But I just cancelled netflix because they keep increasing prices…
So I guess the Tories have finally admitted that they have run down the NHS to the point of failure.
They can blame who they like but they have been in charge for 12 years now – and this is down to them. Not the previous labour government, not Corbyn, not Brexit and not monkey pox. It’s purely down to Tory policy.
sounds like we’ll soon need subscriptions, and you’ll never be able to have quite enough of them.
Sounds like they’re looking for an excuse to throw taxpayers money at a private tech firm to ‘modernise’ the NHS, yet again. If things follow the existings patterns, it’ll end up costing more than twice the original quote and end up worse than what we have at the moment.
> Asked what was meant by the Blockbuster and Netflix analogy, the PM’s spokesman said the Health Secretary was making the point that some of the “structures and systems” within the healthcare system were “designed for a different age”.
I mean in that sense it’s true. Despite the “NHS” logo over the top of everything it’s a mess of smaller organisations, which work both cooperatively and competitively, with all the associated bullshit that entails.
It’s 2022 and much communication between doctors is by physical letters for example. And results for procedures at hospital A are inaccessible at hospital B ten miles away because they’re different trusts. And trusts compete with each other to provide the same service because the contracts are lucrative, instead of a planned system which best benefits the people they’re providing healthcare to.
Weird because every service I’ve seen Tories hand to private companies is doing worse now and that includes parts of the NHS.
He is suggesting… keep paying the NI, but go private.
It is comparable to a defunct store insofar as they’re forced to still use Windows XP or whatever it is due to budget constraints. Not sure that’s the metaphor he was going for though.
‘Asked what was meant by the Blockbuster and Netflix analogy, the PM’s spokesman said the Health Secretary was making the point that some of the “structures and systems” within the healthcare system were “designed for a different age”.’
Well, he’s right. It’s what people in the system and many patients have been saying for long enough. But if you criticised the NHS, you’d have unthinking people jump at you for trying to privatise the NHS and turn us into America, when the reality is the UK isn’t even in the top 10 in many lists any more and not all of that is due to underfunding. Now many non-European countries like Oman or Brazil have universal healthcare, just having universal healthcare isn’t such a big achievement outside of the USA any more. People in Norway wait weeks for things Brits wait months or years for. And why does it take the NHS so long to adopt new treatments, compared to other countries? We’ve got one side destroying the NHS through underfunding and privatisation and then another side destroying it because they believed it was a sin to talk about the current shortcomings of the NHS.
Netflix started off with mailing DVDs with a very similar model to Blockbuster, then the people that owned them poured loads of money into modernising it and it did really well for a while, and for the most part still is.
On the other side, Blockbuster had lots of opportunities to modernise but the owners missed all of them through mismanagement.
What this implies is that the people providing money to the NHS should invest in it to modernise or make poor decisions and fail. As he leads those people, he should get on it.
It also implies that he has no understanding of the video rental market, in the same way he has no understanding of the healthcare system and underlying market.
Why do they want everything to be like Netflix? Dorris wants channel 4 to follow the netflix model. Don’t they know that Netflix is bleeding money and is shit.
Well, it’s hardly surprising given the 30 odd years of systematic redisorganisation and deliberate underfunding since 2010. Health and Social Care Act 2012 was passed, despite promises that there would be no top-down restructuring, which opened the flood gates for privatisation, a dream that Tories have nurtured since Letwin published his *Britain’s Biggest Enterprise*, which was basically Americanised healthcare system wanking fodder.
I agree with Sajid.
The NHS can’t operate in the same way it did 15-20 years ago, it needs to modernise and use current technology for efficiencies. Take GPs for example if patients could go through basic questions with an AI bot, then it could save GPs five minutes per appointment (50% saving) and avoid appointments altogether by ensuring patients are referred to the right service provider (pharmacist instead of a GP, GP nurse, podiatrist etc).
The more people who use digital Access through the NHS app the more efficient the NHS becomes.
