The ten year plan cuts the numbers of extra staff needed in the next ten tears from the much advertised and long delayed 2023 Manpower Plan. It says it can do this because the NHS after six years of plunging productivity will over the next three years suddenly deliver 2% per annum productivity growth, with more to come over the following seven years.
How will this happen? Is this based on less recruitment, staff reductions, or a big surge in output?
The Plan says government will end past practice of bailing out Trusts who run out of money in year.
How will it do this? Will Trusts running out of money have to turn patients away and sack staff?
There are three big themes.
1. More to be done in the Community, less in hospital.Money will divert from hospital trusts to Community care. The government will set up Neighbourhood health centres which will combine GP consultations and prescriptions with more treatments . They will first be rolled out in deprived areas. How will this work better than multi GP surgeries? Who will want to undertake basic surgery there and how will they be remunerated? Will the facilities all be owned by the state, unlike many GP surgeries? How long before sufficient exist to make a difference to workload at A and E departments?
More prevention, less sickness. That is what successive governments have wanted. The measures look puny, concentrating on food retailers and alcohol and smoking issues as an indirect way to get people to drink, smoke and eat less. The health crisis is seen with obesity at its heart. Limited response to the surge in demand for mental health services
Digital, not analogue
AI is seen as the answer to most things.It is implied it will boost productivity and quality. It will empower patients who will know more and control more through a powerful NHS app showing them their records and giving them better access to care.
So how come the NHS will quickly be able to come up with a patient friendly digital control, information and access system that all parts of the NHS will adopt? Is this to be centrally designed and mandatory? How big a project and contract? If the boost to local and community health decisions and delivery is genuine how will the NHS ensure common functioning across borders?
Where AI is to be used to make medical staff more productive and to raise quality of diagnosis and surgery, how will the medical protocols be amended? Will the medical profession endorse an enhanced role? Presumably trained staff retain responsibility and can override computers and robots?
It reads more like a mood board or general essay than a working plan about to be unleashed.
July 4, 2025
Good morning, and Happy Independence Day to our US Cousins.
When you create greater demand you have to factor in greater supply. But when you have people who refuse to accept this very simple formula and spend like it does not matter, and let us be frank to them it does not matter, then you end up with a situation we have.
This country needs major reform and restructuring, not tinkering around the edges. But there is, and never has been, any real desire to do this. Just more window dressing.
July 4, 2025
The secret is in the title, 10 year plan. As these charlatans know they will be history at the first opportunity they can say what they like.
I volunteer in a large hospital and the inefficiency and waste is colossal. Hundreds of staff walk around corridors pushing paperwork on trolleys.
There are nurses an HCAs sat around directing people to various clinics spending much time talking to each other.
We need to go back to the days of time and motion and probably a third of the administration could be fired.
July 4, 2025
Well to match supply and demand we usually have the price mechanism but not with the “free” at the point of use NHS. Here they use delays, waiting lists, non delivery and rationing.
The solution is all should pay something at the point of use other than those tiny few who really cannot.
Having lunch with my NHS doctor son today in London. I have worked out that he will be about 32 by the time his net pay after tax and NI will have exceeded his student loans plus interest to qualify. So for 14 years after leaving school working hard at university and for the NHS he will have had nothing at all for rent, council tax, food, drink, fun. Zero net pay just enough to repay student debts and interest! You have to be rather driven to become a Doctor. If possible have parents prepared to subsidise the NHS by paying for the doctors to train, pay rent and eat for this period.
Become a plumber, electrician, accountant… however from 16 to 32 you get paid as you train and qualify fully after 2-3 years, Perhaps net positive pay of circa £350k+ in those 14 years.
July 4, 2025
JR make very sound points. Such is the quality of Labour MPs Wes Streeting is actually one of the brighter ones. History at Selwyn College it seems.
Hard to take him seriously though after he said we should keep quiet about the 14 unsafe convictions of Lucy Letby “so as not to upset the victims families” . Surely the victims families would not want unsafe convictions to stand would they?
The NHS and government are also still hiding the abundant statistics on the vast net harm done by the Covid “vaccines”. Streeting much know surely this and be colluding in it? It is now very clear for figure around the world. Is the MHRA still funded by Big Pharma – so no conflict of interest there then.
How is Sunak getting on correcting his unequivocal lie on vaccine safety? to the Commons?
July 4, 2025
Sir Stephen Fry in the Standard yesterday. “I know as much about dating as Robert Kennedy Junior knows about immunology” what a dope Fry is albeit a reasonable narrator of children’s books – the Barrington Declaration people and Covid Vaccine refusers were right Sir Stephen, just look at the abundant damning stats – if you are up to it Sir. Queens, Camb English degree I think.
