I asked Andrew what would be the one thing he would change in the NHS right now, if he could. His answer was to ‘make real’ GP budget holding. That way, money could truly follow patients, and care would be truly patient centred.
I asked him for his vision of the future for the NHS. He said that Social Responsibility is at the heart of the vision…..professionals need to be given the responsibility and the resources to meet the needs of their local communities, without interference from politicians.
On target setting, Andrew believes targets must be set, but only for ‘outcomes’. For example, the survival rate after cancer or heart surgery, NOT the maximum wait for a consultation. Micro management by government creates unintended consequences, blockages and resource diversions away from what really matters.
Andrew wants patients to be at the centre of all decision taking – that means much more consultation, not just on treatments, but also on the structure patients want for their NHS… is specialisation of treatment more important than easy local access to services?
Andrew believes we need to spend more, not less, on the NHS, but that more of the money should go on front line services and away from administration – he says the fact that recruitment of administrators in recent years has been more than double that of new nursing staff is clearly wrong.
Under the last Conservative government, he acknowledges that we under-invested in the NHS; Labour has gone some way to putting that right, but their management has been abysmal and now after ‘famine’ and ‘feast’ we are back to famine... Andrew would like to see the NHS of the future on a ‘healthy diet’.
And when the chips are down and Mr Lansley needs medical invstigations/treatment will he meekly join the NHS queue and wait for months or make an appointment at his local BUPA hospital?
Posted by: disillusioned activist | October 05, 2006 at 03:10 AM
NHS Budgets are pre-configured for years to come through PFI contracts. The fact that a huge block of spending on PFI is locked-in is why hospitals run deficits and fire staff...........get used to it.........it will be an ongoing feature of the NHS
Posted by: TomTom | October 05, 2006 at 08:08 AM
join the NHS queue and wait for months or make an appointment at his local BUPA hospital?
but NHS patients are treated at BUPA hospitals under Labour's policy............so what are you talking about ?
Posted by: TomTom | October 05, 2006 at 08:10 AM
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