Foreword “This dossier of disgrace exposes the self- interest and lack of integrity at the heart of our Government’s sinister health reforms. In 2012 71 Members of Parliament with links to private healthcare interests, voted to sell-off our beloved NHS. They did this with no mandate from the people and our Prime Minister was one of them. The sheer scale of the conflict of interest is staggering. But it is the subsequent betrayal and privatisation of our NHS, driven by the monstrous Health and Social Care Act that has made this a genuine scandal for our democracy. The Government and their cronies must be exposed before it is too late to save our NHS.” Len McCluskey General Secretary Unite the Union PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Contents Executive Summary ............................................................................................................................. 7 Conservative MPs (64) ................................................................................................................... 7 1. David Cameron ...................................................................................................................... 7 2. Andrew Lansley . .................................................................................................................... 7 3. Harriet Baldwin........................................................................................................................ 8 4. Gregory Barker ....................................................................................................................... 8 5. Henry Bellingham ................................................................................................................... 8 6. Jake Berry................................................................................................................................ 9 7. Graham Brady......................................................................................................................... 9 8. Simon Burns ............................................................................................................................ 9 9. Nick de Bois ............................................................................................................................ 9 10. Steve Brine ............................................................................................................................ 9 11. Aidan Burley .......................................................................................................................... 9 12. Damian Collins.................................................................................................................... 10 13. David Davis ......................................................................................................................... 10 14. Jonathan Djanogly ............................................................................................................. 10 15. Richard Drax ....................................................................................................................... 10 16. Iain Duncan-Smith.............................................................................................................. 10 17. Philip Dunne ........................................................................................................................ 11 18. Michael Fallon ..................................................................................................................... 11 19. Mark Field ............................................................................................................................ 11 20. Liam Fox .............................................................................................................................. 11 21. George Freeman ................................................................................................................ 11 22. Mike Freer ........................................................................................................................... 12 23. Richard Fuller...................................................................................................................... 12 3 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 23. Richard Graham ................................................................................................................. 12 25. Philip Hammond ................................................................................................................. 12 26. Mark Harper ........................................................................................................................ 12 27. Nick Herbert ........................................................................................................................ 13 28. Jeremy Hunt ........................................................................................................................ 13 29. Margot James ..................................................................................................................... 13 30. Sajid Javid ........................................................................................................................... 13 31. Jo Johnson .......................................................................................................................... 13 32. Kwarsi Kwateng .................................................................................................................. 13 33. Mark Lancaster ................................................................................................................... 14 34. Dr Phillip Lee ....................................................................................................................... 14 35. Oliver Letwin ....................................................................................................................... 14 36. Peter Lilley ........................................................................................................................... 14 37. Tim Loughton ...................................................................................................................... 14 38. Mary Macleod ..................................................................................................................... 14 39. Francis Maude .................................................................................................................... 15 40. Maria Miller .......................................................................................................................... 15 41. Andrew Mitchell .................................................................................................................. 15 42. Penny Mordaunt ................................................................................................................. 15 43. Brooks Newmark ................................................................................................................ 16 44. Jesse Norman..................................................................................................................... 16 45. Stephen O’Brien ................................................................................................................. 16 46. George Osbourne .............................................................................................................. 16 47. Richard Ottaway ................................................................................................................. 17 48. Priti Patel ............................................................................................................................. 17 49. John Redwood .................................................................................................................... 17 50. Jacob Rees-Mogg .............................................................................................................. 18 51. Malcolm Rifkind .................................................................................................................. 18 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 52. Amber Rudd ........................................................................................................................ 