Historically, there has been evidence of poor care and low staffing in nursing and other professions. However, evidence is often discredited or regarded as anecdotal, as was Barbara Robb’s study (1967 ) , despite the fact that this was based on hundreds of reports from staff, patients and relatives. “Anecdotal” may commonly be regarded as “not evidenced”, or based on individual responses. Yet, there are established methods of research that give credence to such factors.
The issue reflects debates concerning naturalistic and quantitative research. Naturalistic research involves the gathering of responses of people to their situations . Quantitative research is more concerned with data collection and statistical analysis . In both these paradigms of research data may be falsified to suit the researchers world view, or that of the funding body.
Surely, one of the most effective ways of exploring poor care is to question patients, relatives and staff. Is the term “anecdotal” being used as an excuse to disregard evidence of witnesses or people who have experienced certain situations? Such ‘voices’ may be ignored by managers and politicians who would prefer to rely on ‘official’ statistics.
Should information given on ‘alternative’ websites be ignored because they do not rely on ‘official’ sources of information? Likewise, should insights expressed in novels like Brave New World and Animal Farm be ignored because they are not ‘researched’? May they not give more of an insight into the human condition on one page than would be the case in a thousand pages of ‘research’?
Carol Dimon, Lenin Nightingale c 2014
Nurses work in fear of it. The NMC use it as a professional shield. They declare it is to protect the public.
All registration bodies have a code of practice, but how realistic are they?
Consider accountability: Nurse Smith is ordered by her manager to put the dose of medication in a syringe driver. She has not had the specific training for this. Nurse Smith may be afraid to challenge her manager as she is new to post, although there are some nurses who will do so (Ballantyne 2013 ). Nurses who are from overseas also less likely to question ( Health and Safety Executive in Duell 2013).
If nurse Smith attempts the task, and the patient is harmed, she may be reported to the NMC, and may face removal of her registration. Such a case was reported by the Press Association (2014).
The possibility that nurses are removed from the professional register for issues that doctors may not be removed for is supported by many blog comments. An analysis of GMC and NMC cases supports this supposition.
Nurse Brown arrives on shift to find she has 2 carers, not 5, for 30 patients. If this is in a nursing home, after informing the manager or regional manager, if there is one, the next step is to ring the CQC. How many nurses will do this? When they do it does not make them flavour of the month. To quote one regional manager “we have ways of getting managers out”.
The situation may also involve being ordered not to ring an agency, and may also occur in a hospital. In hospital, staff are more likely just to inform ward managers.
Protecting patient dignity is an important part of the nurse’s role. How many times in practice may this be challenged by resources, routine, staffing or culture? Consider, for example, the lack of staff to sit with a patient who is dying.
Accepting gifts raises many dilemmas for nurses. In some cases, even when the nurse asks the patient to donate it to the ward or care home, the patient refuses. Consider this one example. A terminally ill patient insisted a nurse took £5 when she heard he was having a drink after work. The nurse did, and, on finding the lady had died the next day, was proud to have bought a drink in her honour. Technically this was a reportable offence.
Evidence based practice: What evidence is to be accepted? Consider wound care, research abounds regarding methods of treatment. Is a nurse to be aware of absolutely everything? Is a nurse who is aware of more than her seniors to challenge every aspect and work against her own knowledge and beliefs?
Uphold the reputation of the profession at all times: this may conflict with the necessity of the public to know what is occurring within care. Years ago many nurses feared approaching the press, and many still do. Indeed, some that do are referred to the NMC.
Work with others, their families and carers: This may conflict with the ability of private care homes to give one month’s notice of leave to a resident in response to complaining, or to ban people from visiting. Where does the individual nurse stand in such a scenario?
At NMC hearings, the nurse is under question, not the place of work. It is time the NMC considered such factors. It is also time nurses protected themselves by keeping absolutely full and clear records in patients notes, and incident forms. Unfortunately, there are cases when records are amended, which opposes the Code of Conduct. This issue needs to be strongly addressed by nurse education.
There have been cases of inappropriate NMC decision making (Naish 2012 ), when nurses who hit patients were allowed to continue to practice as Registered Nurses. Conversely, nurses may be reported for seemingly trivial issues such as stealing a banana from a patients locker (ibid). Cases may also be fabricated against unpopular nurses (Dimon 2013).
The latest PSA audit (2014), considered 27 cases and found no problems regarding the decision making process, but there were some problems regarding failure to document reasons for decisions (2.13) . The NMC is taking action to resolve any issues highlighted by the PSA report. Presently the NMC is asking for public contribution towards the creation of a new code of conduct for nurses. Will such issues be addressed?
I am not suggesting that the NMC code of conduct, or nurse registration, is unnecessary but that it is not the ultimate panacea.
The NMC need to be clear about who they really protect – the patient, the profession, the manager, the business, the government, or the nurse who protects the patient?
Ballantyne H (2014) Student Life- From Student to Staff Nurse Nursing Standard (28.4) rcnpublishing.com
Dimon C (2013 ) The Commodity of Care Cloister House Press free updates on qualityofnursingcare.webs.com
Duell M (2013) ‘Full of life’ great-grandmother, 100, ‘died from fractured skull after falling 5ft when foreign carers failed to properly strap her into hoist’ mailonline (8.1)
Naish J (2012 ) Rogue Nurses who Attack and Steal from Patients Handed ‘License to Abuse’ As Report Reveals how Few Are Actually Struck Off.
The Press Association (2013) Stafford Nurse Faces NMC over Fatal Drug Error Nursing Times nursingtimes.net
PSA (2014 March) professionalstandards.org.uk
Carol Dimon c 2014
Andrew Robertson (Social Investigations) provided much useful information regarding parliamentarians links to companies which profit from NHS ‘reforms’, but the true extent of this issue is hidden behind links to private equity companies, and those that run them, who make large political donations. The extent of a parliamentarian’s family holding in companies associated with NHS contracts is not known.
75 MPs have recent or present financial links to companies or individuals involved in private healthcare; 81% of these are Conservative.
4 Key members of the Associate Parliamentary Health Group have parliamentarians with financial connections to companies or individuals involved in healthcare.
Nearly 40% of the most powerful individuals in healthcare are from companies with links to Lords and MPs.
4 MPs and 1 Lord have worked for Huntsworth Health, run by a Peer who gave money to Cameron’s leadership campaign.
All were able to vote on the Health and Social Care Bill (now Act), despite having a prejudicial interest, which would not have been allowed at local council level. Why are parliamentarians exempt from standards applied to others?
How much has been payed to the health care companies connected to parliamentarians since the ConDem government came to power?
Do family members of the prejudicially interested parliamentarians own shares in companies which have been given NHS contracts? Why is there no register of the interests of parliamentarian’s family members?
How much money have private equity firms which fund companies involved in NHS contracts donated to political parties since the ConDem government came to power?
