Letters: Let clinicians reform UK's health policies

The recent King's Fund Wanless report has concluded that the extra health spending has delivered poor value for money and that rising costs in the future threaten to undermine the service. It also concludes that the current policy framework is right and the financing system should remain unchanged.

Given the poor results, it is extraordinary to conclude that the current policy framework should remain. The government's central planning has skewed health resources towards secondary care when it would have been better spent on prevention and new primary care services, something the report agrees with.

How many more years are we going to have to listen to primary care organisations crowing on about shifting resources but it never actually happening?

Many clinicians are calling for a period of stability, but if anything we need more radical reform if the NHS is to survive at all. The current problems of the NHS stem from the decision to spend rather than reform.

The changes we have experienced over the past decade have concentrated on structural reform of trusts rather than changing what clinicians do.

This is because clinicians have not been given the power or opportunity to shape the changes. The result is a virtual disengagement of those that know what is going on and could provide viable solutions.

Dr Paul Charlson Brough, East Yorkshire.

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

Most GP care should be face-to-face post-COVID, says RCGP

Most GP care should be face-to-face post-COVID, says RCGP

General practice faces a 'rebalancing' between face-to-face and remote consultations...

GP funding formula needs radical overhaul, report warns

GP funding formula needs radical overhaul, report warns

General practice needs more investment and a radical overhaul of its funding formula...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

Map: Which CCGs have the highest COVID-19 vaccine coverage?

Map: Which CCGs have the highest COVID-19 vaccine coverage?

Tens of millions of COVID-19 jabs have been administered across England, but how...

How to avoid burnout as a doctor

How to avoid burnout as a doctor

Dr Patrice Baptiste recently suffered from burnout, here she offers some practical...

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...