#NHS ” Talk About Not Being Able to Tell the Truth”

#AceHealthNews says according to Nadine Dorris the NHS is in good hands, with the Conservatives in charge. Of course Labour and many of the of public, do not agree.

My colleague Kev sent me this post and his words says it all ” Talk about not being able to own up to anything” but then what really is  behind people thinking the NHS has no money, well let me answer this the only way l know how, having spent over 5 years trying to understand the system.

It all, starts one day when one elderly person goes into decline, and you need to consider their healthcare, and the more you get embroiled in the system, the more you realise, that is really simple!

There is plenty of money, it is all ring fenced and this allows all essential services to be starved, of funding.  

This creates what has come to be called a “Two Tier System” whereby the people who need essential care, who cannot understand the system, do not get it, and those that “Do Not Take No For An Answer” such as myself, can get what other people already have got with a little work.

Though there is a much deeper reason for starving our   NHS and that is essential services, can be farmed out to a “Third Party Contractor” this present Government has turned this into an art, and can make us mere mortal’s ,believe their rhetoric.

Their favourite words are watch-words – such as `it is for your own good’  or `we are looking after your children’s future’ making people believe they really care – `they do not’ – all they care about is putting in place, the legacy of `Maggie Thatcher‘ and finishing what she started.

The Way is Contractor’s 

<

p style=”text-align:center;”>These companies who you already know or have heard of are called names like Serco  that according to a Guardian Report in April 2013 

It was almost two years ago that whistle-blowers exposed the failings of the privatised out-of-hours GP service run by Serco in Cornwall. Yesterday, finally, they were vindicated. The powerful parliamentary public accounts committee summoned Serco and the NHS body responsible for commissioning them, the Cornwall primary care trust, and gave them the roasting they deserved for a culture of “lying and cheating” and for “shocking” inadequacies in writing and monitoring the contract. The committee had asked the National Audit Office to report on the service after revelations in the Guardian. Members from all parties were excoriating in their judgment of Serco’s behaviour and the inability of the trust to hold the company, which has £2.4bn of public-sectorcontracts in the UK, to account.

The bigger question, however, is whether NHS patients will be any better protected in future as more services are put out to tender. Serco’s health business is growing rapidly – it has £300m worth of contracts in the sector. Other than a dent to its reputation, it has suffered no penalty. It has not been fined for lying and breaching its contract, nor has it lost the job. Its public-sector business just keeps getting bigger as its share price rises. If a private company behaved this way to another private company over a contract, it would find itself in court. Not so when rapacious corporates (the committee’s description) do business with the public sector. A small sorry is enough.

Contractors and Subcontractors pdf   according to National Audit Office the use of contractors and sub-contractors is increasing in the NHS, yet evidence suggests that a third of trusts believe they have limited control over their contractors’ health and safety. 

These people are this Governments `Chosen Few’ and they are the ones who will support the Government and in so doing will get their “Earthly Reward” of these large “Taxpayer Funded” contracts.

Personally l do not see  this as good news for the country and especially the NHS as this leads to that “Two Tier System l told you about, but this time it will be Private Healthcare V’s Free at Point of Delivery.   

 

Enhanced by Zemanta

#acehealthcarenews, #acehealthnews, #cornwall, #national-audit-office, #national-health-service, #nhs, #nhs-primary-care-trust, #public-sector, #serco, #serco-group, #subcontractor

Student Loan Repayments the Facts and the Fiction

#AceNewsServices says this is a follow-up to my previous post at NAO

Press Release:

Full report: Student loan repayments

Student Loans the Fact and the FictionUntil the Department for Business, Innovation and Skills (BIS) has a robust strategy for maximizing the collection performance of student loans and improves its information on borrowers, it will not be well-placed to secure value for money, according to today’s report from the National Audit Office.

