Showing posts with label 'Lords'. Show all posts
Showing posts with label 'Lords'. Show all posts

Thursday, 25 April 2013

Breaking the Code and the Healthcare Chain


'In the conduct of their parliamentary duties, Members of the House shall base their actions on consideration of the public interest, and shall resolve any conflict between their personal interest and the public interest at once, and in favour of the public interest.' - the Lord's Code of Conduct

The Lords have spoken. The coalition with a little help from Labour Peer, Lord Warner chose to vote in favour of the government to keep section 75 regulations of the Health and Social Care Act in place. In doing so, they imposed increased legal pressures on the new commissioners to put out services to tender, which will fragment the NHS into the hands of private companies.

Friday, 27 April 2012

Special Report | Selling the NHS: how parliament and the healthcare industry got cosy


In a hard-hitting investigative exposé, Dylan Weber examines the network of vested interests that runs between Parliament and the private healthcare industry. This cosy, toxic relationship, he warns, threatens not only the future of the NHS but that of democracy in the UK. This article appeared in Ceasefire magazine.


As the Lords and Baronesses of the UK’s parliamentary chamber debated the government’s Health and Social Care bill, it was revealed by the Daily Mirror that 40 of these Peers had financial interests in companies involved in private healthcare. This number, though shocking, was just the tip of the iceberg. Further research revealed the true extent of the financial interests the unelected Peers of the House of Lords had in passing the Health and Social Care bill.

Carrying the Mirror’s research further, we at Social Investigations, went through the Lords’ register of interests with a fine tooth comb. In total, an extraordinary142 Peers were found to have financial interests in companies involved in private healthcare. These interests are, however, not the exclusive domain of a single party, but highlight self-interest that is endemic within every major party of every political persuasion, raising the question: Who are they actually serving?

In total 1 in 4 Conservative Peers were found to have these vested interests. The Labour Party had a total of 1 in 6, a number equalled by the Crossbench Peers, and the Liberal Democrat Peers, the coalition’s willing partners in passing the bill, had a total of 1 in 10 with such interests.

So what of these connections?

The mixture of the Peers’ financial interest and involvement varies. Some MPs have shares in healthcare companies set to benefit from the bill’s passing. Some are chairmen, partners, consultants, or are acting as senior advisers to investment groups funding the private companies, such as private equity firms, ready to swoop.

These interests, although indicative of where their priorities lie, would be less influential if the Peers were prevented from voting when they have a conflict of interest. At local government level, such conflicts come under a ruling of ‘prejudicial interest’, which requires the councillor to leave the room and take no further part in discussions or voting. No such safeguard exists in the House of Lords.

The subject of voting with conflicts of interest was put to the Peers after Social Investigations emailed all 142 with financial interests.

The email stated:

It is obvious that with these vested interests there is a conflict of interest and many who have seen this list are quite frankly shocked that this situation exists whereby those with vested interests can and are voting in favour of policies which could benefit those interests through the promotion of the further privatisation of the NHS.

The response was notable in its silence, except for a single reply from Liberal Democrat Peer Baroness Barker, who ignored the issue of interests and simply stated:

Please supply your evidence that any of the people named below…have failed to declare their interests as they are required to do. Please supply your evidence that the individuals named below have furthered their own interests. Please supply as much detail as you have.’ 
Apparently a list of 142 Peers who have financial connections to private healthcare companies and are taking part in a bill that will hand more opportunities to private healthcare is not ‘evidence’ enough; but of course, by evidence, she means evidence that the Peers are not abiding by the existing rules, which simply require them to declare their interests, but do not prevent them from voting on issues that may directly benefit those interests. There is as of now no mention of preventing these conflicts of interest in the House of Lords reforms currently being put forward by the Liberal Democrat leader Nick Clegg.

Lord Popat
Take Lord Popat, a nursing and care home tycoon who has given the Conservatives a total of £319,641. The Ugandan-born dad-of-three has amassed an estimated £42million fortune as founder and chief of TLC Group, which provides services for the elderly. Prime Minister Cameron made the businessman a Peer shortly after entering No10 in May 2010. Lord Popat’s donations include a £25,000 gift registered a week after the Conservatives health reforms were unveiled in July last year.

This blatant money for power behaviour is matched by the actions of another Conservative Peer Lord Chadlington, who has been in the House of Lords since 1996. Lord Chadlington is the founder and chairman of a PR and communications company called Huntsworth plc. One arm of the group is Huntsworth Health, which operates globally, and here in the UK. Its website states that the company ‘provides a full continuum of consulting and communications services to the healthcare and well-being industry.’
In the same month as the white paper was released, Huntsworth Health acquired healthcare communications agency, ScopeMedical for £4.6m, thus expanding its health division. Lord Chadlington said of the takeover: “We are delighted to announce the acquisition…Healthcare is a major growth area and we are now very well positioned to take advantage of that growth.’

