Health leader Mike Farrer warns NHS is heading for disaster
Survey of trust chiefs shows huge budget shortfalls and a need for reorganisation of services
Jeremy Laurance is a writer on health issues. He is former health editor of The Independent and the i and has covered the specialism for more than 20 years. He thinks the harm medicine does is under-appreciated, the harm it prevents over-rated, and that cycling works better than most drugs. He was named Specialist Journalist of the Year in the 2011 British Press Awards.
Wednesday 20 June 2012
The leader of England's hospital and primary care trusts has warned that the NHS is heading for disaster and must change course if it is to survive.
Mike Farrer, chief executive of the NHS Confederation, said some hospital departments must close, specialist services must be consolidated, and more care must be provided in the community to meet budget shortfalls.
Similar calls have been made by politicians and senior NHS figures over the past 20 years. But this time, Mr Farrer will say in a speech to health service leaders today, the deteriorating financial situation in the NHS means decisions can no longer be shirked.
Three-quarters of chairs and chief executives from 250 NHS trusts and organisations surveyed by the confederation said the current financial situation was "very serious" and a quarter said it was "the worst they had ever seen".
Mr Farrer said: "We know what needs to happen. But are we going to be able to take the assertive action needed in time?"
John Appleby, chief economist at the King's Fund, warned in the British Medical Journal that demands for the NHS to find savings equivalent to but over and above the £20bn required by 2015, in the years to 2020, were "undoable" and that the NHS was being set up for failure.
He argued for the closure of specialist departments and their transfer to centres of excellence. "We need specialised centres for stroke care which we know have saved lives in London, we need more coaching for patients leaving hospital to enable them to cope at home, which reduces re-admissions, and we need more patients with dementia, who occupy 20 per cent of hospital beds, managed in the community," he said.
The NHS needed "a new model of primary care", Professor Appleby added, with more use made of community pharmacies to supplement the service provided by GPs.
Mr Farrer blamed politicians and NHS managers for "a failure of leadership" and warned they must abandon short-term solutions and win public backing for long-term radical changes.
The Health Secretary, Andrew Lansley, said: "We have committed to investing an extra £12.5bn in the NHS and led a programme of quality-led savings for reinvestment in services. The NHS needs to change to match the needs of a changing population."
Life & Style blogs
What marriage would look like if we actually followed the Bible
Overly-controlling parents cause their children lifelong psychological damage, says study
What do the emojis on Snapchat mean?
Star Wars BB-8 droid toy is real, should be impossible
Orthorexia nervosa: How becoming obsessed with healthy eating can lead to malnutrition
- 1 What marriage would look like if we actually followed the Bible
- 2 President Obama leaves touching comment on Humans of New York photo from Iran
- 4 The Chinese city where men have 'three girlfriends because there are so many women'
- 5 'Heartbreaking' Syria orphan photo wasn't taken in Syria and not of orphan
£37040 - £43600 per annum: Recruitment Genius: The UK's export credit agency a...
£25000 - £27500 per annum: Recruitment Genius: This company provides a compreh...
£16800 - £19500 per annum: Recruitment Genius: Would you like to join an organ...
£25000 - £28000 per annum: Recruitment Genius: In the last five years this com...