|You are in: Health|
Tuesday, 15 January, 2002, 15:11 GMT
NHS reform: Reaction
Plans to allow private sector managers to run failing NHS hospitals and give successful units autonomy over their own affairs have provoked a mixed response from health workers' representatives.
Doctors' and managers' leaders have offered a warm welcome, but union representatives are furious.
The plans have also failed to win the backing of the influential Labour MP David Hinchliffe, who chairs the House of Commons Health Select Committee.
Health Secretary Alan Milburn has described the proposals as a fundamental reform of the NHS, but critics say they are a knee jerk response to negative media coverage about the state of the health service.
"This really must not be any substitute for proper investment in the NHS, to make the whole of the NHS better."
He said the NHS Plan was still being rolled out and it was inevitable that it would take time for improvements to become apparent. However, that was no reason to dream up a whole new raft of reforms.
"You can understand that the government feels under pressure to make improvements, but it needs to hold its nerve," Mr Abberley said.
Dave Prentis, general secretary of the huge Unison union, said Mr Milburn's plans were "just another diversion".
"What is needed is more money and investment going into the NHS and the staff who provide the services," he said.
"The health secretary talks about freedom for managers. What does that freedom mean?
"Is it freedom to double their salaries at the patients' expense; freedom to drive down the pay and conditions of staff?"
He said: "I think we have learned nothing from the previous government. We are increasingly following the same policies."
"I am finding it increasingly difficult to differentiate between my own government's health policies and those of the previous Conservative government."
Mr Hinchliffe said previous Tory attempts to introduce private sector management into the NHS had been a "complete disaster".
"Bearing in mind these past experiences and the more recent example of the consequences of allowing private companies to run the railways I would have expected the government to be going in a very different direction."
Dr Beverly Malone, general secretary of the Royal College of Nursing said Mr Milburn's plans appeared to amount to a "pick and mix" approach to running the health service.
She said: "This announcement is likely to lead to increased bureaucracy rather than streamlining already complex structures.
'The RCN questions whether the private sector has the necessary expertise to run large scale NHS hospitals, an area in which they have no previous experience.
"With the variety of providers suggested we need to have guarantees of quality, accountability, transparency and patient involvement."
Professor Sir George Alberti, president of the Royal College of Physicians, welcomed many of the proposals.
"Physicians can have a much bigger role than at present in these processes.
"In the short-term, whatever management system we use there will continue to be problems while we build up the number of doctors, nurses, and other professionals, bed numbers and diagnostic and treatment facilities. There are no quick fixes."
"Doctors and managers could be given more freedom to make decisions, free from excessive interference, and meet the needs of local people.
"However, there are certain features of the current NHS that we would wish to see preserved.
"The drive for high quality, national and uniform standards of care and external monitoring should continue.
"National terms and conditions for doctors should be safeguarded."
Stuart Marples, chief executive of the Institute of Healthcare Management, said it was high time to end central control in the NHS.
He said: "There has been a great deal of frustration about the number of central initiatives and the difficulty of meeting so many objectives.
"If this promised freedom releases managerial innovation it will be a good thing."
Mr Marples said his members were not concerned by plans to import management into failing trusts.
He said: "What is important to all managers, whether they come from the public or private sector or indeed whatever their background, is that the best interests of the patient is being served."
Nigel Edwards, acting chief executive of the NHS Confederation, called on ministers to go further and liberate the whole NHS from Whitehall.
He said: "The government will need the courage of its convictions - history tells us that politicians set out such intentions to free up the NHS but quickly get nervous and fail to provide the necessary freedoms e.g. borrow money, retain reserves, take risks and be entrepreneurial, and to determine local pay."
15 Jan 02 | Health
NHS faces radical overhaul
15 Jan 02 | Health
NHS reform: Hospital response
The BBC is not responsible for the content of external internet sites
Top Health stories now:
Links to more Health stories are at the foot of the page.
Links to more Health stories
|^^ Back to top
News Front Page | World | UK | UK Politics | Business | Sci/Tech | Health | Education | Entertainment | Talking Point | In Depth | AudioVideo
To BBC Sport>> | To BBC Weather>>
© MMIII | News Sources | Privacy