Once in a generation!

Not again, please not again!!!

What on earth is there to be yet another NHS review?

Surely it is about time that some concentrated effort was put in to sort out a lot of the current mess that had been generated from the last review.

When will politicians start to realise that no one likes to be in involved in constant limbo interspersed by constant change!

Mr Johnson told the House of Commons he accepted the government had not managed to keep the medical profession "on board" during its reform programme.
BBC News Story - 4th July 2007

I guess that Mr Johnson did not understand what had happened in the NHS over the past few years!

Looking at what Health Minister Sir Ara Darzi, is to cover in his review...

• Putting clinical decisions at the heart of NHS service delivery - What on earth decisions does the NHS have at its heart now? How much wind power energy should be generated for the UK? Should we invest more in Nuclear Power? Valid questions, but not what the NHS should be thinking about I think!
• Improving patient care, particularly for those with long-term and life-threatening conditions - surely this is a fundamental issue that the NHS should be addressing as one of its core functions! 
• Making care more accessible and convenient - Let me see, I have a GP, I have a hospital. I go to the GP, he sends me to the hospital (maybe after a short wait); I get the required treatment, I am hopefully cured. What next? I have a Tesco/TNT/RAC/AA van appearing outside my house with its own on-board GP and hospital all rolled into one. Hopefully, before I even know that I am ill!
• Establishing a vision for the next decade based "less on central direction and more on patient control" - Please, visions! They have an too familiar habit of disappearing. What is needed is the steady hand of 'real' management to implement the changes that have happened over the past few years, a 'real' rebuilding of staff morale and confidence in the recent changes and yes some control by patients. However, last time I looked the average patient was not a medical practitioner. I know that there is an engine in my car, I may say that I know how it works, but lets leave the fixing to the mechanic, at the end of the day, that what we pay them for! (For the record, this is not a direct comparison between motor mechanics and medical practitioners befroe anyone comments)

It is interesting that Alan Johnson has instigated this under the new ("I've only been in the Job for five days!") Prime Minsiter. Does that mean that when Alan Johnson suggested it when the last bloke - what's his name - was his boss he was told no! I expect that it was Tony said "we should look at how words are taught in school, perhaps we should look at phonetics on the that one Alan"!

Technorati tags: Reviews, Management, NHS