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Anonymous | 18-Apr-2013 1:18 pm

Fair point, but, it takes years for the prevention interventions to reap their rewards. i agree that they do in the long run, but the funding flows are agreed now, so initially you have an element of double costs, treating those for whom the preventative services were too late as well as funding the preventative services to prevent the population becoming ill years down the line.

The economic crisis is now!

The whole new health bill was about local decision making, but lately it seems that NHS England wants to control everything. I agree that major service change should have a national steer otherwise we will end up with a postcode lottery as we did with fundholding, but CCG's need to be allowed the freedom to make local decisions not be dictated to.

I wholly welcome long term financial planning and cannot underestimate the massive change that this will bring. Short term planning has historically been one of the reasons why whole scale has not taken place. In adition I would also welcome planning cycles NOT coinciding with general elections so that the short term future of the NHS becomes a party election tool. If long term (10 years) planning is really going to become a reality then we should start to see freedom from political motivation (to a point!)

Ramble over.....