Smilles can we put you on charge of the setup. I always think about government organisations and how they operate and I'm reminded of my industry. The aviation industry is not run by pilots, Arlines are run by managers with expertise in their own areas.millimole wrote: ↑23 Nov 2022, 8:18amMost people forget, or don't know that nearly all GP surgeries are private businesses contracted to provide NHS services - this was part of the deal the BMA did with Labour in 1948hjd10 wrote:The system is already privatised with GP surgeries, I quite like the idea of small hubs that provide treatments away from large hospitals (cataract operations and minor surgeries).Debs wrote: ↑19 Nov 2022, 1:42pm After 12 years of Tory administration deliberately underfunding the NHS in view of profits from privatisations, the more recent ruthless Brexit-Tory cabal is holding out yet another two years until its bitter end of being defeated in the next available General Election.
However, will it be too late by then, for a new Labour government, to save the NHS from 14 years of deliberate ongoing Tory privatisation creep?
The hubs you describe have been intermittently tried in various places at various times - I remember several experiments during my 40 year stint in the NHS. They are great for patients, they are satisfying for staff, and they can save money.
So why don't they last? Mainly because of the resistance of 'old school' senior medical staff to working outside of major hospital centres, and them doing what is perceived as a 'production line' job. This underlines the power of medical staff against the rational needs of both patients and society.
Thankfully a lot of these attitudes are changing, and some of this is due to the increased number of consultants in the NHS, and the new ideas being brought in by overseas doctors.
In the early days of the NHS 'Health Centres' were built that incorporated swimming pools and libraries as well as all the services that you'd find in an Out Patient Clinic. I believe that one such centre was built in Woodberry Down in North London.
The idea being - healthy mind/healthy body. But that requires joined up thinking!
Who can remember the Trouble shooter Sir John Harvey-Jones, we need more people like this in charge of large government organisations?