Lets ration back fear, inequality and lower standards… Lets create a two tier service, and scapegoat the GPs on the way… How could we have done this better?

The NHS crisis deepens. Simon Stevens admits to instructing dramatic rationing decisions on Radio 4 today programme 31st March 2017. We could have done this so much better, with honesty, planning and pragmatism. But our politicians have left it too late. It is bound to get worse, and the dishonest language and lack of engagement by politicians bodes ill for the future.

Josh Boswell and Jon Ungoed-Thomas report in the Sunday Times 2nd April 2017: NHS threatens GPs with closure – Doctors hit by increases of up to £100,000 in service charges

Ban on nurses working agency shifts is dropped after protests


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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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