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| NHS changes: Lansley heckled in Downing Street protest | NHS changes: Lansley heckled in Downing Street protest |
| (40 minutes later) | |
| Health Secretary Andrew Lansley has been heckled and jostled by protesters as he arrived at Downing Street for a meeting on the future of the NHS. | Health Secretary Andrew Lansley has been heckled and jostled by protesters as he arrived at Downing Street for a meeting on the future of the NHS. |
| He was greeted by shouts of "shame" and one woman refused to stand aside, saying: "I've had enough of you." | He was greeted by shouts of "shame" and one woman refused to stand aside, saying: "I've had enough of you." |
| Prime Minister David Cameron called the meeting to push the case for changes to the NHS in England. | Prime Minister David Cameron called the meeting to push the case for changes to the NHS in England. |
| Groups including the British Medical Association and Royal College of Nursing say they have been excluded. | Groups including the British Medical Association and Royal College of Nursing say they have been excluded. |
| Proposals in the Health and Social Care Bill include giving GPs control of much of the NHS budget and opening up the health service to greater competition from the private and voluntary sector. | Proposals in the Health and Social Care Bill include giving GPs control of much of the NHS budget and opening up the health service to greater competition from the private and voluntary sector. |
| These have proved controversial. On Friday, members of the Royal College of Paediatrics and Child Health joined several Royal Medical Colleges, including the Royal College of GPs, in calling for the bill to be scrapped. | These have proved controversial. On Friday, members of the Royal College of Paediatrics and Child Health joined several Royal Medical Colleges, including the Royal College of GPs, in calling for the bill to be scrapped. |
| 'Not sensible' | 'Not sensible' |
| Unions and professional bodies, including the British Medical Association, the Royal College of Nursing (RCN) and the Royal College of Midwives, are also among those who also want it to be withdrawn. | Unions and professional bodies, including the British Medical Association, the Royal College of Nursing (RCN) and the Royal College of Midwives, are also among those who also want it to be withdrawn. |
| The government said the Downing Street meeting was designed for those "constructively engaged in implementing the modernisation". | The government said the Downing Street meeting was designed for those "constructively engaged in implementing the modernisation". |
| As he arrived, Mr Lansley was shouted at by several protesters waiting by the gates of Downing Street. | As he arrived, Mr Lansley was shouted at by several protesters waiting by the gates of Downing Street. |
| One woman, Jean Hautot, believed to be a former Unison rep, barred his way, telling the health secretary: "I'm not getting out of the way." | |
| Mr Lansley told her that the NHS was not being privatised and said waiting lists were down. | Mr Lansley told her that the NHS was not being privatised and said waiting lists were down. |
| She also appeared to prod Mr Lansley, who was forced to walk around her to get to a gate to enter Downing Street. | She also appeared to prod Mr Lansley, who was forced to walk around her to get to a gate to enter Downing Street. |
| Afterwards Ms Hautot told the BBC: "The NHS is supposed to be from cradle to grave. It doesn't matter who's in power; we're here to save the NHS." | |
| Another protester, London GP Louise Perkins, said: "Cameron is misrepresenting us by saying he has GP support. He doesn't. You could get the number of supporters into a telephone booth." | |
| Earlier Peter Carter, from the RCN, told BBC Radio 4's Today programme: "We really don't think it's a sensible way forward to think that you can have a meeting which has been called an emergency summit to take things forward without involving many of the key organisations that are intrinsic to making sure the NHS is successful." | Earlier Peter Carter, from the RCN, told BBC Radio 4's Today programme: "We really don't think it's a sensible way forward to think that you can have a meeting which has been called an emergency summit to take things forward without involving many of the key organisations that are intrinsic to making sure the NHS is successful." |
| In a statement on the meeting, the British Medical Association said: "It would seem odd if the major bodies representing health professionals were not included." | In a statement on the meeting, the British Medical Association said: "It would seem odd if the major bodies representing health professionals were not included." |
| And Sarah Gorton, the senior national officer for health at the public sector union Unison, said: "Health workers should have their voices heard when major changes to the health service are being discussed." | And Sarah Gorton, the senior national officer for health at the public sector union Unison, said: "Health workers should have their voices heard when major changes to the health service are being discussed." |
| A Downing Street spokesman said the prime minister had no plans to meet health groups opposed to the NHS changes, but added that he was "listening to health professionals about how we can implement the reforms we have set out". | A Downing Street spokesman said the prime minister had no plans to meet health groups opposed to the NHS changes, but added that he was "listening to health professionals about how we can implement the reforms we have set out". |
| 'Outcomes' | 'Outcomes' |
| He said the government had held "countless meetings with health professionals and would continue to do so". | He said the government had held "countless meetings with health professionals and would continue to do so". |
| At the meeting the prime minister is expected to point to evidence that emergency hospital admissions have fallen year-on-year for the first time. | At the meeting the prime minister is expected to point to evidence that emergency hospital admissions have fallen year-on-year for the first time. |
| Department of Health figures show a 0.5% decline in 2011, compared with a 36% increase between 2001 and 2010. | Department of Health figures show a 0.5% decline in 2011, compared with a 36% increase between 2001 and 2010. |
| Mr Cameron will stress that, at the same time, GPs have taken a more central role in shaping care for patients and the NHS has moved away from Labour's "targets" culture to the coalition's emphasis on "outcomes". | Mr Cameron will stress that, at the same time, GPs have taken a more central role in shaping care for patients and the NHS has moved away from Labour's "targets" culture to the coalition's emphasis on "outcomes". |
| The BBC News Channel's chief political correspondent, Norman Smith, said the government felt the time for "tweaking, amending and altering" the health bill was over and that there was no point continuing to "talk to those health groups they felt were pretty much decided against the changes". | The BBC News Channel's chief political correspondent, Norman Smith, said the government felt the time for "tweaking, amending and altering" the health bill was over and that there was no point continuing to "talk to those health groups they felt were pretty much decided against the changes". |
| Labour opposes the bill and party leader Ed Miliband said: "This bunker mentality is the wrong way to run the NHS... | Labour opposes the bill and party leader Ed Miliband said: "This bunker mentality is the wrong way to run the NHS... |
| "It's not too late to start listening to the doctors, the nurses and the midwives. It's not too late to listen to patients." | "It's not too late to start listening to the doctors, the nurses and the midwives. It's not too late to listen to patients." |