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In case any of you in England might be wondering whether you are going to be able to get your hernia, hip, knee op. etc etc done in a couple of years time, I came across this useful summary about the current setup of the NHS and what Cameron and Cleggie proposed today after their "listening exercise".

http://www.bbc.co.uk/news/health-13749880

There's a lot of things I don't understand with regard to this lot.

Apparently currently there are 151 primary care trusts that are responsible for the commissioning of services in the NHS and 10 Strategic Authorities that oversee them.

This lot will be got rid of and replaced by over 250 commissioning groups, countrywide with nurses, consultants, GPs etc, a National Board that will oversea the commissioning groups but will also do the actual commissioning in those areas of the country where commissioning groups havent been setup. There are now no timescales for the commissioning groups to be setup by. In addition, there will be a number of "clinical senates". Havent got a clue what they do.

The first question that comes to mind is - isn't the new setup going to be a heck of a lot more bureaucratic with 250+ commissioning groups replicating a lot of activities in each group compared to 151 that we have now?

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D

Great! The consultant seems to have been playing a part from a Carry On Doc film that happened to be shooting at the same time.

I would have loved it if Cameron had been miked up, forgotten about it and then pronounced "What a cunt" to Cleggie about the consultant.

Pity we didnt see a Hattie Jacques matron-like figure coming in to tell them off. Or better still a Barbara Windsor in a tight nurses' uniform popping in to tell Cameron and Cleggie "Ooooh you are awful".

Cheers
D

Apparently because the Cameron election campaign stated that there would be no top down reorganisation of the NHS in his government, he has been describing the current Health Bill as a "bottom-up" reorganisation. Oh well that's alright then!

At which point the Guardian wheeled out that old joke about the patient who is given a suppository and is then asked by the doctor if it was successful.

"Nah, it did nothing at all. For all the good they did, I may as well have pushed them up my bottom".


Cheers
D