With the RCGP the latest of the Royal Medical Colleges to come out against the Health and Social Care Bill the government is not winning hearts and minds or building a groundswell of support for its Health and Social Care Bill. Should they run out of legislative runway there is a theroretical chance the Bill will not make it onto the statute book.
Just for the sake of arguement, what would a 'No Bill' scenario mean for the NHS? Your speculation invited...
I'm surprised to be the first to respond to this, it appears that a lot of people are against the bill but equally no one has the answers to improve patient care and meet the £20 billion challenge.
From my point of view, we need to start from the ground up and by that I don't mean starting with the GPs, I mean starting with the patients. Although GPs are clearly well positioned to assess the needs of their patients, how do we look to address the challenge that while the patients' closest advocate is the GP (for around 95% o interaction), GPs are essentially still a private business so there will always be a conflict of interest.
At present, too much seems to be driven around commissioning. We need to go back to basics and look at what we ultimately want to achieve for the health of our patients and incentivise a holistic view of the patient circumstances and desired outcomes.
A huge proportion of NHS spend is already going towards chronic disease management and this is only going to get worse. We need services that meet the developing health needs of our population and then to decide what else needs to change.
Once the NHS has signed up to this, only then should we work out what technology can do to deliver and speed up change.
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Latest this morning, according to R4 Today show, on Health and Social Care Bill are reports that the Conservative Home website has called for the Government to drop the Bill. www.ehi.co.uk/CK4AI - describing it as an 'unexploded bomb underneath the Conservatives future electroral hopes'.
Rather depressingly a key part of the arguement given is that the NHS is heading for a funding crisis even without the Bill, so why make matters worse.
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... that the NHS has put itself in a state of flux in anticipation of the changes so it might as well carry on.
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A number of groups and individuals are against the Bill, but with so many of the changes already implemented or well on the way to being reality, are they offering viable alternatives? Is the plan to have the bill stopped and then work on what should replace it?
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Tim Montogomerie at Conservative Home www.conservativehome.blogs.com suggests (in an article widely reported today) that the government should adopt a path that "involves removing all contentious components of the Bill. That might mean sitting down with Baroness (Shirley) Williams and other leading rebels. Perhaps, even with Shadow Health Secretary Andy Burnham. It means passing a Bill which contains the genuinely new and exciting provisions on public health but much else would have to be deleted and discarded. It would be humiliating to forge such a cross-party deal but the humiliation would subside over a few weeks."
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