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11-07-2020, 04:53 PM
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Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

This subject was brought up by AnnieS in another thread and is well worth discussion here:

https://www.theguardian.com/society/...direct-control

Boris Johnson is planning a radical and politically risky reorganisation of the NHS amid government frustration at the health service’s chief executive, Simon Stevens, the Guardian has learned.

The prime minister has set up a taskforce to devise plans for how ministers can regain much of the direct control over the NHS they lost in 2012 under a controversial shake-up masterminded by Andrew Lansley, the then coalition government health secretary.

The prime minister’s health and social care taskforce – made up of senior civil servants and advisers from Downing Street, the Treasury and the Department of Health and Social Care (DHSC) – is drawing up proposals that would restrict NHS England’s operational independence and the freedom Stevens has to run the service.

In the summer, the taskforce will present Johnson with a set of detailed options to achieve those goals, and that will be followed by a parliamentary bill to enact the proposals, it is understood.

“The options put forward to the prime minister will be about how the government can curb the powers of NHS England and increase the health secretary’s ‘powers of direction’ over it, so that he doesn’t have to try to persuade Simon Stevens to do something,” said a source with knowledge of the plans. “[The health secretary] Matt Hancock is frustrated [by] how limited his powers are and wants to get some of that back.”

The proposed NHS overhaul comes amid plans for other significant reforms, including to the universities system and the military.

The coronavirus crisis and an 80-seat majority have made Johnson determined to act. There is ministerial frustration at the role some health agencies have played during the pandemic, notably Public Health England (PHE), and a desire to make permanent some recent changes in NHS working, such as different NHS bodies working closely together, and the huge increase in patients seeing their GP or hospital specialist by video or telephone.

Dominic Cummings, Johnson’s chief adviser, is not a member of the taskforce.
There's no doubt that the COVID-19 crisis has forced new ways of working on the NHS, as it has almost everywhere else, so now is a good time for a review but what form a reorganisation is, as yet, undecided.
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11-07-2020, 05:58 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

Although our NHS is still to many, the envy of the world , our frontline staff wonderful, there are so many avenues within that have been used and abused over the years, it is well overdue for an overhaul. Scandals such as Labour's stupid PFI scheme (Private Finance Initiative) when everything was taken out of the public authorities hands and Trusts were then forced into wholesale outsourcing of building, maintenance and services to private companies such as the infamous Carillion

These charlatans have been able to abuse the system by enabling them to be the only ones ever allowed to change a lightbulb and charge an extortionate £70 per bulb for the privilege! Or the £20 charged just to change the soap dispenser or hand sanitiser. Or the North Staffordshire hospital charged an eye-watering £13,704 just to put up 3 lights in their hospital garden. It has been nothing but a profit-making, money-spinning racket.

So, before Labour open their big mouths, as no doubt they will ""as the saviours of the NHS" I say cut a scythe through the lot, take it back under public control, kick out the leeches, and let's spend that money on where it should be spent, on front line staff and services, not in the greedy beggers fat bank accounts.

The other thing that should quickly be sorted out is Hospital Car Parking. It is an absolute scandal that staff should have to pay to work, and those visiting loved ones who are long term or terminal care should not have to pay either.
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11-07-2020, 06:08 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

Originally Posted by shropshiregirl ->
Although our NHS is still to many, the envy of the world , our frontline staff wonderful, there are so many avenues within that have been used and abused over the years, it is well overdue for an overhaul. Scandals such as Labour's stupid PFI scheme (Private Finance Initiative) when everything was taken out of the public authorities hands and Trusts were then forced into wholesale outsourcing of building, maintenance and services to private companies such as the infamous Carillion

These charlatans have been able to abuse the system by enabling them to be the only ones ever allowed to change a lightbulb and charge an extortionate £70 per bulb for the privilege! Or the £20 charged just to change the soap dispenser or hand sanitiser. Or the North Staffordshire hospital charged an eye-watering £13,704 just to put up 3 lights in their hospital garden. It has been nothing but a profit-making, money-spinning racket.

So, before Labour open their big mouths, as no doubt they will ""as the saviours of the NHS" I say cut a scythe through the lot, take it back under public control, kick out the leeches, and let's spend that money on where it should be spent, on front line staff and services, not in the greedy beggers fat bank accounts.

