In Health Care, death is irreversible.
The Elite
Zebra in fact belongs to the same family as the horse (Genus Equus) but unlike the horse has never been domesticated. It is believed that the stripes in a herd is protective as many animals merge together and thus appeared larger.
©2012 Am Ang Zhang
There is now a new
plot on the horizon: Persuade people that they only need community hospitals near
them to be run by Primary Care and they may not even be doctors.
This way the punters
might be tricked into not going to Hospital A&Es but Urgent Care Centres at
these locals.
Really.
Punters would not be
punters if they are that stupid.
No matter; as we will
close A&Es and even their hospitals.
Why?
It is the one big
drain on NHS spending and it cannot be controlled. We can pay GPs if they do
not refer but self referrals to A&E is now the norm.
A reprint:
NHS Reform:
Democracy is for the Elite! So is Health Care!
Is it really that difficult to
grasp! Our democracy is for the ELITE. Why pretend? So is Health Care!
Most
people in well paid jobs (including those at the GMC) have health insurance.
GPs have traditionally been gatekeepers and asked for specialist help when
needed. If we are honest about private insurance it is not about Primary Care,
that most of us have quick access to; it is about Specialist Care, from IVF to
Caesarian Section ( and there are no Nurse Specialists doing that yet), from
Appendectomy to Colonic Cancer treatment (and Bare Foot doctors in the Mao era
cannot do the latter either), from keyhole knee work for Cricketers to full
hip-replacements, from Stents to Heart Transplants, from Anorexia Nervosa to
Schizophrenia, from Trigeminal Neuralgia to Multifocal Glioma, from prostate
cancer to kidney transplant and I could go on and on.China
When there are not enough specialists
to go round in any country money is used to ration care.
So
we are going to but in a peculiar manner as the NHS used to be state run and free. Reform is
needed!!! Enter GP commissioning. If it is your GP doing the rationing it
is no longer the State's problem.
Some very clever people indeed are working for the government.
Is it Conspiracy or Cockup? You decide.
Some very clever people indeed are working for the government.
Is it Conspiracy or Cockup? You decide.
But strangely they thought there is still money to be made.
The current concern for the
NHS Reform is perhaps too focused on privatisation.
The main aim by some very
clever people in government is that somehow there must be a way to limit health
spending.
The first obvious way is to
find someone that could do it without the blame coming back to the politicians
who needs to worry about the next election or next job.
GP Commissioning was
thought to be the answer as the blame would now be on the GPs.
Integration
of Health Care
Integration of Health Care
now carries a new meaning: integrated as long as it is all within the remit of
Primary Care and not between Primary and Secondary Care. Yet there is only so
much that Primary Care can do unless they started employing their own
consultants and running there specialist hospitals. That is one way of saving
money.
The other way is to refer
to Any Qualified Provider,
the new NHS speak for Private Providers. Better still if these are owned by the
same organisations that own some of the GP practices. Believe me, it is already
happening and it will spread.
How could this be done?
Simple, NHS Foundation Hospitals will not stand a chance if they have to
continue with the expensive and unprofitable conditions or expensive dialysis
and Intensive Care that many private insurers will not touch. In the new world
order, they will fail and be closed or be bought by private companies. We have
the regulator called Monitor that will see to it.
Again it will not be the
politician’s fault: just bad management.
The new structure of HSCB
is perfectly geared towards failing FT Hospitals. Some will survive through
high levels of private work for those from wealthy countries. There is only a
limited number of specialists to go round in England
Which means that there will
be a long waiting list for NHS patients!!!
Rationing by any other
name.
It
really does not need a genius to work out that Foundation Hospitals if they
fail will be bought up by private firms.
So there are not enough
Consultants and shortage creates demand and you can name your price.
Consultants do not really want to waste time in consortia arguing about the
price of hips or knees.
Privateers
A big portion of the NHS
money will now be spent in the counting houses of the new Commissioning
Offices. Gradually more and more of that money will be re-distributed to
Privateers.
Those who could afford to
will now get their own Health Insurance and when the Insurers refuse to cover
some conditions you may have to return to the NHS. But who knows, it might just
be too late then as those hospitals may no longer be there
So do
you really think that hospitals are not necessary, or not necessary for the
average citizen of England
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.
Do we still have
those: yes we do! See here>>>>
In London
The Maudsley Hospital
Then there is Papworth. Need
I say more!!!
I know that when you visit them nowadays,
these places seem to be full of: non locals. Or could it be
that these are now the new locals, I doubt as you can sometimes see the lovely
foreign plated cars parked outside them. If I am wrong, I do apologise.
The truth is that medical tourists come not for the GP
services we provide, they come for the cutting edge medical procedures and in England
So, opening up many of these rather precious hospitals
for up to 49% private will mean a severe reduction in actual medical times
available to NHS patients.
That is why: the pretending
is over. No, at the end of the day it will not be the medical care you can get
from your GP or Noctors, it will be well trained specialists with up to date
complex procedures that you or one of your relatives may need!
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