The 3 smaller health services should be closed down, and decisions made by England should apply to all. Its clear to NHSreality that Now is the time to combine the 4 health services to give us equality and unity. Why have Public Health Wales when the English administration is fit for purpose? NHS Health Scotland is fine and dandy, and it sometimes comes out with advice earlier than England, but the duplication of expensive resources cannot be justified. How many more incubators, respirators, and hospital beds could we fund with this money? So not only equality and unity, but also efficiency would result from unification of health services. BBC Wales news emphasises the difference and independence of its health service 25th March 2020
The democratic and opportunity deficit in health will become apparent, especially in the retrospectoscope, after this pandemic. Watch for different death rates, infection rates, and survival rates. The fact is that devolution has failed greatest in N Ireland, whose parties and public remain in a repressed civil war, and secondly in Wales, where the population is only a little larger, and non violently, but multiply tribal, and more successfully in Scotland because they have a separate budget. Certainly reversing health devolution should be considered carefully.
Unfortunately politics and media conspire to forbid pragmatic and unemotional discussion of any change to devolution. Indeed, the mood amongst these two conspirators is for independent taxation and then what: fiscal independence as well?
The pandemic has shown us that unity helps. Big mutuals do better. In defence and armaments bigger stronger countries can defend themselves better, and weaker ones least. The same is true for a pandemic. Reverse the devolution of health. Thee shock of this virus will either bring us together more, or tear us apart. Europe is at risk of the latter.
Poor state of Welsh health. The experiment with devolution has failed….
The shock of coronavirus could split Europe – unless nations share the burden
update 11th Jan 2024: BBC News – Cancer: Wales among worst countries for survival, data suggests
With Wales consistently introducing measures earlier than England and covid death rates consistently lower than England, surely there’s a stronger case now for devolved health than before.
90% of the doctors or nurses would agree with me John. They want choice, shorter waits, and higher standards. If the WG was removed from the supply chain we would have 10% more for health and education and the environment than we do now. The formula for Scotland is different as they do not have the funding formula top sliced. The BMA asked for an honest language in health, and exit interviews for all staff retirong or changing posts. That was 9 years ago now……
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