Webchat with Stephen Bubb

Stephen BubbUpdate 21 December 2011: The transcript of this webchat has been temporarily removed in order to prevent unsolicited pop-up advertising appearing. We will re-publish the transcript soon.

Stephen Bubb, who leads the work on choice and competition for the NHS Future Forum, answered your questions about choice and competition in a live webchat at 10.30am, Thursday 12 May.

The entire webchat, including the questions that Stephen didn’t have time to respond to, is published below.


In Conversations, NHS Future Forum | Tagged , , ,

9 Responses to Webchat with Stephen Bubb

  1. stephen parsons says:

    How will people who have contributed an opinion or suggestion as part of this listening exercise be able to check that their input has been recorded and actioned? How is this data being captured? How will people be able to acccess it, and in what format? Will they be able to drill down through the data to find their own input? Or will aggregated data be provided, eg 27 people suggested x, or at 10% of listening meetings y was raised?
    Without this kind of proof, people may rightly think that what they said was not really taken seriously, and that this exercise was a whitewash.

    • Have been trying to find out if you have received a reply – or does lack of response underline your valid comment that this whole expensive exercise is just a whitewash?

  2. PCT Local commissioning has led to secondary care services being removed from the Choose and Book as patient choices and local MSK / CAS / triaging being the only route or paper referral. (City Hospital Sunderland FT, orthopaedics for example).

    How on earth will the NHS Constitution patients right to choice be upheld and extended if Local GP Commissioning is allowed to flourish creating a Local Health Service not a National Health Service with greater local denial to treatments and services which have national NICE approval?

    The Dept of Health has failed to resolve the problem over the last three years, what will be different this time?

  3. Karen in Wythenshawe says:

    Do you only answer the questions for which you have a glowing reply ready for?

    • Well said – and one can’t even ask when and where we will receive replies. Have just asked this, and back comes reply saying I have already asked this!

      So even the computer is programmed to block comments from concerned public who want to know what is going on – but it seems Ministers don’t want to give truthful replies.

  4. Regarding accountability.

    Is UK law strong enough to hold someone accountable. It has failed to hold a pharmaceutical company accountable for birth defects caused to children due to medication taken by their mothers (EPILIM). Also to adults damaged by VIOXX. The proposed changes in Legal Aid will also mean that legal aid will not be available for clinical negligence cases.

    How will we as users of the privately provided NHS services hold someone to account for damages incurred?

  5. Celia Kelly says:

    Replace the words “choice” and “competition” with one word – “market”. The Health and Social Care bill proposes to change the role of Monitor, allowing the wholesale introduction of the private sector. This process will inevitablely fragment and dismember the NHS, leaving only a funding franchise. In March David Bennett, the new chair of Monitor said that the NHS was like a utility “ripe for dismemberment”.Nobody before the last election was told that this would happen. Who would vote for the such a thing? No collaboration, no infrastructure – is this what we want? Certainly the comprehensive service for all will go and the rich will jump the queue. Hospitals are already being threatened with takeover by the private sector, such as Whiston in Knowsley. This bill must be scrapped and a democratic discussion held about what sort of an NHS we want and are prepared to pay for.

  6. Nick Dalton says:

    Why is competition at the heart of the NHS anyway? I would prefer to see patient care at the heart instead.
    Surely having every department within a hospital offer a tender for their services would take money and recourses away from the very people we are supposed to be caring for? Each department would need a funds manager and an accountant. Or employ an outside agency that runs for a profit.
    Making a profit out of the sick comes straight out of the Burke and Haare School of Economics. It is back to Victorian values.

  7. Robert Reynolds says:

    Sorry to be late…

    To: Sir Stephen Bubb, NHS Future Forum lead on Choice and Competition.

    28th May 2011
    Dear Sir Stephen,

    I doubt that anyone in the country would begrudge a starving private provider the odd ‘cherry’ from the NHS (‘self-interestedly defensive culture’) cake. High-quality Locum Services spring to mind (including some level of teaching responsibility).

    Private providers would however seem less than duly grateful (to their customers), were they to echo your denial (web-chat 12th May) as to the very existence of cherries .

    The NHS Bill threatens ‘relief’ from the NHS of more routine work, airily leaving responsibility for all else (challenging care, long-term care, teaching, universal equality of access, etc. etc.) with hapless GPs and with multiplying ‘oversight’ of oversight’ bodies.

    Envisaged or not, the outcome will be ‘relief’ from the (impoverished) State of any real-time responsibility (beyond paying whatever is demanded for services that cannot attract private fees from customers or their insurance companies).

    For integrated care and financial efficiency, ‘someone’ has to ‘manage the whole cake’, the crusts as well as the cherries. You appear to have chosen either chaos or monopoly-capital over genuine national public provision. You justify this to yourself and others as being ‘for choice’, as if the NHS is somehow inherently incapable of offering valued ‘choices’, and as if a private free-for-all or monopoly would afford ‘choice’ in ‘everything’.

    I ask you to consider, might not you be selling Snake Oil?

    Yours sincerely,

    Robert Reynolds.
    (Retired Doctor)