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[gi joe]

They are fucking it up.  Not once has the news mentioned GP Fundholding.  It was started by the Conservs in 1991 and canned by Labour.  Because it was shit and ended up costing more.  They are just creating it AGAIN.

Certain GP's will palm of business to their private practice mates.  GPs will go over budget for their surgery so the other surgeries or even the hospitals will end up having to foot the bill.

Only thing I agree with is there is WAY to much management in the NHS, which wastes shitloads.  But I've found out the old trust I worked for, the dickheads in IT are still keeping the same "Jobs for the boys" managers and directors, because these are the same bent fucks that are managing the restructuring (really they should of had an independent person.  I know one of the useless senior managers just wants to be made redundant so he can start his own business.  He wants to milk a redundancy package).  Fucking up the lower paid engineers but keeping the higher paid, useless and so not fucking needed management in place.  These engineers will be doing more but getting paid even less.

Fucks!

[keasy]

The biggest danger for me with these foundation type plans is that already well run GP practices will seek to grow larger as they can control their own budget. Meaning they will seek a larger customer base for more funding to invest in their own/partner interests.
Poor areas customer/patient base will diminish and poorer patients will have to travel further out of their areas to visit a practice as the successful practices squeeze the smaller partnerships out the game.

It's like introducing capitalism into NHS GP practices and again as usual the poorer area will be most affected. Oh and as the more poverty stricken have to travel further they will of course claim more travel expenses meaning higher costs.


I worked in the NHS when old style Health Board and crown immunity style switched to Trust status. Basics in the wards disappeared almost over night and never reappeared until the larger Trusts appeared.  It was a f*cking joke TBH the cupboards were literally bare. Basic patient care was impossible to achieve and bet your bottom dollar this will reoccur as self serving interests play at being manager and get off on it as they inflate their egos thinking they are gods controlling all power, with scant realisation of the hard hitting reality at ground level.


Many will assume as Doctors we should be able to trust them in their social standing as is, but many will soon be seduced by the prospect of making bigger bucks.

[Wooster]

Eddie Mair got tore into one of them on Radio 4 tonight.

The answer he was looking for was "What is to prevent a large private healthcare company (probably global) stepping in and undercutting the NHS in key areas as loss leaders in order to put the NHS out of business?", the Tory struggled and squirmed and it just became even more readily apparent that they don't give a f*ck as long as they save a buck.
http://www.bbc.co.uk/iplayer/console/b00xhffj/PM_19_01_2011 (skip to 10 minutes)

..I even started shouting at the windscreen at some of the responses. 

[gi joe]

But like GP Funding, they won't save a bug.  They'll get the costs off their books and onto the NHS so it will look like they've save.  In about 6 months, most GP surgeries, on GP Funding had spent their budget and then the hospitals or other GPs had to bail them out.  That's when the PCTs eventually came about.  Because they said instead of a GP deciding to use that back care specialist, why don't we get some people together to spend time looking in the whole area for specialists and that whole area can use that one etc.