NHSreality commented 20th July 2014: Lets sell the family silver: abandon the health services to covert rationing and market forces. As empires fell in the past (Roman, Aztec) they had little insight into why. It seems our politicians remain blinkered and in denial, and will do until the inevitable knee jerk response…
Two letters in The Times 28th April 2016 emphasises this:
Sir, The disaster of the junior doctors’ strike, whichever side wins, is the long-term effect it may have on the medical workforce. Foundation year applications to Scotland and Wales are up and to England are down. It is strongly rumoured that many specialty training places in hard- pressed specialties are for the first time unfilled. Many health trusts have difficulties filling rotas for various reasons and services can function only with the help of locum doctors.
The locum pay cap (a co-incidental and badly timed intervention), as well as rota staffing problems, mean that services are under real threat; some have reconfigured already. Locum pay rates are in the main not excessive, but now, at £20 per hour for mid-level trainees, when tax, national insurance and travel costs are deducted, what is left barely covers childcare.
It is bizarre for a government that espouses the free market and inflated salaries to captains of industry to exercise Soviet-style wage restraint through a monopoly employer. However, these talented and motivated young professionals have one thing that Soviet doctors didn’t have: a free will. It is to their sadness and our detriment that many will exercise it.
Christoph Lees, MD, MRCOG
NHS consultant obstetrician, London W14
Sir, Gregory Shenkman (letter, Apr 27) misses the point about striking doctors. There are two ways to withhold your labour from the NHS: strike or leave. Those who are striking (in their thousands) for a sustainable NHS show a stronger sense of duty and vocation than those who are leaving (in their thousands).
Mary Cole
Salisbury
Free markets in health workers distorted – a perverse incentive created by politics
Which party espouses the market philosophy, and then tries to subvert individual response?
Who abuses free health systems most? Will the US have to ration overtly?
Lets sell the family silver – abandon your Health Service to market forces and covert rationing
