Once again government has decided that the NHS is not working properly and a major reorganisation is the only thing that can save it, get rid of the bureaucrats they all scream, but by their own figures seven out of ten will remain, allied to that, a new bureaucracy will emerge at the next level with Doctors having to make decisions involving billions of pounds. They will need extra assistants to advise on the correct use of public money and accountability. We will lose medical Doctors as they take on the management role which will be a consequence of these reforms, and will they be looking at how much money can be kept inside their practices rather than making sure each patient gets the correct type of treatment, even now politicians are talking about Doctors getting extra bonuses, is this a gently bribe to bring Doctors on side?
Already Hospitals are a dumping ground for all the problems of society. Care in the community, was a good idea but, to achieve this they closed some of the mental hospitals and how many of these mental patients end up in general hospitals. Close all geriatric hospitals, yes but where do the elderly end up? being treated as a nuisance, blocking up beds and wards, extra help needed to clean and keep them healthy, more costs. With an ageing population the situation is only going to deteriorate, older people are looking for jobs why not employ them to look after the elderly infirmed, after all they will care about them and appreciate what is needed.
These reforms are just another shuffling of the same pack, some one knows better than the person directly concerned, if they really wanted to reduce bureaucracy then an insurance based medical system would put the decision-making into the hands of patients and then health professionals would be working for us.