The new Director does not know where to turn to for help. He knows it’s going to get worse….

In a strange way, without using the “Rationing” word, the media is trying to lead us to the conclusion that Rationing is necessary. Whilst manager numbers are rising faster than nurses, the 4 health services are sliding into decline, two tier systems (if one includes private provision) and lowering standards. In the Sunday Telegraph NHS failing to tackle ‘significant safety risks’, warns its medical chief and Medical chief’s solution for NHS ‘safety problems’

On 7th October the Telegraph opined: Time for a grown-up debate about the NHS

We can read and infer how desperate the politicians are, and have finally realised their successors mistakes: B&B indeed..

The national medical director of NHS England warns that the way the health service is organised is putting people at risk. The new one, Prof Baker says (Laura Donelly in the Telegraph 29th October) NHS is not fit for the 21st century, hospital chief inspector warns  

This article is written with good intent but without mentioning rationing. Leading by neglect? He wants to stay in his job.

Sir Bruce Keogh‘s opinion is reported in Sky News Sunday 29th October as “Medical chief’s solution for NHS ‘safety problems'”

The national medical director of NHS England warns that the way the health service is organised is putting people at risk.

The way the National Health Service is organised is putting patients’ lives at risk, according to the national medical director of NHS England.

Professor Sir Bruce Keogh said a central system is needed to oversee patient safety across the NHS.

He said because the nature of the current system was made up of hundreds of organisations, measures introduced to improve patient safety or address specific issues were not put into practice across the whole service.

Sir Bruce said there needs to be a way of ensuring those directives were taken up across the industry.

He told the Sunday Telegraph: “People accept that their disease has risks, they accept that the treatment may carry some risks.

“What they should never have to accept is that the way we design and deliver our services adds to that risk.

“Where there are solutions to significant safety problems, I would like to see a system that mandates the use of those solutions through the NHS.

“The difficulty that we have is that the NHS is a conglomerate of hundreds of organisations, all of whom have their own boards and people in them with their own views.”
Sir Bruce stressed their needs to be a way of “being clear” about when recommendations to implement new solutions – in the form of new devices or technology – “should override the financial considerations”.
Inspectors have said the NHS is struggling to cope with staffing shortages, rising demand and increasing numbers of patients with preventable illnesses.
A Care Quality Commission (CQC) report warned that services are at full stretch and the quality of future care is precarious.

This entry was posted in A Personal View, 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.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s