Competition small print threatens Circle’s ‘Big Society’ model for hospitals

Andrew Clark in The Times 27th January 2014 reports: Competition small print threatens Circle’s ‘Big Society’ model for hospitals

The first private company to run an NHS hospital could be forced into a costly and disruptive shake-up after the Competition Commission imposed stiff restrictions on its John Lewis-style model of ownership by doctors.

The use of private hospitals for Health Services can provide problems for Trainees getting appropriate experience and training. In addition the ownership of Hospitals by Private Finance Initiative (PFI) Schemes who then lease out to the local Trust has become very profitable, and Wales must feel grateful that they have not got involved in the short termism of PFI schemes. These schemes were a product of closely contested marginal seats, where government felt it could gain a short-term advantage at the expense of long-term loss – when the bill would be funded by a successor administration.

The problem of building and service inefficiencies in NHS managed hospitals is only partly addressed by PFIs.

This entry was posted in A Personal View, Stories in the Media 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 “Competition small print threatens Circle’s ‘Big Society’ model for hospitals

  1. Pingback: GP leaders launch major policy drive over premises ‘live crisis’ | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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