The doctors are key to this, but so too, came, the message from the floor, are other clinicians. Yet something more is needed I would argue, for a truly compelling narrative capable of service improvement through redesign - the support of local citizens and service users. No-one picked up Anne Rainsberry's point that late stage consultation has not worked and that something more active is needed.
This is the KF arguably at its most radical yet, but still one might say too health care centred, NHS focussed doctor driven. Moreover, are AHSNs best constituted for leading on this? And is London really the special case for that notion of regulatory relaxation? I am looking forward to a close read of this report. I have a feeling it might be the start of a much needed new phase of thinking and action for our health service.
It is the selling of specialisation, particularly to rural communities that has been deficient. In West Wales European money has not been used to improve comunication links - which would have allowed for the sensible option of a specialist centre in the middle of the area.. In Norfolk the potential is restricted by PFI - and the demographics combined with the financial pressures mean rationing is increasing and inevitable.
The case for overt as opposed to covert rationing is building up and the evidence of the last 4 months is on www.NHSreality.wordpress.com ....
It will increase and I will try to encorage colleagues in the Regional Health Services to testify on retirement or exit from a post..
It is the politicians who are in denial. All of us know the truth but it remains unspoken..
Sica in Collaboration with the African Women's Forum Org, are seeking to fund some project and would know how you can support and the protocols to engage with this organization.
The Central London Clinical Commissioning group, which took over in part from the Westminster Primary Care Trust, with a yearly budget of £250 million, does not seem to have a proper office dealing with phone calls and emails. I twice emailed them a question on care for the elderly in Westminster to be discussed at their March board meeting. I had no acknowledgement of said emails, their phone does not answer and their board meeting was moved up a week without mentioning this on their website.