July 4, 2025
As expected
July 4, 2025
Obsessive about uni degrees! When you are introduced, or merely meet people, is the first thing you are interested in ‘what uni degree did you take, a first or ‘just’ a second class?’
July 4, 2025
More interested in the subject and quality of the university. On average someone who read english, languages, politics or some other grievance studies degree at the ex poly of Bognor or even PPE at Oxford is not usually the same type of person as someone who read say Physics, Maths or Medicine at say Cambridge, Oxford or even UCL or Imperial! It explains a lot about why so many Ministers and MPs can support Miliband and May moronic net zero energy agenda!
Reply You attribute far too much significance to 3 undergraduate years. Many people excel from the university of life. Anyone good spends a lifetime learning.
July 4, 2025
To Reply:- well it is not so much the three years at university and the degree they as the type of person who chooses or aspires to the different degrees which so often require rather different types of minds and intelligence. Often they may have dropped all physics and maths at 16 as they were not interested or could not cope with A levels.
Various Types of Intelligence:-
Bodily-Kinesthetic Intelligence.
Existential Intelligence.
Linguistic Intelligence.
Logical-Mathematical Intelligence.
Musical Intelligence.
Raw Memory for images, words, dates, music, spellings, names… computers are unbeatable at this?
Visual Intelligence
Recall speeds…
July 4, 2025
I would have loved to have gone to Oxford, not just for the excellent academic life and social life but also for the great pubs and to smoke Turkish cigarettes and get drunk in the Botanic Garden in summer.
Reply You could go and do those three things without attending the University.
July 4, 2025
Here’s an indication of the problem facing Ms Reeves, the number of people paying income tax in our country.
https://www.gov.uk/government/statistics/income-tax-liabilities-statistics-tax-year-2018-to-2019-to-tax-year-2021-to-2022/summary-statistics
It is noteworthy that the number has hardly changed, but, as we know the nation’s population has. The higher rate payers is particularly important. How many have left the country? There is no alternative to raising more tax from the existing tax base to pay for Labour’s expenditure. No wonder she’s in tears, and so will we be come the Autumn.
July 4, 2025
The higher the tax rate goes the lower the tax take.
That is a fact that crying can’t remedy for the Blob.
July 4, 2025
Indeed we are in doom loop territory well above the Laffer point and with modern tech is is easy to move and work from home in Italy, Monaco, Dubai, Thailand…
The left keep saying good rinse to Millionaires who leave as they are not patriotic. I am very patriotic which I why I try to minimise my tax payment to the UK as I know it will largely be wasted and I will invest it far better than this truly appalling Labour Government.
July 4, 2025
Lynn pointed out yesterday she and many of us want to weep NOW!
July 5, 2025
‘You could go and do those three things without attending the University’ – I’m not saying get drunk like Evelyn Waugh at Oxford. But a healthy balance.
July 4, 2025
So where goes the greatest demand come from? Figures show that it is those above 65 who, per capita, consume the highest healthcare spending.
Figures I’ve seen calculated conclude that someone over 65 consumes, on average, 2x the healthcare spend of someone aged 30-64. Someone over 85 consumes, on average, 5.6x the healthcare spend of someone aged 30-64.
The UK has an ever-growing over-65 and over-85 population. What plans do you have to deal with that ever-increasing demand?
July 4, 2025
Reduce immigration Peter.
One million extra new arrivals a year greatly adds to the demand for NHS services.
7 million new arrivals since 2000.
But I realise blaming citizens who have paid taxes into the system for decades is the current fashion.
July 4, 2025
Don’t believe ‘figures you have seen calculated’.
The younger generation across Europe contribute much less than the old have done and at 70 I have yet to spend a night in hospital. Apart from setting a few bones (when I was young) I never see a Doctor. I bet that is a trend.
On the other hand the young have been vaxxed to death, suffer mental problems, allergic problems, disability problems.
How do you propose paying for all of that when the Boomers shuffle off under their own steam?
July 4, 2025
Nothing new in never seeing a Doctor, the much older generation feared a Dr sending you to hospital from where you would never return home! Then the stiff upper lip generation grin and bear it. Now life’s too busy with ailments and going to the gym. Finally it is pretty rare to meet anybody that has been face to face with a GP. And for those admitted from a Care Home or even their home, they are sent out in the early hours ‘dumped’.
July 4, 2025
But contrast and compare the pre-birth to (perhaps)5 over last decades to the success in the elderly health care, in other words just how good is prenatal outcomes, and the more numerous services theoretically available.
