John Whalley, Mental Health Nurse / Psychological Therapist (retired), Newcastle-upon-Tyne
How can we balance increasing costs with delivering a quality service? And what can we do to better support NHS staff?
Hosted by Newcastle University, an evening of debate and discussion about the future of the NHS was promised for 5th June 2023, with panellists comprising Professor Clare Bambra (Professor of Public Health, Newcastle University), Dr Guy Pilkington (GP and Chair of the Prevention Board for the North East and North Cumbria ICS), Dr Benjamin Ajibade (Assistant Professor, Nursing, Midwifery & Health, Northumbria University) and James Duncan (CNTW NHS Trust). The panel was chaired by Jane Robinson, Pro-Vice-Chancellor, Engagement and Place, Newcastle University.
Sadly, reality overshadowed promise and, to me at least, the evening was typified by 75% lack lustre and unremarkable comment. What could have been a springboard to searching and frank questioning and debate was, in fact, very different. In addition to one or two surprising comments (one panellist outlined his support for the use of the private sector in tackling the waiting list, but without acknowledging any associated compromising issues with this, and another panellist advocated the primary need for the NHS to look to ways of actually saving money, but without acknowledging the savage financial cuts to some services…), there were a number of unsubstantiated platitudes. One or two panellists made nebulous commitments to the future of “Our NHS” but, given that the NHS is on the back foot, it would have been good to hear what they were actually doing about it (although, in fairness, it was a debate rather than a hustings or campaign meeting or political rally).
The nitty gritty was clearly pinned down by one panellist in extra time. The elephant (aka NHS privatisation) remained in the lecture hall, unacknowledged, until sanity was preserved by Professor Clare Bambra, who specified her view that, as far as the Government and the future of the NHS is concerned, it is clear that all is on the table (ref: recent trade agreements – readers will remember The Trade Act 2021 which makes provision for the implementation of international trade agreements, in effect opening up the NHS to further large-scale takeovers from international corporations) and that the NHS is at a potential turning point (re significant further privatisation and contracting out). Thank you, Professor Bambra, we agree whole heartedly. We all know that, over the past decade, Government policy has placed the NHS in a precarious and dangerous position, now moreso than ever, and this fact and reality needs to be spelled out and placed centre-stage in all conversations and discussions – and debates.
The Newcastle University video of the debate may be viewed here.
Members of KONPNE were in the audience, two of our questions were received by the panel, these were tackled but lack of time negated full responses from the panel. We repeat these here – for further repeating and placing centre-stage.
“Labour Party policy appears to advocate the use of the independent sector to bring down waiting lists. This involves using NHS-trained doctors and nurses, and has an impact on staffing in the NHS. Your thoughts?”
“I am a member of Keep Our NHS Public North East – campaigning against the privatisation of our NHS, We’ve been present in the North East for the past twelve years. Quite rightly, there has been much talk tonight about the prevention of ill health, people taking their own responsibility for health, an aging population, the care sector, better financial management by services. All of these are important – but, with respect to the panel, we are ignoring the elephant in the room. Does the panel agree that the issue is mainly politically driven, and reflects political ideals, a corrupt “chumocracy”, and a drive to a two-tier health system, underpinned by health insurance and shareholders creaming off profit. Does the panel agree that what we are seeing is a strategic, planned, long-term, politically-driven, intentional run-down of a publicly-provided and publicly-funded healthcare system to enable a growth in the private sector. THAT is the main issue”.
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