What would the world’s best health system look like?

What would the world’s best health system look like? ( Mark Britnell “In search of the perfect health system”, (published by Macmillan Education and Palgrave ISBN 978-1-137-49661-4)  2015 by Mark Britnell)

Rising health costs, ageing populations and the impact of out of date technology are just some of the challenges faced by the health systems of developed countries

The Multimedia library in The Economist has a discussion between Mr Hunt and Mark Britnell. No mention of overt rationing as being essential, and no acknowledgement of the need for exit interviews. Anne McElvoy, the interviewer, needs to be more aware of how the profession are feeling. It’s possibly too late anyway, but the truth would help. Mr Britnell is doubtless looking for another post in an advisory role, but without honesty the doctors will laugh, and continue with their disengagement.


In Search of the Perfect Health System – a new book reviewed

Constructive deconstruction – of the ischaemic bowel in the UK Health Systems.. Politicians need a duty of candour like Mr Smallwoood

an emergency healthcare system left unsafe by “political meddling: Health minister “spouts rubbish”.

Australia by comparison … Not perfect, but attractive to doctors, and sustainable

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..

This is just the start of civil unrest. The patients will cause a lot more problems than the doctors. Strike won’t cure sick NHS

Update 28th December 2018:

New Zealand Health Care Services are in reality now, with co-payments and overtly rationed services. This change was led by a National Socialist administration led by Robert Muldoon.

Wikipedia describes the NZ system. which in 2012: “spent 8.7% of GDP on health care, or US$3,929 per capita. Of that, approximately 77% was government expenditure.[3] In a 2010 study, New Zealand was shown to have the lowest level of medication use in 14 developed countries (i.e. used least medicines overall), and also spent the lowest amount on healthcare amongst the same list of countries, with US$2510 ($3460) per capita, compared to the United States at US$7290.[4]




This entry was posted in A Personal View, Gagging, 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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