John Hemming's Web Log John's Reference Website
Thursday, August 20, 2009
  John O Shea on Daniel Hannan
Although John O Shea is often "inaccurate and badly informed", his post on Daniel Hannnan and the NHS is worth a link.

In particular he highlights a Guardian Article about the NHS.

The practise of people not having to worry when they are ill is something that has to be protected.

There are problems with the obssession with targets which result in a system where often management priorities result in patients not being treated that well. However, they do not have to worry that for example the medicare budget is getting depleted or they don't have insurance.

I met up with the Yardley Carers group this week and they did explain how difficult it is particularly caring for someone in the last days of life and that the system often creates additional trauma by pressurising them inappropriately. For example one person had her husband discharged to a hospice. After two weeks they said because he hadn't died he had to go somewhere else. This really should not be necessary and we should look more carefully at these issues.

However, underlying this the question as to whether funds were available for medical care was not an issue - although that of social care was.

I wonder sometimes whether our assessment/service model devised by the treasury is the best bet. It strikes me sometimes that the provision of a resource to a group whereby the allocation of the resource (eg respite care) is split between the group in some less formal manner would result in a better situation.

There does need to be some form of budgetary control. That is very difficult to handle sensitively in the treasury model. However, whichever approach is used we are better off having the universal health care model than the USA model.
 
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