Be honest about the past – come and see the future

Dr Mark Porter, who I don’t know but who usually comes across as a conscientious hospital doctor, is reported in the Guardian today as worrying about cherry-picking, inequalities, hospitals closing and patients being turned away. He puts these down to the proposed NHS Reforms.

My biggest gripe with the media coverage of the Reforms at the moment is that we are not getting any sense of balance. We have inequalities already, we have patients already being turned away with covert rationing, we have some ‘cherry-picking’ because the private sector hasn’t been allowed to diversify as much as some would like and we know we have too many hospitals. Why aren’t we having more sensible scrutiny that doesn’t imply everything is ok as it is now?

The important questions about sorting out lines of authority and accountability, scrutinising proposed changes to NICE that will undermine our international standing, driving down demand and patient safety (as previously blogged here and here) are being given very little airing. Yet some hospital consultants whose domains are being challenged by other providers (including other NHS hospitals) are simply feeling threatened instead of looking for opportunities to up their game and improve patient outcomes. If you are delivering high quality, safe, specialised care then you are in a strong position! If you’ve been more concerned with your golf handicap than your surgical techniques and safety (Questions for surgeons: how many patient experience outcomes – scarring, pain, healing rates, mobility etc are you aware of after discharge?) then this could be why you are possibly feeling less secure.

And if you are really interested in the future, come along and meet us at the Health Innovation Expo where we will be talking about transforming delivery of healthcare through telehealth – remote monitoring that improves quality of care and reduces costs! A win-win for hospital and community health professionals alike.


Healthcare without walls – transforming the cost and quality of care through telehealth
with presentations and time for questions with Julia Manning, John Cruickshank and Gail Beer
9th March, Room SG33 10.15-11.00 (ref S169)

10th March, Room SG24 11.15-12.00 (ref S170)

We very much hope to see you there.


About Julia Manning

Julia Manning is a social entrepreneur, writer, campaigner and commentator. She is based in London and is the founder and Chief Executive of 2020health, an independent, social enterprise Think Tank whose aim is to Make Health Personal. Through networking, technology, research, relationships and campaigning 2020health has influenced opinion and action in fields as diverse as bioethics, alcohol, emerging technologies, fraud, education, consumer technology and vaccination. Julia studied visual science at City University and became a member of the College of Optometrists in 1991. Her career has included being a visiting lecturer at City University, a visiting clinician at the Royal Free Hospital, working with south London Primary Care Trusts and as a Director of the UK Institute of Optometry. She specialised in diabetes (University of Warwick Certificate in Diabetic Care) and founded Julia Manning Eyecare in 2004, a home and prison visiting practice for people with mental and physical disabilities using the latest digital technology, which she sold to Healthcall (now part of Specsavers) in 2009. Experiences of working in the NHS, contributing to policy development, raising two children in the inner-city and standing in the General Election in Bristol in 2005 led to Julia forming 2020health at the end of 2006. Julia is a regular guest on TV and radio shows such as BBC News, ITV’s Daybreak/ GMB, Channel 5 News, BBC 1′s The Big Questions, BBC Radio, LBC and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week. She is mum to a rugby-mad son, a daughter passionate about Shakespeare, and wife of a comprehensive school assistant head-teacher. She loves gardening, ballet, Zimbabwe, her Westies Skye and Angus, is an honorary research associate at UCL and a Fellow of the RSA.
This entry was posted in Health Bill and tagged , , , , . Bookmark the permalink.

2 Responses to Be honest about the past – come and see the future

  1. The “ability to provide a comprehensive and universal service” won’t be lost because of the Health Secretary’s plans to increase competition with “private, charitable and co-operative providers” as Mark Porter argues. You can’t lose what do you don’t already have. As you point out, there is a considerable degree of variation in existing practice that goes without professional acknowledgement or public debate.

    There is much talk of competition, fragmentation, types of providers and GPs’ ability to commission. All important points, but the key to making any reform work will be in the underlying accountabilty and performance incentive structures. Rather than, as yesterday’s Guardian editorial suggests, “Every Conservative, and…every Liberal Democrat MP [considering] whether his promise of a more consumer-friendly service is a prize that justifies denationalising the NHS,” each MP should consider whether the reforms will deliver better, more transparent outcomes for all patients in England. Only then can there be a real, national conversation on the state of our beloved health system and how to improve it.

  2. Awais Bashir says:

    Memphis Personal Trainer I do agree with Charlotte that ability can make you different in skills . You can do anything what you want .

Leave a Reply

Please log in using one of these methods to post your comment: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s