Dave's lying again...

Wookster

lemonjelly wrote: »

“What I would say to Gordon Brown is if you call an election on November 1 we'll stop the closure of services at this hospital on November 2. “What we've heard today from the Government is more plans for cuts and closures in our NHS. They cannot be trusted with our health service.”
David Cameron, Chase Farm Hospital, October 2007.

http://www.telegraph.co.uk/news/politics/8756245/Government-to-merge-Chase-Farm-Hospital-which-David-Cameron-vowed-to-save.html

Just remember, we're all in this together. Oh, & you can trust dave...

You do yourself a dis-service by posting such !!!!!!!!.

Spirit_2

michaels wrote: »

It is a tricky one:

I can see the argument for concentrating resources in centres of excellence
However I can also see that models that conclude this is cost effective probably exclude a lot of non-NHS costs (such as travelling time and expenses for patients and relatives) and non-financial benefits (having a local hospital is more reassuring) that occur in the real world.

As Thrugelmir says though, it is a luxury that we can no longer afford

If we want a team of people who are more generalist to care for us when specialist services would have a better outcome then local for everything is fine.

If however we want to increase the chance of having a good outcome when we have a serious illness then having a team of specialists who see sufficient of the condition and it's variants to really know what they are doing then centres of excellence are the way to go.

The bit that's tricky is that we all probably want centres of excellence on our doorsteps and by their nature they are not the province of a cottage hospital.

StevieJ

Wookster wrote: »

You do yourself a dis-service by posting such !!!!!!!!.

I agree, that Telegraph is a Tory comic

TruckerT

Spirit wrote: »

If we want a team of people who are more generalist to care for us when specialist services would have a better outcome then local for everything is fine.

If however we want to increase the chance of having a good outcome when we have a serious illness then having a team of specialists who see sufficient of the condition and it's variants to really know what they are doing then centres of excellence are the way to go.

The bit that's tricky is that we all probably want centres of excellence on our doorsteps and by their nature they are not the province of a cottage hospital.

But would an NHS 'centre of excellence' be as good as another culture's 'cottage hospital' - I need to be convinced...

TruckerT

Loughton_Monkey

Spirit wrote: »

.....If however we want to increase the chance of having a good outcome when we have a serious illness then having a team of specialists who see sufficient of the condition and it's variants to really know what they are doing then centres of excellence are the way to go.....

Specialists are not the issue. They are highly paid and take 15 minutes [probably £30] to 'consult' after the tests and declare an operation necessary.

It's the £3,000 spent on bureacracy, waiting list management, case reviews, budget considerations that worry me.

TruckerT

Loughton_Monkey wrote: »

Specialists are not the issue. They are highly paid and take 15 minutes [probably £30] to 'consult' after the tests and declare an operation necessary.

It's the £3,000 spent on bureacracy, waiting list management, case reviews, budget considerations that worry me.

I think we are conditioned to believe that because the UK NHS was the first, it will always be the best - the politicians say it louder and louder, but it becomes less and less true

TruckerT

casper_g

TruckerT wrote: »

But would an NHS 'centre of excellence' be as good as another culture's 'cottage hospital' - I need to be convinced....

Oh don't be silly. Where is this other culture whose "cottage hospital" has a fraction of the expertise available in even a mediocre NHS District General Hospital? Ah, thought so -- it's a fantasy in your head.

HAMISH_MCTAVISH

Dave's lying again...

How could you tell? Were his lips moving?

Out,_Vile_Jelly

Not sure of the specifics at this hospital, but Private Eye have long been arguing for certain services, specifically children's heart procedures, to be concentrated into a smaller number of units. This is based on clinical evidence that results improve when they are organised like this. Of course, this is extremely hard to sell to the public, because all people hear is "this unit/hospital is being closed."

lemonjelly

http://www.guardian.co.uk/commentisfree/2011/jan/07/politicians-lie-david-cameron-mendacity-expenses

Originally posted by David Cameron
any cabinet minister … who comes to me and says 'Here are my plans' and they involve frontline reductions, they'll be sent straight back to their department to go away and think again". Yet £81bn in cuts now rain down on frontline services.