Understanding the UK NHS’s Terminal Cancer – John Gelmini

Second Life: National Health Service (UK):

Second Life: National Health Service (UK): (Photo credit: rosefirerising)

Second Life: National Health Service (UK):

Second Life: National Health Service (UK): (Photo credit: rosefirerising)

Kevin Maguire is correct about David Cameron’s failings but there is no way in the world that the NHS’s present problems can be airbrushed away as scapegoating.

The NHS has been in a state of financial implosion and meltdown for years and across different political administrations.

Under Margaret Thatcher, an attempt was made to get a grip on costs by appointing managers.This failed because their numbers grew by 189%, wiping out any savings that they might have made through better procurement, better rostering of staff, competitive tendering for hospital building and increased emphasis on preventative medicine.

Under Tony Blair, further attempts at reform were made but management numbers, like Japanese knotweed grew uncontrollably to a figure 225% higher than it was before. Also under him McKinsey consultants did a lot of very expensive work and sat in his office in Downing Street when he agreed to spend £2.2 billion gbp on “Choose and Book”, a computer system for patient appointments which did not work.

Under Gordon Brown, £7 billion gbp was spent on the NHS as a result of the Wanless Review and all of it was wasted by declining NHS worker productivity, higher NI contributions mandated by Gordon Brown and higher wages.

PPP/PFI deals which represented bad value for money for taxpayers were used by both political parties and effectively saddled the NHS with a mortgage on its future, courtesy of a PFI profitability formula devised by Andersen Consulting but never questioned by a single Civil Service Mandarin or Government Minister.

Under the NHS, there has been little or no attempt to develop preventative medicine, see food as medicine or deal with the costs of obesity, dementia, diabetes, depression and the resultant poor productivity, estimated conservatively to be £100 billion gbp a year.

The culture is one of poor performance, lies, obfuscation, excuses, feigned apologies, greed, revolving doors and potentially malfeasance given 8 fold differences in purchase prices of a whole range of items discovered by Sir Philip Green in 1 week’s work, during his 2010 review of Government procurement.

This culture has recently been exposed by consultants, who now say they can solve the A and E crisis by undertaking overtime for more money and by GPs, who are in a substantial number of cases keen on the old idea of charging £25 gbp per visit for a consultation as the present workload is in their words “unsustainable”.

The entire NHS is in need of urgent replacement along with most of its managers and the failed David Cameron, the loser of elections and master of own goals.

It needs to be remodeled on German/French lines and incorporating the best elements of the Italian system along with variable taxes on foods to deal with obesity plus a lowering of sugar, salt and e-numbers content in foods and drinks.

UK doctors need to be trained to US standards of best practice(theirs are higher) and paid differently on the basis of keeping people well.

NHS managers need to be replaced en mass and a new flat structure composed of competent and committed people put in place with none of the previous managers being allowed back as consultants.

John Gelmini


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Effective Reform of the NHS – John Gelmini

English: NHS logo

English: NHS logo (Photo credit: Wikipedia)

With a new Health Minister announced yesterday by UK Prime MinisterDavid Cameron, perhaps the following could be considered an open memo to the new minister?

The twenty-four points,  radical “straw-man” ,  come exclusively from John Gelmini,  in response to my re-blog of an article entitled:

BBC News – Nurses ‘having to clean toilets and mop floors’ .

Let me know your thoughts.


Reform is not rocket science:

1) Merge the Adult Social Care and NHS budgets, get rid of all Directors of Adult Social Care and place all social workers within the NHS.

2) Use an aggressive programme of re-enablement to eliminate 30% of Adult Social Care recipients who are malingerers and benefit fraudsters.

3) Reduce layers of management in the NHS to a maximum of 5 and do the same with the subsumed Adult Social Care structure.

4) Bring in Annualisation and flexible rostering,  plus time and attendance software, smooth peaks and troughs in workload, and bring doctor and nurse contracts into line to prevent overmanning at periods of low demand and understaffing at peak times of demand.

5) Establish maximum staffing levels for each function and police vigorously to prevent empire building and staff creep through the creation of bogus grades as happens now.

6) Centralize the purchasing of all drugs and equipment, rationalize the supplier base and split between a rotating consortium of providers.

This as per Sir Philip Green’s report to David Cameron, which identified 8 fold savings across all Government Departments.

Apply rotating audit to prevent fraud.

7) Put non-essential services like cleaning, security, garden maintenance and parking out to tender, using an outsourcing panel with strict controls.

8) Follow the German example and bring in Rife technology to all cancer wards.

This and other treatments, including some not used in Germany, could reduce the bill for terminal cancer patients (currently £1/2 million gbp per patient, just on drugs, to a 1/4 of that figure), NB 95% of us will die of either cancer or heart disease.

9) Re-introduce Vitamin B17 into our diet–Counter to Alimentarius Commission policy.

10) Bring in a top celebrity chef and nutritionists to improve hospital food and retrain people within the NHS to understand that food is part of patient treatment.

Sack those who fail to get this concept or who resist it.

11) Rationalize the NHS regions down to say 25 for the entire country, dismiss all surplus Chief Executives.

12) Use CRM and early intervention to tackle obesity and regression into a need for Adult Social Care, diabetes and other health problems in later life.

13) Teach nutrition, proper cooking and health in schools and colleges, if necessary by extending the school-day and making it part of the curriculum.

Ban the use of Ritalin, Prozac and other Serontonin uptake drugs, discourage drinking on an empty stomach.

14) Refuse to offer surgery to grossly overweight patients and smokers, as already happens in my local NHS trust, where nurses do not clean toilets as this is left to G4S along with guarding drugs from theft by growing numbers of heroin addicts who live in Stevenage.

15) Introduce variable tax on foods to encourage healthy eating.

16 ) Pedestrianise town and City centre areas in the same way as Salzburg in Austria has done, increase policing levels using street wardens as backup to encourage walking.

17) De recognise the NHS Unions and replace all malcontents

18) Make the BBC run programmes on nutrition, morbidity and risk and reduce the licence fee if it refuses to do so.

19) Put money into preventative health and aggressively weed out malingerers (about 50% of all patients) in GPs’ surgeries.

20) Compel the food industry to remove sugar, salt and dangerous chemicals from our food, ban Bisphenol A from being used at all.

21) Introduce the death penalty or as a minimum, life imprisonment without parole to major drug dealers and start taking the problem seriously.

22) Pay doctors for keeping people well as already happens in China,not for the size of their patient list as happens here.

23) Insist that people who use motorised mobility vehicles take a test applied by two different doctors, before being issued with one or allowed to buy one.

24) Introduce tax breaks that promote marriage as married people tend to be healthier than single people based on morbidity statistics.

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