Scrap NHS reforms, doctors tell Lords

experts, including 40 public health directors of health say the government and the law of good-will be "irreparable harm"

More than 400 senior doctors and public health experts are asking the House of Lords to throw the government's health and the bill on social assistance, saying he will do a "one irreparable harm to social security for individual patients and society as a whole. "

signatories are Professor Sir Michael Marmot, author of several reports on the relationship between wealth and health that suggest that children born into poverty are penalized for life.

Marmot has not yet been openly critical of the coalition approach, and instead has offered encouragement to David Cameron and the apparent enthusiasm, Andrew Lansley to public health.

But Marmot and others in leadership positions have concluded the bill will hurt all aspects of health services.

"While we welcome the emphasis on establishing a closer working relationship between public health and local government, the proposed reforms as a whole will break, and weaken the public health capacities fragment the country, "said the letter.

"The government says the reforms have the support of health professionals. No. Nor have most of the broad public support. "

The letter describes the damage that experts say health reform done.

"It marks the beginning of a much higher degree of marketing and marketing that will lead to fragmentation detrimental to patient care, increases the risk for the individual patient safety, medical ethics erode and confidence in the health care system, rising inequality in health, lose money in attempts to regulate and manage the competition, and undermine the ability of the health system to respond efficiently and effectively outbreaks communication and other public health emergencies, "said the letter

In his view, say the signatories, the bill would "undermine the foundations of ethics and cooperation of the National Health Service" and "will not deliver the efficiency, quality , equity, or the election. "

• signatories are about 40 public health directors across the country who have made the difficult decision to make public their concerns. There are also two senior members of the Faculty of Public Health, one of them, Dr. John Middleton, is vice president. Other familiar names are Professor John Ashton, director of public health in Cumbria, and Professor Michel Coleman, London School of Hygiene & Tropical Medicine.
Dr. David McCoy, a consultant in public health medicine in North-West London primary care trust, one of the organizers of the letter, said he was surprised by the number of people willing to sign. "I think if we had continued to collect signatures, I'm sure you've collected another 200 that is to have a snowball effect," he said. "I think the feeling is very strong."

There are many debates on whether to call for the rejection or modification, but there is a sense of the reform is all wrong and we must express our position in the strongest terms. I think there was a sense of the next reading in the House of Lords is the last opportunity to minimize damage. "

The public health community has not done this before. "I think there was an attempt to work with the reforms and working behind the scenes to optimize the proposed reforms," ??said Dr. McCoy.

Dr. Middleton said there was strong opposition to the measure proposed to place the public health services, such as quitting smoking within local authorities. "But the letter is an acknowledgment of the public health community on the proposed reforms to the NHS are extremely detrimental to public health in themselves," he said. There were fears that lead to health inequalities and less access to poor and disadvantaged to services they need.

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