วันเสาร์ที่ 17 มีนาคม พ.ศ. 2555

Can the NHS survive Andrew Lansley's health and social care bill reforms?


NHS

100 workers interviewed by The Guardian, before the final reading of Bill in the House of Lords next week paint a portrait of - especially - the devotion to the NHS and to patients' needs at foreground

aa . Explore what 100 people who work in or with the NHS reforms think our

Paul O'Brien recognizes that walking 10 to 15 miles a day on the job as a janitor at the Luton and Dunstable Hospital. It helps, he says, if, as a taxi driver in London who has "knowledge" and "know all the shortcuts." Her day starts before 8, patients roll in the corridors of the room for surgery. "It could be your first transaction, which could be nervous. It is said they are mega, mega-fast. You must keep your spirits up during the trip. "

O'Brien, who is 35, was the doorman of a decade and earns £ 14 700 per year. After working in a period in which the trunk is outsourced services to a private company and many colleagues walked out, he is concerned that the proposed changes to the NHS could trigger a similar response. "Tried to put profits before patients again. People do not put much effort into their work because they are paid so little. "

Clifford Mann has his own concerns about the health law, in particular about how their plans will provide specialized care. But despite his reservations, the consultant in emergency medicine at the hospital in Taunton and Somerset, who was paid £ 110,000, said the reforms could ease some pressure on the NHS increasingly clear. "We must be more open with the public and say, you are able to overwhelm the health system and if you do, you hasten its disappearance."

Next week, the first 20 months after the new coalition government published a white paper on proposed changes in the NHS in England, and a year since a law was introduced in Parliament, Health and Social Bill will have its third and final reading in the House of Lords, and final approval of Deputies. This is one of the very last obstacles to negotiate before the plans very controversial - which represents the biggest reform of the NHS since its inception in 1948 -. Become law

Rarely has a government project underwent a stormy passage. Public opposition and parliamentary energetic, and the pressure on the three major health care unions and a variety of professional organizations representing physicians and midwives, pediatricians, radiologists, and forced more than 1,000 amendments to proposals initials, and a break of two months, that the law was revised last summer.

A year after their first revolt in the plans, despite the pain impulses to the leaders of the ruling party, the Liberal Democrats, once again voted the weekend to remove support Bill , leaving still question marks hanging over how peers will vote next week.

But while the debate on the bill noisy, not lacking in volume, how much we really know what ordinary people working in the NHS think? How Oerton Janet, a health visitor with an experience of 30 years, I believe that the proposed changes could affect your work with new parents in Bournemouth? You can see Rita French potential improvements to its team of receptionists in a & E department at North Devon District Hospital in Barnstaple? What Peter Hay, who coordinates social care services for 30,000 people on behalf of Birmingham City Council, to provide what might happen if the bill becomes law?

decided to ask them. The Guardian today publishes 100 Voice of the NHS, a series of interviews with workers in health services across England, tell us what he really feels about the proposals. In one of the largest projects of its kind conducted by this newspaper, reporters interviewed the consultants of the hospital and a hospital cleaner, a therapist working with traumatized children play, and makes the keys orthopedic spine support for people with MS. Cumbria Devon, host of the parking earn £ 13.900 per year for the CEO the hospital, taking home ? 250,000, which wanted to know what those who spend all day in the first Online NHS really think. The resulting image is so rich, complex and diverse as the NHS. The service, said many, is difficult to handle and sometimes wildly exasperating. Some spoke of their concern that the changes could say, while others said they felt reorganization was beaten constantly moral


But the weight of our unscientific survey certainly leans towards the opposition, and many others spoke of his deep concern about the government's plans could affect areas in which they work. "I work with children in extreme states of distress," said Sharma, Rajni, 42, a child psychotherapist working in Manchester and Leeds. "The problem with this restructuring of the NHS is to the detriment of those children, more complex, that really need to invest long-term treatment. How can doctors expect to have the experience to decide that people with disabilities so complex that they require? "

John Ashton, who as director of public health for Cumbria oversees services for 500,000 people, was one of the most energetic. "The bill is unintelligible. Andrew Lansley said he was losing weight management, but we will end up with more layers that have been eliminated. There are some positive points of the reform, but there are all sorts of incredible tension built the new structure. This is the breakfast of a dog. "
Whether for or against, what is striking is thinking carefully considered and sometimes agonizing that these health professionals with experience have given the theme, reflection was sometimes subtle neglected while the debate has increasingly strident. In rare cases, respondents could be described as cheerleaders reflexes or pessimistic.


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