BIS forecasts that the total value of outstanding student loans will increase from £46 billion in 2013 to approximately £200 billion by 2042, in 2013 prices. The number of borrowers due to repay is projected to increase from 3 million in 2012-13 to 6.5 million by 2042. The loan book is therefore becoming a substantial public asset.

BIS and its collection partners HM Revenue & Customs and the Student Loans Company (SLC) work together in a joined-up way. In 2012-13, they collected £1.4 billion in student loan repayments, at a cost of £27m. While using the existing tax system brings clear benefits for efficient collection from borrowers who work and pay tax in the UK, BIS nevertheless needs to make better use of data to support  its collection strategy and improve its understanding of where it could invest to maximise the collection value of the loan book.

In designing how student loans would work, BIS anticipated that a proportion of the loans would not be repaid. However, BIS has not set an annual target for the amount to be collected because repayments are affected by graduate earnings and economic factors outside its direct control. It does not separately publish its forecasts for the amounts it expects to be collected and has had difficulty developing an accurate forecasting model. Annual repayment forecasts are consistently higher than amounts collected and BIS cannot explain why forecast repayments are currently around 8 per cent higher in value than actual repayments.

Furthermore, it has not done enough to establish whether borrowers with no current employment record are earning enough to repay their loans. While many of these borrowers may not be in employment, BIS and the SLC have carried out little analysis to establish how many may be working overseas or the level of repayments that may be missed. They need to improve their information on borrowers to make more informed judgements about where to invest to maximize recovery.

Book Debt Sell Off“Given the expanding size of the student loan book, the Department for Business, Innovation and Skills now needs to take a more energetic and considered approach to maximizing the value of the loan book to the taxpayer and achieving a high level of collection performance.”

Amyas Morse, head of the National Audit Office, 28 November 2013

Notes for Readers:

£46bn

Total value of outstanding student loans, March 2013.

£55bn

Total student loans paid out since scheme introduction in 1990.

35%

The proportion of new loans BIS does not expect to be repaid.

£200 billion

Projected value of outstanding student loans by 2042.

£21,000

Earnings threshold for new loans above which borrowers begin  repaying.

£1.4 billion

Total repayments collected in 2012-13.

£27 million

Total spent by the Student Loans Company and HM Revenue & Customs on maintaining and collecting repayments in 2012-13.

82 per cent

Proportion of repayments collected through the UK tax system in 2012-13 (the rest is collected by the Student Loans Company).

50 per cent

Estimated proportion of borrowers with new student loans who will not fully repay.

8 per cent

Gap between forecast and actual repayments collected, 2011-12.

1. The government introduced student loans in 1990 to support students, primarily for living costs but subsequently extended to include tuition fees. The Department for Business, Innovation & Skills (BIS) is responsible for ensuring that there is an effective and efficient system for collecting student loan repayments from English borrowers and from EU borrowers attending English universities. The Student Loans Company (SLC) and HM Revenue & Customs (HMRC) operate the system for collecting loan repayments.

2. Press notices and reports are available from the date of publication on the NAO website, which is at www.nao.org.uk. Hard copies can be obtained from The Stationery Office on 0845 702 3474.

3. The National Audit Office scrutinises public spending for Parliament and is independent of government. The Comptroller and Auditor General (C&AG), Amyas Morse, is an Officer of the House of Commons and leads the NAO, which employs some 860 staff. The C&AG certifies the accounts of all government departments and many other public sector bodies. He has statutory authority to examine and report to Parliament on whether departments and the bodies they fund have used their resources efficiently, effectively, and with economy. Our studies evaluate the value for money of public spending, nationally and locally. Our recommendations and reports on good practice help government improve public services, and our work led to audited savings of almost £1.2 billion in 2012.

28 November 2013

 

#acefinancenews, #bis, #department-for-business-innovation-skills, #department-for-business-innovation-and-skills, #hm-revenue-customs, #list-of-universities-in-england, #national-audit-office, #stationery-office, #student-loan, #student-loan-repayments, #student-loans, #student-loans-company, #student-loans-in-the-united-kingdom