NHS assessment of Lansley’s plan’s risk makes for sober reading

Alex Hern details the concerning information to be found in NHS London’s assessment of the risk imposed by the government’s top-down reorganisation of the NHS.

NHS London has released its assessment (pdf) of the risks associated with the government’s top-down reorganisation of the NHS, and it is not optimistic about the effect it will have on health in the capital.

With regards to the overall introduciton of the major service changes, the document warns:

There is a risk that, during the transition to a new end-state for decision-making processes and accountability, there may be insufficient focus to deliver the necessary transformation at pace.

This applies both to existing changes that are agreed but not yet fully implemented and to proposed changes that will emerge over the remainder of 2011.

The consequence of this risk could be that the transformational changes in health services envisaged in London’s QIPP plans in response to the clear clinical case for change, may not be realised in full or are delayed, thereby undermining significant improvements in the health of Londoners.

Talking about “planning for and implementing the Government’s White Paper reforms”, it euphemistically concludes that:

The consequences of this risk could be patients receiving sub-optimal care.

The consequences of abolishing primary care trusts:

…could be that the quality of the commissioning of health care may be poor, both in securing the best health outcomes for London’s population and in maximising value for money.

Finally, and most shockingly, the document covers the risk to children that loss of expertise could lead to, and concludes:

The consequences of this may be preventable harm to children,  damage to the reputation and loss of public confidence in NHS London and the NHS in London.

This risk assessment is the local version of the national document that the government have been fighting the information commissioner over.

As Baroness Thornton said in the Lords, regarding the attempt to secure a release of the NHS risk register:

“In 2008, Justine Greening MP used an appeal to the Information Commissioner to get the release of risk documentation relating to the Heathrow third runway. My own government did not cover itself in glory in this matter, refusing to part with the information for more than a year.

“But the key difference with runway three and now is that, of course, the third runway was not the subject of a very large piece of primary legislation that aimed to bring radical change to our NHS. The information we are being denied could be very relevant to our current deliberations.”

If the document they’ve released is this bad, how bad is the one they’re hiding?

See also:

Sign my petition to drop Lansley’s monsterDr Kailash Chand OBE, November 24th 2011

How Tories wrecked the NHS (but learnt to love targets (too late))Alex Hern, November 17th 2011

Like arthritis, Lansley’s NHS bill is attacking the very thing it should protectJos Bell, October 21st 2011

UK Uncut: Stop the traffic to stop the NHS being run overTim Holmes, October 7th 2011

Second reading of NHS bill offers a second chance to kill itAlex Hern, October 6th 2011

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38 Responses to “NHS assessment of Lansley’s plan’s risk makes for sober reading”

  1. malcolm

    RT @leftfootfwd: NHS assessment of Lansley’s plan’s risk makes for sober reading http://t.co/zqLrOw9c

  2. SERTUC Young Members

    RT @leftfootfwd: EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/oyoxy3n9

  3. fauxpaschick

    NHS London has concerns that Lansley's plan is "undermining significant improvements in the health of Londoners." http://t.co/ZkXP0okD

  4. Alan Simpson

    NHS London's risk assessment says "The consequences of [Lansley's reforms] may be preventable harm to children": http://t.co/ZkXP0okD

  5. Alan Simpson

    NHS London has concerns that Lansley's plan is "undermining significant improvements in the health of Londoners." http://t.co/ZkXP0okD

  6. Staffordshire UNISON

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/KKz3e393 (via @leftfootfwd)

  7. Lizzie Neilson

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/wZLw5PMG

  8. Andy Gritton

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/wZLw5PMG

  9. Anti-Cuts Alliance

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/wZLw5PMG

  10. Janet Graham

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/KKz3e393 (via @leftfootfwd)

  11. AGH

    Consequences may be preventable harm to children, damage to the reputation & loss of public confidence in NHS London http://t.co/utNMTM7X

  12. david seddon

    EXPOSED: NHS assessment of Lansley’s plan’s risk makes for sober reading, writes @AlexHern: http://t.co/KKz3e393 (via @leftfootfwd)

  13. Chris Salter

    RT @leftfootfwd: NHS assessment of Lansley’s plan’s risk makes for sober reading http://t.co/lyqaIKax #ppnews

  14. Janet Graham

    RT @leftfootfwd: NHS assessment of Lansley’s plan’s risk makes for sober reading http://t.co/lyqaIKax #ppnews

  15. Kyron Hodgetts

    The consequences of top-down reorganisation of the NHS: "Preventable harm to children"
    http://t.co/ZkXP0okD #PMQs

  16. Joseph Burnett

    The consequences of top-down reorganisation of the NHS: "Preventable harm to children"
    http://t.co/ZkXP0okD #PMQs

  17. seuss

    The consequences of top-down reorganisation of the NHS: "Preventable harm to children"
    http://t.co/ZkXP0okD #PMQs

  18. amanda elliot

    Under the last government, the NHS had record levels of approval #pmqs #savetheNHS http://t.co/ZkXP0okD

  19. Alan199

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  20. Jerry Drew

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  21. Dr John Lever

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  22. Dr John Lever

    NHS assessment of Lansley’s plan’s risk makes for sober reading http://t.co/w4KQUVYm

  23. tigercat1

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  24. hamish jefferson

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  25. Holly Rae

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  26. SJ

    The NHS's own risk assessment of the health reforms makes for scary reading #pmqs #savetheNHS http://t.co/ZkXP0okD

  27. tigercat1

    Left Foot Forward @leftfootfwd

    Close

    The NHS's own risk assessment of the health reforms makes for scary reading http://t.co/w6yVd6ZY…

  28. The government continues to bury the risk of the NHS reforms | Left Foot Forward

    […] dangers are similar to those uncovered by Left Foot Forward when we revealed the contents of the London risk register: Talking about “planning for and implementing the […]

  29. James Dawson

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  30. Jezebel Button

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  31. Kevin Bolt

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  32. James Leppard

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  33. Robert Cook

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  34. Marie-Louise Irvine

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  35. Marcus Chown

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  36. Yrotitna

    PM arguing that "you don't publish risk registers". Tell that to the rest of the NHS, who *have* to publish them: http://t.co/ZkXP0okD #PMQs

  37. Information Tribunal orders Lansley: Publish NHS Risk Register “immediately” | Left Foot Forward

    […] while the NHS London risk assessment (pdf) of the top-down reorganisation of the NHS warned of the damaging effects of the reforms on the health service in […]

  38. The bright red risks of Lansley’s horror bill: Lack of planning, hiked costs, threats galore | Left Foot Forward

    […] NHS London risk assessment of Lansley’s plans makes for sober reading 24 Nov […]

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