18 53. David Ruffley....................................................................................................................... 18 54. Mark Simmonds.................................................................................................................. 19 55. Chris Skidmore ................................................................................................................... 19 56. Julian Smith......................................................................................................................... 19 57. Nicholas Soames ............................................................................................................... 19 58. John Stanley ....................................................................................................................... 20 59. Andrew Tyrie ....................................................................................................................... 20 60. Robin Walker ...................................................................................................................... 20 61. David Willetts ...................................................................................................................... 20 62. Rob Wilson .......................................................................................................................... 21 63. Tim Yeo................................................................................................................................ 21 64. Nadhim Zahawi ................................................................................................................... 21 Liberal Democrat MPs (7) ............................................................................................................ 21 1. Menzies Campbell ................................................................................................................ 21 2. Vince Cable ........................................................................................................................... 21 3. Nick Clegg ............................................................................................................................. 22 4. Simon Hughes ...................................................................................................................... 22 5. Stephen Lloyd ....................................................................................................................... 22 6. Robert Smith ......................................................................................................................... 22 7. Jo Swinson ............................................................................................................................ 22 Appendix – Health Secretary Jeremy Hunt - donations ............................................................... 23 In a nutshell .................................................................................................................................... 23 Key points ....................................................................................................................................... 23 Jeremy Hunt and the hedge fund boss ................................................................................. 23 Social Finance Ltd. ................................................................................................................... 23 The first NHS ‘pay for success’ bond: paying for home deaths ......................................... 23 Mega profits ............................................................................................................................... 23 5 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Detail with references ................................................................................................................... 24 Andrew Law ............................................................................................................................... 24 Law and Jeremy Hunt .............................................................................................................. 24 Social Investment Bonds ......................................................................................................... 25 The first NHS Social Investment Bond .................................................................................. 25 SIBs mean big money .............................................................................................................. 26 Social Investment Bonds and Goldman Sachs .................................................................... 27 Social Finance Ltd and Goldman Sachs ............................................................................... 27 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Executive Summary A Unite investigation has uncovered 64 Tory and 7 Liberal Democrat MPs who have recent or current financial links to companies or individuals trying to profit from the sell-off of the NHS. All of them voted for the Health and Social Care Act, which created a legal mechanism to force commissioners to put NHS services up for sale. The MPs identified have these interests in every stage of the healthcare value chain from private equity firms that fund private healthcare companies, to shareholdings in those same companies. They are Chairman, partners, advisors, and owners in areas that include pharmaceuticals, care homes, private health insurance, as well as lobbying, media and recruitment for the sector. When the Health and Social Care Act was still being debated in parliament, Nadhim Zahawi said it was a “brilliant piece of legislation”. It certainly helped some people. ‘SThree’, the recruitment company where Mr Zahawi is a non-executive director has gained £2.6 million in revenue by filling vacancies created by the Act. Previous Unite research published in the Guardian, confirmed that over £1.5 billion of NHS funding went to just 15 companies connected to 23 Tory MPs and Lords through a combination of donations, shares, employment and ownership. 1 This report shows that that was just the tip of the iceberg. Twelve of those are listed below. Conservative MPs (64) 1. David Cameron – Prime Minister Financial link: Nursing and care home tycoon Dolar Popat has given the Conservatives £209,000. The Ugandan-born dad-of-three has amassed an estimated £42 million fortune as founder and chief of TLC Group, which provides services for the elderly. Mr Cameron made the businessman a peer shortly after entering No10 in May 2010, and Lord Popat’s donations include a £25,000 gift registered a week after the Tories’ health reforms were unveiled last July. Recent research by Unite has revealed the company now run by Lord Popat’s wife has gained over £4 million for providing Care services since the Health and Social Care Act came into being. 2 2. Andrew Lansley - former health secretary and current MP for South Cambridgeshire. John Nash, the former chairman (until 2010) of Care UK, gave £21,000 to fund Andrew Lansley’s personal office in November 2009 when he was shadow health secretary and preparing the White paper that led to the health and Social care bill. The telegraph reported that a senior director of Care UK confirmed that 96 per cent of Care UK’s business, which amounted to more than £400 million last year, came from the NHS. - Hedge fund boss John Nash is a regular Conservative donor with close ties to the healthcare industry. 3 7 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Recommendations by Bridgepoint for the acquisition of Care UK suggested John Nash would realise £20.2 million cash proceeds from the sale. John Nash and his wife Caroline gave £203,500 to the party over the past five years. John Nash is 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 £252,429.45.4 His donations included £50,000 to be a member of the party’s “Leader’s Group”, a secretive cash-for-access club. The would-be MP, who tried but failed to get selected as the election candidate in Bracknell, is managing partner at Sovereign Capital. 