Monday, November 21, 2011

NHS & McKinsey: Memory Failure or Conspiracy?

It is always amazing that governments seem to behave as if they have forgotten what that happened before & including those in high position! Or was it!!!

Remember Sir David? Not me!!!

Q318 Valerie Vaz: ………but I want to clarify something, Sir David. It was something that was in the paper, that you had had discussions with someone from McKinsey who is running a company and wants to float GP surgeries on the stock market. Is that where you see-
Sir David Nicholson: That I have had discussions with them?
Q319 Valerie Vaz: Yes. Apparently he ran the plans before you. Is that not right? Are you not having discussions with anyone?
Sir David Nicholson: I am having no discussions with anyone in relation to that. I can genuinely say "It wasn’t me, guv."
Chair: Another David Nicholson.
Sir David Nicholson: Yes.

Remember Iceland:

NHS & Regulators: McKinsey & COI

Not too long ago in Iceland, those working for the banking regulator may find themselves employed by the bank that they were “regulating” during one of their visits. We all know what happened to Iceland.

Governments never seem to learn: In Health Care Death is Irreversible!!!

The Guardian:

A global consultancy firm seeking to profit out of the fallout from the shake-up to the NHS is being paid £250,000 a year by the government for advice on the transition towards health secretary Andrew Lansley's vision of the service.

The American firm, McKinsey Inc, with estimated revenues of £4.1bn a year, has been advising the Department of Health on how best to manage the radical changes since March. McKinsey is also one of a group of private consultants that have united to provide paid-for advice to GPs as they prepare for life after the reforms.

Family doctors need help from private companies because of the government's decision to abolish primary care trusts as part of their controversial changes to the health service, a move criticised as a step towards privatisation.

McKinsey has long been a controversial figure in the health world, and has made millions of pounds as one of the key private providers of management and advisory services. A conglomerate including McKinsey, KPMG and PricewaterhouseCoopers last week sealed a £7.1m contract with 31 groups of GPs looking for advice on how to manage budgets under the system being introduced by the Lansley reforms.
Earlier this summer this newspaper revealed the existence of confidential emails between McKinsey and the government showing that the firm had helped the department to hold discussions last year about "international players" running up to 20 NHS hospitals.
The emails suggested there had been "good discussions" on "how international hospital provider groups may help to tackle the performance improvement of English hospitals".

In the late 1990s Mr Corbett commissioned McKinsey to devise a blueprint for the company. The central recommendation that came out was that Railtrack should "sweat" its assets. This meant replacing its cyclical system of rail maintenance with a programme where infrastructure was mended on an as-and-when basis. "The theme was very much that we should get the most out of the assets before we renewed them," says a Railtrack insider.

But people died!!!

Network Rail: Potters Bar
Judge Bright and some of the bereaved families highlighted the fact that, as NR is a not-for-dividend company with no shareholders, any fine for NR would have to be paid from what the judge said was "an income which is substantially derived from public funds".

Perdita Kark, the daughter of Austen Kark, one of the passengers who died in the crash: said: "It's offensive that I pay a fine for something that killed my father."

Train drivers' union Aslef said it was "ludicrous that managers responsible for rail safety walked away unscathed while the public picks up a £3 million bill".

NR said it accepted the fine "as we accept the liabilities inherited from Railtrack".

NR's predecessor Railtrack was the infrastructure company in charge at the time of the crash but NR has shouldered the responsibility.

And now: The NHS. 

David Bennett is now Chairman of Monitor and he was a Director at McKinsey & Co. In his 18 years with McKinsey he served a wide range of companies in most industry sectors, but with a particular focus on regulated, technology-intensive industries.
As hospitals face fines by Monitor and even closure, whose money would that be!!!

It is a win-win situation, taxpayers pay for the fines and privateers buy the "FAILED" hospitals and make more money from the taxpayers.

Remember Penny:

A quick random check:

Penny started her career as a doctor, training in Cambridge and London, and is a member of the Royal College of Physicians. She trained in public health before going to the United States to study for an MBA at Stanford University, where she was a Fulbright Scholar. While at Stanford she worked briefly with Kaiser Permanente.

Penny returned from the United States in 1994 to work for the Boston Consulting Group in London, leading strategy and change projects with blue chip companies.

In early 2000 she joined the Department of Health as Head of Strategy and Planning, working closely with Alan Milburn in the development of the NHS Plan.

Most recently, she led the work conducted for the Darzi review of London's healthcare system, and supported Lord Darzi in his national review.

Penny is also Vice-chairman of The King's Fund and Founder/Director of the Cambridge Health Network, a discussion and networking forum for over 500 senior executives from organizations working in health.

From 2004 until 2006 she was a non-executive Director of Monitor, the regulator of foundation trusts.

Prior to joining McKinsey, Penny was Head of Strategy for the NHS, during which time she played a lead role in the development of the NHS Plan.

Interesting that both sites did not use Dr but Penny. Penny was of course the nickname of Moneypenny.

Another not me approach, remember?

Monitor: Recent exchanges in Parliament

Q 195 Jeremy Lefroy (Stafford) (Con):  I have a couple of questions about the role of Monitor. The first is about the Mid Staffordshire trust into which the Francis inquiry is looking at the moment. It seems to me as the local Member of Parliament that Monitor approved the foundation trust status without going into sufficient detail as to the status of that trust, particularly the quality of care at the time. What assurances can you give us that Monitor’s approval of foundation trusts will be more rigorous in the future than it was in the case of Mid Staffordshire? 
David Bennett: Yes. I was not around at the time, but looking at the evidence, the trust was approved at a time when it was not delivering appropriate care to its patients, and that was wrong. Monitor has done three core things in the light of that, all based on an external review of what happened and why, and therefore what lessons can be learned. First, it has set a clear quality bar. That did not exist before—there was no clear definition of what was an adequate level of safe care for any trust to be providing to be authorised. In conjunction with the CQC and the Department of Health, there is now a clear definition of what the quality bar should be. 
Q 196 Jeremy Lefroy:  Sorry, are we saying that there was not a clear quality bar for approval of foundation trusts up till now? 
David Bennett: There has been for a while, but not at the time of Mid Staffordshire. 

David Bennett is the current head of Monitor (a sort of health FSA!) He is not a medical doctor.
David was a Director at McKinsey & Co. In his 18 years with McKinsey he served a wide range of companies in most industry sectors, but with a particular focus on regulated, technology-intensive industries.

In case you too forgot here are all the posts on McKinsey:

There is not going to much chance for the NHS and for our money.

What about our HEALTH? 

Do you mean ILLNESS?

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