Not only do they have Lord Chadlington as their CEO, but up until last year, they also had Labour Peer Lord Puttnam as a Director, and from 2001-03 Conservative Peer Baroness Cumberlege was one of their non-executive directors. If that’s not enough, they have some finance provided via Liberal Democrat Lord Alliance, who has shares in the company, making four Lords, from three main parties, working for one company.

Huntsworth plc gave £15,500 to the Conservative party in August last year and has given money every year since 2008. 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 his leadership campaign. All within the rules that make it almost impossible to prove their actions will exclusively benefit his company. This ‘exclusivity’ part of the rules, is an important word, as found out when a complaint was put to the House of Lords Commissioner for Standards about Lord Chadlington, his company and its connections to the government and their Health and Social Care bill.

The response stated: ‘You have not supplied any evidence to suggest that any of Lord Chadlington’s votes in connection with this Bill, were designed to confer exclusive benefit on, as you suggest, Huntsworth plc.’

Why do so many companies ask Lords to sit on their boards, become chairman and advisors if it isn’t to access the highest levels of government and acquire an exclusive benefit?

However, private companies don’t just rely on a vote to get want they want; they want to be where the centre for information is too. The Associate Parliamentary Health Group (APHG), which was launched in November 2001 was set up with the intention to provide: ‘information with balance and impartiality on local as well as national matters, and is recognised as one of the preferred sources of information on health in Parliament.’ 
Four key members of the APHG have financial links to companies involved in private healthcare. The Chair of the APGH is Baroness Cumberlege, who runs a company called Cumberlege Connections. Her company is involved in running training programmes for medical staff, but also covers the topic of ‘Politics, Power and Persuasion, in a tailored two-day programme which includes topics such as: ‘Managing the markets, the challenges of commissioning’, ‘who’s who’, and ‘brokering deals with other independent sector providers’; the latter programme is delivered by the Baroness herself.

In 2009, following a complaint from transparency campaigners Spinwatch, the Baroness was forced to admit that she had run her business from the House of Lords until it “took off”, and failed to declare her company’s interests in any debates. The disciplinary action involved nothing more than having to make an apology.

One of the key areas of the Health and Social Care bill involves handing over the purchasing power for services from Primary Care Trusts (PCTs), who were previously in charge of this, to local Commissioning Groups led by Doctors. In order to get these new Groups into a position where they can carry out the complicated duties of commissioning, a collection of ‘Approved Providers’ were formed to be part of a national framework from which the GP groups had to choose from. It is here that private business has already been making money from the reforms. The partnerships are largely made up of private companies, who bid for contracts to develop the new GP groups. Baroness Cumberlege placed her company into one of these Alliances led by management consultancy company PricewaterhouseCoopers, who were bidding for and winning contracts as she debated and voted on the bill, helping it pass into Act.
Another member of the APHG Lord Hunt of Kings Heath, acts as the groups’ treasurer and has received payment from Baroness Cumberlege for work as a trainer and consultant. His input makes up one of five Peers and four MPs who have worked for her company. Lord Harris of Haringey who is listed as an APHG advisor, has also been remunerated by Cumberlege Connections for ‘occasional participation in training events.’ In addition, he is a senior adviser to business services giant KPMG, who are one of the ‘approved providers’, winning contracts for the new commissioning groups.

Mark Britnell, head of global finance giant KPMG’s health division and an advisor to Prime Minister David Cameron had announced in a healthcare industry conference in 2010 that the NHS would be shown ‘No mercy.’ Adding: “…and the best time to take advantage of this will be in the next couple of years.” A rather harsh choice of words for someone who was employed by the NHS for over a decade.

Finally, Conservative MP Mark Simmonds, who acts as Co-chair to Baroness Cumberlege on the parliamentary group, is paid £50,000 a year for 10 hours a month as a strategic advisor to Circle Health, the first firm to win control of an NHS hospital. The former shadow minister for health recently had to apologise to the House of Commons, for ‘inadvertently’ failing to declare his interest when talking in favour of the NHS reforms. Circle has connections to Health Secretary and the architect of the Health and Social care bill, Andrew Lansley. Christina Lineen spent two years as an aide to Mr Lansley prior to moving to Circle as head of communications.


In addition to the leading roles played by these parliamentarian’s, the APGH has a list of external associate members, all private health companies, who attend occasional meetings with the Group. The list, which currently sits at twenty-three members, must pay a subscription fee to be involved. The amount of members allowed is capped at 26 and they become a member on a first come, first serve basis, which according to the manger of the parliamentary group Ella Jackson, is the fairest and ‘most transparent’ way to operate the membership system. That however, is where the transparency ends.

The rules of All-Party Groups demands a record be held of all meetings, and that each Group must keep sufficient records to enable it to prove that the group meets at least twice a year. The APGH according to their manager goes further than this, by ‘audio-recording’ every meeting it holds. The problem is, we the public aren’t allowed to hear these recordings, because the meetings are held under something called ‘Chatham House Rules’.

