Health Secretary on next steps of NHS reform

Health Secretary Andrew LansleyIn July 2010, we published the NHS White Paper, Equity and excellence: Liberating the NHS, which set out the Government’s long-term vision for the future of the NHS.  This vision builds on the core values and principles of the NHS – a comprehensive service, available to all, free at the point of use, based on need, not ability to pay.

Following three months of consultation, over 6,000 responses, and further policy development, I am pleased to be able to share the Government’s response to the consultations on Equity and Excellence: Liberating the NHS.

I would like to take this opportunity to give my personal thanks to everyone who responded to the consultation for the considerable time, effort and enthusiasm that you have invested in telling us how you think things could work.  Your responses have provided valuable perspective on how the White Paper was received locally, highlighting the areas where there was most enthusiasm as well as the issues that raised greatest concern.

‘Liberating the NHS: Legislative framework and next steps’ reaffirms the Government’s vision for the NHS, enhanced through the consultation process, and sets out how we are now in a position to move forward with purpose on the principles for reform.

It also sets out several key areas where we have altered our approach as a result of the consultations, to create flexibility, empower local leaders and support the significant cultural change that respondents told us is necessary.

We are committed to the values of the NHS; and to add to them our commitment to shared decision-making for patients: ‘no decision about me, without me’; to professional leadership in a decentralised service; and to an ambition for our outcomes to be amongst the best in the world.  We recognise the scale of this challenge.  We are committed to practical and piloted development to secure these changes.

I look forward to continuing to meet and work with as wide a range of health and care professionals, patients and service users as possible as we take these reforms forward together.

Andrew Lansley
Secretary of State for Health

Read Liberating the NHS: Legislative framework and next steps

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2 Responses to Health Secretary on next steps of NHS reform

  1. Duncan Prowse says:

    The old industrial NHS was fine for the 1950s. But a throw-it-at-them-and-be-grateful-because-it’s-free attitude is not very 21st century. Unfortunately, this is often what we get. Modern medicine is a consumer service, and it should come with a customer-is-always-right ethic. The GPs are not the customers. This is substituting one paternalistic regime for another. Consumers need a personal advocate to the NHS, who should care for the customer not for not budget. The only way to make the NHS into a consumer service is to give the power to the consumer, so he or she can hire an advocate who will get the best out of the system for them. If a GP is providing a free service and also rationing it, he/she has too much power. Patients will not insist; they will not risk having to change GP; they will not trust the GP with their personal care when they know the GP is looking to save money. Consumers should be able to hire an advocate-doctor who makes them feel confident and well cared for. What we need is a free-at-the point-of-delivery system with the customer service standards of John Lewis. You need to find a better way of getting there.

  2. As a health care worker for the last 26 years, I need to formally expressed my concerns at the purposed health care reforms, my concerns are not only aimed at the delivery of patient care but the nursing staff who are the front line.

    I often wondered why and how the government has come to these purposals for reform. I am amazed that no goverment over the past 26 years has said, hey we need to stop, review and see what really works in the NHS, and what does not.

    Governments rarely go to the grass roots of an organisation such as my beloved NHS, and really listen and talk to frontline staff, the people that deliver direct care.

    How can you know what to reform, when you do not seem to really know what is broken.