The start of “Civil Unrest” in the Regional Health Services – as predicted by NHSreality?

The start of “Civil Unrest” in the Regional Health Services, as predicted by NHSreality? We need to move from a Beeveridge “universal” style of benefits, to a Bismarkian “contributory” style of benefits system if we are to save the services we value – and to avoid a two tier society. This is of course “deserts based rationing” – but done gently. A man frustrated at how long it had taken him to see a hospital dermatologist took his anger out on his local GP surgery with a hammer. (Gerard Lyons in The Sunday Times 9th August 2015: Calais migrants are just the vanguard of millions to come ) Then there is the demographics with “An ageing population, a shrinking state and a growing problem” – Frailer – The Economist 1st August 2015. How much longer will we deny the need to change…? How much “unrest” can we take..? Lets face it, the recent reforms have failed… We cannot have complete fairness, but lets have less unfairness and less post code rationing on life saving treatments.

The Telegraph reports 9th August 2015: Frustrated patient smashes up GP surgery with hammer in fury at length of hospital waiting list – Martin Winks shouts ‘no one cares’ before shattering glass at York surgery reception counter after waiting months for hospital appointment

A man frustrated at how long it had taken him to see a hospital dermatologist took his anger out on his local GP surgery with a hammer.

Martin Winks, 50, entered the surgery wielding the weapon and shouting “no one cares, someone has got to do something” before shattering the glass at the reception counter and the check-in screen.

Winks advanced down a corridor in the surgery towards healthcare assistant Janet Appleby, who broke her foot in four places as she tried to run away from him.

Mrs Appleby barricaded herself in her office before Winks, who had got his hammer from a local builder, smashed it into a wall….

GP Crisis Becoming Steadily Worse – “the public won’t tolerate complacency from a government that bears a large measure of the responsibility for this mess.” Civil Unrest to follow?

Naive and childlike Politicisation of Health – civil unrest and internal migration are possible

Knowledge, Information, & power, allow former CEO to game the system. Even the bosses in Wales vote with their feet..

Ask what is not provided. The CCGs (Clinical Commissioning Groups) in the UK Regions would be better named Clinical “Omission” Groups. CCG would become COG, and their purpose would therefore be much clearer to “Joe Public”.

This entry was posted in A Personal View, 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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