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Patrick Newman's Comments

  • Comment on: Stevens captures the zeitgeist with his forward view

    Patrick Newman's comment 30-Oct-2014 4:43 pm

    To put the £30bn into perspective if the UK spent 10% of its GDP on health in 2017 the total NHS (UK) budget would be £187bn - some £60bn higher than than that projected for 2014 and we would still be spending proportionately less than Italy. Furthermore additional spending on health would have a multiplier effect on GDP - especially in capital spending. Closing the £30bn is far from daunting as genuine productivity gains are conceivable. See http://www.ukpublicspending.co.uk/piechart_2014_UK_total

  • Comment on: Stevens captures the zeitgeist with his forward view

    Patrick Newman's comment 30-Oct-2014 3:55 pm

    The government's idea of ring fencing based on the CPI looks to continue along with the average efficiency savings of £4.4bn pa but there is no provision for driving the efficiency mission except for individual trusts and CCG's who will be left in the deep end even if they have not learnt to swim. In this debate it seems to be forgotten that the UK is below par for percentage of GDP as spend (9+%) and in a growing GDP just maintaining the current proportion of spending should allow a real terms growth just to stand still in international relative terms. Is this accepted by Hunt/Burnham?

  • Comment on: Analysis: Still reasons to be sceptical about the better care fund

    Patrick Newman's comment 30-Oct-2014 10:27 am

    The Better Care 5bn fund penny is dropping. Integration of social care and health care is a big project and normal principles apply like a large proportion of funding will be needed in the early days, that evidence of cost saving will be debatable and savings will not defray the cost of change (if at all) in the early years and sound programme management provisions must be in place. What this means is that politicians looking for financial 'salvation' through BCF for the NHS 2015 to 2020 will have to think again. Oh yes by the way BCF should be about its title - focused on the benefits to patients.

  • Comment on: Virgin clinic probed over 'large number' of waiting time breaches

    Patrick Newman's comment 27-Oct-2014 3:44 pm

    Let's hope the improvement is sustained but it will be surprising if Virgin do not make a claim for additional costs.

  • Comment on: HSJ Live 24.10.2014: Osborne comments on forward view funding demand

    Patrick Newman's comment 26-Oct-2014 2:18 pm

    If the economy grows at 3% pa (and it is obvious that this is a big 'if') surely the NHS should expect a 3% real terms annual growth does to maintain its percentage take of GDP?

  • Comment on: HSJ Live 24.10.2014: Osborne comments on forward view funding demand

    Patrick Newman's comment 26-Oct-2014 2:12 pm

    HSJ has done much to dispel the myth of the Government ring fencing the NHS budget over the last two years by various means that qualify the actual healthcare spending. On wonders what the top slicing of £3.4bn next year will be treated in terms of ring fencing when so far there are no validated substantial compensating cost savings due soon never mind 2015/16. Although health has not been pounded like local government the squeeze does much to explain the rapidly declining state of NHS finances.

  • 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.

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