NHS faces huge budget shortfall

Discussion in 'Current Affairs, News and Analysis' started by STILTS, Jun 10, 2009.

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  1. The health service will face the most severe and sustained financial shortfall in its history after 2011, a report by NHS managers warns.

    Full story

  2. The biggest trouble for the NHS is funding 'well medicine'. That is fertility, cosmetic surgery etc. If the NHS just treated illness and injury and pared down it's overstuffed (at managerial level) infrastructure then the finances would be a lot easier to manage.
  3. I work for a company that has recently inherited some ex NHS managers and directors.

    What a bunch of un-disciplined dithering morons. These people should be deprived of O2 Never have i seen such waste on such simple common sense tasks by so called professionals.
    The general trades persons (doctors and Nurses are not too bad) however since the introduction of specialised medical managers, (in the late 80’s and 90’s)the NHS has gone from gaping financial black hole to a financial sucking vacuum of despair.
  4. Gosh another of Gordons Flagships goes to the bottom, I thought things could only get better and there was me waiting to have my moobs realigned.
  5. Biped

    Biped LE Book Reviewer

    Phew, good thing it won't be Labour having to pick up the tab for that bit of mismanagement then eh!
  6. Well I work in the NHS deal with managers on a daily basis and wouldn't want their job. Every one hates them. They are over worked and in this trust severly paired down. They do take a lot of the paper workload off clinical staff. However it is not nescessarily the managers but the system. With both my NHS and military head on I can see very many similarities in a civil service based delivery system. Most of it seems to be spent meeting the rules and demands of conditions imposed on the NHS, very similar to the armed forces. Infact any governmant based delivery service i.e. Police, Customs and Excise or Revenue and taxes or any of a hundred other services are blighted by outside demands that in a lot of cases private industry does not have.

    Good grief have I just stood up for "them". Yep!

    Obviously I'm talking abot THEM though....
  7. As theres less and less people working and more and more retired people living longer, the NHS will become increasingly difficult to sustain as retired people consume healthcare disproportionately. Ultimately, the NHS (and the Welfare State in general) was created for the society of the 1940s, and its hardly a surprise it won't work for a society completely transformed in underlying structure since then...
  8. I'd go along with the 'it was the pensioners what done it' line if I were convinced that they got anything over and above the very basic brutish level of treatment. How many pensioners could have their lot improved for the equal of a IVF course? How many of those IVF are for women who delayed using their natural fertility so they could have a career but now want to go all mumsy? I find it difficult to accept that we do not have the brains to adapt 1940 procedures to suit 2010 demands. On that reasoning we would still be flying twin winged aircraft and 1 in 2000 would have TV.
  9. I've been looking for a job for some time. Its very noticeable that, whilst most sectors are currently showing a complete collapse in recruitment, there continue to be advertised an incredible number of well-paid NHS-related positions. Given the very high cost of these position (not least in future public sector pension liabilities), its hard not to avoid the impression that this is a public-spending juggernaut out of control.
  10. Crow-like from GBTD - apologies!

    My thoughts are on there!LINKY!

  11. PFI's/PPP's have been the biggest money tip, diverting funds that would have kept trusts in control of their own facilities and assets. The tories invented them, but they were arguably never meant to be used on the scale that they have been that ties the NHS into horrifically expensive contracts that don't deliver and they can't get out of, leaving them operating with one hand tied behind their back and wearing a blindfold.
  12. Something like this;


    50bn payment for 10bn worth of assets - value for money I'd say.

    What was wrong with the old hospitals?
  13. Problem begins with a Labour "pledge" to match average EU health spend.

    So you throw more money at an already vastly inefficent system, then make it worse by making that system dance to paper performance targets for PR purposes and require manic reporting levels, all required to keep the funding flowing

    In that process you naturally create over time a layer of management that is promoted and rewarded by reference to the abilty to run and manipulate said reporting and target system (thus generating funding) and in many cases now has little real ability to do anything else, like actually run a real hospital.

    Then, whilst pledging to match EU health spend levels, you impose the huge millstone of 100 PFI funded hospital at vast long term cost in return for short term political gain.

    Then, when it all starts looking like being revealed as having been a vast con trick likely to blow holes in the finances of UK plc, , you change the accounting rules. Again.

    Treasury U-turn on PFI takes pressure off DH capital budget

    4 June 2009

    "The move was expected to mean that up to £30bn of PFI debts would be included in the UK’s public sector net debt figures - a measure used by the government to indicate the stability and credit-worthiness of the public finances.

    The Treasury is expected to claim the U-turn is needed so that national accounts align with EU standards. But sources close to the Treasury told HSJ the real reason was the need to improve the appearance of the national accounts, which had worsened in the economic downturn."


    What could possibly go wrong?
  14. I don't find it diffcult at all, since public sector decision making isn't made on a basis of rational efficiency, but on party politics. And thats before we look at a taxpayer-funded organisation designed for a high population growth/low number of people on benefits/slow technology growth era, when we're an aging population with many, many people on benefits and rapid change in medical technology, it just ain't gonna be feasible! But lets just keep throwing more and more money at it without fundamentally changing it, that'll work in the long run...I'm not blaming penisoners for getting old and being ill! But an aging population means higher healthcare costs, end of, perhaps if they hadn't been lied to all their lives being told they were going to get cradle to grave care the situation could've been nipped in the bud with big reforms...
  15. BiscuitsAB

    BiscuitsAB LE Moderator

    Im just waiting to see when they close down the final salary pensions, both of them! thats going to be interesting.