He means that he’d like to turn it into an American-owned subscription service that conceals all of it’s profits via tax havens.
He’s right in a way…that’s how they wanted it in the first place and they’ve done a fantastic job of running down the NHS that we can not be, in his terms, like “Netflix”.
What makes it worse is that those who rely upon the NHS (you know the demographic) are the ones who keep voting these morons in.
I have had patients complain about our services but then proudly tell me how great going private is now that they’ve been voting Tory for all these years – which beggars the question of why they’re in an NHS hospital in the first place. Frustrating.
Please please please stop voting Tory. Once the NHS is gone I dread to think what will happen next.
Well yeah that’s what happens when the people in charge of funding it don’t give the resources to modernise it.
YOU ARE LITERALLY RESPONSIBLE FOR MAKING IT LIKE THAT YOU FUCKING DUNCE.
He is absolutely right.
Why do people insist on going to hospitals for surgery when they can just as easily stream an operation on their phone?
Putting a banker in charge of the NHS was a terrible idea. Putting the tories in charge of the country was a terrible idea.
If you think the Conservative government want to break up the NHS and privatise it in order to improve it, you have clearly not been paying attention to anything these people have been doing since they came back into power 12 years ago.
Until we can have a grown up conversation about the NHS and the need for reforms it will continue to be crap. The right don’t give a fuck and the left keep throwing about the ‘privatisation’ accusation whenever reforms are even mentioned. Until we move on from the red herring of privatisation in public discourse then reform will never happen.
We also need to move away from the deification of the NHS. Praise doctors and nurses, yes, but far too many managers hide behind the deification of the NHS as a way of deflecting criticism and preventing change, creating huge inertia. Fundamentally it’s a broken organisation (or many organisations) that ultimately needs serious reform just as much as it needs more money. Simply throwing more money won’t fix it.
So here we are, both sides flinging shit at eachother, nothing ever getting done, loads of well paid managers happily on the gravy train in the middle and those who suffer are us poor fuckers at the bottom
We urgently need an adult conversation and like it or not, both the left and right are equally guilty of preventing that from happening.
Well, he is not wrong. I needed to email something to my GP clinic and they told me they do not have email accounts. I would need to fax them anything I needed.
Emails exist over 20 years now.
Even if there is some truth to what he is saying, why on Earth would the British public trust the Conservative party to modernise the NHS.
They’ve had 12 years in power.
Oh surprise surprise a Tory who doesn’t like the NHS.
Isn’t it them who have ruined it in the first place?
I can’t think of a single instance of a part of the NHS that has been privatised that has worked better.
Patient Transport – Worse
Out of hours GP/Urgent care – Worse
Everything that Sirona (or Virgin) has taken over the running) – Worse.
Closing all the community and cottage hospitals and replacing them with care homes – Worse
Funny they weren’t saying that when they rescued Boris’ fat ass.
Our small company made an absolute fortune subbying on NHS construction jobs…. Almost zero oversight and never a QS on extra costs… they just pay…
It is not Tory or Labour at fault…. it’s a non-partisan issue which is entrenched in the NHS management structure… There are actually more managers than medical professionals in the NHS…
Bleating that one party or the next is any better at dealing with the NHS when they spend £59,000.00 per DAY just on TRANSLATORS is absurd and not addressing the monster…
​
They need a bi partisan rationalization similar to Beeching’s railway project.
Morons playing partisan politics with this issue need to find a dark corner….and stay there…
I think the biggest issue is that the NHS is government’s last big plaything.
I’ve worked in the NHS for 16 years and in that time it’s been through 3 large scale restructures and is going through a 4th. This means a huge ou t of time and energy is spent deciphering the vague and meaningless instructions from government and going through endless consultations. Guaranteed that there will need to be outside intervention so deloitte or similar will be involved at great expense.
Once the change happens its a short duration before the next directive comes along and pulls everyone away from innovation and onto that.
