Health Secretary Andrew Lansley has been trying to implement an NHS under control of GPs. The idea is that GPs band together into “GP Consortia”, which will commission healthcare services for their patients.
The Consortia therefore take the place of the old Primary Care Trusts – the difference being that they are run by GPs rather than bureaucrats.
So far so good.
Except that it seems the bureaucrats have got their teeth well into this.
The House of Commons Health Committee have been banging on again about how the government needs to consider tougher rules on alcohol marketing.
The “chair” of the Committee, and former Health Secretary, Conservative Stephen Dorrell, said:
We don’t think the industry has a sufficiently well-developed sense of what it takes to trade responsibly.
Some of us are wondering whether MPs have a sufficiently well-developed sense of what it takes to represent us responsibly, but let that pass.
Mr Dorrell’s committee has produced a report. They want a “crackdown”.
The report called on Public Health England, a new body within the Department of Health, to look at the regulation system used in France.
Loi Evin was introduced in 1991 and bans alcohol advertising targeted at young people and being aired in cinemas as well as stopping the sponsorship of cultural or sporting events.
Yet more interference and messing around with people’s lives from the great and the good, then. Men like Mr Dorrell, who understands so well how we ought to be living our lives.
But “Public Health England”, eh? Who are they?
Chief Executive Designate Duncan Selbie took up his role this week and has set out his ambition for Public Health England to begin the conversation about how the agency will work, the ambitions it will have and the style it will adopt.
Sounds like it’s not clear what the body is for then…but we definitely need it….
‘The Secretary of State for Health has made clear his expectation that Public Health England will provide strategic leadership and vision for the protection and improvement of the nation’s health.
‘Through the application of research, knowledge and skills we will lead nationally and enable locally a transformation in the health expectations and, in time, outcomes of all people in England regardless of where they live and the circumstance of their birth.’
Further information, including modules of the Public Health England People Transition Policy, will be published in the next few weeks.
And so on through reams of meaningless bureaucratic twaddle.
The whole ghastly mess is helpfully set out in this graphic.
It’s nearly as bad as Obamacare. Make no mistake, this is the last chance to reform the NHS, as I’ve said before on this blog. If these reforms fail, the service will collapse.
And fail they will. The NHS is just re-arranging the deckchairs on their Titanic.
I am now more convinced than ever that the National(ised) Health Service can never work. Its whole philosophy and culture is poisonous. The people who run it just cannot conceive of anything being run without a centralised strategy. They don’t understand markets; they don’t understand decentralised decision-making; they absolutely don’t understand, or don’t want to understand, the concept of an NHS that answers to patients as opposed to answering to themselves.
And perish the thought that they should ever just let people get on with their lives in their own way without interference.
They are arrogant, pompous and out of touch. And they are grabbing billions of our money every year. A plague on all of them.