Jump to content

NHS reforms

wjfox

By wjfox
in General ED Issues / Gossip

 Share

Recommended Posts

Marmora Man

Marmora Man

Posted
Posted

NHS Reforms - some basic propositions for discussion:


Stop regarding the NHS, a system created 70 years ago to serve a very different country and population, as a sacred cow that cannot be changed, developed or improved.


1. Reduce bureaucracy and get rid of SHAs and PCTs - saving approximately ?10bn a year.


2. Hand over the decisions about what treatments are required, where they are carried out and when they are carried out to primary care professionals that meet patients every day.


NOTE: Additional management and transactions costs of 2. approximately ?5bn a year. Net saving from 1 & 2 = ?5bn a year.


3. Give most NHS managers a spinal stiffener to enable them to confront and weed out the lazy, incompetent and dangerous staff they all know are in the system.


4. Keep the NHS free at the point of delivery and tax funded - but allow top ups (for example to purchase drugs on trial and not yet NICE approved, or to move to a side rooms, or to purchase food from the restaurant across the road rather than suffer warmed up "cook/chill" slop).


5. Allow the primary care professionals to purchase care from whoever and wherever they find most effective, efficient, safe and price sensitive.


6. Support private healthcare - every person that is treated at their personal(or insurer's) cost represents money that doesn't have to be spent by the NHS - so its funding goes further toward treating those that cannot afford private healthcare. WARNING ANECDOTE: In Cambridge, with a large liberal left / academic population, approximately 12.5% of the population have private health insurance - much provided by the University to its lecturers and dons. Yet overall up to 50% of those insured do not use their insurance - preferring to quote "support their local NHS". This is very shortsighted thinking.


7. Politicians and government should treat the public like grown ups and not pretend, for the sake of votes, that it is possible to have a hospital on every street corner and a 24/7 GP service in every home.

Link to comment
https://www.eastdulwichforum.co.uk/topic/16871-nhs-reforms/#findComment-429792
Share on other sites
  • 3 weeks later...

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
 Share
Go to topic listing
  • Advertise Here

  • Latest Discussions

    • Dogkennelhillbilly
      Councillor McAsh defects to the Greens

      By Dogkennelhillbilly · Posted

      This is a remarkable interpretation of history. Wikipedia (with more footnotes and citations than you could shake a shitty stick at sez: The austerity programme was initiated in 2010 by the Conservative and Liberal Democrat coalition government. In his June 2010 budget speech, Osborne identified two goals. The first was that the structural current budget deficit would be eliminated to "achieve [a] cyclically-adjusted current balance by the end of the rolling, five-year forecast period". The second was that national debt as a percentage of GDP would fall. The government intended to achieve both of its goals through substantial reductions in public expenditure.[21] This was to be achieved by a combination of public spending cuts and tax increases amounting to £110 billion.[26] Between 2010 and 2013, the Coalition government said that it had reduced public spending by £14.3 billion compared with 2009–10.[27] Growth remained low, while unemployment rose. https://en.wikipedia.org/wiki/United_Kingdom_government_austerity_programme From memory, last time around they were against the LTNs and competing with the Tories to pick up backlash votes - both failed. They had no counterproposals or ideas about how to manage congestion or pollution. This time around they're simply silent on the matter: https://www.southwark-libdems.org.uk/your-local-lib-dem-team/goosegreen Also, as we have seen from Mr Barber's comments on the new development on the old Jewsons yard, "leading campaigns to protect the character of East Dulwich and Goose Green" is code for "blocking new housing".
    • malumbu
      Councillor McAsh defects to the Greens

      By malumbu · Posted

      @Insuflo NO, please no, please don't encourage him to post more often! 😒
    • Insuflo
      Will Mandelson be accepted across the pond.

      By Insuflo · Posted

      Revealing of what, exactly? I resurrected this thread, after a year, to highlight the foolishness of the OP’s op. And how posturing would be sagacity is quickly undermined by events, dear boy, events. The thread is about Mandelson. I knew he was a wrong ‘un all along, we all did; the Epstein shit just proves it. In reality, Kinnock, Blair, Brown, Starmer et all knew as well but accepted it, because they found him useful. As did a large proportion of the 2024 intake of Labour MPs who were personally vetted and approved by Mandelson.
    • IzzyBick
      Plumber recommendation - A.F.E Plumbing Services

      By IzzyBick · Posted

      I used Aria recently to replace the basin waste for my bathroom sink. He was super friendly, communicative and helpful - including changing the washer on the new replacement I bought to ensure longevity. Would highly recommend. 

East Dulwich Forum

Established in 2006, we are an online community discussion forum for people who live, work in and visit SE22.

Home
Events
Sign In

Sign In



Or sign in with one of these services

Search
×
    Search In
×
×
  • Create New...