tag:blogger.com,1999:blog-7746061689746893784.post7759973417811840940..comments2023-08-14T08:14:45.281-07:00Comments on Finchers: Why Miss Piggy is bigger news than Andrew LansleyFinchers Consultinghttp://www.blogger.com/profile/02585633183853596999noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-7746061689746893784.post-35160411083673196722012-02-16T03:20:11.687-08:002012-02-16T03:20:11.687-08:00It's actually worse that that. The narrative t...It's actually worse that that. The narrative that has been developed doesn't actually match the reality. Two of the key "benefits" of the Bill are that:<br /><br />a) The Bill gives power to doctors and nurses, <br />and<br />b) The Bill will cut bureaucracy.<br /><br />Neither of these is true. On the first point, the reality is that under current plans, 60% of commissioning will be done by the Commissioning Board - and this will INCREASE if, for whatever reason, large numbers of CCGs end up not being authorised (by the Board!)<br /><br />Secondly, on cutting bureaucracy, again the opposite is true. I have a couple of good slides at work which set out the system "before and after" as it were. The "after" is a quite bewildering maze of relationships and accountabilities. <br /><br />Funnily enough, I support(ed) the reforms - as they were originally set out in the White Paper However, that's not where we are now. The "listening exercise" was (and is) a disaster and the changes that have been made since have simply appeased when a certain boldness was required. What we have now is a long way from the original White Paper intentions. <br /><br />I think we'll be back here in five years time discussing the need for further reform to clear up the mess....Chairman Chegwinhttps://www.blogger.com/profile/05121249354671874141noreply@blogger.com