FantasyIreland
Well-Known Member
- Joined
- 29 Oct 2008
- Messages
- 64,697
It is not the envy of the world.
It should be.....is there a better version?
It is not the envy of the world.
A forlorn hope once a Westminster government gets involved.We need an intelligent and grown up discussion as a country about health and social care and how best to address it. However, in our current political environment I'm not sure we are capable of this.
If you look at the circumstances of the creation of the NHS and the various players who were instrumental, they covered not only Labour but Liberal and Conservative politicians (a number of these players had careers and vested interest in healthcare) who collectively took advantage of the extraordinary times and faced down many objections and challenges and ultimately delivered on a vision which was world leading. The idea of such a coalition existing to deliver a significant renewal now is vanishingly thin.
It is hard to shake the view that the incumbent government's policy is deliberate managed decline and though they might not be in a position to finish the job they will have made big inroads into this by the end of their term. As with so many things, before we can have renewal in our health and care we need a renewal of our politics and political life in general :-(
The smallest to what though?I heard a guy on the wireless this morning stating that the % cost of management of the NHS is the smallest in the world. Whether he said that or it was just my ears hearing it . . . . . . !
Australia tried to recreate the NHS but gave up. No other western democracy has such a system.It should be.....is there a better version?
Just get the politicians out of it. Create a health agency with a chairman, a board and execs who know what they are doing. Example: What on earth is a minister doing negotiating wages Ffs? What relevant skills and experience does he have?We need an intelligent and grown up discussion as a country about health and social care and how best to address it. However, in our current political environment I'm not sure we are capable of this.
If you look at the circumstances of the creation of the NHS and the various players who were instrumental, they covered not only Labour but Liberal and Conservative politicians (a number of these players had careers and vested interest in healthcare) who collectively took advantage of the extraordinary times and faced down many objections and challenges and ultimately delivered on a vision which was world leading. The idea of such a coalition existing to deliver a significant renewal now is vanishingly thin.
It is hard to shake the view that the incumbent government's policy is deliberate managed decline and though they might not be in a position to finish the job they will have made big inroads into this by the end of their term. As with so many things, before we can have renewal in our health and care we need a renewal of our politics and political life in general :-(
NHS creation was 75 years ago today. The bunch of bastards we have running the show are doing their best to destroy it. We must NOT allow them to do so - most of us would be sick or dead beyond the age of 50 without access at the point of need for free.
Why do I say this? Look at dentistry. All but privatised now and the nations teeth are terrible.
Just get the politicians out of it. Create a health agency with a chairman, a board and execs who know what they are doing. Example: What on earth is a minister doing negotiating wages Ffs? What relevant skills and experience does he have?
You last paragraph gives the lie to your first sentence.
Having worked for them, I have a fully formed view. Scale is not the issue, but culture is which is why you need to bin the polititians.Anybody who starts to solve the problems of the NHS with the word “just” is not grasping the scale of the problem ;)
Salford Royal Hospital in 2015 was one of only 2 hospital trusts rated as outstanding and in 2018 became the first hospital trust to receive that highest grading for a second time.
A few weeks ago, having becoming part of Northern Care Alliance since then, it was rated needs improvement!!
So what happened? I don't know. All I know is that I still get outstanding treatment there so I personally don't think it is anything to do with the ordinary staff, maybe the hierarchy? The big bods!