The Chatham House rule, which doesn’t have to be held in Chatham House to apply, was created back in 1927 and has since been refined in 1992 and 2002, and exists according to the Chatham House website; ‘to allow people to speak as individuals, and to express views that may not be those of their organisations.’ It adds: ‘People usually feel more relaxed if they don’t have to worry about their reputation or the implications if they are publicly quoted.’ This lack of transparency applies to the list of attendees too, where it is forbidden to mention who attended.
In amongst the list of companies paying their subscription are: Alliance boots, Astrazeneca, and GlaxoSmithKline; who all have Lords and or MPs with financial links to their company. Pharmaceutical giant Astrazeneca has 9 Lords who are financially linked to them, including some who hold shares. GlaxoSmithKline has 17 Lords with shares in its company and Alliance Boots can boast having Lord Blyth as one of its former chairman, and former MP Patricia Hewitt, who took a consultancy job with them 7 months after standing down as an MP.

Ms Jackson of APGH explained: ‘It’s vital that parliamentarians and other speakers are able to speak freely in an open and frank exchange, without fear of having their thoughts reported out of context.’ What could both Peers and MPs with private healthcare interests and private healthcare companies be talking about that requires such secrecy? Why invoke a rule created over 80-years ago that prevents members of the public knowing who was in attendance and what was said?

The Health and Social care bill is now an Act; the companies who have lobbied for the NHS to be privatised have taken one giant leap into its eventual dismantling. The openness, with which money is given to politicians through donations, highlights an assumption that such behaviour is acceptable. Baroness Barker’s response doesn’t question that 142 Lords having financial connections to private healthcare as a problem; but merely points out the technical rules have been followed.

Our politicians sit on the boards, they own the companies, they are the directors, and they are indefinable from one another. The Labour party has promised to repeal the bill, but as election time comes, will those Labour Lords and MPs with interests in private healthcare, work behind the scenes to water down any changes? What of the future? So long as Lords and MPs are allowed to vote on bills that are directly linked to companies they have a financial interest in, then they will always be open to representing the corporations for whom they work. They are meant to be public servants, yet the evidence points towards them serving another element of society, one that is hidden behind corporate confidentially and ‘Chatham House’ rules.

Our democracy is under threat and our parliamentarians are all in this together, and at the very least should be barred from voting when a prejudicial conflict of interest appears. Until then, such behaviour will continue and unelected corporations will continue to hold the reins of power.

Sign the petition below to try and stop the Lords from being allowed to vote with conflicts of interest  http://epetitions.direct.gov.uk/petitions/31991 

Please also check out this excellent MediaLens alert on the subject.

Monday, 12 March 2012

Conservative Lords and their financial links to companies involved in private healthcare


This is a list of Conservative Lords who all have financial links to companies involved in the private healthcare industry. There are 62 of them out of a total of 217 peers who have these interests, which amounts to 28%. This represents at best a conflict of interest and at worst institutional corruption. They should not have been allowed to vote on the Health and Social Care bill with such interests, and reform of the Lords must take place to prevent this happening in the future.

After all if you are a councillor at local government level with financial interest or a partner with financial interest, then they must declare a prejudicial interest, then they must leave the room and take no further part in discussions or voting. In many cases this is left down to the discretion of the elected member but with the knowledge that this will be challenged somewhere down the line. Why are the Lords not treated in the same way?

The interests in private healthcare range from having shares in companies set to benefit from the bill they are voting from, being chairman, advisors of healthcare companies and getting the company in a position to benefit from the NHS privatisation. Some work as advisors for investment companies that heavily invest in companies that will benefit from the bill. Others are directors of companies that are in direct competition to the NHS. Some have donated to the Conservative party, and in fact that is why one of them was made a Lord. They represent a merry-go-round of self-interest, viewing an NHS developed by public money since its inception, they simply want to hand it over to the corporations they work for. They are corporate servants, make no mistake about that, and won't stop unless they are made to.An e-petition has been set up which is here - http://epetitions.direct.gov.uk/petitions/31991 - if you can please sign it to stop Lords voting on their own interests, this would go some way to prevent their behaviour.

1. Lord Ashcroft: Conservative benches and funder - Until 2010, held investments in two private healthcare groups. Has voted in 16.33% of of votes in the house, below average amongst Lords. Managed to Vote on key parts of the Health and Social Care bill.

2. Lord Ashton - Conservative - 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. Zurich Financial Insurers said they didn't have the expertise but  the Marsh review envisaged opening up a dialogue which might eventually give them the information they needed. The DoH unsurprisingly accepted the large majority of Marsh's recommendations. Lord Ashton also has shares in a private dental company called Smilepod Hygiene Ltd. Voted loyally on Health and Social Care bill.

3. Lord Bell: Conservative - Chairman of Chime Communications group, whose companies include Bell Pottinger, and whose lobbying clients include Southern Cross, BT Health and AstraZeneca. Tim Bell has a conviction for ‘wilfuly, openly and obscenely’ exposing himself ‘with intent to insult a female’ under Section 4 of the 1824 Vagrancy Act. For more on this delightful personality, which bears little relevance to the NHS but says so much about the character click here. If that isn't enough then please click here to see their attempts to work with the Ubekistan dictatorship. Has voted in 14.66% of votes, below average amongst Lords. Managed to vote on the Health and Social Care bill amendments.  