In many years experience of elderly people and their relationship with NHS I’d venture that almost nobody wishing to present to a GP is able to! So much wasting of time, phone calls to others within NHS, visits to A&E, finally some issues become much more serious than the initial more trivial concern and this might result in private consultations and procedures. So the number of contacts, and repetitive registering the need go unheeded.
All this waste could result in at least 10% productivity in NHS by simply doubling Paramedic staff and appointing proper triage in NHS practices. What they excel at is ‘kicking the can down the road’.
July 4, 2025
Was Covid and the net harm Covid “Vaccines” part of this plan perhaps? Is the assisted euthanasia bill and abolition of heating benefits and net zero rip off energy also part of the plan?
July 4, 2025
The NHS will never be controlled economically until failure is openly accepted as failure and those responsible and made to pay for their incompetence.
The other dimension that has to be brought back under control, is the open ended access to the UK’s health care system by foreign medical tourists. It is too easy to check into a UK hospital for treatment on the NHS without paying for any of it. That open system is now well advertised on social media across the world. The flights into certain UK airports are conveying extended family members needing treatment, straight into the care system from all parts of Asia. The scale of this trade is growing with the growth of Asian staff in the NHS. There is no one actively saying, no you can’t come in for free. Everyone arrives and no one pays other than the UK tax payers….again. Those organising the free loaders seeking treatment to all parts of the system are being bribed and well rewarded for their involvement.
The UK health system free at the point of need for UK residents via their contributions, is not being monitored carefully enough, it is being abused. Sadly that abuse is being organised from within.
July 4, 2025
+1
July 4, 2025
Prior to the EU Referendum, I had a friend who was a midwife in Redhill Hospital (very accessible from Gatwick Airport). Even then she said that a third of the mothers in the Delivery Suite were foreign; people flying in for “free” NHS care.
July 4, 2025
Most airlines require “fit to fly” certification any time after 28 weeks of pregnancy, and after about 36 weeks, such certification won’t be provided as it’s not considered medically safe to fly, so the mother wouldn’t even be allowed to board the plane.
July 4, 2025
They lie Peter.
They get “doctors” in the home country to give them such “certificates”
It is a scam which has been happening for decades.
July 4, 2025
Really? Can you give real examples rather than social media conspiracy theories?
Please explain to me what happens after this supposed fly here and give birth. Please include timelines (because I know what’s allowed and not).
July 4, 2025
Try looking on the internet Peter.
I found within one minute a site offering such certificates for a fee to women in Nigeria.
Sadly you dismiss it as a conspiracy theory.
Bit of a cliché response I reckon.
July 4, 2025
Yes. It was very strange how many “early deliveries” there were …. and how few of the babies were undersized.
July 4, 2025
So where do these millions of ‘anchor babies’ come from?
July 4, 2025
Please explain how a child can be an anchor baby when the UK doesn’t have birthright citizenship.
July 4, 2025
Article 9 ECHR The right to family life.
Just say you now claim asylum after giving birth.
Don’t you know Peter?
They all do.
July 5, 2025
Ah ha, clever MiB, can we have the proper reference of this website in Nigeria? Thanks in advance.
BTW you seem to know all about the success rate of claiming asylum after giving birth. Can we have this info too?
Or will it be as usual with some of the contributors here big fuss declarations supported when asked for details by … nothing? eh MiB? On your bike, provide the details … for once …
July 5, 2025
Hey hef,
Try a search…fit to fly certificates pdf…there are loads on there.
Convert to MS Word and then you can fill them in yourself.
Hope this helps.
July 6, 2025
I checked ten+ such websites, and you’re talking rubbish, pure and simple. I wonder whether you took the time to read them. And none of them are from Nigeria, but from the UK Civil Association Authority, medicaltravel.co.uk, FCDO, General Medical Council, the NHS, or from airline companies, ie not a FTF certificate from an obscure office in a developing country.
Most of them refer to a potential passenger who has already had an operation following different diseases (cardiovascular, respiratory, …) For those that are specifically about a pregnancy, depending on the certificate, the limit for flying is between 28 and 32 weeks. As far as I know a pregnancy is around nine months, 38 to 39 weeks.
You and your pal MiB should really start to read what you pretend to be the irrefutable proof of your arguments when it is nothing of the kind, or as often you’ll simply look silly.
July 4, 2025
And how many actually declare that they are pregnant, that want to use UK’s free service?
Shall I answer that for you? – Zero…
July 5, 2025
Ah ha hefner.
Are you really too lazy to do a simple search ?
Wanting me to be your researcher and answer all your questions.
Well you can get on your own bike.
July 6, 2025
Odd how loads of overseas women arrive here to have their babies on our NHS hefner.
