NHS should be removed from direct government control

June 22, 2006

Only an NHS free of direct government control, managed by an all-party body with clinical and health service experts, will save the NHS from being used as a political football, says a leading public health consultant in this week's BMJ.

Dr Layla Jader, a member of the British Medical Association's Public Health Committee Wales, argues that the NHS has seen valuable resources wasted in "constant structural changes." She proposes that an independent body, made up of those working in the sector and patients - rather than government advisors - is the best hope to sustain an NHS fit for the 21st century.

With an independent management structure, "the pressure of constant media attention and the threat of political retribution - which drive many politicians to short term solutions that won't solve long term problems and mean they never learn from past mistakes - will be eased", says Dr Jader.

The NHS is a huge and complex organisation, and the current modernisation programme makes this the perfect opportunity to reconsider its management structure - however radical a move that may appear. Delegating responsibility for inflation control to the independent Bank of England seemed a similarly ambitious step, but has "greatly contributed to the country's economic stability", argues Dr Jader.

"The NHS is too vital to our future prosperity to be governed by any specific party", says Dr Jader. It needs a system that "replaces political dogma with clinically driven decisions, confrontation with consensus, unaccountability with democracy, and short term decision making with long term stability", she concludes.


Related Health Service Articles from Brightsurf:

COVID-19 could spell the end of an egalitarian National Health Service
A return to the principles of equality and universality of care that informed the NHS 70 years ago could be impossible.

Many women vets report adverse pregnancy outcomes, postpartum mental health problems after leaving military service
Women Veterans with more symptoms of post-traumatic stress disorder (PTSD) or moral injury (guilt, shame or demoralization in response to participating in or witnessing events that violate one's sense of right and wrong), are at greater risk for negative pregnancy outcomes and postpartum depression in the three years following discharge from military service.

Increases in self-reported mental health issues, service use in Ontario
The number of people diagnosed with psychiatric disorders in Ontario remained stable between 2002 and 2014, but the number of people self-reporting mental health issues and using mental health services has increased, according to a study in CMAJ (Canadian Medical Association Journal).

Why you should say 'thank you' and not 'sorry' after most service failures
Appreciation (saying 'thank you') is often a more effective strategy than apology (saying 'sorry') at restoring consumer satisfaction.

Unilateral terms of service change may put health-tech consumer welfare at risk
Given the intimate nature of the data handled by health technology companies, Jessica Roberts and Jim Hawkins argue, in this Policy Forum, for stronger consumer protections.

Health ranks as top concern for veterans immediately after military service
In a survey of nearly 10,000 veterans newly separated from military service, most were satisfied with their work and social well-being, but more than half reported chronic physical health problems, and a third reported chronic mental health conditions.

UK health service 'lagging behind' other high income countries
The UK National Health Service (NHS) shows pockets of good performance, but spending, patient safety, and population health are all below average to average relative to ten other high income countries, according to a study published by The BMJ today.

Quantum interference in service of information technology
Scientists from the Faculty of Physics, University of Warsaw, in collaboration with the University of Oxford and the NIST agency, have shown that quantum interference enables processing of large sets of data faster and more accurately than with standard methods.

'Back to school asthma' linked to tripling in rate of health service appointments
'Back to school asthma' -- a seasonal peak in cases associated with the start of the school year in September -- is linked to a tripling in the rate of family doctor (GP) appointments across England, reveals research published online in the Journal of Epidemiology & Community Health.

Mobile crisis service reduces youth ER visits for behavioral health needs, says study
Children and youth with acute behavioral health needs who are seen through Connecticut's Mobile Crisis Intervention Service -- a community-based program that provides mental health interventions and services to patients 18 years and younger -- have a lower risk of experiencing a follow-up episode and are less likely to show up in an emergency room if and when another episode occurs.

Read More: Health Service News and Health Service Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.