4. Lord Blackwell: Conservatives - Chairman of Interserve, consultancy to NHS and private healthcare firms. Involved in PFI hospitals - Voted loyally on the Health and Social Care bill.

Quotes on bill: 

We are now 10 years further on from that and it is important that the changes are not lost in the voices that will always oppose changes that are necessary to reform the way that the NHS works. I hope that, while listening to those voices, the Minister can assure us that these essential reforms will be carried through and that the period of uncertainty for the NHS will not be any longer than it needs to be before we can get to the kind of reformed NHS that we all want to see.

5. Lord Blyth of Rowington: Conservative - Senior adviser to ­investment bankers Greenhill. Former Boots Chemists deputy chairman.
Tory Donor. Stands to gain from the break up and privatisation of the NHS wants and would surely like to buy the Walk in Centres at an agreed cut-price with Cameron. Didn't vote on bill.

6. Lord Boswell - Conservative - Has shares in Reckitt Benckiser which produces drugs for the NHS amongst other health institutions. NHS is currently suing Reckitt Benckiser for £90 million following an investigation that ruled the company had abused its dominant position in the heartburn market. The company has just paid a fine for £10.2 million in 2010 following a ruling by the Office of Fair Trading which found them guilty of illegal anti-compative behaviour relating to their heartburn product Gaviscon. Lord Boswell's shares have in brackets household part of the company, but in the end it is the same company. He also has shares in GlaxoSmithKline PLC pharmaceuticals. Voted loyally on the Health and Social Care bill.

7. Baroness Bottomley of Nettlestone: Conservative - The former Conservative Health Secretary Virginia Bottomley is a Director of BUPA, the health insurance, private hospital and care group. Voted on key amendments in of the Health and Social Care bill, despite having a below average vote turnout of 23.33%. Click here for more indepth look at why Baroness Bottomley shouldn't have been allowed to vote.
Quotes on bill:  'I give this Bill an unequivocal and extraordinarily warm welcome.'  
'It is romantic poppycock to think that the Secretary of State should be personally involved ...'
8. Lord Brittan - Conservative - 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. Voted loyally on the Health and Social Care bill.

9. Baroness Byford - Conservative - has shares in Reckitt Benckiser (personal care).  which produces drugs for the NHS amongst other health institutions. NHS is currently suing Reckitt Benckiser for £90 million following an investigation that ruled the company had abused its dominant position in the heartburn market. The company has just paid a fine for £10.2 million in 2010 following a ruling by the Office of Fair Trading which found them guilty of illegal anti-compative behaviour relating to their heartburn product Gaviscon. 
Shares in GlaxoSmithKline pharmaceuticals which supply the NHS. Shares in Uniliver plc (domestic products) Unilever whose European venture capital arm Unilever Ventures joined with a company called Vectura to form a pharma arm to their company. Shares in Croda International plc which has a health division which products and has extensive links with the NHS. Voted loyally on the Health and Social care bill. 

10. Lord Carrington - Conservative - has shares in GlaxoSmithKline pharmaceuticals, suppliers to the NHS. shares in Unilever plc. Unilever has a European venture capital arm Unilever Ventures joined with a company called Vectura to form a pharma arm to their company. Although Lord Carrington's shares are stated as being in household products, in the end it is the same pot. Voted loyally and managed to get into vote despite having just a 9.54% vote turnout record.

11. Lord Chadlington: Conservative - Chief executive of Huntsworth communications group with several lobbying firms. Huntsworth Health chaired a meeting on commissioning on behalf of Healthcare Communications Association, a group whose members consist of PR agencies and pharmaceutical companies. Members set to make increasing profits from the Health and Social care bill.  Voted on key areas of the Health and Social Care bill. For more on Lord Chadlington and why he should be allowed to vote on this bill, click here.
 
12. Lord Coe: Conservative - In February 2011 became Director of AMT-Sybex Group, IT supplier to the NHS. Same company that paid for a trip of former MP Robert Keys. A very low 8.21% vote turnout, voted loyally on the Health and Social Care bill. 

13. Baroness Cumberlege of Newick: Conservative - 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.  Former executive director of healthcare consulting firm MJM healthcare solutions. Voted loyal on the health and Social Care bill, despite having a below average turnout.

Quotes on bill: 'I applaud the flexibility of the Bill.'


14. Lord Deighton: (New) Conservative - Shares in Synergy Pharmaceuticals, Inc - a biotechnology company.

15. Lord Dixon-Smith - Conservative - has shares in Vodaphone group plc - Vodaphone 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 Vodaphone UK as its communications partner. Voted loyally on Health and Social Care bill.

16. Baroness Eccles  - Conservative - Has shares in GlaxoSmithKline (Healthcare) - GlaxoSmith Kline. GSK is the UK's leading supplier of COPD medicines. Voted loyally on Health and Social Care bill.
Quote on the bill. 'My Lords, I am delighted to support this bill.' 'I hope that this bill will initiate a sea change in the way that we approach the nation's health...'

