House of Lords : HSCB – Hansard

October 12, 2011

witchround

HEALTH AND SOCIAL CARE BILL : TUESDAY 11 OCTOBER 2011

“Moved By Earl Howe

That the Bill be read a second time.

The Parliamentary Under-Secretary of State, Department of Health (Earl Howe): My Lords, this is a Bill of profound importance for the quality and delivery of health and care in England, for patients and for all those who care for them. As such it has been, quite rightly, the subject of intense scrutiny, not only in another place, but also more widely. Indeed, the intensity of the spotlight directed at its content over the last few months is borne out by the number of your Lordships who wish to speak today and tomorrow. I look forward to the debate ahead of us.

In approaching this Bill, I believe it is instructive to look backwards to its roots as well as forward to what it seeks to achieve. In opposition, the two coalition parties asked themselves the same simple question: “How can we make the NHS better?”. In asking that question we were clear about several things. We were clear that the founding principles of the NHS-that it should be a comprehensive service, free at the point of use, regardless of ability to pay, and funded from general taxation-should remain sacrosanct. We were also clear that we should reject any system that discriminated between rich and poor. The NHS should aspire to the highest standards of service for all our citizens, but in seeking ways to make the health service better, it was necessary to identify the challenges that it faces. What are they?

The first, and most obvious, is rising demand for healthcare from a growing and ageing population and the increase in long-term conditions. The second is the rising expectations of patients about what should be on offer to them from a health service in the 21st century, including new drugs and technologies. The third is the financial challenge-the inexorably rising costs of providing services against an increasingly constrained budget.

Two key principles emerge from this analysis: the need for maximum efficiency in the way the health budget is spent; and the need to make the service patient-centred. For many years, politicians have spoken of the NHS as a patient-centred service, but how can a service be truly patient-centred if decisions about the treatments and pathways of care that are available to patients are taken at several removes from those who know best what the needs of patients are-namely, the patients themselves and the healthcare professionals who look after them?….”

applegreen.jpg

LINK TO WITCHDOCTOR’S MAIN BLOG


applegreen.jpg

Advertisements

Future Forum : Response of RCOG to David Cameron

June 17, 2011

witchround

RCOG STATEMENT ON THE PM’s SPEECH ON THE LISTENING EXERCISE

“However, several key issues still remain.

These are:

In order for GP Commissioning Consortia to work, there needs to be a process involving service providers in the decision-making process since they have the front-line experience and knowledge of what services are needed in their respective specialties

There needs to be clearer explanation of the way in which competition in the NHS will work. While competition can be a spur to drive up quality and drive out inefficiencies, the extent of the private and charity sectors’ roles in the NHS need to be far better defined and delimited

There is real anxiety over workforce planning and the training and education of doctors in training, a critical factor in the future development of high-quality specialists. To be involved, ‘any qualified providers’ must provide training, subject to the same standards and conditions as NHS providers. These developments will have serious consequences on our medical workforce in the future.”

applegreen.jpg

GOVERNMENT RESPONSE TO NHS FUTURE

My Black Cat is SCREECHING! Wonder why?

applegreen.jpg

LINK TO WITCHDOCTOR’S MAIN BLOG


applegreen.jpg


Government Response to NHS Future Forum

June 15, 2011

witchround

GOVERNMENT RESPONSE TO NHS FUTURE FORUM

“The Government has announced that it accepts the core recommendations of the NHS Future Forum report and will make changes to its plans for modernisation of health and social care.

The key changes include:

Reaffirming that Ministers are accountable overall.

The original duty to promote a comprehensive health service will remain.”

My Black Cat is SCREECHING! Wonder why?

applegreen.jpg

LINK TO WITCHDOCTOR’S MAIN BLOG

LINK TO MY BLACK CAT’S INTERTWINGLEMENT BLOG (Updated 13 March 2011)

LINK TO WITCH DOCTOR’S INTERTWINGLEMENT BLOG

applegreen.jpg


Big Data : The next frontier

May 14, 2011

witchround

BIG DATA :THE NEXT FRONTIER FOR INNOVATION, COMPETITION AND PRODUCTIVITY

Health Care Reforms : In the Witch Doctor’s opinion this document is very relevant to some of the thinking behind the proposed UK Health and Social Care Reforms. It was released this month by McKinsey Global Institute but it won’t let me cut and paste an extract. However, part of it covers US and global healthcare, and the perceived importance of data-mining of healthcare information to the economy. It makes an interesting read and illustrates one of the reasons why the WD does not think the “listening period” or Professor Steve Field’s comments in yesterday’s Guardian will result in an about turn.

applegreen.jpg

LINK TO WITCHDOCTOR’S MAIN BLOG

LINK TO MY BLACK CAT’S INTERTWINGLEMENT BLOG (Updated 13 March 2011)

LINK TO WITCH DOCTOR’S INTERTWINGLEMENT BLOG

applegreen.jpg