And, as warned (expected) Keir Starmer (and We Streeting) are expanding the amount of work the NHS hands off to the private sector as a way of 'dealing' with the NHS crisis... of course, this is a solution that looks at capacity (which of course needs to be expanded) rather than at the costs of provision.... to expand capacity by adding high-cost private contractors, may be a short-term sticking plaster but of course 'robs Peter to pay Paul'!

#Health #NHS

https://www.theguardian.com/politics/2025/jan/06/private-sector-cutting-nhs-waiting-lists-england-keir-starmer

Private sector’s role in cutting NHS waiting lists in England to rise by 20%

Critics decry Keir Starmer’s plan as ‘feeding the parasite’ rather than investing in the public health service

The Guardian
@ChrisMayLA6 given many consultants (and nurses) already work in both the private and public sectors where is all this extra private provision for NHS patients going to come from?
The NHS workforce presumably.

@marjolica @ChrisMayLA6

According to Streeting at lunchtime that private providers have to source the resources needed but they can't reuse NHS staff and that's stipulated in the contracts.

When pushed on whether that means more foreign staff he said that's up to them and they could do that.

The implication is that foreign is wrong, but you can't train staff overnight.

There was also a lot on private providers sharing their training facilities with the NHS.

@simon_lucy @marjolica

Hmmm..... tif they do go down the migrant health service staff route (doubling down on what the UK is already doing), it might alleviate an immediate crisis, but unless the UK also expands quickly training provision (and support for students), all that will happen is we will (once again) export a crisis to the developing world (this time to their domestic health services from whom we are stealing staff)!

(see earlier post)

@ChrisMayLA6 @simon_lucy @marjolica

I work in health and social care, getting staff from overseas doesn't happen overnight either (they all need to be cleared by Border Force etc, that takes time)

@vfrmedia @ChrisMayLA6 @simon_lucy @marjolica
It also comes with all sorts of catches and caveats. The sponsoring firm has to get registered, and has to report if the foreign employee leaves or gets fired (and firing usually means deportation, so it’s a huge issue).For small firms it’s just not worth the hassle.

@KimSJ @ChrisMayLA6 @simon_lucy @marjolica

I set up all the Sharepoints and other resources for the staff files, the admin staff have to spend so much time checking documents etc and the Home Office audits these every so often (including checking up even on staff who have left)

@KimSJ @vfrmedia @ChrisMayLA6 @marjolica

But it still happens and if it's made a priority then controls are eased.