17. Lord Edmiston - Conservative - Shareholdings in Bupa Finance plc - a Bupa director is Baroness Bottomley - Bupa provides health insurance, private hospital and care group in direct competition with the NHS. Shares in Fidelity International Ltd, which acquired Telehealth Solutions Ltd in 2011 - Telehealth have partners in the NHS and private healthcare - and has several contracts with the NHS. Has won award for work in the NHS and telehealthcare is promoted by Andrew Lansley. Voted loyally on Health and Social Care bill.

18. Lord Feldman of Elstree - Conservative - Shares in BTG pharmaceuticals - BGT are a UK company that manages commercialisation activity in pharmaceuticals. BTG acquired Biocompatiibles in 2010. Biocompatibles supplies medical devices.  Voted loyally on bill.

19. Lord Feldman - Conservative - Shares in Inverness Medical, now Alere, a global healthcare company who work with many PCTs including the 'healthcheck programme.' Voted loyally.

20. Lord Fink - Conservative - Director of multiple companies including: The Global PR network Ltd, which covers the health and medical sector, in which he has shares. Chairman and Director of Zenith hygiene Group plc, an approved NHS supplier. Shares run independently by Lombard Odier the company in charge of his share portfolio include: Abbott Laboratories ltd (pharmaceuticals), Allianz SE, which offers medical insurance, Prudential plc, which offers private health insurance, Siemens AG, which supplies medical equipment to the NHS, Vodaphone group, South-Central ambulance service NHS trust have appointed Vodaphone UK as its communications partner. Voted loyally in the Health and Social care bill amendments.

21.
Lord Flight – Conservative - director of Investec Asset Management –

Investec Asset Management is a specialist provider of investment products and services. Their clients include healthcare and some of the world’s largest private and public sector pension funds, insurers and corporates, and range from foundations and central banks to intermediated and direct investors. Voted with the government on all key divisions of the Health and Social Care bill.

Chairman of Arden Partners plc who have invested in Deltex Medical Group. The company produce a telehealth product adopted by the NHS.


22. Lord Forsyth of Drumlean: Conservative - Senior adviser to ­Evercore, bank involved in huge healthcare deals. Voted loyally on health and Social care bill.

23. Lord Freeman: Conservative - The ex-health minister is chairman of the Advisory Board 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”. 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. Lord Freeman became non-executive chairman in 2007. Voted loyally on Health and Social Care bill.

24. Lord Garel-Jones: Conservative - MD of UBS bank, whose healthcare division earned the firm over $1billion since 2005. Voted on key dates of the Health and Social Care bill.

25. Lord Glendonbrook - Conservative - Has shares in Ansell Ltd NPV (healthcare), Abbott Laboratories, supplies NHS with Lab equipment, reagents. Shares in Astrazeneca biopharaceuticals - The NHS is the primary customer for Astrazeneca medicines in the UK. Shares in GlaxoSmithKline Ord 25p (healthcare), GlaxoSmithKline (healthcare), Johnson & Johnson, which supplies the NHS. Shares in Novartis who threatened to pull out of the UK becaue the NHS safety trial rulesShares in Novo Nordisk (pharmaceuticals) supplies NHS, shares in Pfizer Inc (pharmaceuticals) supplies NHS. Shares in Serco group, which has multiple contracts with NHS including PFI hospitals. Shares in Siemens AG, which supplies medical equipment to the NHS. Shares in Smith & Nephew, hip-replacement and bandaging group. Unilver plc, whose European venture capital arm Unilever Ventures joined with a company called Vectura to form a pharma arm to their company. Voted loyally on the Health and Social care bill.

26. Viscount Goschen - Conservative - is paid by though it doesn't say in which capacity by Korn/Ferry International - is an international executive search firm - they run healthcare services - Among the diverse range of healthcare organisations they have secured and developed top healthcare executives are 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. Voted loyally on the Health and Social care bill.

Vanni Treves who is a director elect of Homerton Hospital NHS Trust, is also chair of Korn/Ferry International and Intertek Group Plc.

In 1993 when Virginia Bottomley was health secretary, Korn Ferry made the news when it was revealed Oxford Regional Health Authority forked out £30,000 to Korn Ferry to find its new £80,000-a-year chief executive; Oxford District Health Authority spent pounds £60,000 to get its new chief executive and director of finance; and Oxford Family Health Services Authority paid £30,000 for a replacement chief executive.

The worst thing about this particular case is that, for one of the posts, the company did little more than place an advert in newspapers and draw up a short list.' No doubt Koln Ferry will be recruiting for the new NHS.  


27. Lord Griffiths of Fforestfach: Conservative - Director of Goldman Sachs bank, provider of services to healthcare firms. Chief executive of Circle Ali Parsa was an Executive Director of Goldman Sachs -  Voted loyally on the Health and Social care bill.

28. Lord Hamilton of Epsom - Conservative: Has a directorship with MSB Ltd (managing consultancy), who have NHS, Bupa and CareUK listed as their clients. Care UK chairman John Nash funded Andrew Lansley's office. Voted loyally on the Health and Social Care bill.

