This is nothing to do with party politics, but with our political system. The short termism of “first past he post” is designed to neglect longer investments such as training enough professionals. PR (of almost any sort) would be much better. In a mature democracy we need subtle changes of direction rather than giant changes, but underpinning this we need a shared ideology. Rationing health care covertly, and by post code means there is no advance warning to citizens of what is not provided. When this is expensive the system has failed the citizen who has never been informed that rationing is reality. At last some politicians have spoken out nationally through the Public Accounts Committee. However, politics is local, and local media will not discuss this issue.. Result is the status quo: covert and facepainting the regional health services. To add to it all Pulse reports 24th February: Why are so many GPs under 50 leaving the profession? (graphics below)
The NHS has reached crisis point with no credible plan to plug a £22 billion black hole in its budget, a powerful group of MPs has warned.
Patients care is threatened by spiralling hospital deficits made worse by unrealistic government targets, the public accounts committee (PAC) concludes.
The cross-party group of MPs tells ministers they cannot simply pin the blame on “rip-off” staffing agencies when a £4 billion bill for stand-in workers is largely as a result of failure to train enough doctors and nurses.
Two in five newly created consultant jobs are lying empty because there are no doctors to fill them, according to separate figures that prompted warnings of a national crisis.
Hospitals are on course to end this year £2.5 billion in the red, only three years after recording a £600 million surplus. Ministers have failed to act to help them deal with the rising number of older, sicker patients, the PAC says.
Meg Hillier, chairwoman of the PAC, said: “Central government has done too little to support trusts facing financial problems with the result that overall deficits are growing at a truly alarming rate. Crude efficiency targets have made matters worse.”
She warned: “Without urgent action to put struggling trusts on a firmer financial footing there is further serious risk to services and the public purse.”
Mark Porter, chairman of the British Medical Association, said the NHS needed an immediate increase in resources in tomorrow’s budget.