US Hospital to advise London on safety….. and what a terrible record their country has when treating populations

Ross Lydall in the Evening Standard 17th July 2015 reports: US Hospital to advise London on safety.

The Virginia Mason Institute may be very good, but I and all the profession are deeply suspicious of US solutions to Health Care problems. The profit motive, where money is overtly driving the system, is only effective where there are disincentives to make a claim, and where the real cost is overt. The side effect is the perverse incentives to over-treat, and to over-investigate….. Something our consultants have been proud to avoid in the past… but now they are being pilloried this goodwill towards the state will disappear. There are many other systems (Rationing and Models), and politicians have ignored their own reports on how to reduce waiting times and infections. (Orthopaedic waiting lists: time for more, and equal access to, non-urgent centres)

The objective of government is to treat populations, and the objective of doctors and hospitals is to treat individuals. There are many other models than the US, and the governments obsession with the US is not logical when you consider their poor population outcomes (which will be improved by Obamacare)! This is why the consultants are reluctant to be involved with management when offered the chance: they did not want to be making covert rationing decisions in a “free and comprehensive” service.

There are vast differences in safety in the UK, and some hospitals with better morale than others. These resources could be tapped at much cheaper rate than the millions the US will demand. The problem of the changeover is nearly upon us (August comes around again – don’t get ill in August) ad one quick fix would be to move the changeover to the autumn when there is less competition for holiday leave….

August comes around again – don’t be ill this month

Don’t be Ill in August & particularly on the 11/12th …. A reminder that nothing much has changed and how hard it is to make the change

Everything is getting meagre and meaner, without any honesty

An epidemic of nationwide bullying. In most dictatorships this precedes dissolution or breakdown….

Week Six summary: Hunt on deaths at NHS Hospitals “Failure or mediocrity is so deeply entrenched . . . that (Trusts) have continued to decline..

A first debate in West Wales BMA – on rationing – wins a majority in favour

Everything for everyone for ever



This entry was posted in A Personal View, Consultants, Perverse Incentives, Post Code Lottery, Professionals, Rationing, 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.

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