Dr Meldrum said: ‘In some areas there was insufficient consultation with the public or staff on changes to local NHS services during the review process and we don't want to see that repeated in the future.'
Lack of vision
Conservative shadow health secretary Andrew Lansley said: ‘The complete lack of vision in these proposals means that, sadly, the government has missed its ‘once-in-a-generation opportunity' to enact the real reform that our NHS needs.'
Liberal Democrat shadow health secretary Norman Lamb said: ‘This statement smacks of a motherhood and apple pie prescription for the NHS, filled with inevitable New Labour jargon such as the ‘clinical dashboard'.
‘When the dust settles people will see that little has changed and that the system of command and control diktat by Whitehall lives on.'
Patient choice will lead the way
Acting chief executive of the NHS Confederation, Steve Barnett, said: ‘The review contains most of the ideas NHS leaders told us they wanted.
‘In particular, we think the combination of three powerful ideas running through the report could make a major difference: patients being aware of their rights, choices and information; industrial scale feedback and measurement of quality and patient experience; and, capitalising on the motivation of NHS professionals to provide the best possible care with peer review and competitiveness.'
Acting directors of NHS Employers, Alastair Henderson and Sian Thomas, said: ‘We are concerned that the proposed model risks creating professional silos and underplays the role of NHS organisations who are best placed to determine the numbers of different types of trained staff needed, as well as ensuring a coherent approach between the different professions.'
Chief executive and general secretary of the RCN, Dr Peter Carter, said: ‘We know that many NHS nurses who had considered setting up their own services were put off by the thought of losing their pension rights. The RCN is confident the proposal that nurses transferring from the NHS will be able to remain within the NHS pension scheme will lead to even more nurses setting up their own services to provide even more patients with faster and better care.'
Unite national officer for health, Karen Reay said: ‘We welcome the extra responsibility that staff will be given to run their own social enterprise organisations. We would like to see such organisations firmly under the NHS umbrella and the conditions of staff, particularly in relation to their pension arrangements, fully protected.'
Director of health policy institute the Nuffield Trust, Dr Jennifer Dixon, said: ‘The report is much longer on the ‘what' than on the ‘how'.
‘The report is vague on how GPs might be incentivised to take part in practice-based commissioning. Commissioning is the lynchpin to help improve the quality of care. Engaging doctors and other clinicians meaningfully is critical to successful commissioning.'
GMC president, Professor Sir Graeme Catto, said: ‘We particularly welcome the strong emphasis on the importance of education and training in helping to deliver quality healthcare for the benefit of patients. We look forward to playing a key role in taking forward the quality agenda.'
CBI director of public services, Dr Neil Bentley, said: ‘These bold and overdue reforms must not be allowed to founder on the rocks of trade union opposition. The government must stand firm in its dealings with the BMA and other opponents of reform in the weeks ahead if the NHS is to provide better healthcare.'
Director general of Age Concern England, Gordon Lishman, said: ‘Older people are the biggest users of the NHS, yet services are not currently set up to meet their needs. Measuring performance based on what older people think will help to improve the quality of care they receive.'
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