The government’s radical reorganisation of the NHS in England is likely to cost between £2bn and £3bn to implement - money that will probably never be seen again according to an expert.
Writing in bmj.com, Kieran Walshe, right, Professor of Health Policy and Management at Manchester Business School says that few NHS reorganisations have ever been properly evaluated but a recent National Audit Office study of over 90 government reorganisations found that, despite huge costs, the benefits were unclear, the process was often poorly managed, and that its impact on performance was often adverse.
He argues that the new government 'looks likely to make all these mistakes again.' Walshe says that Andrew Lansley, right, 'seems to have learned little from the past history of NHS reorganisation' and recommends three things that the new government should learn.
Although the government's plans have been welcomed by the BMA, Walshe says that during this consultation period the government needs to produce empirical evidence, not ideological platitudes, to justify the case for change. 'The intended costs and benefits must be made explicit and measurable … and a systematic analysis of the impact of the reorganisation should be produced within two years of its implementation and presented to parliament.'
Page created on July 16th, 2010
Page updated on July 23rd, 2010