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.

Sir Hughes-Hallet proposes “Healthforce” – an army of volunteers. It just might work in social Wales, but rationing overtly still has to be part of the package. This is the distasteful tablet that the politicians are unwilling to swallow.. As soon as it is clear that the service is well founded and sustainable for the future the professionals will come on board again. An army of ageing volunteers does not appear sustainable to NHSreality. He remarks on the need for clear leadership, poor morale, doctor exodus, and attempts to start the debate without mentioning rationing.

On Radio 4 on 12th October 2015 reported in Today: NHS trust chair, Sir Hughes-Hallet (Chairman of Chelsea and Westminster Trust) proposes alternative solution to NHS funding crisis – Listen!

Sir Hughes-Hallet proposes 3 options and says that “the route of the problem is we need to be honest with the public” and “…by explaining to the public that we might have to reduce the offering of free health care, unless we take one of three measures that would solve the problem”:

  1. Significantly more new money

2. “Reduce the menu”. Clearly fund emergencies for free – but charge for other services.

3. Radical thinking. “Healthforce”. Use an army of volunteers backed up by data and technology, to empty hospitals.. We must not be afraid to “care”…

He points out that in 1942 Lord Beveridge said specifically “that we should not take away from the citizen the entrapaneurship of caring for their own healthcare”… NHSreality found this podcast inspiring. Will he be listened to? Will politicians suddenly become honest on health?

Recent BBC news bulletins have been more vocal on the crisis.

Nick Triggle 9th October: NHS deficits hit ‘massive’ £930m

Hugh Pym on 9th October: Latest NHS accounts show growing deficits and What’s gone wrong with NHS finances?

Panorama – NHS – The perfect storm 3rd June 2015

and Mark Smith and Clair Miller in Walesonline (Western Mail) 12th October report on a symptom of the parlous state of the Welsh Health Service: Welsh NHS spends £19m on private healthcare in just 12 months  – perhaps it will get worse with the only new proton beam therapy in Harley St!

NHSreality posts:

Rationing in the recent news. Obscene denial of the truth by politicians…There’s a painful list of conditions we are no longer treating on the NHS

Listen to the eminent, the great and the good on Radio 4. Nobody suggests rationing overtly – yet..

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

Devolution of health to Wales was a mistake?

Nuffield Trust reports on “Future Model Options” in Primary Care – an acceptance that the status quo is mad…?

Patient co-payment for general practice services: slippery slope or a survival imperative for the NHS?

Labour philosophy on health – in Wales anyway – explains some of the thinking which has led to the current crisis.

This entry was posted in A Personal View, Professionals, 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.

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