The NHS is being privatised bit by bit, and patients are already suffering
Jacky Davis
Ill-equipped to compete in the increasingly cut-throat healthcare market, the NHS is now £140m in the red. A government that has done everything it can to expand the role of the private sector in the NHS is unlikely to bail hospitals out this time, and so this deficit will translate into hundreds of lost beds, and ward closures up and down the country.
This desperate situation forms the backdrop to the British Medical Association's annual meeting, which begins in earnest in Manchester today. This year's agenda contains dozens of motions critical of the government's health policies, and one of the first topics up for debate will be privatisation. The government will be watching the outcome closely. The Association of Surgeons of Great Britain and Ireland has already come out strongly against private-sector involvement in the NHS. If the BMA votes against it too, a majority of medical opinion will have taken a stand against the main health policy of Blair's third term.
The government has sought to present greater private sector involvement in the health service as a means of creating additional capacity, but already it is apparent that this is not the real agenda. The private sector will not support the NHS but compete with it, and NHS units and hospitals that cannot compete will close. Independent sector treatment centres (ISTCs) will be introduced whether patients want them or not. Thus, when South Oxfordshire, Southampton and Greater Manchester primary care trusts declined to place any contracts with the private sector, they were ordered to do so, even though they had no waiting lists in the specialties the private sector wanted to service. And when too few patients agreed to be treated at ISTCs in Trent and South Yorkshire, the PCT paid for "care advisers" to persuade them to change their minds. Patient choice comes a poor second to government policy.
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In 1997 the Labour party denounced PFI as creeping privatisation. They asked senior doctors to sign a letter in which they described the internal market as a cancer eating away at the NHS. Doctors agreed and voted for them, and now we feel betrayed. We see hospitals closing wards and operating theatres. We see huge profits already going to PFI companies. We are not deceived by the rhetoric about patient choice and predict that patients may lose the one choice that is important - a good comprehensive local hospital...
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