NHS Reforms became law

"We will never re-elect you if you wreck our NHS"

திருப்பி அழைக்கும் உரிமையுள்ள ஜனநாயகத்துக்காகப் போராடுவோம்!
அதிகாரிகளைத், தெரிவுசெய்யும் ஜனநாயகத்துக்காகப் போராடுவோம்!!

The Government's controversial reforms to the NHS
became law today after a tortuous 14-month passage through Parliament, when the Queen granted Royal Assent to the Health and Social Care Bill.

Deputy Speaker Lindsay Hoyle's announcement in the House of Commons that assent had been given was greeted by cries of "shame" from opposition Labour MPs.

The proposals were first tabled in Parliament in January 2011, but were subjected to an unprecedented "pause" last year as Health Secretary Andrew Lansley struggled to secure the support of healthcare workers, and were amended more than 1,000 times during a lengthy passage through the House of Lords.

The new rules mean the Government can create GP commissioning groups to buy health care for patients and scrap Primary Care Trusts (PCTs).

Labour has bitterly opposed the passage of the new law, insisting it threatens the foundation of the NHS and paves the way for private services to get too involved.

A draft risk register leaked today showed that ministers were warned 18 months ago of the risk that the reforms could lead to a loss of financial control, reduced productivity and emergencies being less well managed.

The Department of Health, which refused to comment on today's leak, has resisted a ruling from the Information Commissioner that it should release the final version of the risk register in response to a freedom of information request from Labour.

Shadow health secretary Andy Burnham said today's document showed that ministers were warned before they launched the Bill that it was "likely to cause major damage to the NHS".

The document was produced on September 28 2010, and it is not known what changes were made before the completion of the transition risk register on November 10. The Bill has changed fundamentally since that date.

Identifying 43 separate areas of potential risk, the draft register rates each on a scale of one to five, where a rating of one means little likelihood and very low impact and five means almost certain to occur and very high impact.

The likelihood and impact figures are multiplied together to give an overall risk rating, with a maximum score of 25.

Among 13 areas given a risk rating of 16 - with likelihood and impact each assessed at four out of five - were:

:: Parliamentary amendments creating "unforeseen consequences for the system";
:: Costs being driven up by GP consortia using private sector organisations and staff;
:: Implementation beginning before adequate planning has been done;
:: Loss of financial control;
:: "Unhelpful conflict" between the NHS commissioning board and regulator Monitor;
:: GP consortia going bust or having to cut services for financial reasons;
:: GP leaders being drawn into managerial processes which end up driving clinical behaviour.

Other dangers, considered to have a lower rating of 12, included the risk that "NHS role in emergency preparedness/responsiveness is more difficult to manage through a more devolved organisation, and so emergencies are less well managed/mitigated".

Staff concerns and union action over the reforms could lead to "deterioration in relations, lower productivity in the Department of Health/NHS and delays in programme", the document said.
And there was a warning that strategic health authorities and primary care trusts might lose "good people" who then have to be re-employed to run the new system.

Mr Burnham told the Guardian: "Now we know why David Cameron refused to publish the risk register before the Bill was through Parliament - it's because civil servants were telling him his reorganisation was likely to cause major damage to the NHS.

"David Cameron will never be forgiven for knowingly taking these risks with the country's best-loved institution."

A Department of Health spokesman said: "We do not comment on leaks. We have always been open about risk and have published all relevant information in the impact assessments alongside the Bill.
"As the latest performance figures show, we are dealing with those risks, performance is improving - waiting times are down and mixed-sex wards are at an all-time low - and we are on course to make the efficiency savings that the NHS needs to safeguard it for the future."
Source: Independent

Former IMF chief DSK indicted

ஒருவன் பெண் தின்னி, மற்றவன் பிணம் தின்னி!

Carlton: Former IMF chief DSK indicted

Story Heard yesterday in Lille, former IMF chief is charged with "procuring an organized gang."

 By VIOLET LAZARD

His appointment with the judges, originally scheduled for Wednesday, was advanced forty-eight hours. Perhaps to avoid the pack of journalists, one that was present during the two days

of police custody of Dominique Strauss-Kahn in a police barracks in Lille (North) on 21 and 22 February. Or perhaps for reasons of schedule.

Former IMF chief has been heard yesterday, since the beginning of the afternoon, by the judges handling the case of pandering to the Carlton Lille, until mid-evening, where he was indicted

for "procuring an organized gang," announced last night his lawyers. "He said with the strongest being guilty of any of these facts and never had any awareness that the women interviewed could be prostitutes, " said M e Richard Malka, whose client came out shortly after 22 hours of the courthouse

of Lille.

Rates. At the heart of the vast record of Carlton, which combines patterns of luxury hotels, business leaders, police, lawyers and the now famous pimp Dodo Brine, judges seek to determine the exact role of DSK. And, especially, if the former IMF chief knew that the participants in the libertine parties,

notably in Paris and Washington, were paid. Heard by the investigators, some of them argued that it could not ignore it. Others, who claim themselves as libertines rather than as prostitutes, said instead that guests were never aware of the financial transactions that were played in the background. And

the organizers of these evenings DSK had left in ignorance, just trying to go one day to attract the favor of the then favorite in the presidential election. But according to a source familiar with the matter, the former head of the IMF would be informed, at a party, on rates of one of the young

women present to recommend to a friend. An SMS would attest to this recommendation.

During his detention, Strauss-Kahn has denied these accusations en bloc. He explained that some of these young women it was presented by Commissioner Jean-Christophe Lagarde, former head

of the departmental security of the North, he could not have known of any compensation.

Judges also seek to determine whether DSK knew that his friends Lille companies (notably Fabrice Paszkowski, head of a medical device company in Lens, and David Roquet, former head of a

subsidiary of Eiffage) funded thin parts, hotels, meals and tickets and train tickets to Paris and Washington. And if he is complicit in abuse of corporate assets. The two businessmen,

who are among eight people indicted, have continued during their auditions - that release could see - repeating that DSK did not know where the money came. They also claimed that he

received no consideration in exchange for the organization of these escapades.

During his custody, Dominique Strauss-Kahn had also been questioned by the Inspector General of Police (IGPN, police policies) about his relationship with Commissioner Lagarde, indicted in the case, including pimping . "It appears that DSK had asked Lagarde to check with the DCRI [Central Directorate of Internal Intelligence, ed] the existence of a unit set up by Squarcini [the head of the DCRI] to monitor, we had a judicial source said. DSK is believed monitored, wiretapped illegally,

and Lagarde counted on to let him know what was going on behind him while he was in Washington. " This has probably been discussed again yesterday by magistrates.

Immunity. Stripped of its being convened in Lille judges, DSK, however, another important matter that awaits tomorrow. He was summoned to New York for a first hearing in a civil case under

Nafissatou Diallo. It is not forced to move to this new appointment with the U.S. justice, seven months after the abandonment of criminal charges against him. His American lawyers will try to convince the court in the Bronx, before whom the maid at the Sofitel complained that this is inadmissible Civil Procedure, benefiting their client at the time of the facts of diplomatic immunity total.