24 Feb

I  feel relief this morning that last night our elected politicians averted their  ‘great betrayal’ by finally delivering the pledge they gave us 3.5 years ago. We should  now focus on the great betrayal of 7 million depressed patients who asked for talking therapy but were put on antidepressant medication against NICE guidelines, on which 4 million are now addicted. Who is to blame, and what can we citizens do to help cure them?

  1. Big Pharma is to blame for pretending that mental disturbances are caused by chemical imbalances in the brain, which need to be corrected by drugs, whereas they are really caused by Adverse Childhood Experiences (ACEs) and inherited trauma which need to be repaired and healed by skilled therapists.
  2. Governments, and medical authorities worldwide are to blame for believing this fake marketing.
  3. GPs are not to blame, but are the fall guys who pay the highest price for this, as they have 40 patient contact per day on average, of whom 15-20 are for mental disturbances.
  4. Andrew Lansley is not to blame, and deserves credit for trying to liberate the NHS from Big Pharma’s monopoly of NHS treatments, by pushing the Health and Social Care Act 2012 through Parliament against the vested interests of Big Pharma, the Labour Party, the health trade unions. However, he failed to fill the democratic deficit in health because he trusted GPs and gave them control of the Clinical Commissioning Groups’ (CCGs) local health budget (now £80 bnpa, or a HS2 every year) without their consent or legitimacy, and did not give it to elected councillors because he didn’t trust them, although they have the legitimacy by virtue of their democratic election.

Councillors on Health and Wellbeing Boards (HWBs) can now repair this mistake by assuming statutory responsibility for the CCGs budget (£80 bnpa) by virtue of their elected legitimacy. They should integrate and pool it with their Social Care budget (£25 bnpa, making £105 bnpa) They can work with GPs to transform health and care by creating a new social prescribing scheme whereby Primary Care Networks (PCNs) invite providers of therapeutic social interventions (such as yoga teacher) from the Community and Voluntary Sector to apply for a licence to teach patients with social prescriptions, and are paid for their services as pharmacists are paid for drugs, on presentation of the used prescription form.  They can thus defuse the war between GPs and NHS England described in Richard Murray’s Kings Fund paper: ‘GPs condemn the specification for PCNs’ dated 27.1.20 (www.kingsfund.org.uk)

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