Add to this that budgets are constantly being tightened and a need to do everything at a cheaper rate along with a push to get more and more people treated. So much energy and time is spent to churn people through for less cost that knock on effects and impact on patients is an afterthought.
There’s also IG and IT issues that make it impossible to share data and information from one organisation to another so the overall health picture of the population can’t be seen by those who need to know it. Commissioners don’t know how many people have conditions that are diagnosed and treated in primary care so there may be a ticking time bomb of obesity in under 30s that won’t be know until its too late.
There’s a large push to work collaboratively within the system because there is now one budget for health and social care which is less than the two had individually but some areas push back on this and make it impossible (looking at you GPs). There’s also the public and press to blame for this as the recent move to open up GP data for commissioning purposes would have filled this knowledge gap. As usual the government rushed arse first into this and ballsed it up completely which led GPs and the public to reject the idea.
I honestly think the NHS needs to be taken away from political involvement and run as its own public entity. Many of the doctors, nurses, managers know what the issues of their area are and will have great ideas on how to solve them and make things better. At the moment any innovation doesn’t meet the savings needs so can’t be enacted, instead more sticky plaster are added to meet governmental targets.
“No, don’t look at the shitshow that is Boris, look over here at the shitshow that is Javid”
I’ll take the hate.
He’s not wrong.
Many other countries have better healthcare systems than we have. Unfortunately we have, rather bizarrely, built a cult around ours that stops any meaningful reform happening.
So it’s just an absolute fucking money pit, and will continue to be one forever I imagine.
We literally refuse to learn from the many more successful systems in use around the world, just because America has a dogshit system.
It’s one big false dichotomy that every cunt in politics uses.
It’s either the US system, or the British system. No other systems exist, according to everyone who wants their political party to win the next election.
Drives me fucking nuts.
This guy idolises Ayn Rand, what else would you expect.
UK: DO NOT LET THEM DESTROY THE NHS. You do NOT want American healthcare.
The NHS sure needs about £350 million a week additional funding
33 comments
But I just cancelled netflix because they keep increasing prices…
So I guess the Tories have finally admitted that they have run down the NHS to the point of failure.
They can blame who they like but they have been in charge for 12 years now – and this is down to them. Not the previous labour government, not Corbyn, not Brexit and not monkey pox. It’s purely down to Tory policy.
sounds like we’ll soon need subscriptions, and you’ll never be able to have quite enough of them.
Sounds like they’re looking for an excuse to throw taxpayers money at a private tech firm to ‘modernise’ the NHS, yet again. If things follow the existings patterns, it’ll end up costing more than twice the original quote and end up worse than what we have at the moment.
> Asked what was meant by the Blockbuster and Netflix analogy, the PM’s spokesman said the Health Secretary was making the point that some of the “structures and systems” within the healthcare system were “designed for a different age”.
I mean in that sense it’s true. Despite the “NHS” logo over the top of everything it’s a mess of smaller organisations, which work both cooperatively and competitively, with all the associated bullshit that entails.
It’s 2022 and much communication between doctors is by physical letters for example. And results for procedures at hospital A are inaccessible at hospital B ten miles away because they’re different trusts. And trusts compete with each other to provide the same service because the contracts are lucrative, instead of a planned system which best benefits the people they’re providing healthcare to.
Weird because every service I’ve seen Tories hand to private companies is doing worse now and that includes parts of the NHS.
He is suggesting… keep paying the NI, but go private.
It is comparable to a defunct store insofar as they’re forced to still use Windows XP or whatever it is due to budget constraints. Not sure that’s the metaphor he was going for though.
‘Asked what was meant by the Blockbuster and Netflix analogy, the PM’s spokesman said the Health Secretary was making the point that some of the “structures and systems” within the healthcare system were “designed for a different age”.’
