this post was submitted on 11 Jul 2024
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UK Politics

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The new health secretary said the service has been “wrecked” by the Conservatives and launched an independent investigation.

He has appointed Lord Ara Darzi, a health minister in the last Labour government, to carry out the review and ordered officials to hand over whatever information is needed.

Writing in The Sun, Mr Streeting said: “Honesty is the best policy, and this report will provide patients, staff and myself with a full and frank assessment of the state of the NHS, warts and all.

“It’s going to take time to turn the NHS around - we were honest about that before the election.

"Sticking plasters won’t be enough to heal it. It will require fundamental reform.” It comes after Mr Streeting declared the NHS “broken” on his first day as Britain’s health secretary.

He went on to declare the Department for Health and Social Care (DHSC) is “no longer simply a public service department” but an “economic growth department”, because health and the economy are “inextricably linked” and improving the health of the nation can help to “drive the economic growth of the country”.

“That is a major shift in mindset,” he said. “It’s a rethinking of the role of the department.

“It also means ending the begging bowl culture, where the only interaction the Treasury has with DHSC is that we need more money for X, Y and Z.

“The starting point has got to be, ‘We will help you achieve your mission for growth and improve the prosperity and lives of everyone in this country by making sure that we are with you lockstep in driving growth’.”
[…]
Experts from the Nuffield Trust point out that Labour has inherited a waiting list for pre-planned hospital treatment of around 7.5 million in England – a 66% increase since the start of the pandemic.

While progress has been made in some areas, such as cataract surgery, waits for some major surgeries have been slower to get back to pre-Covid levels, experts said.

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[–] [email protected] 17 points 4 months ago (4 children)

‘We will help you achieve your mission for growth and improve the prosperity and lives of everyone in this country by making sure that we are with you lockstep in driving growth’

Call me a bleeding-heart socialist, but I'm pretty sure the goal of a heal department should be people's well being, not the economy.

[–] lmaydev 18 points 4 months ago* (last edited 4 months ago)

The nation's health is affecting the economy massively. Fixing the NHS will have massive benefits to the economy even if they don't intentionally set out to do that. It's also a good way to sell the reforms.

The Tories wanted to privatise sick notes instead of getting people the care they needed to avoid being off work.

More people working also means more tax income.

[–] [email protected] 13 points 4 months ago (1 children)

Call me a bleeding-heart socialist

You're a bleeding-heart socialist, as am I.

The wording doesn't sit comfortably with me but I remember an old tutor's advice: if you are making a grant application for a project, make sure it is about the environment.

So, as cynical as it may feel, perhaps the best way to frame investing in the NHS is to give it an economic spin - a healthier population will be more productive. A lot of people would like to get back to work but their physical and/or mental health is preventing this.

[–] [email protected] 8 points 4 months ago (2 children)

I really want to ascribe good intentions to this, but I just can't with Streeting. I don't think everything Labour has said is insincere, e.g. I think their commitment to 'ending the culture wars' is genuine. But Streeting has taken £175K in donations from private health firms and spent a lot of the campaign talking about the need for increasing the role of the private sector in the NHS, so I can't help but question his motives.

[–] [email protected] 6 points 4 months ago

Yeah, of all the appointments, he's the one that concerns me the most.

"Let's give the NHS more money!" is great but if the rest of the sentence is "so my rich mates can syphon it all off" then that's not so great.

[–] Aux 1 points 4 months ago (1 children)

Well, private healthcare works really well in Germany. I'd love to see Britain switching to a similar style of healthcare.

[–] [email protected] 2 points 4 months ago (1 children)

Had a quick look on Wikipedia - Germany spends $8011/capita versus $5493 in the UK, a 45.8% higher amount. Rather than suggest we pass our money through a profit-focussed middleman, like we do for car insurance, why don't we try matching our spending first?

[–] Aux 3 points 4 months ago (1 children)

I'd recommend you to learn about Bismark model before arguing. Germans pay more per capita, sure, but their healthcare also includes full dental care and plenty of strategic excess to ensure that everyone gets treatment as soon as possible. That's how Germany was able to support the UK and the rest of Europe with ventilators during the pandemic.

[–] [email protected] 1 points 4 months ago (1 children)

Please don't tell me what I need to learn about before arguing, especially if your point doesn't directly address mine. The two views are:

  1. A different system will result in a better service
  2. More resources will result in a better service

I know which of those two I would investigate first.

Also an observation about language and how we frame things - "strategic excess" of the German system == "inefficiency" in the NHS. I'm not arguing one way or another here, but the way we use language can greatly affect the public discourse on the subject.

[–] Aux 1 points 4 months ago

You're getting sideways.

[–] [email protected] 3 points 4 months ago

Came here to make a similar comment

this:

He went on to declare the Department for Health and Social Care (DHSC) is “no longer simply a public service department” but an “economic growth department”, because health and the economy are “inextricably linked” and improving the health of the nation can help to “drive the economic growth of the country”.

Says it all really.

Neoliberals gonna neolib..

[–] Jackthelad 2 points 4 months ago

Naturally, a socialist misses how much the economy and the individual wellbeing of the citizens are inextricably linked.