The issues which the NHS is currently experiencing have a lot to do with a fundamental change in its ethos. When it was formed in 1948, its organisational foresight was totally focused on improving the health of a patient. The needs were the needs of the sick. Fast forward to 2015 and we see an amplifying obsession with expenditure and management.
The organisation no longer asks the question “How do we improve the health of a patient?” or “What are the patient’s needs?” The fundamental 2015 question is: “What patient needs does the capital allow?”
Patient needs are no longer an absolute. They are a function of cash available. Too many NEEDS and you’re dead!
It may sound counter-intuitive but the government can only solve the current NHS issues of underpaid Junior Doctors, the shortgage of beds, overpriced drugs, GPs becoming an endangered species etc. through a massive investment programme coupled to a gradual dismantling of the management structure which is weighing down what could once again become a great British institution.
NHS problems are mirrored in what has happened to the UK’s Education system. They have both been ‘broken’ by a lack of continuity, caused by interference by successive governments, ‘management’ by incompetent dogma-fuelled Ministers with their little ‘pet’ schemes – as well as the installation of massive administrative systems.
The reason why Private Schools and Private Healthcare are both cost-effective and thriving is NOT because they are private but because they are FREE of government interference and the sort of management and admin structures which would frighten the Indian Railway.