Quotes: 'My Lords, surely one of the problems of the National Health Service is the wall of money that was thrown at a totally unreformed NHS by the last Government? Do we not need management consultants now to show us the way forward on the savings that need to be wrung out of the NHS so that it can survive into the future?' Hansard source (Citation: HL Deb, 13 February 2012, c556)

Earl Howe responded - Yes, we do, my Lords. Part of the benefit of the modernisation programme will be to streamline the architecture of the NHS.

29. Lord Hayhoe - 
Conservative - shares in Abbott Laboratories ltd (pharmaceuticals, and medical products) supplies NHS. Didn't vote.

30. Baron Higgins of Worthing
: Conservative - Holds in excess of £50,000 of shares in Lansdowne UK Equity Fund, backers of private hospital group Circle Holdings. Voted loyally. 

31. Lord Hill - Conservative - 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 his leadership campaign. Voted loyally.

32.
Lord Hodgson of Astley Abbotts – Conservative - Chairman, Nova Capital Management – who own Accentus Medical and formerly owned life science company Sterilin Limited and healthcare call center services company notifymd.
33. Baroness Hooper: Conservative - Until July 11, chairman of Advisory Committee of Barclays Infrastructure Funds, one of the most experienced investors in hospital PFI deals. Voted loyally.

34. Lord Howard of Lympne: Conservative - Senior adviser to ­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. Andrew Lansley met Hawkpoint partners for dinner on 30th June 2011. What was said? Voted loyally.
35.  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. Hey have a membership list that is hidden. There are currently four patrons of 2020health – who all have healthcare links. For more on the Earl please click here.

36. Lord Hunt of Wirral: Conservative - Partner in Beachcroft, a law firm that offers incisive analysis on the full range of government, parliamentary and regulatory matters in the health sector. Voted loyally.

37. Baroness James - Conservative - has shares in AstraZeneca (pharmaceuticals). The NHS is the primary customer for Astrazeneca medicines in the UK. GlaxoSmithKline plc (healthcare) supplies the NHS. Shares in Reckitt Benckiser Group plc, which produces drugs for the NHS amongst other health institutions. NHS is currently suing Reckitt Benckiser for £90 million following an investigation that ruled the company had abused its dominant position in the heartburn market. Serco Group (business services), which has multiple contracts with NHS including PFI hospitals. Smith and Nephew (healthcare) supplies hip replacement and bandaging to the NHS. Shares in Vodafone Group (communications) - Vodaphone 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 Vodaphone UK as its communications partner. Has a 10.34% voting turnout but managed to vote on a lot of the Health and Social Care bill amendments.

38. Lord Lang of Monkton: Conservative - Director of Marsh & McLennan Companies that "help hospitals, insurers, pharmaceutical companies and industry associations understand the implications of changing policy environments". Voting record is below average, but managed to vote on the Health and Social care bill amendments, 
39. Lord Lawson - Conservative - Chairman of Oxford Investment Partners whose investment management team 'has more than 50 years of investment experience with a dedicated focus on communications, healthcare and sustainability.  Lawson once said 'the NHS was the closest thing the English had to a religion'. Perhaps the closet thing the Lords have to a religion is money? Oxford Capital Partners invested £550,000 in Oxitec Ltd led investments in a number of science and technology companies including several spin outs from UK universities. Our current investment portfolio includes 8 university spin outs of which four are from the University of Oxford: Avidex (drug discovery); g-Nostics (pharmacogenetics); Oxonica (nanotechnology) Vote is below average - voted loyaly on the Health and Social Care bill.
40. Lord Lloyd-Webber - Conservative - Shares in Catlin Group Limited, began writing Healthcare Professional Liability insurance in London in 1994. They offer extensive knowledge of medical, healthcare and pharmaceutical markets. Shares in Smiths Group plc, which produces medical equipment. Shares in AstraZeneca (pharmaceuticals). The NHS is the primary customer for Astrazeneca medicines in the UK. Shares in Gilead Sciences, a research-based pharmaceutical company, which supplies the NHS. hares in GlaxoSmithKline (pharmaceuticals), and Johnson & Johnson (pharmaceuticals), which both supply to the NHS. Standad life, which supply Private Medical Insurance plans to both corporate and individual customers and have an extensive range of healthcare products. Raffles medical group - operates a network of 74 multi-disciplinary clinics across Singapore. Shares in Stryker Corporation orthopedic market and is one of the world’s largest medical device companies. Has voted in 1.49% of votes in this House with this affiliation — well below average amongst Lords. (From Public Whip). Voted in the Health and Social care bill on commissioning.

41. Lord Macfarlane: Conservative - Has shares in Prudential plc, which offers private health insurance. Shares in Aviva plc, which offers private health care. Shares in Smith & Nephew (Pharmaceuticals) hip-replacement and bandaging group.Has voted in 6.25% of votes in this House with this affiliation — well below average amongst Lords. (From Public Whip). Voted loyally on the Health and Social Care bill. 

