General Election - 4th July 2024

Who will you be voting for in the General Election?

  • Labour

    Votes: 266 56.8%
  • Conservative

    Votes: 12 2.6%
  • Liberal Democrat

    Votes: 40 8.5%
  • Reform

    Votes: 71 15.2%
  • Green Party

    Votes: 28 6.0%
  • Other

    Votes: 51 10.9%

  • Total voters
    468
Have it your own way but those of us who have worked on nhs budgeting issues will not thank you for it.
Thanks and I will, I remember pre 97 and virtually no waiting lists and if there were they moved fast, what changed? It’s a complex issue and it also comes from LA funding being decimated so they could not provide care like they used to, where do the people go? The NHS of course
 
You need money to make meaningful change. Saying that the NHS, pot holes, education, housing, social care, defence, water, energy, transport etc needs more money is very, very, very easy. As is 'let's borrow more' (needs paying back by future generations) as is 'let's tax more' (popular with very few if reaction to price rises is repeated). The hard bit is where does that money to make meaningful change come from? There is a phrase, mostly used in sport and attributed to multiple champions, "The harder I work the luckier I became". I do not think it matters whether Starmer or Sunak wins, what is far more important is that the attitude of the country becomes that of a winner, we seem to have lost that drive.
 
You need money to make meaningful change. Saying that the NHS, pot holes, education, housing, social care, defence, water, energy, transport etc needs more money is very, very, very easy. As is 'let's borrow more' (needs paying back by future generations) as is 'let's tax more' (popular with very few if reaction to price rises is repeated). The hard bit is where does that money to make meaningful change come from? There is a phrase, mostly used in sport and attributed to multiple champions, "The harder I work the luckier I became". I do not think it matters whether Starmer or Sunak wins, what is far more important is that the attitude of the country becomes that of a winner, we seem to have lost that drive.

i think a good start would be to re-establish a causal link, whether actually or through better communications, of tax paid and services gained. At the moment many people, including myself to a degree, feel that money is just disappearing down a well, which does not engender a positive outlook.
 
i think a good start would be to re-establish a causal link, whether actually or through better communications, of tax paid and services gained. At the moment many people, including myself to a degree, feel that money is just disappearing down a well, which does not engender a positive outlook.
Totally agree. It's common sense to ensure value for money.
 
There is some good stuff in the BMA paper, but you have to be careful as the BMA is a trade union. The BMA has, of course, organised strikes for increases in their own pay which is hardly consonant with calls for bigger budgets elsewhere. There are several contentious statements there as well.For example, the use of historic spending trend as a comparitor is dubious and the fall of current spend below the trend line for one year does not support the statement made. The kings fund is independent and more reliable.

‘In 2022/23, the NHS in England spent £17.2 billion on primary care services. Despite a real-terms increase in funding, as a proportion of the Department of Health and Social Care's spending, the budget for primary care service is shrinking
’ @KingsFund.
 
It is certainly poorly run. If I were the British dictator, the first thing I would do is to set up a standing commission to study and steer the nhs and take it out of party politics, by having all shades of opinion on the commission.
As to funding, you have to decide what the limits are for an activity that has infinite demand. The only serious attempt at this is NICE, set up by Blair, which examines budget effectiveness ie what treatments should the nhs provide and not provide. Simply saying the nhs is underfunded is meaningless. Where would you increase budgets for nhs services that are “actually needed” to quote your words?
A good start would be a pay increase for staff.
 
Think tanks are always non-partisan…

As Ducado says, statistics can be moulded to fit any narrative.

A visit to a hospital and the use of your eyes is harder.
Yeah but can be misleading. My local hospital has a large A&E dept with a consultant always on hand. There is no waiting for treatment or a bed and it is excellent. However they do not offer several services which helps to pay for the A&E. I need extensive orthopedic care for my hips and spine. Not available at the nhs hospital so I have to go once a fortnight to a private hospital paid for on a case by case basis by the nhs.
Local budget decisions are crucial to what sevice you receive.
Years ago, I designed a fact based algorithm for a large nhs trust to help them decide on budgets. It replaced a system of “he who shouts loudest” for decisions between departments. The clinical heads loved it and it was adopted by 5 trusts with great success.
 

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