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Post by see2 on Jan 10, 2024 8:28:47 GMT
Experience with other privatisations clearly show that they often make things worse and not better. Part of the problem the NHS has is too much private sector involvement sucking money out of it already. Yes the NHS is failing badly in its current form, starved of the necessary funds and understaffed due to ever worsening real terms pay. It badly needs reform. Pay and recruitment needs to be looked at. We need fewer managers and more frontline staff. We need to train many more doctors and nurses and find ways to incentivise them working in the NHS. And when the entire NHS is on its knees, we should not be allowing managers to waste our money on shite. Someone needs to be empowered to rein that in. Some form of reform is necessary. But we should not equate reform with ever more marketisation and privatisation. Because what we will get is more pen pushers and bean counters paid for by more cuts to frontline staff on the name of "efficiency". So basically the same as we have been doing for the past 75 years - shovel ever larger sums of money into it and 'reform' it every couple of years.. The British way - bumble along in gentle decline... Your bias appears to overrule your logic. (Edit. lost the website for the following.) --"Figure 1 shows that across the EU14, average total health spending between 2010 and 2019 was £3,655 per person (this includes government, as well as out of pocket, private and charity spending). In 2019, the UK spent £3,055 per person, 18% below the EU14 average. Over the decade, only four countries in the EU14 spent less per head of population: Greece, Portugal, Spain and Italy. Finland had very similar spending per head to the UK. Between 2010 and 2019, health spending per person across these 14 countries increased by an annual average (median) of 2.6% a year, compared to 2.7% for the UK. The UK started the decade with lower spend per person and despite slightly higher growth it is still below the EU14 average. Six countries had an annual growth rate above the UK, including Germany, France and Belgium. ----------- --"Setting Healthcare systems of the UK and nine high income comparator countries: Australia, Canada, Denmark, France, Germany, the Netherlands, Sweden, Switzerland, and the US. Main outcome measures 79 indicators across seven domains: population and healthcare coverage, healthcare and social spending, structural capacity, utilisation, access to care, quality of care, and population health. Results The UK spent the least per capita on healthcare in 2017 compared with all other countries studied (UK $3825 (£2972; €3392); mean $5700), and spending was growing at slightly lower levels (0.02% of gross domestic product in the previous four years, compared with a mean of 0.07%). --"Conclusions The NHS showed pockets of good performance, including in health service outcomes, but spending, patient safety, and population health were all below average to average at best. Taken together, these results suggest that if the NHS wants to achieve comparable health outcomes at a time of growing demographic pressure, it may need to spend more to increase the supply of labour and long term care and reduce the declining trend in social spending to match levels of comparator countries. www.bmj.com/content/367/bmj.l6326
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Post by Pacifico on Jan 10, 2024 8:34:53 GMT
"Over the decade, only four countries in the EU14 spent less per head of population: Greece, Portugal, Spain and Italy. Finland had very similar spending per head to the UK."And all 5 perform better than the UK - but if we only spent some more eh?...
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Post by ratcliff on Jan 10, 2024 8:42:07 GMT
"Over the decade, only four countries in the EU14 spent less per head of population: Greece, Portugal, Spain and Italy. Finland had very similar spending per head to the UK."And all 5 perform better than the UK - but if we only spent some more eh?... Lefties always look at spending and warble about the NHS being top of the tree according to various lefty organisations and that it's available to all , free, at the point of need Not one of them looks at the only really important factor ''Is it any good at curing the patient?'' No-one looks at the poor outcomes of the NHS that place it towards the bottom of any successful outcomes league
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Post by Orac on Jan 10, 2024 8:54:45 GMT
Large numbers of people have careers that rely wholly on the waste and so it's a massive and intractable political problem. The private sector solves the corruption problem through competition / bankruptcy / threat of total failure. There isn't a public sector equivalent of that threat. Waste certainly occurs in the public sector. However, one of the biggest inefficiencies in my department is caused by the absolute shiteness of one of our major private sector "Partners". And I would welcome bringing their services back in house. Indeed, one of my colleagues is a senior manager in an NHS trust and had the same situation. They found it cheaper and more efficient to bring certain maintenance tasks back in house rather than continuing to use the external contractor. I would predict that subcontracting public services privately would likely not solve the problem or even make it worse. The problem is the customer isn't in the loop in either case.
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Post by see2 on Jan 10, 2024 8:55:06 GMT
"Over the decade, only four countries in the EU14 spent less per head of population: Greece, Portugal, Spain and Italy. Finland had very similar spending per head to the UK."And all 5 perform better than the UK - but if we only spent some more eh?... Proof please. You mean if we only caught up with the spend in comparable countries. I expect you to distort realities, that is your approach, I suggest you read the Edited follow ups.
