Nigel Hawkes, Health Editor
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The Prime Minister rejected yesterday the idea of an independent board to run the NHS – rumoured to be high on the list of initiatives Gordon Brown plans if he takes over.
Tony Blair said in defence of the NHS reforms that a board would not be able to take the necessary tough decisions. He told a meeting at the King’s Fund in London: “We needed to introduce competition and independent providers. You are never going to get the profession to take these decisions.”
Mr Blair compared his NHS reforms with those made by Margaret Thatcher on industrial restructuring in the 1980s. Such changes were unpopular at the time, he said, but “once you are out the other side” they were seen in a different light.
He also rejected the criticism that money had been wasted. “I don’t think the money spent on the reforms is wasted,” he said. “All healthcare systems have difficulties with waste, but the question is how you drive out those inefficiencies.” The Conservatives said that Mr Blair had presided over ten wasted years. David Cameron, the Tory leader, said: “I think he should be apologising rather than boasting.”
The Department of Health refused to confirm reports yesterday that a senior job in the NHS is to be offered to an American involved in a row over the award of stock options. R. Channing Wheeler, 55, is reported to have been offered the job of commercial director.
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Dear Editor,
Mr Blair argues that an independent body would slow down reform in the NHS. Perhaps that is where the problem lies.
Politicians care about having results to show by the next general election. But improving the health of the nation takes decades. For example, a successful smoking cessation campaign will not result in a reduction of lung cancer for over 30 years.
Far too many new initiatives costing millions of pounds have been rushed through with many U-turns. Money has been wasted and the NHS is in record debt. There is a general consensus among health care professionals that there has been far too much political interference in the running of the NHS. Whilst we as a profession are not averse to change, any reform introduced has to be tested and thoroughly thought out.
An independent body to control the NHS would make sense, especially if it is held accountable to the people that matter the most, the public.
Your sincerely,
Dr Danny Lim,
Medical doctor
London
Dr Danny Lim, London, UK
I am afraid on this one the Prime Miniser has it right.
You cannot be spending taxpayer's money on something that does not have oversight that is directly accountable to the taxpayers.
In short, a Minister ought to be in charge, not a nameless, faceless "Board" who is accountable to no one.
In addition to that, the Prime Minister is spot on as well when he says that a Board would be unlikely to make difficult decisions when they come up, as they certainly will.
Jim, Newcastle, UK
Around 34,000 people a year die unnecessarily in today's NHS hospitals and another 25,000 per year are unecessarily permanently disabled. I suggest that the families of these 59,000 people would not agree with Blair and Hewitt that New Labour's NHS reforms have been a huge success.
neil glass, london, UK
Anyone who has had to use the NHS recently, as I have, will be only too well aware of the utter mess our health service is in. Labour has runied the NHS and Blair and Brown are both responcible.
D case, Newquay,
Under the reformed NHS, ny mother, who worked for 40 years as a nurse, has spent 3 years waiting for treatment from her local NHS "trust" (a vile misnomer if there ever was one) - North Devon (now Devon). Thet have implement everything they can think of to delay her treatment due to their massive financial mismanagement and the subsequent hole in their finances. If a postcode lottery and a system where bureacracy is more important than patient care is Blair's legacy and what he calls an effective reform, shame on him.
Peter, London,
I wish Blair would do everyone a favour and just dismiss Brown. Full stop. That would be the finest ( and only ) legacy he could possibly claim.
Rick, London, England