Well, he’s right. It’s what people in the system and many patients have been saying for long enough. But if you criticised the NHS, you’d have unthinking people jump at you for trying to privatise the NHS and turn us into America, when the reality is the UK isn’t even in the top 10 in many lists any more and not all of that is due to underfunding. Now many non-European countries like Oman or Brazil have universal healthcare, just having universal healthcare isn’t such a big achievement outside of the USA any more. People in Norway wait weeks for things Brits wait months or years for. And why does it take the NHS so long to adopt new treatments, compared to other countries? We’ve got one side destroying the NHS through underfunding and privatisation and then another side destroying it because they believed it was a sin to talk about the current shortcomings of the NHS.
Netflix started off with mailing DVDs with a very similar model to Blockbuster, then the people that owned them poured loads of money into modernising it and it did really well for a while, and for the most part still is.
On the other side, Blockbuster had lots of opportunities to modernise but the owners missed all of them through mismanagement.
What this implies is that the people providing money to the NHS should invest in it to modernise or make poor decisions and fail. As he leads those people, he should get on it.
It also implies that he has no understanding of the video rental market, in the same way he has no understanding of the healthcare system and underlying market.
Why do they want everything to be like Netflix? Dorris wants channel 4 to follow the netflix model. Don’t they know that Netflix is bleeding money and is shit.
Well, it’s hardly surprising given the 30 odd years of systematic redisorganisation and deliberate underfunding since 2010. Health and Social Care Act 2012 was passed, despite promises that there would be no top-down restructuring, which opened the flood gates for privatisation, a dream that Tories have nurtured since Letwin published his *Britain’s Biggest Enterprise*, which was basically Americanised healthcare system wanking fodder.
I agree with Sajid.
The NHS can’t operate in the same way it did 15-20 years ago, it needs to modernise and use current technology for efficiencies. Take GPs for example if patients could go through basic questions with an AI bot, then it could save GPs five minutes per appointment (50% saving) and avoid appointments altogether by ensuring patients are referred to the right service provider (pharmacist instead of a GP, GP nurse, podiatrist etc).
The more people who use digital Access through the NHS app the more efficient the NHS becomes.
He means that he’d like to turn it into an American-owned subscription service that conceals all of it’s profits via tax havens.
He’s right in a way…that’s how they wanted it in the first place and they’ve done a fantastic job of running down the NHS that we can not be, in his terms, like “Netflix”.
What makes it worse is that those who rely upon the NHS (you know the demographic) are the ones who keep voting these morons in.
I have had patients complain about our services but then proudly tell me how great going private is now that they’ve been voting Tory for all these years – which beggars the question of why they’re in an NHS hospital in the first place. Frustrating.
Please please please stop voting Tory. Once the NHS is gone I dread to think what will happen next.
Well yeah that’s what happens when the people in charge of funding it don’t give the resources to modernise it.
YOU ARE LITERALLY RESPONSIBLE FOR MAKING IT LIKE THAT YOU FUCKING DUNCE.
He is absolutely right.
Why do people insist on going to hospitals for surgery when they can just as easily stream an operation on their phone?
Putting a banker in charge of the NHS was a terrible idea. Putting the tories in charge of the country was a terrible idea.
If you think the Conservative government want to break up the NHS and privatise it in order to improve it, you have clearly not been paying attention to anything these people have been doing since they came back into power 12 years ago.
Until we can have a grown up conversation about the NHS and the need for reforms it will continue to be crap. The right don’t give a fuck and the left keep throwing about the ‘privatisation’ accusation whenever reforms are even mentioned. Until we move on from the red herring of privatisation in public discourse then reform will never happen.
We also need to move away from the deification of the NHS. Praise doctors and nurses, yes, but far too many managers hide behind the deification of the NHS as a way of deflecting criticism and preventing change, creating huge inertia. Fundamentally it’s a broken organisation (or many organisations) that ultimately needs serious reform just as much as it needs more money. Simply throwing more money won’t fix it.
So here we are, both sides flinging shit at eachother, nothing ever getting done, loads of well paid managers happily on the gravy train in the middle and those who suffer are us poor fuckers at the bottom
We urgently need an adult conversation and like it or not, both the left and right are equally guilty of preventing that from happening.
