Chief executive defends NHS against 'Celine Dion' claim

NHS chief executive David Nicholson has defended the organisation of the health service amid calls from all sides to completely reorganise its structure.

David Nicholson: it is possible for clinicians and managers to save the NHS from its economic woes
David Nicholson: it is possible for clinicians and managers to save the NHS from its economic woes

Speaking at the NHS Alliance's annual conference in Manchester on Tuesday, Mr Nicholson said it was ‘perfectly possible' for clinicians and managers to drive up efficiency and save the NHS from its economic woes.

But the NHS Alliance is calling for an immediate end to Payment by Results and for primary and secondary care to share budgets instead. Liberal Democrat shadow health secretary Norman Lamb agreed and went further, calling for the abolition of strategic health authorities too, while health economist Alan Maynard said PCTs could be abolished instead.

NHS Alliance primary care lead Dr David Jenner told delegates, who agreed unanimously, that Payment by Results was ‘bankrupting the NHS'.

‘We've all agreed Payment by Results isn't working. But the government are already planning next year's tariff. It's like Celine Dion; it just goes on and on,' he said.

Earlier NHS Alliance chairman Dr Michael Dixon attacked senior figures in the NHS as ‘an autocracy of senior managers...a ruling elite from the acute sector' who had neglected primary care.

‘The consequence is all sorts of expensive and ineffective councils, boards and initiatives that do too little to support or meet the concerns of ordinary patients, clinicians and managers at the frontline of primary care.'

On Wednesday health minister Mike O'Brien and Conservative shadow health secretary Andrew Lansley will address the conference.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

UK on course for 50,000 COVID-19 cases a day by mid-October

UK on course for 50,000 COVID-19 cases a day by mid-October

The UK could see 50,000 COVID-19 cases per day by mid-October, with the epidemic...

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

COVID-19 infection rates will ‘soar’ and the NHS will ‘once again be crippled’ if...

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...