Tag Archives: Labour

Will Lansley listen to the latest evidence on NHS competition?

A new book from The King’s Fund investigates the impact of New Labour’s introduction of competition to the NHS.

The authors point out that Labour’s market reforms took place in a totally different context to the NHS of today, in which a relatively cash-rich financial climate reduced the impact of competition on hospital trusts.

They argue that competition alone will be insufficient to meet the new and complex challenges of an ageing population and improving care for long term conditions, in a service facing huge financial restrictions. Read more »

NHS jitters – some justified

I’ve had two shocks about the NHS in the last day or so and will be arguing about our healthcare next week when visiting France.

The first jolt was reading that between 1979 and 2005 and compared to 18 other western countries, our health service was more cost-effective at cutting mortality rates than 16 of them: the USA was the least cost-effective and France’s score nothing to envy.

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Why Darzi centres were Labour’s greatest folly

So the NHS is looking for £20 billion savings in the years to 2014. Where to start?

Do you remember when the then Labour government decreed that every PCT in England should have a Darzi centre, even if it didn’t need one?

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Do you want to work 8am-8pm seven days a week?

This week Labour and Conservative primary care policy split further with the news that the Tories are proposing GP appointments 8am – 8pm seven days a week.

 

The Tories explain that GPs will be ‘free to meet this requirement however they see fit’. This could be through a GP co-operative, commissioning it from specialist providers such as an ambulance trust, or through contracts with local hospitals and healthcare centres.

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Why is Labour so disconnected with GPs on the NHS?

The one thing I’ve always thought remarkable about Labour politicians is their disconnect with GPs on the NHS.

Former primary care minister Ben Bradshaw used to bend my ear regularly about how Labour’s NHS policy was backed by the majority of voters. (He was also desperately keen for the Conservative health team to remain unchanged to preserve this position.)

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The NHS is Labour’s ‘trump card’ but don’t mention the Christmas trees

Last night was the annual DoH Christmas media reception in Richmond House, Whitehall, and potentially Labour’s last as hosts after 12 years in power.

We were warned early on that the department was expecting some stick from the nationals today for its festive spending but the 18ft focus of the criticism was actually out of our view in the DoH south London base a mile or so away where 950 staff work.

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Former health secretaries return to haunt us

As the general election rushes ever closer and GPs desert Labour in droves, 2009 is already beginning to look like a year of comebacks for politicians from the past – particularly former health secretaries.

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Labour policies threaten the future of general practice

This week, GP reveals that support for Labour among GPs is in freefall. This is not unexpected, but the extent of the swing away from the party towards the Tories shows just how unhappy GPs are with the government.

Backing for Labour has fallen by two-thirds in the past decade, from 44% in 1997 to just 15% now. Over the same period, support for the Conservatives has surged from 24% to 50%.

The Tories are, unsurprisingly, delighted with the results. Andrew Lansley, the shadow health secretary, said: ‘This is a real vote of confidence in the Conservative party’s policies for the NHS.’

But, is it? Our survey suggests that the swing is a result of disillusionment with Labour as opposed to anything else. Over half of GPs rated Labour’s performance on the NHS since 1997 as ‘poor’ or ‘very poor’.

Considering the record investment the government has made, the introduction of the QOF which has significantly improved patient care and a massive fall in deaths from heart disease, among other achievements, this may be surprising to those outside the profession.

But, during the past few years the government has unleashed a series of policies that many feel have been designed to undermine GPs and could eventually bring the end of general practice as we know it: the expanding role of the private sector and the introduction of GP-led health centres to name but two.

Add to that an ultimatum that practices must open for longer (regardless of whether their patients want them to) or lose money; three successive annual pay freezes; an increasing insistence that GPs follow a dizzying array of protocols and guidance rather than using their own judgement; and an apparent fondness among some at the DoH to indulge in a spot of public GP bashing, and it is not hard to see why GPs are so disillusioned with Labour.

We’re interested in knowing what you think about all of this. Does the Conservative Party actually have better policies on health – or, is it just that anyone else is better than the current lot? What has been Labour’s biggest mistake during the past 10 years to cause this massive shift? What policies would you like to see dropped or introduced?

You can post your comments below to let us know what you think.

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