Imploding NHS

Four stories today all show different aspects of failure to face reality – by our Politicians.

1. Sky news reports NHS Drug Plea For Child With Blood Disorder. At £250,000 a year its obvious why we don’t fund – or is it? The condition is very rare and the next patient suffering might occur years away. So how much do we spend on paracetamol nationally annually from the NHS?  The strength of the evidence for benefit of this drug is irrelevant: it may or may not work. It is the principal that matters – does the NHS cover high cost treatments that its members could not otherwise afford, in preference to low cost services that they could afford? Denial of which brings back more fear?

2. BBC news reports that the Wye Valley NHS Trust exploring five future options. Another case of why we must change because of the budget – rationing by another name.

3. The Telegraph reports Doctors want homeopathy on the NHS to end – you might say about time too – placebos only work (and they work very well) if patients believe in them but they are VERY cheap and if the patient chooses them instead of conventional therapy rather than as an adjunct…. Why bother to attack something which costs so little and has such a long history of dysfunctional thinking behind it? In tactical terms this is a side battle – and would take away a cheap idiosyncratic treatment option? I appreciate the argument for excluding homeopathy is scientifically stronger than that for paracetamol – but if everyone payed a prescription charge, even in Wales, the number of those foolish enought to pay would show how much support there was for Homeopathy. After all, if choice is paramount should we not retain it, even if illogical?

4. The Guardian – Doctors say Health act means the death of the NHS as we know it – Yes this new act and re-organisation is certainly going to fail without a change in the “rules of the game” – one of which is that Health Board members cannot speak out to say what they really think, especially on finishing their spell on the board. (Exit interview)

Have a great Easter. Get new followers and spread this site around please. It may chronicle the end of the NHS – something I and almost all readers would hate to see happen.

This entry was posted in Commissioning, Community Health Councils, Patient representatives, Political Representatives and activists, Rationing, Stories in the Media, Trust Board Directors on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “Imploding NHS

  1. Pingback: Choose and Book (Not for Taxpayers in Wales)) | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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