Patrick Newman's Comments
Yes let's have prevention cubed! Also let's see just how this putative £30bn gap is defined and calculated by the NHS itself. May 20-15 suggests the presence of some lame duckery in this five year forward view where it is predicated on the current organisation forms and relationships.
Comment on: Government wades into Birmingham referrals row
So are politicians still keen on adding to the foundation trust express train?
Comment on: GP leaders are a major force to improve care
Hardly a resounding endorsement of CCG's. There was always going to be an ambivalence among GP's about their role and time commitment to CCG's and leadership roles in particular. There was never going to the the organisation resilience of PCT's and the fragmentation of Public Health, specialised commissioning and primary care has created difficulties compounded by the strange creation of Health and Wellbeing Boards. Perhaps it will all be sorted out after the election?
Expert analysis but some serious political implications over the next 6 months. I could only find adverse trending in these figures
So is there a danger that NHSE will have to manage the health service as opposed to being largely an 'enabler' of semi autonomous providers and commissioners to get the financial discipline needed for 2015/2020? It still wont cover the funding needs of the NHS during this period. The UK does not spend remarkably more that average that would justify a squeeze on finances, if anything the % of GDP (8.9%/9.6%) suggests ranking in the lower half of advanced countries. No this is a debate about artificially capping the tax payer as source of adequate funding with its implication for patients paying in some form or another.
Comment on: Clegg: Mental health is our top priority
Not much evidence in the last four and half years of Mr Clegg's campaigning zeal being applied to mental health services. Where was he when MH was given a lower tariff and lower than the acute sector? On health promises it would seem that the Coalition believes the population has the memory retention of a gnat!
TTIP cannot be brushed aside because the negotiations have not been concluded and there is much to be considered in respect of how it works in practice when there are powerful commercial interests at stake. Mr Edwards mention of new EU rules that may kick off fresh protests should not be an argument for acquiescing in TTIP.
Clearly some good work going on which hopefully is eventually 'institutionalised' in the workings and systems of the trusts. Efficiency and service improvement should not be left to the accident of individual or groups of trusts taking the initiative. NHSE should create mechanisms that ensure best practice is shared among trusts and CCG's generally through an information and clearing house style resource.
The NHS and especially and in relation to its for-profit providers needs more people like Ms Fernandez's.
The Lib Dems are tarred with the 2012 Act brush and the so-called privatisation S 75 (SI 500/2013) which becomes a stick for Labour to beat them with. Their grass root supporters will find it difficult to give continued support for the legacy of the 2012 Act. A billion more for the NHS sounds like and is gesture politics against Labour's offering and even the tantalising promises of Cameron.