Britain’s failed National Health System (NHS) and the Case for a World Class UK Public Healthcare System Benchmarked on Best Practice

I have received a request to share hyperlinks to my blogs on best practice in public healthcare. As I ran a search across blogs for ‘NHS and Best Practice’, I thought this would be of interest to a wider audience.

Here’s the list of blogs (with hyperlinks), in reverse chronological order, viz. latest first. Some are written by myself and some my co-blogger, John Gelmini. Each blog is dealing with an issue at that particular moment in time. But the interested reader will find a wealth of data and radical opinion.

Incremental change has failed and radical reforms have been consistently botched. Politicians have meddled and meddled. There’s been no overall vision, strategy and effective delivery mechanism. There have been too many vested political interests, both internally and externally, with patient care subordinated. Whilst the NHS was a great vision when originally conceived and indeed for many years set the gold-standard for public healthcare, now it’s riddled with its own cancers, with a terminal prognosis. Notwithstanding, politicians continue to make false promises, knowing that the evidence tells a different story. For this reason, both John Gelmini and myself, both experts in delivering strategic change, have settled on a more radical solution – build a new bottom-up UK public healthcare system, benchmarked on global best practice, running downing and eventually dismantling the NHS.

  1. NHS must put its house in order before seeking more cash, says internal audit | Society | The Guardian
  2. Opinion – Hunger, filth, fear and death”: remembering life before the NHS – New Statesman
  3. NHS bosses blame patients for being ‘fat and old’ as they plead for more cash – Mirror Online
  4. Opinion – The gap between funds and delivery is a chasm in the NHS: something has to give | Chris Hopson | Opinion | The Guardian
  5. Study finds NHS ‘MOT’ health checks to reveal signs of illness have few benefits | Health News | Lifestyle | The Independent
  6. Opinion – NHS on course for worst financial crisis in its history – Telegraph
  7. Reform the NHS – or watch it fade and die – Telegraph
  8. Opinion – NHS told to fill only essential vacancies due to ‘almost unprecedented’ finances | Society | The Guardian
  9. Opinion – Myth busting: NHS not so efficient after all « Adam Smith Institute
  10. Opinion – NHS faces bigger than expected financial ‘black hole’ – – John Gelmini
  11. Public Sector Catch 22: Structural Reform, Strategy and Implementation – How to avoid a Omnishambles Recovery Programme? – Best Blogs Series
  12. Did Andrew Lansley kill off NHS reform for good? – Telegraph
  13. The NHS can’t survive without payment for frontline treatments | Simon Jenkins | Comment is free |
  14. Labour set to launch ‘save the NHS’ election campaign – ITV News
  15. NHS must use fewer temporary staff and sell land to save £10bn, says Hunt | Society | The Guardian
  16. BBC News – NHS errors costing billions a year – Jeremy Hunt
  17. NHS will cease to exist without reforms to secure funding, warns Frank Field | Society |
  18. The NHS is on the brink of extinction – we need to shout about it | Healthcare Professionals Network | Guardian Professional
  19. Fears for the elderly under new NHS drugs policy – Telegraph
  20. The Arrival of the First Snow and the Fear of the Season’s Unnecessary Death in the UK’s NHS?
  21. NHS competition holds up creation of specialist cancer treatment centres | Politics | The Observer
  22. TRUE cost of health tourism: Foreigners cost NHS up to £2BN a year | Mail Online
  23. Opinion: US Federal Shutdown ‘Obamacare’ and the UK’s NHS
  24. PAC slams NHS IT system project – OutsourcerEye
  25. Thousands dying of thirst on NHS: Watchdog forced to issue guidelines on giving patients water | Mail Online
  26. NHS should take inspiration from Bargain Hunt when buying supplies, minister says – Telegraph
  27. We won’t need a PC World NHS if more of us go private | Melissa Kite | Comment is free | The Guardian
  28. Understanding the UK NHS’s Terminal Cancer – John Gelmini
  29. Kevin Maguire: David Cameron smears NHS to hide his own failure – Kevin Maguire – Mirror Online
  30. Callous: the verdict on NHS care for the dying – Telegraph 
  31. A Hard Look Beyond the 13,000 Needless NHS Deaths – John Gelmini 1/2
  32. 13,000 died needlessly at 14 worst NHS trusts – Telegraph
  33. UK NHS in Terminal Meltdown under Cameron – Top News Stories 
  34. NHS is unsafe and inhuman, says director – Telegraph
  35. BBC News – Unite: NHS falling into chaos and crisis (video)
  36. A Doctor’s View of Obamacare and Trumpcare from Rural Georgia | The New Yorker
  37. The benefits that a digital healthcare system could bring aren’t out of reach – the Conversation
  38. Opinion – Cancer rates have reached a record high | Daily Mail Online – John Gelmini


A new aviation strategy for the UK: call for evidence – GOV.UK – John Gelmini

I thank Dr Alf for sharing this post about a new aviation strategy for the UK. Let me start by restating his first three open questions:

 1. Why do you think that the UK aviation industry is not sufficiently focused on customer satisfaction compared to global peers?

The answer to Dr Alf’s first question is that UK airline executives like to live in London, or close to it, without regard to the distances that their staff and passengers have to travel to get to places like Heathrow and Gatwick. Heathrow was conceived in 1946, just after World War II, without any consideration for the residents of West London living under the flight path and Governments composed of elitist politicians were happy to go along with what was done and with the activities of the British Airports Authorities. Customer satisfaction is an American or foreign concept, largely alien to the UK, which has directors who pay lip service to the idea but are more interested in satisfying themselves and their bank managers. The airlines are run by people who think like this, plus the most extreme examples at BA, an airline full of ageing stewardesses, who see themselves as extremely attractive and passengers as people who should be eternally grateful to even be in their presence. The UK’s global peers in America, China, Germany and in Kuwait think that customers are more important because they do not have the same feelings of entitlement to wealth and to customer’s business.

2. Why does security technology in UK airports lag global competitors?

The answer to the second question is down to greed, in terms of not wanting to spend the money on up to date technology but rather to spend money on security guards and making people’s lives difficult, so that the furore created can be sold as “necessary security measures”.

3. Do you believe that existing allocation of scheduled routes, with traditional airlines like British Airways, supports effective competition, quality and service improvement?

Dr Alf’s third question suggests a resounding ‘no’ and my visits to Hong Kong, Shanghai, Melbourne, Australia, Germany, Switzerland, various American airports, Milan Linate and Jersey, all suggest to me that Heathrow, Gatwick, East Midlands Airport, Bristol and Luton, owned by the local authority, are light years behind their foreign counterparts. Stansted is perhaps an exception but still bears no comparison to the others in terms of both facilities or ease of transportation to and from the airport.

The remaining questions posed by Dr Alf require further thought and input.

John Gelmini