Patrick Newman's Comments
Specialised commissioning - another body part wrenched from PCTs along with public health, primary care and general commissioning not to mention commissioning support. Lansley had all those years to figure out what to do in government and yet the 2012 Act has all the appearance of being made up as the government went along. Vandalism by fragmentation.
New Labour's biggest mistake and FT's are themselves a big distraction from a rationally managed National Health Service in that they create and empower special interest entities with inherent sub-optimum sub regional agendas. It is silo-ology at its worst. They go with the internal market philosophy and would easily become a precursor to the soft privatisation of the NHS. Non FT's are being inconsistently bullied into becoming FT's or scrambling to find a 'hungry' partner. FT's are the reason that OFT (CMA) has absurdly become to second guess reorganisations/reconfiguration. Well, are FT's a great leap forward?
Cameron's criticism of Wales is usually to deflect criticism of England's NHS but unfortunately neither Welsh nor English Labour seem well briefed enough to counter his jibes. When the NHS funding crisis finally hits the fan later this year or early next one wonders if the narrative that it's worse next door will impress!
Comment on: Shut off the foundation trust pipeline
FT's are themselves a big distraction from a rationally managed National Health Service in that they create and empower special interest entities with inherent sub-optimum agendas. It is silo-ology at its worst. Milburn and New Labour have a lot to answer for. They go with the internal market philosophy and are a precursor to the soft privatisation of the NHS. Well, are FT's a great leap forward?
Good idea as many HWB's are floundering with disaffected public health staff.
Anon 1:12 pm - good summary. The problems reported above would find rich resonance in most CCG areas. Of course money has nothing to do with it. Fortunately MK is a FT so a solution will be easy!
Comment on: UK performance gap closing, study reveals
Outsourcing is gathering pace as a result of the new CCG's and S 75 so it is a little early to draw these conclusions. Furthermore the study seems to indicate that all health services have been short changed on being ring fenced against austerity in real terms unless these figures are real terms growth?
Comment on: Serco estimates £18m losses on health contracts
Another recent failure of the private sector was the Stevenage Surgicentre run by Carillion which got so bad it had to be handed over to the local trust who inherited a £2M deficit as a result. Carillion walked off with £6M+ post termination payments. The problem is ideological and its statutory expression - 2012 Act S75.
To lose two directors is.....
I suggest Dynamo as a few miracles are needed and it would help with the ethnic balance.