Who dictates the NHS?

Who dictates the NHS?


4 August 2022

The following is an old report showing the real players in moving the privatisation of the NHS. Some links may be broken.

Located at 11 Strand (Kieran Cross) in London is the National Institute for Clinical Excellence (NICE), as well as the IRP (Independent Reconfiguration Panel), CHRE, the Council for Healthcare Regulatory Excellence, as well as CAIPE, the UK Centre for the Advancement of Inter-professional Education.

11 Strand, London, lies within the boundaries of what we have described as the John Adam St Gang network (aka ‘The Olympians’ or ‘The Committee of 300’).

Here is how a branch of the Adelphi, Heaven nightclub, is helping the vaccine agenda : 

Heaven set to be first nightclub vaccination centre : https://www.england.nhs.uk/london/2021/08/06/heaven-set-to-be-first-nightclub-vaccination-centre/

NICE: National Institute for Clinical Excellence:

What is the National Institute for Health and Clinical Excellence?

The National Institute for Health and Clinical Excellence (NICE) is an agency of the National Health Service charged with promoting clinical excellence in NHS service providers in England and Wales, by developing guidance and recommendations on the effectiveness of treatments and medical procedures.

These recommendations are issued in the form of “technology appraisals”. These are based on a review of evidence of clinical and cost effectiveness for a particular technology, and give recommendations about whether and in what circumstances the technology should be used in the NHS. The majority of technologies assessed by NICE are pharmaceuticals, but it has also considered surgical procedures, medical devices and screening technologies.

NICE also produces “clinical guidelines”, providing wider guidance on the management of whole diseases or clinical conditions, which cover several different treatment options.

The Institute is also responsible for assessing the safety and efficacy of interventional procedures for diagnosis and treatment.

It is tasked with conducting assessments and drawing up guidelines by the Department of Health and the National Assembly for Wales.

NICE is constituted as a Special Health Authority, and is accountable directly to the NHS chief executive – the permanent secretary at the Department of Health – and the Secretary of State for Health. [LINK]

The NHS in England and Wales is legally obliged to follow NICE’s recommendations.

Since January 2005 the NHS in England and Wales has been legally obliged to provide funding for medicines and treatments recommended by NICE’s technology appraisal board. [LINK]

The National Institute for Clinical Excellence also instructs schools to teach sex to 5 year olds, and ‘tells teachers that children should not be taught to say no to sex’.

Pupils aged five should be taught all about sex: Watchdog’s instruction to schools

 Children as young as five should be taught about sex, the Government’s controversial health watchdog said last night.

The National Institute for Clinical Excellence – whose main role is to ration NHS drugs – is to write to every primary school telling it to start sex education when pupils are five.

It will tell teachers that children should not be taught to say no to sex – but should learn about the value of ‘mutually rewarding sexual relationships’. [LINK]

Various NICE reports:

Guidance on the use of Methylphenidate for ADHD [LINK]

The National Institute for Health and Clinical Excellence (NICE) has published guidelines on smoking cessation services. [LINK]

The National Institute for Health and Clinical Excellence (NICE) has published a draft updated guideline on fertility that would see same-sex couples and women aged up to 42 eligible for fertility treatment on the NHS in England, Wales and Northern Ireland. [LINK]

The effectiveness of public health interventions to promote the duration of breastfeeding. [LINK]

NICE Issues Guidance on hearing aids [LINK]

Increasing the uptake of HIV testing among men who have sex with men (PH34) [LINK]

NICE to have ‘key role’ in adoption of genetic tests by NHS [LINK]

NICE International:  

NICE International contributes to better health around the world through the more effective and equitable use of resources.

It does this by providing advice on the use of evidence and social values in making clinical and policy decisions.

Latest news

August 2012: Workshops on developing standards for maternal care in conjunction with the government of Kerala, India

June 2012: Preparatory meeting on developing measures for reducing maternal mortality in Kerala

June 2012: Contributed to a workshop on clinical guideline development and implementation in Hyderabad, India in association with the Aarogyasri Health Care Trust

Featured project

NICE International (NI) has been actively involved in the Chinese Rural Health Reforms since 2009. Its main counterpart in China is the China National Health Development and Research Centre (CNHDRC), a policy think-tank part of the Ministry of Health, which has over the years been leading on policy-orientated research projects of health strategy and health system reform; academic-based research of National Health Account and payment as well as health financial protection; and application-centred project of technology assessment and policy evaluation across China. This collaboration has so far been sponsored by DFID China.

In this latest part of the project, NI engaged in a series of activities, with the aim of informing CNHDRC and MoH’s evaluation of the Clinical Pathways (CP) project, particularly with regards to its impact on costs and also to its potential for saving costs without compromising outcomes, in the longer run, should it be rolled out across rural China County hospitals.  [LINK]


IRP (Independent Reconfiguration Panel) at Kieran Cross, 11 Strand, London.