Odd you haven’t found the Nigeria site.
How convenient for your argument.
Bogus certificates are available either off the Web or from overseas doctors for a fee.
You know it and I know it
It’s a scandal that has been operating for many years
Many are not even challenged when they arrive for their “holiday”
PS
I didn’t say every document on the Web that comes up is exactly what is required to a gain a bogus certificate as there are hundreds of searches that can be done with hundreds of documents on there.
But you used ruse that to make your useless argument look better.
Well it didn’t work.
July 4, 2025
So what check-in staff assess or arrange for a possibly pregnant female to be more clinically certified for travel in aircraft. Will you challenge a rather round female about ‘how many weeks pregnant are you?’ I can hear the shouted crying outrage at such a suggestion.
July 4, 2025
Not for the free NHS birthing costs, to establish British citizenship so the entire family can ‘retire to Britain’.
July 4, 2025
I haven’t read the details of the proposals; I just watched Streeting being interviewed on Talk Radio.
In Newspeak, “A Ten Year Plan” translates into “Jam Tomorrow.” Since a Government only has a 5 year mandate and they’ve wasted the first year, they now only have a 4-year one left. So they cannot commit to delivering this particular “Jam Tomorrow.” And that’s before they start negotiating with the vested interests and unions within the NHS, which will resist the potential weakening of their power-bases and fiefdoms.
As for the public, many of those who most need NHS care (the very elderly and the very poor) do not have/cannot use smart phones so a shiny new NHS App will be pointless for them and will act as a barrier to obtaining care, not an enabler. It would seem that, once again, a Labour Government is planning to waste £billions on tech consultants and dodgy technology in a futile attempt to make a flawed Socialist healthcare system work a bit better.
July 4, 2025
Why would this new app be the first NHS computer system to work? Who wants to bet on that gamble?
July 4, 2025
AI could easily be used for initial diagnosis but the BMA will oppose that at every single step.
July 4, 2025
I saw an interview with the man representing the medical profession. Predictably he wants money money to pay for these changes.
As for using AI, I am warned (by Gemini 2.5) to beware of hallucinating answers. Should we regard this latest 10 year plan as another hallucination?
July 4, 2025
Labour are expanding the community care sector of the NHS – this was originally part of the disastrous 2012 Lansley “reforms” – because we can’t afford to build any new (and desperately needed) hospitals. Too much of the capital spend budget will be eaten up over the next ten years removing the dodgy RAAC with which many new hospitals were built under PFI schemes. They are still removing the asbestos from old hospitals built in the 1950’s and 1960’s
GP’s are a law under themselves. Their surgeries are privately owned and their practice’s sell community healthcare to the NHS at a profit. Most GP’s only work a 35-hour week and subcontract weekend care to private locum companies. They are grossly overpaid. The concept of “family doctors” went out the window years ago
Introducing AI may actually work. People who can work out how to use the NHS app may benefit but many elderly are not digitally minded. If it increases the accuracy of diagnoses, improves NHS productivity and keeps non-emergency patients out of our overwhelmed A&E departments, let’s give it a go
July 4, 2025
GP’s work 35 hours? Dream on. According to our surgery’s website and their schedules our lot work 16 hours patient facing (don’t know what they do the rest of the time) and their average remuneration for this is £59,000. Nice work if you can get it, but what a waste of all that training. The nurses are better than the doctors in most cases anyway.
July 4, 2025
“The average GP salary in the UK is £87,884, which is £7,323 monthly. There is no set pay scale for GPs in the UK, your salary reflects your years of experience, level of responsibility, qualifications, and the UK nation where you are working.” {Source GP World}
I’m sure I also saw something several years ago that suggested an ‘average’ salary of £105,000 pa for a GP Practice ‘Partner’
July 4, 2025
This could so easily change with the right incentive and a push from HMG — There’s no reasons that GP surgeries couldn’t be the local point of medical excellence – if they can get the attitude right!
The agreement Blair signed with GPs was a travesty – that agreement needs to be brought into this century.
July 4, 2025
The point of AI is that it works you, you don’t work it.
You would have to assume that AI wanted to ‘cure you’ and not ‘fix the overspend on health’ by removing those who cost most.
Big assumption. AI lies. It made up a precedent for a legal case when it could not find one to support the argument of the lawyer depending on it. The Courts have now had to rule on the use of AI in Court.
July 4, 2025
WE should not be putting too much faith in AI – it is an overstated white elephant that will not deliver for our benefit – more likely it will be used against us.
