1 Summary - Conclusions
The bad news
a) None of Brighton and Hove’s vulnerable Rachels (65, depressed, in sheltered accommodation)
and Daves (40, alcoholic and homeless) have been treated effectively by the NHS, despite an
allocation of more than £40m over 3 years (2015/18) under the Better Care Fund legislation
(2013) which our Clinical Commissioning Group (CCG) have failed to spend, and about which
our Health and Wellbeing Board (HWB) failed to call them to account.
b) The same problem seems to apply throughout the whole country, as none of England’s
vulnerable Rachels and Daves seem to have been treated effectively by the NHS, despite an
allocation of more than £10 bn over 3 years (2015/18) under the Better Care Fund legislation
(2013) which all CCGs may have failed to spend, and about which all HWBs may have failed to
call them to account.
c) Our MPs voted those allocations through Parliament, but the CCGs and HWBs didn’t spend it
on Rachel and Dave as intended.
d) The NHS are not spending the money allocated to them from taxpayers, yet are endlessly
asking for more money.
The good news
e) Evidence based, effective complimentary treatment that can heal and cure Rachel and Dave,
and other vulnerable patients, is available in the third sector for clients who can pay for it.
f) All that is needed is the political will to commission, procure and provide it free at the point of
use to Rachel and Dave on GP prescription voucher in licenced Community Care Centres.
g) When GPs on CCGs, and councillors on HWBs wake up, and take the statutory responsibilities
given them by Parliament, they will find that everything (legislation, structure, money, staff
capacity etc) is in place for them to commission, procure and provide this treatment for Rachel
and Dave, and other vulnerable patients, enabling their mental sickness to be healed and
cured, and end the need for rough sleeping by 2020.
2 Recommendations to Brighton and Hove HWB and CCG
3 My public question about the Better Care Fund asked on 13.6.17.
4 The chairman’s response
5 My response to his response
6 My supplementary question
7 What are the implications of Daniel’s answer?
8 Who is to blame for this scandal?
9 This scandal justifies me calling them ‘DEAD DOCTORS AND COUNCILLORS
10 Reflections on the HWB meeting on 13.6.17.
11 ‘Lessons from the Vanguards’ conference at the Kings Fund 7.6.17
12 My conclusions about this Kings Fund report ‘Lessons from the Vanguards’.
13 Breath of Life conference on how to treat traumatised patients in London 13-21.5.17