Clive Peedell
North East
NHS Consultant Clinical Oncologist
Co-chair NHS Consultants Association (NHSCA)
Member of BMA Council (my views are personal)
Member of BMA Political Board
Member of Keep Our NHS Public (KONP)
Recent activity
Comments (150)
-
Comment on: Royal College of GPs joins calls for Health Bill to be scrapped
Dear Kosta, Medical education and medical professionalism will be fundamentally undermined by this pro-market bill. Whether they like it or not, the Colleges cannot avoid being involved in the politics of healthcare. See my open letter from last year which explains why colleges must be involved http://www.nhsca.org.uk/docs/nhscarcp.pdf Best wishes, Clive
-
Comment on: Fixed NHS prices could become 'increasingly problematic' commission warns
Zack Cooper was quoted in the HSJ as saying: "Every shred if evidence suggests that price competition makes things worse in healthcare, not better" http://www.hsj.co.uk/news/finance/price-competition-could-raise-death-rates-experts-warn/5023349.article Carol Propper agrees. This means that the market is inherently inefficient in healthcare because the price mechanism does not work! Now fixed prices are the problem! The big issue here is that the Market doesn't work. It is flawed. So let's get rid of the PP split, make clinicians more accountable, work more collaboratively, and make our NHS better and more efficient. NHS managers need to say no the market. Here's why: Part 1: http://bevansrun.blogspot.com/2012/01/market-failure-in-healthcare-part-1.html Part 2: http://bevansrun.blogspot.com/2012/01/market-failure-in-healthcare-part-2.html And this is what's stopping us: http://bevansrun.blogspot.com/2012/01/politics-of-nhs-market-reforms.html
-
Comment on: BMA declares full opposition to reforms
Anon @ 8.20 pm The BMA motion to oppose the whole bill was a key moment. It is a very different position to "calling for withdrawal and critical engagement to amend the most damaging aspects of the bill" Media are now starting to pick up on this.
-
Comment on: BMA declares full opposition to reforms
Interesting comments from Terence Lewis: "Patients need their own national organisation - similar in form and funding to the Confederation" I presume he means NHS Confederation, which is more than 50% funded by DH! Patients' Association not much better, with Richard Branson as Vice President and plenty of Big Pharma backing.
-
Comment on: Payment by results moves to 'bundled' contracts
Block contracts failed due to lack of accountability of clinical and managerial staff. It also failed because the NHS had been underfunded by £267billion over 25 years (Wanless). Too many doctors were building empires and private practices. In many respects consultants had too much power. This destroyed trust and it has not been recovered since. This needs to be sorted ASAP. However, this system is the best system for a single payer system and we should go back to it. We will need better methods of accountability, which should include external peer review and local community health councils "with teeth". We have better IT methods now, and we could look at clinical outcomes more meaningfully. We need proper regional planning for local populations. Poorly performing clinicians and staff need to be dealt with fairly and firmly. PBR is a disaster because of supplier induced demand. Madness in a single payer system. Markets don't work because the price mechanism doesn't work
