What future our NHS? WIll this follow the Ryanair model?

21st January

Our NHS has been around for over 60 years and has been the subject of many radical changes by successive Governments. Health care is costly however especially in an ageing population and to maintain a high standard. We have been falling behind in some outcomes in for example areas of cancer treatments.

The latest proposals by the Tory/Lib coalition who now wish to tear up the present structure in a change more radical than anything done before to our NHS. More broken promises and some of the small print not visible in the pre election manifestos... for example no mention there that PCTs would go.


Putting 80% of the NHS budget into the hands of doctors has rung a number of alarm bells... there are some GPs who relish the idea and are capable of running what would be a multi million pound business to commission health care for their patients as a group.. Many others are not so good at it, will waste our money, not being good at running a very large health team and just wish to get on with what they do best ... caring for their patients. There are at least two GP groups at the moment gearing up to try and run the service in Walsall and no doubt there will be a patchwork quilt of groups coming forward to run our NHS post 2013 .. However who will be picking up the bill if any of these holders of our health budget get it badly wrong and go bust? The belief of the Tories has always been 'let the market decide' How happy will you be to find that your operation will be done by a hospital bidding to get the business of doing your operation with the money needed by the hospital to keep in business? All our hospitals will become independent foundation trusts. where will be the democratic accountability of all these health organisations which will be spending most of our health care money? How will the standard of care and support be maintained or will this new model become the Ryanair equivalent in health care? You can imagine what could happen where the core cost is kept low with the 'extras' added on later to the bill !

Why tear up the PCTs , why cannot these organisations be the vehicle for delivery of health provision by the GP's? It will cost over £1 billion to wind up the PCTs with redundancies.. all money that is not spent on health care. I fear that our NHS is in danger... I pray that this patient is not suffering from a terminal illness.!