Britain's doctors are calling for the government's plans for the NHS to either be withdrawn or changed substantially.
This month, the British Medical Association (BMA) has been asking its members what they think of the Health and Social Care Bill. Nearly 1000 doctors replied and four out of five of them said said their attitude to the reforms was either 'mostly' or 'very unwelcoming'. The biggest concern was the plan for an NHS economic regulator Monitor to promote competition - over half of members identified this idea as 'potentially the most damaging'.
In its formal submission to the NHS Future Forum, the body leading the government’s listening exercise on the reforms, the BMA says the legislation represents 'an enormous risk' during a time of huge financial pressure for the NHS. It sets out its own recommendations for changes to encourage the development of more integrated services, arguing that greater collaboration would be more likely to improve quality and efficiency than the current proposals to increase and enforce competition. It is also concerned about the speed of the process and the Secretary of State for Health's plan to enhance his own powers.
The BMA submission calls for 'a more mature form of commissioning', based on clinical networks of specialists and primary care professionals working together across traditional boundaries, alongside commissioning consortia. The BMA is also today publishing new guidance putting forward examples of possible models for the governance of consortia and advising that, as a minimum, specialists should be involved in the design of patient pathways.
The key recommendations in the BMA’s response to the Future Forum are that:
Dr Hamish Meldrum, Chairman of Council at the BMA, said: 'The message from doctors is clear and simple – the Bill must be changed significantly, if not withdrawn altogether, if the NHS is to continue to improve.
'We are right in the thick of the challenges the NHS faces, and while change is necessary, this major upheaval is not. We know that the NHS has to become more efficient, that chronic illness is growing, and that we need a step change in improvements in public health. Increasing and enforcing competition is not the answer – competition is not an end in itself. Instead, we are putting forward recommendations that aim to maximise the potential for positive change in the proposals, by genuinely giving more say to patients and to clinicians at the front line.'
Page created on May 26th, 2011
Page updated on May 26th, 2011