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 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.
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