For thirteen years we put up with a sort of 'Animal Farm' change in NHS culture - 'more for less' was the dogma - pay freezes etc. It functioned but at a lower level than before - a knd of dumbing down of expertise and ability. It became rather like the principle in schools where some stopped having a Sports Day becaus some kids might get upset if they didn't win.
Now the conservatives (coalition my a***). They want change for change's sake to convert the NHS into a kind of competetive 'free-for-all' market place. Yes, I'm old enough to look back at the NHS and realise what's missing. It's the dedication to patients, that's what. Years back people worked extra hard for extra ill patients, because we wanted to. People worked days when they didn't get paid to get the job done and the satisfaction was saving someon's life. No, I'm not shroud-waving, I'm telling it like it was. No one counted the hours. No one looked at the clock. Now? Hard work isn't appreciated any more. It's all this time based contract, targets - for which no one in the NHS gets a bonus (except for managers).
The only way forward is to have a non-political, multi-party group who oversee the NHS. A group with a common aim - to run the NHS for the distant future not just so as to get elected next time round because they can say they have changed it.
Policy now is often dictaed by Government think tanks who formulate an idea in the pub on Friday night and institute change for change's sake on the Monday and then turn around with consternation on their faces when things don't work out. Like the massive computer system costing millions which never got off the ground. They could have saved the money and paid it out as bonuses now, for bankers instead.