Update 14:42 15th Jan 2013, Monitor have just announced the following (only a few hours after I published the post below): “Monitor will not be recommending that private sector providers should be exempt from paying corporation tax” This is good news, although the Health Care Companies and their friends in government will probably continue to lobby for tax breaks. We still also need to be concerned about: the conflicts of interest, the exemption from Freedom of Information requests, the lack of transparency in the contracts and the influence that companies like KPMG, Price Waterhouse, McKinsey etc. have over the privatisation of the NHS.
My previous post highlighted the fact that the NHS is being outsourced to private health care companies that will be exempt from Freedom of Information requests. Due to commercial confidentiality, these companies will enjoy secret contracts with none of the transparency expected in the NHS and the Public Sector. If this was not worrying enough, it also appears that Monitor, the NHS’s economic regulator, is arguing that the private health care companies providing NHS services should be exempt from paying corporation tax. It is clearly ridiculous for companies to lobby to provide NHS services for profit and then to claim it is unfair to pay tax on their profits but that is exactly what they are after.
So who is looking after the interests of the ordinary citizen and tax payer. Well take a look at the Executive team of Monitor. You will see KPMG, McKinsey and Price Waterhouse have pretty much got the board sown up. I don’t see anyone there who will look after the interests of the taxpayer/patient/citizen. What I do see is yet another example of the legalised corruption called the ‘revolving door’ where advisors and decision makers can move from private companies into government and then back again with resulting huge conflicts of interest. (All of these companies stand to gain financially from the huge and unprecedented sums of money that will be diverted from the NHS into the private sector)
Monitor – Executive team:
Dr David Bennett (Chief Executive) David has worked for some years in and around the public sector. Before joining Monitor he was the non-political Chief Policy Advisor to Prime Minister Tony Blair and Head of the Policy Directorate and the Strategy Unit in 10 Downing Street. He has also worked as an independent advisor to various NHS bodies. Before this, David was a senior partner at McKinsey & Co.
Stephen Hay (Managing Director of Provider Regulation) Stephen worked at Monitor on an interim basis, on secondment from KPMG, from December 2003 and was appointed on a permanent basis in October 2004. A qualified Chartered Accountant, previously Stephen worked with KPMG, latterly as a Director within the Transaction Services Department. He has advised the boards of corporate and private equity houses and his portfolio of financial experience is wide-ranging and includes mergers and acquisitions, due diligence, IPOs, and risk assessment.
Adrian Masters (Managing Director of Sector Development) Adrian was previously Director of the Health Team in the Prime Minister’s Delivery Unit. Prior to that, Adrian’s career included spells with McKinsey, IBM and Price Waterhouse. He qualified as an accountant, and has an MBA from Stanford University.
Miranda Carter (Executive Director of Assessment) A qualified chartered accountant, Miranda started her career at Deloitte as an auditor in 1991, working in the UK and Hong Kong. In 1997 Miranda joined Price Waterhouse Coopers, and spent four years in the Transaction Services Department in London, focusing on due diligence assignments. She has advised the boards of corporate and private equity houses and her portfolio of financial experience is wide-ranging and includes mergers and acquisitions, due diligence and initial public offerings (IPOs).
Catherine Davies (Executive Director of Co-operation and Competition) Catherine is a competition law specialist with experience in all aspects of EU and UK competition law, having advised on mergers and acquisitions, joint ventures, distribution arrangements and market investigations across a wide range of sectors, including consumer goods, energy, media and healthcare. Catherine also has experience of public procurement law and judicial review. Before joining the CCP in February 2009 as Legal Director, she worked at the Competition Commission and a large City law firm.
Kate Moore (Executive Director of Legal Services) Kate has extensive experience of regulatory, litigation and public law gained through her previous roles at city law firms, as Director of Legal at the Investors Compensation Scheme and as a principal consultant with KPMG.
Sue Meeson (Executive Director of Strategic Communications) Sue was previously Director of Communications for the Legal Services Commission, which runs the legal aid system, and held a variety of corporate communication roles with Unilever. Her experience covers all aspects of internal and external communications, including media relations, change communications, public affairs and stakeholder engagement.
Source: http://www.monitor-nhsft.gov.uk/about-monitor/who-we-are/executive-team (Accessed 14th Jan 2013)
You can also check out the non executive board – you will find the pretty much the same companies with a majority stake: http://www.monitor-nhsft.gov.uk/about-monitor/who-we-are/the-board
Private NHS providers in line for corporation tax exemption: Labour calls on government not to ‘let the tax avoiders into the NHS’ after revelations in review by Monitor (Randeep Ramesh, social affairs editor The Guardian, Sunday 13 January 2013)
Private health care firms performing NHS services may not have to pay corporation tax on their profits under draft proposals being considered as part of a government-commissioned review into NHS competition. (Daily Telegraph 13th Jan 2013)
PRIVATE HEALTHCARE COMPANIES AND FREEDOM OF INFORMATION (Reason & Reality)
Head of Monitor Has Ties with Private Healthcare Lobby Group Who See Tax, Pensions and NHS Brand as Barrier in ‘Fair Playing Field’ Review. (Social Investigations, 16th Jan 2013)
More Health / NHS
The Shadow Government – Through a network of unbalanced, almost-invisible committees, the government gets what it wants. (By George Monbiot, published in the Guardian 13th March 2012)