An example of such donations is …. The majority holding of Circle* is held by private equity companies, which include Lansdowne Partners, co-founded by Paul Ruddock and David Craigen, who have donated more than £300,000 to the Conservative Party, the majority since David Cameron became leader; and Odey Asset Management, run by Crispin Odey, another donor to the Conservative Party. Circle’s potential losses are capped at approximately 0.7% of the NHS funds it will manage. The UK government thus facilitates a ‘bet to nothing’. The National Audit Office reported that Circle made an operating deficit on its contract of £4m. by September 2012, forcing Circle to make savings by cutting several hundred jobs and closing two wards. Hinchbrooke has plummeted in a patient satisfaction survey undertaken in August 2012 (www.hsj.co.uk/news/acute-care/hinchingbrooke). Circle operates a equity incentive programunder which consultants and GPs are offered equity in the company in return for a share of the consultants’ private work (www.competition-commission.org.uk). *see 2, 30, 32, 61
‘Firstly, then, allow me to put in simple terms what it is that private equity businesses do: They acquire a controlling interest in companies with a large proportion of debt relative to equity. The acquisition is leveraged, that is, it is financed by borrowing money against the acquired company’s assets and future stock market performance. The aim is to increase the stock market value of the company by hoping the market reacts positively to changes in management, which are often accompanied by bullish statements about future performances. When Terra Firma acquired EMI in 2007, it issued statements about its troubled past and better future: EMI lacked “business discipline”, and wise investors would appreciate “the significant potential for transforming the business”. Compare this with this statement by Peter Calveley, CEO of ‘Four Seasons’, “We have now got in place a stable long-term capital structure that means we have got confidence in our position” (Guardian 2012). This came after ‘Four Seasons’ was acquired by Terra Firma in a £825m. deal underwritten by Barclays and Goldman Sachs. £700m was in the form of loans, and the balance of £125m was raised from investors. In the ‘Four Seasons’ example, if its stock market value increased to £1bn., the return to investors will be £1bn. – £700m., that is, £300m., representing a return on investment of 140%.
This form of speculative business model depends on rising stock markets to enable selling on at a higher valuation – such businesses only buy to sell on. When stock markets are in decline, the exit strategy becomes problematic’.
Investment banking revenues increase from underwriting private equity debt finance and charging fees for setting up deals, but the mechanics of these deals can easily collapse. As private equity partners face debt repayment deadlines, they may need to sell parts of their investment, or seek re-financing deals at higher cost to finance existing debt.
There will be wholesale transfer of hospitals to the private sector. Hurrah! some may say, let us put the NHS under the management of efficient and successful private companies. It may surprise them to learn that Circle made a pre-tax loss of £32m. in 2011 and raised £46m. through the issue of 68m. new shares to institutional investors. The firm said that funds raised would be used to bid to take over the management of further NHS trusts, and paying off a £14m. loan from James Caird Asset Management, for which Circle was paying an interest rate of 25% a year. The company made pre-tax losses of £38m. in 2010. What sort of company would borrow money at 25% interest? – a desperate one, and what sort of company would give it them? – one that thinks the business is a high risk.
1. David Cameron: Nursing and care home tycoon Dolar Popat has given the Conservatives £209,000. He is founder and chief of TLC Group, which provides services for the elderly. Mr Cameron made the businessman a peer shortly after entering No 10 in May 2010, and Lord Popat’s donations include a £25,000 gift registered a week after the Tories’ health reforms were unveiled last July. In 2005 Cameron received £1,500 from Care home property company Chiltern Care Holdings.
2. Andrew Lansley: John Nash, the former chairman (until 2010) of Care UK, gave £21,000 to fund Andrew Lansley’s personal office in November 2009. In a recent interview, a senior director of the firm said that 96 per cent of Care UK’s business, which amounted to more than £400 million last year, came from the NHS. – Hedge fund boss John Nash is one of the major Conservative donors with close ties to the healthcare industry. He and wife Caroline gave £203,500 to the party over the past five years. The “hedgie” is also a founder of City firm Sovereign Capital, which runs a string of private healthcare firms. Fellow founder Ryan Robson is another major Tory donor who has given the party £252,429.45. His donations included £50,000 to be a member of the party’s “Leader’s Group”, a secretive cash-for-access club. The would-be MP, who tried but failed to get selected as the election candidate in Bracknell, is managing partner at Sovereign Capital. In 2008, Andrew Lansley received a donation from Julian Schild used to support his office in his capacity as Shadow secretary for health. Julian Schild’s family made £184million in 2006 by selling hospital bed-makers Huntleigh Technology.* Andrew Lansley’s wife, Sally Low, is founder and managing director of Low Associates (“We make the link between the public and private sectors”). A Daily Telegraph report in February records that the Low Associates website lists pharmaceuticals companies SmithKline Beecham, Unilever and P&G among its clients. It also records Ms Low’s assertion that the company “does not work with any client who has interests in the health sector”. The website currently contains no reference to the drug firms listed above. Circle the ambitious private healthcare firm run and owned by clinicians, has recruited a former aide to health secretary Andrew Lansley as head of communications. Christina Lineen spent two years working for Lansley, who became health secretary after the general election. The company’s income is derived from private patients, either on insurance schemes or paying for themselves, but it also treats NHS patients. – Lansley was a paid director of the marketing agency Profero, who had Diageo Guiness as one of their clients. He gave up the director ship in 2009. In 2008, a senior NHS executive appearing in a commons committee, accused Daigeo of flouting voluntary agreements on responsible drinking labelling. In 2010 Lansley invited fast food companies and Diageo in for discussions on how to tackle obseity, and binge drinking. In 2011 Diageo were given responsibility to pay for training to offer advice on the dangers of alcohol. No, you couldn’t make it up. Quote: “The NHS is not for sale, there will be no privatisation.” Care UK – see 43. Huntleigh Technology – see 13. Circle – see 30, 32, 61. Diago -see 80
3. Harriet Baldwin: MP for West Worcestershire. Former managing director of JP Morgan Asset Management. JP Morgan are major players in healthcare. According to their website they serve: 1,100 hospitals, 10 of the top 10 health insurers, thousands of physicians groups, top five pharmacy benefit managers, six of the top eight pharmacy retailers. Has shares in JP Morgan Employee 98 Trust. JP Morgan heavily invest in healthcare.
4. Gregory Barker: MP for Bexhill and Battle. In 2008 held shares in HR company Penna plc. In February, HFMA and Penna plc partnered to deliver HR services to the NHS – Was an operating advisor to Pegasus Capital Advisors, LP, a private equity firm with health companies in their portfolio. Had shares in Quester VCT 5 plc a venture Capital with multiple investments in healthcare companies.
5. Henry Bellingham: MP for North-West Norfolk – Former director and has shares in Lansdowne Advisory Ltd – clients include Cinven. Cinven has been involved in European healthcare over a 20-year period and invests in market-leading, cash-generative companies.’ Cinven is a leading buyout firm. They own Spire Healthcare is the second largest private hospital group in the UK with 38 acute care hospitals and 10 clinics treating nearly one million patients per year. Cinven – see
6. Jake Berry: Has registered interests in Top legal 500 firm Squire, Sanders & Dempsey (UK) LLP, as a consultant advising on client services, business development and on other specific matters. They work with multiple NHS trusts and local authorities regarding PFI and PPP programs.
7. Graham Brady: MP for Altrincham and Sale Former advisor on marketing and business strategy to PA Consulting, a management consultancy company. PA Consulting have worked with the new Clinical Commissioning Groups. Other NHS involvement includes, training, helping commissioners in North-East London, performance management.
When the new health commissioning structure was put in place, an important element – but not very visible to the person in the street – was the Commercial Support Units. These were formed of staff from the old Primary Care Trusts (PCTs), who previously had managed the commissioning of health services, and were designed to provide support services to the Clinical Commissioning Groups (CCGs). Meanwhile, some CSUs are struggling, and indeed we’re beginning to see mergers and even CSUs disappearing. The CSUs have been told they must become self-standing by next year, which is an issue as well. Aatif Hassan, partner at August Equity, which already has a number of healthcare investments, said: “The NHS has approached us and a number of private equity groups.” Bob Ricketts, director of commissioning support strategy at NHS England, said there was a “lot of interest from commercial providers” in CSUs. “We’ve been talking to the investment community to sound out their interest in partnering and joint ventures,” he said”. This is another potential public procurement outsourcing to the private sector, just like the MOD and Highways Agency potential GoCos. But what about the potential for conflicts of interest in commissioning decisions? How will the CSUs be rewarded – and how much NHS cash will be sucked out by these private equity firms? Management consultants with £3000 a day fees running local health tenders? And who in the CCGs has the skills to manage them?
