Visitors have been sharing a wide range of opinions and ideas on these pages, as part of the listening exercise.
All comments are welcome, in line with our moderation policy. Here are some examples from each of the four theme areas of the listening exercise:
S Lenane said:
As a patient I want high quality care delivered locally in a reasonable time. I want my local hospital to receive sufficient investment to make this possible. I don’t want the option of travelling 50 miles.
Anthony Rodriguez BSc Health Studies said:
There is a place for choice, but not if it undermines the quality of treatment and opens the doors to full-scale commercialisation of the NHS.
David Beresford said:
The proposed reforms are a recipe for a disaster. Competition has never worked for the NHS and will not do so. What patients want is good quality local services not services miles away from home.
Peter Walsh said:
If GPs are to be given the lead role in managing the NHS then they should at least be employees of the NHS and accountable in the same way as any other employee should be.
Dr Jeremy Platt – GP said:
It is precisely because GP’s are independent contractors that we will be good at commissioning, because we understand the issues around value for money and quality health care.
Paul Shannon said:
I have long argued for incentives in hospitals to be linked directly to individual (or team) performance. It is also obvious to me, as a frontline clinician, that NHS productivity continues to decline. What is often frustrating is that, like myself, many experienced hospital clinicians can see how simple it would be to improve productivity by linking Consultant performance directly to reward.
andy mcgeeney said:
Take power away from the people running targets and tick boxes. Focus on patient need and what works. Trust that front line staff know more than people in offices paid to procuce policy documents ad nauseum. Give money to ward managers to spend as they wish.
Training is key to keeping staff not only up-to date and safe, but motivated and interested. I work in the NHS and we have been informed that from now on, due to the savings our Trust needs to make we will have to use a third of our own leave for any training we do (that is not mandatory) and pay our own travel and expenses. This hardly shows that NHS staff are valued or that there is an interest in helping them to maintain their skills and knowledge base.
Professor Paul Bywaters said:
The current training arrangements work well enough and costly ‘reform’ is unnecessary.
What would be appropriate would be full cost charging of private sector providers for using taxpayer trained health staff.