Regular readers of this blog will know that I occasionally list the good, the bad and the ugly, when taking a snapshot of the NHS.
Alas, today I am struggling to find the good but can easily identify the bad and the ugly when it comes to the current state of affairs as we face more uncertainty.
I try not to scare-monger and still hope that some sense will come out of the Health and Social Care Bill, but I am further disheartened by the reports from yesterday proceedings in parliament. Andrew Lansley,
Secretary of State and the Prime Minister are sticking to their guns that there is significant support for the reforms. Even though the Royal College of Nursing, The British Medical Association and the Royal College of GPs have all issued statements reiterating their concerns over the reforms, the government health team believe that the ‘listening exercise’ means everyone is now on board. Why is it that they seemed to hear something very different from everyone else? UK
Lord Howe, health minister exacerbated discontent by stating that it ‘mattered not one jot’ who provided NHS care.
There seems to be a reality gap here. Those of us actively involved with the NHS, either as a clinician, manager or patient all agree that changes were needed. Cost containment and service improvement are vital. But many people are now working in a state of suspended animation – decisions are being delayed until the way forward is clarified.
and PCTs are cutting resources, mainly staff, in response to budget demands. GP consortia – oops, sorry – the amended Bill now refers to Clinical Commissioning Groups - are nervous of investing in infrastructure for their new roles until the Bill passes through the House of Lords – and there is no guarantee that it will emerge unscathed from its next stage. Meanwhile Hospitals
So as far as I can see, urgent treatment is needed.
Firstly – some ear drops for Andrew Lansley and Co. to improve listening ability and maybe a special medicine that increases comprehension of the facts laid before them.
And secondly – a magic pill to release the creeping paralysis that is slowly, but surely strangling the NHS.