7. Simon Burns: MP for Chelmsford MP – attended an oncology conference paid for by Aventis Pharma – a five-day trip to the US funded by a leading drug firm.
8. Nick de Bois, MP for Enfield North – Until December 2011, De Bois was the majority shareholder in Rapier Design Group, an events management company heavily involved with the private medical and pharmaceutical industries, and whose clients include leading names such as AstraZeneca. The company was established by the Tory MP in 1998. Last year it had a turnover of £13m. Last April, Rapier Design purchased Hampton Medical Conferences to “strengthen the company’s position in the medical sector”. It is involved in running conferences and other events for private-sector clients, and for NHS hospitals. A number of the company’s clients are “partners” of the National Association of Primary Care (NAPC), a lobby group supporting the health secretary’s plans. Rapier Design Group’s biggest clients stand to profit when the NHS is opened up to wider private-sector involvement. The GP commissioning consortium for south-west Kent, covering 49 GP practices and known as Salveo, has already signed a contract with the pharmaceuticals giant AstraZeneca aimed at improving diagnosis of chronic obstructive pulmonary disease.
9. Steve Brine – Mp for Winchester – According to the electoral register, received £14,999 in three separate payments £5,000 19/01/2011, £4,999 17/04/2012, £5,000 22/03/2013 from Mr James R Lupton who was appointed Conservative party Co-Treasurer in February this year, has also given £350,000 to Conservative central party in last three years. He is Chairman of investment bankers, Greenhill Europe, who have considerable transaction experience and a global network of corporate relationships in the Healthcare sector.
10. Aidan Burley: MP for Cannock Chase: Received six bottles of wine from Hitachi consultants for a short speech he gave to a group of consultants on 11th March 2011. Hitachi Consulting UK is a leading government consulting company with an 18-year track record in the UK. They have extensive knowledge of the public sector, and many of their consultants have experience in the NHS. In 2010, they announced the completion of a delivery portal for Commissioning support for London (CSL). The creation of the new secure online portal provides National Health Service (NHS) commissioners with access to a set of tools to help them monitor how their providers are performing. This is another example of private company benefitting from the privatisation reforms of the NHS.
11. Damian Collins: MP for Folkstone and Hythe – Between 1999 and 2008 Mr Collins worked for marketing agency M&C Saatchi. M&C Saatchi clients include PPP healthcare, AXA insurance, Astrazeneca, Pfizer and Merck. In 2008 he joined Lexington Communications as a senior Counsel before leaving to become a MP. Lexington Communications have a healthcare section, which says ‘With the NHS never far from the headlines, our dedicated team of healthcare communications consultants can advise you on how to successfully interact with a diverse range of stakeholders – in Westminster, Whitehall, the reformed NHS, across the patient group community and in the private sector – to help achieve your goals… Help you build relationships with influencers at a national level.’ They have multiple fee-paying public consultancy clients in healthcare.
12. David Davies: MP for Haltemprice and Howden: Received a payment of £4,250 for a 6hr speaking engagement for Civica. (Registered 14 February 2012) Civica supplies software and IT solutions to over 250 NHS trusts in the UK. More than 70 NHS Commissioners use Civica Health & Social Care’s industry standard SLAM NHS Commissioning software to help manage service level agreements with providers, including Payment by Results, local tariffs, local agreements, block payments and other variants. Civica – see 63.
13. Jonathan Djanogly: His office received payment of £1,900 on 01/11/2001 and declared it on 30/01/2002 from Huntleigh Healthcare Ltd. The company manufactures medical, orthopaedic equipment and instruments for measuring and is part of Huntleigh International Holdings Limiteds. They are a member of the Getinge Group, a Swedish based group of companies who are split between Healthcare and Life sciences. The acquisition of Huntleigh by Getinge took place in 2007. In 2008, he had shares in private healthcare company Medicsight, and private health insurance Aviva PLC. In 2008 had shares in WPP Group, a marketing giant in healthcare.
14. Robin Walker: MP for Worcester. Local office received a £2,000 donation from Redwood Care Homes Limited Registered on March 2014. Redwood Care Homes own multiple care homes. Two of their care homes are listed as not ‘caring for people safety & protecting them from harm.’ The owner is Huw James.
15. David Willetts: Conservative MP for Havant and the Minister of State for Universities and Science. Former director in 2008, and has shares in Sensortec a company that owns Vantix which is working on a contract for a new product that can quickly detect MRSI. The contract is a Small Business Research Initiative – SBRI contract, which provides opportunities for innovative companies to engage with the public sector for specific problems. In 1993 when Baroness Bottomley as Secretary for Health wanted to privatise wards and hospitals. Willetts supported the move, saying: ‘private companies will want to change NHS labour practices, and not want to negotiate with Labour practices. Had financial support paid to his research account by HGCapital private equity manager, Ian Armitage in 2008 – HGCapital funds healthcare companies.
16. Rob Wilson: Conservative – In 2010, the MP for Reading East had registered shares in Vital Imaging, a private screening company.
17. Tim Yeo: In 2008 attended the Ryder cup. His travel and accommodation was paid for by U.S. healthcare services company Humana Europe.
18. Nadhim Zahawi: MP for Stratford-on-Avon. Is a non-executive director of recruitment company SThree, who specialise in the Pharmaceutical & Biotechnology sector. The Company provides both permanent and contract specialist staffing services in the UK and Europe in a few sectors, including through Real Staffing, Pharmaceutical & Biotechnology and Healthcare. This element of the group also finds roles for areas of the NHS. On the 4th April 2011 on a debate on the NHS ‘reforms’, When health secretary Andrew Lansley announced a pause in the Health and Social Care Bill, Zahawi reassured him that GPs were “absolutely passionate” about the reforms and described the plans as a “brilliant piece of legislation”. They have gone on to gain over £2 million providing services to the new CCGs.
A firm boasting a close advisor to the PM on its board of directors has sucked £2.6million from the NHS in 10 months by filling vacancies caused by Tory health reforms. Tory MP Nadhim Zahawi – who helped push the controversial GP’s funding system through the Commons – was appointed non-executive director of recruitment firm SThree in 2008.And the firm has been staffing new Clinical Commissioning Groups set up under the Health and Social Care Bill, via an arm of its international business specialising in “Healthcare & Life Sciences sectors” called Real Staffing. daily mirror march 12 2014 CONSERVATIVE PEERS
19. Lord Ashcroft: shares in Digital Marketing Group (WEARE 2020 PLC): electronic marketing group – appointed to work with with the NHS Supply Chain on sales and marketing communications. Lord Ashcroft has given the Conservative Party more than £4.3m since 2006.
20. Lord Ashton: Shares in Marsh Inc insurance brokers and in Zurich Financial Services AG – In a review for the Department of Health of the NHS litigation Authority – written by Marsh Inc, it recommended involving opening up clinical negligence cover over to private insurers.
21. Lord Bell: Chairman of Chime Communications Group, whose companies include Bell Pottinger, and whose lobbying clients include Southern Cross, BT Health and AstraZeneca. Donations: Bell Pottinger has given £56,980 to the Conservative Party between 2008 and 2012. Bell Pottinger – see 51
22. Lord Blackwell: Chairman of Interserve, consultancy to NHS and private healthcare firms. Involved in PFI hospitals. Interserve recently won a place on the Designed for Life supply programme covering the entirety of NHS Wales.
