I recently retired more than 30 years after NHS. NHS is already broken (Opening, March 3), But not in critical care, there are signs that WES Streeting addresses some problems, including the use of the “private sector”. While this may sit comfortably with parts of the Labor Party and patient groups, it is important to understand three things about the use of the private sector. First, NHS employees are the ones who surgery, secondly, the private sector is paid at the same price for each action such as NHS confidence, and finally, the use of the private sector creates an additional ability in NHS.
There are a number of things that Mr. Streeting should be seen to accelerate his plans. It must process the payment system, as Pay the results It needs urgent repair. It is a good idea that the low -cost activity of large size (such as the activity that was conducted in the private sector) but it needs radical reform for urgent and more complex care. He must also repair the consultant contract – for example, to ensure that consultants have to work for several years as a NHS consultant before they can work in particular. After that, transfer community services to public practice. GPS cannot prevent people to hospital if they do not have support in society to care for people. Finally, GPS (employers) should be more active with the public and employees about the importance of activity.
Malcolm Knngham
Selling, Cheshire
With all discussions about the need for a revolution in the health care necessary to save NHSThere was little talk about the necessary changes in work practices, especially those in doctors. The doctor’s work week has not changed much since rehabilitation in 1975, regardless of the training and governance imposed by confidence. It still depends on the wing tours, outpatient clinics and operating days.
NHS needs to use its power with greater wisdom. Return to a Health skills Approving this time, with the participation of doctors, will be an easy victory. Why are some specializations such as aging, pediatrics, dermatology and neuroscience are still mainly present in the acute sector? Why are there more physical therapists, speech and language in hospitals more than society?
Hospital acute care is specifically and includes emergency, sharp and condensed medicine. Other specializations in society (as in many European countries) can be identified and brought as needed. Changes in work practices can lead to changes that Mr. Streeting wants to see.
Chris Chlu
A retired neurosaist and former medical director of the Royal College of Doctors, Whistles, Kent