Welcome to the website of the Independent Reconfiguration Panel (IRP)

The Independent Reconfiguration Panel is the independent expert on NHS service change.

We were established in 2003 to provide advice to the Secretary of State for Health on contested proposals for health service change in England. We also offer ongoing support and advice to the NHS and other interested bodies on successful service changes. [LINK]

And here:

The Independent Reconfiguration Panel (IRP) is the independent expert on National Health Service (NHS) service change in the United Kingdom. Set up in 2003, the IRP advises the Secretary of State for Health on contested proposals for health service change in England. The IRP also offers informal support and guidance to the NHS and other organisations on achieving successful change

Lobbying firms retained

Sep 2010 – Nov 2010

Grayling provided UK public affairs consultancy services to Independent Reconfiguration Panel. [LINK]

The Independent Reconfiguration Panel again:

What does the IRP do?

The IRP offers independent advice to the Secretary of State on whether due process has been followed in formulating proposals to change NHS services and/or on the merits of a reconfiguration proposal.

An IRP review will take two to three months to research. The IRP considers whether proposed changes to health services ensure the provision of safe, sustainable and accessible services for local people. The focus of all reviews is the patient and quality of care. As part of the review process the IRP considers written evidence from all relevant NHS bodies and bodies who are contesting the reconfiguration plans, visits the main sites involved and meets with interested parties including; representatives of NHS bodies, the local HOSC, patient groups and staff groups, to gather information. Following collection of evidence the IRP will submit a report containing recommendations to the Secretary of State.

If the referral is not deemed suitable for a review by the IRP, the IRP will explain why a full review is not being recommended and, where possible, provide advice to the Secretary of State regarding further action to be taken locally. The IRP may advise the Secretary of State that the existing proposals should be implemented at a local level.

As well as formally reviewing contested cases referred by the Secretary of State, the IRP also provides advice to organisations involved in developing proposals for NHS service change. The aim is to provide support, spread good practice and avoid cases being contested and referred formally at a later date. The IRP only covers reconfiguration of services in England.

How does the IRP form its advice?

The IRP considers a number of factors when formulating its advice. Particular attention is paid to:

· If the proposals ensure safe, sustainable and accessible services for the local population

· Clinical and service quality, capacity and waiting times

· National policies e.g. National Service Frameworks

· The rigour of consultation processes

· Patient and public involvement in the decision making process

· The wider configuration of the NHS and other services locally, including likely future plans

· Other issues Ministers note in relation to service reconfigurations (general and specific).

· Relevant Government policy:

· Keeping the NHS Local – a New Direction of Travel [Department of Health, February 2003]

· Strengthening Accountability – Involving Patients and the Public [Department of Health, February 2003]

· Creating a Patient Centred NHS : Delivering the NHS Improvement Plan [Department of Health, March 2005]

· Our health, our care, our say: a new direction for community services [Department of Health,

January 2006]

· Maternity matters: choice, access and continuity of care in a safe service [Department of Health, April 2007]

Who sits on the IRP?

The IRP is made up of a small team of experienced clinicians, managers and lay members who have wide-ranging expertise in clinical healthcare, NHS management, involving the public and patients, and handling and delivering successful changes to the NHS.

The current Chair of the IRP is Dr. Peter Barratt, currently Chair of Nottingham University Hospitals NHS Trust and a former GP and Chair of Nottingham Health Authority. A full list of panel members including brief biographies can be found at: http://www.irpanel.org.uk/view.asp?id=47

Who makes the final decision?

The IRP is an advisory Non-Departmental Public Body (NDPB), and can offer advice only. The IRP’s advice to the Secretary of State for Health will be submitted on an agreed date and published on its website. The final decision on any contested proposal rests with the Secretary of State; s/he is not bound to accept the Panel’s advice and is solely responsible for the final decision.

References and further sources of information:

For further information, please see the Independent Reconfiguration Panel website:

http://www.irpanel.org.uk/view.asp?id=0    [LINK]

The IRP internationally:

The Panel has also been pleased to offer advice on reconfiguration to organisations from abroad including an expert group undertaking a review of the system for healthcare provision in France and the Irish Department of Health and Children on proposals for future healthcare provision in the Republic of Ireland. [LINK]

Also at Kieran Cross, 11 Strand:

The Council for Healthcare Regulatory Excellence. (CHRE)

The Future of Scottish Devolution within the Union: A Consultation  2 March 2009

The Council for Healthcare Regulatory Excellence is an independent body accountable to the UK Parliament. Our primary purpose is to promote the health, safety and well-being of patients and other members of the public. We scrutinise and oversee the healthcare professional regulatory bodies1, work with them to identify and promote good practice in regulation, carry out research, develop policy and give advice.