July 4, 2025
Lots of negative comments about AI here – it gets things wrong etc. – no doubt true but does it get LESS things wrong than standard Doctors ? (What is the annual NHS bill for medical malpractice cases ?) Very preliminary evidence says YES. As a diagnostic tool used BY doctors it has great scope to improve initial diagnoses and so speed up appropriate treatments.
“When paired with OpenAI’s o3 model, Microsoft’s AI Diagnostic Orchestrator (MAI-DxO) correctly diagnosed up to 85% of the NEJM cases, while physicians got 20% right without access to colleagues, textbooks, or AI models, the company said”.
July 4, 2025
‘Most GP’s only work a 35-hour week’ ….like civil servants – WORK FROM HOME.
At our Medical Centre ask to ‘see’ a GP and you are answered with ‘oh Doctors don’t see people, you may get a return phone call though’. An interesting change is emplying PAs, not a glorified secretary, they are non-qualified Physician Associates but do attend the surgery.
July 4, 2025
employing
July 4, 2025
I look after my own health. I have virtually no faith in the NHS, particularly after the Covid Tyranny and the debacle of the NHS throughout that period.
I find “Dr Google” is very helpful at providing information for minor health-related enquiries and, if necessary, Benenden Health supplements it.
July 4, 2025
+1. In desperate circumstances, try a Natropath.
July 4, 2025
At least it’s only A Plan and not legislation which binds future governments – which could choose to adopt good healthcare practised in other (EU, for example) countries. Some hope, as that of course would include an element of obligatory individual health insurance.
July 4, 2025
No future Government can be bound. Each is Sovereign and cannot be bound. That’s why previously Jo government proposed anything outside its own time limit.
July 5, 2025
Net Zero by 2050?
July 4, 2025
My wife has many failed attempts to sign uo for the NHS App.. We think it is to do with here Chinese name but noone can solve the problem
July 4, 2025
So what are the best in class approaches in terms of treatment outcomes, cost/performance and return on investments? Who should we be copying?
Meanwhile I recently had to make use of medical services, access to the GP was via the Anima gatekeeper which I bypassed by walking there to book in person was a pre-indicated jab but not recognised by the menu system. I also had to make use of a virtual hospital Service (Virtual Acute Care Unit) which was very efficient from my perspective – no waiting in A&E, a 20 minute consultation then self monitoring and dosage titration/care at home.
It is hard to see what Labour is proposing in their 10 year plan that isn’t mostly there already apart from instrumentation and robotics R&D.
One area that needs addressing is the gatekeepers to the process, GPs for example can bypass the A&E horrors where appropriate but the issue is being able to access to the GP humans, the accessibility is highly variable as a relative found to their cost recently
July 4, 2025
Yet another Labour plan to decentralise the NHS to Community/Neighbourhood centres where more can be done taking the weight off the hospitals.But we already have local surgeries that dispense pills and which are too busy and find it difficult to cope.
This is a 10 year roll out which is likely to be 6 years after Labour aren’t in power anymore.
The need to change and reorganise seems to be the political answer for everything when it actually produces nothing;What we need is action now and to use what we’ve got to maximum effect.
I strongly believe that what we’ve got in the NHS is the potential to be a competent and efficient organisation and more money and reorganisation are not necessarily the solution; I find the NHS staff in general very competent and knowledgeable.
The problem is that the NHS is there for everyone to freely use for any symptoms they think they’ve got at a time when the UK population is getting older and there is naturally more demand.
It needs good management.It needs staff that are paid properly for what they do.
Those who have only just arrived in the UK or are not UK nationals need to pay for the service for which most of us who live and work here have paid into for all our lives.
Because it’s a free service many think they can abuse the system by not turning up, or not cancelling appointments.Credit cards should be taken prior to the appointment and charged if they don’t show.
The NHS needs to look at what conditions they treat and who they prioritise in an effort to speed up response times and treat those in real need.This should reduce waiting times and bring forward much needed operations.
I think what we have is a wonderful facility in the NHS.It has the potential to be extremely efficient and deliver an excellent service;
It doesn’t need more clever ideas to reorganise and decentralise which are very expensive, take time and are unlikely to be deliverable because of lack of funds.
The NHS just needs to be managed properly..
July 4, 2025
It reads more like a mood board or general essay than a working plan about to be unleashed.
Damming assessment.
The NHS is paid for being and not doing, until that changes why should the NHS adapt.
Every intervention should be invoiced to the government at agreed rates (trans and other lifestyle surgeries should be pro bono and funded by the hospital without reimbursement). That way the NHS only gets paid for activity. Frontline delivery staff will become the income generators and so there will be more of them than back office administrators who serve a purpose but don’t generate income.