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Post by Pacifico on Jan 10, 2024 11:33:36 GMT
"Over the decade, only four countries in the EU14 spent less per head of population: Greece, Portugal, Spain and Italy. Finland had very similar spending per head to the UK."And all 5 perform better than the UK - but if we only spent some more eh?... Proof please.
You mean if we only caught up with the spend in comparable countries. I expect you to distort realities, that is your approach, I suggest you read the Edited follow ups. fill your boots Euro Health Consumer Index
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Post by see2 on Jan 10, 2024 16:53:19 GMT
Proof please.
You mean if we only caught up with the spend in comparable countries. I expect you to distort realities, that is your approach, I suggest you read the Edited follow ups. fill your boots Euro Health Consumer Index I asked for the proof. Not proof that you are wrong, but thanks anyway.
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Post by Pacifico on Jan 10, 2024 16:56:23 GMT
I asked for the proof, not some homework. I take you do not have any actual proof, so your post is worthless. It is measuring performance - how do you wish to judge performance without measuring it? perhaps you prefer Mystic Meg?
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Post by see2 on Jan 10, 2024 17:02:09 GMT
I asked for the proof, not some homework. I take you do not have any actual proof, so your post is worthless. It is measuring performance - how do you wish to judge performance without measuring it? perhaps you prefer Mystic Meg? No your information did do the job, it proved you were wrong.
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Post by Pacifico on Jan 10, 2024 17:06:59 GMT
It is measuring performance - how do you wish to judge performance without measuring it? perhaps you prefer Mystic Meg? No your information did do the job, it proved you were wrong. So if you don't like how the EU measures performance - how do you want to measure performance?
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Post by see2 on Jan 10, 2024 21:35:50 GMT
No your information did do the job, it proved you were wrong. So if you don't like how the EU measures performance - how do you want to measure performance? You claimed that 'all five countries were doing better than the UK, that was not entirely correct. And regardless of that the UK was one of the lowest spenders on health of the top 14 countries which was the main point of my post.
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Post by Deleted on Jan 10, 2024 22:06:12 GMT
I asked for the proof, not some homework. I take you do not have any actual proof, so your post is worthless. It is measuring performance - how do you wish to judge performance without measuring it? perhaps you prefer Mystic Meg? Lol
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Post by Deleted on Jan 10, 2024 22:31:32 GMT
The NHS has been an ideological football on both left and right, and in consequence has been repeatedly reorganised to death by successive governments, with reforms informed more by ideological assumptions rather than pragmatism. The right automatically assumes that any increase in marketisation and private sector involvement will automatically make things better and cost less. The left automatically assumes it will make things worse and cost more and that the way to make things work better is to bring as much in house as possible to remove the private sector as much as possible.
Both standpoints are at heart driven by ideology rather than pragmatism, one side taking for granted that private is good and public bad, whilst the other takes the exact opposite for granted. Most of us, including me, have tended to do this.
I think we all need to move away from ideological assumptions of this kind and figure out exactly what we want from our NHS which for most of us is surely a health service that is free at the point of use, where public health and saving lives and making injured or sick people better is the primary aim, and we want this to be done effectively and within a reasonable time frame, as cost effectively as possible.
We need to determine what exactly is wrong with the NHS and it is likely to be many things, and how to fix them and what resources are likely to be necessary and how this is to be paid for. And the fixing that needs to be done to have any hope of working needs to be free of ideological assumptions that private is always better or private is always worse.
We also need to carry public support for any necessary reforms, which means we need to take account of what the public will accept and what it won't. Public opinion for example is largely opposed to any compulsory insurance based funding model, familiar as we all are with the tendency of insurers to seek to avoid paying out by resorting to dodgy clauses in the small print. And we would all be just one progressive condition diagnosis away from insurance costs going through the roof.
What works and what the public wants from it is more important than using it as a testing ground for public versus private ideological experiments.
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Post by Pacifico on Jan 10, 2024 22:47:41 GMT
So if you don't like how the EU measures performance - how do you want to measure performance? You claimed that 'all five countries were doing better than the UK, that was not entirely correct. How are you measuring that? But as the link showed - countries that spent less had better outcomes. Performance is not based simply on the amount spent.
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Post by Deleted on Jan 11, 2024 1:17:24 GMT
You claimed that 'all five countries were doing better than the UK, that was not entirely correct. How are you measuring that? But as the link showed - countries that spent less had better outcomes. Performance is not based simply on the amount spent.Indeed. But neither can it honestly be said that the amount spent if spent properly wouldn't make a difference. Of course it would. It did in the Blair years for example.
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