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Source Rosamund Urwin: The PM?s silent assent to the NHS death sentence - Comment - London Evening StandardRosamund Urwin: The PM’s silent assent to the NHS death sentence
Most new contracts have gone to private firms, who can hide behind the NHS logo but siphon off a profit
Electorally toxic: shadow health secretary Andy Burnham called for an end to the privatisation of the NHS until the next General Election to give voters the chance for a proper debate
Think back to 2010. In the run-up to the General Election, David Cameron declared that the NHS would be his “No 1 priority”. Then those posters appeared, with an oddly unblemished image of the Tory leader that was straight out of uncanny valley. “I’ll cut the deficit, not the NHS” ran one of the slogans next to Synthetic Man’s face.
Now, with the next election approaching, we’re hearing a lot less from the Conservatives about the health service. The nation’s biggest employer didn’t even warrant a mention in the Queen’s Speech. This silence isn’t a sign it’s all ticking along merrily — most of the recent headlines have included words like “closure”, “critical” and “crisis” — it shows that the NHS has become electorally toxic for the Tories.
That’s not surprising when you examine the coalition’s record. When David Cameron arrived in No 10, the public had never been more satisfied with the NHS; now the story is of swamped A&Es, chronic staff shortages and slashed funding for mental health services. And while voters were repeatedly told the health budget was rising in real terms, many departments have actually experienced sharp cuts passed off as “efficiency savings”.
On top of all this, the NHS is being privatised by stealth, despite the Government having no mandate for a sell-off. Last year, a majority of new contracts to provide services went to private companies. These firms can hide behind the NHS logo but siphon off a profit. Collectively, such providers received more than £10 billion from the public coffers in 2013. And according to yesterday’s Financial Times, around £5.8 billion of NHS work is currently being advertised to the private sector, a 14 per cent increase on a year earlier.
Earlier this week, the shadow health secretary Andy Burnham called for an end to the privatisation of the NHS until the next General Election to give voters the chance for a proper debate. This is a welcome move, even if it comes from a party which oversaw a sharp increase in the use of the private sector by the NHS during its time in office, as well as disastrous PFI deals that bogged hospital trusts down in debt.
The marketisation of the NHS is based on a false premise: that markets are the most efficient way to distribute care. In reality, competitive tendering is bureaucratically cumbersome, expensive and it fragments healthcare as those with chronic conditions are treated by more than one provider. There are additional costs too — on admin, on advertising — money lost from patient care.
Next month, a People’s March for the NHS will travel from Jarrow down to Parliament. It’s a call to arms to save a still-beloved institution. Perhaps a crowd shouting outside the Commons will force the PM to stop keeping shtum.
The NHS needs some --- kicked and could learn a lot from these private healthcare providers, I'm not saying it needs privatisation but it needs a good shake up
Sorry to hear about your father, I had very similar with my mother too. The cover ups were awful to say the least. I don't know what the answer is but I am proud of the bits of the nhs that do what they are supposed to. You do realise that private treatment in the UK generally means getting treated by the same Doctor/Surgeon or Consultant as you would if you had went NHS. Often using NHS facilities too, Not always but often.Unless there has been an improvement since 2009 there needs to be some major --- kicking done within the NHS or certainly one of the hospitals close to me.
My dad had an operation back in 2009 and infection control on the ward was more or less non existent and my dad contracted an infection along with quite a few other patients on that ward, there was a matron over 4 wards including the one my dad was on who had no mandate to do her job properly she was on a 9 - 5 contract and her hours could not be varied yet many of the staff she was over worked permanent nights and were never spot checked by her. Myself and my brothers had a meeting with her and catalogued a number of problems we had noticed in the ward my dad was on she was horrified at what we saw going on and we were only there for a few hours each day. This is obviously still happening as I'm still talking to people who have had a knee op and got something they didn't want, an infection.
My dad left hospital in a body bag, I refused the death certificate until the cause of death was properly recorded they even tried to cover that up.
In the last 6 years I have had a number of consultations for a couple of problems the quality of which has been very varied to say the least, one was for a suspected heart problem the consultant was fantastic guy who took the time to explain that the heart murmur I had been told I had for more than 40 years was because I was plumbed differently to the normal standard, the other for shoulder problem that was caused by a misdiagnosed broken collar bone 22 years ago, I was told it was whiplash from a road accident at the time, I have never met so one size fits all practitioners while getting treatment for this who don't seem able to accept everyone is different
The NHS needs some --- kicked and could learn a lot from these private healthcare providers, I'm not saying it needs privatisation but it needs a good shake up
Sorry to hear about your father, I had very similar with my mother too. The cover ups were awful to say the least. I don't know what the answer is but I am proud of the bits of the nhs that do what they are supposed to. You do realise that private treatment in the UK generally means getting treated by the same Doctor/Surgeon or Consultant as you would if you had went NHS. Often using NHS facilities too, Not always but often.
Unfortunately these NHS employees are human and will cover their friends backs in the same way as you may cover a friends back at work, Only thing is they are dealing with people and life and death which is much more emotive than some prat ordering the wrong size of armour cable. But I do know where you are coming from having went through it with my mother, and also having myself had excellent treatment at the same hospital in different departments.
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