23. Baroness Bottomley: The former Conservative Health Secretary Virginia Bottomley is a Director of BUPA, the health insurance, private hospital and care group. Chair of Odgers Berndtson – recruitment company providing people for NHS Management positions. Board member of Akzo Nobel, listed in the NHS purchasing directory as decoration suppliers. Paul Kenderick the interim chairman of Newham University hospital was an employee of Akzo Nobel. Within the NHS he was for a number of years an Independent Special Advisor to the Healthcare Purchasing Consortium. Bupa UK gave £4,512.76 to Conservative MP, Mark Simmonds, for a ‘fact finding visit’. Richard Boggis-Rolfe the chairman of Odgers Berndtson has given £207,500 in donations to the Conservative Party between 28/09/2006 to 03/03/2010. Bupa – see – 31, 66, 95, 96, 122
24. Lord Brittan: Advisor to Teijin who are a conglomerate of global companies. One part of the business is the medical and pharmaceutical business group. Teijin Home Healthcare Limited supply products to the NHS and Teijin Pharma Ltd provides pharmaceuticals to the NHS.
25. Lord Chadlington: Chief executive of Huntsworth communications group. Huntsworth Health chaired a meeting on commissioning on behalf of Healthcare Communications Association, a group whose members consist of PR agencies and pharmaceutical companies. Huntsworth has given £45,600 to the Conservative Party in total during the years 2008/09/10/11 – Chadlington and his wife have given £80,823.91 of which £44,700 went to the Central party – £21,623 went to David Cameron’s office in Witney and £10,000 to Cameron’s leadership campaign. Huntsworth – see 27, 33, 56
26. Lord Coe: In February 2011 became Director of AMT-Sybex Group, IT supplier to the NHS. William Hague is listed as a director in 2008 .
27. Baroness Cumberlege: Former Tory health minister, runs Cumberlege Connections, a political networking firm that works “extensively” with the pharmaceutical industry. Used to be non-excutive director of PR firm for healthcare Huntsworth PLC, of which Lord Chadlington is Chief Executive. Chair of the All parliamentary Health Group, patron of the think tank 2020health.org. Has made money from offering courses to the new CCGs. £1,200 +VAT for a one-day course for Horsham and Mid-Sussex and Hastings and Rother CCGs. Paid £12,896 from NHS South-Eastern Hampshire and NHS Fareham and Gosport CCGs via a bursary from NHS South-Central SHA for one-day course on ‘Understanding Politics Masterclass.’ Moved her company into a position to win these contracts before parliament had passed the bill into an Act. Cumberlege Communications – see 56, 64, 67, 70, 75
28. Lord Fink: Chairman and Director of Zenith hygiene Group plc, an approved NHS supplier.
29. Lord Freeman: The ex-health minister. Director of Parity Group plc – Parity group plc won a contract with NHS direct to develop and support a new Health Information Search Portal for £1.4 million.
30. Lord Griffiths: Director of Goldman Sachs bank, provider of services to healthcare firms. Chief executive of Circle Ali Parsa was an Executive Director of Goldman Sachs.
31. Lord Hamilton: Has a directorship with MSB Ltd (managing consultancy), who have NHS, Bupa, Nuffield Health and Care UK listed as their clients.
32. Baron Higgins: Holds in excess of £50,000 of shares in Lansdowne UK Equity Fund, backers of private hospital group Circle Holdings.
33. Lord Hill: Shares in Huntsworth plc – company funded the Conservative party – the founder and chairman is Lord Chadlington. Huntsworth gave £15,500 to the Conservative Party in August last year and has given money every year since 2008. Following the exposure, Huntsworth were forced to admit they had given money stating the money was given by buying tickets for ‘Conservative events’, a classic way for lobbying to take place. Furthermore, Lord Chadlington, and his wife have personally given more than £20,000 to the local party since 2007, including a sum of £10,000 for Cameron’s leadership campaign.
34. Baroness Hodgson: Chair of the Independent Health Advisory Services (IHAS) complaints and adjudication services. The IHAS is a trade body for the private health sector. Entered the Lords after the Health and Social Care bill.
35. Lord Hodgson: Chairman, Nova Capital Management – who own Accentus Medical and formerly owned life science company Sterilin Limited and healthcare call center services company notifymd.
36. Lord Howard: Senior adviser to Canaccord Genuity formerly Hawkpoint Partners, a corporate finance firm. Provide staff to NHS and Private Healthcare providers. Lord Howard replaced Douglas Hurd in early 2011, thus keeping the connection of influence in parliament.
37. Earl Howe: was a patron of pro-market health think tank 2020health up until the election. The rules allow patronage without the need to register. 2020health have produced multiple publications sponsored by the likes of Pfizer, Tunstall and other healthcare companies. There are currently four patrons of 2020health – who all have healthcare links. Tunstall – see 44
38. Lord Hunt: Partner in Beachcroft, a law firm that offers incisive analysis on the full range of government, parliamentary and regulatory matters in the health sector.
39. Lord Lang: Director of Marsh & McLennan Companies that “help hospitals, insurers, pharmaceutical companies and industry associations understand the implications of changing policy environments”. In February 2011 Marsh was appointed by the Department of Health to conduct an ‘industry review’ of the NHS Litigation Authority (NHS LA). The objective of the review was to ‘identify opportunities to introduce greater commercial management and practice to services.’
40. Lord Leigh of Hurley: A designated member of Cavendish Capital Advisers LLP. Advisers on Mergers and Acquisitions. They are involved in healthcare and have advised on multiple healthcare deals.
41. Lord Magan: Member of the advisory board on Axa Private equity, which invests heavily in healthcare. Recent Director of the SISK Group of healthcare companies.
42. Lord McColl: was a paid a fee as a consultant to a new private healthcare company that provides a fee-paying rival to the National Health Service’s family doctor service. Endeavour Health, which was set up by two hedge fund advisers, claims to be Britain’s first comprehensive GP network, offering access to the best doctors and the opportunity to beat NHS queues and have appointments at any time they want.
43. Lord Nash: In November 2009, John Nash made a donation of £21,000 to then shadow health secretary Andrew Lansley . Nash and his wife Caroline are regular Tory donors who have given £300,000 to the party since 2006. In August 2010 Nash was one of four City figures invited by UK chancellor George Osborne to join the HM Treasury Independent Challenge Group, whose remit is to “question the unquestionable” in the Treasury’s austerity drive. Until 2010, Chairman of Care UK, one of the leading private healthcare providers in the UK – he sits on the free market board of the Centre for Policy Studies who have produced several papers on dismantling the NHS and turning it into a health insurance system. His wife Caroline has made significant donations, giving £172,500 to the Conservative Party between 2008 and 2010. Lord Nash was also a founder of City firm Sovereign Capital, which runs a string of private healthcare firms. Fellow founder Ryan Robson is another major Tory donor who has given the party £252,429.45. His donations included £50,000 to be a member of the party’s “Leader’s Group”, a secretive cash-for-access club. Sovereign Capital also back several healthcare companies. He also has shares in Aviva who do private health insurance.
