Devolution of health to Wales was a mistake?

Updated links 1st September 2015 – after apology.

The problem regarding Wales relates to size, poverty (Health Minister Mark Drakeford warns boards on spending), rurality and relative ignorance. The people might prefer to have worse outcomes, waiting times, perinatal mortality, and survival/life expectancy if they have relative convenience. They might also be willing to put up with less “choice” than others paying the same taxes. Perhaps they prefer less information and a more paternal state? In other words Wales might knowingly choose a spread of resources different to that in England, where people are willing to travel and have more inconvenience for better outcomes. We don’t KNOW because we have never had the debate..  In a land where the health system debate began, there seems to be no fire left in the Welsh dragon..

The State of Wales: we should all rage against it dying

No U-turn over Welsh NHS Reforms

Trust disintegration, and a disintegration of Trust

Richard.Blogger in his NHSvault 19th January 2015 comments in: Fill in the gaps

No, the Tories aren't killing off the NHS.

This is my response to Bill Morgan in a blog on the Spectator (The coalition government is not blame for the latest NHS ‘crisis’). Bear in mind that Morgan was a Special Advisor to Lansley so there is a whiff of the Mandy Rice-Davies about his post.

You rightly start by saying that the 2010 winter was affected by a flu outbreak. However, you then go on to say that 2011, 2012 and 2013 were uneventful. This is not true. There was more flu and norovirus at this point last year compared with now. Last year the NHS could cope (just) with the flu, this year the NHS cannot cope even without flu. It is this problem we have to address. The run up to Xmas was mild – just like it was the year before – so why wasn’t 2014 like 2013?….

…“Your Wales argument is a red herring. Wales is mostly rural, it has higher levels of deprivation than England and is arguably too small and too dispersed to be an effective health system. The problem in Wales is not Labour, it is Wales, and maybe we should accept that devolution of the NHS to Wales was a mistake.”

“Too Hot to Handle” – Data on needless hospital deaths may stay secret

Update: The parlous State of NHS Wales and its aspirations does not help doctor recruitment.

This entry was posted in A Personal View, 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.

3 thoughts on “Devolution of health to Wales was a mistake?

  1. Pingback: Sir Hughes-Hallet proposes “Healthforce” – an army of volunteers to “stop NHS sinking”. It might work in Wales, but rationing overtly still has to be part of the package. | NHS reality. An NHS soapbox. Speakers' corner f

  2. Pingback: This weeks rationing. The elderly, Maternity care and IVF. Abolish the Welsh Assembly? | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

  3. Pingback: Health care and the Welsh elections – comparative analysis and graphics with England | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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