How can the HWB lead the way out of the crisis in primary care?               23.10.15

Open letter to Daniel Yates (chairman HWB)
By John Kapp, 22, Saxon Rd Hove BN3 4LE 01273 417997,, company secretary of Social Enterprise Complementary Therapy Company (SECTCo) References thus (9.76) are to my papers published on ..

Dear Daniel
Thanks for chairing the meeting the Health and Wellbeing (HWB) board last Tues (20.10.15). I thought that you handled it very well, and created a pleasant and creative atmosphere. I liked the open way that you dealt with the questions from 6 angry members of the public who (like me) are naturally concerned about the closure of GP surgeries, and cuts to social care. I do not blame you for not taking my question, which is why I tabled my paper titled: ‘Fixing primary care by co-commissioning services with patients and communities overseen by the HWB’, which I hope that you and your members will consider. It will be published on my website as paper 9.99 by the end of the month.

As before, nobody had any positive suggestions on how to revive primary care so that it serves both patients and doctors sustainably. As you know, I believe that the intention of Parliament was to make the HWBs responsible for the budget (£350mpa) of the Clinical Commissioning Groups (CCGs) in a hierarchical structure as shown in figure 1. However, you told me on 13.9.15 that you are in denial of this.

Everyone wants sustainable public service interventions which work for service users. To this end I make the following recommendations for you to act on.

1 Recommendations

2 Summon the head of law, Abraham Gh-Gh, (who drafted the HWB terms of reference) to an urgent meeting with you to answer the following questions directly with yes/no answers in front of a camera

3 Decide whether or not you are up to taking the responsibility of the leader of the biggest spending committee of the council.

4 What are other HWBs doing to fix the crisis in primary care?

5 Open up the market to Any Willing Qualified Provider

6 Have a conversation with Dr Xavier Nalletamby.

7 Have a conversation with Geoffrey Theobald and Phelim McCafferty.

8 Have a conversation with union leaders

9 Have a conversation with Robert Marx of Sussex Mindfulness Centre

Appendix 1 Mindful Nation UK report ( From press release (my emphasis)

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