Budget constraints are the biggest burden it faces at the moment. The fragmentation of services caused by Lansleys reforms didn't help either. In Manchester we now have control of a significant part of the health budget for the region , through Innovation Health Manchester with the support of the NIHR the way Manchester does things is now leading the way in any areas across the UK, especially in Dermatology, Mental Health and Cancer. Through the initiative IHM are looking to create centres of excellence across the region involving not just the hospitals but the University research departments and industry in order to provide new models of working. It is hard though because there are a number of pressing issues one of which is staffing levels. The NHS is really struggling to retain high quality staff and recruitment is suffering due to the negativity purported by the likes of Fantasy Ireland. Morale is low and as a result staff that remain see change with reluctance as they fear for their jobs as pay is already suffering in comparison to other sectors. Brexit is likely to hit recruitment of nursing staff and that is already starting to happen. Salford Royal is one the leading Dermatology centres in the world and works with the research depts. of Manchester university to provide education for staff and research opportunities for graduates wishing to do PhDs but is struggling to attract staff. If we lose the centre then it will go elsewhere across the world and the people of Manchester will be the first to suffer. This is happening across other sectors of excellence in Manchester too. I am heavily involved with Innovation Health Manchester on PPE (public patient engagement) which Manchester is using to influence tomorrows NHS and it is the way forward, services are being designed with patient needs in mind. As we are all potential patients at some point this should be widely supported and applauded not debased as being abused by a minority. That serves no purpose but to destroy faith in the future and will no doubt eventually hand the whole of the NHS over to capitalist hawks who wish to prey on people who are unwell. As Fantasy Ireland refused to engage me on this subject much to my disgust I thought I would had a little more unprompted in order to show how wrong he is with his comments.
I will leave it there and continue doing what I do knowing I am doing what is right.