NHS reviews, including into pathology services despite personal investments in pathology services. Alan Milburn, Health Secretary under the Blair government currently works in the healthcare sector of management consultants
PricewaterhouseCoopers. Ex-GSK chief to be UK chief scientific adviser Patrick Vallance
(below), president of research and development at GlaxoSmithKline, has been named as the government’s chief scientific adviser. FUTURE PRIVATISATION To date, NHS privatisation has meant contracts for particular services.

However reorganisation of the English NHS since 2016 into 44 Sustainability and Transformation Partnerships (STPs) and moves to create new Accountable Care Systems (ACSs) and Accountable Care Organisations (ACOs), delivered through massive commercial contracts covering all or most of the NHS organisations in a local area, could see wholesale privatisation of the NHS.
This is covered in a separate detailed KONP briefing paper on

The Great Reset – Utopia or Dystopia ?

Now we know the reason for the pandemic on the back of a flu like virus impossible to cure/eradicate .

With 0.146 mortality rate, 99% survival rate and 388 deaths under 60 during last lockdown.

Allows billions profit for PR TO FRIGHTEN, VACCINE TO GIVE HOPE and Testing AND to continue the money into private profit indefinitely.

Into the build back better world beyond politics, democracy, allowing total control of the world on fear ..


The Great Reset with the help of the pandemic is now our future- the worlds. via World Economic Forum who have an agreement with UN

GATES predicted such a pandemic in 2015

Klaus Schwab PUBLISHED the eutopia in his book ‘Fourth Industrial Revolution’ MONTHS later

WHO conference 201 PREPARED and orchestrated the PR a month before first death.

Here an article in Washington Times explains this

Books published in 2020, describe the advent of our new Utopia

The GREAT RESET- Klaus Schwab, Head of the World Economic Forum and

The Fourth Industrial Revolution in 2016 influencing the 2030 Great Reset Agenda

The Dreamer- Biden US ALMOST President

Let Us Dream – Pope Francis Amazon.co.uk : let us dream Pope Francis

A promised Land – Obama

Prince Charles, despite no book promotes THE DREAM

1.5 million paid for our 2021 firework display/ attendance disallowed, promoting NHS, BLM, Global warming and Togetherness…

View original post 318 more words

Covid-19 Vaccine Effect and Cost

A vaccine with no normal animal trials, no standard up to 2022 trial, with a new untested technology ,

Against a continually mutating virus, when vaccines do not kill viruses per se, let alone one not separately recognised/ isolated , as a deadly disease

Vaccines don’t work against some viruses. CRISPR might fix that – STAT (statnews.com)

Its manufacturer has been given the first legal exemption in history, from any liability, either from immunisation or side effects

Thousands of experts have warned of dangers but do not aired in media

Risk Evaluation of anaphylaxis with the Pfizer-BioNTech COVID-19 vaccine | The Wall Will Fall
Risks of the Pfizer BioNtech vaccine – Dr. Louise Lagendijk (video) | The Wall Will Fall

How will it help pandemic ?

Hancock, Fauci ,admit it does not stop transmission , needs to be given every 6 weeks, and at most alleviates symptoms of virus, yet can be no symptoms, and most receiving vaccine have none

Studies have shown that the antibodies after COVID-19 vaccination will last for three months, but the upper limit is not yet known because these vaccines have only been administered for a few months.

Both manufacturers report that their vaccines show approximately 95% efficacy at preventing both mild and severe symptoms of COVID-19. but does not stop transmission or reinfection.

and according to Hancock is half as effective on the new variant.

And thousands of experts warn of risk

Risks of the Pfizer BioNtech vaccine – Dr. Louise Lagendijk (video) | The Wall Will Fall…

So what does this, at best a medicine, that needs to be injected at huge cost, into millions every 6 weeks to merely alleviate symptoms, few have, not even tested +.

A virus, with less than 0.146 mortality rate and 99 %+ survival rate and at worst produces unsueable, unknown sideeffects.

Cost to NHS ? .

https://www.ft.com/content/07f76b06-73db-4647-97b6-ef0a9a58626dUK spending on Covid vaccines hits nearly £12bn, watchdog says | Financial Times (ft.com)

UK government to pump up to £43bn into Covid testing | Financial Times (ft.com)

While emergency treatment postponed millions in pain and die- the answer more money to NHS

NHS debt paid off, Nightingales not used billions wasted

The world is pumping trillions into pharma, distribution and PR. media-119 million, 320 MILLION for 2021/22, all profit for private companies ,further bankrupting its people and destroying the global economy

Why ?

To rebuild to a virtual, controlled, for profit, no society, less people and at corporate mercy for max profit world, called the Great Reset .

Europe Rebels

Below not mentioned in UK main media.

Denmark was the biggest rebellion and it halted their government legislation of forced isolation, and government deciding who should be vaccinated and coerced into it.

