tag:blogger.com,1999:blog-7746061689746893784.post3560440067780529110..comments2023-08-14T08:14:45.281-07:00Comments on Finchers: What next for the NHS? Oh for a magic pill.Finchers Consultinghttp://www.blogger.com/profile/02585633183853596999noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-7746061689746893784.post-16253609474488855832011-09-09T01:08:02.191-07:002011-09-09T01:08:02.191-07:00Paul Corrigan also comments on the BMA's conti...Paul Corrigan also comments on the BMA's continuing confusion....<br /><br />http://ht.ly/6pwBlChairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-88997955240424527542011-09-09T00:47:54.982-07:002011-09-09T00:47:54.982-07:00This is an excellent summary from Chairman Chegwin...This is an excellent summary from Chairman Chegwin. I also agree with plurality of provision and don't have an issue with private providers, as long as cost effective high quality care is offered. I also agree with your point about the Bill's detractors - easy for the BMA, RCN (and commentatoros such as me)etc to criticise the Bill but no-one has really come up with a suitale alternative. I feel thgat it is too late to go back to the drawing board - applaud the changes following the listening exercise such as including more hospital based clinicians in the commissioning process and let's get on with making this work.<br />The coalition have done an appalling PR job on the whole sorry affair and need to sharpen up their act in selling the proposition and explaingin exactly how it could work. In the mean time - there is still that feeling of Rome burning while some fiddling is going on...Finchers Consultinghttps://www.blogger.com/profile/02585633183853596999noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-71496024524511545832011-09-09T00:06:21.599-07:002011-09-09T00:06:21.599-07:00That process is about to get even more protracted ...That process is about to get even more protracted in the Lords, who will scrutinise it with their usual forensic precision. But even then they probably do not have the political capital or mandate to kill it. <br /><br />While the Government, in my view, has not set out the narrative that tells us the particular set of problems that the reforms seek to solve, the opponents of the Bill have themselves not set out a compelling case as to why reform is not necessary. The breathless indignation about "privatisation", "competition law", "credit card healthcare", "American system" etc etc is not only innacurate, it ignores the fact that PCTs and SHAs have largely failed, squandering unprecedented amounts of additional money in the process. <br /><br />The BMA are particularly confused - they do not want "privatisation" of services yet ignore the fact that GPs operate independently and seek to protect that right. <br /><br />I don't pretend to know the answer(s) but I do believe that plurality of provision is a good thing, that standards need to rise across the board, and that we need to stop wasting money.<br /><br />However, I also believe that the NHS is completely unsustainable in its current form - at some point in the future we will have to abandon this romantic (and entirely innacurate) notion that NHS services are "free". They are not - it is us taxpayers that foot the bill. <br /><br />If we are to avoid even more widespread rationing and restrictions on services, we need to accept that a personal contribution will be necessary - which is why I support itemisation and individual costing of services received. People need to see the true cost of things - then they may be more critical of the waste that goes on and more demanding of change....Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-85845575922643913532011-09-08T13:53:46.549-07:002011-09-08T13:53:46.549-07:00I agree. It's the indecision and protracted pa...I agree. It's the indecision and protracted passage of the Bill that's causing the harm. The narrative is indeed difficult to comment on - like a wil o' the wisp!Finchers Consultinghttps://www.blogger.com/profile/02585633183853596999noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-86353249004605537842011-09-08T13:14:27.909-07:002011-09-08T13:14:27.909-07:00This has gone beyond what is good or bad for the N...This has gone beyond what is good or bad for the NHS - no one really knows anymore because the narrative isn't there for anyone to take a proper position on. <br /><br />It's now about demonstrating the strength of the Coalition in seeing business through.Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.com