Thanks for asking
As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with
Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut things can improve efficiency. It is doing the opposite. Now not enough diagnostic centres, not enough doctors, not enough beds (numerous reports - ask
@NuffieldTrust or
@TheKingsFund or
@HealthFdn)
The rest are relative minutiae but areas to address include
* understanding that promotion of the private sector as a realistic alternative to the NHS is flawed. The private sector can do sone things well (low risk procedural
stuff) but is no substitute for real NHS hospitals with the full gamut of services (staff, systems, space)
associationofanaesthetists-p…
*don’t dumb down medicine.
There appears to be a concerted effort to suggest that medicine has become less complex, easier to learn, answers available on google etc and as a consequence medicine can be taught over a shorter period and the role substituted by others who are notably less trained/qualified.
The truth is that medicine has become more complex, delivered to ever older more complex and more comorbid patients with ever higher expectations (most of which are actually met).
associationofanaesthetists-p… This all happens in the framework of an environment in which litigation (certainly costs and numbers to an extent) is mushrooming.
associationofanaesthetists-p… While there may be value in working in new ways the lie that doctors can be replaced by less qualified alternatives because the job has become easier is misplaced, disingenuous and dangerous (as well as quite likely being cost-ineffective). There is a danger these systems will be brought in without testing of efficacy, safety or cost effectiveness.
rcoa.ac.uk/sites/default/fil…
bjanaesthesia.org.uk/article…
* IT systems that are slow, outmoded, inefficient and don’t talk to eachother. Wasting thousands of hours of clinicians time every day.
Hope that is enough for now.
At the core it is FUNDING.
No point in reform without funding.