Denmark Say NO To Lockdown Law & Government Relent #PeoplePower – YouTube

Italy =========——https://www.youtube.com/watch?v=7YZGXNwri0o

Austria -10,000 Austrians Take To The Streets Vienna / Hugo Talks #lockdown – YouTube

Netherlands -THOUSANDS Gather In Amsterdam Against Lockdown / Hugo Talks #lockdown – YouTube

Poland- 100’s Of Polish Business’s To DEFY Lockdown / Hugo Talks #lockdown – YouTube

France Paris ERUPTS In New Lockdown Protest Against Security Bill – YouTube

Whilst UK is all honed PR …………………..

Thomas Rawnsley’s Coroner critises ambulance + GP emergency service – and did he choke ?

Thomas Rawnsley inquest: Coroner calls for out of hours assessment changes – BBC News

Thomas Rawnley’s coroner, called for Yorkshire Ambulance Service, who were called to see Mr Rawnsley on 29 January, to consider an audit of written information given out by paramedics to patients and their carers.

But does not say, how such an audit, would/could have saved Thomas- in any event not a question of law for her, but of fact for her Jury and points not to the ‘natural causes’, she ordered them to conclude he died from.

I assume, from his Mum’s post below, this audit arose from this ambulance call out by Kingdom House;

The 999 transcript from the night 3 days
before Thomaa’ death when I beg them to get an ambulance states that staff lock themselves in the kitchen while my poorly son is left alone screaming in agony and a staff member is shouting that its my fault for mentioning an ambulance.the paramedics turn up with 4 police officers and find that Thomas” oxygen levels are 93% but tell us his stats are fine and he’s ok. Thomas died 3 days later

Why presuppose another emergency ambulance call out would/should be necessary, is this adequate care?

In addition-

An inquest into his death heard his carers at Kingdom House, Sheffield, had called 111 on the night of 1 February asking for advice when he vomited shortly after taking medication for the infection and whether to re-administer the drugs.

,In Ms Combes’ coroner, Prevention of Future Deaths report she said.

the 111 call handler had asked a standardised series of questions before passing the matter on to the out-of-hours GP.

However, she said, the GP “did not take any history” and did not access Mr Rawnsley’s record.
He was therefore unaware the patient had a chest infection when he gave clinical advice, she said.
The inquest heard Mr Rawnsley collapsed the following morning

Again ,it is unlikely an extra dose of antibiotics per se, would not have saved Thomas, and unclear, it was given

Both services criticised, are out of hours crisis services ie last resort and by necessity ad hoc

His MUM was gagged for screaming for weeks for a chest Xray, and Thomas’ over medication appears unexplored.

There has never been any criticism of care by Kingdom House and its management, medication, no local GP call out, or hospitalisation

So no criticism of Private NHS- Lifeways/Cambian, only Public ad hoc services.

Why ?

But as Thomas vomited shortly after taking medication for the infection and whether to re-administer the drugs.

Raises another unexplored reason for his death

Did he choke ?

Another cause of death, not explored by his Jury, who were ordered to find he died naturally

Clearly from this video taken just weeks before his death, Thomas is stuffing himself unaided with food, overeating being a side effect of his antipsychotic medication particularly respiridol .

This medication would also act as a strong neuro suppressant,, slowing down all his body processes, including digestion.

It is known to cause faecal impaction, particularly in the autistic, particularly upon the trauma Thomas HAD BEEN subjected to.

My daughter had two such impactions, one exacerbated by risperidol.

Thomas had had weeks of strong antibiotic medication known to disrupt digestion

So Thomas was medicated with huge doses of neuro suppressants, his digestion affected by strong antibiotics , his food intake apparently, not supervised , and he left alone in his room , if a second dose had been administered, or even if not, could he have choked in his drug induced sleep, as he was found effectively dead on the next morning/shift ?

As his airways were cleared, and ingestion continued on life support for two days in hospital,,any excess indigestion might not have been picked up on his autopsy.

This possibility was not explored, at Inquest,

NHS who paid over £8,000 a week to Kingdom House to care for Thomas, were approached by BBC for comment,on the Coroner’s Future Deaths Report, but made none.

Millions Profit- Despite Acadia/ Priory Deaths ?

USA Acadia Healthcare, bought the Priory Group in 2016 for 850 million dollars and sold it to Waterland in 2020 for £ 1.1 million.


That’s an estimated at least 800 million profit on exchange rates?

And for 4 years Acadia were paid £13,000 a week per patient, by mainly the NHS- OUR MONEY

The Priory had a reputation of providing the best care for the rich and famous

Who paid them under contract and would not return if dissatisfied

What did the NHS patients get for the same amount paid by celebrities ?

Without contract or choice

Read here 12 deaths in the Priory that managed to get out into public media

A 300, 000 fine resulted from Health and Safety Regulation for the life of a 15 year old


This modus of huge profits from mental health was mirrored by Winterbourne View’s sale to Dansell owner of Whorlton Hall, THE then second exposed care scandal

Other than the CQC, check out the reports on Priory from mainly announced paper inspections, these services appear to be the only ones funded by NHS England, as qualified providers under HSCA12, as patients sent hundreds of miles from home for treatment.

So monopoly £13,000 A WEEK per person guaranteed, increasing income from NHS, apparent little oversight of service – No wonder all are globally investing

How can/will services by Waterlands be better than by Acadia ?

For such huge amounts of NHS money and such vulnerable patients.

