I campaigned long and hard against the Coalition’s reform of the NHS. An academic study concluded I was the fourth most effective on line campaigner against those changes. And, I would stress, my efforts were not political, they were economically logical.
Great Ritchie. You were the fourth blogger on the subject I suppose.
In other words everything I predicted has come to pass.
That is, NHS England is not as efficient as we would wish. OK, go along with that.
That’s hardly surprising, and nor does it suggest enormous ability on my part. I only had to look at the disastrous economics of US healthcare to make such a prediction. There twice as much of GDP is spent on health than in the UK for arguably worse health outcomes and all because of the massive inefficiency of private sector involvement.
So what is the answer? Glaringly obviously all health and social care services, including GP services that need to be state run, need to be integrated in single health authorities in the future. These would be local but big, so in my patch Norfolk, Suffolk, Essex and Cambridgeshire are an obvious fit, and so on. And in these areas the absurdity of contracting has to be replaced with an emphasis on holistic care, supported by the monitoring of key clinical performance indicators.
Well, yes, except we know that NHS Wales and NHS Scotalnd are run along those lines. And we also know that they are less efficient than NHS England. Which is a bit of a problem for your desire for Stalinist management techniques….