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Three steps to heaven
A
couple of years ago David Cameron made a speech to the King’s Fund in which
he outlined his four step plan for NHS reform.
The first step- increased NHS spending year on year- looks rather ironic at the moment in view of the impact of the efficiency savings the NHS is being asked to make.
According to the Royal College of Nursing, almost 10,000 NHS posts in England, the equivalent of a large teaching hospital, have been earmarked for cuts.
The second step, devolution of power to the front-line, especially GPs, together with more power and responsibility for NHS professionals and more choice and freedom for patients, was recently announced in the White Paper.
Average circulation for the period 1/1/09 – 31/12/09 is 7,993 per issue
The self-styled ‘party of the NHS’ – remember that? – is to abolish 150 primary care trusts and £80bn from their budgets will be given to GPs who will be responsible for commissioning healthcare.
TT-COC-002610
Environmental Policy As a business the environment is very impor- tant to us. As such our magazines are printed using paper from a well-managed source. All inks used are vegetable based (soya or rape seed). Our printers are currently certified to ISO 14001 Environmental Management.
However controversial this may be, it is, I believe, the third step which cannot come too soon – to make the NHS independent of government control with a board which takes day to day control of the health service, leaving the Department of Health to set long- term objectives.
Stay informed, stay in front Jul/Aug 10 That’s because we need to put an
end to the political interference in the NHS which leads to constant reorganisation and fundamental, ideologically driven change whenever there is a change of government.
This is precisely what is now happening under the new government and it’s hardly the ‘gradual and organic’ reform Mr Cameron promised in his King’s Fund speech.
The changes announced in the White Paper may be down to the fact that there is no money left after Labour’s 12 year credit card binge.
But it’s also clearly ideologically driven because one of the Conservatives’ election promises was to ringfence the NHS budget.
Imagine if the coalition collapsed, an election was called and Labour was returned to power midway through the government’s reforms. Would they seek to overturn them?
Ultimately, patients don’t give a fig how the service they receive is organised or by whom it’s delivered. What matters most to them is the outcome.
“For too long the NHS has been treated by government like a surgeon treats a patient,” said Mr Cameron, “laid out unconscious on the operating table, passively receiving major invasive surgery.”
It looks like the surgery is continuing. Only the surgeon has changed.
nhe 3
EDITOR’S COMMENT
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