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David Goodall

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David's Views: Health - NHS

The NHS is the largest organisation in the country and the most centrally controlled. It is also the one organisation in the largest mess with many health trusts reporting large levels of debt. Yet no one has suggested that the health service is performing unnecessary operations or giving over elaborate treatment. In most cases the complaint is generally the exact reverse.

The NHS is too centrally planned and run. This means the government is both the poacher and gamekeeper, for example the government determines a hospital trust's budget without reference to its costs and the government will then blame the hospital trust if it overspends its budget.

One of the most constant themes in the NHS is planned operations that get cancelled at the last moment because a more urgent case takes the operating slot. This treats people like meat that needs packing, this is wrong, after all the NHS is a health service not a sausage factory. So the systems have to change to cope with both an elective surgery and emergency cases.

So my views on running hospitals are:

So my views on the NHS structure are:

So my views on the health service providers are:

The bottom line:

Related views

Regional Government

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