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Am I the only one who is worried?

I am becoming increasingly worried about the state of our healthcare system. I have recently returned from a weekend away and now sit reading how far cuts are progressing. I am now left with an apprehensive disposition and a fear of things to come. I understand that our debt was always extremely severe; the worst out of the G7 countries by far but cuts seems to be going too far. Gary Young summed it up better than I ever could, “the country has a broken leg, and the coalition don't want to heal it but amputate it.” I am going on holiday later this summer, I fear my departure because I know upon my return England shall just be a thorny stalk, remnants of the glorious rose she once was.

So where do my worries start? The NHS shakeup seems apt. This reform has been widely lampooned by all those with a pen yet relentlessly continues. I do not deny that there are advantages to the system and some GPs will undoubtedly be in a more capable position than some of the current bureaucrats to manage local health services. However Lansley forgets, GPs are doctors and not accountants. Clearly a right-wing proposal this reform has even met opposition by Civitas, a right-of-centre thinktank, who warned that the reorganization would be costly and bureaucratic. This is in a time when “cuts are inevitable.” 


So why does it proceed? I would argue not as a result of its content but because of a lack of opposition. The Lib-Dems are compromised and have somewhat sold out to get their voices heard by way of a coalition. The Labour party remains pre-occupied by the internal power struggle for leadership. Conservatives remain un-moderated, un-opposed and at the forefront of my attention.

 

The much discussed white bill has “tarted up”  our healthcare system, now ripe for devouring by private companies. With companies such as Humana, a US private medical company circling in our seas, waiting for the smell of privatization, it is inevitable that the NHS is going to get carved up.

 Humana spokesman Lee Philips said, in the Guardian. "Humana is already a commissioning support company that offers primary care trusts a complete end-to-end service. Are we optimistic? You bet we are."  I am just glad private health insurance demand has taken a dive in comparison to the annual growth of 31% which has been experienced in the last three years. Now what else is worrying me; it is the frontline cuts, the cuts which were promised not to happen, a promise which passed Cameron's very lips in the pre-election debates.

To give people an idea of the scale of the cuts, the NHS confederation’s chief executive, Steve Barnett has been quoted as saying, "The position beyond [then] is very different and extremely challenging," says the report, Dealing with the Downturn. "The NHS will need to plan for real-terms funding to fall by 2.5%–3% per annum. This is equivalent to a cut of between £8bn–£10bn over the next spending review and up to £15bn over five years. It is unavoidable that this will also translate into fewer staff."
 Needless to say The Royal College of Nurses has started opposition to job and patient service cuts. Who do you trust, those people who are in hospitals day in day out or those in their Ivory Tower with views overlooking the Thames? Add to these worries; an attack on Jamie Oliver, the hero of the school dinner reform; news of unregulated fertility sites and Ukraine’s insensible action of HIV. 

I was asked this morning, “What do you think the reasoning behind the NHS shakeup is?”

 

To which I replied, “An attempt, misguided but valiant all the same, by the Conservatives to streamline the NHS and improve our health service.”

 

My inquisitor chuckled, “Lets see if you are still as naïve in a few months time.”

Tags: Shake-upNHSreformcuts
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AndyK wrote:
I'm not worried about this in the slightest. there will always be a need in the uk for health care meaning that i will always have a job if in the mean time the government destroy the NHS (which i doubt they will) i will go over to the private sector. If the Uk decends into anarchy and the 4 horse men of the apocalypse ride across the skies then i will simply emigrate to a country where my skills are needed/rewarded. Who ever one the Election was going to make major changes to the NHS it seems foolish to judge change in this respect so early. the previous government where pumping money into the NHS so quickly that the services where struggling to spend it. but not wanting to lose it they where left with only one option which was to waste the money. I think a shake up is long over due and when push comes to shove i don't believe the changes will be anything near as 'Epic' as the white paper suggests.
20/7/2010 8:31 PM BST on bmj.com
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tesseylove wrote:
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30/8/2010 5:15 PM BST on bmj.com
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JJW wrote:
It's good to know that you care about the people of this country and not just your job prospects... In my view the moment doctors cease to provide care because a patient can't pay or doesn't have the right insurance they are no longer worthy of the title. This is the way the tories are taking us and they have absolutely no mandate to do so.
21/1/2011 3:28 PM GMT on bmj.com