Reverse the devolution of health.. Now is the time to combine the 4 health services to give us efficiency, equality and unity.

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.

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Poor state of Welsh health. The experiment with devolution has failed….

Wales is bust, and cannot pay for its citizens care. Devolution has failed. This is the thin end of a very large wedge..

Amazing how England has been able to kid themselves there is an NHS – until now. Manchester’s health devolution: taking the national out of the NHS?

The democratic deficit. Applies to health as well as devolution, and to leaving the EU. The first honest party should get public support.

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The shock of coronavirus could split Europe – unless nations share the burden

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update 11th Jan 2024: BBC News – Cancer: Wales among worst countries for survival, data suggests

This entry was posted in A Personal View, Political Representatives and activists, 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.

3 thoughts on “Reverse the devolution of health.. Now is the time to combine the 4 health services to give us efficiency, equality and unity.

  1. Jon Collier

    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.

    Reply
    1. Roger Burns - retired GP Post author

      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……

      Reply
  2. Pingback: Even the Times now agrees that Health Care needs to be rationed overtly. No way without debate, and the politicians are too scared. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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