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| Quote: the government could no longer exert much day-to-day control over the increasingly stretched NHS | |
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The Govt has always had control via DoH and SoH.
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| Quote: ministers are simply washing their hands of responsibility for our NHS | |
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That's generally what the Govt does with the NHS. The Coalition is still blaming Labour for the past rather than acting and making changes.
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| Quote: The Lansley act paved the way for groups of GPs, who were given budgets to buy care for their communities, to be formed into clinical commissioning groups. | |
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GPs generally did not want CCGs to happen. The problem is that unless they engaged, they would have absolutely no control whereas they can at least be involved in damage-limitation. The CCG is made up of a group of people of which no more than half are doctors. That means that a new life-saving/improving treatment that doctors want can be refused by the majority who are non-GPs and it's still GPs who get the blame.
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| Quote: These groups can buy in care from the private sector | |
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That's because the Govt wanted to "encourage competition" within the NHS. As an example, audiometry (hearing tests) was something that hospitals did. Now companies can "bid" for it and the CCG can't preferentially choose the NHS hospital as it's "anti-competitive" or some such bollocks.
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| Quote: they were making the NHS "more accountable to patients" and freeing staff from "excessive bureaucracy and top-down control | |
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Thereby removing blame from the Govt when something goes wrong.
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| Quote: GPs ...have complained that...it is often unclear who is responsible for what | |
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That has become evident in the way in which the GP surgery now gets income. In the past, it was all straight from the PCT as a single payment. Now we get payment for minor surgery from one place, core work from another, family planning from another. It basically means we end up having to chase and make sure we're being paid and that we're being paid correctly.
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| Quote: estimates that the NHS will face a £20bn-£30bn annual funding gap by 2020 | |
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Funny how the Govt wants to make £20bn in efficiency savings.