What – no crisis? The NHS’s biggest challenge is convincing the public it has a plan ….

The answer is an overtly rationing plan…..

Anastasia Cox reports in The Guardian 2nd March: The NHS’s biggest challenge is convincing the public it has a plan 

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The British public has begun to talk of an NHS in crisis. This is a perception based on headlines decrying the state of the service; reports from healthcare staff (the NHS is the UK’s biggest employer; most people have at least one person in their social circle who works in it); and occasionally participants’ own bad experiences (although most still receive a great service – a tension that can give rise to “I was lucky” syndrome). Meanwhile, according to Ipsos Mori’s January issues index, 49% of respondents said that the NHS is one of the biggest issues (pdf) facing Britain today, a nine-point jump since December 2016 and its highest level since April 2003.

Public opinion abhors a vacuum. In the absence of a clear, concerted and disciplined message, people fill the gaps with their own assumptions, experiences and prejudices…..

Tara Aziz in the Guardian 12th April 2017 reports: Time for a rethink on GP numbers 

On 21st February she reported: Don’t blame GPs for NHS crisis. Blame chronic cuts to social care

and also reports that “Two in five GPs in south-west of England plan to quit”, survey finds – Study exposes potential doctors’ crisis in NHS, with GPs found to be considering leaving the job or reducing their hours

Kailash Chand opines 8th April:  If general practice fails, the whole NHS fails

and Sarah Marsh reports: Record number of GP closures force 265,000 to find new doctors

Surge in number of patients having to change practice comes despite NHS pledge to invest £2.4bn in GP services by 2020

The Observer sees Brexit as a distraction, NHSreality agrees, and now Syria is also

Forces lobbying for equality, the NHS and social mobility will soon be in fierce competition with new interests – such as farming – for attention and resources

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This entry was posted in A Personal View, Medical Education, 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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