44. Lord Patten: Senior Advisor for Charterhouse Development Capital Ltd – who purchased Tunstall for £510 Million in 2008. Tunstall are a Telecare provider. Tunstall provides services that allow the elderly to be able to be monitored remotely. Chief executive of Tunstall who supported Andrew Lansley’s bill. Following the takeover in 2008, Tunstall were awarded a three-year contract for services to NHS North Yorkshire and North. Tunstall have also been given a framework agreement to provide telecare, telehealth and telecoaching to NHS services, which forms part of Andrew Lansley’s vision for developing telecare across the UK. .
45. Lord Patten: Adviser to private equity firm Bridgepoint. The company who also have Alan Milburn the former Secretary of State for Health under Tony Blair, as chair of the board, have been involved in 17 healthcare deals over recent years. Eight of these companies remain as their current investments, which include four in the UK at a combined investment worth over £1.1 billion. Purchased Oasis Healthcare for £185 million in March 2013.
46. Lord Popat: Founder and sole owner of TLC group Ltdwho run private care homes. Lord Popat gave David Cameron a donation as a gift for £25,000 a week after the Conservatives’ unveiled their health ‘reforms’. David Cameron made businessman a peer shortly after getting into ten Downing street. Voted on the Health and Social Care bill loyally. Donations: According to the electoral commission, Lord Popat has given £43,700 to Conservative Central party in the years 2010/11.
47. Lord Ribeiro: Former adviser on hospital reorganisation to PricewaterhouseCoopers (PWC). PWC is heavily involved in consultancy services to the NHS and gets paid for setting up contracts amongst many other services. PricewaterhouseCoopers – see 94, 97
48. Lord Tugendhat: Adviser to Trilantic Capital Partners,* a private equity firm “active” in healthcare. *Formed in 2009 by the five founding partners, all of whom worked together at Lehman Brothers.
49. Lord Wade of Chorlton: Director, unpaid of RisingStars Growth Fund Ltd an early stage venture capital company – The fund prefers to invest in amongst other sectors, healthcare. Rising Stars Growth Fund invests in multiple healthcare companies that supply the NHS.
50. Lord Wakeham: Recent advisor to L.E.K. Consulting, which specialises in helping private healthcare companies identify “growth and new business development” and “opportunities with the government”.
51. Baroness Wheatcroft: Business Consultant, DLA Piper (legal services) a global law firm providing lobbying services to “clients in the health and social care sectors”. DLA Piper, which advised ministers on the failed £12 billion IT project for the NHS. Member of the Advisory Board, Pelham Bell Pottinger (financial and corporate communications) – Bell Pottinger whose lobbying clients include Southern Cross, BT Health and AstraZeneca.
LIBERAL DEMOCRAT MP’S
52. Menzies Campbell: North East Fife: Non-executive director of Scottish American Investment Company plc since 2007. The investment company took over one of the care homes when Southern Cross collapsed. His spokeswoman said: “It is Sir Menzies’ understanding that negotiations for another care provider to take over the running of the care home in question are at an advanced stage. Sir Menzies has no further comment to make.” Approximately 4.5% of the investment company’s equity is in healthcare. Former Eastleigh MP: In 2008 private equity company, Carrousel Capital of London donated to his leadership campaign. Carrousel Capital has made multiple acquisitions in healthcare companies including: Axium healthcare pharmacy, MedData, Sotaria Imaging Services, Brasseler USA. Left in because when the Health bill was passed he was in a position to vote.
53. Stephen Lloyd: Received £544.92 aggregated over time for office equipment from Platon Medical Ltd – who provide Ear, Nose and throat devices.
54. Robert Smith: Liberal Democratic MP for West Aberdeenshire and KIncardine – Has shares in pharmaceutical company GlaxoSmithKline. Shares in Legal and General, which offers medical insurance. GSK is the UK’s leading supplier of COPD medicines, supplies the NHS. Shares in Legal and General, which offer private health insurance.
55. Jo Swinson: Received a donation of £2,000 September 2013 from private optician company, Peter Ivins Eye Care.
LIBERAL DEMOCRAT PEERS
56. Lord Alliance: Shares in Huntsworth plc – a company whose CEO is Conservative Lord Chadlington – which donated £15,500 to the party in August last year and has given money every year since 2008. Denied it at first but Electoral Commission found them out. The same company that had Baroness Cumberledge as one of their non-executive directors. Heavily involved in lobbying and PR. Donations: Lord Alliance according to the electoral commission has given £697,440.48 to the Liberal Democrats through their central party and local party. Also gave £2,000 to UK Liberty league a Free market collective.
57. Lord Clement-Jones: Partner in DLA Piper, a global law firm providing lobbying services to “clients in the health and social care sectors”. DLA Piper counts Southern Cross amongst its clients. Lord Clement-Jones nominated Lord Hameed for his peerage, a nomination supported by Lord Dholakia. Lord Hameed sits on the board of Alpha hospitals, part of the Alpha Healthcare (C&C Alpha/C&C business solutions) group. The Alpha group has made significant donations to the Liberal Democrat party. In 2008, Lord Clement-Jones was the party treasurer.
58. Lord Steel: Non-executive Director, General Mediterranean Holding SA is a Business group with activities in amongst other sectors Trading & Pharmaceuticals. The Industrial, Trading & Pharmaceuticals part is split into two companies of interest. Meditech UK Ltd has software currently installed at ten medical facilities in the UK including the NHS. MEDITECH is the leading supplier of healthcare information systems in North America. The other company is Crescent Pharma Ltd, which directly and indirectly supplies a wide range of major distributors and customers within the UK, including the NHS.
59. Lord Taverne: Former Chairman of private health insurer Axa Sun Life’s monitoring board. Shares in Unilever whose European venture capital arm Unilever Ventures joined with a company called Vectura to form a pharma arm to their company. Shares in GlaxoSmithKline, who provide products to the NHS.
60. Lord Vallance: Member, International Advisory Board, Allianz SE (insurance) – company offers medical insurance. Also Member, Supervisory Board, Siemens AG – which supplies medical equipment to the NHS. Voted loyally – and against Lord Rea’s proposal of declining to give the bill a second reading.
61. Lord Watson: Chairman, Havas Media UK – MPG Media Contacts is an integrated agency, 100% owned by Havas Media. In April 2011 – MPG Media Contacts won the integrated media planning and buying account for Circle Health, the healthcare partnership that runs and builds hospitals. The account is worth just under £1m, according to MPG Media Contacts, and the scope of the work covers offline and online channels in the UK. Circle, which became the first private UK firm to run an NHS hospital last year when it won the tender to run Hinchingbrooke Hospital, plans to build a network of 30 hospitals across the UK in the coming years.
62. Luciana Berger: MP for Liverpool, Wavertree – Office received £4,726.76 from Deloitte MCS Ltd in her capacity as Shadow Minister for Public Health. Accountancy and business management giant, Deloitte, are heavily involved in healthcare markets globally and with the NHS. One example of many that involve Deloitte’s involvement in the NHS, is the £350,000 contract from Oxfordshire CCG to tackle a £11.1 million deficit at the CCG. Formerly worked for Management Consultancy company Accenture, a company who walked away from an NHS IT contract and were fined £65m for compensation. Accenture has multiple healthcare clients in the private industry, globally. Ms Berger then went on to work as government and parliamentary manager at the NHS Confederation.
63. David Blunkett: MP for Sheffield, Brightside and Hillsborough – Received fee of £4,250 from Civica 28th January, 2013. More than 70 NHS Commissioners use Civica Health & Social Care’s industry standard SLAM NHS Commissioning software to help manage service level agreements with providers, including Payment by Results, local tariffs, local agreements, block payments and other variants.Received a fee of his apparent going rate of £4,250 for a speech at Runwood Care homes in December 2012. Recently acquired eight care homes from Warwickshire County Council.
