I see that David Cameron has made a couple of big speeches in the last few days about the future of the NHS. A sure sign that the Conservatives are limbering up for a Spring general election.
He seemed to have had a go at everything – bureaucracy, the cost of administration, targets, independent (private sector) treatment centres, the IT programme… The list goes on.
I may be a cynic, but I’m sure that whichever party is in power next year the NHS is not going to change radically any time soon. It has changed over the years, of course, but when it comes to changing structures its really only ever been a case of re-shuffling desks and job titles.
When PCTS came in they were mainly small and local, reporting to SHAs which in turn only covered limited areas. The idea, we were told, was that PCTs would be integral to the local communities they served. Now they are larger and more remote and SHAs cover very large areas, making them even more remote.
But what next? Are we going to see thousands of NHS staff re-shuffled yet again? One thing is for certain – we are not going to see large scale job cuts. The NHS will continue to be one of the world’s biggest single employers whether it is David or Gordon occupying No10. At least it keeps the unemployment figures down…
www.conservatives.com
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