More politicians means worse run

Not that this is a great surprise:

SNP ministers are under pressure over their “mismanagement” of Scotland’s NHS after it emerged the number of patients being sent to other parts of the UK for specialist treatment has increased by almost 50 per cent.

The Liberal Democrats urged Shona Robison, the Health Minister, to explain why the number of Scots referred for treatment to England, Wales or Northern Ireland increased from 427 in 2013/14 to 625 in 2016/17.

The Scottish NHS setup is much more like that of the whole thing a couple of decades back. One of the things which the varied reorganisations of NHS England has done is to make it more efficient. OK, from a pretty low base, but still.

Which is one of the little amusements of the debate. NHS Wales has done less marketisation, Scotland even less than that. Yet when we hear the cries that we must stop the marketisation we never do get pointed to either place to see how successful that would be.

8 comments on “More politicians means worse run

  1. In theory the Scottish politicians ought to be closer to their voters – smaller constituencies, more face-to-face contact. If there is a problem with a hospital anywhere in Scotland, the place is so small that most politicians could take a taxi there and be back for teatime. That is meant as a joke but the place is so small there are fewer and fewer actual real hospitals outside of Edinburgh and Glasgow.

    However ideology trumps common sense and basic human decency every time. They are listening to their Union mates and not their voters. I wonder how long that will take to come back and bite them on the ar$e? Quite a long time if they can keep blaming the English.

  2. “The number of prescriptions for dementia drugs das almost doubled in seven years.”

    When i see a typo i always look to see if the letter is next to the one that should be there… but d isn’t near h

    I quite often make the phonetic type of typo.. (Their/there) i wonder then if its the case here. Might answer some of your queries about telegraph subs.

  3. Less/fewer politicians (take your pick) usually means more distant politicians. One particular party locally is agitating to abolish our parishes and districts and have a single unitary county council – for the largest county in England! I point out that if you think the pols in 1hr away in Scarborough are remote and distant, just wait to be ruled from Northallerton, a 4-hour bus ride away, with the double whammy of no parish councillor down the road to act as an intermediate.

  4. Is there a reason for specialist treatment? Have other places besides Scotland developed specialist units with multiple specialists working together?

  5. @So Much For Subtlety, December 30, 2017 at 10:44 am

    …the place is so small there are fewer and fewer actual real hospitals outside of Edinburgh and Glasgow.

    However ideology trumps common sense and basic human decency every time. They are listening to their Union mates and not their voters.

    Ease of access is also a big problem. Many central hospitals have been closed and replaced by out of town sprawling industrial estate.

    Example: Royal Infirmary of Edinburgh moved from central, close to Castle, to outskirts. Where I live there is a bus every =>8 mins (0400-0000) to closed RIE; one =>every hour (0700-2100) to new RIE

  6. Pcar – is the land at the outskirts cheaper? Does it allow more expansion?
    I’ve been to a central hospital in Birmingham, 4 different sites for 4 different appointments none of which had decent parking anywhere nearby and bus journey is around 2 hours each way (bus in to city centre, bus to relevant part of city centre away from where first bus drops me off).
    .By contrast in Wolverhampton I use the hospital that is a few miles from city centre, lots of parking and decent facilities on site.

  7. @Martin, December 31, 2017 at 4:21 pm

    Land cheaper – yes

    More expansion – no

    Different sites – no. All on Lauriston Place – STD, Blood donation, dental hospital, eye hospital & more still on Lauriston Place and Pshyc close.

    Carparking – yes, was/is there NCP, same rates and no more spaces at out-of-town RIE to “encourage” public transport use (see frequency in OP).

    Shiny new expensive PFI hospital (with no air-con) for politicians to pose in front of and preen – Yes. Better for public/patients – No.

    Did you read WikiP?

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