How NHS reforms are increasing bureaucracy

Health secretary Andrew Lansley's NHS reforms have dramatically increased bureaucracy in the health service, according to organograms produced by the Labour party.

The representations of the NHS structure appeared in a blog on the Financial Times website. The Guardian also published Labour's organogram showing the new NHS structure.

GPonline.com developed its own organogram recently to show how GPs fit into the new NHS, a system RCGP chairwoman Dr Clare Gerada has described as ‘like Spaghetti Junction’.

However, the DoH hit back at claims that the NHS reforms were increasing bureaucracy. A spokeswoman said: 'The diagram fundamentally misrepresents how a modern NHS will work. The reality is we are stripping out unnecessary layers of management and bureaucracy in the NHS to put patients first and hand power to doctors and nurses.

'Our own impact assessment estimated that over £5bn will be saved in total during this parliament and around £1.7bn a year thereafter.'

The DoH argued that clinical senates and clinical networks 'are not separate organisations - they are hosted by the NHS Commissioning Board'. It argued that SHAs, PCTs, and clusters of these organisations should not feature on the diagrams, because they were being abolished.

Meanwhile, the Cooperation and Competition Panel would be part of Monitor, and a series of other organisations mentioned on the diagram were part of local authorities, the DoH said.

Labour leader Ed Miliband recently attacked David Cameron in the House of Commons over the NHS reforms. He said the reforms would increase the number of NHS statutory organisations from 163 to 561.

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