Quizzes & Puzzles3 mins ago
Nhs Facing Huge Funding Gap
Four years ago, when the Tories entered Number Ten again, they promised that NHS spending would be ring-fenced and that no cuts would be imposed, unlike all other areas of expenditure. But it now appears that there is a huge funding gap opening up, and it is destined to get even bigger next year.
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Is the NHS still safe in Tory hands ?
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Is the NHS still safe in Tory hands ?
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yes the NHS is safe with the tories. It is also a bottomless pit. If they want to save money it's easy just get shot of all the empire building managers. They have more clerks than beds For Funks Sake, like any public sector operation it is run like a complete shower. I am a great supporter of the NHS and I don't want it privatised but I do think it should operate as a proper business. They should also cut the unnecessary medical procedures, IVF, cosmetic surgery for vanity, etc.
The defacto cuts to the NHS were inevitable. The level of funding needed to maintain the same standards as under the last Labour Government were unsustainable after the financial crash.
A far more important change, the handing over of local NHS budgets direct to GPs in the form of the Clinical Commissioning Groups (CCGs). The change will come back to haunt us soon. Set up under the Health and Social Care Act 2012, this more or less privatises your local health provision.
Your local doctor's surgery is a privately run business and for profit. But they are anti competative, and receive all their income from the taxpayer. Now all these businesses hold the purse strings to what is spent locally. They are doctors and other than running their small businesses, they have no expertise in running a big budget commercial organisation (which is what the CCGs effectively are).
The result will be less healthcare, more money being taken as profit on their business, an increase in fraud and mismanagement.
The Labour Party and their supporters should be campaigning against CCGs but they don't. They rant instead about cuts that they would have had to make themselves if they were in power. And ignore the privatisation occurring under their noses.
A far more important change, the handing over of local NHS budgets direct to GPs in the form of the Clinical Commissioning Groups (CCGs). The change will come back to haunt us soon. Set up under the Health and Social Care Act 2012, this more or less privatises your local health provision.
Your local doctor's surgery is a privately run business and for profit. But they are anti competative, and receive all their income from the taxpayer. Now all these businesses hold the purse strings to what is spent locally. They are doctors and other than running their small businesses, they have no expertise in running a big budget commercial organisation (which is what the CCGs effectively are).
The result will be less healthcare, more money being taken as profit on their business, an increase in fraud and mismanagement.
The Labour Party and their supporters should be campaigning against CCGs but they don't. They rant instead about cuts that they would have had to make themselves if they were in power. And ignore the privatisation occurring under their noses.
I don't believe for one minute that a public body the size of the NHS cannot make savings without cutting front line services. Thanks to the unions and the last Labour government, it's run mainly for the benefit of those who work in it, like some kind of huge job creation scheme. My wife works for the NHS and tells me how employees (especially managers and supervisors) for example play the retirement and sickness system for their own benefit.
Well, there's a surprise. Having been inside the NHS for the past nearly-20 years, funding has always been an issue, and my own organisation was cutting back and cutting back - as at last 1st April, we had to reduce expenditure yet again. The service was never intended to cover all the vast array of situations we are expected to deliver these days, and as the population grows and ages rapidly, it's hardly surprising that the health service is finding it hard to cope. Major changes are forced on us every three years in my experience - we never get time to settle down before it's all change again, and another round of reorganisation and redundancy. All that costs money, too.
For Sqad and Gromit...
I have no idea how old you are, Gromit, but, Sqad, you're certainly old enough to remember that the following were the words of Reginald Maudling, the departing TORY chancellor in 1964, to his Labour successor...
"Good luck, old cock.... Sorry to leave it in such a mess."
So the near-identical Labour comment people constantly draw attention to since 2010 was merely a copy of that, in effect, though perhaps slightly more polite!
I have no idea how old you are, Gromit, but, Sqad, you're certainly old enough to remember that the following were the words of Reginald Maudling, the departing TORY chancellor in 1964, to his Labour successor...
"Good luck, old cock.... Sorry to leave it in such a mess."
So the near-identical Labour comment people constantly draw attention to since 2010 was merely a copy of that, in effect, though perhaps slightly more polite!
The GPs' don't hold all the money, btw - certain essential services e.g. cancer services, are still commissioned centrally from the National Commissioning Board - and it's the NCB which commissions the GPs' core services from each surgery, and funds them to do it. The local Clinical Commissioning Groups then commission everything else from Any Willing Provider. It's a mess.
My lesbian teachers each want their own child/ren but have no sperm, so get free IVF. Will cost mooolahs if all career gals follow up.
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The NHS will spend whatever is available, and will always ask for more.
If they ever say they have enough funding, they may not get increases next year.
There are several new factors putting pressure on the NHS :-
1 The compo culture, with patients receiving million pound awards - this puts up the insurance premiums - a growing burden.
2 Our ageing population, obviously.
3 The new, extremely expensive drugs coming on to the market.
4 The billions of pounds spent on vanity PFI contracts, with gigantic annual repayments and extraordinarily expensive annual maintenance obligations - Gordon Brown loved PFI - it shunted massive expenditure off his balance sheet, allowing him to say he'd balanced his books.
If they ever say they have enough funding, they may not get increases next year.
There are several new factors putting pressure on the NHS :-
1 The compo culture, with patients receiving million pound awards - this puts up the insurance premiums - a growing burden.
2 Our ageing population, obviously.
3 The new, extremely expensive drugs coming on to the market.
4 The billions of pounds spent on vanity PFI contracts, with gigantic annual repayments and extraordinarily expensive annual maintenance obligations - Gordon Brown loved PFI - it shunted massive expenditure off his balance sheet, allowing him to say he'd balanced his books.
jom; I find it hard to believe that once, at the advent of New Labour, I was actually a fan of T. "I'm a regular sort of guy" Blair.
Ref. the doctor's outrageous grab of the NHS dosh, (not to mention a simultaneous reduction of their working hours), which placed them the envy of their more hardworking European counterparts. Funny that squad seems to have gone untypically quiet. :-)
Ref. the doctor's outrageous grab of the NHS dosh, (not to mention a simultaneous reduction of their working hours), which placed them the envy of their more hardworking European counterparts. Funny that squad seems to have gone untypically quiet. :-)
squad; I wasn't referring to your astute and welcome comments on the NHS in general, I was referring to your reticence to comment at my suggestion that the docs grabbed the lions share of Gordon Brown's huge cash injection into the health service, placing them among the highest paid for the least amount of hours in the EU.
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