Well, he is not wrong. I needed to email something to my GP clinic and they told me they do not have email accounts. I would need to fax them anything I needed.
Emails exist over 20 years now.
Even if there is some truth to what he is saying, why on Earth would the British public trust the Conservative party to modernise the NHS.
They’ve had 12 years in power.
Oh surprise surprise a Tory who doesn’t like the NHS.
Isn’t it them who have ruined it in the first place?
I can’t think of a single instance of a part of the NHS that has been privatised that has worked better.
Patient Transport – Worse
Out of hours GP/Urgent care – Worse
Everything that Sirona (or Virgin) has taken over the running) – Worse.
Closing all the community and cottage hospitals and replacing them with care homes – Worse
Funny they weren’t saying that when they rescued Boris’ fat ass.
Our small company made an absolute fortune subbying on NHS construction jobs…. Almost zero oversight and never a QS on extra costs… they just pay…
It is not Tory or Labour at fault…. it’s a non-partisan issue which is entrenched in the NHS management structure… There are actually more managers than medical professionals in the NHS…
Bleating that one party or the next is any better at dealing with the NHS when they spend £59,000.00 per DAY just on TRANSLATORS is absurd and not addressing the monster…
​
They need a bi partisan rationalization similar to Beeching’s railway project.
Morons playing partisan politics with this issue need to find a dark corner….and stay there…
I think the biggest issue is that the NHS is government’s last big plaything.
I’ve worked in the NHS for 16 years and in that time it’s been through 3 large scale restructures and is going through a 4th. This means a huge ou t of time and energy is spent deciphering the vague and meaningless instructions from government and going through endless consultations. Guaranteed that there will need to be outside intervention so deloitte or similar will be involved at great expense.
Once the change happens its a short duration before the next directive comes along and pulls everyone away from innovation and onto that.
Add to this that budgets are constantly being tightened and a need to do everything at a cheaper rate along with a push to get more and more people treated. So much energy and time is spent to churn people through for less cost that knock on effects and impact on patients is an afterthought.
There’s also IG and IT issues that make it impossible to share data and information from one organisation to another so the overall health picture of the population can’t be seen by those who need to know it. Commissioners don’t know how many people have conditions that are diagnosed and treated in primary care so there may be a ticking time bomb of obesity in under 30s that won’t be know until its too late.
There’s a large push to work collaboratively within the system because there is now one budget for health and social care which is less than the two had individually but some areas push back on this and make it impossible (looking at you GPs). There’s also the public and press to blame for this as the recent move to open up GP data for commissioning purposes would have filled this knowledge gap. As usual the government rushed arse first into this and ballsed it up completely which led GPs and the public to reject the idea.
I honestly think the NHS needs to be taken away from political involvement and run as its own public entity. Many of the doctors, nurses, managers know what the issues of their area are and will have great ideas on how to solve them and make things better. At the moment any innovation doesn’t meet the savings needs so can’t be enacted, instead more sticky plaster are added to meet governmental targets.
“No, don’t look at the shitshow that is Boris, look over here at the shitshow that is Javid”
I’ll take the hate.
He’s not wrong.
Many other countries have better healthcare systems than we have. Unfortunately we have, rather bizarrely, built a cult around ours that stops any meaningful reform happening.
So it’s just an absolute fucking money pit, and will continue to be one forever I imagine.
We literally refuse to learn from the many more successful systems in use around the world, just because America has a dogshit system.
It’s one big false dichotomy that every cunt in politics uses.
It’s either the US system, or the British system. No other systems exist, according to everyone who wants their political party to win the next election.
Drives me fucking nuts.
This guy idolises Ayn Rand, what else would you expect.
UK: DO NOT LET THEM DESTROY THE NHS. You do NOT want American healthcare.
The NHS sure needs about £350 million a week additional funding