Emeritus Prof Christopher MayAnd, 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'!
MarjorieR@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.
The NHS workforce presumably.
Simon LucyAccording 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.
Kim Spence-Jones 🇬🇧😷@simon_lucy @marjolica @ChrisMayLA6
This could descend into farce. Sounds like Streeting has set the private sector an impossible challenge. Their only option is going to be ‘no bid’. Egg on Streeting’s face when his ‘solution’ turns out to be a bust?
This could descend into farce. Sounds like Streeting has set the private sector an impossible challenge. Their only option is going to be ‘no bid’. Egg on Streeting’s face when his ‘solution’ turns out to be a bust?
Passenger@KimSJ @simon_lucy @marjolica @ChrisMayLA6
My money is on him privately backing down and allowing them to hire NHS staff via some loophole rather than see the privatisation fail, even if he continues to bluster publicly.
beemoh@passenger @KimSJ @simon_lucy @marjolica @ChrisMayLA6 I don't see how the 'reuse' thing is even plausible- if someone leaves the NHS are they now unemployable?
I think the loophole-cum-objective here is to get staff to leave the NHS and become fully employed by either the private firm or an agency, then claim the NHS is failing due to it not having the staff left.
@beemoh @passenger @KimSJ @simon_lucy @ChrisMayLA6 so no more staff and the private companies creaming off profits.
How does that solve the waiting list problem?
Of course the private companies claim that they are more efficient, but in practice what that means is that (1) they only take the easy cases, leaving the more complicated and expensive to treat cases to the NHS and (2) if they can't handle an issue with one of the easy cases they just shunt them off to the NHS to sort out.
How does that solve the waiting list problem?
Of course the private companies claim that they are more efficient, but in practice what that means is that (1) they only take the easy cases, leaving the more complicated and expensive to treat cases to the NHS and (2) if they can't handle an issue with one of the easy cases they just shunt them off to the NHS to sort out.
Donald Roy@marjolica @beemoh @passenger @KimSJ @simon_lucy @ChrisMayLA6
This is what #nigelcrisp discovered rather painfully in the middle 2000s and why later on #andyburnham told #nhs commissioners to look first at public providers .