ACS is stepping stone to an accountant-led care system
So what is an NHS Accountable Care System (ACS)?
It is not a National Health Service.
All areas are different, the biggest of all postcode lotteries.
Money for health is going to the south.
So, in the north, we already have the worst health outcomes in
England with a massive underspend per year per head of population,
compared with the south.
Yet, over the last five years, we have seen further disinvestment at a time when we’re also being asked to make substantial £1bn savings.
An ACS is a stepping stone to an accountant-led care organisation, delivering what is known popularly as cuts.
The Sustainability and Transformation Plan looked at the dismantled NHS, assessed the number partners and NHS providers in an area, worked out what they do and called it an Accountable Care System.
The plan is to sew them all back together in the Accountant-led Care Organisation bag, where the companies will have the most power, due to their superior finances, and letting them all fight it out together or ‘negotiate’, who does what for how much.
There are the rent extractors with hedge fund involvement, alongside hospital trusts, some of whom are making deals with US multi-nationals already, plus asset strippers, alongside charities which are run more like businesses than charities.
Whose NHS is that?
We need more social housing
Housing group Generation Rent have predicted that, by 2035, nearly one million households of retirement age will be renting from a private landlord.
Currently, the figure stands at 370,000.
If those households owned their home, they would have minimal housing costs by the time they retire, but as renters, they will still have rent to pay and most will rely on housing benefit to keep a roof over their head.
The campaign group estimates that if today’s 45 to 64-year-old private renters could access social housing by the time they retire, the taxpayer would save £930m per year in housing benefit.
But rather than tackling the housing crisis for all generations, the Communities and Local Government Secretary, Sajid Javid, has blamed it on pensioners – rather than the chronic under-supply of social housing, inflationary house prices, relative low wages and his own Government’s failure to act.
This is just dog-whistle politics which tries to set
one age group against another.
Mr Javid needs to start allowing local councils to start building homes again, controlling rents and making it easier for older people to downsize.
Banks are vital for communities
The banks, and other organisations, are continually screaming at us to ‘go online’.
When people do that, they then complain that there are insufficient customers using the bank’s branches, so they are being closed. The problem doesn’t just affect the elderly. It must present serious problems for local shopkeepers when it comes to banking their takings.
Surely there is a simple solution to this matter. Banking is a vital service for all communities.
If the banks want to close down their branch offices, then the ‘Big Five’, or whatever they now are, should be required to maintain a single joint bank in any such locations for the benefit of those who cannot go online, or cannot get to the remaining nearest branch miles away from where they live or work.