HCA Florida JFK Hospital的动态

If you want to get the NHS back on its feet you have to go right back to its core and fundamentally start again. It’s top heavy with private care and lacks structural foundation. It needs looking at from root, branch to leaf. You can start with medical places at medical school where people are put off with the swinging cost of student debt and lack of incentive to find a place at the end of their long studies for very little money that a junior doctor in reality earns. And then look at a similar situation for nurses doing degrees and researchers on grants. Then talk immigration with the lack of staff being allowed to come from overseas because of the various rules and regulations affecting them and their families here. Then talk about the waiting lists? Ridiculous. Ok let’s just everyone farm them out to the private sector - right?? Not to mention the enormous problem of bed blocking and social care which should be a whole government department in itself. Need I go on.? so I would be interested to know Prime Minister, in what order you see these, and all the other priorities lying in? If it is simply tackling waiting lists for example then you are not taking a holistic view of the situation, so HOW do you propose to look at it?

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I wish you well with this aspiration. But I think you are attempting to travel there by an unwise Path ! One which looks set, to become bogged down with controversy. There has long been Tensions about the NHS and the NHS Concept, in that respect "Belief my be seen as All". But at the same time there has been much Talking about Talking", with very little apparent practical output on the ground. "Well being", has to be the product of many thing, and weakness of wellbeing may fuel demand for NHS provision and Care. The catch-22 may lay in the term "Deprivation", and "the tensions between those that have and those which have not". "Multiple deprivation" can for some be triggered by a single Deprivation, precipitating Sickness and possibly Illness. At a Community level, this may result in increasing demands for health Care and Medication. Lack of "Care" alone may further precipitate such needs!

So important and for MP’s, the solution is close at hand. Turn the excellent and recently debated statutory guidance on commissioning of palliative and end of life care into a mandatory responsibility. That small tweak will be enough to shift the issue onto the must do list and help save and build critical services across the country that we are now at a very real risk of losing. What we don’t need is more post it parties, draft plans for draft strategies, work streams that don’t deliver change, consultation on things we’ve already consulted on, warm words with no action.

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A very thoughtful piece Liam, clearly something you feel very personally so thanks for posting. Considering your interest in digital innovation I thought you might be interested in the latest issue of the PM Healthcare Journal – ‘Digital, Data and AI Solutions in Pharmacy’ – produced with Bradford University. It contains some very pertinent articles, written by clinicians and experts, on how digital might provide some solutions to the current NHS logjam. (See link below.) Having written about the NHS for decades, I share your sense of nothing changing. It’s interesting for instance that none of the politicians currently campaigning on the NHS seem even dimly aware that a couple of years ago we had a major restructuring exercise in England, so probably couldn’t withstand another one in the foreseeable future. As for ‘productivity gains to make savings’, a favourite mantra – this is pretty much the definition of flogging a dead horse. The big squeeze has been tried, lots of times, and here we are. My suspicion is that solving the ‘NHS problem’ is beyond the gift of any politician looking only at the next five years. It’s just too big a job – intellectually and practically. We need a new system, not a rejigged version of the 1940’s model. Copy link to access the Journal here: https://lnkd.in/eKS2HSbb

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