Wednesday, February 22, 2012

The Only Way To Drop The NHS Bill Without Shame

The infamous NHS Reform Bill is now at a critical point with no solution. In fact, the simplest definition of its position now could be the saying, "between the devil and the deep blue sea".

Almost every supposed stakeholder to the NHS has rejected this reform and worst of all, majority of  service users are not sure nor convinced about the proposed change. In the NHS itself, the proposed change, obviously rammed through without planning, testing and consultation, has left services and management in utter confusion. Redundancies has swallowed most of the budget that PCTs had throwing some into unexpected financial ill-health. Croydon PCT is one of those.

Where are we now? Well, the Prime Minister is strangulated in his pride to make yet another, and possibly, what would become the biggest U-turn of this coalition. The NHS was going to be the miracle-baby of this Coalition and David Cameron in his sweet talking PR manner even went as far as denouncing the Conservative MEP, Daniel Hannan who was rather true to himself to say it as it was [and still seem to be] for majority of Tories.

But there is always a danger in denying exactly what you stand for without completely denouncing it. What Cameron did was to denounce Mr. Hannan but not denounce his ideology for free primary care is. To keep both sides of the wall, the Coalition, with the opportunity of having the Liberal Democrats, embarked on a subtle erasure of free primary care at the point of need claiming it is to remove bureaucracy. Yet, GPs would employ managers to run the NHS they're given anyway. All the Clinical Commissioning Groups (CCGs) were after all, put together and applied for by a combination of GPs and managers. In fact, the managers - medical civilians I call them - were more in number. What bureaucracy are we talking of here?

But of course, the Prime Minister would like to drop this controversial Bill. It is just his pride that is stopping him. So here's the solution;

If the Health Secretary, Andrew Lansley could [just get angry and] resign. A new Health Secretary would be appointed who then disagrees with everything Lansley wanted for the NHS and stood for. The Prime Minister, as usual will then give his support to [t]his new man who would then announce and embark on a review that would subtly but gradually navigate this away from the troubled waters.

Of course, you cant deny that 'Change' isn't necessary; not only in the NHS but across the entire public sector. However, there is a difference between change in how service is delivered and change of who delivers the service. What Andrew Lansley missed all of the time is the 'What, When, Why and How' of the game. Mangling all of these together meant that the Bill needed revising and amendments every other minute.

The Prime Minister and his Coalition cannot just drop the Bill without dropping the present Health Secretary, Mr. Lansley. And sacking him would shame the PM, but making him understand to go would clear the way for a change without the full blown embarrassment for the PM.

Yet, its a pity that Andrew Lansley keep missing the points of exit. The most recent was when protesters jeered at him two days ago and a woman took him on one-to-one. If he had any sense of consideration and responsibility, he would have seized that opportunity and stepped off [claiming and accusing some of the electorates of aggression].

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