42. Lord Magan of Castletown: Conservative - Director of the SISK Group of healthcare companies. Member of the advisory board on Axa Private equity, which invests heavily in healthcare. Voted loyally on the Health and Social Care bill

43. Lord Maples - (deceased 9th June 2012) Shares in Berkshire Hathaway Inc the company run by Warren Buffet - the conglomerate invests heavily in private healthcare companies - 6 out of their 41 stocks are in healthcare. Voted loyally on the Health and Social Care bill.

44. Lord Marland - Shares in Tristel Ltd plc - a leading provider of infection control products into the NHS. Shares in Jardine Lloyd Thompson plc - their website states 'the placing and serving of healthcare insurance...is a specialist field in which we excel.' Their insurance covers hospitals, Physician  cover, Clinics, Long-term care, allied health professionals and more. Voted loyally on the Health and Social Care bill.

45. Lord McColl - Conservative - 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. Endeavour Health was founded last year by two financial advisers, Briton Yadin Shemmer and American Jonathan Weiss, to compete with the NHS. http://www.timesonline.co.uk/tol/news/politics/article6801270.ece- has since claimed no ties with the company. Voted loyally on the Health and Social care bill.

46. Lord Moore: Conservative - Shares in Johnson & Johnson, which supplies the NHS. Merck & Co inc (pharmaceuticals, Novartis AG (pharmaceuticals), which supplies the NHS. Shares in BT group, which is one of the largest suppliers of communications to the NHS. BT was involved in the failed NHS computer system overhaul. Shares in Vodaphone group: Vodaphone 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 Vodaphone UK as its communications partner. Has voted in only 14.53% of votes below average, but managed to vote on all the Health and Social Care ones.

47. Lord Naseby: Conservative - Was until October 2011 Chairman of and a share-holder in Invesco Perpetual Recovery Trust. Trust voluntarily wound down on October 27th 2011 - One fifth of their investments were in pharmaceutical and biotechnology companies. Voted loyally on the Health and Social Care bill.

Quotes on bill: 

'I want to make it clear that I support the Bill. More importantly, I support the need for the Bill.'  
'Finally, competition is good for any industry...Competition gives people pride and responsibility.'



48. Lord Nash: (New) Conservative - In November 2009, John Nash made a donation of £21,000 to then shadow health secretary Andrew Lansley, now Secretary of State for Health. 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. At least Lord Nash didn’t vote on the bill as he was made a Peer in January 21st 2013. However, despite these interests, he would still be allowed to for any future bill that is on healthcare.

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. See article on Lord Nash.

49. Lord Newton of Braintree
: (deceased) Conservative - Advisor to Oasis Healthcare on dentistry and general healthcare matters. Voted loyally on the Health and Social Care bill.

50. Baroness Noakes - Conservative - Shares in BT Group (communications), which is one of the largest suppliers of communications to the NHS. BT was involved in the failed NHS computer system overhaul. Shares in Astrazeneca (Pharmaceuticals) - The NHS is the primary customer for Astrazeneca medicines in the UK. GlaxoSmithKline (pharmaceuticals) supplies the NHS. Vodaphone Group plc, Vodaphone 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 Vodaphone UK as its communications partner. Voted loyally on the Health and Social Care bill.
Quotes on the bill: I hope that other noble Lords will not encourage the Government to keep any limits which constrain the NHS from maximising its assets for the purposes of the NHS.'

51. Lord Patten - Conservative -  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 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. The framework agreement began on 16th of August 2010. Has voted on 27.52% of votes in the Lords, below average amongst Lords. Voted loyally on the Health and Social Care bill. 

52. Lord Patten of Barnes: Conservative - Adviser to private equity firm Bridgepoint. Has invested heavily in multiple private healthcare companies. Has voted on 7.54% of votes as a Lord but managed to vote on Health and Social Care bill. 

53. Lord Popat - Conservative - Founder of TLC group Ltd who 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.

54. Lord Ribeiro: Conservative - 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. Voted loyally on Health and Social care bill.

55. Viscount Ridley: Conservative – appointed February 8th 2013 – shares in Diageo plc (drinks) – (See Andrew Lansley) - Johnson & Johnson Inc (pharmaceuticals)

56. Lord Saatchi - A partner and shares in M&C Saatchi plc - a marketing company. Involved in multiple campaign projects for the governement including the Change4Life project aimed at promoting healthier living to tackle obesity. M&C Saatchi also worked for PPP healthcare, AXA insurance.  Saatchi have multiple pharmaceutical clients, including; Astrazeneca, Pfizer and Merck. There website says: 'We transform raw data about life-changing brands into real meaning for healthcare professionals.' Has voted in 15.33% of votes in the house - well below average. Voted on key parts of the Health and Social Care bill. 

57. Earl of Selborne: Shares in Prudential, which offers private health insurance. Voted loyally on the Health and Social Care bill.

58. Lord Sheikh: Chairman and director of Macmillan Sheikh plc - insurance and financial services which offers private health insurance - voted loyally on Health and Social care bill. 

