The British National Health Service is in crisis.
75 years of under-funding, and deliberate attempts to return healthcare to private enterprises, have left the workforce dispirited and pessimistic, that any future legislators would have the courage to match the groundbreaking efforts of the 1945 Labour Government. That was at a time when Britain had been bankrupted by WWII and was in hock to the USA.
However, if we look objectively at the mistakes which we made, and learn something about the meaning of social healthcare, then it is possible to find a way out of this impasse.
Those seeds, sown by the medical profession in 1948, are today responsible for the dysfunctional nature of healthcare in the UK, with the patient playing second fiddle to affordability, which, in turn, has become the mantra of the modus operandi. Consequently , the charitable ethos of care has been systematically whittled away, and the quality of life for patients has been downgraded.
In due course, Parliament became the major stumbling block, with the politicians choosing the music to be played by the NHS. That is like employing a deaf, dumb and blind person to lead and conduct the London Symphony Orchestra. Furthermore, the weakness of the NHS Orchestra lay not only in it having an incompetent conductor, but also with individual instrumentalists, who were neither following he score, nor playing in tune.
I have given examples of how malpractice , or just looking the other way, has blighted the lives of patients, and, without the medical profession being fully committed to the delivery of care to NHS patients, this is likely to continue.
Therefore, the status quo has to be radically changed, and to this end I describe how healthcare in the UK can be put back onto a truly social footing.
This will involve many different aspects of the situation, from the reinstatement of the Family Doctor (FD) as the most important cog in the healthcare wheel; to the role of Secondary Care; to the setting up of a patient-centred database; and to a funding mechanism whereby the cost of care can come from a new ring-fenced tax.
This booklet takes the bull by the horns and shows how, when we focus our minds, we can fashion a new system, which addresses every aspect of the problem.
Read with optimism, and join those of us who have been involved both as patients and doctors.
If the reader wants to find out more about the history of England's healthcare, then they should read, 'Who Cares - Conflicts of Interest', published by Amazon in 2022.
Finally, lest we forget, the patient must remain at the centre of our attention.
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