latest health care news


Hundreds of jobs threatened as NHS signs primary care deal

The seven-year outsourcing deal signed yesterday (11 August) between NHS England and Capita is putting hundreds of jobs at risk as local primary care support offices prepare to close across the country.

The £1bn contract, announced in June, will see the outsourcing firm take over primary care services from 1 September in an effort to decrease the cost of the service by 40% – as outlined in NHS England’s ‘transformation programme’ document on 23 July.

This will accompany hundreds of redundancies, potentially up to 700, as around 29 of 32 centres will be shut when the service is transferred to the private sector.

The contract also means that millions of patients’ confidential medical records will be taken from the public sector despite a written appeal from Unison to the health secretary, Jeremy Hunt, to reconsider the decision.

Unison general secretary, Dave Prentis, said: “Millions of patients’ medical records are now to be handed over to a private firm, without any public consultation whatsoever. And hundreds of dedicated NHS staff – whose work is essential to the efficient running of the health service – will lose their jobs.

“Private companies should not be making a mint out of essential services that are the very backbone of the NHS. Local knowledge will be lost as Capita closes all but two of the existing regional offices. It is hardly in the spirit of patient consultation that this entire process has taken place behind closed doors, with the public none the wiser and employees affected largely kept in the dark.”

The contract, estimated to deliver administrative support services for primary care valued up to £400m, also has the possibility of a three-year extension.

It was signed through a framework that allows for deals worth up to £1bn should NHS Wales or NHS Scotland agree to join the contract.

An NHS England spokesperson told NHE in a statement: "Capita's proposed plans respond to NHS England's objectives to realise significant savings and service improvements. These proposals have been shared with PCS service staff and the unions, and will form the basis of a full consultation about the impact of changes once the service has been transferred from NHS England to Capita.

"These proposals would release substantial administrative savings to reinvest in frontline health services."

However Dr Clive Peedell, co-leader of the NHA Party, said the handing of NHS contracts to private firms makes no “economic sense”.

He added: “The pursuit of private profit inevitably means staff cuts increasing the welfare bill and reducing spending power in local economies. Meanwhile this government’s ideological obsession with reducing the role of the state in delivering key public services gathers pace.”

Primary care support services are responsible for looking after medical records, prescription payments and the administrative and financial support to doctors, dentists, opticians and pharmacists.

Proposals outlined in NHS England’s July document also stated that Capita planned to deliver services from three multi-disciplinary locations at Clacton, Leeds and Preston, and would invest in a national customer support centre for all queries.

Services provided by SBS and Serco will continue as is until their contracts terminate on 31 March.


A Capita spokesperson said: “The movement and storage of medical records is currently delivered by multiple private sector suppliers, under contract to NHS England. Capita will be the single organisation responsible for the movement and storage of medical records and will introduce better tracking processes, providing NHS England with a service that is safer and more efficient.”

A BMA Spokesperson told NHE that GP practices need to have efficient back room support so they can manage medical records and other key administrative tasks that are vital to delivering effective patient care.

“The BMA has always had concerns about how any provider, whether NHS or commercial, could deliver a service that meets the needs of GP practices when such large cuts are being made to the resources in this area,” he said, adding: “We are also concerned about the principle behind this outsourcing, which effectively means that GP practices will lose long standing personal contacts with knowledgeable NHS staff members as these contracts tend to be run in a more remote, centralised way.” 

NHE was told the BMA will continue to give its views to NHS England about how this important element of general practice operates, but the government must understand that deep cuts to parts of the NHS will inevitably affect the standard of service they provide.


Gerald Davies   12/08/2015 at 11:05

now you know that when the Conservatives say "the NHS will always be safe in our hands- they really mean it. Time to take the NHS out og government hands-make it a corporation and devolve it as mutuals/coops to Local Authorities. The Healthcare of the nation is too important to be given to private companies and shareholders whose primary aim is profit

Denise   12/08/2015 at 12:02

Primary care support services provided by NHS England covering N.E. London have been so poor these last 2 years that I am not sorry to see them go. No response to emails whatsoever and the standard response to a phone call is "I can't help you but I will get someone to call you back" and then no one does. Whatever is replacing this cannot be worse!

Dr J Illes   12/08/2015 at 13:03

Guess who is going to pay for this when this initiative fails like the PFI debacle?

Alex Anderdon   12/08/2015 at 13:19

Here in the south, IT was contracted out. Two years later IT costs to the trust have more than tripled. They've tried to bring it back in-house but no longer have the staff or infrastructure. They opted to lower standards to try and get the cost down. Response targets for resolving IT issues have gone from 24hrs to six weeks. We are currently paying £6 per blank CD. Outsourcing initiatives rarely work out well in the long term.

Craig   12/08/2015 at 13:24

Aye, Denise it will. Capitas' response to your enquiry will be polished ( i have no doubt) however, the outcome of your enquiry will disappear into the blackhole. I am sure there are a raft of Tory peers and Tory CEOs rubbing their hands at making a buck at the expense of the NHS.

Pauline Bradshaw   12/08/2015 at 22:24

A number of hospitals have already dispensed with the services of CAPITA because of the poor quality of the service and the appalling inefficiencies . The loss of organisational memory and long standing expertise will be a disaster

Add your comment

national health executive tv

more videos >

featured articles

View all News

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us throu more > more last word articles >

health service focus

View all News


NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental ... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Bei... more >


Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual... more >

the scalpel's daily blog

Covid-19 can signal a new deal with the public on health

28/08/2020Covid-19 can signal a new deal with the public on health

Danny Mortimer, Chief Executive, NHS Employers & Deputy Chief Executive, NHS Confederation The common enemy of coronavirus united the public side by side wi... more >
read more blog posts from 'the scalpel' >