Health bosses are concerned that ministers are playing a high risk strategy in abolishing Primary Care Trusts (PCTs) which are responsible for making sure that the NHS sticks to its £80bn budget. The Government has been told that it is focusing far too much on overall costs rather than improving patient care and that it is not building on the good work of previous administrations. Rather it is telling Health bosses that everything that has been done in the past is ‘’is bad, poor, unsuccessful and should be destroyed\”
In the forward to the original white paper the Government said that “We will make the NHS more accountable to patients. We will free staff from excessive bureaucracy and top-down control. We will increase real terms spending on the health service in every year of this Parliament. First, patients will be at the heart of everything we do. So they will have more choice and control, helped by easy access to the information they need about the best GPs and hospitals. Patients will be in charge of making decisions about their care. Second, there will be a relentless focus on clinical outcomes. Success will be measured, not through bureaucratic process targets, but against results that really matter to patients – such as improving cancer and stroke survival rates. Third, we will empower health professionals. Doctors and nurses must to be able to use their professional judgement about what is right for patients. We will support this by giving front-line staff more control. Healthcare will be run from the bottom up, with ownership and decision-making in the hands of professionals and patients.”
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