This is not privatisation, it is efficiency. Competition between trusts will arrive as a consequence as each trust gets paid for what they do so patients can shop around their nearby 9or even far away) trusts.
July 4, 2025
There is already competition (for subsidy) between Trusts, and even between Hospitals.
Nobody wants the patients however. Patients don’t bring money with them.
July 4, 2025
What do GPs get annually for your name on their roll? And what do they get for a face to face, also what for a telephone call?
July 5, 2025
Billing per intervention addresses this
July 4, 2025
We have a theme in the U.K. a national disease. Anything new/change won’t work. Instant negativity and I have seen it across all sectors. Who knows the future so why?
What I do know is that leads to a pedantic line by line debate on the head of a pin leading to more delay and as much chance of failure as the initial plan and why the U.K. is so moribund.
The great entrepreneurs have a vision/idea and force it through and react to problems as they occur like steering a sail boat,
However, and I have only heard the bigger picture, as ever it concentrates on structural changes, AI etc all important but will not achieve what it might because of a fundamental failure. Change management starts with hearts and minds of the staff. Sir Jim Mackay talks about hating negativity but I read little will be done.
The majority of MPs/Ministers/many Civil Servants have zero management training and have showed they are not fit to run a bath let alone a country.
Having worked across both Public and Private Sectors whilst the latter has many flaws I have never come across such an appalling lack of leadership skills as in the public sector. Whilst I have met a few that really shine most are risk averse, obsessed that they cannot improve things without more money and their staff respond by being negative and cynical.
Nothing will change in this respect, so whilst I think this plan will achieve some success it is certain not to be as much as it could be.
July 4, 2025
The only remedy for the NHS I see is that it does less. Relieve it of the duty to treat lifestyle diseases, introduce workplace health schemes so people can opt out of the NHS as a business expense and insurance schemes for sports injuries.
Preserve the NHS for the genuinely unfortunate and children. Perhaps too those who have voted for borrow and waste governments all their life might pay for their own geriatric care.
July 4, 2025
Relieve it of the treatment of any but proven British citizens.
July 4, 2025
Bill the embassy of the country they come from, if they don’t have adequate travel insurance. If the embassy doesn’t pay, the country where they come from has visas suspended.
July 4, 2025
On the rationale that all plans do is kick the need to manage into the long grass – what is the point of ‘just’ another plan?
The person picking up the ‘tab’ paying the bills, the taxpayer just wants to know who is managing their money today on their behalf.
As it stands, these ‘plans’ are more a shout out ‘look-at-me’ I’m doing something. Rather than actually doing things, rather than just knuckling down and go for results, this shower sort photo opportunities, media exposure, for what – to achieve nothing! There is no plan nothing has been delivered, click-bait
July 4, 2025
‘The Plan says government will end past practice of bailing out Trusts who run out of money in year’ ?? as independently run businesses why is that Government is in charge of wage negotiations? and not the management.
July 4, 2025
Where GP Practices have real Doctors, these Doctors are self-employed not employees. GP Practices are for the most part stand alone tax paying businesses in their own right. Just as with Chemists etc – the money comes loosely from Insurance, national Insurance
So why aren’t Hospitals on the same footings, businesses paid through Insurance to deliver an outcome?
last year I had to have an operation due to an injury, my NHS GP Practice paid for it out of NHS funds to take place in what is termed a Private Hospital. At this Private Hospital the Anaesthetists and others were the same ones also employed by the Local NHS Trust.
Time to make the compulsory National Insurance just that Insurance. I would suggest the fund should be separate from Government, therefore Government interference. The NHS is the easiest of all Government playthings to be Privatised. As with all Nationalised Industries people with no knowledge or experience or even basic management skills thinking they can run things when they cant run themselves is an insulting joke
July 4, 2025
Are not Trusts price-takers when wages are considered, pay scales being set for the NHS as a whole for most jobs?
As Sir John has said before, the NHS management rather than Ministers should conduct wage negotiations but it is easy to envisage how contemplated settlements become a political matter given eventually the Exchequer must provide the means.
July 4, 2025
So if a Trust has no funds staff and suppliers will go unpaid?
I doubt it. If there is a risk suppiers will demand prepayment and staff strike
July 4, 2025
@stephen phillips – and the Customer the ultimate payer will have the choice of going somewhere else. Unlike the Water Companies, the Railways, the National Grid etc, the closed no option suppliers, with our Hospitals for the most part their is choice in the Market Place.
July 4, 2025
But I don’t want all my life, activities and and details on a so-called smart phone – They have to give us alternatives because we all know how fragile networks are, and how easily the NHS like banks can get hacked.
