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This just really summarises what's wrong with both the Bill and LaLas whole approach. His analysis of the problems facing us - technology, ageing population, multiple patholgies, the need to shift towards a less hospital=-based model of care - is not bad at all. he gives every sign of understanding of the issues.
And then....you want to pick the guy up and shake him. His analysis of the solution is so facile, inept, one-dimensional and downright ignorant, I could scream.
I could go on for hours, but let's pick just two:
- his idea that central planning always equals service delivery based on past patterns of service.Codswallop. Tripe. Balderdash. I've worked in the NHS long enough to see massive reshaping and improvement in the delivery opf services in a whole shedful of areas (cancer springs immediately to mind). Centrally driven and led, with local engagement.
- the idae that millions of individual market exchanges between pateients and Drs drives big technological and service change is equal twaddle. Let's not forget the enormous percentage of patients who access services as emergency and unplanned admissions. The idea of competition being the driver there is bunk.

I could go on, but I won't. The man's bright but he's inept and arrogant and has spent too much time talking and not enough time listening properly. Sadly, I think we're stuck with him until the Bills' through (Cameron will tough it out).