5 6 In 2008 Andrew Lansley received a donation from Julian Schild used to support his office in his capacity as Shadow secretary for health. Julian Schild’s family made £184 million in 2006 by selling hospital bed-makers Huntleigh Technology. Andrew Lansley’s wife, Sally Low, is founder and managing director of Low Associates (“We make the link between the public and private sectors”). A Daily Telegraph report in February records that the Low Associates website lists pharmaceuticals companies SmithKline Beecham, Unilever and P&G among its clients. It also records Ms Low’s assertion that the company “does not work with any client who has interests in the health sector”. The website currently contains no reference to the drug firms listed above. 7 Christina Lineen, a former Head of Communications at private health company Circle spent two years working for Lansley, when a shadow health secretary. Quote: "The NHS is not for sale, there will be no privatisation." 3. Harriet Baldwin Conservative MP for West Worcestershire. Former managing director of JP Morgan Asset Management. JP Morgan is a major player in healthcare. According to their website they serve: 1,100 hospitals, 10 of the top 10 health insurers, thousands of physicians groups, top five pharmacy benefit managers, six of the top eight pharmacy retailers. Ms Baldwin has shares in JP Morgan Employee 98 Trust. 8 9 4. Gregory Barker Conservative MP for Bexhill and Battle. In 2008 held shares in HR company Penna plc. In February, HFMA and Penna plc partnered to deliver HR services to the NHS - Was an operating advisor to Pegasus Capital Advisors, LP, and a private equity firm with health companies in their portfolio. Had shares in Quester VCT 5 plc a venture Capital with multiple investments in healthcare companies. 10 5. Henry Bellingham Conservative MP for North-West Norfolk - Former director and has shares in Lansdowne Advisory Ltd, who have shares in private healthcare company, Circle. 11 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 6. Jake Berry Has registered interests in Top legal 500 firm Squire Patton Boggs (UK) LLP, (formerly Squire, Sanders & Dempsey (UK) LLP) as a consultant advising on client services, business development and on other specific matters. They work with multiple NHS trusts and local authorities regarding PFI and PPP programs. 12 13 7. Graham Brady MP for Altrincham and Sale former advisor on marketing and business strategy to PA Consulting, a management consultancy company. PA Consulting has worked with the new Clinical Commissioning Groups. Other NHS involvement includes, training, helping commissioners in North-East London, performance management. 14 15 8. Simon Burns MP for Chelmsford and former MP - attended an oncology conference paid for by Aventis Pharma - a five-day trip to the US funded by a leading drug firm. 16 17 9. Nick de Bois MP for Enfield North – Until December 2011, De Bois was the majority shareholder in Rapier Design Group, an events management company heavily involved with the private medical and pharmaceutical industries, and whose clients include leading names such as AstraZeneca. The company was established by the Tory MP in 1998. Last year it had a turnover of £13m. Last April, Rapier Design purchased Hampton Medical Conferences to “strengthen the company’s position in the medical sector”. It is involved in running conferences and other events for private-sector clients, and for NHS hospitals. 18 10. Steve Brine MP for Winchester – According to the electoral register, received £14,999 in three separate payments £5,000 19/01/2011, £4,999 17/04/2012, £5,000 22/03/2013 from Mr James R Lupton who was appointed Conservative party Co-Treasurer in February this year. Mr Lupton has also given over a million pounds to Conservative central party in last three years. He is Chairman of investment bankers, Greenhill Europe, who have considerable transaction experience and a global network of corporate relationships in the Healthcare sector. 19 11. Aidan Burley MP for Cannock Chase: Received six bottles of wine from Hitachi consultants for a short speech he gave to a group of consultants on 11th March 2011. Hitachi Consulting UK is a leading government consulting company with an 18-year track record in the UK. They have extensive knowledge of the public sector, and many of their consultants have experience in the NHS. In 2010, they announced the completion of a delivery portal for Commissioning support for London (CSL). The creation of the new secure online portal provides National Health Service (NHS) commissioners with access to a set of tools to help them monitor how 9 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL their providers are performing. This is another example of private company benefitting from the privatisation reforms of the NHS. 20 12. Damian Collins MP for Folkstone and Hythe – Between 1999 and 2008 Mr Collins worked for marketing agency M&C Saatchi. M&C Saatchi clients include PPP healthcare, AXA insurance, Astrazeneca, Pfizer and Merck. See Lord Saatchi section. In 2008 he joined Lexington Communications as a senior Counsel before leaving to become a MP. Lexington Communications have a healthcare section, which says ‘With the NHS never far from the headlines, our dedicated team of healthcare communications consultants can advise you on how to successfully interact with a diverse range of stakeholders - in Westminster, Whitehall, the reformed NHS, across the patient group community and in the private sector – to help achieve your goals… Help you build relationships with influencers at a national level.’ 21 They have multiple fee-paying public consultancy clients in healthcare. 22 13. David Davis MP for Haltemprice and Howden: Received a payment of £4,250 for a 6hr speaking engagement for private health insurance company Aviva. 23 14. Jonathan Djanogly Conservative MP - Office received payment of £1,900 from Huntleigh Healthcare Ltd, 310312 Dallow Road, Luton. The company manufactures medical, orthopaedic equipment and instruments for measuring and is part of Huntleigh International Holdings Limited of the same address. They are a member of the Getinge Group, a Swedish based group of companies who are split between Healthcare and Life sciences. The acquisition of Huntleigh by Getinge took place in 2007. In 2008, he had shares in private healthcare company Medicsight, and private health insurance Aviva PLC. In 2008 had shares in WPP Group, a marketing giant in healthcare. 15. Richard Drax MP for Dorset South was selected for the Dorset South office in 2006. In 2009, his Dorset South office received £10,000 from ‘Derek E Luckhurst’, who is the CEO and owner of the care home group Agincare based in Dorset. Richard Drax’s constituency office received further donations from Richard E Luckhurst of £2,000 in March 2012 and £2,000 in March 2013. In November 2012, Richard Drax officially opened the Gainsborough Care Home run by Agincare. 24 Donation source – electoral commission 16. Iain Duncan-Smith MP for Chingford and Woodford Green. Has shares in hygiene technology company Byotrol plc, though no dividend received, which sells products to the NHS. 25 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 17. Philip Dunne MP for Ludlow. In 2008 was a non-executive director for investment Baronsmead VCT 4 plc, and has shareholdings in the company, which according to its second-half 2011 report, has multiple investments in private healthcare companies including Vectura Group plc, Alere Inc, who work with many PCTs including the 'healthcheck programme,' and Tristel plc, a leading provider of infection control products into the NHS. Healthcare & Education make up 9% of investments. 26 18. Michael Fallon Conservative MP for Sevenoaks – Former Director of Attendo AB - 2008 to 2013 - a Swedish private health company offering care and social care. 27 19. Mark Field MP for Cities of London and Westminster. Board Advisor to Ellwood and Atfield; a specialist recruitment firm in the public affairs and communications sector. They recruit for NHS positions as well as private healthcare. The MP’s role includes, amongst other things includes; ‘introducing the company to opportunities.’ 28 29 The press release announcing Mark Field's appointment as advisor said: ‘His experience, coupled with his political position, perfectly complements Ellwood & Atfield and reinforces the company’s position as the leading recruitment firm within communications and public affairs.’ 