The other thing that should quickly be sorted out is Hospital Car Parking. It is an absolute scandal that staff should have to pay to work, and those visiting loved ones who are long term or terminal care should not have to pay either.
Tops Shrops!

No doubt someone will come on and say he shouldn't go after our NHS.

They've done wonders but how much more might have been achieved if they could manage their finances better.

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11-07-2020, 06:35 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

Originally Posted by shropshiregirl ->
Although our NHS is still to many, the envy of the world , our frontline staff wonderful, there are so many avenues within that have been used and abused over the years, it is well overdue for an overhaul. Scandals such as Labour's stupid PFI scheme (Private Finance Initiative) when everything was taken out of the public authorities hands and Trusts were then forced into wholesale outsourcing of building, maintenance and services to private companies such as the infamous Carillion

These charlatans have been able to abuse the system by enabling them to be the only ones ever allowed to change a lightbulb and charge an extortionate £70 per bulb for the privilege! Or the £20 charged just to change the soap dispenser or hand sanitiser. Or the North Staffordshire hospital charged an eye-watering £13,704 just to put up 3 lights in their hospital garden. It has been nothing but a profit-making, money-spinning racket.

So, before Labour open their big mouths, as no doubt they will ""as the saviours of the NHS" I say cut a scythe through the lot, take it back under public control, kick out the leeches, and let's spend that money on where it should be spent, on front line staff and services, not in the greedy beggers fat bank accounts.

The other thing that should quickly be sorted out is Hospital Car Parking. It is an absolute scandal that staff should have to pay to work, and those visiting loved ones who are long term or terminal care should not have to pay either.
They set out revised guidance for free parking in December last year. PFIs are a Tory invention. Labour did save the NHS.

The reported alleged changes will be one of the biggest u-turns in the history of u-turns. Let's waste billions restructuring and then do hush-hush restructuring when the restructuring doesn't work out. Reminds me of school - corrections of corrections....
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11-07-2020, 06:48 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

[So, before Labour open their big mouths, as no doubt they will ""as the saviours of the NHS" I say cut a scythe through the lot, take it back under public control, kick out the leeches, and let's spend that money on where it should be spent, on front line staff and services, not in the greedy beggers fat bank accounts.

Hear, hear!
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11-07-2020, 10:51 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

Originally Posted by AnnieS ->
They set out revised guidance for free parking in December last year. PFIs are a Tory invention. Labour did save the NHS.

The reported alleged changes will be one of the biggest u-turns in the history of u-turns. Let's waste billions restructuring and then do hush-hush restructuring when the restructuring doesn't work out. Reminds me of school - corrections of corrections....
John Major dabbled in PFI but the real killer was Tony Bliars obsession with it. He's almost single-handedly destroyed the NHS with his overuse of the scheme. Labour have not saved the NHS and they never will. Any investment in the NHS has been by Conservative governments.

Who's bright idea was it to take a perfectly working fire service with their local call centres linked to 999 and replace those with a mere seven call centres? They were done under PFI by John Prescott. Six of the buildings are empty but are still being paid for. The joke was to set fire to those six and get the seventh to organise the fire engines to go and put the fires out.

Two cracking examples of Labour's incompetence with the UK's finances.
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11-07-2020, 11:24 PM
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Re: Boris Johnson plans radical shake-up of NHS in bid to regain more direct control

Originally Posted by Judd ->
John Major dabbled in PFI but the real killer was Tony Bliars obsession with it. He's almost single-handedly destroyed the NHS with his overuse of the scheme. Labour have not saved the NHS and they never will. Any investment in the NHS has been by Conservative governments..
PFI was invented by tories. Labour saved it because Thatcher pretty much destroyed it by sucking it dry of funding. So labour pumped much needed money and development in. They didn't remove the internal market but developed it. They increased private providers. They didn't go back to the drawing board. But it was a dying patient and they rescued it.

I'm intrigued by your last statement. I really do not understand it. But then there is a fundamental dearth of information & news on the subject. It seems that Depp's court case and the death of a football legend is more important....
 

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