NHS: here's the unpleasant truth "We all know that the elephant in the room at this general election is the figure 167 â the number of billions of public debt. Ignore the word billion, it clouds the issue. Note that political parties are bandying the figures 6 and 12 as their ostensible debt reduction plan. But if you are super-obese at 167kg shifting 10kg will make no difference to your health prospects. Radical measures are essential, despite protestations that healthcare will be sacrosanct. We have an ageing population, so we must not reduce services provided by people who work "face to patient". But we have had 13 years of Labour policy designed to get more people on the public payroll and converted into Labour-voting slaves who have no interest in enhanced efficiency. We have assimilated a quarter of a million extras, literally supernumeraries, within the voluminous tent of the NHS. Just outside the tent is the sand into which billions of taxpayers' money soaks without trace. Identification of these individuals is easy; look at the hospital telephone directory, and note how often the following descriptions occur: coordinator, commissioner, facilitator, compliance, liaison, outreach, project, regulator, controller. All of these staff require computers, salaries, paid holidays and final-year pensions. Look too at the Personnel, i.e. "Human Resources" Department. A five- page pro forma to apply for a parking permit? A senior female consultant asked by a 22-year-old clerk to produce her passport in order to identify herself before starting work at a new hospital? This is the reality of modern hospital bureaucracy. Ask any experienced consultant whether the employees described above expedite or delay patient care? A responsible government must initiate a thorough review of the financial efficiency of the NHS by senior clinicians. The moral responsibility of running the NHS rests with those who know what treatment and care can be provided with the resources determined by ministers. We will accept that responsibility because someone has to lay out in front of society what is being spent in its name. To the current annual bill must be added the cost of the Private Finance Initiative, an enormous confidence trick played on the taxpayer, and the pension expectations of the tens of thousands of NHS staff." http://www.telegraph.co.uk/health/7625503/NHS-heres-the-unpleasant-truth.html And society is best served by the Labour version of the NHS? Do me a favour.