17th September 2025

Accountable Care here we come!
Despite changing the name of Integrated Care Organisations from Accountable Care early early in their development, the gloves are off. We’re getting US Style Acccountable Care, and rationing of care is coming with it. Deficit funding will be phased out. Streeting – ”the fund will not go to trusts which run deficits this year”. So all trusts are forced to become deniers of care, regardless of consequences.

Refusing to acknowledge the obvious
Streeting is to chair a “task force” into the maternity crisis. 14 trusts are named but you might as well lump all the rest in too. After 14 years of underfunding, staffing crisis and a toxic culture in maternity work as midwives are stretched to cover more patients than is reasonable, the answers are staring him in the face!

10 Year Plan – PFI mark 2?
Oh sorry, it’s not going to be PFI it’s PPP … public private partnerships. So many organisations, for example, the Public Accounts Committee found that PFI was not working for the taxpayer, with various projects’ owners increasingly remote from the public service being delivered. Yet this form of financing from banks and foreign investors is exactly what Streeting is planning.