My wife is a finance director in the NHS my Daughter a Dr in Coventry and Warwick. There are many problems and the medical staff are not one of them in my opinion.
In the last two years I have had both parents die having had wonderful NHS treatment. On Christmas eve my Father in law was taken ill and we got to see the best of the NHS and the worst.
37 waiting on trollies, over 50 waiting in waiting room and 16 ambulances waiting to unload, no beds in hospital to get people in for many reasons.
Some despicable people, will not take relatives home as it will spoil Christmas, was one reason but by far and away the biggest reason is there is no where to send people who are well enough to go home but not strong enough to cope alone. We want the Fil home but sadly that is not possible yet for him due to condition.
So what to do, in no particular order.
1 Sack Hunt, he has lost any support of medics, pure and simple. There would be no issue if we had a 7 day NHS with the new contract for JD, and yep it has got worse.
2 De politicise the NHS. Set up a cross party committee with real power to set spending over a 5 year period.
3 Stop endless reorganisations, part of point two to be honest. Have regional funds to spend without the need to get money elsewhere.
4 Let those regions spend what they need on what they chose. It is true the NHS gets more money each year, but much of it is ring fenced and if not spent on the current pet, it goes back to the centre whilst they cut spending on patients.
5 Have one computer and one accounting system. It seems incredible that there is no standardisation of everything. One CCG get a report another a different one both sying the same thing.
6. Hand over procurement to the private sector and supply chain. If we had one company, say Tesco, who can manage to slash the costs by getting rid of duplicated departments and making sure supplies were always available then why not. The public sector is not good at cost effective procurement, even allowing them to make a profit from that we would save billions, not only in product but in pensions etc.
7 Stop paying agencies for staff. Pay the NHS more to do locum and extra hours and there would be again millions saved. Even where they have tried to have hospital controlled staff banks, they still fall short and pay extra to a company.
8 Make private health care tax deductible, it is wrong that you pay more to save the NHS money and more people might buy into it if they could see a saving.
9 Re open convalescence homes next door to hospitals so people have somewhere to go which should be properly funded.
10 Stop sending so much money out as foreign aid until we sort this mess out.
11 Have identity cards so we can see entitlement to the service. My daughter has had people turn up in A&E with scans they have brought with them whilst visiting family over here and then need urgent medical treatment.
12 All carriers, boats planes etc to ensure any passenger has medical insurance, if any get through they pay. Life saving should not be down to cost, but delivering children is a known issue in areas near airports, especially complicated ones.
13, Stop funding everything people want. Viagra, IVF, cosmetic, unless necessary, for example breast reconstruction, drugs so gay men can have unprotected sex, gender reassignment treatment and I am sure many others we could add in. I have nothing against any of those groups but we need a grown up discussion as there is not a bottomless pit and given a choice between some kid getting cancer drugs or someone having a *******, it is a no brainer.
14 stop PFI, poor value for money for years to come.
15 fund places for more Dr's and Nurse training fully funded, even if there is a payback mechanism if they leave before say 5 years has passed.
I could go on but until the two warring factions stop, Labour throw even more money at it, Tories say money not the answer, but have no answer. What is for sure is the NHS must change and we must demand it. Most people do not really care too much until they need it and see how bad it is. As we age we will all need it more and more.
Sorry for the long post but it cannot go on and neither party is willing to understand the problem without resorting to points scoring.