Patrick Newman's Comments
Barking Havering and Redbridge Trust reported by HSJ as having a massive 90,000+ waiting list (http://www.hsj.co.uk/acute-care/updated-troubled-trust-reveals-huge-waiting-list/5074650.article?blocktitle=Most-popular&contentID=-1#.VBNtCKO03Qw) This must bust the limits on waiting list horrors regardless of the remaining 8 trusts whose data is not included. How much longer before panic sets in in Mr Hunt's office and that of the Prime MInister?
Although AQP's are not limitless they do pose a management challenge especially if the radical approach of zero based contracts is adopted. CCG's would then be looking at hundreds if not thousands of individual episode/transaction invoices. Often missing in the contracting/commissioning responsibility is the complexity and workload of ensuring that contracts are being delivered and there is effective control of costs-charges including the use of V.O.'s
Excellent and the answer is:- 42
The illusion that the NHS budget has been ring fenced is now clearly shattered. BCF is unsustainable because there is no new money and funding would ultimately mean cuts to the acute sector regardless of whether BCF is effective in reducing acute demand. QIPP did not usher in a new dawn of higher efficiency - it was largely a cost reduction scheme some of which at the sharp end has had to be rethought. A perfect storm is gathering for May 2015.
There is no excuse where children at risk and known to social services under the threat of abuse and sexual exploitation for matters to be covered up or simply fudged. However of the 1400 subject to abuse it appears only one third were 'known' to children's services. The police, schools and NHS also have a vital role in ensuring that abuse is reported early and dealt with, particularly in Rotherham's case, the police.
Crisis what crisis? Services outside London have bigger problems. Take a look at these awful response time by East of England:- http://www.eastamb.nhs.uk/Performance/CCG/Monthly performance figures Red 1 and Red 2 April 2014 A8.pdf
The reality is that we are entering a crisis. The NHS has not been ring fenced but it has been less punished than local government. Labour's low profile on health issues has been difficult to understand when there has been so much material flowing from the 2012 Act and the fumblings of the SoS. It's not too late!
Yes, the Ombudsman could accept cases of even greater maturity than two years if there were special circumstances - e.g. where the delay was down to the NHS or the complainant was unwell!
Lord Livingston needs to explain how a future government can head off legal action under TTIP on behalf of USA health firms to have a right to bid for NHS services and facilities. Assurances are far from convincing.
A little less reproduction of Circle's PR and a little more critical comment from HSJ would have been appreciated. For example the John Lewis myth of Circle's organisation - see:- http://en.wikipedia.org/wiki/Circle_%28healthcare_partnership%29