When their overriding duty is to their shareholders and to make as much profit as possible ?

Profit from us, as vulnerable commodities, is future of mental/behavioural care.

A parent has posted fb that Priory should be closed down, but has been sold to yet another for profit corp

The ASD/LD are made worse by drugs and used as cashcows from public NHS money and sold on if any publicity.

We can’t continue with a system that profits from inadequacy and failure to care as Munro stated

The Great Reset – Utopia or Dystopia ?

The Great Reset with the help of the pandemic is now our future- the worlds. via World Economic Forum who have an agreement with UN

GATES predicted such a pandemic in 2015

Klaus Schwab PUBLISHED the eutopia in his book ‘Fourth Industrial Revolution’ MONTHS later

WHO conference 201 PREPARED and orchestrated the PR a month before first death.

Here an article in Washington Times explains this

Books published in 2020, describe the advent of our new Utopia

The GREAT RESET- Klaus Schwab, Head of the World Economic Forum and

The Fourth Industrial Revolution in 2016 influencing the 2030 Great Reset Agenda

The Dreamer- Biden US ALMOST President

Let Us Dream – Pope Francis Amazon.co.uk : let us dream Pope Francis

A promised Land – Obama

Prince Charles, despite no book promotes THE DREAM

1.5 million paid for our 2021 firework display/ attendance disallowed, promoting NHS, BLM, Global warming and Togetherness .

The World Economic Forum describes the Great Reset


All governments now propose the great reset calling it Build back better , a world dictatorship on excuse of C virus

Watch the brainwashing orchestration of the phrase – sound bite here from all not voted for – where is democracy ?

We are told by posters;

We will own nothing and be happy’ by the World Economic Global Futures Councils.

HERE the dangers of this are listed a must see video

But who will own all ? And what profit from renting all to us.

All follow John Lennon’s hippy dream –

Imagine there’s no heaven
It’s easy if you try
No hell below us
Above us only sky
Imagine all the people
Living for today… Aha-ah…

Imagine there’s no countries
It isn’t hard to do
Nothing to kill or die for
And no religion, too
Imagine all the people
Living life in peace… You…

You may say I’m a dreamer
But I’m not the only one
I hope someday you’ll join us
And the world will be as one ‘

Who would have thought that Lennon would become the biggest supporter of Globalisation? Atheism, removal of freedom ? And build back better Hell ?

Who would have thought the Pope would be?

Who would have thought they and Prince Charles would promote Klaus Schwab’s ideas?

Is this not a New World Order Agenda?

Already during the pandemic, the 1% richest have increased their wealth by 27%
The world is bankrupt , personal debt soaring, with no hope of repayment

37% of USA DOLLARS ever printed were in 2020

One EU diplomat, relaying criticism by the European Commission at the behind-closed-doors meeting, said: “The plans lack structural reforms, strategic vision, concrete targets, and cost-effectiveness.


No possessions, no religion, no poltics, no money, no hope, is our 2021 and our future utopia.

All planned, enacted without war, by constant fear. and knowledge of our psychology

Already we have virtual education University to schools, GPs, Courts, Community Care, card transactions only

NHS Overwhelmed ?

As half a billion NHS spend on closed Nightingales

Billions -95.6 IN 2014,given without even Parliament accountability to NHS England a commissioning body headed by an ex UHS executive of US

we must ask how and why NHS overwhelmed ?

With NHS BILLIONS debt paid off ,more millions spent on back up Nightingale hospitals – ABU DHABI NATIONAL EXHIBITION COMPANY -ExCeL labelled,

OVER HALF A MILLION VOLUNTEERS and remote GPS and a 15 million waiting list, urgent treatments postponed , and apparently few customers for hospitals/GPs, for fear of C VIRUS tracing, infection and media off put.

Lockdowns, on the excuse of overwhelming NHS.

Is NHS overwhelmed?

And has it a right to be,?

As it is charged by Statue and its existence to provide for public health.

Here below, is one dismantled Nightingale hospital, stated APPARENTLY to be commissioned by Hancock

NHS Nightingale decommissioned! Has Matt Hancock misled the people? – YouTube

link NHS Nightingale decommissioned! Has Matt Hancock misled the people? – YouTube

A million pounds already, per patient spent in them
with just 388 Covid19 RELATED deaths of those under the age of 60 with no underlying health problems in the whole of England, that has a population of 53 million alone. deaths per se unknown,

Here a brave lady filmed her empty local/main hospital and was later arrested and handcuffed in her own home. See below.


Debbie Hicks – Arrested after Filming Empty Gloucester Hospital – YouTube

Ealing Hospital West London appears almost empty and testing centres not used that much despite the millions paid to Corporate providers.


Let us not forget. that Sir Simon Stevens , Head of NHS England, was Blair’s advisor on public services, and then executive for 8 years with American United Health Services Empire.

He now heads the NHS, effectively a commissioning group that under the Health and Social Care Act 2012, WHICH can commission any ‘qualified provider’ for any NHS service,

And it appears, the amount of money PAID for this service, is unaccountable, to apparently even Parliament, and if a private service, neither to the public via a Freedom of Information Act notice request.