Hunt denies that NHS efficiencies mean inevitable rationing

It is getting more difficult for Mr hunt to deny the patently obvious, but he will continue to do so until he loses his job, or there is an election forced on us. Lets hope for the latter, before Brexit becomes a fact. There are many analogies between the denial of real issues in both the politics of Europe and the Health Services. Have we all allowed ourselves to be ruled by minorities? There is always demand for more money (Labour and the other parties) but no demand for rationing – yet. So it’s going to get worse…

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The BMJ reports: Hunt denies that NHS efficiencies mean inevitable rationing ( Published 21 October 2016) BMJ 2016;355:i5659 )

Tough efficiencies in the health service can be made without damaging patient care, England’s health secretary has said, despite recent warnings that rationing of services will become inevitable without extra money….

Sofia Lind on 19th October reports in Pulse: Stop pretending NHS is ‘awash with cash’, MPs tell health secretary

The Government should stop giving the ‘misleading’ impression that NHS is being given a £10bn cash boost, MPs have suggested.

In a session of the House of Commons Health Committee yesterday, its chair Dr Sarah Wollaston asked health secretary Jeremy Hunt whether he felt people were wrongly given the ‘misleading impression that the NHS is awash with cash’.

She said the committee’s own calculations, based on traditional accounting standards and the Spending Review period, meant the NHS investment was more like £4.5bn than the £10bn the Government is claiming to be adding to the annual NHS budget by 2020/21.….

Inefficiencies in health care provision have been made evident this week. A friend with a possible small heart attack is “waiting” in a hospital bed for 2 weeks because he would not be given the same priority on a list for arteriogram and stent if he went home.. A charitable organisation gets a quote for “equipment” to fund a Health Provision contracted service. The eventual cost is 1/10th of that quoted initially by the Health Service provider. Lets hope the contracts hold up better than they did for private provider Cambrian. ( Daniel Dunkley in The Sunday Times 23rd October 2016: Hospital chain faces break-up). The UK Health Services need to shape up and state psychiatric provision is one area where co-payments and rationing for seriously ill people is an ethical challenge.

Cambian, one of Britain’s biggest psychiatric hospital operators, is set to be broken up in a attempt to pay off its spiralling debts.

The mental healthcare specialist, which runs more than 300 hospitals and care homes, has hired Rothschild to sell its Adult Services division for £300m, sources said……



This entry was posted in A Personal View, NHS managers, 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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