tag:blogger.com,1999:blog-7746061689746893784.post4455912970214599431..comments2023-08-14T08:14:45.281-07:00Comments on Finchers: Ministers behaving badly must go.Finchers Consultinghttp://www.blogger.com/profile/02585633183853596999noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-7746061689746893784.post-75599786513963307202011-10-15T00:44:30.644-07:002011-10-15T00:44:30.644-07:00We agree on that - I think GPs and clinicians gene...We agree on that - I think GPs and clinicians generally are the last people you want to entrust with the lion's share of the NHS budget! Their job is to diagnose, to cure people, to manage conditions - not pen pushing and bean counting.<br /><br />This is why I support the current push towards centralisation via the NHSCB (well, I would, wouldn't I?!) There is too much variation and badly explained rationing locally - patients are confused about what they are and are not entitled to on the NHS. We need a national offer - let's get some clarity into the system (incidentally, this may well be a by-product of the work on the cross-border healthcare directive - the Commission expects Member States to be clear about what their citizens are entitled to...so watch this space...).<br /><br />As for the SofS, he is now not the most important player in all of this. So much power and responsibility has been ceded to David Nicholson that I wonder whether anyone will be able to haul the reforms back on track....Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-16261537308363518422011-10-15T00:42:06.272-07:002011-10-15T00:42:06.272-07:00This comment has been removed by the author.Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-85499511255883187512011-10-14T15:09:56.446-07:002011-10-14T15:09:56.446-07:00Yes - it is easy to get caught up with the heat of...Yes - it is easy to get caught up with the heat of the moment. And yes - there are many failings within the NHS. And yes - reform or at least re-vamp is needed. I am just not convinced that GP's leading commissioning is going to help improve the quality of care provided - especially in our hospitals. But as you know - the most effective way to succeed with change is to bring people along with you for the journey and I fear that Andrew lansley's stock is so low now that even his good ideas will be discounted. Maybe I am letting my personal prejudice get in the way - I find his attitude arrogant and his views narrow (maybe that could describe commentators such as me too!) As far as a replacement is concerned - good question. I wonder if Stephen Dorrell would be an option but I guess he wouldn't want the poison chalice. Who would?Finchers Consultinghttps://www.blogger.com/profile/02585633183853596999noreply@blogger.comtag:blogger.com,1999:blog-7746061689746893784.post-37559297538197692032011-10-14T14:55:49.444-07:002011-10-14T14:55:49.444-07:00To be replaced with who? And why? And what change ...To be replaced with who? And why? And what change of direction do you expect to see for the NHS?<br /><br />Personally, I thought the QT audience, pretty much to a man, were extremely ill informed - like a lot of front line professionals and commentators I might add. How many can actually say they've read and understood the Bill or the narrative behind it? Not many I'd wager....<br /><br />The point you make about Twitter is also very interesting. Twitter is inhabited by people who think they have something to say. And if you're not very careful, it would be easy to get caught up in all the breathless indignation over the reforms. It's like virtual mob rule. <br /><br />The NHS may well be this country's greatest post-war achievement but that doesn't mean it is perfect in every way. But apparently we must not touch it. We must not let innovation in. We must not accept that patients are going to have to contribute financially in the future. The state must provide. <br /><br />ALL RUBBISH (in my humble opinion!) <br /><br />Personally, I prefer to take a more independent view. This is not to say that I think the reforms are right, but let's face facts here - the NHS has brought this situation upon itself. The continual waste of resources, the ignoring of patient's wishes and input, the pursuance of personal feifdoms, and the erosion of caring standards and principles....all add up to NHS failure in my book. <br /><br />Is this ALL Lansley's fault?Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.com