20. Liam Fox Conservative MP – became shadow health secretary in 1999 – employs Adam Werrity as a paid intern in 2004 – by this time Adam Werrity becomes a director of health consultancy firm ‘UK Health Ltd’ (now dissolved), while Liam Fox was shadow health secretary of which he and Liam Fox were shareholders. Werrity owned 11.5% of UK Health Group and Fox owned 2.3%. In 2005 a researcher based in Mr Fox’s office worked ‘exclusively’ for the now closed Atlantic Bridge ‘charity’, which Liam Fox was the founding member; Mr Werrity became director, and which had links to radical right-wing neocons in the U.S. The researcher received funding from Pfizer Inc. 30 He claimed ‘she has no function in any health role.’ 31The researcher was Gabby Bertin, who was until recently David Cameron's press secretary. Mr Fox received £5,000 to run his private office in October 2012 from investment company IPGL limited, who purchased healthcare pharma company Cyprotex.32 21. George Freeman His own business (Recently dormant): Has shares in Hill House Assets Ltd – which was http://www.4d-biomedical.com,33 a specialist adviser on Healthcare, markets, Technology development, Business strategy & Venture financing, working with NHS trusts. Speaking in Parliament on 11 November 2010 during the ‘Policy For Growth’ debate he said in regards to the national health service. “I know from my own experience that we are sitting on billions of 11 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL pounds-worth of patient data. Let us think about how we can unlock the value of those data around the world." 34 22. Mike Freer Finchley and Golders Green: Recently provided strategic marketing advice for Care Matters, a financial planning company for care, which includes in care homes. 35 36 23. Richard Fuller Bedford: Worked for L.E.K consulting from 1984 and intermittently until 2007. L.E.K consultancy have ‘six partners in our wider European healthcare practice, who would be able to provide commissioning support.’ 37 23. Richard Graham Gloucester - His constituency office received £3,000 from Circle investor, Mr Robin Crispin Odey on 03/12/2007. Richard Graham was elected MP for Gloucester at the last general election and like Odey has previously worked for Barings bank, which went bust in 1995. In total Odey has donated £222,000 to the Conservative party. 38 24. William Hague In 2008, William Hague was a non-executive director of IT company AMT-SYBEX,39 a position now held my Lord Coe. AMT-SYBEX is an IT supplier to the NHS. Former London Mayoral candidate Steven Norris is their chairman who sits on the Transport for London board. William Hague received £20,000 in donations from Bruce Ferguson MacFarlane, 40 who is a founding director of MMC Ventures, 41 which part-owns The Practice Plc that run 60 GP surgeries and further clinical assessment and treatment services across the NHS. 42 25. Philip Hammond Is a beneficiary of a trust who owns a controlling interest in healthcare and nursing home developer Castlemead Ltd. In 2008 he had shares in the company, of which he was a director from 1993-1995. The Castlemead website states: 'By building partnerships with GPs and PCTs we are able to offer a range of design and procurement solutions in particular via the 3PD (Third Party Developer) route...Castlemead has an excellent reputation for working with the NHS and as a long term investor in the sector, endeavours to build a positive working partnership with all stakeholders in a project.’ 43 44 26. Mark Harper Forest of dean: Electoral commission records show his constituency office received £5,000 on 09/02/2010 from Circle investor Mr Robin Crispin Odey just 3 months before the general election. 45 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 27. Nick Herbert MP for Arundel & South Downs – Electoral Commission records show he received donations from Caroline Nash - Ms Nash is the wife of John Nash who also funded Lansley's office when he was shadow health minister. He was Chairman of Care UK at the time. The donations were £15,000 in 2008 and in 2009. Founder of free market think tank Reform, which is part-funded by companies involved in private health. 46 28. Jeremy Hunt MP for South-West Surrey. Received donations of £32,920 from U.S-based hedge fund CEO Andrew Law. Mr Law is the CEO of Caxton Associates who as of November 2011, owned a market value of $217.659 million in healthcare. He is also funder and board member of Social Finance Ltd, a company which invents new ways to bring finance into public services, and is pioneering the first Social impact Bond for the NHS. Andrew Law has given £1,229,677 to the Conservative party. 47 48 29. Margot James Stourbridge: Co-founded public relations company, Shire Health Group. 49 The company was sold to business partner Ogilvy & Mather for £4 million in 2004, with the Conservative MP Margot James appointed Head of European Healthcare for marketing parent WPP Group. She stood down from WPP in 2008. WPP are a marketing giant with a massive list of healthcare clients. 50 One of their companies, ‘Grey Healthcare Group, boasts having 14 of the top 15 pharmaceutical companies as their clients. 51 30. Sajid Javid Conservative MP for Bromsgrove – Received £11,000 from Moundsley Healthcare Ltd registered52 on May 29th 2013. Electoral Commission Moundsley Healthcare Ltd run Moundsley Care Village Ltd, which is a nursing and residential care home. 53 31. Jo Johnson Orpington. According to the electoral Commission - the brother of Boris Johnson received £6,000 on 19th July 2010, to his constituency office from Robin Crispin Odey an investor in circle who run Hitchingbrooke hospital. 54 32. Kwarsi Kwateng Worked for Odey Asset Management hedge fund as an analyst who invest in Circle health who run the Hitchingbrooke hospital. The hedge fund is run by Robin Crispin William Odey who has donated to the Conservative party since 2007. Mr Kwateng received £10,000 from Odey Asset Management on 12th September 2011 for consultancy work for political advice to asset managers, which included ‘domestic affairs’. 55 13 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 33. Mark Lancaster MP Milton Keynes North – Former Non-Executive director Management consultant giving advice on strategy and business to property venture capital Company Palmer Capital Partners Ltd. Palmer capital have funded Danescroft Commercial Developments Limited. Danescroft’s main areas of operations are the Midlands and South of England, focusing on office and mixed use development and more specialist sectors such as local/district centres and healthcare. (Resigned 4 September 2012) but received a donation of £4,000 from Palmer Capita, which was registered in 13th March, 2013. 56 57 34. Dr Phillip Lee MP for Bracknell – Recently paid in a capacity as a freelance Doctor for Medical Solutions Ltd, who provide medical cover for events, including blood & Organ transport, ambulances, life boat crew and mobile treatment centres. 58 59 35. Oliver Letwin Conservative MP for West Dorset - in 2008, was a non-executive director of N.M. Rothschild Corporate Finance Ltd up until 2009. Rothschild Group are one of the world's largest investment companies and which invest heavily in healthcare. In 1986 he followed Redwood to the merchant bank N.M. Rothschild & Sons, succeeding him as head of the firm's International Privatisation Unit. He was a director of N.M. Rothschild & Sons from 1991 to 2003 and a non-executive director from 2005 to 2009. In 1988, he co-wrote the publication ‘Britain’s Biggest Enterprise – ideas for radical reform of the NHS’. 60 61 62 36. Peter Lilley Hitchin and Harpenden MP, Non-Executive Director of management software and systems company Idox plc. Idox provides local authorities with software & managed services, including the NHS Health Libraries Group, NHS Education for Scotland. TfPL part of the Idox Group, is a recruitment, training and consulting company, whose clients include NHS and private healthcare. 