“The really surprising thing was the illusion these GPs had about the power of the consultants in the hospital. I have picked up this misunderstanding before from online comments from GPs. They really don't understand. GPs, you see, have very great influence over their own surgery. As many politicians like to point out, they are independent contractors.
If you are a senior GP you remember hospitals as they used to be. There was an illusion then that the consultants were in charge and ran the hospital. Perhaps there was a time when they did or, at the very least, they were listened to. But that was way back in history. They don't now. Not at all. They are scarcely listened to.”
More from Dr Grumble:
"It was an eyeopener for them to discover otherwise. One of Grumble's colleagues pointed out that our Chief Executive, when announcing some plan nobody much liked, announced that the hospital was not a democracy. It's not. It never has been and it never will.
Like most meetings nothing much came out of it though the GPs certainly learnt just how impotent today's consultants are. The interesting point for the consultants, though it may not have been a surprise, was that the local GPs had also not been consulted by their masters on the hospital closure. They had taken part in a formal public consultation process but, as was pointed out to them, formal consultation processes are more about telling the populace what is going to happen than listening to their concerns."
Unless we act fast, we stand to lose the hospital consultants to the private sector and the hospitals too will go that way. Consultants had been side lined for too long!
So do you really think that hospitals are not necessary, or not necessary for the average citizen of England. Soon they will be sold and it will be costly to buy them back.
What about medical training? If these hospitals are sold, who pays?
And watch out, someone, your parent, your spouse, your child and even your MP may need a Hospital Consultant one day.
I have previously suggested that the new CCGs should buy up Hospitals as the current internal market system is having a very serious unhealthy load on the total cost of Health Care in this country.
Why not do the opposite, let the hospitals employ the GPs. In other words: integrate primary and secondary health care and be done with the internal market that is grossly skewing the way health care is funded.
But wait for this: only the profitable ones.
It also is important to keep in mind that, “contrary to popular assumptions, it’s the volume of services, not the price per service, that accounts for most of the variation in Medicare spending” observes Dr. Jack Wennberg, the founder of what is now known simply as “the Dartmouth research.” And as more than two decades of
So, what would be so wrong with a Hospital based integrated NHS.
My suspicion is that it will happen but it would be the privateers that will be doing it to have full control of cost that would be escalating.
It is already happening in the US and believe you me, it will here. By then it will be too late as the specialists would have left the state run NHS.