Skip to main content

The Guardian view on NHS reform: evidence not dogma should be the guide | Editorial

The health secretary is right to link investment to accountability, but he must be wary of creating perverse incentives

For any government contemplating NHS reform, the 2012 Health and Social Care Act is a textbook case of what not to do. Despite promises of “no more pointless reorganisations”, the Tory health secretary Andrew Lansley did just that, abolishing management tiers and imposing new care commissioning and competition systems on reluctant doctors.

The whole thing was a political nightmare that wasted resources, demoralised staff and undermined public confidence. In an independent report published earlier this year, Lord Darzi described the Lansley method as “scorched earth”, from which NHS management capacity has not yet fully recovered. And that was before the full social cost of austerity had weighed on the health service, and before it had been battered by the Covid pandemic.

Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.

Continue reading...

from The Guardian https://ift.tt/BzX1EUQ
Labels:

Comments

Post a Comment

Popular posts from this blog

How Rico Lewis helped harden up Manchester City’s treble challenge | Jamie Jackson

Guardiola believes advent of the teenage talent sowed seeds of change that turned his side into champions again Mid-January, the Etihad Campus. Before Tottenham’s visit a discontented Pep Guardiola is addressing a Manchester City team meeting that includes Erling Haaland, Kevin De Bruyne, John Stones and Ederson. The champions are in second place, eight points behind Arsenal, each having played 18 games. Performances have dipped and so has the attitude of his players. The final match before the World Cup was a 2-1 home defeat by Brentford . Since the tournament, City have beaten Leeds and Chelsea, drawn with Everton and lost their previous outing , 2-1 at Manchester United. Seven points from 15 is not championship-defending form and, when being knocked out of the Carabao Cup by Southampton is factored in, Guardiola can see City’s campaign derailing. Continue reading... from The Guardian https://ift.tt/h8WjbMX
Post a Comment
Read more

JD Vance says US needs control of Greenland to fend off China and Russia

Vice-president criticises Denmark’s treatment of Arctic island and says it should come under US ‘security umbrella’ JD Vance told troops in Greenland that the US has to gain control of the Arctic island to stop the threat of China and Russia as he doubled down on criticising Denmark, which he said “have not done a good job”. Under increasingly strained relations between the White House and Greenland and Denmark, the US vice-president said during a visit to Pituffik space base on Friday: “Our message to Denmark is very simple: You have not done a good job by the people of Greenland. You have underinvested in the people of Greenland and you have underinvested in the security architecture of this incredible, beautiful landmass.” Continue reading... from The Guardian https://ift.tt/ANDJCac
Post a Comment
Read more

Wandsworth escape accused says it was ‘foolish’ to jail him with his ‘skill set’

Daniel Khalife, 23, says he absconded because he was ‘terrified’ of being locked up with dangerous offenders A former British soldier has told a jury he did not hand himself in after he escaped from prison because he was “finally demonstrating what a foolish idea it was” to imprison someone with his “skill set”. Daniel Khalife, 23, told the court he absconded from Wandsworth prison while on remand because he was “terrified” of being locked up with “serious sex offenders” and “terrorists” who wanted to kill him, and that he did not think his imprisonment would be in the public interest. Continue reading... from The Guardian https://ift.tt/vRZHkaw
Post a Comment
Read more