Quote from: Sloper on January 07, 2015, 12:46:39 pmWhy would the NHS having driven all GP's to be centrally contracted on say a scale of £80-100k (insert more realistic numbers I'm just guessing) and owning the estate, having centralised HR & IT systems then pay more for a profit making (if not distributing provider) provider?Slightly different, but look at Circle. Private provider takes on running the trust. Once demand increases and income falls a bit, it's not a viable business. The rest of the system is running under the same increase load and reduced income."Its franchise to operate the trust was not sustainable" - I think that's quite a damning statement for the whole system as is.
Why would the NHS having driven all GP's to be centrally contracted on say a scale of £80-100k (insert more realistic numbers I'm just guessing) and owning the estate, having centralised HR & IT systems then pay more for a profit making (if not distributing provider) provider?
is the plan to make the NHS function at such a low level that more people will begin to take out private health insurance?
yes, they already existed, but I'm sure they would be happy to increase their customer base if they were to become become the only percieved safe option for people who are scared of their families suffering ill health and related death stuff
...Which raises this point in my mind:Doctors, Consultants and other health professionals are partly responsible for creating the system. The system undermines the fairness and equality of healthcare treatment in the UK. The government surely encourages this, but I find it hard to listen to healthcare professionals without having the constant niggling feeling that many of them have their noses in the trough either willfully or without fully acknowledging it. It's a commonly recurring theme of institutions/life in this country...I'm not saying they shouldn't do this. Just that their actions don't align with 'the message'.
That's why I didn't type 'nurses'.
Quote from: petejh on January 09, 2015, 02:05:19 pm...Which raises this point in my mind:Doctors, Consultants and other health professionals are partly responsible for creating the system. The system undermines the fairness and equality of healthcare treatment in the UK. The government surely encourages this, but I find it hard to listen to healthcare professionals without having the constant niggling feeling that many of them have their noses in the trough either willfully or without fully acknowledging it. It's a commonly recurring theme of institutions/life in this country...I'm not saying they shouldn't do this. Just that their actions don't align with 'the message'.I think you will find that there are somewhat limited opportunities for nurses to have their noses in the trough.
Quote from: petejh on January 09, 2015, 02:48:22 pmThat's why I didn't type 'nurses'.As you state Doctors, consultants and other healthcare professionals who else do you mean other than Nurses. Occupational Therapists?
Quote from: webbo on January 09, 2015, 02:32:38 pmQuote from: petejh on January 09, 2015, 02:05:19 pm...Which raises this point in my mind:Doctors, Consultants and other health professionals are partly responsible for creating the system. The system undermines the fairness and equality of healthcare treatment in the UK. The government surely encourages this, but I find it hard to listen to healthcare professionals without having the constant niggling feeling that many of them have their noses in the trough either willfully or without fully acknowledging it. It's a commonly recurring theme of institutions/life in this country...I'm not saying they shouldn't do this. Just that their actions don't align with 'the message'.I think you will find that there are somewhat limited opportunities for nurses to have their noses in the trough.For MrsTT's hen do, a fireman (well I assume he was a fireman - he was thus attired) came around and carried out some 'exotic' dancing for the gathering... I'm sure similar opportunities might exist for Nurses?
Actually I'm not sure that they would want to increase their number of members (across the board) as their own capacity is probably less flexible than the potential increase.
Quote from: tomtom on January 09, 2015, 02:59:45 pmQuote from: webbo on January 09, 2015, 02:32:38 pmQuote from: petejh on January 09, 2015, 02:05:19 pm...Which raises this point in my mind:Doctors, Consultants and other health professionals are partly responsible for creating the system. The system undermines the fairness and equality of healthcare treatment in the UK. The government surely encourages this, but I find it hard to listen to healthcare professionals without having the constant niggling feeling that many of them have their noses in the trough either willfully or without fully acknowledging it. It's a commonly recurring theme of institutions/life in this country...I'm not saying they shouldn't do this. Just that their actions don't align with 'the message'.I think you will find that there are somewhat limited opportunities for nurses to have their noses in the trough.For MrsTT's hen do, a fireman (well I assume he was a fireman - he was thus attired) came around and carried out some 'exotic' dancing for the gathering... I'm sure similar opportunities might exist for Nurses? You promised to keep that quiet.
Steve, did you read the Kings Fund debunking the myth of privatisation & etc? They're hardly Monday Club nutters are they? There is no credible basis for saying that a Conservative government will lead to significant damage to the NHS let alone its wholesale destruction, privatisation or the like.As for the implication in your post, viz. that Gordon Brown had nothing to do with the crash, that's simply a moronic lie. Gordon brown instituted the failed regulatory regime overnight and ran a deficit in the boom years. As such not only was he partially responsible for the bust he was wholly responsible for having nothing to hand to deal with the bust when it occured.
Wish I could link Roy Lilley's stuff but its a posted blog so unless someone can come up with an alternative its cut and paste (which loses many of the evidence links).QuoteWhat is a 'posted blog'? Blogs (a portmanteau of 'web log') are hosted on web-pages, all of which have URLs which can be copy and pasted, this would then make all links contained within available to others.Perhaps you mean its text from an email you have received, which isn't a blog (because by definition blogs are posted on the web), but a distribution list? If so these often have a link to "Read in browser" which might be useful?Quote from: Offwidth on January 14, 2015, 10:14:18 am I dont agree with everything he says but he does cut through much of the crap and I do agree with the seriousness of the situation the NHS is in and he's one of the few from the management end pushing the vital importance of the proper treatment of front line staff in any solution and real ideas on such solutions.The Kings Fund posts are problematic for all sorts of reasons which I'll come back to this if I have time.Kings Fund Whos Who : Roy Lilley
What is a 'posted blog'? Blogs (a portmanteau of 'web log') are hosted on web-pages, all of which have URLs which can be copy and pasted, this would then make all links contained within available to others.Perhaps you mean its text from an email you have received, which isn't a blog (because by definition blogs are posted on the web), but a distribution list? If so these often have a link to "Read in browser" which might be useful?Quote from: Offwidth on January 14, 2015, 10:14:18 am I dont agree with everything he says but he does cut through much of the crap and I do agree with the seriousness of the situation the NHS is in and he's one of the few from the management end pushing the vital importance of the proper treatment of front line staff in any solution and real ideas on such solutions.The Kings Fund posts are problematic for all sorts of reasons which I'll come back to this if I have time.Kings Fund Whos Who : Roy Lilley
I dont agree with everything he says but he does cut through much of the crap and I do agree with the seriousness of the situation the NHS is in and he's one of the few from the management end pushing the vital importance of the proper treatment of front line staff in any solution and real ideas on such solutions.The Kings Fund posts are problematic for all sorts of reasons which I'll come back to this if I have time.