It’s up to the public now….

We need a revolution in health but now it’s down to the public and patients.

The politicians have given in to the unions and the professionals have now to demonstrate that patients really are at the heart of that they do. The NHS is unsustainable as it is, and the bureaucracy  is set to get worse. Professionals and leaders know both these facts. Yet if there is a reluctance from them to meet the needs of patients, improve the patient experience and be responsive to the public then  this must expose them to greater scrutiny. The public wants choice and reassurance about quality and safety. While there is a sentimental attachment to the NHS, Mid Staffs et al show that this reassurance is fragile and there is a dire need for individual accountability and regulators with power.

The public are realistic about the fact we can’t afford everything but also that current spending is wasteful in the extreme. Whilst they are happy for GPs to be in the driving seat of designing and delivering care, they will not be reassured by the complexity of the new management  systems and the red-tape that will restrict their GP’s freedom. It will eventually sink in that the unions (and some professionals and civil servants) are hell-bent on destroying choice and preventing the inclusion of entrepreneurs and businesses that have historically driven quality, efficiency, innovation and boosted the economy.

Monopolies maintain mediocrity and misuse. We hope that this realisation will be sooner rather than later and that a patient’s revolution will deliver the urgent reforms that will ensure we have the healthcare we need for the rest of the 21st century.

About Julia Manning

Julia is a social pioneer, writer and campaigner. She studied visual science at City University and became a member of the College of Optometrists in 1991, later specialising in visual impairment and diabetes. During her career in optometry, she lectured at City University, was a visiting clinician at the Royal Free Hospital and worked with Primary Care Trusts. She ran a domiciliary practice across south London and was a Director of the UK Institute of Optometry. Julia formed 20/20Health in 2006. Becoming an expert in digital health solutions, she led on the NHS–USA Veterans’ Health Digital Health Exchange Programme and was co-founder of the Health Tech and You Awards with Axa PPP and the Design Museum. Her research interests are now in harnessing digital to improve personal health, and she is a PhD candidate in Human Computer Interaction (HCI) at UCL. She is also dedicated to creating a sustainable Whole School Wellbeing Community model for schools that builds relationships, discovers assets and develops life skills. She is a member of the Royal Society of Medicine’s Digital Health Council. Julia has shared 2020health's research widely in the media (BBC News, ITV, Channel 5 News, BBC 1′s The Big Questions & Victoria Derbyshire, BBC Radio 4 Today, PM and Woman's Hour, LBC) and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week.
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