59. Lord Sheppard - Has shares in Diageo, a drinks company who have been awarded money to teach midwives in England and Wales on the dangers of alcohol. No, you can't make it up. Lansley used to hold a directorship at Profero who had Diageo as one of their clients. Didn't vote.

60. Lord Swinfen - Unpaid director of Swinfen Charitable Trust who have American Telemedicine Association as their partners for global crisis work using telehealth technology. Lord Swinfen is also an unpaid director of The American Telemedicine Association, which has multiple members who supply the NHS and private health care. The members according to the website: 'Play a special role in shaping the future of the telemedicine industry. The American Telemedicine Association has written a new legislative proposal to the American congress to expand the use of telemedicine. Telecare is expanding throughout the NHS as a way of treating people from home. These companies that are part of the American Telemedicine Association are set to benefit. Voted loyally on Health and Social Care bill. 

61. Lord Tugendhat - Conservative: Shares in MetLife, which is America's largest life insurance company also operates in the UK. It offers accident protection for clinical health care workers, to cover specified infectious illnesses contracted at work for those who work in the UK health care industry.It also offers health insurance. Set to benefit from the Health and Social Care bill. Has voted in 25.43% of votes in this House with this affiliation — below average amongst Lords. (From Public Whip) - Voted loyally for the Health and Social Care bill. Supported large chunks of the bill, but spoke out against the top-down re-organisation.  
Quotes on the bill: 'The Government's mistake was to introduce a Bill that sought to impose a massive programme of management and structural change on top of an ambitious cost-cutting programme.' Declared his interest as chairman of the Imperial College healthcare trust, but not of his shareholdings in MetLife. Adviser to Trilantic Capital Partners, a private equity firm “active” in healthcare. Voted loyally on the Health and Social Care bill.

62. Lord Wade
 - 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. Has voted in 28.33% of votes in this House with this affiliation — below average amongst Lords. (From Public Whip) Voted loyally.

63. Lord Wakeham: Conservative - Advisor to L.E.K. Consulting, which specialises in helping private healthcare companies identify "growth and new business development" and "opportunities with the government". Voted loyally on the Health and Social Care bill.

64. Lord Waldegrave
 - Tory Adviser, UBS Investment Bank UBS bank, whose healthcare division earned the firm over $1billion since 2005. Fellow Tory peer Lord Garel-Jones is MD of UBS bank. Has voted in 7.88% of votes in this House with this affiliation — well below average amongst Lords. (From Public Whip) - Voted in key votes on the Health and Social care bill.  Director of Biotech Growth Trust plc - which is managed by Orbimed. OrbiMed is the world's largest healthcare-dedicated investment firm, with approximately $5 billion in assets under management. Has just a 7.88% vote turnout, well below average but turned up to vote loyally on the Health and Social Care bill.

65. Lord Wasserman - Conservative - Shares in Diageo plc a alcohol drinks company who have been awarded money to teach midwives in England and Wales on the dangers of alcohol. No, you can't make it up. Lansley used to hold a directorship at Profero who had Diageo as one of their clients. Shares in Johnson & Johnson Inc, which supplies the NHS. Shares in Procter & Gamble Co, which supplies the NHS. Walgreen Company - American pharmaceutical company. For more on Walgreens. The bill will give pharmaceuticals even more diverse healthcare providers to build relationships with. 
Voted loyally on the Health and Social Care bill.

66. Baroness Wheatcroft: Conservative: 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. For more on Pottinger see Lord Pottinger. Voted loyally on the Health and Social Care bill.

67. Lord Wolfson - Conservative - Shares in Cable & Wireless plc - Cable & Wireless solutions for the Health Sector are 'intended to meet all the communications requirements of the health service, from the largest Trusts to the smallest GP surgeries. Some offer special features, and the service levels are available exclusively to NHS customers.' The services have already been selected through the NHS procurement procedure. Voted on key amendments dates on the Health and Social Care bill.

68 . Lord Young - Lord Young is Director, shareholder and principal investor in TSSI security.  It supplies equipment to the MOD, the NHS, the General Medical Council, universities, pharmaceutical firms, banks and corporations. Its blue chip customer list includes the NHS with a NHS smartcard system. TSSI were responsible for the first ever electronic database of doctors. The NHS Occupational Health Smart Card Scheme (OHSC) was sponsored by the  Dept of Health and newly created NHS Employers in 2001.The scheme was expanded in 2005 to include graduating medical students and in 2006 trusts were able to update records without doctors having to present their smart cards. NHS Employers Guidance for doctors on Smart Cards:



TSSI clients include Ramsay Healthcare.

Chairman of Camcom Medical – which has moved into healthcare through medical manufacturing.

KYP Holdings ltd (Marketing) – Shareholdings - KYP is a global marketing company based in London, New York and China which only launched in 2005 but has major clients, some of which are in the healthcare industry. PR newswire statesKyp's approach is grounded in consumer psychology and refined by creating custom solutions for an impressive list of leading brands including Procter & Gamble, AstraZeneca’. ‘Other shareholders participating included The Right Honorable Lord David Young of Graffham’.
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