Competition has not made NHS better, say experts

 

Government claims that competition has improved quality in the NHS and has saved lives are based on flawed research, experts say.

As ministers prepared to defend Andrew Lansley's health reforms, which reach the House of Lords this week, academics at the University of London have attacked a key pillar of the Health and Social Care Bill.

It came as the Cabinet and the Department of Health were put on alert to prevent a "peers revolt" that could lead to parts of the Bill being referred to committee – fatally stalling the legislation.

Liberal Democrats, led by Dame Shirley Williams, were alarmed that the duty of the Secretary of State to provide a free, universal and comprehensive health service was being weakened. Ministers are expected to offer concessions to reassure them.

Fears that the Bill will be a Trojan horse for the private sector are also fuelling protest. Some 2,000 demonstrators blocked Westminster Bridge yesterday during a demonstration organised by UK Uncut against "the wholesale privatisation of the NHS".

Andy Burnham, the shadow Health Secretary, said the legislation would turn the NHS into a free market and called on Mr Lansley to withdraw the Bill.

The latest criticism of the Bill, by Professor Allyson Pollock of Queen Mary, University of London, and her colleagues, challenges the evidence on which the reforms are based. Writing in The Lancet, she said that a study used by David Cameron to back the case for more competition in the NHS was littered with errors.

That study, by researchers at the London School of Economics, suggested that mortality rates for heart attack patients were lower in cases where more hospitals were within travelling distance of the patient's GP surgery. It also looked at outcomes from routine surgery on hernias, hips, knees and cataracts and concluded that greater choice of hospital led to better results for heart attacks.

Professor Pollock said the study offered no explanation of why the availability of choice for the routine procedures should have had any effect on the mortality of heart attack patients. Heart attack is a medical emergency and most patients have no choice about where they are treated. She added: "Our examination of this research reveals it to be fundamentally flawed. The paper simply doesn't prove either cause or effect between patient choice and death rates."

Life and Style
ebookNow available in paperback
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.

    iJobs Job Widget
    iJobs General

    Guru Careers: Software Developer / C# Developer

    £40-50K: Guru Careers: We are seeking an experienced Software / C# Developer w...

    Guru Careers: Software Developer

    £35 - 40k + Benefits: Guru Careers: We are seeking a Software Developer (JavaS...

    SThree: Trainee Recruitment Consultant / Resourcer

    £18000 - £23000 per annum + Commission: SThree: As a Trainee Recruitment Consu...

    Ashdown Group: UI Developer - (UI, HTML, CSS, JavaScript, AngularJS)

    £25000 - £40000 per annum: Ashdown Group: UI Developer - (UI, JavaScript, HTML...

    Day In a Page

    Is a quiet crusade to reform executive pay bearing fruit?

    Is a quiet crusade to reform executive pay bearing fruit?

    Dominic Rossi of Fidelity says his pressure on business to control rewards is working. But why aren’t other fund managers helping?
    The King David Hotel gives precious work to Palestinians - unless peace talks are on

    King David Hotel: Palestinians not included

    The King David is special to Jerusalem. Nick Kochan checked in and discovered it has some special arrangements, too
    More people moving from Australia to New Zealand than in the other direction for first time in 24 years

    End of the Aussie brain drain

    More people moving from Australia to New Zealand than in the other direction for first time in 24 years
    Meditation is touted as a cure for mental instability but can it actually be bad for you?

    Can meditation be bad for you?

    Researching a mass murder, Dr Miguel Farias discovered that, far from bringing inner peace, meditation can leave devotees in pieces
    Eurovision 2015: Australians will be cheering on their first-ever entrant this Saturday

    Australia's first-ever Eurovision entrant

    Australia, a nation of kitsch-worshippers, has always loved the Eurovision Song Contest. Maggie Alderson says it'll fit in fine
    Letterman's final Late Show: Laughter, but no tears, as David takes his bow after 33 years

    Laughter, but no tears, as Letterman takes his bow after 33 years

    Veteran talkshow host steps down to plaudits from four presidents
    Ivor Novello Awards 2015: Hozier wins with anti-Catholic song 'Take Me To Church' as John Whittingdale leads praise for Black Sabbath

    Hozier's 'blasphemous' song takes Novello award

    Singer joins Ed Sheeran and Clean Bandit in celebration of the best in British and Irish music
    Tequila gold rush: The spirit has gone from a cheap shot to a multi-billion pound product

    Join the tequila gold rush

    The spirit has gone from a cheap shot to a multi-billion pound product
    12 best statement wallpapers

    12 best statement wallpapers

    Make an impact and transform a room with a conversation-starting pattern
    Paul Scholes column: Does David De Gea really want to leave Manchester United to fight it out for the No 1 spot at Real Madrid?

    Paul Scholes column

    Does David De Gea really want to leave Manchester United to fight it out for the No 1 spot at Real Madrid?
    Season's finale brings the end of an era for top coaches and players across the continent

    The end of an era across the continent

    It's time to say farewell to Klopp, Clement, Casillas and Xavi this weekend as they move on to pastures new, reports Pete Jenson
    Bin Laden documents released: Papers reveal his obsession with attacking the US and how his failure to keep up with modern jihad led to Isis

    'Focus on killing American people'

    Released Bin Laden documents reveal obsession with attacking United States
    Life hacks: The innovations of volunteers and medical workers are helping Medécins Sans Frontières save people around the world

    Medécins Sans Frontières's life hacks

    The innovations of volunteers and medical workers around the world are helping the charity save people
    Ireland's same-sex marriage vote: As date looms, the Irish ask - how would God vote?

    Same-sex marriage

    As date looms, the Irish ask - how would God vote?
    The underworld is going freelance: Why The Godfather's Mafia model is no longer viable

    The Mafia is going freelance

    Why the underworld model depicted in The Godfather is no longer viable