We welcome the opportunity to respond to the Commission’s consultation on the future of Scottish devolution within the Union. One of the powers and functions which is specifically highlighted in the consultation document is the regulation of healthcare professionals. We agree with the position expressed by the Commission in its First Report that the shared aim of the UK and Scottish Governments should be to work together to ensure a common framework for healthcare professionals across the UK’.2 It is our conclusion that UK-wide regulation of healthcare professionals brings clear benefits to patients, the public, professionals and employers in Scotland and the other three countries of the Union.  [LINK]

And further here:

To: European Commission Directorate-General for Health and Consumers

Re: Green Paper on the European Workforce for Health  31 March 2009

We welcome the opportunity to respond to the consultation on the Green Paper.

We wish to raise a number of concerns we have on the subjects covered by the Paper, where we believe that the safety of patients and other members of the public across the European Union is currently at risk.  [LINK]

And here:

Protecting the public from unregistered practitioners

Tackling misuse of protected title February 2010  [LINK]

The General Medical Council (GMC) is answerable to the CHRE:

Since 2001, the GMC has itself become answerable to the Council for Healthcare Regulatory Excellence (CHRE), which oversees GMC activity and may challenge fitness to practise verdicts which it considers too lenient. [LINK]

CHRE will become the Professional Standards Authority for Health and Social Care during 2012 [LINK]

UK Centre for the Advancement of Inter-professional Education At Kieran Cross, 11 Strand, London

CAIPE is the UK based Centre for the Advancement of Inter-professional Education.  It is:

– an independent ‘think tank’ comprising of individual and corporate members working with organisations in the UK and overseas to improve collaborative practice and thereby the quality of care by professions learning  and working together; 

–  a national and international authoritative voice on inter-professional education in both universities and the workplace;

–  a membership organisation established in 1987, it is a registered charity and company limited by guarantee.

CAIPE aims to promote and develop inter-professional education (IPE) with and through its individual and corporate members, in collaboration with like minded organisations in the UK and overseas, for the benefit of patients and clients.  [LINK]

BEME Workshop at CAIPE:

(BEME: Best Evidence in Medical Education)

BEME Workshop:
Exploring Evidence Informed Education in Health Care Sciences

Tuesday 8 March 2005; 10.00-16.30 hrs
UK Centre for the Advancement of Inter-professional Education, Kieran Cross,
11 The Strand, London WC2N 5HR

Evaluations of education initiatives can be systematically and transparently presented as evidence to guide education decision making.
This workshop will provide knowledge and understanding of this process.

1 Why evidence informed education? The national and international scene, an outline of BEME and similar organisations.
2 What counts as evidence? Scope, alternatives and assessing quality.
3 Looking for effectiveness. Choosing and measuring outcomes in professional education.
4 Gathering the evidence. Comprehensive overview of sources and examination and application of strategies
5 Using the evidence. Facing challenges and making changes in practice and for policy decisions.   [LINK]

The Health Protection Agency, (HPA) Adelphi, 1-11 John Adam Street, London.

As this location is John Adam Street, this lies within the ‘Olympians’ (aka the John Adam Street Gang or the Committee of 300 network.)

Health Protection Agency Central Office
Floor 11, The Adelphi Building
John Adam Street
The Strand
WC2N 6HT  


Who we are

About 2,700 people work for the Health Protection Agency. Alongside managers and support staff are people from a wide variety of scientific and medical backgrounds including:

* Specialists in communicable disease control – who tackle outbreaks of infectious diseases and prevent the spread of disease through vaccination and other measures
* Public health specialists
* Infection control nurses
* Emergency planning advisers
* Microbiologists – who study the organisms that cause infectious diseases
* Epidemiologists – who monitor the spread of disease
* Toxicologists – who study the effects of chemicals and poisons on the body
* Laboratory scientists and technicians
* Information specialists
* Scientists
* Information technologists
Many staff have not only national, but also international reputations for their work.  [LINK]

HPA and vaccinations:

After clean water, vaccination is the most effective public health intervention in the world for saving lives and promoting good health. The term vaccination originated from the procedure used to protect people with the first vaccine for smallpox, vaccinia.

This vaccine was derived originally from the serum from a cow infected with vaccinia virus (from the latin vacca, or cow). Vaccination is now used to refer to all procedures for immunisation. Immunisation is the process of protecting individuals from infection through passive or active immunity. Passive immunity is provided by administering antibodies, such as varicella zoster immune globulin, (VZIG) for preventing chickenpox in pregnant women. Active immunity is achieved through stimulating the individual’s immune system by an inactive vaccine (toxoid such as tetanus, inactivated organism such as hepatitis A vaccine, or subunit vaccines such as acellular pertussis vaccine) or a modified, attenuated live organism (such as oral polio vaccine or MMR).  [LINK]

Further Study