64. Rosie Cooper: MP for West Lancashire – Paid by Cumerlege Connections for £300 for work with a focus group of health professionals. Company run by Tory Lord Baroness Cumberlege who broke the rules with this company in 2009, by failing to declare it in her registered interests, ran the business from her Westminster office. The company offers courses in power, politics and persuasion to leading staff in the NHS. Five Labour Lords, and several MPs have been paid for providing for her courses. The company has worked with the development of the new Clinical Commissioning Groups.
65. Simon Danczuk: MP for Rochdale – Fees from Cumberlege Connections Ltd. Received fee of £300 for speaking at Fringe meeting of NHS Alliance Conference. Hours: 1.5 hrs (Registered 8 August 2012) March 2012 , received fee of £300 for speaking at Westminster Experience training workshop. Hours: 3 hrs. (Registered 8 August 2012) June 2012, received fee of £300 for speaking at Westminster Experience training workshop. Hours: 3 hrs. (Registered 8 August 2012) 11 September 2012, received fee of £300 for speaking at Westminster Experience training workshop. Hours: 1.5 hrs. Non-Executive Director, providing business advice for Shine-Bid Services Ltd – Company provides support for bids which include the areas of healthcare procurement and PFI.
66. Alistair Darling: MP for Edinburgh South-West: 7 April 2011, He received a fee of £10,200 for addressing a dinner organised by Cinven, London. Hours: approx 6 hrs. On its website it states: ‘Cinven has been involved in European healthcare over a 20-year period and invests in market-leading, cash-generative companies.’ Cinven is a leading buyout firm, who bought 25 private hospitals from Bupa. Other UK investments include. Spire Healthcare, who run private healthcare hospitals, and whose clinical director Jean-Jacques de Gorter said the use of private sector would spiral as a result of Andrew Lansley’s reform proposals. General healthcare group, which runs healthcare services, and whose group includes: BMI healthcare. The other company is Générale de Santé who are France’s leading healthcare provider. Patricia Hewitt (see below) was an advisor to Cinven.
67. Frank Dobson: MP for Holborn and St Pancras: Received payment from Cumberlege Connections.
68. Frank Field: MP for Birkenhead: Is a non-executive director of Medicash Health Benefits Ltd a private health insurance company – he was appointed Chairman of the board on 20th of June 2011. Frank Field has worked with Medicash for 8 years having first been appointed as a non-executive director in 2003. The register of interests says his role is to ‘attend meetings offer advice.’ For this work he receives a monthly payment of £1,030, which according to the Medicash website will be given directly to local charities. What’s the problem with this? Private health insurance companies are set to profit from a privatised NHS.
69. Barry Gardiner: MP for Brent North. Received a donation of approximately £3,000 for accommodation and hospitality for himself and is wife and family to attend a Sigma pharmaceutical conference. He was supposedly there to give a speech on waste. Sigma have donated nearly £8,000 to the Labour party Electoral commission
70. David Lammy: MP for Tottenham: Received several payments from Cumberlege Connenctions for participating in ‘Westminster Experience’ conference: January 2011, received fee of £229.70 for participating in the King’s Fund ‘High Potential Executive’ Programme. King’s Fund is a charity that ‘shapes NHS policy and practice, provides NHS leadership development and information, and hosts health care events.’
71David Miliband – ex MP for South Shields – received £10,000 from McKinsey and Co for a speech at a Global Business Leaders Summit. Also received a sum of £10,044 from the same company for travel expenses and accommodation in Singapore in March 2011. McKinsey & Co drew up loads of proposals that were accepted into the Health and Social Care bill. Lord Blackwell: Conservative – Was a partner with McKinsey and Company (involved in NHS bill – conflict of interest), between 1978 and 1994.
72. Jamie Reed: MP for Copeland. Shadow Health Minister since 2011. Received a donation for accommodation and hospitality for himself, his wife and family to attend a Sigma pharmaceutical conference. At the conference he said, “Against this backdrop in an era of austerity from which there is no real line on the horizon, pharmacy can potentially do more…All political parties should be examining the role and potential benefits of increased participation from pharmacists in the provision of a more effective, changing healthcare system.” He also suggested that pharmacies could fill the void that closure of libraries, post offices and other community buildings has left and become the hub of the community. In his speech he confirms that there will be no more reorganisation from the top, which is not a total repeal of the Act, but a removal of the market elements as yet still not defined in policy. Sigma has given just under £8,000 in donations to Labour.
73. Emma Reynolds: Labour MP for Wolverhampton North East. Office received £5,000 from St Philips Care Ltd. They changed their name recently from Guardian Care Homes, not long after a warning from the Care Quality Commission, who said they were not protecting the safety and welfare of the people using their service. The company is suing Barclays over the Libor scandal in a test case, on which they allege Barclays mis-sold them interest-rate swaps. They are owned by Bilbrook Limited, who are in turn owned by Bilbrook Trust.
74. Owen Smith: MP for Pontypridd. A former UK lobbyist for the American pharmaceutical giant Pfizer, where he was head of government affairs from 2005-2007. Director of Corporate Affairs and Health Economics for the UK’s biggest biotechnology company Amgen Ltd from 2008–09.
75. Gisela Suart: MP for Birmingham, Egbaston – Speaking at seminars for Cumberlege Connections. Her Cumberlege Connections work includes: Payment of £350 for taking part in workshop. Hours: 2 hrs. Payment of £900 for taking part in workshop in Winchester. Payment of £1,900 for NHS leadership programme. Hours: 2 days. (Registered 6 April 2012). Payment of £300 for parliamentary programme workshop. Hours: 2 hrs. (Registered 6 April 2012).
76. Baroness Billingham: Made regular contributions to Cumberlege Eden & Partners a training company for training NHS personnel and is a political networking firm that works “extensively” with the pharmaceutical industry.
77. Lord Carter: The head of the increasingly influential Competition and Cooperation Panel, is a 7n adviser to Warburg Pincus International Ltd, a private equity firm with significant investments in the healthcare industry. Chairman Patrick Carter, or Lord Carter of Coles to give him his full title, was the founder of Westminster Health Care, a leading private nursing home company. He is also the Chair of McKesson Information Solutions Ltd, which delivers IT to “virtually every NHS organisation”, the chair of Primary Group Ltd, a Bermudan based private equity company, and a substantial shareholder in, among other companies, B-Plan Information Systems Ltd, which has also benefited from the increased need for large scale IT systems that the introduction of an internal market to the NHS has brought with it. Carter’s register of interests in the House of Lords also lists him as an adviser to Warburg Pincus International Ltd, a private equity firm, which has significant investments in the healthcare industry.
The head of the NHS regulator that is meant to ensure fairness when private-sector firms bid for public contracts is also the chairman of a huge company whose Health Service business is worth £80 million a year – and set to increase massively. As the chairman of the NHS Co-operation and Competition Panel (CCP), Lord Carter of Coles is paid £57,000 for two days’ work each week. But his other role, as chairman of the UK branch of the American healthcare firm McKesson, is more generously rewarded. Last year it paid him £799,000. Even this is not the end of Lord Carter’s private healthcare interests. He is chairman of the Bermuda-registered Primary Group Ltd, a private-equity investment company that owns big slices of other healthcare firms. And he is an adviser to Warburg Pincus International Ltd, another investment fund with large health interests. His income from these sources is not publicly disclosed. Daily Mail.
78. Viscount Chandos: Former director of investment management company Sand Eire limited – who invest amongst other sectors, in Healthcare.
