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Patrick Newman's Comments

  • Comment on: The future begins in Stevenstown

    Patrick Newman's comment 23-Oct-2014 6:26 pm

    Anon 11:56: You mean have a system just like the USA where 17% of GDP goes into health compared with 9% for the UK. Your naivety about the way the profit motive and 'free' market works is almost charming!

  • Comment on: The forward view is welcome but needs funding and stability

    Patrick Newman's comment 23-Oct-2014 12:18 pm

    Full of wishful thinking and ignoring the awful fragmentation the 2012 Act performed on the NHS. Public Health is in the hands of councils and subject directly or indirectly the the severe austerity visited on local government. SS seems to have a varying model of care ("...horses for courses") that is far from obviously compatible with CCG's. Is 211 about the right number of CCG's and do they correspond approximately to health 'economies'. How will GP lead CCG's feel about hospital trust taking over GP practices...etc etc!

  • Comment on: The future begins in Stevenstown

    Patrick Newman's comment 23-Oct-2014 9:02 am

    If it aint broke dont fix it is a credible approach. But the institutionalised post code lottery of 211 CCG's is broke when tested against the forward view. This morning SS did not answer the question about the process of privatisation through contracting - because he cant. The 2012 Act (and the April 2013 Statutory Instrument) combined with the decision making devolved to CCG's - run by well meaning but inexperienced amateurs - means that there is no control of the contracting process and therefore the penetration of the NHS by the private sector.

  • Comment on: Forward view: Unprecedented call for NHS funding growth

    Patrick Newman's comment 23-Oct-2014 8:38 am

    Oh dear. More of the same. £22bn 'efficiency' savings is a euphemism for continuing the funding squeeze on the NHS budget. £22bn savings is a euphemism for more privatisations as GP's naively believe the myth that is the way to reduce cost. What has not been revealed is the role NHSE will plan in implementing this plan or will it simply fund according to the presumed efficiency gains.

  • Comment on: Birmingham row may decide primacy of trusts or CCGs

    Patrick Newman's comment 22-Oct-2014 1:55 pm

    What the semantic offence of the term "patient choice" really represents is the nonsense of the NHS 'market' and the contradiction of NHS trusts being inconsistently treated as 'enterprises'. Dame Julie is right but I would like to know what she thinks should be done about it.

  • Comment on: NHS five year forward view - full coverage on

    Patrick Newman's comment 21-Oct-2014 1:48 pm

    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

    Patrick Newman's comment 20-Oct-2014 1:44 pm

    So are politicians still keen on adding to the foundation trust express train?

  • Comment on: GP leaders are a major force to improve care

    Patrick Newman's comment 16-Oct-2014 12:25 pm

    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?

  • Comment on: Analysis: England's summer waiting list initiative fails

    Patrick Newman's comment 10-Oct-2014 11:00 am

    Expert analysis but some serious political implications over the next 6 months. I could only find adverse trending in these figures

  • Comment on: Weak spending pledges mean more rationing and tighter control

    Patrick Newman's comment 8-Oct-2014 2:48 pm

    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.

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