Andrew Lansley must spell out the importance of private enterprise to the NHS

Julia Manning for Daily Mail 08th February

The Health Bill bashing descended into an Andrew Lansley lashing session yesterday.

Despite vocal support from GPs themselves, opposition politicians and unions have been joined by journalists who are all venting their ire on the man and his manouveres to change the NHS into a front-line led service.

Some of the formal objections published by professional bodies have read like New Year wish-lists for their own particular speciality rather than anything strategic or realistic for healthcare overall. The Bill has become the whipping boy for every disappointment, regret and unrealised expectation that anyone has ever had about the NHS.

NHS diagram


Amidst all the Tarentino-esque cries of ‘Kill the Bill!’ people are clearer as to what they are objecting to: the lack of narrative, the messy process, their interests not being served, the watering down or rising complexity. 2020health sketched out the complex of new structures last year (see above), although that was before another layer of 50 National Commissioning Board outposts were added.

But what is not clear is the NHS’s solution to the well defined problem – we knew in the last parliament that £20bn savings had to be made. But history also shows that the NHS never misses an opportunity to miss an opportunity – most NHS staff are far too content on their guaranteed taxpayers salaries to set in motion the radical changes that are required to ensure rising demands can be met. So without a political kick up the backside we’d continue with too many hospitals requiring public money bailouts, excessive waste, shocking neglect of the elderly and a clinical workforce divorced from the reality of the cost of care.

As a letter to the Times today points out, there are significant benefits to the NHS from expanding the opportunity to treat private patients. Overall there is still an untold story of partnership between the NHS and private sector which is not only being lost, but which is being damaged by the public sector utopians (see diagram below). The top story on the news today was the danger of anti-business rhetoric in the UK at present. This has been fuelled by stories of greed – but let’s be honest – where there are humans there is greed, no matter whether they are employed in the private or public sectors. It is a separate issue.

NHS diagram


A significant problem for the economy is that confidence for investors in healthcare in the UK is being massively damaged both by the short-sighted, protectionist opposition to competition that is being driven by the health unions, and the lack of long-sighted political leadership that has a secure narrative detailing the massive contribution of the private sector to growth. George Osborne’s speech last night to the Federation of Small Businesses was not before time, and it has to be built on. Noble Lords must today take a historical perspective. The NHS has a track record of making flawed policy work, and it wouldn’t be where it is today without competition and private investment.


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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