79. Lord Darzi: Former surgeon drafted into government as a health minister by Gordon Brown when he was PM. Now an adviser to medical technology firm GE Healthcare.
80. Lord Davies : A non-executive Director of Diageo. Lansley used to hold a directorship at Profero who had Diageo as one of their clients. Diageo plc are an alcohol drinks company, who have been awarded money to teach midwives in England and Wales on the dangers of alcohol. Vice Chairman and partner in Corsair Capital llc, who have amongst others Axis Capital holdings in their portfolio, providers of healthcare insurance products. Shares in Chime Communications – company run by Lord Bell, that has multiple health-related companies in it group.
81. Lord Eatwell: Economic Adviser at Warburg Pincus & Co International Ltd, a private equity firm with significant investments in the healthcare industry. Economic advisor to Palamon Capital Partners LLP, who also heavily invest in private healthcare.
82. Lord Elder: Advisor to pharmaceutical company Daval International Ltd.
83. Lord Evans: Former director of healthcare property firm Care Capital. Chairman of Advanced Oncotherapy Plc.
84. Lord Filkin: Recent adviser to outsourcing giant Serco, heavily involved in NHS services, took over out of hours services.
85. Baroness Ford: Chairman of private healthcare company, Barchester Healthcare Ltd. Part of the NHS Partners Network, who were instrumental in lobbying on behalf of private healthcare prior to the bill, during the Health bill. Chairman of Grove Ltd, a holding company for for Barchester Health.
86. Lord Gavron: Has shares in Serco, Smith & Nephew plc, Diageo, Unilever, Astrazeneca, GlaxoSmithKline, Rhoen-Klinikum AG (private healthcare), Roche Holdings AG, Fresenius Medical Care AG, Sanofi-Aventis, Vodafone Group plc, Prudential Life.
87. Lord Goldsmith: Co-Managing Partner in International law firm Debevoise & Plimpton LLP, whose clients include: Bayer; Bristol Myers Squibb; Forest Laboratories; Galderma; GlaxoSmithKline; Hisamitsu; Johnson & Johnson; Merck; Nestlé; Novartis; L’Oréal; Pfizer; Schering-Plough; and Tenet Healthcare, among others.
88. Lord Grocott: Trainer at Cumberlege Eden & Partners.
89. Lord Harris: Former Senior adviser to business services giant KPMG, who are heavily involved in implementing changes in the NHS and its commissioning groups.
90. Lord Hollick: Has shares in multiple companies involved in healthcare, which include: Diageo, Ambea, HCA, Capsugel.
91. Lord Hunt: Consultant and Trainer at Cumberlege Connections Ltd.
92. Lord Hutton of Furness: Ex-health minister is an adviser to law firm Eversheds. Clients include care homes and private hospitals. Special adviser to PricewaterhouseCoopers – heavily involved in healthcare reforms and development of the new Clinical Commissioning Groups.
93. Baroness Jay: Occasional participation in seminars for Cumberlege Connections. Company that is a training company NHS personnel and a political networking firm that works “extensively” with the pharmaceutical industry.
94. Baroness Kingsmill: Former Non exec director of Korn/Ferry International, an executive recruitment firm. Among the diverse range of healthcare organisations they have secured and developed top healthcare executives for are in hospital systems, multi-specialty physician practices, pharmacy benefit management companies, long-term care/assisted-living companies, home health companies, healthcare associations, and other service delivery companies. Two other peers work for them. Also a deputy Chairman of PricewaterhouseCoopers, which claims to have “been at the heart of shaping [healthcare] reforms and working with clients to respond to the opportunities they present”.
95. Lord Leitch: Chairman. Non Exec director of Bupa – Quote: ‘When we debate healthcare in the UK, all too often the focus is on the NHS alone. Yet the independent sector is more important than ever, providing services directly to patients, residents, insurers, and to the NHS itself. Going forward, all of us must think in terms of partnership, not rivalry.’ Health bill in 2008.
96. Baroness Liddell: Associate member of Bupa.
97. Lord McConnell: Member of the advisory board to accountants and auditors PricewaterhouseCoopers. See Baroness Kingsmill. Non-executive Director, DCM (Optical Holdings) Ltd (dispensing opticians).
98. Baroness McDonagh: Former Non Executive Director of Standard Life plc, which offers private health insurance.
99. Lord Malloch-Brown: Former recent chairman of FTI Global Affairs an advisory firm, which helps companies in the healthcare sector amongst others. On his appointment in 2010 he said: “Lord Malloch-Brown said, “The global economy has reached a tipping point, with Western companies under great pressure to shift their footprint towards emerging markets.”
100. Lord Mandelson: Chairman at Lazard International Ltd, an international advisory investment bank, which includes the area of healthcare.
101. Lord Moonie: Advisor for Edinburgh-based healthcare and biosecurity company Americum. Former senior advisor to pharmaceutical company Pharmathene Ltd.
102. Baroness Morgan of Huyton: Ex-director of failed care home firm Southern Cross. Member of the advisory Committee board for Virgin Group Holdings Ltd. Virgin own over 100 NHS services.
103. Lord Myners: Non-Executive Director of RIT Capital partners plc, who according to their annual report invest extensively in healthcare. Also has at least £63,000 worth of shares in the company.
104. Lord Noon: Director of Nutrahealth plc is a holding company which is 100% owned subsidiary of Elder Pharmaceuticals Ltd, an Indian based healthcare company since November 2010. The businesses operated in the UK are Biocare, Brunel Health and Totally Nourish. Shares in Casualty Plus Ltd – private walk-in clinic.
105. Lord Puttnam: Recent former director of Huntsworth communications group, a global public relations and integrated healthcare communications group. Did not stand for the board this year (2012). Deputy chair of Profero (See Andrew Lansley). Senior Non-executive director of Promethean World plc a technological hardware company, which according to its annual reports a new division was created, which amongst other sectors included healthcare.
106. Lord Sawyer: Chair of Norlife, part of a government led initiative called LIFT, set up as partnership project in the county of Norfolk creating PFI projects.
107. Lord Sugar: Amscreen Plc is part of Lord Sugar’s Amshold Group of companies, which he owns. The company provides T.V screens into places where there is a captive audience and places targeted marketing alongside the other content the organisation may use. These screens are placed in GP surgeries, hospitals and dentists throughout the UK and in Europe. Amscreen and BMI Healthcare have a contract together to sponsor live weather feeds to advise patients on their ‘healthcare choice’. This sponsorship deal will reach 3 million patients across the Amscreen network. Nigel Moon, Head of Marketing at BMI Healthcare has said “This advertising and sponsorship package provides us with a great opportunity to feature BMI Healthcare, our local hospitals and services to a highly targeted audience at a key time in the patient journey.” BMI Healthcare joins other leading brands such as Unilever, GSK and Pfizer who are able to reach captive audiences in GP surgeries across the healthcare network.
108. Baroness Symons: International consultant for legal firm DLA Piper a global law firm providing lobbying services to “clients in the health and social care sectors”. DLA Piper counts Southern Cross amongst its clients and advised on the failed £12 billion NHS I.T. project.
109. Lord Warner: Former adviser to Apax Partners, one of the leading global investors in the healthcare sector. Current director of Sage Advice Ltd. Works as an adviser to Xansa, a technology firm, and Byotrol, an antimicrobial company, which both sell services or products to the NHS” and was “paid by DLA Piper, which advised ministers on the £12 billion IT project for the NHS” projects that he was responsible for when he was a government minister. Used to be an advisor to PA Consulting in 2009. PA Consulting have worked with the new Clinical Commissioning Groups.
