Jeremy Hunt called in to give NHS TLC

Julia Manning for the Daily Mail, 4th September 2012

The airwaves had gone quiet recently about Andrew Lansley. Whereas before many reckoned that he would be removed as Secretary of State for Health once the new NHS Act was through, increasingly people then wondered who else would want to take on this brief with the complex reorganisation underway, understood by very few outside of the Department of Health.

And of course everyone in politics knew that health was the only job Lansley wanted, and one for which he had waited for over six years. However, Lansley has today been replaced by Jeremy Hunt. The Prime Minister has been kind to Lansley, who is his old boss, and given him an overarching role – Leader of the House – which gives him the job of organising all Commons business, including health, as well as deputising for the Prime Minister when he or his deputy can’t be there.

It was probably the only thing that Lansley could take and that the PM could give which still allowed him a high profile, a seat at the Cabinet table and the opportunity to talk about health. Savvy.

Jeremy Hunt had always been the one people mentioned as a replacement for Lansley, but after the Sky semi-scandal the chattering stopped. In public. However, my take on the thinking behind his appointment is this: The PM now wants a safe pair of hands who will spend the next 3 years listening, building relationships, supporting clinicians in their new commissioning roles – who will stop (let’s hope) manager bashing, and be a general all-round TLC ambassador for the NHS. He will have the mid-Staffs report to deal with; he will need copious amounts of patience and diplomacy as the new structures emerge; and he will need to bring his commercial wit into play when it comes to sorting out a new payment scheme for medicines and building confidence in the independent sector.

The new health secretary has his work cut out just to deal with the situation as it is, although the rising demands and unsustainable costs mean that devising new income streams, reducing some provision, and supporting radical new ways of delivering care cannot be ignored. Other new ideas would probably be limited to social care and building public confidence post mid-Staffs. No small task, but more about consistency than concepts.

Interestingly, in his previous role, Hunt oversaw the support for installing super-fast broadband in England, and part of his thinking was to facilitate telehealth. With the increasing ability to skype your GP, have an appointment with a distant consultant though a video monitor, access online medical records, and see a high resolution CT scan on a laptop, this is a radical change that he should get behind. No pressure, but 1.5million NHS employees are now watching Hunt very carefully.


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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