Paul Watkins- Location: Dover
- Registered: 9 Nov 2011
- Posts: 2,225
Make decisions on how & where money is spent Howard.
Watty
Howard has a point, although I think there are big developments here. I have attended too many "consultations" that are no more than an exercise in having an exercise. I hope that the opening up of the "mystique" of healthcare commissioning will lead to better accountability and some democracy. Too much democracy would be counter-productive though - I don't call in a plumber only to tell her/him how to change the ballcock. (Sorry - couldn't think of a better example!!)
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
what actually does "health and well being" do if it is not lumped into consultancy with g.p.'s?
i thought i saw something with that title on the d.d.c website a while back.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,572
howard
i realise you are wise enough not to be taken in by mr w
ALL POSTS ARE MY OWN PERSONAL VIEWS
Guest 716- Registered: 9 Jun 2011
- Posts: 4,010
# 18.....this is at national level.Local action may have jumped the gun and may have to revise.....
Agree NHS needs to continually improve and update...but no legislation is required.
# 19......cheap spin....Hospital campaign was for GP`s to be in control of the health provision requirements
for Dover not to be `bean counters`.Bean Counters should keep to bookeeping,not decide the health
provision the people of Dover.
For "jumped the gun" read "taken the initiative". And without the driver of legislation there is no way the NHS will improve itself!! I have to add that without someone counting the beans there will not be sufficient of them to maintain the services...........
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
lansley is failing to take the country with him, not even taking his own party with him.
all the signs are that the reforms will grind to a halt halfway through which will leave the health service in a worse state then when he started.
Doing nothing is not an option and that has been clear for a long time, years in fact. One or other Government had to be the one to be brave enough to take the first steps, the least we can do is strive for the best outcomes.
Guest 663- Registered: 20 Mar 2008
- Posts: 1,136
Oh i'm sorry but i have to agree when all around you are telling you what you are doing is not working, when do you have the guts to say so and stop backing a dead horse.
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
dave usually caves into pressure, normally it is from back benchers this time some of it is from inside the cabinet.
He really, really, can't afford to do that, for so many reasons.
Paul Watkins- Location: Dover
- Registered: 9 Nov 2011
- Posts: 2,225
I'm with you Bern. Give in to the vested interests & their campaigns now & only we, as NHS patients will suffer.
Watty
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
how will we as patients benefit from these new proposals?
we hear that medics will have more say in buying in services, but they don't seem over impressed.
they are qualified in medical matters not procurement or accountancy.
"They" are not global - I know many docs who are keen, if a little anxious. And they can buy in management services more attuned to their processes (ahem.....if anyone is looking in...I can recommend someone!!)The state services are in now, I am surprised people even consider that it would be negative to develop them.
Paul Watkins- Location: Dover
- Registered: 9 Nov 2011
- Posts: 2,225
I've lost my posting three times so will only back up Bern.
Spurn it & regret the result long term.
Watty
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
what bothers me is that i have never seen or heard the health secretary discuss the reforms in public.
how can the population at large back the changes if they don't actually know what they are.
lansley simply states that they are for the best without saying why.
Paul Watkins- Location: Dover
- Registered: 9 Nov 2011
- Posts: 2,225
So put simply Howard.
Get rid of PCT's making decisions on where you spend the local NHS cash & give it to your GP's & health professionals etc. consulting local people to make the local decisions of the health needs of your area.
Watty
Guest 716- Registered: 9 Jun 2011
- Posts: 4,010
Cameron says there is no `serious`descent in his Cabinet.....or in the country??? ( what`s the weather like on his planet? )
With the rebellions growing and the Health Bill is only one of them must put a serious question mark over Cameron`s political judgement...........the government gives the impression of drift.....
One Government source turned on the tory website editor Tim Montgomery who exposed the comments of three ministers saying Montgomery is linked to Ian Duncan-smith and his soul achievement was to be his chief of staff.....chief of staff to the most unpopular leader of the Conservative Party in history.............
appears to be getting very nasty.
The other names being linked to the anonymous ministers are Sir George Young,Ken Clarke and Francis Maude..............will Cameron copy John Major`s example and call them those three b.....ds.?
The 1922 committee spokesman said the politics of the Bill are `dire`.Lansley has admitted many of his radical...unpopular... changes do not need legislation.
Stephen Dorrell tory chairman of the commons Health committee has cogently argued this for months without openly being a critic of Lansley`s plan unlike his three minister collegues who are not so reserved.
With the tory revolt growing the Lib/Dems warn they could withdraw their support of the Bill (par for the course )
If the Bill is dropped this massive structural upheaval will be left in a state of flux.
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
paul refers to local public consultations, well experience shows that these are totally toothless.
at least the board members of p.c.t's are elected.
Paul Watkins- Location: Dover
- Registered: 9 Nov 2011
- Posts: 2,225
I presume the abolition of PCT'S & Strategic Health Authorities needs legislation.
The formation of Clinical Commissioning Groups & transference of Public Health etc. needs legislation.
So how do GP's & local people get the decision making powers without legislation Reg?
Watty