Friday, December 22, 2006

Chapter 33 - The Future of the NHS

This is the summary of chapter 33. Localism in the NHS: Reducing the Demographic Deficit. It was written by Mr Tim Kevan, a Barrister at 1 Temple Gardens, with expertise in personal injury (including clinical negligence), sports, consumer and general common law. He is the author of nine legal textbooks and edits three legal newsletters. The other author was Mr Daniel Hannan MEP, a leader writer for The Daily Telegraph, author of 6 books and MEP for South East England.

They suggest that guiding principles for reform should be - decisions made as closely as possible to the people they affect; and those people should have as much say in those decisions as possible. They suggested the following:
1) Patient choice should be encouraged.
2) That all structures need to be democtratised. The most significant body within the present structure is the primary care trust (PCT) which commissions the majority of NHS services. They suggested that this should consist of directly elected representatives accountable directly to the people.
3) That structures should be simplified and made more transparent. They suggest that PCTs and other health organisations should be given boundaries that coincide not only with each other, but also with local authorities.
4) They advocated that the powers of 'local bodies' such as PCTs should be increased with greater decision-making discretion.
5) They suggested that doctors and other health care professionals should be brought back into the decision-making process.

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Tim Kevan said...

Gordon Brown needs to read this chapter after the suggestion that he might make the NHS independent of any political control.

Treehouse Surfer said...

The more power to local people the better.

Editorial said...

The NHS is far too centralised.