Local government grants cut to charities which are health related – The pretence that there is no rationing has to be ended, before meaningful debate and cultural change can begin.

The chancellor has a hard task. We know his aspiration to balance the books by the end of this term, but at the same time he is protecting health (largest spend), education and defence. The rump of what remains to be attacked represents only 20% of GDP. It is time he thought outside the box – and cut health. The way to cut is by co-payments and overt rationing of care. Soft targets such as the bolt-on medically related services supplied by local charities (Eg Hospice, Arthritis Care, MIND, Riding for the disabled) are not the only areas receiving cuts, but they are significant in the health sector. The pretence that there is no rationing in this health crisis has to be ended, before meaningful debate and cultural change can begin….

An article in the Economist on the spending review “The unsubtle knife” November 28th 2015, shows a graphic of the proportion of the GDP spend on health projected to 2019-20, when it will be 35%!

The whole article can be read from the link below and includes “Officials in local government talk of having stopped juicy donations to charities that just so happened to be political allies of their predecessors. “:

The spending review – The Unsubtle knife from the economist 28th November 2015

Comprehensive spending review and the NHS a crisis deferred ?

The Welsh Green (nearly white) paper on Health – and the BMA Wales response. The candour of honest language and overt rationing, & exit interviews to lever cultural change..

Continuing Health Care funding needs to be rationed honestly, universally, and overtly. The only fair way is by a third party without the Perverce Incentive to refuse..

Health chiefs ‘trying to spin’ NHS out of crisis

Eventually the citizen will fie back.. and the knives will not be subtle




This entry was posted in A Personal View, Commissioning, Consultants, General Practitioners, Junior Doctors, Post Code Lottery, 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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