110. Lord Adebowale: A recent non-executive director who had shares in St Vincent’s healthcare consulting company that offers consultancy to the healthcare market. Their partners include: BT Health, IOCOM and AXSys.
111. Lord Birt: Advisor to Private equity company, Terra Firma Capital Partners who purchased Four Seasons Health Care in July 2012, the largest private UK health company, who operate 447 Care Homes and 58 specialist care centres. Lord Birt was also a partner with McKinsey from 2000-2005, who were instrumental in the development of the Health and Social Care Act.
112. Lord Boyce: Non-executive director of global engineering and design company WS Atkins – who were involved in multiple PFI projects and NHS building projects including, Tayside Murray Royal Hospital, Ayrshire & Arran Community Health Trust, Cummock Community hospital, and Doncaster & South Humber healthcare. They gained £14.4 million from selling their PFI stake. Strategic adviser with ATOS Origin. ATOS have been the contractor involved in the DWP’s attacks on disability benefits, and have been awarded the contract to run the NHS care.data scheme, currently in chaos. Chairman of D Group advisory board. D Group is a business development and networking group, which according to its website is ‘dedicated to generating revenues and promoting the objectives of its members.’ They have over 70 members consisting of UK and International leading business, though they are not listed. However in their testimonial page one company is mentioned BT group plc, which is one of the largest suppliers of communications to the NHS. BT was involved in the failed NHS computer system overhaul. The testimonial of BT group PLC says ‘The D Group provides effective and discreet access to influential thinkers and policy makers on important topics.’ The site is currently being rebuilt, so some of these details may change on the new site.
113. Lord Chorley: Shares in Pharmaceutical giant Astrazeneca, private health insurance providers Prudential and Legal and General and banking group Standard Chartered, which invests in healthcare companies and offers health insurance. Shares in Reckitt Benckiser, in Unilever, and IBM, the latter supply software to the NHS.
114. Lord Currie: Former recent Chairman of Semperian, an investment vehicle, which owns a portfolio of mature Public Private Partnership investments, including hospitals.
115. Lord Elystan: Has bonds held in HSBC-controlled companies – According to a Times report in 2008, HSBC made almost £100 million from managing NHS hospitals where where contractors charge taxpayers inflated bills for simple tasks, such as £210 to fit an electrical socket. HSBC has a controlling stake of several hospitals, including outright ownership of three NHS hospitals, located in Barnet, Central Middlesex, and West Middlesex. HSBC used a legal loophole to handle the profits from PFI schemes to a tax haven in Guernsey. HSBC offer health insurance. Lord Elystan also hold shares in Santander which offers health insurance and funds heavily in healthcare projects and companies.
116. Earl of Errol: Chair on the Advisory board of software intelligence company Flexeye Ltd. The company develops security applications and platforms, which supplies the NHS. The Company’s healthcare website says: ‘Flexeye’s Health Information Tool (HIP) is a communication tool designed especially for the healthcare system.’ Paid by Nihilent Technologies PVT Ltd in unspecified capacity, an IT, consulting and outsourcing company. Worked on multiple healthcare projects in multiple countries.
117. Lord Guthrie of Craigiebank: Member of the advisory board of Cannacord Genuity a global capital markets division of Cannacord financial Inc. Their website states: ‘Cannacord Genuity focuses on public and private healthcare companies, at all stages of development.’
118. Lord Hameed: Chair of private secure mental health hospital group Alpha Hospitals, which is investing in a new acute private hospital in central London. Alpha hospitals, part of the Alpha Healthcare (C&C Alpha/C&C business solutions) group. The Alpha group has made significant donations to the Liberal Democrat party. In 2008, Lord Clement-Jones was the party treasurer. Lord Clement-Jones nominated Lord Hameed to become a peer.
119. Lord Hannay: Advisor to Frontier Strategy Group, who provide economic consulting based on emerging markets. They list multiple pharmaceutical and healthcare companies as their clients. Has shares in Lionheart Investment Fund who offer individual or group healthcare coverage.
120. Lord Hastings: Global head of Citizenship and Diversity for global tax, Audit, and advisory firm KPMG. The firm is heavily involved in the new NHS structural changes, including GP commissioning groups. KPMG’s head of Global Health and advisor to Cameron famously said the NHS would be shown ‘no mercy’.
121. Baroness Hogg of Kettlethorpe: Former recent chair of Frontier Economics, a consultancy that advises private sector clients on the impact of healthcare reforms and how “to shape regulatory environments”. She still has share options in the company.
122. Lord Jones of Birmingham: Chairman of software solutions company Neutrinos Concepts Ltd, which has run a couple of trials in NHS trust hospitals. He also has shares in the company. Former recent senior advisor for HSBC plc and Chairman on the International Business Advisory board for the same bank. (See Crossbench Lord Elystan for more on HSBC). A senior advisor executive recruitment agency Harvey Nash Group plc. The Harvey Nash ‘Healthcare Practice’ part of the site states: We support leading healthcare organisations in securing the right Executive… Is an unpaid associate of Bupa.
123. Lord Kerr of Kinlochard: Member of the Investment advisory board of investment fund for Edinburgh Partners. A report by the group reveals healthcare as their main sector of interest representing 22.7% of their allocation.
124. Baroness Manningham-Buller: Has given speaking engagements for KPMG, Artemis, Merck, GE healthcare and Standard Chartered Bank all involved in private healthcare, DLA Piper.
125. Viscount Montgomery: shares in Astrazeneca (Pharma), Vodafione plc. Vodafone produced a report by themselves, which showed how they can help drive efficiency in healthcare costs promoting the use of SMS texts which go via them and other mobile phone companies. South-Central ambulance service NHS trust have appointed Vodafone UK as its communications partner. Shares in Standard life (private health insurance).
126. Lord O’Donnell: Strategic Advisor to the Chief Executive of Toronto Dominion Bank, which has a healthcare area which includes health insurance cover. In addition the bank has a healthcare division covering liability. Frontier’s involvement in healthcare includes regular advice to public and private sector institutions on ‘healthcare reform’. Frontier’s Health practice advises public sector and private clients on issues relating to the reform, restructuring and operation of healthcare markets.
127. Lord Owen – Shares in Abbot Laboratories global healthcare company – supplies NHS with Lab equipment, reagents.
128. Lord Powell of Bayswater: Chairman of the advisory board of Bowmark Capital who invest in healthcare amongst other sectors. Member of the International Advisory board for health insurance providers ACE insurance.
129. Lord Renwick of Clifton: Vice Chairman of global Investment giants JP Morgan. his chairmanships is of both JP Morgan Cazenove and JP Morgan Europe investment banking. JP Morgan are major players in healthcare. According to their website they serve: 1,100 hospitals, 10 of the top 10 health insurers, thousands of physicians groups, top five pharmacy benefit managers, six of the top eight pharmacy retailers. Also has shares in JP Morgan.
130. Lord Skidelsky: Shares in fund managers Janus Capital Group, who invest in the healthcare sector amongst other areas. Wrote in the Spectator in 2000, on an article titled: ‘Let’s go private.’ In there he promotes the idea of encouraging users to get a tax-incentive to go private.
132. Lord Sutherland: Non-executive chairman of Scottish Care – now represents the largest group of Health and Social Care independent providers across Scotland, delivering residential care, day care, care at home, and housing support.
133. Lord Turnball: Non-Executive Director of Prudential plc, who offer private health insurance. Non-executive Director of Frontier Economics, a consultancy that advises private sector clients on the impact of healthcare reforms and how “to shape regulatory environments”. Has shares in Prudential plc.
Lenin Nightingale 2014