This mad dash to so-called ‘AI’ and having everything on your phone is going to recoil in our face at some time and there will be many opportunities for that!
Instead of building new centres why don’t they just allow GPs to do more and then expand that way. Some GP’s already do specialist services, and I’m sure more would like to have more capabilities. We should be able to go to GP’s for emergencies.
Instead of the nanny state telling us what to eat they should ensure that our food and water is as pure as possible without contaminants, and in plentiful supply. They can improve schooling to instil children with a good basic understanding of food and how to be healthy.
They still have no plans to cut bureaucracy or trim down the over paid NHS management elite – That should be a priority along with scrapping national pay bargaining.
July 4, 2025
Don’t have a smart phone. No point is buying an expensive white elephant as here in the country we get no mobile signal anyway. Third world is what this country is. Even people I know in wildest Africa have a phone signal and they pay their bills etc. on it. Not here though. Not in 2025 UK, a relative small distance from our capital city.
July 4, 2025
I’d agree Graham but it seems the establishment is determined to make sure that we don’t go anywhere or do anything without owning and using a darned smart phone.
I’m resisting – but we need to press for alternative options.
July 4, 2025
As soon as the lights go out the whole NHS will crash as the ‘smartphones’ run out of juice.
Get a burner phone. It makes calls in emergencies should you need it, it provides a ‘mobile phone number’ without which you cannot exist in the modern U.K. it costs £6.00.
July 4, 2025
Indeedy Lynn
There are too many ways for smart phones to stop working, get stolen, hacked or otherwise work against us.
July 4, 2025
@ Bryan +1
July 4, 2025
@Bryan Harris – how easy is then for those that call themselves the ‘authorities’ to sell your data. What little already provided online via the NHS is not even in the UK, data is kept outside the UK out side UK legal jurisdiction.
July 4, 2025
@Ian B +1
July 4, 2025
Be careful what you say; would not like to see Mr Sweeting on tears.
July 4, 2025
Along with the other 10 year plans, when are we going to hear about the 10 year tractor plan?
July 4, 2025
The fact it is a ten year plan is pure politics with no intention of doing anything that could fix the NHS, which like most things has scummed to management culture (don’t need skilled people thinking for themselves but more mangers to tell them what to do and make excuses for failure) and of course the WOKE infection.
A three year plan would be more credible as it would actually be able to hold this Government to account if no progress made.
July 4, 2025
I want a Plan A that promises xxx this next year, Plan B that promises yyy the following year, and Plan C that promises zzz in the third.
Surely if they want to be re-elected this is what will be required.
July 4, 2025
Could Mr. Streeting show some alternative? He, like everyone else, cannot manage the NHS and Wrecker Reeves cannot adequately fund it.
For now, it can struggle on and maybe improvements will flow from AI, productivity gains, a slowing of the race towards obesity: who can say?
July 4, 2025
Reduce the number of NHS patients. Stop mass legal immigration, overstaying visas, illegal immigration and health tourism.
July 4, 2025
If this Government, all governments, knuckled down and focused on their ‘day job’ delivering services and outcomes from everywhere the splash taxpayers’ money, i.e. controlled expenditure. They would not need to be running around the country to look for photo-ops, sound-bites and creating click-bait. We would all be in a better place.
If our Legislators, the HoC with its MPs, the HoL with its unelected unaccountable members, did their job and held the Government to account over its expenditure. We would all be in a better place.
Unfortunately, what we appear to have is a bunch of egotists, worried about personal self-esteem, fighting and not working with those that they are empowered and paid by.
The short-falls, the failures, the lack of moving forward are all as a result of at least 50% of some 1400 individuals not wishing to stand up and be counted for their personal neglect of duty and responsibility.
There is and cannot be any 10 Year plan for anything, when the focus is pretend and the next election
July 4, 2025
More from the ‘Talking Heads’ …
https://order-order.com/2025/07/04/voters-sum-up-labours-first-year-in-power/
The situation is writ large everywhere
July 4, 2025
Strip out the politics that govern much of what drives the concept of our NHS. Look between Australia and the best of Europe. Pick the system or combination of systems that would best serve the UK population and adopt it.
The NHS is not free unless you are not a tax payer and bare in mind that tax extends way beyond Income Tax. Having established that you already pay for it, think of a better way of paying. Insurance demands a competitive quality of service, so consider it. At the end of the day the customer must rule through price, quality and service. It may take 10 years to become fully functional and remember that the current cost of the NHS must be seen to be put back in peoples pockets.
July 4, 2025
Interesting that it has taken Labour a year to come up with this nonsense. What were they doing in opposition for 14 years? Plenty of time to have studied other healthcare systems around the world, identified the best way to deliver healthcare, and had the plan ready in the first week of the new Government.
