Leading Article: NHS league tables will help to improve the nation's health

ALL LEAGUE tables are misleading, except perhaps in sport. The health tables published yesterday are no exception. The complex sets of figures showing death rates in different areas, outpatient waiting times, and survival rates for patients with different diseases can all be interpreted in different ways. Poor performance on one measure can have more to do with geography, the population and poverty than with professional competence.

But the tables are important, in that they make it possible to examine objectively how and where the health service most urgently needs to be improved. For too long, the virtue of the National Health Service was accepted as an unchallengeable given. It was as though the fact that Britain had a free health service freed it from the need for any kind of scrutiny. To say that this led to a form of institutional atrophy would be to understate the case.

The asking of questions was not considered acceptable behaviour. Patients were expected to bow down before the medical gods, who answered questions only if absolutely necessary, and sometimes not even then.

The first publication of these "health indicators" - officially, we must not call them league tables - will focus attention on the whys and wherefores of the strengths and weaknesses of different areas. They will also tilt the balance in health care slightly more in favour of the patients than of the professionals. Previous attempts to avoid detailed analysis of the differences in different areas have only helped to keep the problems unsolved. Until recent years most Britons felt too timid to ask questions, let alone to think that we could enjoy anything so quaint as "patients' rights". We were (rightly) grateful that we did not have to pay for the privilege of visiting the doctor. In addition we learnt from experience that we must honour and obey the men in white coats.

In most European countries, this unequal relationship has long since been jettisoned. There, a doctor gains respect for trying to help and cure patients - but he or she knows that the respect is conditional. Admittedly patients are not "customers" in the conventional sense, but nor can their wishes and fears simply be ignored.

Our medical profession has gradually been groping towards the openness that has been so badly needed for so long. The medical welcome for the new tables should therefore itself be welcomed as confirmation of a change of tack. Let us hope it is not just lip-service.

Analysing the respective performances of different hospitals is likely - initially at least - to create confusion and misunderstandings. But it is at least a start. Above all, yesterday's publication means that there is greater information in the public domain. That can only be a good thing - for patients and doctors alike.

PROMOTED VIDEO
Have you tried new the Independent Digital Edition apps?
Arts and Entertainment
The Great British Bake Off contestants line-up behind Sue and Mel in the Bake Off tent

TV
Arts and Entertainment
Mitch Winehouse is releasing a new album

music
Arts and Entertainment

TV
Arts and Entertainment
Beast would strip to his underpants and take to the stage with a slogan scrawled on his bare chest whilst fans shouted “you fat bastard” at him

music
Arts and Entertainment
On set of the Secret Cinema's Back to the Future event

film
Arts and Entertainment
Gal Gadot as Wonder Woman

film
Arts and Entertainment
Pedro Pascal gives a weird look at the camera in the blooper reel

TV
Arts and Entertainment
Public vote: Art Everywhere poster in a bus shelter featuring John Hoyland
art
Arts and Entertainment
Peter Griffin holds forth in The Simpsons Family Guy crossover episode

TV
Arts and Entertainment
Judd Apatow’s make-it-up-as-you-go-along approach is ideal for comedies about stoners and slackers slouching towards adulthood
filmWith comedy film audiences shrinking, it’s time to move on
Arts and Entertainment
booksForget the Man Booker longlist, Literary Editor Katy Guest offers her alternative picks
Arts and Entertainment
Off set: Bab El Hara
tvTV series are being filmed outside the country, but the influence of the regime is still being felt
Arts and Entertainment
Red Bastard: Where self-realisation is delivered through monstrous clowning and audience interaction
comedy
Arts and Entertainment
O'Shaughnessy pictured at the Unicorn Theatre in London
tvFiona O'Shaughnessy explains where she ends and her strange and wonderful character begins
Arts and Entertainment
The new characters were announced yesterday at San Diego Comic Con

TV
Arts and Entertainment
Rhino Doodle by Jim Carter (Downton Abbey)

TV
Arts and Entertainment
No Devotion's Geoff Rickly and Stuart Richardson
musicReview: No Devotion, O2 Academy Islington, London
Arts and Entertainment
Christian Grey cradles Ana in the Fifty Shades of Grey film

film
Arts and Entertainment
Comedian 'Weird Al' Yankovic

Is the comedy album making a comeback?

comedy
Arts and Entertainment
While many films were released, few managed to match the success of James Bond blockbuster 'Skyfall'
film
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    Save the tiger: The animals bred for bones on China’s tiger farms

    The animals bred for bones on China’s tiger farms

    The big cats kept in captivity to perform for paying audiences and then, when dead, their bodies used to fortify wine
    A former custard factory, a Midlands bog and a Leeds cemetery all included in top 50 hidden spots in the UK

    A former custard factory, a Midlands bog and a Leeds cemetery

    Introducing the top 50 hidden spots in Britain
    Ebola epidemic: Plagued by fear

    Ebola epidemic: Plagued by fear

    How a disease that has claimed fewer than 2,000 victims in its history has earned a place in the darkest corner of the public's imagination
    Chris Pratt: From 'Parks and Recreation' to 'Guardians of the Galaxy'

    From 'Parks and Recreation' to 'Guardians of the Galaxy'

    He was homeless in Hawaii when he got his big break. Now the comic actor Chris Pratt is Hollywood's new favourite action star
    How live cinema screenings can boost arts audiences

    How live cinema screenings can boost arts audiences

    Broadcasting plays and exhibitions to cinemas is a sure-fire box office smash
    Shipping container hotels: Pop-up hotels filling a niche

    Pop-up hotels filling a niche

    Spending the night in a shipping container doesn't sound appealing, but these mobile crash pads are popping up at the summer's biggest events
    Native American headdresses are not fashion accessories

    Feather dust-up

    A Canadian festival has banned Native American headwear. Haven't we been here before?
    Boris Johnson's war on diesel

    Boris Johnson's war on diesel

    11m cars here run on diesel. It's seen as a greener alternative to unleaded petrol. So why is London's mayor on a crusade against the black pump?
    5 best waterproof cameras

    Splash and flash: 5 best waterproof cameras

    Don't let water stop you taking snaps with one of these machines that will take you from the sand to meters deep
    Louis van Gaal interview: Manchester United manager discusses tactics and rebuilding after the David Moyes era

    Louis van Gaal interview

    Manchester United manager discusses tactics and rebuilding after the David Moyes era
    Will Gore: The goodwill shown by fans towards Alastair Cook will evaporate rapidly if India win the series

    Will Gore: Outside Edge

    The goodwill shown by fans towards Alastair Cook will evaporate rapidly if India win the series
    The children were playing in the street with toy guns. The air strikes were tragically real

    The air strikes were tragically real

    The children were playing in the street with toy guns
    Boozy, ignorant, intolerant, but very polite – The British, as others see us

    Britain as others see us

    Boozy, ignorant, intolerant, but very polite
    How did our legends really begin?

    How did our legends really begin?

    Applying the theory of evolution to the world's many mythologies
    Watch out: Lambrusco is back on the menu

    Lambrusco is back on the menu

    Naff Seventies corner-shop staple is this year's Aperol Spritz