1. PRIMARY CARE BEYOND CHAOS AND COMPLEXITY Thursday, October 30th 2014
HEALTHWATCH AND PUBLIC INVOLVEMENT ASSOCIATION
PRIMARY CARE BEYOND CHAOS AND COMPLEXITY Thursday, October 30th 2014

2. BEING HAPIA RUTH MARSDEN
The public involvement movement has become too passive and processed. It is time for every care home, hospital and community health service to be held to account by Local Healthwatch and the local community for the safety, effectiveness and accessibility of their services. The voice of the public must be heard and people released from the fear that many experience when services fail or cause harm. That is the way of ensuring that the disasters of Mid Staff and Winterbourne View never happen again.' 
'I would love to be out of a job, for that would mean that everyone had the best of care. Despite legislation, rhetoric and re-organisation, we are no nearer achieving that ‘best care’ for all. Centrally appointed bodies are always accountable to the centre, not to the public. This cannot go unchallenged.' 
RUTH MARSDEN

3. WHAT IS HAPPENING TO HEALTHWATCH
GREAT WORK ACROSS THE COUNTRY IN MANY HEALTHWATCH
LOTS OF PEOPLE FEEL THE CLUB IS TOO EXCLUSIVE
GOVERNMENT RING-FENCING OF BUDGETS IS A DISASTER
EXPECTED TO RAISE OWN MONEY IN THE FUTURE
UNDERMINED BY CONFLICTS OF INTEREST
NO INDEMNITY FROM TREASURY DESPITE STATUTORY ACTIVITIES
STRONGER EVIDENCE NEEDED OF IMPACT ON COMMISSIONING DECISIONS OF CCGs, NHS TRUSTS AND LOCAL AUTHORITIES
WATCHDOG OR LAPDOG?

4. PROBLEMS IN PRIMARY CARE
PATIENT SAFETY NOTICES FROM NHSE DO NOT REQUIRE A RESPONSE FROM PRIMARY CARE
PRIMARY CARE COMPAINTS SYSTEM IS NOW CHAOTIC AND CONFUSING – THE COMPLAINTS TRAP
NHS ENGLAND DO NOT RESPOND TO SUGGESTIONS THAT THEY CAN DO MORE TO AS THE COMMISSIONER TO IMPROVE PRIMARY CARE
WHEN I GO ON AN AMBULANCE RIDE OUT, IT SEEMS AS IF PRIMARY CARE DOESN’T EXIST – SOLUTIONS ARE FOUND TO AVOID GPs.

5. CAN GPs COPE?
 DESPITE LOW CAPACITY GOVERNMENT SEE PRIMARY CARE AS THE PLACE TO GO TO AVOID A&E. BUT WHY WOULD PEOPLE GO TO A&E IF PRIMARY CARE WAS WORKING?
MAJOR EMPHASIS ON GPs, YET LARGE NUMBERS OF PEOPLE GO TO A&E BECAUSE THEY KNOW THEIR GP CAN’T OR WON’T HELP
CATASTROPHIC FUNDING CUTS FOR MANY GP PRACTICES
REFERRAL SYSTEMS THAT DON’T WORK AND KEEP PEOPLE AWAY FROM TREATMENT
GPs IMPROVED IN SO MANY WAYS, BUT PATIENTS ARE STILL QUEUING OUTSIDE IN THE EARLY HOURS OF THE MORNING TO BE SEEN THE SAME DAY – YES IN 2014

6. AILING COMPLAINT SYSTEMS
DELUGED WITH REPORTS TELLING US THAT COMPLAINTS SYSTEMS DON’T WORK
WHAT IS THE PROBLEM WITH DESIGNING A GOOD SYSTEM?
HSCIC REPORT ON COMPLAINTS SHOW HOW MANY ARE UPHELD, WITH SOME TRUSTS SHOWING:
100% AND SOME SHOWING 0%.
CQC, MONITOR, NHS ENGLAND, HEALTH AND SOCIAL CARE INFORMATION CENTRE ABOUT SAY IT IS EXPERIMENTAL DATA. WHAT IS THE EXPERIMENT?

7. DOUBTS CONTINUE ABOUT THE CQC
 DAVID BEHAN – CQC REPORTS PROVIDE EVIDENCE TO HELP YOU CHOOSE!
FAILURE TO PLACE PATIENT SAFETY FIRST IN PRIORITIES FOR DETERMING IF ORGANISATIONS ARE WORKING WELL
CQC VERY POSITIVE REPORT ON DENTISTS YET SO MANY HAVE GONE PRIVATE and HIGHLIGHT BEAUTY SURGERY INSTEAD OF DENTAL CARE, AND SO MANY ARE IN APPALLING PREMISES.
 TODAY’S CQC PRISON-DETENTION CENTRE REPORT – “INSPECTING TOGETHER” NOT A WORD ABOUT HEALTHWATCH

8. ME MENTAL HEALTH
‘PARITY OF ESTEEM’ SEEMS IN SOME CASES TO BE WORSENING MENTAL HEALTH CARE
A&E DEPARTMENT OFTEN INADEQUATE TO DEAL WITH MENTAL HEALTH CARE
PEOPLE WITH MENTAL HEALTH PROBLEMS SENT BY MH SERVICES TO THEIR GPs WHO HAVE NO EXPERTISE IN THE FIELD
LIMITED INADEQUATE ASSESSMENT AND TREATMENT BY PHONE.

9. MAJOR ATTACKS ON THE NHS
NHS IS ON A KNIFE EDGE
GOVERNMENT IS RELAXED ABOUT PRIVATE HEALTHCARE PROVIDERS TAKING OVER NHS
GOVERNMENT SUPPORT FOR TTIP WILL COMPLETELY UNDERMINE THE NHS AND DESTROY EFFECTIVE PATIENT AND PUBLIC INVOLVEMENT
 WE ALL CARE –
BUT WE HAVE SO MUCH MORE TO DO TO ENSURE THAT THE NHS IMPROVES MASSIVELY AND IS NOT SUBJECT TO SYSTEMATIC DESTRUCTION BY POOR ORGANISATION AND PRIVATISATION

10. Contact Details Malcolm Alexander Chair of HAPIA HAPIA2013@aol.com