Healthcare in the community is already available if GPs were required to take 24/7 responsibility for their patients. It sounds like going back to the 1950s and 1960s, when GPs made home visits.
But if you keep increasing the population by 500,000 a year ( probably closer to 1 million ), youy have no chance of solving the problems of the NHS.
This ten-year plan is a joke and will never happen!
July 4, 2025
Basically we have 1.5m newcomers but only 0.4m leavers per year., without the deaths/births.
Can I suggest that those leaving didn’t trouble the services very much, but oh boy the newcomers certainly do!
July 4, 2025
What happens if a patient has got the IT skills to access the service’s?
July 4, 2025
The labour party have only 4 years before the get replaced with another government and then it will be another plan no plans ever get finish the conservative had 24 years and never achieved anything in the NHS except longer waiting lists
July 4, 2025
If the Tories tried to put the Ai changes into the Healthservice you’d never get it past the Labour unions. It will be interesting is he actually achieves Ai change.
There is an autonomous robotic phlebotomy device, so much is diagnosed in western medicine from blood tests I think this will be automated as soon as possible, if not the taking of blood, the diagnoses of those samples and feedback, dietary and medication prescriptions.
There is a robot that can do ultrasound scanning.
James Dyson is pioneering farming using robot fruit pickers. New ways to grow crops more economically and use land more efficiently.
July 4, 2025
They need to address the issue where GP surgeries have effectively de-skilled and demoted themselves through their inaction. Why are we paying exorbitant salaries to GPs who provide a basic triage service in office hours? They should be paid the same as a day nurse.
They need to cut out the waste where drugs and equipment are dished out often when they go unused and unwanted.
They need to measure NHS performance using outcomes and not by how much money is put into it. If they concentrated on outcomes they could vastly improve performance at no extra cost.
Prevention measures have their limitations and may result in dragging perfectly well people into the NHS machine for treatment they do not need and never asked for. That would be silly while rationing care for unwell people (mainly through treatment delay) continues.
July 4, 2025
10 year Plan diversionary spin again. Out of date already as it assumes too much guessing with Crystal Balls fantasies. Plus govt IT projects always end in disaster, massively over budget, over shoot and would never be allowed if subject to professional standards expected in the Private Sector.
It’s always seriously worrying when Reeves “smiles for the cameras ” OTT as it is is a harbinger of bad news for everyone who Labour consider not their voters.
We didn’t need to see her crying in public about a “Private matter” as this will have reinforced the “glass ceiling” for women around the world and confirms to dictators and bullies like Putin why he sees the West as weak under pressure. (Iron Chancellor? compare with bombed out Mrs T v IRA cowards).
We are taken for fools after an anniversary of daily misery and failure dressed up in fake dribble that “fings can only get better” .
July 4, 2025
It is laughable to think that the Civil Service will be capable of implementing an AI system for the NHS when they cannot even devise a simple database to check whether visa holders have left the country when their visa expires.
July 6, 2025
I am an Advanced Nurse Practitioner in a small general practice.There is a lead GP /employer and 2 locums.Onif the main problems with a multi GP system in the larger practices is that all the GPs ,of which theti can be 20;talk of my patients/my practice which is confusing if they are all in the same building.We have a shared practice,the lead GP and myself take Bloods on the day,we have a practical approach to all physiological tests and don’t farm everyone off to other departments causing the patient to come back ,3or 4 times.Yes I have my patients who usually want to see myself and the others also have their patients who prefer consultations with them but if we want advice or help we share ideas aiming for the best result for the patient.We are flexible in appointments and I take ECG,s 24 hour tapes physiological tests consult prescribe and refer if necessary whilst the
lead GP undergoes minor surgery .We have a different very cosmopolitan patient population and try to meet individual needs , however our main advantage is working together and doing what we can in House This way of working differs in many respects from other practices and we always have those who try and adjust the system which works better than the large GP,s.
July 7, 2025
Sounds great, but very unusual.
Many GPs are retiring in their early 60s this year. Their private practices are being absorbed by ‘super surgeries’. The GP partners aren’t replaced; they are using part-time GPs who don’t have ownership. Most have one phlebotomist on staff or send you to a hospital that draws blood.
Some people don’t see one GP for their entire maternity period, even if they have problems with platelets, a previous history of miscarriage, or other issues.
I like the sound of your practice but I feel the majority will soon be getting a very different service than they thinks exists.
July 6, 2025
A few clumsy keyboard mistakes there,but I am sure that you have all seen those psychological tests where words are spelled wrongly, backwards but most can understand the gist.