63 64 65 37. Tim Loughton MP for East Worthing and Shoreham - Received £350 from Cumberlege Connections for training sessions. Cumberlege Connections, a political networking firm that works "extensively" with the pharmaceutical industry. Received two lots of £300 in May, July 2013 for training session for Cumberlege Eden and partners. The company is co-owned by Conservative, Baroness Cumberlege, which went on to gain revenue developing CCGs made possible by the Health and Social care Act. 66 38. Mary Macleod MP for Brentford and Isleworth was previously a senior executive at Andersen Consulting/Accenture specialising in Banking and financial services as a senior executive. Accenture has gained from PFI contracts. 67 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 39. Francis Maude MP for Horsham – was a director of Huntsworth plc in May 2005, a PR consulting company run by Lord Chadlington, and which has funded the Conservative party since 2008. Huntsworth plc are a group of companies, one of which is called Huntsworth Health, who are part of a lobbying group Healthcare Communications Association, who comprise of Communication groups involved in health and pharmaceutical companies. 68 Maude was Non-executive chairman of advertising group ‘The mission Marketing Group’. One of their agencies, Bray Leino Vivactis was also established as Healthcare sector specialists and a new expert team was created via a firm co-operation with the mainland European Healthcare Group, Vivactis. Another company Maude was a non-executive director of, is a web management software provider called, Mediasurface, whose product Morello CMS is used by Astrazeneca and the NHS. The company was acquired by content management solutions, Alterian, in 2008. 69 40. Maria Miller Former director of Grey's Advertising Ltd, an advertising and brand company who work extensively with clients in the healthcare sector. Former director of the Rowland Group, which became Publicis Consultants, who are also a marketing company working extensively with private healthcare. 70 71 41. Andrew Mitchell MP In 2008 was a Senior Strategy Adviser to Global management and technology company, Accenture, who have worked extensively with private healthcare companies and the NHS. Pulled out of failed NHS I.T. programme, and gained form PFI contracts. In 2008 was a director of Financial Advisory and Asset Management company Lazard & Co, who work in the Healthcare and life sciences sector. 72 73 42. Penny Mordaunt Became an Associate for Hannover Communications in 2009, which provides services across the spectrum of corporate communications, media relations and public affairs for businesses and public sector bodies. The company work in healthcare and states: ‘So whether you are seeking to shape the policy and operating environment, defend or reposition your organisation, or drive sales and uptake for your products and services hanover can help you discover new ways to achieve success.’ The press release said: 'Penny Mordaunt, joined hanover as an Associate to work on a range of healthcare clients delivering public affairs and corporate communications programmes. Key clients include sanofi-aventis, Schering Plough and HEART UK, where Penny will be providing senior strategic counsel.' 74 15 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 43. Brooks Newmark Braintree MP: Prior to entering politics, Mr Newmark was a senior partner that provided research and advice on investment opportunities in the UK and Europe to Apollo Management LP, both independently and through Telesis Management Ltd. The former are a private equity company, which invests in the healthcare industries. Is a ‘Limited Partner’ in The Allele Fund, which invests primarily in healthcare startups. He is a Limited partner. 75 76 44. Jesse Norman Hereford and South Herefordshire. Received payment given to charity for speaking at a Quiller event. Quiller Consultancy. Quiller lobbyist George Bridges, friend to George Osborne and Cameron’s former election campaign manager, as well as Theresa May’s exchief of staff, and an ex-strategist for the Chief Medical Officer. Quiller lobbies for among others, Capita, the enormous outsourcing firm which has its eye on running NHS Direct, and a private equity firm heavily invested in health. Quiller is owned by Huntsworth Group who are owned by Lord Chadlington. According to the Electoral Commission, Mr Norman received £5,000 on 30th June 2009 from Circle healthcare investor Crispin Odey to his local Hereford constituency. 77 78 45. Stephen O’Brien Eddisbury MP: Stephen O’Brien’s office received three payments totalling £40,000 from Julian Schild. Mr Schild’s family made £184million in 2006 by selling hospital bed-makers Huntleigh Technology. In addition to this, Mr Julian Schild, of London, has provided financial support for research purposes, particularly in relation to an inquiry which Mr O'Brien was conducting on behalf of the Conservative Party into the NHS IT programme. (Registered 19 May 2008) - The MP for Eddisbury claimed the report of his links to the money donated by Schild was nothing more than a smear campaign as the details had been in the register of interests for ages. 79 46. George Osbourne Received donation through Conservative Campaign Headquarters to run his office from Julian Schild. Julian Schild’s family made £184 million in 2006 by selling hospital bedmakers Huntleigh Technology. A key figure in the Tory's strategy team has also come from the lobbying world. George Bridges, who now works closely with George Osborne, used to be employed by Quiller, which keeps its list of clients secret. Quiller is owned by Huntsworth, a public relations firm headed by Lord Chadlington, president of David Cameron's Oxfordshire constituency of Witney. 80 In 2008 received support for developing policy from The Boston Consulting Group who work extensively in healthcare - their website states: ' BCG’s deep experience in the health care industry extends to having a sector dedicated specifically to payers and providers. Our collaborative network of professionals allows us to share relevant expertise that can benefit organizations involved in the financing, management, and delivery of health care services.' 81 82 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL In April 2011, the Boston Consultancy Group produced a press release announcing the appointment of Dr. Graham Rich as Director of Health Services stating: ‘We are delighted that Graham is joining us as we continue to expand our team and range of advisory services to the NHS.’ Further support in policy development came from accountancy firm, Smith and Williamson, who do accounts in all sectors including Medical and healthcare. Additional policy development came from accountants Grant Thornton, whose website states: 'Within the public sector, we advise at all levels of the UK healthcare system from central government to regulators and providers, as well as clients in the social care sector.' 83 84 85 47. Richard Ottaway MP for Croydon South. 9-11 July 2007, visit to the USA to attend seminars and meetings with elected US officials and policy forums. His return flight and accommodation were financed by Atlantic Bridge and registered 4 years late on 20th October 2011. His reasoning for the late registration: “I have no idea why this was not done in 2007 after the visit.' 'It very much falls into the ‘cock up’ category of human error.' 'It was a low key, short visit 4 years ago when I was an opposition backbencher. Meetings were held with members of the Republican Administration and some policy forums. I have very little precise recall of the visit.' Atlantic Bridge is a former charity founded by Liam Fox, who made a speech to Atlantic Bridge in 2003 asked: “How Much Health Care Can We Afford?” Members of the Galen Institute, a think tank which promotes “free market ideas in health”, attended its conferences while the failed bank Lehman Brothers, sponsored at least one event, as did the powerful neocon think tank the Heritage Foundation. (Guardian). 86 48. Priti Patel MP for Witham In 2000, worked for drinks company Diageo (See Andrew Lansley), before joining Weber Shandwick, becoming a director of public affairs. Weber Shandwick was created and built by Lord Chadlington and has a specialist healthcare focus with companies including Astra Zeneca, Pfizer, and Roche, and also the NHS. 87 88 49. John Redwood Wokingham: Chairman of Investment Committee of Evercore Pan-Asset Capital Management Ltd. Evercore is involved in huge healthcare deals, and has shares in the company. In 2008, he gave a speech at a working lunch to Gerson Lehrman Group, who provide access to a global network of more than 55,000 experts from across the entire healthcare industry including physicians, researchers, scientists, and healthcare industry executives. 