The Beginning of the End
Jul. 19th, 2011 09:26 pmTwice in one day for posting. Gorgeous. And this time, it is to rant.
NHS services to be open to competition.
Essentially what this means is that parts of the NHS are going to be opened up to bids from private companies and charities. There is so much wrong with this that I cannot even begin to describe it. Okay, sometimes the NHS sucks rocks. I grant you that. But having worked in it for as long as I have, I can tell you why the NHS sucks rocks: because there is more and more emphasis put on a bottom-line, spend-as-little-as-possible running of the whole thing by officials who don't actually use the service because they can afford top-of-the-line private health insurance. They're cutting admin staff, which slows things up on the basic level, and what admin staff remain are overworked, underpaid, overstressed and underappreciated, badgered into doing more work for less money, not taking overtime and generally being blamed for every piece of shit that goes down ever. A great many doctors have private practices in other hospitals or clinics, which tend to take priority because that's where the money is. Everyone's getting pressurised into targets that they never have the time or money to meet because middle managers are eating the time and the funding by setting these unrealistic targets in the first place.
The NHS does not need to be privatised piece by piece, thank you. We tried that with the railways. There used to be British Rail. Now there are a conglomeration of different companies using the exact same sets of railway lines as there were under British Rail, and while I don't entirely know what it was like when there was a British Rail, I do know that the current way of doing things is confusing and at the very least not any better than it seems to have been at that time, railway commutes. Same tracks, same basic trains ... and so many different companies who're more concerned about their bottom lines than anything else so things like signal maintenance just don't happen, even if a train journey is delayed three days out of five every week for six months because of a signal failure at the same damn point on the lines every day. If it doesn't work for rail services, what makes people think it's going to work for healthcare?
Not to mention the fact that when this plan initially came under discussion, everyone disagreed with it. The current coalition nightmare of a government agreed to step back and we breathed a sigh of relief. Now, right in the middle of the Murdoch-blame media circus (which, let's face it, is important too), they announce this all quiet-like, likely because they know full well that the art of prestidigitation is to palm the object that you want to make vanish in your left hand while everyone's watching your right. The News of the World scandal must have been like winning the damn lottery for this lot.
This should not be ignored or forgotten or pushed by the wayside. This is too important. This is stealth privatisation that everyone from the British Medical Association to the general public disagreed with, privatisation that Cameron promised would never happen, and now he's doing it. And the plans for 2013 are even worse. 'Chemo at Home'? Cardiac diagnoses over the phone? Privatising children's wheelchair services? And they're sure as hell not talking about who exactly starts paying for all this. Will there be co-pay? Will we just get a bill? What exactly happens with this? No one is saying. They're just talking about 'competition', which always seems to be 'bottom line uber alles' - they can say 'quality over price' until they're blue in the face, but they're not saying who pays that price, and how will it be paid? Through taxes? Up-front in cash? What?
...And, on a somewhat personal note (as if it wasn't personal enough, given at least three chronic conditions that I suffer to levels that are debilitating, even if only occasionally and for shortish periods of time) ... what does this mean for my job?
In short, this is a mess and a travesty and we're being lied to and betrayed again and again by a PM who didn't even win by a clear majority. All manner of shit that wasn't in the coalition manifesto is being shoved down our collective throat and I think at this point the only thing that's going to stop it is outright riots. And even then...
*sigh* I want to go back to Canada. People are relatively sane there.
NHS services to be open to competition.
Essentially what this means is that parts of the NHS are going to be opened up to bids from private companies and charities. There is so much wrong with this that I cannot even begin to describe it. Okay, sometimes the NHS sucks rocks. I grant you that. But having worked in it for as long as I have, I can tell you why the NHS sucks rocks: because there is more and more emphasis put on a bottom-line, spend-as-little-as-possible running of the whole thing by officials who don't actually use the service because they can afford top-of-the-line private health insurance. They're cutting admin staff, which slows things up on the basic level, and what admin staff remain are overworked, underpaid, overstressed and underappreciated, badgered into doing more work for less money, not taking overtime and generally being blamed for every piece of shit that goes down ever. A great many doctors have private practices in other hospitals or clinics, which tend to take priority because that's where the money is. Everyone's getting pressurised into targets that they never have the time or money to meet because middle managers are eating the time and the funding by setting these unrealistic targets in the first place.
The NHS does not need to be privatised piece by piece, thank you. We tried that with the railways. There used to be British Rail. Now there are a conglomeration of different companies using the exact same sets of railway lines as there were under British Rail, and while I don't entirely know what it was like when there was a British Rail, I do know that the current way of doing things is confusing and at the very least not any better than it seems to have been at that time, railway commutes. Same tracks, same basic trains ... and so many different companies who're more concerned about their bottom lines than anything else so things like signal maintenance just don't happen, even if a train journey is delayed three days out of five every week for six months because of a signal failure at the same damn point on the lines every day. If it doesn't work for rail services, what makes people think it's going to work for healthcare?
Not to mention the fact that when this plan initially came under discussion, everyone disagreed with it. The current coalition nightmare of a government agreed to step back and we breathed a sigh of relief. Now, right in the middle of the Murdoch-blame media circus (which, let's face it, is important too), they announce this all quiet-like, likely because they know full well that the art of prestidigitation is to palm the object that you want to make vanish in your left hand while everyone's watching your right. The News of the World scandal must have been like winning the damn lottery for this lot.
This should not be ignored or forgotten or pushed by the wayside. This is too important. This is stealth privatisation that everyone from the British Medical Association to the general public disagreed with, privatisation that Cameron promised would never happen, and now he's doing it. And the plans for 2013 are even worse. 'Chemo at Home'? Cardiac diagnoses over the phone? Privatising children's wheelchair services? And they're sure as hell not talking about who exactly starts paying for all this. Will there be co-pay? Will we just get a bill? What exactly happens with this? No one is saying. They're just talking about 'competition', which always seems to be 'bottom line uber alles' - they can say 'quality over price' until they're blue in the face, but they're not saying who pays that price, and how will it be paid? Through taxes? Up-front in cash? What?
...And, on a somewhat personal note (as if it wasn't personal enough, given at least three chronic conditions that I suffer to levels that are debilitating, even if only occasionally and for shortish periods of time) ... what does this mean for my job?
In short, this is a mess and a travesty and we're being lied to and betrayed again and again by a PM who didn't even win by a clear majority. All manner of shit that wasn't in the coalition manifesto is being shoved down our collective throat and I think at this point the only thing that's going to stop it is outright riots. And even then...
*sigh* I want to go back to Canada. People are relatively sane there.