Patrick Newman's Comments
Anon 12:16. An excellent point that has public sector wide resonance. The imagery is of armies of near idle 'back office' staff just ripe for culling in the name of efficiency but which results in the significantly reduced effectiveness of so - called front line staff. BCF is at least a five year programme but that is not the way the finances have been arranged. Whatever savings are achieved in 2015/16 they will not 'compensate' for the £3.4bn top sliced from the NHS budget.
Comment on: When localism tips into a postcode lottery
CCG's are postcode lottery institutions. The scope for adopting non recommended treatments and access criteria should be severely limited. CCG's are not so much as clinically lead commissioning as GP lead commissioning. Under the 2012 Act Public Health has been emasculated in terms of commissioning.
How will it fit in with the strategic needs of the NHS especially in the East Midlands health economy. Needs more work!
Comment on: HSJ named magazine of the year
Well deserved and long may it continue.
Comment on: Monitor 'must get better', says Hodge
Hodge also made it clear (R4 Today) that the 'management' of the NHS is in a confused and competitive position with an array of bodies like CQC, Monitor, TDA, OFT (CMA), NHS England, DH, Secretary of State (on the phone) all having a role in the operation and development of the NHS (providers and commissioners).
Allied Healthcare have carefully crafted a statement that not only does not apologise for the distressed caused but distances themselves from the findings by just paraphrasing the Tribunal's judgement. Will they do anything different next time?
What is notable is that unlike in 1996/7 Labour is pussy footing around in its criticism of the Government's health policy and reforms. Perhaps this is, as Ms Wood above expresses, Labour were guilty of the managed market ideology found in the form of FT's and privatised services like the disastrous Carillion Surgicentre in Stevenage (now in the NHS but importing its £2M deficit).
Externalise the whistleblowing investigation where the individual either feels that the complaint/observation is not acted on or where the individual believes they are being attacked by the management. Outlaw secret compromise agreements. Gross misconduct proceedings where there is evidence of bullying or discrimination of a whistleblower. No guarantee but there is considerable scope at the end of the day for anonymous action. I know.
Rigour in BCF submissions should be de rigeur! The vision should not be confined to reducing A@E admissions and cost reductions - it is a much better way of providing care and health services.
There is not a £2bn deficit but there is a £2bn or more underfunding from general taxation. It is a social policy choice just as the stealth cuts that have been made to both provider and commissioner sides of the health coin. The Exchequer will benefit from the current growth in the economy producing more tax receipts and fewer benefit payments not to mention the war 'dividend'. As a spender on health our 8.9% of GDP is modest!