89 90 Member of the advisory board of EPIC Private Equity. ‘EPIC Private Equity invests £2-10 million in distressed, growth or buyout opportunities. It will consider most industry sectors, including consumer, retail, manufacturing, financial services, healthcare, support services and media industries.’ EPIC Private Equity part owns Pharmacy2u, the UK’s largest dedicated Internet and mail order pharmacy. 91 92 In 1988, he co-wrote the publication ‘Britain’s Biggest Enterprise – ideas for radical reform of the NHS’. 93 17 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 50. Jacob Rees-Mogg MP for North-East Somerset: Partner of Somerset Capital Management LLP, who have Redwood Emerging Markets Dividend Income Fund as a client, which invests in Healthcare. Has shares in Lloyd George Management Ltd; investment management, who invest in Healthcare. According to the electoral Commission, he received £2,000 to his constituency office on the 14th April, 2010 from Mr Robin Crispin Odey, a hedge funder who has invested in Circle healthcare. 94 95 51. Malcolm Rifkind Chairman of Advisory Board, L.E.K. Consulting LLP, which specialises in helping private healthcare companies identify "growth and new business development" and "opportunities with the government". Non-executive director of Unilever, Unilever Ventures joined with a company called Vectura to form a pharma arm to their company. 96 97 Non-Executive Director of Adam Smith International; which has described the NHS as a "centralized tax-funded monopoly". Instead it argues that the UK should "shift the balance of healthcare spending away from tax and more to the individual." At the same time, it says "we need to transform today’s state monopoly providers into independent, competitive ones" - ie private for-profit healthcare providers. In addition they have produced a couple of reports on the promotion of dismantling the NHS called: The NHS need for radical reform, From cradle to grave: The death of the NHS?, and Good sense on the NHS. 98 99 100 Non-Executive director of medical imaging company, Alliance Medical Group from January 2014. Receives £5,000 a month for 10 board meetings a year. They provide services to the NHS and to private patients. 101 52. Amber Rudd Was selected for Hastings and Rye in 2006 and she moved to the old town in 2007. In 2008, her office received £3,000 from Andrew Law. Mr Law is the CEO of Caxton Associates who as of November 2011 owned a market value of $217.659 million in healthcare. Andrew Law has given £231,530 to the Conservative party, all but £3,000 of this in 2012. 102 103 53. David Ruffley MP for Bury St Edmunds was a strategic advisor to Partnership Group Holdings Limited. Through it’s website, it offers residential care fee insurance, stating: ‘While the state can help with some costs, eligibility for help is limited and many people find themselves over the threshold for support so it is important to be aware of financial options available to you.’ 104 105 The company is a subsidiary of PAG Holdings Limited, which is majority owned by Cinven Funds. According to its 2010 annual report, they initiated a direct sales channel for care annuities, as well as ‘provide competitive loans to people with impaired lives.’ On its website it states: ‘Cinven has been involved in European healthcare over a 20-year period and invests in market-leading, cash-generative companies.’ Cinven is a leading buyout firm, who bought 25 private hospitals from Bupa. Other UK investments include. Spire Healthcare, who [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL run private healthcare hospitals, and whose clinical director Jean-Jacques de Gorter said the use of private sector would spiral as a result of Andrew Lansley’s reform proposals. General healthcare group, which runs healthcare services, and whose group includes: BMI healthcare. 106 107 Mr Ruffley also received a £10,000 donation from Caroline Nash in 2009 - Ms Nash is the wife of John Nash who also funded Lansley's office when he was shadow health minister. He was Chairman of Care UK at the time. Now Care UK has won contracts in his constituency. 108 109 54. Mark Simmonds Mark Simmonds, who was a shadow health minister when the controversial reforms were drawn up, was paid £50,000 a year to work just 10 hours a month as “strategic adviser” to Circle Health, the first firm to win control of an NHS hospital. 110 Mark Simmonds took up his role at Circle just five months after he had finished his role as Shadow Health Secretary. He also accepted a US trip to Boston worth £4,982 from private health provider BUPA. 111 112 Mark was also a member of the All Parliamentary Health Group acting as a co-chair to Conservative Peer Baroness Cumberlege. 113 55. Chris Skidmore Conservative MP for Kingswood who sits on the Health Select Committee received a payment of £3,500 for 4 hours work - giving speeches to STAC Consultancy http://www.stacconsultancy.com/ which specialises in the launch of pharmaceutical products, strategic branding and medical education. 114 Chris Skidmore's family also owns a company called Skidmore Medical http://www.skidmoremedical.com/, which appears to be solely selling a physiologic Vascular testing equipment. The company made two donations to Chris Skidmore’s office of £7,500 and £1544.25 in June 2010 and October 2009. 115 Donations: Received £5,000 to his office in run up to the election in 2010 from Caroline Nash, the wife of former Care UK chairman John Nash - electoral commission. 56. Julian Smith Julian Smith: MP for Skipton received a donation from Principle healthcare Ltd £2,500 in September 2014 - who produce Minerals, vitamins and supplements. The company joined the Parliamentary and Select Committee in March 2013116 57. Nicholas Soames MP Mid Sussex: Senior Adviser, to MMC Group; Marsh & McLennan an insurance financial services company. In a review for the Department of Health of the NHS litigation Authority - 19 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 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 accepted the large majority of Marsh's recommendations. 117 118 According to the electoral Commission, his office received £2,000 on 11th May 2010, from Crispin Odey who is an investor of Circle Health. Marsh is a risk and strategy management company that amongst other services helps ‘hospitals, insurers, pharmaceutical companies and industry associations understand the implications of changing policy environments". In the UK, Marsh delivers risk and insurance solutions to key areas of the healthcare industry, including major private hospital groups, some of the UK’s largest care providers, over 30 foundation trusts, medical technology providers and other healthcare service providers and funders. 58. John Stanley The MP for Tonbridge and Malling is a consultant on financial services to investment company, FIL Investment Management Ltd, who invest in healthcare. Donations: Fidelity Investment Management has given £495,000 to Conservative Central Party between 2004 and 2008. Electoral Commission. Fidelity own nearly a million shares in ATOS. Fidelity also has shares in AXA. 119 120 121 59. Andrew Tyrie In 2008 attended the Ryder cup in his capacity as 'Secretary of the Parliamentary Golf Society.' His travel and accommodation was paid for by U.S. healthcare services company Humana Europe. Humana started UK operations in 2006, in response to the framework for procuring external support for commissioners. They won two contracts with NHS Barnsley, and NHS East of England but pulled out of UK. 122 60. Robin Walker MP for Worcester. Local office received a £2,000 donation from Redwood Care Homes Limited Registered on March 2014. Redwood Care Homes own multiple care homes. Two of their care homes are listed as not ‘caring for people safety & protecting them from harm.’ 123 61. David Willetts Conservative MP for Havant and the Minister of State for Universities and Science. Former director in 2008, and has shares in Sensortec a company that owns Vantix which was working on a contract for a new product that can quickly detect MRSI. In 1993 when Baroness Bottomley as Secretary for Health wanted to privatise wards and hospitals, which Willetts supported, and was reported as saying: ‘private companies will want to change NHS labour practices, and not want to negotiate with NHS Unions.’ Had financial support paid to his research account by HGCapital private equity manager, Ian Armitage in 2008 HGCapital funds healthcare companies. 124 125 126 127 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 62. Rob Wilson Conservative - In 2010, the MP for Reading East had registered shares in Vital Imaging, a private screening company. 128 63. Tim Yeo In 2008 attended the Ryder cup. His travel and accommodation was paid for by U.S. healthcare services company Humana Europe. (See Andrew Tyrie) 64. Nadhim Zahawi MP for Stratford-on-Avon. Is a non-executive director of recruitment company SThree, who specialise in the Pharmaceutical & Biotechnology sector. The Company provides both permanent and contract specialist staffing services in the UK and Europe in a few sectors, including through Real Staffing, Pharmaceutical & Biotechnology and Healthcare. This element of the group also finds roles for areas of the NHS. 129 130 The company has gone on to gain at least £2.6 million through the new Clinical Commissioning Groups. 131 On the 4th April 2011 on a debate on the NHS ‘reforms’, When health secretary Andrew Lansley announced a pause in the Health and Social Care Bill, Zahawi reassured him that GPs were “absolutely passionate” about the reforms and described the plans as a “brilliant piece of legislation”. 132 Liberal Democrat MPs (7) 1. Menzies Campbell North East Fife: Non-executive director of Scottish American Investment Company plc since 2007. The investment company took over one of the care homes when Southern Cross collapsed. His spokeswoman said: "It is Sir Menzies' understanding that negotiations for another care provider to take over the running of the care home in question are at an advanced stage. Sir Menzies has no further comment to make." The holdings are listed here including healthcare. 133 134 135 2. Vince Cable MP for Twickenham and Secretary of State for the Department of Business, Innovation & Skills. Received a donation of £2,000 from Chartwell Care Services, who are 100% owned by Chartwell Health & Care PLC who own Chartwell Private Hospitals plc that provide day case surgery to NHS patients. 136 The ultimate owner is Normandy Group Ltd. 137 21 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL 3. Nick Clegg MP for Sheffield, Hallam received a donation to his constituency office for £5,000 from Alpha Medical Consultancy - has nationwide affiliations with premium providers of diagnostic and rehabilitation services. Alpha’s partners offer high quality medico-legal rehabilitation. 138 139 4. Simon Hughes MP for Bermondsey and Old Southwark. Received £60,000 donation to his constituency party from the founder of Alpha Hospitals a private hospital firm. 140 5. Stephen Lloyd MP for Eastbourne. Received £544.92 aggregated over time for office equipment from Platon Medical Ltd - who provides Ear, Nose and throat devices. 141 142 6. Robert Smith MP for West Aberdeenshire and Kilncardine - Has shares in pharmaceutical company GlaxoSmithKline. Shares in Legal and General, which offers medical insurance. 143 7. Jo Swinson MP for East Dunbartonshire. Received a donation of £2,000 September 2013 from private optician company, Peter Ivins Eye Care. 144 [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Appendix – Health Secretary Jeremy Hunt - donations Jeremy Hunt, the hedge fund boss, and the new NHS private finance scheme that will pay bankers for deaths at home In a nutshell Jeremy Hunt has received donations from a major hedge fund boss, Andrew Law, with multimillion healthcare investments. Law sponsors Social Finance Ltd., which is pioneering ‘pay for success’ bonds to bring new private finance into the NHS. The pilot scheme is about to be launched in Sandwell and West Birmingham, under a Health and Social Care Act tender for ‘end of life’ services that could create mega profits for private investors – and perverse incentives to let vulnerable people die at home. Key points Jeremy Hunt and the hedge fund boss Andrew Law is a major hedge fund boss with multi-million healthcare investments. Law has donated over £600,000 to the Tories; including two cash donations directly to Health Secretary Jeremy Hunt’s constituency. Social Finance Ltd. Law is a board member and funder of ‘Social Finance Ltd.’, which pioneers new techniques to bring private finance into public services. One of Social Finance Ltd’s inventions is ‘Social Impact Bonds (SIBs)’, also called ‘pay for success’ bonds, which it is promoting to bridge the NHS ‘funding gap’. The first NHS ‘pay for success’ bond: paying for home deaths The first NHS Social Investment Bond is currently being developed by the Department of Health and Social Finance Ltd. This will involve a project to run ‘end of life care’ in Sandwell and West Birmingham, tendered out under the Health and Social Care Act. Investors in the project will receive higher profits if increased numbers of people die at home, and there are fewer emergency hospital admissions. This could create perverse incentives, as private investors stand to win if patients are left to die without hospital treatment. Mega profits Social Investment bonds could make investors big profits out of the NHS, with interest rates perhaps as high as 12%. The biggest private investor in SIBs is global investment bank Goldman Sachs. Including Law, at least seven Social Finance board members and executives are exGoldman Sachs. 23 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Detail with references Andrew Law Andrew Law is a major hedge fund boss with multi-million healthcare investments. Andrew Law is Chairman and CEO of Caxton Associates LP, a global hedge fund based in New York, with offices in London and elsewhere. Caxton is a major health investor, with over $210 million direct investment in global healthcare companies (as of 2011).145 Its founder Bruce Kovner is a major donor to the Republican Party and conservative think tank American Enterprise Institute (AEI).146147 Law has an unusual background for a hedge fund boss. He is English, from Cheshire, went to state school, and supports Manchester City. He has worked at Caxton since 2003, and took over as CEO when Kovner retired in 2011. Law’s previous job was at Goldman Sachs, where he was head of fixed income trading (i.e., trading in bonds and other forms of debt).148 Law and Jeremy Hunt Andrew Law has donated over £600,000 to the Tories; including two donations directly to Jeremy Hunt’s constituency. Law has made 46 donations to Conservative party central office between December 2008 and June 2014, totalling well over £1,229,677. Law has also donated directly to the South West Surrey constituency on ten occasions: from 2004 to 2014 giving £32,920. This is the constituency of Jeremy Hunt, Secretary of State for Health. Social Finance Ltd Law is a board member and funder of ‘Social Finance Ltd.’, which invents new ways to bring private finance into public services. Andrew Law and his wife Zoe have a charitable foundation called ‘Law Family Charitable Foundation’. According to its website, the foundation supports 8 charities. One of these is Social Finance Ltd., of which Law is also a board member and a shareholder. Social Finance Ltd was set up in 2007. As the Laws’ foundation describes it, “Social Finance was set up in 2007 to help build a social investment market in the UK.”149 On its own website, Social Finance says it was set up “to understand the funding shortfall faced by the social sector”. It is known for having designed the £600 million ‘Big Society Capital’ fund launched by David Cameron in 2010, and having invented ‘Social Impact Bonds’. Social Finance has two sister companies in the US and Israel. Social Finance works very closely with global investment firms, noticeably Goldman Sachs (see below). [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Social Finance Ltd has a number of project areas including ‘health and social care’. It describes its work in health as follows: “We support commissioners and providers to