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

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

The RCGP and the Royal Pharmaceutical Society have called on GP practices and community...

GP appointments rising fast as COVID-19 cases 'near 10,000 a day'

GP appointments rising fast as COVID-19 cases 'near 10,000 a day'

GP appointments have risen rapidly in recent weeks as schools returned, according...

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

Medical training and the future NHS workforce could be seriously damaged by the financial...

GPonline's news editor wins medical journalism award

GPonline's news editor wins medical journalism award

GPonline news editor Nick Bostock has won News Story of the Year (specialist media)...

How GPs can support patients with 'long COVID'

How GPs can support patients with 'long COVID'

GPs must be ready to support patients with physical, psychological and social problems...

BMA demands 'rule of six' overhaul to prevent further lockdowns

BMA demands 'rule of six' overhaul to prevent further lockdowns

The government must scrap its high-risk ‘rule of six’ and introduce more stringent...