develop alternative models of funding and delivering transformative care services.”150 Social Investment Bonds One of Social Finance Ltd’s main projects is the development of Social Impact Bonds (SIBs). It is promoting these as a new funding system for the NHS, which will bring in private lending to close the looming investment ‘gap’. In a social impact bond, a public body borrows money from private investors by issuing a bond. The catch is that the rate of return rate on the bonds is linked to the ‘impact’ or performance of a particular project.151 In the US these have been called ‘pay for success’ bonds. The first SIBs were tested in the criminal justice system. The first ever, developed by Social Finance Ltd, was issued in September 2010 for Peterborough prison. The ‘impact’ measure, in this case, was linked to reoffending rates. Since, then, according to Social Finance, there have been 13 further SIBs in the UK, and around 100 worldwide. (ibid) Social Finance aims to introduce SIBs to the NHS. In 2012 it commissioned Professor Paul Corrigan (former health advisor to Tony Blair) to write a report promoting SIBs as a new model for NHS funding.152 On 8 October 2014 Social Finance’s founder and development director Toby Eccles spoke at a Nuffield Foundation event on SIBs and other forms of ‘social investment funding for a sustainable NHS’, chaired by Mike Farrar, recent former Chief Executive of the NHS Confederation. This event is intended to lead to a report that will advocate new ways to meet the NHS ‘funding shortfall’ beyond the public purse. SIBs could be at the heart of a new agenda for private debt finance of the NHS.153 The first NHS Social Investment Bond Social Finance is now working with the Department of Health on the first pilot NHS Social Investment Bond – for ‘end of life care’ in Sandwell and West Birmingham. Sandwell and West Birmingham CCG is currently tendering for providers to take over end of life care services in its area. The CCG says the contract will pay on ‘an outcomes only basis’ and that it ‘anticipates’ that bidders ‘will need to seek investment via a Social Investment Bond (SIB) in order to fund their activity.’ 154 Social Finance worked on the design of this SIB. It was employed in 2013 to make the initial plans for the scheme, together with Marie Curie cancer care. Other ‘partners’ involved were: the NHS Confederation, NHS Clinical Commissioners, Social Investment Business, law firm Bevan Brittan, and Unipart. The project was funded by the Social Investment Business and supported by the Department of Health.155 The basic idea is that investors in the end of life SIB will be paid a return that depends on two results: The number of patients who die at home, rather than in hospital Reduction in ‘unnecessary’ emergency hospitalisations 25 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL The moral rationale for the scheme, as outlines in Marie Curie’s statement, is that it will help people die at home, which is most people’s preferred choice. 156 The financial rationale is that the project, if successful, will save money by reducing hospital care costs.157 The danger is that it may create perverse incentives: investors will stand to gain if people are left to die at home rather than being hospitalised for emergency treatment. The tender is currently open, with an initial deadline (for submission of pre-qualification questionnaires (PQQs) of 30 October.158 SIBs mean big money Social Investment bonds could make private investors mega-profits out of the NHS, with interest rates as high as 12%. SIBs are being spun as ‘philanthopy’ – whereas in fact they can be very profitable business opportunities. Information on profit rates for UK SIBs is not widely available. However, The Guardian newspaper reported that in the Greater London Authority’s 2012 SIB for homelessness reduction Social Finance Ltd “raised £3.1m from investors, who can expect a return of 8%12% a year, if the scheme meets its targets.”159 The Evening Standard reported on the same deal that investors “will receive a return of up to 12% a year if it is deemed a success.”160 Data on US SIBs is more transparent. For example, in the ‘Massachusetts Juvenile Justice Pay for Success Initiative’ SIB, the public authority announced that the senior lender, Goldman Sachs, invested $9 million. Goldmans will receive 5% annual interest on the loan if the project meets its basic target. If higher success targets are reached, it will get a further bonus of up to $1 million.161 Even 5% is a very high rate for a public sector bond. For example, currently US 5 year Treasury bonds yield 1.34%162; and UK government 5 year bonds yield 1.37%.163 It could be argued that, unlike standard government bond investors, SIB investors face the extra risk that projects will fail. But Goldman Sachs, at least, thinks the risks are low: the firm estimated the risk-adjusted return on its first two US SIB investments as a whopping 68%.164 According to Alicia Glen, head of the Goldman Sachs unit involved: "We do these deals to get strong financial-risk-adjusted returns that have a strong impact." (ibid). (A key issue here is how ‘impact’ is measured – and by whom.) [Type text] PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Social Investment Bonds and Goldman Sachs Global investment bank Goldman Sachs is the biggest private investor in SIBs. The major investor in Social Impact Bonds is Andrew Law’s old firm – Goldman Sachs. The first SIB in the US was issued in August 2012 by New York mayor Michael Bloomberg, to fund a programme at Rikers Island prison. Goldman Sachs provided the finance, $9.6 million. Lloyd Blankfein, CEO and Chairman of Goldman Sachs, said: “We’re proud to work with Mayor Bloomberg and his team on this innovative approach to harness private sector financing for important public initiatives. We believe this investment paves the way for a new type of instrument that enables the public sector to leverage upfront funding from the private sector.”165 Goldmans has since funded a number of further US SIBs, and launched a $250 million dedicated ‘Social Impact Fund’ to invest in the new sector, the first of its kind.166 This is still small potatoes by Goldman standards, but could have massive potential if the model takes off. It has not been publicly announced whether Goldman Sachs has invested in SIBs in the UK. It has been announced that unnamed ‘private investors’ have. Unlike the US, many ‘third sector’ investors were involved in early UK SIBs; but Social Finance has said that the aim is to develop a ‘wider investor base’ as the market becomes established, including ‘more private individuals, banks and financial institutions, pension funds and corporate social responsibility funds’.167 Social Finance Ltd and Goldman Sachs There is a web of connections between Social Finance, Goldman Sachs, and other major private investors. Social Finance Ltd’s biggest shareholder is a charitable trust called Hadley Trust, set up by computer company entrepreneur Philip Hulme. Hadley Trust’s shares and other investments are managed by Goldman Sachs. Besides Andrew Law, at least another six Social Finance board members and executives are former Goldman Sachs employees: David Blood. Board member of Social Finance Ltd. Co-founder and board member of Social Finance US. Co-founder and Senior Partner of Generation Investment Management. Worked for 18 years at Goldman Sachs, and was co-CEO and CEO of Goldman Sachs Asset Management from 1999-2003. Peter Wheeler. Board Member of Social Finance Ltd. Formerly Goldman Sachs Partner and Managing Director. 168 27 PRIVATE & CONFIDENTIAL – DO NOT PASS TO UNAUTHORISED PERSONNEL Bracebridge H. Young, Jr. Chair of the Board Of Social Finance US. Formerly Partner and head of European Debt Capital Markets at Goldman Sachs. Sonal Shah. Vice Chair of the Board of Social Finance US. Former Vice President at Goldman Sachs. Fiona Miller Smith. Chief Operating Officer at Social Finance, previously worked at Goldman Sachs.169 Tim Rothery. Associate Director, Social Finance Ltd. Previously Vice President at Goldman Sachs. Another important (but not Goldman Sachs) connection: Sir Ronald Cohen. Co-founder and director of Social Finance US. Chair of Big Society Capital. 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